DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP)

We successfully led the implementation of the very complex DSRIP Program. The program improved the design and delivery of healthcare for the Medicaid population by reducing avoidable hospitalization and improving population health, while lowering the cost of healthcare.

Clinical Quality Outcome Improvement Program

A key tenet of our mission is the improvement of population health outcomes. Over the course of the DSRIP program, our partnership network improved performance in nearly 40 clinical outcome measures across the region, with significant achievements in several domains including behavioral health outcomes, long-term care, patient satisfaction, and maternity and children’s measures. Understanding that population health improvement requires cohesive participation by all Partners, we focused on a region-wide approach to clinical outcome improvement.

Mid-DSRIP, we developed a strategy and implementation plan that would improve health outcomes quickly and significantly, via activities performed that would supplement the ongoing DSRIP projects.

Our Clinical Quality Committee (CQC) collectively examined specific characteristics of each clinical outcome metric and categorized the metrics into various categories for targeted improvement activities.

The Sprint

CQC led an innovative program referred to as the “Sprint” to improve performance quickly, given that there were only three months remaining in the year four measurement period (MY4).

91%

of the improvement targets were met or exceeded

The Jog

We initiated the “Jog” at the beginning of year five measurement period (MY5) and engaged additional partners including community-based behavioral health organization networks and Health Home as these provider types would be critical in accomplishing improvement in behavioral health outcome metrics.

95%

of the improvement targets were met or exceeded

The graphs above illustrate the overall success in the Sprint and the Jog in reducing preventable ED use, both within the overall Medicaid population and those specifically with a behavioral health condition. These health outcome improvements came about through the vision and collaborative efforts of our team, the CQC and partnering organizations, cohesively working together towards the common goal of improving the health outcomes of the most vulnerable in our region.