Supporting the community through programs that make a positive impact

System Transformation and Community Investment Program

Focuses on integrating community-based care into the healthcare delivery system, supporting community based organizations in programming designed to positively impact health outcomes, health equity, and the cost of healthcare.

Enabling integration between community and clinical providers in the following domains

Improving behavioral health outcomes and preparing Behavioral Health Care Collaborative networks and providers for Value Based Payment.

Improving the health and well-being of women, infants, children, and families.

Improving the quality and continuity of care for individuals by supporting social determinants of health connections and closed loop referrals.

Improving population health and reducing avoidable Emergency Room and Hospitalization for high-needs populations.

The Program domains were identified by a comprehensive data-driven, outcomes-based regional needs assessment that was conducted by FLPPS. This data analytic exercise provided key insights into performance of DSRIP outcome measures by domain and was leveraged to inform areas of need for system transformation efforts. There are twenty best-practice interventions and thirty partners were selected to establish or expand programming to address these outcomes over a two year project timeframe, with specific milestones and deliverables.

The projects are based on the United Hospital Fund “DSRIP Promising Practices: Strategies for Meaningful Change for New York Medicaid” Report, as well as FLPPS DSRIP promising practices, and represent targeted interventions which leverage community-based organization expertise to improve outcomes in a sustainable manner.

OVER 550

STUDENTS WILL BE PLACED IN
HEALTHCARE AND SOCIAL SERVICES FIELDS

0

FAMILIES IN ROCHESTER NEIGHBORHOODS NEED BETTER ACCESS TO PRIMARY AND BEHAVIORAL HEALTH SERVICES

0

CALLS A YEAR TO THE RPD ARE BEHAVIORAL HEALTH OR SUBSTANCE ABUSE-RELATED

*Published in Democrat and Chronicle January 2021

BLACK INFANT MORTALITY

NEARLY 3 TIMES THE RATE FOR WHITE INFANTS

*Based on data from 2015-2017 NYS DOH Vital Records.