Triple Aim Goals

Improved health

Better health care & consumer experience

Lower Costs

Tasks

Form a functional board and governance structure

Recruit active participation from regional stakeholders

Define and measure key health challenges for region

Organize and support community -clinician work teams aimed at key health challenges

Assist in securing funding to undertake interventions

Measure and report to community

The PHIP will promote the Triple Aim through regional efforts that reflect local needs, assets and capabilities. The expectation is to improve population health through stakeholder collaboration, data-driven prioritization, and regional or local strategies for addressing health disparities that are consistent with the goals of the statewide Prevention Agenda and the State Health Improvement Plan.

Mohawk Valley Population Health Improvement Program (PHIP)Mohawk Valley Population Health Improvement Program (PHIP)

Status of Health in NYS Needs Improvement 23% of New Yorkers have either diabetes, cardiovascular disease and/or asthma

36% of school children are overweight

Only 20% of New Yorkers meet physical activity recommendations

50th percentile for preventative care for adults

75th percentile for colorectal cancer screening

Source: Authors’ analysis and adaption from the University of WisconsinPopulation health Institute’s county Health rankings model 2010,http:// www. Countyhealthrankings.org/about-project/background

20%Health Care

-Access to care

-Quality of care

30%Health

Behaviors-Tobacco use

-Diet & exercise

-Alcohol use-Unsafe sex

40%Socioeconomic

Factors- Education

- Employment- Income

- Family/Social Support

10%Physical

Environment-Environmental

quality-Built

environment

Population Health

Social Determinants of Health

PREVENTION AGENDAPRIORITY AREAS:

- Prevent chronic diseases-Promote a healthy and safe environment-Promote healthy women, infants, and children- Promote mental health and prevent substance abuse- Prevent HIV, sexually transmitted diseases, vaccine-preventable diseases, and healthcare associated infections

Population Health Improvement Program (PHIP)PRIMARY EMPHASIS:

- Provides a neutral forum for stakeholders to implement best practices and strategies to promote population health- Utilizes data and analytics to identify and addresses health disparities-Support and advance the Prevention Agenda- Support and advance the State Health Innovation Plan- Serve as resources to DSRIP Performing Provider System

STATE HEALTH INNOVATION PLANPILLARS AND ENABLERS:

- Improve Access to care for all New Yorkers- Integrate care to address patient needs seamlessly- Male the cost and quality of care transparent- Pay for healthcare value, not volume- Promote Population Health- Develop workforce strategy- Maximize health information technology- Performance measurement and evaluation

MEDICAID DELIVERY SYSTEM REFORM INCENTIVE PATMENT

(DSRIP) PROGRAM

KEY THEMES:- Integrate delivery - create Performing Provider Systems

- Performance-based payments

- Statewide performance matters

- Regulatory relief and capital funding

- Long-term transformation & health system sustainability

ALIGNMENT:- IMPROVE POPULATION HEALTH- TRANSFORM HEALTH CARE

DELIVERY- ELIMINATE HEALTH DISPARITIES