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September 2017 Newsletter
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Welcome to the LCHP Quarterly Newsletter!
Upcoming Dates to Remember:
- September 26th: 2017 Q3 Project Advisory Council Meeting (PAC)
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LCHP Team Updates
Leadership Changes at LCHP
On October 1st, LCHP will welcome Len Lindenmuth as its new Executive Director. Len is currently the Network Executive Director, Bassett Health Plan, and will assume the LCHP role in addition to his Bassett duties. Len was instrumental in the first stages of DSRIP and the creation of LCHP. He worked on the initial application for this PPS, as well as the determination of the projects LCHP would tackle. He brings a wealth of knowledge and expertise to the role. We look forward to working with him.
Len will assume the mantle of leadership from Jeff Woeppel, who stepped in in April as Interim Executive Director to lead LCHP through a period of transition. Jeff also participated in the creation of LCHP, its organization and implementation of projects. Partner Engagement Manager, Cindy Levene, said, "We were so fortunate that Jeff agreed to return on an interim basis. He is very knowledgeable about DSRIP and LCHP, knows the players and is genuinely committed to the work we are doing. He made huge contributions to our shift to Performance Hubs and the changes to our funds flow model. An experienced leader, he had a terrific rapport with the LCHP team and its partners. We wish him all the best on his retirement."
In July, Brett Wilhelm was promoted to Director of Operations and Data Analytics. He previously served in the role of Project Manager III, in which he provided leadership for the project managers supporting LCHP organizational and clinical projects. His new role encompasses the operational elements of the LCHP entity with a focus on accomplishment of the DOH DSRIP objectives and requirements. He will also manage and coordinate the databases critical for program success. Congratulations, Brett!
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LCHP Medical Director at ASAM 2017
Dr. James Anderson was a presenter at the 48
th annual meeting of the American Society of Addiction Medicine (ASAM) in New Orleans in April. The meeting is the nation's premiere conference on the latest science, research, best practices and innovations in addiction medicine. Dr. Anderson and his colleagues presented
Using Project ECHO to Spread Office-Based MAT: Life Saving System Transformation.
To date, 23 MDs have received their "x" licences through Dr. Anderson's program.
To read an abstract of the paper outlining the important work Dr. Anderson and his colleagues are doing,
click here.
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Welcome New Partners!
Church and Scott
Church & Scott, Inc. is a 142-year-old, family-owned pharmacy in Cooperstown offering personalized, one-on-one customer service. It is the first pharmacy to join LCHP as a partner, and we look forward to working with them in meeting DSRIP objectives.
Church and Scott, Inc.
5396 State Highway 28
Cooperstown, NY 13326
churchandscott@gmail.com
Phone: 607-547-1228
Fax: 607-547-1230
The Cooperstown Food Pantry has been in operation since 1977. The Food Pantry is a member agency of the Regional Foodbank of Northeastern, NY and is an all-volunteer operation. Serving people who reside in the northern two thirds of Otsego County, in 2016, the Food Pantry assisted 198 households, or 764 people, with 2,370 c
lient visits. With its goals in direct alignment with DSRIP objectives, we look forward to partnering with the Food Pantry.
Cooperstown Food Pantry
Co-directors, Audrey Murray and
Antoine Bourbon-Parme
25 Church Street
Cooperstown, NY 13326
607-547-8902
Herkimer Family Nurse Practitioners
Herkimer Family Nurse Practitioners is a pediatric practice, serving patients ages newborn-21. Open Monday - Friday, from 9:00 -5:00, they provide 24/7 on call coverage. Accepting most insurance plans, they also provide same day sick appointments.
Michelle Gorski FNP-BC is a graduate of SUNYIT with a Master's Degree in Family Nurse Practition and is board certified. She has experience working as a family nurse practitioner in pediatrics, urgent care, and the ER setting for over 5 years. She has 13 years experience as a critical care nurse. She is a child abuse medical provider educated at SUNY Upstate's CHAMP program and works in collaboration with the Herkimer County Child Advocacy Center. Charlene Macri FNP is a graduate from Community General Hospital in Syracuse with a degree in Family Nurse Practitioner and is board certified. She has over 16 years of experience in Pediatrics, including inpatient and nursery, as well as urgent care. She is also the current provider for the Herkimer County Jail. Both Michelle and Char hold certifications in Basic Life Support, Pediatric Advanced Life Support, and Advanced Cardiopulmonary Life Support. We welcome them to LCHP!
Herkimer Family Nurse Practitioners
237 E. Steele Street
Herkimer, NY 13350
herkimerfnp@yahoo.com
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LCHP Reconvenes Smoking Cessation Committee
The LCHP team is "reigniting" the DSRIP tobacco cessation project. After a year-long hiatus, the group has reconvened to address this important public health issue. Project successes to-date include funding to support the community smoking cessation program, "The Butt Stops Here," at A.O. Fox Hospital, and Bassett's Cancer Center at FoxCare Center to provide additional medication for people trying to quit to supplement medication available through insurance. Upcoming potential items of project focus will be promoting tobacco-free outdoor policies in our communities, supporting efforts to promote the Tobacco21 bill (proposed state legislation prohibiting the purchase of tobacco projects to anyone under 21) locally and at the state level, and promoting cessation counseling among smokers and tobacco users.
The following story is reprinted from Bassettworks and outlines a recent success story about June Collins. Her comments were featured in the American Cancer Society's promotional material for the proposed Tobacco21 legislation.
Deciding To Do it
"You can't really quit until you make up your own mind to do it,"says June Collins.
"My first puff was at age 13. I smoked nonstop until I finally quit 11 months ago. I have a good life with a wonderful family and can honestly say that smoking has been my one true regret."
June Collins is for anything that's going to discourage someone from starting smoking. Collins, a Bassett Healthcare Network employee for 10 years, says she wished she had quit years ago and wishes she never started. Collins says she was a half-pack to a pack-a-day smoker for 39 years.
But just about a year ago, the prospect of becoming a grandparent prompted her to quit. "I want to be around for my grandchildren, should I have any, and I want them to enjoy me and I want to enjoy them."
"I sent my primary physician, Dr. Joyce Burton, a MyBassett Health Connection message saying 'I'm ready to quit.'" Burton, who had been encouraging her to stop smoking for some time, ordered Chantix for Collins and she took one pill twice a day. "It blocks the crave mechanism in your brain, dulls the craving," says Collins. She remains on the medication, but currently at half the original dose. Collins relates that with her doctor's authorization and with Bassett's medical coverage, there is no copay for the medication.
"I had quit before, at least three times, but I was more motivated about a year ago. I wish I had done it years ago." Collins has been smoke-free for about one year. "You can't really quit until you make up your own mind to do it." Her husband and her kids are very happy now that she's done it for good.
June Collins, AOA III, Master Scheduler, Cobleskill Primary Care Office -
You may contact LCHP with any questions about tobacco cessation, or if you have interest in participating in the project you may email
dsrip.lchp@bassett.org or call 607-322-5150. We would be happy to hear from you!
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Spotlight On Developmental Disabilities
In partnership with Springbrook, LCHP convened a summit on May 31, 2017, engaging partners and practitioners in discussions surrounding care of the Developmentally Disabled vis a vis DSRIP initiatives: care coordination, value based payment, access and quality of care. The summit featured keynote speaker, Joanne Lamphere, Deputy Commissioner for the Division of Person Centered Supports at NYOPWDD. In addition, the conference included presentations on DSRIP Performance Metrics for the DD population, HIXNY and Health Information Exchange, and Community Navigation. To access the presentations from the conference,
click here.
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All-Partner Meeting Update
The third quarter All Partner Meeting was held on September 6, 2017 at the Otesaga Hotel and Resort, with close to 90% of LCHP partners in attendance. Following remarks by Interim Executive Director, Jeff Woeppel, the keynote presentation, "Seen Enough Tobacco?" was presented by Deyanirea Cisneros and Linda Wegner of Advancing Tobacco Free Communities. Their presentation corresponded to the re-formation of LCHP's Tobacco Cessation Committee which will be launching tobacco cessation activities throughout the PPS.
Much of the focus of the remainder of the meeting was a challenge to partners: based on their experience, identify top factors leading to preventable ED use. Breakout groups were organized based on the healthcare "swim lane" each partner serves. Facilitated by LCHP Project Managers, the groups brainstormed, identified, categorized, and prioritized these factors using Lean Six Sigma methodologies.
The breakout session was followed by a panel discussion of the top factors identified by each group. Panel members, Sherry Buglione (Oneida Health Care), Deanna Charles (RPCH), Dr. Julie Dostal (LEAF), Dr. James Anderson (Bassett Medical Center), and Dan Ayres (Catskill Area Hospice and Palliative Care), effectively outlined the top 10 factors leading to potentially preventable ED use. (see chart below) Using Electronic Audience Response Devices, the partners voted on the top two factors, Access to Primary Care and Not Anticipating Needs/Lack of Follow-up. Having identified these as factors needing to be addressed to reduce avoidable ED visits, Performance Hubs will now work on developing solutions using the Lean Six approach.
Brett Wilhelm rounded out the meeting with an overview of the LCHP revised funds flow. It takes into account Pay for Performance and the need to flow funding to non-safety net partners. LCHP appreciated the feedback partners included in their evaluation forms following the meeting. Responses were overwhelmingly positive about increased interaction and partner involvement. Individuals posing specific questions will be hearing from their respective Project Managers. The next All Partner Meeting is scheduled for November 29, 2017 at the Otesaga.
**Please
click here for presentations from the recent All-Partner Meeting.**
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Neighborhood Center Receives Funds
The Neighborhood Center will receive $23,000 to train law enforcement officers in crisis intervention management.
Statistics from the Department of
Justice show that each year:
- two million jail bookings involve a person with mental illness;
- approximately 15% of men and 30% of women in local jails have a serious mental illness;
- one in four people killed in officer-involved shootings has a serious mental illness.
These numbers indicate law enforcement agencies have increasingly become de facto first responders to people experiencing mental health crises. This program is designed to train officers in de-escalation techniques and to make them aware of when and how to partner with the Mobile Crisis Assessment Team (MCAT), whose goal it is to redirect individuals with mental illness/substance abuse issues from the judicial system toward health care. The training will be available in all five counties of LCHP. Officers completing the program will receive three-year certification in Mental Health First Aid (MHFA). For more information about this program, please contact Sandy Soroka, Director of the Neighborhood Center, at 315-272-2615.
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The Catskill Center for Independence
"Independence doesn't mean you have to go it alone."
The Catskill Center for Independence is one of approximately 40 locally controlled independent living centers located throughout New York State. The Center was established in 1987 as a satellite office of the Southern Tier Independence Center in Binghamton. In 1988, the Center became a self-governing not- for- profit independent living center. It is a non-residential, community based, disability advocacy agency. The Center provides a variety of programs and services with the goal of assisting and supporting individuals with disabilities in our community in their attainment of universal access and opportunity in every aspect of their lives. Over the years, CCFI has worked with thousands of people with disabilities and their families. They have assisted hundreds of businesses, agencies and municipalities to remove physical and programmatic barriers.
"A Community of One."
The Center is run by individuals with disabilities for individuals with disabilities. In order to be an independent living center, at least 51% of CCFI's board of directors must be individuals with disabilities. Additionally, many of the Center's staff also have personal experience with a disability. Serving individuals of any age with any type of disability, the Center provides services to families and friends, businesses, agencies, and municipalities. Since its inception, the Center and its dedicated staff have assisted individuals with disabilities to become more independent in all phases of their lives. Says Executive Director, Meghan Staring, "The Center's philosophy is that all individuals with a disability have the right to decide what independence and success means to them. The staff at CCFI believes that individuals with disabilities have the right to make their own choices, have their own dreams, take their own risks, and accept their own successes and failures."
"Every Day is Independence Day!"
With offices in Oneonta and Cobleskill, The Center offers a number of direct services to its consumers including benefits advisement, employment readiness, employment assistance, independent living skills training, assistance in securing housing, transportation, education, accommodations, service coordination, transition services to students with disabilities exiting high school, and transition services to institutionalized individuals who wish to live in the community.
LCHP feels very fortunate to partner with The Catskill Center for Independence in furthering our mutual goals for individuals with disabilities. Mehan Staring agrees, "CCFI is excited about our new partnership with LCHP to enrich services available to individuals with disabilities and their families. CCFI is committed to working together to ensure a seamless delivery system for services and referrals."
For more information about The Catskill Center for Independence, visit their website www.ccfi.us, contact them at 607-432-8000, or feel free to stop by 6104 State Hwy 23, Oneonta, NY.
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From left, Lori Grace, director of development at Pathfinder Village;
Marolyn Wilson, chair of the advisory board for the Utica area AHA;
and Chris Burrington, project coordinator, Bassett Research Institute
Bassett Research Institute Receives Grant to Promote Health of Families in Local Communities
7/25/2017
Bassett Research Institute, along with 14 other local organizations, including Pathfinder Village, received Greater Utica Community Impact Grant awards to help fund projects to improve the health of families in local communities. The grants were given by the Utica area American Heart Association/American Stroke Association.
The grant funds will be used to provide coupons (fruit and vegetable "prescriptions" or F&VRx) to local families for use at produce markets in Morris and Edmeston. The F&VRx program gives families the opportunity to try new fruits and vegetables and has been shown to improve health indicators and health behaviors of overweight children and pregnant women who are at risk for developing diet-related diseases, such as type 2 diabetes and heart disease.
The produce markets were introduced to the Morris and Edmeston communities when Bassett Research Institute's 5-2-1-0 program partnered with Pathfinder Village to promote fruit and vegetable consumption by local families with limited access to markets.
LCHP Co-Sponsors Growing Health Forum
The Bassett Research Institute's produce markets (see above) were on the agenda for the Growing Health Forum hosted by LCHP, The Food and Health Network of South Central New York, and the Cooperstown Farmers Market. Other partners included The Rural Health Education Network of Schoharie, Otsego and Montgomery Counties, Sodexo and the 5-2-1-0 Initiative. The forum took place on August 31 at the Foothills Performing Arts Center in Oneonta. Skye Cornell, of Wholesome Wave, was the keynote speaker and shared her company's experience as a leader in piloting voucher programs around the country to provide fresh fruits and vegetables to families who normally do not have access to them. Following her presentation, five panelists discussed local opportunities for providing affordable and healthy food to local communities. In addition to Christine Burrington who spoke about the 5-2-1-0 collaboration with Pathfinder Village, participants included Andrea Johnson, Clinical Nutrition Manager, Bassett Healthcare, Shannon Kirch, Program and Market Manager of the Cooperstown Farmers Market, Michelle Leveski, Nutrition Educator, Cornell Cooperative Extension of Schoharie and Otsego Counties, and Audrey Murray, Co-Executive Director of the Cooperstown Food Pantry. They shared best practices and information about their operations, answered questions and engaged in discussion with the attendees. Plans are to continue networking around this important topic. For more information,please contact Erin Summerlee, FaHN Director, at fahncoordinator@rhnscny.org.
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New York State Department of Health Launches VBP University
The New York State Department Health has recently launched a series titled "Value Based Payment (VBP) University. VBP University is an online, educational resource created to raise awareness, knowledge and expertise in the move to Value Based Payment (VBP). VBP University combines informational videos and supplemental materials that stakeholders interested in VBP can use to advance their understanding of this massive transformation effort.
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The VBP University curriculum includes four semesters:
- Semester 1- Background and foundational information on VBP (July 2017)
- Semester 2 - Topic specific information such as governance, business strategy, stakeholder engagement, finance, and data (August 2017)
- Semester 3- VBP Contracting (September 2017)
- Semester 4- VBP Bootcamps** (October and November 2017)
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VBP Bootcamps will take place in October and November 2017 in locations throughout the state. More information including dates and locations will be distributed shortly.
How to Graduate from VBP University:
Semesters one through three conclude with a quiz on the topics covered. Those who pass all three quizzes will receive a certificate of completion. If you attend a bootcamp, you will receive a printed copy of your certificate. If you are unable to attend a bootcamp, a copy of your certificate will be e-mailed to you.
To begin semester one of VBP University, please visit
www.health.ny.gov/VBP
. Additional materials will be announced through this listserv when they become available.
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New LCHP Performance Hub and Funds Flow Structure Introduced
At a series of kickoff meetings in May, the LCHP unveiled a new organizational structure. In anticipation of pay for performance measurements, the PPS is regrouping to best focus on achieving its 44 clinical performance goals. Recognizing the need for regional, county-based strategies and implementation, a "Performance Hub" was created in each of the five counties LCHP serves. Each Hub is led by a "Performance Champion" and a Steering Committee comprised of representative clinical and non-clinical service providers from that county. An "Assembly" of the balance of partners and specialized work groups complete the Hub structure. Working in concert with LCHP Project Managers, this plan allows each Hub to address performance measures in a county-specific way, while sharing best practices and experiences with the entire PPS. Director of LCHP Operations and Data Analytics, Brett Wilhelm adds, "LCHP believes that the combination of 'global' coordination and 'local' efforts will provide our PPS the best opportunity for sustainable delivery system reform and performance improvement.
" For more information on the Hubs, please click here.
LCHP realizes that partners have two primary reasons for engaging with DSRIP: mission-based incentives and financial incentives. To that end, LCHP has worked aggressively to revise its Funds Flow Model to include partners who are ineligible to submit Actively Engaged Patients, but never the less contribute greatly to overall performance improvement. For details about the new Funds Flow Model, please click here.
From the Interim Executive Director, Jeff Woeppel:
With regard to the Performance Hub Champions, we are making excellent progress. Discussion has been underway with individuals representing all five counties. Two agreements have been signed with others in motion. Every attempt has been made to not duplicate work being performed by other health related task forces/project teams. Assessment continues about the possibility of working with an existing group in the fifth county.
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Workforce Update
Partner reporting contributes to LCHP's ongoing ability to meet its spending commitments on investments and reinvestments in the staff who support DSRIP clinical projects. The below table represents actual LCHP partner workforce strategy spending vs. commitment. When we meet our commitments, we receive the associated Achievement Value (AV).
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Funding Type
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Actual
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Commitment
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Retraining
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$297,250
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$900,000
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Redeployment
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$1,000
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$90,000
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New Hires
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$316,300
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$45,000
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Other
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$931,206
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$90,000
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$1,545,755
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$1,125,000
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Additionally, partners have reported on their actual staff impact including new hires, training and redeployment. A Total Staff Impact of 85 (77 New Hires, 5 Retrained and 3 Redeployed) was reported by partners through LCHP Year 2 compared to a projection of 222 (222 New Hires, 0 Retrained and 0 Redeployed) for the 5 years.
Reporting on both the partners spending as well as their actual staff impact continues to be required every DYQ2 and DYQ4. Partners should keep in mind all associated activities with the DSRIP clinical projects as well as those subsequent projects that may be associated with driving associated performance measures. Data is entered into the HWapps platform and is next due to be reported for period 4/1/17-9/30/17.
In order to sustain the required reporting, LCHP in conjunction with Health Workforce New York, conducted workforce reporting training on August 28, 2017 and Sept 11, 2017. The recorded training can be accessed by clicking on the following link:
The Workforce Steering Committee is beginning to carry out the detailed work plan that was based on identified gaps in the workforce, particularly all levels of nursing, primary care practitioners, nursing aides and home health aides. Partners can expect an upcoming survey in late fall 2017 to identify additional data needed to analyze why staff leave positions, best practices on why they stay and to speak with new trainees. Additionally, LCHP plans to hire a coordinator to work with partners to execute the strategies identified.
In spring of 2018, the compensation and benefits survey will be conducted as required by DSRIP in DY3 and then again in DY5. This survey was last conducted in DY1 and was used to identify gaps in the workforce in comparison to staff needed to carry out DSRIP clinical projects. Data from the survey was instrumental in identifying the geographic area(s) where work needed to be focused. Results of the prior survey can be accessed on LCHP's website:
http://leatherstockingpartners.org/resources
under the PPS Survey Results section/Compensation and Benefits Survey Summary DY2Q1.
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| Leatherstocking Collaborative Health Partners | 607-322-5150 (Main)
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| leatherstockingpartners.org
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