I. Welcome M. Buglino. II. Review & Approve Minutes of Previous Meeting Action Item. III. PPS PMO Director Introduction. IV. PPS Updates Informational
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1 NYP Queens DSRIP Executive Committee Meeting Thursday August 24, 217 4:p.m. - 5:p.m. Call in # ; # EXECUTIVE COMMITTEE MEMBERS: Maureen Buglino (Chair) - NewYork-Presbyterian Queens Robert Crupi, M.D. (Vice-Chair) - NewYork-Presbyterian Queens Maria D Urso - NewYork-Presbyterian Queens Chris Caufield - NewYork-Presbyterian Queens Mark Greaker - NewYork-Presbyterian Queens John Lavin - Mental Health Provider of Western Queens Daniel Muskin - The Grand Nursing Home Lorraine Orlando - NewYork-Presbyterian Queens Faivish Pewzner - Americare Ashook Ramsaran - PAC Member Michael Tretola - Silvercrest Center for Nursing and Rehabilitation Paul Vitale - Queens Coordinated Care Partners AGENDA: I. Welcome M. Buglino II. Review & Approve Minutes of Previous Meeting Action Item III. PPS PMO Director Introduction IV. PPS Updates Informational M. Buglino M. Buglino M. Hay a. DY2, Q4 Scorecard & PPS Payment b. MY2 & MY3 Quality Measure Results V. Questions / Open Discussion VI. Adjourn 1 P a g e
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4 New York State Department of Health Delivery System Reform Incentive Payment (DSRIP) Program Print Summary Print All Achievement Value (AV) Scorecard The New York Presbyterian Hospital of Queens Quarter PPS PPS Number PPS Information DY2, Q4 January 1, March 31, 217 (Payment Quarter) The New York Presbyterian Hospital of Queens Project Link (click on the purple link below to access each individual project report) Domain I - Organizational (All Projects) Achievement Value (AV) Scorecard Summary AV Data AV AVs Available AVs Awarded Adjustment Net AVs Awarded DY2 Q4 Payment Available Payment Data DY2 Q4 Payment Earned Organizational funds are embedded within each project's payment 2.a.ii 2.b.v 2.b.vii 2.b.viii 3.a.i 3.b.i 3.d.ii 3.g.ii 4.c.ii Total $ 131,146 $ 131, $ 163,378 $ 163, $ 146,895 $ 145, $ 153,92 $ 153, $ 171,858 $ 12, $ 128,466 $ 128, $ 138,784 $ 13, $ 93,826 $ 93, $ 71,644 $ 71, $ 1,199,89 $ 1,111,838
5 Dear New York and Presbyterian Hospital Queens PPS, This notice is intended to inform you of your upcoming payment following the conclusion of DSRIP Year 2 (DY2). This payment will include three components; DY2, Payment 2, High Performance Fund Payment (if applicable), and DY2 Payment 1 Reconciliation. The table below provides the breakdown of this payment across each of the three components. Additional details about each component are provided following the table. Payment Component Payment Amount 1) DY2, Payment 2 $1,111,838 2) High Performance Fund Payment $2,16 3) DY2, Payment 1 Reconciliation $165,748 Total Payment $1,517,62 1) DY2, Payment 2 The DY2, Payment 2 amount was determined based on the results of the DY2, Q3 and DY2, Q4 PPS Quarterly Reports. This payment includes funds earned for Domain 1, Domain 2 P4R, Domain 3 P4R and P4P, and Domain 4 P4R. The amount of funding available for this payment and the distribution across the various components was calculated in accordance with the revised Attachment I of the STCs as agreed upon by DOH and CMS in July 217. Details regarding the specific percentage allocations across domains and between P4R and P4P can be found in the revised Attachment I on the DSRIP website. 2) High Performance Fund Payment PPS were eligible to earn High Performance Fund payments as a result of their performance on a set of measures identified a High Performance Fund eligible measures during Measurement Year 2. PPS could earn High Performance Fund payments by closing the gap to goal on a High Performance Fund measures by 2% or greater in Measurement Year 2 or by reaching the Statewide Performance Goal for a High Performance Fund measure. 3) DY2, Payment 1 Reconciliation When the DY2, Payment 1 amounts were initially calculated, DOH was engaged in discussions with CMS on internal inconsistencies within Attachment I of the STCs that impacted the calculation of DSRIP performance payments. As a result, the DY2, Payment 1 amounts were calculated in accordance with the original language from Attachment I, resulting in a lower payment amount to PPS. In order to ensure that PPS receive the full payment amount earned based on DY2, Q1 and DY2, Q2 performance, a reconciliation has been completed to determine the additional funding earned by PPS based on the final Attachment I. Total Payment Earned DY2, Payment 1 Additional Payment (based on final Attachment I) (made in April 217) (to be made in August 217) $975,866 $81,118 $165,748 Additional details about the revisions to the payment calculation based on the final Attachment I, approved in July 217, will be provided in a webinar on August 1, 217.
6 PPS are expected the receive these payments on August 1, 217. If you have any questions, please contact the Independent Assessor at Thank you, The NYS DSRIP Team
7 Quality Measure Name NYP Queens PPS MY 2 Quality Measure Results Met MY2 Target Missed MY2 Target Adult Access Preventive (2-44) Adult Access Preventive (45-64) Adult Access Preventive (65 and Older) Antidepressant Medication Mgmt (Acute) Antidepressant Medication Mgmt (Cont) Antipsychotic Medication Adherence Asthma in Younger Adults Admission Rate Asthma Medication Ratio (5-64 Years) Child Access - Primary Care (12 to 19) Child Access - Primary Care (12 to 24 Months) Child Access - Primary Care (25 Months to 6) Child Access - Primary Care (7 to 11) Child ADHD Medication F/U (Continuation) Child ADHD Medication F/U (Initiation) CV Monitoring (CV & Schizophrenia) Diabetes Monitoring (DM & Schizophrenia) Diabetes Screening (Antipsychotic Medication) Engagement of Alcohol/Drug Treatment Follow Up after MH Inpatient (3 Days) Follow Up after MH Inpatient (7 Days) Initiation of Alcohol/Drug Treatment Medication Mgmt for Asthma (5%) Medication Mgmt for Asthma (75%) PDI 14 - Pediatric Asthma PDI 9 - Pediatric Composite Potentially Avoidable Readmissions Potentially Preventable ED Visits Potentially Preventable ED Visits (BH) PQI 15 - Asthma Younger Adults PQI 9 - Overall Composite Percentage of Achievement 43.3% 56.7%
8 NYPQueensPPSDomain2Measures(Increase) MY1:7/1/14-6/3/15 MY2:7/1/15-6/3/16 MY3:7/1/16-12/31/16 1 AdultAccessPreventive(2-44) AdultAccessPreventive(45-64) AdultAccessPreventive(65andOlder) CurrentlymeetingtheMY3Annual Targetfor: -AdultAccessPreventative(45yr. -65yr.) -ChildAccess-PrimaryCare(12mo. -24mo.) MeasureNames MY1 MY2 MY ChildAccess-PrimaryCare(12to24 Months) ChildAccess-PrimaryCare(25Monthsto 6) ChildAccess-PrimaryCare(7to11) ChildAccess-PrimaryCare(12to19)
9 NYPQueensPPSDomain3Measures(Increase) BHScreeningandFolow-UpMeasures MY1:7/1/14-6/3/15 MY2:7/1/15-6/3/16 MY3:7/1/16-12/31/ Folow UpafterMHInpatient(7Days) Folow UpafterMHInpatient(3Days) CurrentlymeetingtheMY3Annual Targetfor: -Folow-upafterMentalHealth Inpatient(7Days)-HighPerformance Met -Folow-upafterMentalHealth Inpatient(3Days) MeasureNames MY1 MY2 MY3 2 2 CVMonitoring(CV&Schizophrenia) DiabetesScreening(AntipsychoticMedication) DiabetesMonitoring(DM & Schizophrenia)
10 NYPQueensPPSDomain3Measures(Increase) BHMedicationMeasures MY1:7/1/14-6/3/15 MY2:7/1/15-6/3/16 MY3:7/1/16-12/31/16 1 AntipsychoticMedicationAdherence 1 AntidepressantMedicationMgmt(Acute) 1 AntidepressantMedicationMgmt(Cont) CurrentlymeetingtheMY3Annual Targetfor: -AntipsychoticMedicationAdherence -ChildADHDMedicationFolow-up (Continuation) MeasureNames MY1 MY2 MY ChildADHDMedicationF/U(Initiation) ChildADHDMedicationF/U(Continuation) InitiationofAlcohol/DrugTreatment EngagementofAlcohol/Drug Treatment
11 NYPQueensPPSDomain3Measures(Increase) 3.d.iAsthma&3.b.iCardio MY1:7/1/14-6/3/15 MY2:7/1/15-6/3/16 MY3:7/1/16-12/31/16 AsthmaMedicationRatio(5-64Years) MedicationMgmtforAsthma(5%) MedicationMgmtforAsthma(75%) Currentlymeetingthe for: -AsthmaMedicationRation(5yr.-64yr.) MeasureNames MY1 MY2 MY StatinTherapy-StatinAdherence% StatinTherapy-ReceivedStatinTherapy
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