Medicaid Accelerated eXchange (MAX) Series and MAX Training Program

The NYS Department of Health launched its approach to RCCI as the Medicaid Accelerated eXchange (MAX) program to support PPSs in their efforts to redesign the way healthcare is delivered. The key objective of the MAX program is to support the interdisciplinary PPS teams to accelerate their ability to achieve sustainable reductions in hospital admission and emergency department use. Through offering a series of RCCI workshops focused on improving care, the MAX program supports the goal of transforming the system by strengthening care collaborations and getting patients the right care at the right time. By understanding the drivers of high utilization, patients are directed to appropriate community providers and resources while promoting the more efficient use of hospitals for emergent and acute level services.

Final Reports:

Case Studies:

The Transforming Care for Multi-Visit Patients (MVP) podcast highlights lessons learned from the New York State Department of Health 2022 Medicaid Accelerated eXchange (MAX) Series program teams. The MAX Series, a delivery system transformation program sponsored by the New York State Department of Health (NYS DOH), was the fourth round of the program that originated from the NYS Delivery System Reform Incentive Payment (DSRIP) program. Each round of the MAX Series has successfully demonstrated that through a dedicated team-based approach it is possible to improve care for individuals whose underlying unmet needs result in high utilization of hospitals and emergency departments.

Dr. Amy Boutwell, developer of the MVP method and subject-matter expert, hosts conversations with the NYS DOH 2022 MAX Series lead and Chief Medical Officer for the Medicaid Program, Dr. Douglas Fish, and MAX Action Team members representing eight hospitals about their experiences through participation in the program and the impact their efforts made in the lives of the patients and families involved.

Podcast Guest Summary Date Podcast Recording
Dr. Douglas Fish Dr. Douglas Fish, Director of the Division of Medical and Dental Directors for the New York State Medicaid Office of Health Insurance Programs, discusses the NYS DOH MAX Series 2022 program. 10/20/2022 YouTube
Diane Lantz Diane Lantz, Associate Director of Case Management, discusses the experiences and outcomes achieved by the Montefiore Hospital – Moses Campus Complex Care Management team through participation in the MAX Series 2022 program. 10/13/2022 YouTube
Dr. John Loehner John Loehner, MD, Medical Director at Montefiore Hospital – Moses Campus discusses application of the MAX Series 2022 program principles to complex care management. 10/13/2022 YouTube
Dr. Wassim Diab Wassim Diab, MD, Associate Chairman of the Department of Medicine, discusses the experiences and outcomes achieved through Staten Island University Hospital's participation in the NYS DOH MAX Series 2022 program. 10/13/2022 YouTube
Jennifer Coard Jennifer Coard, Licensed Clinical Social Worker and Master Black Belt, Associate Director of Executive Administration, discusses the experiences and outcomes achieved through Queens Hospital's participation in the MAX Series 2022 program. 10/13/2022 YouTube
Lana Bind Lana Bind, Assistant Director of Care and Case Management Department, discusses the experiences and outcomes achieved through Queens Hospital's participation in the NYS DOH MAX Series 2022 program. 10/13/2022 YouTube
Nadira Etwaroo Nadira Etwaroo, Director of Nursing for Care and Case Management Department, shares experiences and outcomes achieved through Queens Hospital's involvement in the NYS DOH MAX Series 2022 program. 10/13/2022 YouTube
Dr. Kurien Mathews Kurien Mathews, MD, Emergency Department MAX Physician Champion, discusses Staten Island University Hospital's experiences and outcomes achieved through participation in the NYS DOH MAX Series 2022 program. 10/20/2022 YouTube
Alex Fleming Alex Fleming, Licensed Master Social Worker, discusses Champlain Valley Physicians Hospital's experiences and outcomes achieved through participation in the NYS DOH MAX Series 2022 program. 11/22/2022 YouTube
Jenna Genova Jenna Genova, Director of Social Work, discusses the experiences and outcomes achieved through Niagara Falls Memorial Medical Center's participation in the NYS DOH MAX Series 2022 program. 11/22/2022 YouTube
Wendy Kolodziejczyk Wendy Kolodziejczyk, Administrative Director of Emergency and Critical Services, discusses the experiences and outcomes achieved through Guthrie Cortland Medical Center's participation in the NYS DOH MAX Series 2022 program. 11/22/2022 YouTube
Allison Roberts Allison Roberts, Clinical Team Leader for Emergency Department Social Work, discusses Upstate University Hospital's experiences and outcomes achieved through participation in the NYS DOH MAX Series 2022 program. 12/7/2022 YouTube

MAX Series Videos

  • MAX Series over the years - This video is a high level journey from the first MAX Series beginning in 2015, which was launched with just six Action Teams, to where we are today, with 87 Action Teams and an ongoing MAX New York Series led by our MAX Training Program participants.
  • Voices from the front lines: this video shoes how the MAX Series purposefully promotes interdisciplinary, cross-setting teams from a variety of roles, organizations, and communities to come together to brainstorm, collaborate, and identify solutions to directly impact a target patient population.
  • Voices from Patients and Caregivers - This video describes how since the start of the MAX Series, the program has impacted countless patient lives. This video highlights the MAX Series impact through the eyes of patients and caregivers who have been directly impacted by MAX Series' initiatives.
  • Fighting the Opioid Epidemic with the MAX Series - This video shows a look into the Opioid Epidemic through the lens of a MAX Series Action Team that has committed to changing the opioid-related medication protocols and processes in the emergency department.
  • MAX Series - The Next Generation - Introduced in 2016, the MAX Training Program has since graduated 77 qualified MAX New York (MAXny) Series Leads, who are scaling and sustaining process improvement work across the State. This video shows what is next for the MAX Program.
  • MAX Series Symposium 2018: Opening Remarks - This video is a high-level overview of New York's MAX Program, with opening remarks given by New York State's Medicaid Director Donna Frescatore.
  • MAX Symposium 2018: Executive Panel Fireside Chat - This video includes a group of Senior Leaders discussing how the MAX Series has made an impact across their PPS and organizations, and how the MAX Series continues to support furthering the DSRIP transformation goals across New York State.
  • MAX Symposium 2018: Regional MAX Collaboration - This video is a collaborative session between MAX Series and MAX Training Program participants to bring the MAX Series full circle, and celebrate the accomplishments from collaborating across New York State.
  • MAX Symposium 2018: The MAX Method - This video is a high-level overview of the MAX Series’ achievements since it began in 2015, presented by Dr. Amy Boutwell, President of Collaborative Healthcare Strategies.
  • MAX Series Symposium 2018: "Ted Talks" - This video includes a series of three "Ted Talk" style presentations, where former Action Team members provide their unique perspective to the MAX Series, and identify the impact of their program within their community.
  • MAX Symposium 2018: Fighting the Opioid Epidemic with the MAX Series - This video takes a look into the Opioid Epidemic through the lens of a MAX Series Action Team that has committed to changing the opioid-related medication protocols and processes in the emergency department.
  • MAX Symposium 2018: Closing Remarks - This video is a high-level reflection of the 2018 MAX Symposium, with closing remarks given by Gregory Allen, Director of the Division of Program Development and Management, NYS DOH.