Implement dsrip on staten island and improve the quality of healthcare for staten islands approximately,000 medicaid recipients and 50,000 uninsured residents. Asked questions faqs new yorks mrt waiver delivery system. An overview of delivery system reform incentive payment dsrip waivers 2 robust data collection and reporting re quirements on providers. The medicaid and chip payment and access commission is a nonpartisan legislative branch agency that provides policy and data analysis and makes recommendations to congress, the secretary of the u. New jersey dsrip performance measurement databook january 2017, version 3. Delivery system reform incentive payments dsrip program. This two and a half minute video will provide a basic introduction to the goals and purpose of the delivery system reform incentive payment program dsrip in new york state. Inpatient psychiatric bed capacity and utilization by region, county, hospital type, and population adult and children. From those baselines, pps will have to reach the pre. A large component of dsrip in new york is the ability to track medicaid lives through claims data. Performance logic is a leader in helping healthcare organizations manage their medicaid transformation projects under an 1115 waiver program. Datainformed decision making strategies, including processes for applying available data. New jersey did not provide adequate oversight of its medicaid. Dsrip background funding mechanics and pools most demonstrations are comprised of various pools such as highperformance pools and some provide timelimited planning or transition funds.
Currently there at 25 performing provider systems across the state of new york. Building and implementing a dsrip project plan based upon the needs assessment in alignment with dsrip strategies. The ability to track improvement amongst this population is key to measure dsrip success under the renewal. Dsrip quality performance office of quality assurance. New york delivery system reform incentive payment program. Dsrip performance data new york state department of health. The dsrip program will promote communitylevel collaborations and focus on system reform, specifically a goal to achieve a 25 percent reduction in avoidable hospital use over five years. Documents below are overview presentations regarding the dsrip quality performance measures and the most current version of measure specifications and other information as needed for idns, stakeholders, and the public to understand quality and performance monitoring for the program. Delivery system reform incentive payment dsrip program.
Dsrip background domains most dsrip projects include a menu based on four categories known as domains. Using dsrip to improve population health the national. Workbooks can be used to assist potential dsrip performing provider. Dsrip reporting requirements 26 data infrastructure 26 data collection and validation 27 using data to drive improvement 27 monitoring and assessment 28 evaluation of dsrip programs 28 key takeaways 30 conclusion 34. When a member has opted out of dsrip data sharing, the pps lead needs to ensure that any medicaid data related to the member in current data sets, and moving forward, will no longer be utilized by the pps or shared. Addressing the it challenges for a startup dsrip program raj lakhanpal, md, facep chief executive officer, spectramedix. Dsrips purpose is to fundamentally restructure the health care delivery system by reinvesting in the medicaid program, with the primary goal of reducing avoidable hospital use by 25% over 5 years. Dsrip is a value based pay for performance model, all participants. New york dsrip selects phm solution health it outcomes. Dsrip payment based on achievement of milestones and metrics, included in this protocol. How will the state evaluate the providers dsrip project data, after it is collected and submitted. The data presented in these dashboards contain no memberspecific health information of any type. Dsrip quality performance office of quality assurance and.
Ca 1115 waiver delivery system reform incentive payments dsrip dph system. Date, 09282018, title, nj dsrip transition plan pdf, 27. New jersey familycare comprehensive demonstration formerly. To assist providers in developing delivery system reform incentive payment dsrip grant applications, doh has posted regional and county use data for several medicaid services on the doh dsrip web page. A medical home is an enhanced model of primary care that embraces comprehensive and coordinated patientcentered care emphasizing enhanced access, quality, and safety. Data will be a powerful tool to help position fqhcs in the development of networks and dsrip projects. See dsrip performance data page for more information. Comparing dsrip in texas and new york blog cope health. New york delivery system reform incentive payment program dsrip. Under the authority of section 1115 demonstrations, some states have implemented delivery system reform incentive payment dsrip programs to improve care, improve health, and lower costs by incentivizing and supporting care delivery redesign that transitions away from episodic treatment toward prevention and management of health and wellness for lowincome populations.
Key waiver strategy is the delivery system reform incentive payment dsrip program. Asked questions faqs new yorks mrt waiver delivery. Meeting and reporting on dsrip project plan process and outcome milestones. State agency created a dsrip performance measurement databook that. Most recently, in the approval of the new york dsrip plan, state dsrip funds are also tied to meeting performance metrics beginning in year 3 of the waiver. Dsrip dy78 provider summary information excel 31919 this file provides an overview of dsrip provider summaries, provider system definitions, and descriptions of each core activity implemented by provider for dy78. State program tracking delivery system reform incentive payment dsrip programs, authorized through federal medicaid section 1115 waivers, provide states with funding derived from projected savings to test cutting edge ways to improve how care is paid for and delivered. Dsrip demonstration year 1, quarter 12 domain 1 patient. S e d and i m d s r i p dsrip pools state coverage. Key themes from delivery system reform incentive payment dsrip waivers in 4 states. Stay uptodate with the latest dsrip workforce information, reports, and requirements. New york delivery system reform incentive payment dsrip program. Data informed decision making strategies, including processes for applying available data to project selection and implementation planning.
First advanced by the american academy of pediatrics in the 1960s, the concept gained new momentum in 2007, when four major physician groups agreed to a broader vision of the model in the joint principles of the patient. Data will be a powerful tool to help position fqhcs in the development of. Dsrip dashboards present medicaid utilization and enrollment data made available by doh. Provide specific examples of the kinds of data a pps needs to integrate into an enterprise data warehouse for measures reporting, performance. The dsrip program is a reinvestment in the states medicaid program that has a primary goal of reducing avoidable hospital use by 25 percent during the next five years. If your fqhc is not already involved in dsrip conversations with other providers, the time to start is now. Delivery system reform incentive payment dsrip programs dsrips are a new type of supplemental payment generating interest among states macpac has been working with the national academy for state health policy nashp to better understand these programs environmental scan informant interviews site visits march 24, 2015. Addressing the it challenges for a startup dsrip program. The omh county capacity and utilization data book provides details on. The file contains data as of 31919 after october dy7 reporting with the exception of core activities, which has not been. Medicaid data will be available to track outcomes and provide the means necessary for enhanced care coordination. Jan 31, 2017 draft dsrip dy7 8 measure bundle overview 012017 dsrip dy7 dy8 measure bundle overview the dy7 and dy8 draft program structure evolves from projectlevel reporting towards targeted measure bundles that are reported by dsrip performing providers as a provider system.
Delivery system reform incentive payment dsrip measure specification and reporting manual table of content i. With dsrip tracker, we provide a powerful cloudbased tool for implementation planning, project management, communication, performance monitoring, and reporting for 1115 waiver projects. Reporting requirements for performing provider systems and performance targets 2 ii. Dsrip demonstration year 2, quarter 4 suffolk care. Your login and a temporary password will be emailed to you.
Workbooks can be used to assist potential dsrip performing provider networks with better. In this video, new york state medicaid director, jason helgerson, describes the top best practices currently happening among performing provider systems pps in. Draft dsrip dy7 8 measure bundle overview 012017 dsrip dy7 dy8 measure bundle overview the dy7 and dy8 draft program structure evolves from projectlevel reporting towards targeted measure bundles that are reported by dsrip performing providers as a provider system. Examining new yorks delivery system reform incentive payment. In addition, the target high performance goal for each metric will be established. This databook includes eightyone dsrip measures and is divided between measures collected using medicaid management information system mmis administrative claims data and those. The data books are excel files that list the top medicaid service providers in each region. When a member has opted out of dsrip data sharing, the pps lead needs to ensure that any data related to the member in current data sets, and moving forward, will no longer be utilized by the pps or shared. Partners with affirmative member consent to share the data.
State experiences designing and implementing medicaid. Colorado delivery system reform incentive payments dsrip. Innovation and redesign or system transformation 3. Under the authority of medicaid section 1115 demonstration waivers, delivery system reform incentive payment dsrip programs incentivize infrastructure improvements, care delivery redesign, and improvements in the quality of care for lowincome populations through valuebased payments. Comparing dsrip in texas and new york cope health solutions.
Dsrip is the main mechanism by which new york state will implement the medicaid redesign team mrt waiver amendment. Attachment a delivery system reform incentive payment dsrip program renewal request 3 renewal application attachment a milestones, project specific measures, universal measures and a payment methodology. The dsrip measure set assesses clinical per formance in the outpatient setting, inpatient setting, and across settings of care. State of new jersey department of human services reform. The impact of health information exchange hie on dsrip. Dsrip s purpose is to fundamentally restructure the health care delivery system by reinvesting in the medicaid program, with the primary goal of reducing avoidable hospital use by 25% over 5 years.
The source of this data is the salient nys medicaid system used by doh for medicaid management. Results matching topic of dsrip page 1 of 2 health data ny. This table is the summary of data reported for the dph system. Apr 15, 2015 key themes from delivery system reform incentive payment dsrip waivers in 4 states. The pps does not have to redact data from previously developed. Dsrip planning protocol approved january 9, 2017 i. Because this is the final annual report submission for californias fiveyear dsrip, we at contra costa regional medical center and health centers ccrmc and hcs would like to take this opportunity to express our gratitude for this innovative program. An overview of delivery system reform incentive payment. Dsrip as we move towards a valuebased payment model for medicaid in new york state. In addition, audit capability was not required in the nj dsrip program under the cms.
Salient performance data new york state department of health. State delivery system and payment reform map the national. Center for state health policy, september 2015, humanservices. Program capacity and utilization for psychiatric residential, outpatient, emergency, and support programs by region, county, program type, and. Dsh dollars are generally not included in dsrip payments. Dy6 may, 2011 category 1 summary page instructions for dph systems. Performance evaluation dsrip community partners share data and learning as part of performance evaluation process o transparency is key. Dsrip year 1 timeline 2015 2016 april 1 dsrip year 1 begins may 7 award letters sent to pps performance data to pps may 8 release of attribution for valuation to pps may 18 payment made to public hospital pps i july 22 cms approval of the vbp roadmap august 7 first quarterly report 411563015 and project mplementation plan due from pps. Delivery system reform incentive payment dsrip programs.
Rhp summary information texas health and human services. Doh posts dsrip data workbooks leadingage new york. Doh and salient management company have prepared a series of data workbooks as a resource to dsrip applicants in preparing their grant applications. To meet the health care needs of the state, california plans to submit a new 1115 waiver proposal in february 2015. The data updates monthly to present the most current information for service dates 2011 through present. Richard bernstock onecity health dennis maquiling bronx health access albert alvarez bronx partners for healthy communities peggy chan nys department of health. Oct 05, 2015 dsrip demonstration year 1, quarter 12 domain 1 patient engagement data request webinar. These chartbooks can be used to assist potential dsrip. Upon the approval of each dsrip project plan, project specific metric baselines will be identified. This dataset includes medicaid clinical metrics for clinical improvement projects domain 3 of the delivery system reform incentive payment dsrip program. Delivery system reform incentive payments dsrip program dy9 annual report october 2014 at contra costa regional medical center and health centers, ccrmc and hcs, we are focused on our mission of delivering high quality patient and familycentric care with a strong commitment to community. Not all dsrip programs include rural hospitals, but states have addressed their specific needs including establishing dedicated.
The plan, project, milestones, and metrics are consistent with the overall goals of the dsrip program. Doh is preparing a series of chartbooks to serve as a resource for preparing the dsrip applications. Evidence of public input into the project plans, including consumer engagement. Dsrip planning protocol washington state medicaid transformation project section 1115a medicaid demonstration approved january 9, 2017. Delivery system reform incentive payment dsrip measure. May 01, 2017 under the authority of section 1115 demonstrations, some states have implemented delivery system reform incentive payment dsrip programs to improve care, improve health, and lower costs by incentivizing and supporting care delivery redesign that transitions away from episodic treatment toward prevention and management of health and wellness for lowincome populations.
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