Mid-Point Assessment Action Plans: PPS Progress through DY3, Q1

  • Update is also available in Portable Document Format (PDF)

October 2017

Contents

Mid–Point Assessment Review

Mid–Point Assessment Recommendation Themes

  • 22 of 25 PPS had recommendations as a result of the Mid–Point Assessment process.
    • Total number of recommendations ranged from 1 (3 PPS) to 23 (1 PPS).
  • Recommendations were organizational or project specific.
  • The most common recommendation was the ´Standard Modification´ recommendation from PAOP.
    • 14 of the 25 PPS received this recommendation.
      The PPS must develop a detailed plan for engaging partners across all projects with specific focus on Primary Care, Mental Health, Substance Used Disorder providers as well as Community Based Organizations (CBOs). The Plan must outline a detailed timeline for meaningful engagement.

      The Plan must also include a description of how the PPS will flow funds to partners so as to ensure success in DSRIP.

      The PPS must also submit a detailed report on how the PPS will ensure successful project implementation efforts with special focus on projects identified by the IA as being at risk.

      These reports will be reviewed and approved by the IA with feedback from the PAOP prior to April 1, 2017.

Mid–Point Assessment Action Plans

  • PPS that received at least one recommendation as a result of the Mid–Point Assessment process were required to complete a Mid–Point Assessment Action Plan.
    • Action Plans were due to the IA by March 10, 2017.
    • Action Plans were available for PAOP and public comment on March 20, 2017.
    • Final IA Approval of the Action Plans was completed by April 30, 2017.
  • PPS were required to implement Action Plans by the conclusion of DY3, Q2 (September 30, 2017).
  • PPS updates on progress towards implementing the Action Plans were provided as part of the DY3, Q1 PPS Quarterly Report in July 2017 and will provide final updates as part of the DY3, Q2 PPS Quarterly Report in October 2017.
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Changes to PPS Reporting

Changes to PPS Reporting

  • During the PAOP meetings in February 2017, PPS noted limitations of the current reporting tool, the PIT, for Funds Flow and Partner Engagement.
  • In response to this feedback, the IA and DOH, created a new tool, the PIT–Replacement to support the reporting of Funds Flow and Partner Engagement.
    • The PIT–Replacement tool provides PPS with more flexibility in identifying and reporting their partners in the category or categories that most accurately reflect how the partner has been engaged by the PPS.
    • The PIT–Replacement also allows PPS to report their 2nd Tier Funds Flow distributions.
    • The Hospital and Case Management/Health Home categories were broken out in to multiple categories to allow for more discrete reporting of Funds Flow.
  • Additional clarification was also provided on the reporting of Funds Flow to the CBO Partner Type Category.
    • This category should represent only the Tier 1 CBOs that have received funds from the PPS. Tier 2 and Tier 3 CBOs would be reflected under the appropriate partner category, such as Mental Health, Substance Abuse, Clinic, or Case Management.
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PPS Progress on Action Plans

PPS Progress on Mid–Point Action Plans – Funds Flow

  • Through the DY3, Q1 PPS Quarterly Report, PPS have increased the amount of funding distributed to partners relative to the funding distributed at the time of the Mid–Point Assessment.
      Cumulative Funds
    Flow at MPA (DY2, Q2)    		 Cumulative Funds
    Flow at DY3, Q1    		 Additional Funds
    Flow since MPA    		 % Change in Funds
    Flow
    Total Funds Flow $414,267,236 $878,498,690 $464,231,545 112%
    Non–Hospital / Non–PPS PMO Funds Flow $113,408,240 $275,487,064 $162,078,823 143%
  • For the categories highlighted in the Mid–Point Assessment, PPS Funds Flow distributions increased by over 100%.
    Partner Category Cumulative Funds
    Flow at MPA (DY2, Q2)    		 Cumulative Funds
    Flow at DY3, Q1    		 Additional Funds
    Flow since MPA    		 % Change in Funds
    Flow
    Practitioner – Primary Care Provider (PCP) $14,659,935 $38,183,032 $23,523,097 160%
    Mental Health $9,741,485 $27,535,016 $17,793,531 183%
    Substance Abuse $4,319,963 $10,434,092 $6,114,129 142%
    Community Based Organizations $11,993,454 $28,005,068 $16,011,614 134%
  As of MPA (DY2, Q2) As of DY3, Q1 Changes since MPA
Funds Distributed % of Funds Distributed Funds Distributed % of Funds Distributed Funds Distributed % increase in Funds Disbursed
Practitioner – Primary Care Provider (PCP) $14,659,935 3.54% $38,183,032 4.35% $23,523,097 160%
Practitioner – Non–Primary Care Provider (PCP) $2,654,701 0.64% $5,023,257 0.57% $2,368,557 89%
Hospital $121.775967 29.40% $177,988,322 20.26% $56,212,354 46%
Hospital – IP/ED∧ $0 0.00% $69,180,651 7.87% $69,180,651 100%
Hospital – Ambulatory∧ $0 0.00% $16,370,372 1.86% $16,370,372 100%
Clinic $29,687,182 7.17% $78,114,049 8.89% $48,426,867 163%
Case Management / Health Home $5,973,274 1.44% $14,947,177 1.70% $8.973903 150%
Case Management∧ $0 0.00% $2,540,340 0.29% $2,540,340 100%
Health Home∧ $0 0.00% $1,677,311 0.19% $1,677,311 100%
Mental Health $9,741,485 2.35% $27,535,016 3.13% $17,793,531 183%
Substance Abuse $4,319,963 1.04% $10,434,092 1.19% $6,114,129 142%
Nursing Home $5,476,856 1.32% $13,810,595 1.57% $8,333,739 152%
Pharmacy $305,708 0.07% $1,079,048 0.12% $773,340 253%
Hospice $739,659 0.18% $2,762,389 0.31% 2,022,730 273%
Community Based Organization $11,993,454 2.90% $28,005,068 3.19% $16,011,614 134%
All Other $23,297,909 5.62% $37,994,244 4.32% $14,696,335 63%
Home Care∧ $0 0.00% $1,447,839 0.16% $1,447,839 100%
PPS PMO $179,083,029 43.23% $339,472,281 38.64% $160,389,252 90%
Other* $4,558,116 1.10% $13,381,446 1.52% $8,823,330 194%
TOTAL – All Categories $414,267,236   $878,498,690   $464,231,454 112%

* Other category includes Partner Type Categories for Uncategorized, Non–PPS Network, County Agency, CBO Tier 3.
∧ Hospital – IP/ED, Hospital – Ambulatory, Case Management, Health Home, and Home Care categories are new following MPA.

PPS Progress on Mid–Point Action Plans – Standard Modification Funds Flow

  • For the 14 PPS that received the ´Standard Modification´ recommendation from PAOP, the overall funding distribution and Non–Hospital/Non–PPS PMO distributions have increased since the Mid–Point Assessment.
      Cumulative Funds
    Flow at MPA (DY2, Q2)    		 Cumulative Funds
    Flow at DY3, Q1    		 Additional Funds
    Flow since MPA    		 % Change in Funds
    Flow
    Total Funds Flow $264,754,674 $558,296,866 $293,542,192 111%
    Non–Hospital / Non–PPS PMO Funds Flow $71,559,831 $168,651,395 $97,091,563 136%
  • For the categories specifically highlighted in the ´Standard Modification´ recommendation, PPS Funds Flow distributions increased by over 100%.
    Partner Category Cumulative Funds
    Flow at MPA (DY2, Q2)    		 Cumulative Funds
    Flow at DY3, Q1    		 Additional Funds
    Flow since MPA    		 % Change in Funds
    Flow
    Practitioner – Primary Care Provider (PCP) $11,703,793 $30,358,541 $18,654,748 159%
    Mental Health $6,735,971 $20,610,784 $13,874,814 206%
    Substance Abuse $2,669,425 $7,258,928 $4,589,503 172%
    Community Based Organizations $4,283,943 $10,483,800 $6,199,857 145%
  As of MPA (DY2, Q2) As of DY3, Q1 Changes since MPA
Funds Distributed % of Funds Distributed Funds Distributed % of Funds Distributed Funds Distributed % of Funds Distributed
Practitioner – Primary Care Provider (PCP) $11,703,793 4.42% $30,358,541 5.44% $18,654,748 159%
Practitioner – Non–Primary Care Provider (PCP) $2,136,190 0.81% $4,385,137 0.79% $2,248,947 105%
Hospital $72,126,205 27.24% $99,983,923 17.91% $27,857,717 39%
Hospital – IP/ED∧ $0 0.00% $58,117,421 10.41% $58,117,421 100%
Hospital – Ambulatory∧ $0 0.00% $11,792,884 2.11% $11,792,884 100%
Clinic $17,886,239 6.76% $44,245,379 7.93% $26,359,140 147%
Case Management / Health Home $3,462,626 1.31% $7,015,860 1.26% $3,553,233 103%
Case Management∧ $0 0.00% $1,195,140 0.21% $1,195,140 100%
Health Home∧ $0 0.00% $622,164 0.11% $622,164 100%
Mental Health $6,735,971 2.54% $20,610,784 3.69% $13,874,814 206%
Substance Abuse $2,669,425 1.01% $7,258,928 1.30% $4,589,503 172%
Nursing Home $1,233,657 0.47% $5,268,488 0.94% $4,034,832 327%
Pharmacy $277,797 0.10% $902,312 0.16% $624,515 225%
Hospice $563,842 0.21% $1,316,268 0.24% $752,427 133%
Community Based Organization $4,283,943 1.62% $10,483,800 1.88% $6,199,857 145%
All Other $18,748,126 7.08% $28,633,946 5.13% 9,885,819 53%
Home Care∧ $0 0.00% $886,400 0.16% $886,400 100%
PPS PMO $121,068,638 45.73% $219,751,244 39.36% $98,682,606 82%
Other* $1,858,224 0.70% $5,468,247 0.98% $3,610,024 194%
TOTAL – All Categories   $264,754,674   $558,296,866 $293,542,192 111%

* Other category includes Partner Type Categories for Uncategorized, Non–PPS Network, County Agency, CBO Tier 3.
∧ Hospital – IP/ED, Hospital – Ambulatory, Case Management, Health Home, and Home Care categories are new following MPA.

PPS Progress on Mid–Point Action Plans – Partner Engagement

  • PPS have also made progress in increasing the number of partners engaged across the DSRIP Projects since the Mid–Point Assessment.
    • One PPS saw decreases in the number of engaged partners across multiple categories following the Mid–Point Assessment and has been excluded from these figures to avoid skewing the progress made by the remaining 24 PPS.
      Partner
    Commitments at
    DSRIP Application    		 Partners Engaged
    at MPA    		 Partners Engaged
    as of DY3, Q1    		 Additional Partners
    Engaged    		 % Change in
    Partners Engaged
    Partners Engaged 244,977 228,601 429,735 201,134 88%
  • Partner Engagement is defined as the PPS having a direct relationship with a partner as evidenced by a contract or other formal agreement.
    • The contract or formal agreement should identify the services to be provided by the partner on behalf of the PPS and the compensation from the PPS to the partner.
    • Partner compensation may be financial or through the provision of centralized service such as IT or staffing.
        As of MPA (DY2, Q2) As of DY3, Q1 Changes since MPA
    Committed (in
    DSRIP project Plan Application)    		 Partners Engaged % of Committed
    Partners Engaged    		 Partners Engaged % of Committed
    Partners Engaged    		 Additional
    Partners Engaged    		 % increase in
    Partners Engaged
    Practitioner – Primary Care 53,417 37,424 70% 58,841 110% 21,417 57%
    Practitioner – Non–Primary Care 106,666 101,356 95% 198,796 186% 97,440 96%
    Hospital 254 700 276% 964 380% 264 38%
    Clinic 1,709 1,863 109% 2,581 151% 718 39%
    Case Management / Health Home 1,298 1,242 96% 1,977 152% 735 59%
    Mental Health 9,750 9,273 95% 20,838 214% 11,565 125%
    Substance Abuse 1,235 960 78% 1,532 124% 572 60%
    Nursing Home 860 1,104 128% 1,337 155% 233 21%
    Pharmacy 979 324 33% 596 61% 272 84%
    Hospice 96 174 181% 211 220% 37 21%
    Community Based Organization 2,771 2,064 74% 3,192 115% 1,128 55%
    All Other 65,942 72,117 109% 138,870 211% 66,753 93%
    TOTAL – All Partners 244,977 228,601 93% 429,735 175% 201,134 88%

* Note: Count of committed and engaged partners does not reflect an unduplicated count. PPS could commit to and engage the same partner across multiple projects.

PPS Progress on Mid–Point Action Plans – Standard Modification Partner Engagement

  • 13 PPS have also made progress in increasing the number of partners engaged across the DSRIP Projects since the Mid–Point Assessment.
    • One PPS saw decreases in the number of engaged partners across multiple categories following the Mid–Point Assessment and has been excluded from these figures to avoid skewing the progress made by the remaining 13 PPS.
      Partner Commitments
    at DSRIP Application    		 Partners Engaged at
    MPA (DY2, Q2)    		 Partners Engaged as of
    DY3, Q1    		 Additional Partners
    Engaged    		 % Change in Partners
    Engaged
    Partners Engaged 164,201 147,858 253,206 105,348 71%
  • For the categories specifically highlighted in the ´Standard Modification´ recommendation, PPS partner engagement increased for those 13 PPS.
      Partner Commitments
    at DSRIP Application    		 Partners Engaged at
    MPA (DY2, Q2)    		 Partners Engaged as of
    DY3, Q1    		 Additional Partners
    Engaged    		 % Change in Partners
    Engaged
    Practitioner Primary Care 35,383 23,613 31,728 8,115 34%
    Mental Health 6,238 6,145 14,420 8,275 135%
    Substance Abuse 751 462 763 301 65%
    Community Based Organizations 1,768 469 639 170 36%
    As of MPA (DY2, Q2) As of DY3, Q1 Changes since MPA
Committed (in
DSRIP project Plan Application)		 Partners Engaged % of Committed
Partners Engaged		 Partners Engaged % of Committed
Partners Engaged		 Additional
Partners Engaged		 % increase in
Partners Engaged
Practitioner – Primary Care 35,383 23,613 67% 31,728 90% 8,115 34%
Practitioner – Non–Primary Care 74,035 70,819 96% 116,441 157% 45,622 64%
Hospital 150 469 313% 556 371% 87 19%
Clinic 998 1,046 105% 1,428 143% 382 37%
Case Management / Health Home 751 649 86% 1,027 137% 378 58%
Mental Health 6,238 6,145 99% 14,420 231% 8,275 135%
Substance Abuse 751 462 62% 763 102% 301 65%
Nursing Home 467 692 148% 796 170% 104 15%
Pharmacy 849 141 17% 245 29% 104 74%
Hospice 54 113 209% 137 254% 24 21%
Community Based Organization 1,768 469 27% 639 36% 170 36%
All Other 42,757 43,240 101% 85,026 199% 41,786 97%
TOTAL – All Partners 164,201 147,858 90.05% 253,206 154% 105,348 71%

* Note: Count of committed and engaged partners does not reflect an unduplicated count. PPS could commit to and engage the same partner across multiple projects.

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Next Steps

Next Steps

  • PPS are expected to submit second Mid–Point Action Plan updates to the IA by October 31, 2017.
  • The IA will provide updated figures relative to Funds Flow and Partner Engagement progress at the November 16, 2017 PAOP Working Session and MRT Public Comment Day.
    • The presentation will reflect updated Funds Flow and Partner Engagement statistics through the end of DY3, Q2.
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