BROOKLYN COMMUNITY BOARD 6
YOUTH/HUMAN SERVICES/EDUCATION COMMITTEE
MARCH 22, 2017
Attendance:
P. Bellenbaum E T. Jackson A F. Brown A F. Jean A E. Felder E J. Li A R. Freeman P B. Solotaire A K. Gurl A S. Turet P L. Hill A R. Underwood E
P = present, E = excused, A = absent
Guests: S. Ostolaza – Rep. for NYU Medical Center G. Kalkut – Rep. for NYU Medical Center
***MINUTES***
Presentation and discussion with representatives for NYU Langone Cobble Hill on the Delivery System Reform Incentive Payment (DSRIP) program specifically how NYU Lutheran is collaborating with community based organizations to deliver health and mental health services to Brooklyn residents.
Overview of the committee’s role in the community and with the board. Feedback from community on new Cobble Hill location.
Gary Halcott, a physician with NYU came to work with NYU on ambulatory care.
DSRIP – delivery system reform incentive program: Reform to NYS Medicaid Community initiative NYS saved $15 billion for the Federal government and went back to them to get money to reform Medicaid Wanted a pre-paid system that providers can then share in savings Improve quality of care and lower cost of care DSRIP goal is avoidable hospital use by 25% over 5 year period.
PPS – Performing Provider System: created by NY State – 25 in state NYU - Health care providers
Lutheran – Community based organization PPS – health systems NYU Lutheran – 7th smallest PPS. The majority of parents in Southwest Brooklyn
204 partner organizations include nursing homes, OMH, DPWSS, SSA, OASAS – centered around primary care. Responsible for 120,000 lives. Underserved, homeless and culturally diverse patient populations.
DSRIP Projects – create integrated delivery system.
1. ED Care triage for at risk population – nurses 2. Hospital Obstetrics program (patient navigation system)
3. Community-based health navigation system 4. Behavioral health/primary care integration 5. Diabetes disease management 6. Asthma home based management 7. Increase early access and retention in HIV care 8. Promote tobacco cessation
Pay for performance program as they hit the markers increase money.
201 of NY State Medicaid is in BK 1.2 million. DSRIP provides $11 day/patient
Expand access to primary care. FQHC – federally qualified health centers.
FQHC partners have plans to grow additional pc needs and demands.
1. Expanding building or adding additional sites – Van Brunt Street opening soon 2. Extended service of OPHIS
Smaller office practices plan on adding providers and also intend on increasing capacity for pc services.
Patient Center Medical Home (PCMH) – higher level of primary care. - Want people practicing at the top of their license - Have support staff do forms and other resources - Allow providers to care for patients - Have close to 80 based community based organizations (CBO). Education, transportation, food, housing, etc. - Asked these groups to help find patients and have them actually show up. - 201 patients assigned have never appeared – were automatically assigned because they are on Medicaid. Sent letters notifying them that they were assigned.
ER Triage – PNC targets high risk patients both at Cobble Hill ed and at Lutheran. Will start at Lutheran first.
Behavioral health community needs assessment – depression, anxiety and alcohol and substance abuse are common self-reported health issues.
- 501 BH have other chronic problems. - Co-locations of BH and primary care services. - PPS collaborations – CBD Partnerships. Arthur Ashe is largest. Part of Workforce collaboration with NYCHHC – Maimonides
9-12 month Overview - Potentially presentable ED visits are trending down. Lutherans average was lower than statewide but has gone down – appears DSRIP is doing what it is supposed to. - Readmissions data has gone down for Lutheran - April 1 is start of DSRIP year 3, out of a 5 year program - Have kept admissions down because they can treat for 48 hours without admission to hospital but does not then pair people with the offices they need. - Without funding from DSRIP these initiatives would not be able to continue. - Governor Cuomo has promised $100 million for repurposing of 4 hospitals – Interfaith, Wyckoff, Brookdale and Kingsbridge Jewish. - In population in NY state interest to see that this works has not reached public to know about the initiatives. Hospitals closing – need to provide better care.
There being no further business to come before the committee, the meeting was adjourned.