ONC conference Presentation_Elise Kohl Grant
Post on 12-Apr-2017
37 Views
Preview:
Transcript
1
Division of Mental Hygiene BUREAU OF SYSTEM STRENGTHENING AND ACCESS
Elise Kohl-Grant Director, Behavioral Health IT ProgramEkohlgrant@health.nyc.gov
Standardized Data Across Home & Community Based Care Settings
2
Collaboration of Stakeholders &
Leveraging National Standards to help
Normalize Small Data to make Big Data More Meaningful
3
NYS Medicaid Redesign Team Findings
$53 Billion for 5 million Medicaid enrollees
$7 Billion in the mental health system which
serves 600,000 individuals
$1.7 Billion in the substance use disorder system which serves 250,000 individuals
NYS rates 22nd in the country for quality Healthcare
4
Behavioral Health Medicaid Reform in NYS
BH Medicaid Reform
Health Homes
Transition FFS to managed
care
Additional services
to the State Plan
Home and
Community Based Services (HCBS)
DSRIP
Home & Community Based
Services (HCBS)
5
Live Independently•Psychosocial Rehabilitation •Community Psychiatric Support and Treatment •Habilitation•Non-Medical Transportation
Manage Stress Prevent Crises •Short-Term Crisis Respite•Intensive Crisis Respite
Return to School Find a Job• Education Support Services
• Pre-vocational Services
• Transitional, Intensive, and Ongoing Supported Employment
Help from People Who Have Been There and Other Significant Supporters•Peer Support Services•Family Support and Training
6
Advisory Committee
BH Service Participants
BH and Community
OrganizationsManaged Care Plans (MCO) NYC Agencies DSRIP BH PPS Health Homes
Work groups form to consider a particular issue. They include representatives from multiple stakeholder groups. They disband once their work is complete.
Together we can drive effective problem-solving around system impact and improvement
Collaboration of Stakeholders Regional Planning Consortium (RPC)
Monitors the implementation of BH managed care through collaboration, shared understanding and real-time consensus
Workgroups
7
NYC - 135 HCBS Orgs
ROS - 185 HCBS Orgs
Behavioral Health IT (BHIT) Grant Program
Assist Adult HCBS Providers to adopt, implement and/or upgrade an Electronic Health Record in order to properly
case document, bill Medicaid and report on HCBS Services
$20 Million to support HCBS Provider Organizations
8
HIT Steering Committee
9
26%
74%
Leveraging National Standards to Define Program Guidelines
Full service 26%Upgrade 30%
Partial 44%
74% Providers using an ONC EHR
26% Providers that need to Adopt an ONC EHR
NYC HCBS Provider Landscape Assessment
10
Making a Bigger Impact on Providers
Change the way we incentivize providers by partnering
with vendors
11
Leveraging National Standards to Support HCBS Vendor Qualification
Process
Website: http://fphny.org/whatsnew/rfps
Request For Information
BHIT HCBS Qualified Vendor
ListDevelopment of
HCBS functionality
BHIT Pre- Qualified Vendor
List
Open to all ONC Vendors that meet minimum criteria
12
Normalize Small Data to Make Big Data More Meaningful
HCBS Technical Specifications
Standard HCBS data across the HCBS Provider Landscape Forms Data Fields Billing Process Reports
13
Quality Improveme
nt• Practice
Improvement• Service Delivery• Social Outcomes
Make Big Data More Meaningful
Improve Quality of Data
Provider EHR User Groups
Standard Data Set across HCBS
Provider Community
Standard Data Fields across
Qualified Vendors
Field Mapping Document to Read
Data across Different Infrastructures
14
“Do not wait to strike till the iron is hot. Make it hot by striking.”
William Butler Yeats
top related