FOR IMMEDIATE RELEASE:
2018 HIMSS Session Presents Successes in Transforming Medicaid and Addressing Opioid Addiction on Staten Island
The Staten Island Performing Provider System (SI PPS) utilizes community needs assessment, data and technology to solve health disparities.
East Windsor, NJ – January 24, 2018 – Leaders from the Staten Island Performing Provider System (SI PPS) and its partner SpectraMedix were selected to present at the 2018 National HIMSS Conference about their success utilizing community needs assessment, data and technology to improve the delivery of care to Medicaid patients and the uninsured as part of New York State’s Delivery System Reform Incentive Payment (DSRIP) program. Their session, “Transforming Medicaid Delivery on Staten Island: A Case Study” will highlight, in particular, the strides SI PPS is making in managing opioid addiction.
The presenters for the session are Joseph Conte, PhD, Executive Director, SI PPS and Raj Lakhanpal, MD, Chief Executive Officer, SpectraMedix.
“Our organization works with hospitals and community-based providers to develop quality programs,” said Dr. Conte. “We mine multiple data sources and use data visualization to identify the people we need to reach. Most recently these are people struggling with obesity and opioid addiction. By pinpointing the neighborhood, age, sex and cultural background of individuals, SI PPS can deliver targeted education.”
The case study will illustrate how SI PPS, the most successful performing provider system (PPS) in New York, is achieving its DSRIP project goals, and what DSRIP and Medicaid Transformation programs in other states can learn from them. It will demonstrate the population health management strategies, along with the data-driven applications provided by its partner SpectraMedix, used by SI PPS to monitor outcomes, fill gaps in care, improve care for high-risk populations and provide resources where there are regional health disparities.
Areas of focus will include:
- Managing emergency room (ER) use
- Reducing preventable readmissions
- Aligning behavioral health and primary care
- Social determinants of health
- Substance abuse
SI PPS has seen significant improvement in 30-day Emergency Room Utilization Rate in Health Home At-Risk Intervention, Disease Management in High-Risk Populations and Integration of Primary Care and Behavioral Health Services. They have also been successful reducing Potentially Preventable Emergency Room Visits and Potentially Preventable Readmissions.
DSRIP and other Medicaid Delivery Transformation Section 1115 Waiver programs are designed to expand Medicaid eligibility and clinical services for low-income residents. In New York, up to $6.42 billion is allocated to the state’s PPSs, with payments tied to performance improvement in system transformation, clinical management and population health.
“We are honored to be speaking at HIMSS18 on our work with SI PPS,” said Dr. Lakhanpal. “By using analytics and predictive modeling tools for risk stratification, disease-specific and project-specific registries, and the analysis of medical and behavioral health service utilization, our partnership has helped SI PPS gain intelligence into changes in population health resulting from their clinical integration, care coordination and data sharing efforts.”
“Transforming Medicaid Delivery on Staten Island: A Case Study,” session (ID: 39) is taking place March 6th at 11:30AM at the Las Vegas Venetian Convention Center in Delfino 4004.
SpectraMedix partners with hospitals, health systems, provider organizations, health information exchanges and payers to improve care delivery and support their transition to value-based payment models. Our industry leading eMeasures360™ quality management and eureQa360™ population health intelligence solutions provide advanced data integration, quality measurement and population health analytics capabilities to implement p initiatives including the Merit-Based Incentive Payment System (MIPS), Medicaid reform programs, clinically integrated networks, ACOs, financial risk modeling, bundled payments and electronic clinical quality measures.
About Staten Island Performing Provider System
Staten Island Performing Provider System (SI PPS) is a 501(c)(3) formed by Richmond University Medical Center and Staten Island University Hospital to implement the Delivery System Reform Incentive Payment (DSRIP) Program on Staten Island. DSRIP is a program of the New York State Department of Health and the Centers for Medicare and Medicaid Services to improve the quality of care for Medicaid patients and the uninsured, with the primary goal of reducing avoidable hospital use by 25% over 5 years. Up to $6.42 billion dollars are allocated to the New York State DSRIP programs with payment based upon performance in system transformation, clinical management and population health. Over 60 healthcare agencies and community-based organizations are partnering with SI PPS to undertake the DSRIP program on Staten Island. The mission of SI PPS is to improve access to high quality, culturally sensitive care, transforming and improving the health and wellness of the community.