The annual DSRIP Learning Symposium was held February 6th-8th and hosted on Staten Island. Over 700 state and international guests gathered to collaborate, learn from experts, and showcase successes. Staten Island PPS had the opportunity to present 9 different posters spanning over 5 categories of Transform, Heal, Partner, Innovate, and Learn. We were also privileged to host 2 panel discussions, including “Building Cross Sector Partnerships for Diversion, Public Safety and Health” and “Preparing Community-Based Practices for Value Based Medicine.” The posters and presentations were as follows:
“Optimizing the Quality of Life for Patients with Chronic Illness through Palliative Care”
Mary Han, Director of Continuing Care and Quality Management, and team won best poster presentation in the Heal category. Attendees had the opportunity to vote for the best poster in each category. Mary Han, Paula M. McAvoy, Administrative Director of Hospice and Palliative Care at University Hospice at Staten Island University Hospital, Maura Ellis, Palliative Care Education Coordinator at University Hospice at Staten Island University Hospital, and Carmel Festa, Palliative Care Educator at Visiting Nurse Service of New York Hospice and Palliative Care accepted the award.
To make quality of life better for people with chronic illness, palliative care needs to be available in more healthcare settings. “Optimizing the Quality of Life for Patients with Chronic Illness through Palliative Care” gave people an overview of palliative care and what organizations can do to create their own program. Click here to see the full poster.
“Using Peers to Improve ED Patient Engagement and Linkage to Substance Use Disorder (SUD) Services”
Victoria Njoku-Anokam, MPH, Director of Behavioral Health Initiatives, Staten Island Performing Provider System, Kimberly Lewis, LCSW, Assistant Director of Social Work, Richmond University Medical Center, and Maralie Deprinvil, MPH, Coordinator, Behavioral Health Infrastructure Project, Staten Island Partnership for Community Wellness presented the Warm Handoff program to the Learning Symposium. The poster presented background information on the program, as well as the program model and outcomes for the pilot period (November 30, 2016 – March 31, 2017). Through the Warm Handoff Program, Certified Addiction Recovery Coaches were placed in RUMC to engage with patients with substance use needs and link them to an appropriate level of care. The program has had much success in engaging more than 400 individuals, transforming ED culture and impacting P4P measures. Click here to see the full poster.
“Design a Health Literacy Action Plan to Impact Performance Outcomes”
Health Literacy is the ability to get, understand and use health information meaningfully. It’s at the intersection of everything DSRIP hopes to accomplish for Medicaid and uninsured users across the state. Did you know nearly 80% of people have limited health literacy skills?
Celina Ramsey, Director of Health Literacy, Diversity and Outreach, had the opportunity to share how to design a health literacy action plan to improve quality of care for patients with her poster presentation. Check out tips to improve patient/provider communication by clicking here for the full poster.
“Utilizing the Production Environment to Engage Partners in Outcome Improvement”
Staten Island PPS is working with Spectramedix and Azara Health to improve data sharing with our partners and managed care organizations (MCOs). Our data and data processing has been moved to a cloud-based Enterprise Data Warehouse (EDW). The goal is timely access to data. Salvatore Volpe, MD FAAP FACP FHIMS CHCQQM, Chief Medical Officer and Anyi Chen, PhD Chief Information Officer laid out the production environment with a detailed diagram showing the flow of data. Click here to see the full poster.
“Insights from Claims Data to Address Antidepressant Medication Adherence”
Jessica Steinhart, Director of Ambulatory Care Initiatives, Reine Li, Business Intelligence Analyst, and Victoria Njoku-Anokam, Director, Behavioral Health Initiatives, presented an analysis of antidepressant medication adherence data. Their poster, “Insights from Claims Data to Address Antidepressant Medication Adherence,” demonstrated that adherence is lower when patients have multiple providers managing their depression, indicating lack of continuity and coordination.
Since DSRIP began, PPS partners have improved medication adherence by:
“Developing Sustainable Integrated Training and Process Improvement”
William Myhre, Sr. Director of Workforce Transformation/HR, along with Montefiore Hudson Valley Collaborative (MHVC) PPS, presented on training strategies and ways to train a multi-disciplinary workforce. The poster walks you through each PPS’s training strategy, data & measures, and outcomes. Some notable outcomes from Staten Island PPS include:
“Impact of Asthma Interventions on the Pediatric Asthma Superutilizer”
The Asthma Coalition of Staten Island was formed in November 2016 the Office of the Staten Island Borough President and co-led by Richmond University Medical Center and Staten Island PPS. The goal is to have all children with asthma lead full, active lives with minimal symptoms. The coalition plans to reduce unnecessary ED visits, hospitalizations and absences by 2020. Celina Ramsey, Director of Health Literacy, Diversity and Outreach, and Dr. Ginny Mantello Director of Health and Wellness the Office of the Staten Island Borough President presented on an overview of the Asthma Coalition of Staten. Their poster shows an assessment of social determinants of health affecting families with asthma and the analytic profile of 225 children with persistent asthma and home visit intervention findings. Click here to see the full poster.
“Local Partnerships to Create a Community Navigator Program”
Staten Island PPS created a community navigator program through the Patient Activation Project. In DY2, the PPS partnered with six community based organizations for the program and, in DY3, the group grew to seven CBOs. The goals of the community navigator program are to:
Jessica Steinhart, Director of Ambulatory Care Initiatives, and Kate Lynn Chimienti, Project Manager of Ambulatory Care and Behavioral Health Initiatives, presented on this project through their poster presentation: “Local Partnerships to Create a Community Navigator Program”. Click here to see the full poster and what the future plans of the project are.
“Using a Behavioral Health Improvement Model to Impact Outcomes”
Many people who visit the emergency room on Staten Island have underlying behavioral health problems. Improvements in behavioral health quality measures, especially in the reduction of ED use over time, are because of the collaborative efforts of Staten Island healthcare providers. Victoria Njoku-Anokam, Director of Behavioral Health Initiatives and Kate Lynn Chimienti, Project Manager of Behavioral Health and Ambulatory Care Initiatives presented on the impact of practice changes on the reduction of ED use over time and plans for sustainability. Click here to see the full poster.
“Innovative Strategies to Impact the Substance Use Disorder Epidemic”
Our Executive Director, Joseph Conte, hosted a panel discussion about the prevalence of substance abuse, particularly the opioid epidemic, and how establishing cross-sector partnerships have helped tackle the issue. The panel included leaders from multiple PPS partners including:
Initiatives such as Tackling Youth Substance Abuse (TYSA), Emergency Department Warm Handoff, Heroin Overdose Prevention and Education (HOPE), and the use of Peers and other resources have all helped in addressing the substance use disorder problem. These efforts are impacting the reduction in preventable ED use, criminal justice system diversion, and engagement in SUD treatment. The panelists presented their strategies implemented, resources used, outcomes, and impact on substance abuse on Staten Island.
“Building Cross-Sector Partnerships for ER Diversion”
Ashley Blauvelt, Director of Project Management, moderated a panel discussion with leaders representing law enforcement and local government agencies called “Building Cross Sector Partnerships for Diversion, Public Safety and Health.” She gave a high-level overview of social determinants of health and statistics across NYC showing the need for cross sector partnerships in response to substance use and opioid epidemics. The panelists had the opportunity to share what makes cross-sector partnerships successful, challenges to collaborate, and strategies for overcoming barriers.
“Preparing Community-Based Practices for Value Based Medicine”
Salvatore Volpe, MD, Chief Medical Officer, moderated a panel of primary care providers in the “Preparing Community-Based Practices for Value Based Medicine” discussion. This panel presentation led by the CMO and three PHIP (Population Health Improvement Programs) practice leaders addressed opportunities, challenges and benefits of being a part of PHIP.