December 2017 Newsletter

Season's Greetings!
from all of us at 
Leatherstocking Collaborative Health Partners
Welcome to the LCHP Quarterly Newsletter! 

Dates for 2018 
    • Project Advisory Committee (PAC) Meetings:
      • Wednesday, March 14th
      • Wednesday, June 13th
      • Wednesday, September 26th
      • Wednesday, December 12th
    • All Partner Meetings (will be confirmed 30 days in advance):
      • Thursday, March 29th
      • Thursday, June 21st
      • Wednesday, September 12th
      • Thursday, December 20th
As in the past, the All Partner Meetings will be at the Otesaga Resort Hotel in Cooperstown. Each will be preceded by an Executive Leadership Meeting from 11:00- 12:00, with lunch and general registration occurring from 12:00-12:30 and the general meeting from 12:30 - 4:00. These quarterly meetings are an opportunity to share challenges and best practices, network with other partners and receive updates on DSRIP initiatives. The LCHP is always eager to receive input on the meetings and encourages partners to share their ideas for topics for presentations and discussion. Please contact Cindy Levene, Partner Engagement Manager, with ideas and suggestions at 607-322-5154.

  Partners Receive National Committee for Quality Assurance (NCQA) Accreditation

We are pleased to share an email we received from Dr. Kerri LeBlanc, Co-Director of Bassett's School Based Health Program:

"I would like to share some news that I am extremely excited about - we have received word back from the NCQA on our Patient-Centered Medical Home applications, and all 20 of our School-Based Health Center sites have received Level 3 accreditation with their very first submission.  This is NCQA's highest level of recognition!
 
While it definitely took the whole SBH village to get this done, I would like to take this opportunity to thank a few standouts among the many dedicated individuals whose hard work made our success possible - Jane Hamilton, Regina Wotasek, Martha Sunkenberg, Wendy Kiuber, Betsy Rodgers, Denise Dye, and Tammy Loucks.  There is no doubt that this work had allowed us to provide an even higher level of care to the patients we serve, and it's our hope that this designation will improve both our program's sustainability, and provide ongoing credibility for the model of SBHCs as sources of primary health care around the country."


In addition, the following partners also achieved this high level of recognition and we applaud them on their success:
  • Community Memorial Hospital (4)
  • Fox Primary Care (5)
  • Little Falls Hospital (2)
  • Regional Primary Care Network (1)
  • Bassett Medical Center
    • Primary Care Clinics (27)
    • Pediatric Clinics (3)
 
CONGRATULATIONS!
Welcome New Partners!

Presbyterian Homes and Services
Presbyterian Homes and Services is a member of Community Wellness Partners, a nonprofit affiliation of Lutheran Care and Presbyterian Homes & Services, offering complete continuity of health and wellness services for older adults in Oneida County. The 62-acre campus offers a full range of health care services for older adults, including home care and adult day programs, short-term and outpatient rehabilitation, assisted living and skilled nursing. Presbyterian Homes will participate in INTERACT, a project not offered by our counterpart PPS in Oneida County, Care Collaborative of Central New York. 


Presbyterian Homes and Serv ices
Michael Sweeney, President/ CEO
4290 Middle Settlement Road
New Hartford, N.Y. 13413
Phone: 315.797.7500

 

The Salvation Army
The Salvation Army, an international movement, meets human needs of  approximately 25 million Americans annually without discrimination It operates 7,546 centers in communities across the United States. These include food distribution, disaster relief, rehabilitation centers, anti-human trafficking efforts, and a wealth of children's programs. Its work is funded through kettle donations, individual donors, corporate contributions, and the sale of goods donated to The Salvation Army Family Stores. Eighty-two cents of every dollar they spend supports its various missions across the country.  The organization has been pursuing its mission to feed, to clothe, to comfort and to care since 1865.


The Salvation Army
Steve Vonderweidt, Director of Social Services
200 Twin Oaks Dr.
Syracuse, N.Y. 13206
Phone: 515.884.0073


Input Welcome!
   
As we shared at the All Partner Meeting, each county Performance Hub has identified a specific population and performance measure to target in the coming months. All will be focusing on ED visits by patients with BH diagnoses. If your organization has any suggestions on how to impact these groups or contribute to action plans, the Performance Champions would be happy to hear from you!
 
Performance Champions Contact Info:
 
Delaware County Hub
Dan Ayres
Catskill Area Hospice and Palliative Care
297 River Street Service Road
Oneonta, NY 13820
607-432-6773
 
Herkimer County Hub
Brenda Maynor
Community Health Center
2 W. Main Street
Johnstown, NY 12095
518-762-8215
 
Madison County Hub
Sherry Buglione
Oneida Healthcare
321 Genessee Street
Oneida, NY 13421
315-361-2031
 
Otsego County Hub
Julie Dostal
LEAF
80 Water Street
Oneonta, NY 13820
607-432-0090
 
Schoharie County Hub
Bonnie Post
Schoharie County Office of Community Services
113 Park Place
Schoharie, NY 12157
518-295-8407


Disparities in Care Conference: End of Life Care Discussed

On September 21, 2017, LCHP was pleased to co-host Confronting Disparities in Care: A Discussion of End of Life Care  at the Otesaga Resort Hotel. In partnership with Catskill Area Hospice and Palliative Care, At Home Care, Inc., and Bassett Healthcare Network, the evening of practitioner cultural competency focused on the importance of end of life care management and how it can affect the dual DSRIP goals of reducing ED visits and re-admissions for this group of patients. Among others, the conference was attended by over 80 medical and nursing staff, care managers, social workers and pastors. Many LCHP partners were in attendance. CME credits were offered.

Dr. Bruce Leff of Johns Hopkins University School of Medicine was the keynote speaker. An innovator in health care for older adults, Dr. Leff discussed his model, "Hospital at Home," which assesses patients for suitability to receive acute-level hospital care in their own homes. The data show that, when possible, patients much prefer this option, which also provides substantial savings to the health care system. Dr. Leff also participated in Grand Rounds at Bassett Medical Center the following day.


The second speaker was Dr. Chris Mulik, Medical Director of Catskill Area Hospice and Palliative Care. He provided an overview of hospice care, the differences between palliative care and hospice care, the benefits of these services to patients and their families, as well as the savings afforded by keeping these patients at home rather than their going to the ED or being readmitted.

Third, Dr. James Dalton, attending physician at Bassett Medical Center and Director of Medical Education, and Dr. Carol Beechy, Chief of Palliative Care at Bassett Medical Center, gave a talk on having difficult conversations with patients and families facing terminal illness. This part of the program included a simulation, giving audience members an opportunity to role-play what such conversations might look and feel like.

This served as a lead-in to a screening of Atul Gawande's film, "Being Mortal," in which the renowned physician describes various difficult conversations and situations facing doctors with terminally ill patients. The evening concluded with an interactive discussion among panelists and attendees, highlighting best practices and take-aways from the evening.



All Partner Meeting 11/29/2017
 
Welcome from our new Executive Director...

The final All Partner Meeting for 2017 was held at the Otesaga Hotel on November 29.  LCHP's new Executive Director, Leonard Lindenmuth welcomed partners and gave a brief overview of his work with Bassett Medical Center as Network Executive Director, Bassett Health Plan and one of the original architects of LCHP. He then welcomed new team member, Jack Hogan, DSRIP Compliance Officer, who shared the progress we have made to date in his area. This was followed by an Education Review of Value Based Payments by Mr. Lindenmuth and Mike Sweet, DSRIP Director of Finance, and Performance Hub updates from our five Performance Champions. Dr. John May, Program Lead and Primary Investigator of the Mohawk Valley Population Health Improvement Program (MVPFIP), presented a "tour" of his organization's website. He focused on various types of data featured there and the multiple filters and features available to refine data searches. This information can be a great help in researching demographics in the areas LCHP serves. Click Here to access the site, which includes data for Herkimer, Schoharie and Otsego counties. Click Here for data on Madison County. Click Here for data on Delaware County.

 
"Moonshot Solicitation..."

The second part of the program included an overview of LCHP's new funds request process by Brett Wilhelm, Director of Operations and Data Analytics. With this information in hand, partners were then challenged by LCHP's Medical Director, Dr. James Anderson, to "shoot for the moon" in brainstorming concepts for innovative projects to be funded by LCHP.  After breaking into work groups, a range of projects were suggested. Using Lean 6 methodology to rank the choices, the top three "moonshots" were:
  • The creation of one central behavioral/addiction facility with 50 beds, mobile crisis dispatch, administrative compliance, shared services, guild/pool of social work, navigators for placement in prime care/ED.
  • Development of on demand care via telephonic and/or telemedicine equipment.
  • Establishment of transportation and navigation to assist with non-medical needs (i.e., grocery shopping, picking up prescriptions, etc.) throughout the entire PPS area.
 
Every idea generated had merit. LCHP encourages partners to continue this exercise in collaboration and brainstorming! The team is available to assist in developing any of the concepts into full-blown proposals. For the complete list of "moonshots," Click Here.

| Leatherstocking Collaborative Health Partners | 607-322-5150 (Main)