Overview
LCHP has selected 11 projects from a New York State DSRIP-approved list organized by three domains. These domains, System Transformation, Clinical Improvement, and Population-wide Projects, represent the broad areas within which health care transformation is envisioned.
The projects we have selected vary widely, from population-wide projects such as reducing tobacco use, to system transformation projects such as creating an integrated delivery system. However, all of them will require a new way of thinking.
We’ll need to work together to achieve the integration and management of our projects, but we’ll also need to follow specific reporting requirements to document their progress. The more evidence-based success we can demonstrate, the more remuneration we will receive.
The effective and timely implementation of these projects is vital to our long-term success as providers. Health care is moving from “fee for service” in the direction of “value-based payment.” By recognizing and adapting to this change, we’ll play an enhanced and rewarding role in improving the health of our community.
Selected Projects
Domain |
Number |
Name |
Description |
| 2: System Transformation | 2.a.ii. | Patient Centered Medical Homes (PCMH) | Increase Certification of Primary Care Practitioners with PCMH Certification and/or Advanced Primary Care Models (as developed under the NYS Health Innovation Plan (SHIP)). Click here to learn more about this project. |
| 2: System Transformation | 2.b.vii | INTERACT in Skilled Nursing Facilities (SNF)/Long-Term Care (LTC) | Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF). Click here to learn more about this project. |
| 2: System Transformation | 2.b.viii | Hospital-Home Care Collaboration | Hospital-Home Care Collaboration Solutions. Click here to learn more about this project. |
| 2: System Transformation | 2.c.i | Navigation Program | To Develop a Community Based Health Navigation Service to Assist Patients to Access Healthcare Services Efficiently. Click here to learn more about this project. |
| 2: System Transformation | 2.d.i | Patient Activation Measure (PAM) for Uninsured | Implementation of Patient Activation Activities to Engage, Educate and Integrate the uninsured and low/non-utilizing Medicaid populations into Community Based Care. Click here to learn more about this project. |
| 3: Clinical Improvement | 3.a.i | Behavioral Health | Integration of Primary Care and Behavioral Health Services. Click here to learn more about this project. |
| 3: Clinical Improvement | 3.a.iv | Withdrawal Management | Development of Withdrawal Management (e.g., ambulatory detoxification, ancillary withdrawal service) Capabilities and Appropriate Enhanced Abstinence Services within Community-Based Addiction Treatment Programs. Click here to learn more about this project. |
| 3: Clinical Improvement | 3.d.iii | Asthma | Implementation of Evidence Based Medicine Guidelines for Asthma Management. Click here to learn more about this project. |
| 3: Clinical Improvement | 3.g.i | Palliative Care | Integration of Palliative Care into the PCMH Model. Click here to learn more about this project. |
| 4: Population – Wide | 4.a.iii | Mental Health and Substance Abuse (MHSA) | Strengthen Mental Health and Substance Abuse Infrastructure across Systems. Click here to learn more about this project. |
| 4: Population – Wide | 4.b.i | Tobacco Cessation | Promote tobacco use cessation, especially among low SES populations and those with poor mental health. Click here to learn more about this project. |