DSRIP Meeting Agenda PAGE 1 Date and Time 7/24/15 Meeting Title NYP PPS Clinical Operations Committee Location Milstein 1HN-151 Facilitator Dr. Emilio Carrillo, Angela Martin Go to Meeting https://global.gotomeeting.com/ join/158738573 Conference Line Dial +1 (646) 749-3122 Access Code: 158-738-573 Invitees Chair: Angela Martin (VNSNY) Chair: Emilio Carrillo, MD (NYP) Alissa Wassung (God’s Love We Deliver) Crystal Jordan (Harlem United) David Pomeranz (Hebrew Home) Ana Garcia (NYC DOHMH) – Web David Chan (City Drug & Surgical) Maria Lizardo (Northern Manhattan Improvement Corporation) Jean Marie Bradford, MD (NYPSI) Susan Wiviott (The Bridge) Eva Eng (Arch Care) Jonah Cardillo (St. Mary’s Hospital for Children) Meeting Objectives Time 1. Review Action Items from Last Meeting 2. Review Project Successes and Challenges a. Pediatric Ambulatory ICU – A. Matiz 3. Review/Finalize Other Committee Deliverables a. Discuss Cultural Competency and Health Literacy Strategy b. Identify Approach to Performance Measurement / Rapid Cycle Eval. 4. Identify Action Items for Next Meeting 5 mins 15 mins 25 mins 5 mins Action Items Description Owner Start Date Due Date Status Next Meeting: - Review Approach to Performance Measurement / Rapid Cycle Evaluation
24
Embed
DSRIP Meeting Agenda - NYP.org€¦ · DSRIP Meeting Agenda PAGE 1 Date and Time 7/24/15 Meeting Title NYP PPS Clinical Operations Committee ... Invitees Chair: Angela Martin (VNSNY)
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
DSRIP Meeting Agenda
PAGE 1
Date and Time 7/24/15
Meeting Title NYP PPS Clinical Operations
Committee
Location Milstein 1HN-151 Facilitator Dr. Emilio Carrillo, Angela
Martin
Go to Meeting https://global.gotomeeting.com/
join/158738573 Conference Line Dial +1 (646) 749-3122
Access Code: 158-738-573
Invitees
Chair: Angela Martin (VNSNY) Chair: Emilio Carrillo, MD (NYP)
Alissa Wassung (God’s Love We Deliver) Crystal Jordan (Harlem United)
David Pomeranz (Hebrew Home) Ana Garcia (NYC DOHMH) – Web
David Chan (City Drug & Surgical) Maria Lizardo (Northern Manhattan Improvement
Corporation)
Jean Marie Bradford, MD (NYPSI) Susan Wiviott (The Bridge)
Eva Eng (Arch Care)
Jonah Cardillo (St. Mary’s Hospital for Children)
Meeting Objectives Time
1. Review Action Items from Last Meeting 2. Review Project Successes and Challenges
a. Pediatric Ambulatory ICU – A. Matiz 3. Review/Finalize Other Committee Deliverables
a. Discuss Cultural Competency and Health Literacy Strategy b. Identify Approach to Performance Measurement / Rapid Cycle Eval.
4. Identify Action Items for Next Meeting
5 mins 15 mins
25 mins
5 mins
Action Items
Description Owner Start Date Due Date Status
Next Meeting:
- Review Approach to Performance Measurement / Rapid Cycle Evaluation
A. Martin started the meeting with introductions and follow-up on previous action items.
Drs. Adriana Matiz and Maura Frank started a presentation on the Pediatric Ambulatory ICU. They provided an overview of the collaborator roles; overview of patient stratification and care bundles; also reviewed the role of CHWs and other care team members; concluded with review of metrics.
o E. Carrillo expanded on the importance of collaborators in working with these patients beyond the walls of the practice;
o E. Eng had questions about what resources were available for supporting the families of patients; o M. Frank mentioned that a significant challenge would be the geographic distribution of
patients/families; o A. Wassung had a question about how CHWs will assess food insecurity, who needs food pantry
access, and who needs medically tailored meals. GLWD provides many of these services/assessments.
o D. Chan mentioned bed-side delivery program with presence on the unit The main challenge is that MDs write prescriptions a few minutes prior to discharge CityDrug is considering a call center in pharmacy to do medication management / reminders
o A. Martin asked whether pharmaceuticals could be delivered to ambulatory setting. D. Chan suggested they might be able to.
VNSNY working on communication back to outpatient care managers E. Eng asked whether CityDrug does home delivery. D. Chan said yes to Manhattan, Bronx,
and Queens
E. Carrillo started the conversation on the Cultural Competency Deliverable(s). He provided an overview of the NYP approach (‘Culture of One’) of Cultural Competency.
A. Martin mentioned that VNSNY’s population is 20% Hispanic, 3% Russian, and 3% Asian. They do a number of orientations for staff and provide cultural and linguistically appropriate services.
J. Bradford mentioned that 50% of PI’s patients are monolingual Spanish. She has hired bilingual and bicultural staff.
D. Chan mentioned that he has recently hired a Russian staff person to be responsive to their Russian community.
E. Carrillo reviewed the NYP PPS Cultural Competency Strategy Document. He mentioned that the PPS should take a balanced approach of universal language vs. project-specific training.
A. Martin / E. Carrillo asked committee members to report on their organization’s cultural competency approach.
E. Carrillo closed meeting mentioning that the presentation and charter should be sent out and that the conversation would be continued at the next meeting.
2.b.i: Ambulatory ICU Model for Children with Special Health Care Needs (CSHCN)
Multi-provider team based visits for patients with complex medical,
behavioral and social morbidities and for community based non-
physician care for stable patients in need of chronic disease
monitoring.
Improve care for high-risk and high-cost pediatric populations with
specialized needs.
2
2.b.i Ambulatory ICU State Requirements
# Requirement
1 Ensure that Ambulatory ICU is staffed by or has access to a network of providers including medical, behavioral health, nutritional, rehabilitation and other necessary provider specialties that is sufficient to meet the needs of the target population
2 Ensure Ambulatory ICU is integrated with all relevant Health Homes in the community.
3 Use EHRs and other technical platforms to track all patients engaged in the project, including collecting community data and Health Home referrals
4 Establish care managers co-located at each Ambulatory ICU site
5 Ensure that all safety net project participants are actively sharing EHR systems with local health information exchange/RHIO/SHIN-NY and sharing health information among clinical partners, including Direct exchange (secure messaging), alerts and patient record look up.
6 Ensure that EHR systems used by participating safety net providers meet Meaningful Use and PCMH Level 3 standards and/or APCM by the end of DY3.
7 Implementation of a secure patient portal that supports patient communication and engagement s well as provides assistance for self-management.
8 Establish a multi-disciplinary, team-based care review and planning process to ensure that all Ambulatory ICU patients benefit from the input of multiple providers.
9 Deploy a provider notification/secure messaging system to alert care managers and Health Homes of important developments in patient care and utilization
10 Use EHRs and other technical platforms to track all patients engaged in the project
3
2.b.i: Ambulatory ICU Model for Children with Special Health Care Needs (CSHCN)
Standardize the CSHCN medical home model (currently pilot phase)
to all NewYork-Presbyterian pediatric patient centered medical