DSRIP Projects & Workstreams

11 Projects

The mission of Millennium is to work in partnership with physicians, healthcare providers, and community-based organizations (CBOs) on the implementation of 11 DSRIP programs designed to positively impact Medicaid patients across the eight counties of Western New York (Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming).

The projects were chosen based on the data collected during the 2014 WNY Community Needs Assessment (CNA), which prioritizes regional health needs.

2.a.i Create Integrated Delivery System Focused on Evidence-Based Medicine/Population Health Management
2.b.iii ED Care Triage
2.b.vii Implementing the INTERACT Project
2.b.viii Hospital/Home Care Collaboration Solutions
2.d.i Patient Activation Activities to Engage, Educate and Integrate Uninsured/Non-utilizer Populations (PAM)
3.a.i Integration of Primary Care and Behavioral Health (Models 1&2)
3.a.ii Behavioral Health Crisis Stabilization Services
3.b.i Evidence-Based Strategies for Disease Management (CVD)
3.f.i Increase Support for Maternal and Child Health (Model 3)
4.a.i Promote Mental, Emotional, and Behavioral (MEB) Well-Being
4.d.i Reduce Premature Births

Workstreams

In addition to the 11 projects, several “workstreams” have been identified which span across all projects.

Cultural Competency and Health Literacy: The objective of this workstream is to assist in the integration of knowledge, attitudes and skills reflective of a culturally competent organization in order to help ensure that everyone receives equitable and effective health services. In addition, the cultural competency and health literacy team is developing and implementing a training strategy focused on addressing the drivers of health disparities.

Workforce Development: System transformation will create significant new and exciting employment opportunities for appropriately prepared workers. Millennium’s workforce team is tasked with identifying impacts and working towards minimizing negative impacts.

Clinical Integration: One of the central goals of the DSRIP program, clinical integration is intended to foster collaboration among hospitals, healthcare providers, and CBOs in ways that increase quality and efficiency of patient care resulting in better care, lower costs, and improved health of our population.

Financial Sustainability: One of the primary goals of the DSRIP program is to transition from the current system of fee-for-service to value-based payments (VBP). Today, many organizations that provide services which address the social determinants of health cannot or do not receive adequate reimbursement. One component of the conversion to VBP will be enabling CBOs to bill Medicaid (or other payers as appropriate) for these important services that directly affect the health of the target populations.

Population Health: The aims of this workstream are to improve access to care, care coordination, and health outcomes by shifting the healthcare focus from acute to ambulatory, utilizing technology to provide care remotely, and providing ambulatory services within the community—a shift which is enabled by the transition to VBP.

Practitioner Engagement: The practitioner engagement workstream at Millennium seeks to ensure that practitioners understand their role in contributing to the success of DSRIP projects. This team regularly engages practitioners through a variety of modalities to provide education, motivation, and training to support the implementation of our projects.

©2016 Millennium Collaborative Care.