Restructuring Implemented to Support DSRIP Partners’ Success

In early Feb. we restructured our team to focus our Clinical Integration efforts around the way today’s healthcare is structured. Ultimately, the primary objective of these changes is to ensure our partner organizations successfully achieve the deliverables of the Delivery System Reform Incentive Payment Program (DSRIP).

In the first year of Millennium’s existence, we were structured around our 11 projects with our project managers responsible for one or two projects. What we learned over the past 12 months was that the projects had quite a bit of overlap among the organizations we were working with. We also learned we could be more effective by moving from a project mindset to a relationship management mindset where we strive to bring expert resources to our partners to help translate what DSRIP deliverables means to them. Overall, our restructuring has really been a transformation to focus more on the organizations we work with and their needs, as opposed to project outcomes.

PHOTO: UB School of Nursing Dean Marsha Lewis and Dr. Sharon Hewner welcomed Millennium’s Michele Mercer as a guest speaker at UB Nursing Research Day held in April.

PHOTO: UB School of Nursing Dean Marsha Lewis and Dr. Sharon Hewner welcomed Millennium’s Michele Mercer as a guest speaker at UB Nursing Research Day held in April.

An overview of our restructuring is as follows:

The Ambulatory Services Team led by Janet Stoeckle is focusing on primary care practice transformation, patient centered medical home, working with health homes; and working with managed care organizations. This team is fully engaged and is actively reaching out to primary care practices. They are performing assessments of the status of practices in relation to meeting DSRIP primary care deliverables; and developing action plans to work with the practices to facilitate their success.

The Behavioral Health Team led by Andrea Wanat is working with our behavioral health organizations and also focusing on what these organizations across our eight counties need to do to be successful with DSRIP. This includes working with behavioral health groups to integrate primary care, crisis services, and crisis interventions. This team is also implementing education across the counties in the form of our behavioral emotional health project.

The Community Engagement Team led by Catherine Lewis is actively working in our communities to deliver educational programs such as the “Million Hearts® cardio vascular disease project that we are partnering with the University at Buffalo School of Nursing and the Greater Buffalo United Church Ministries on. This team is also beginning to roll out the cultural competency/health literacy components of DSRIP deliverables to our partner organizations. They have also launched our Maternal Child programs and are also are working with several organizations to implement strategies to identify those Medicaid recipients that are either uninsured, or are low or non- utilizers of Medicaid services. Once identified, the team is administering Patient Activation Measure® (PAM) assessments to identify the recipients’ motivations to seek healthcare.

The Post- Acute Team led by Saralin Tiedeman is actively working with skilled nursing facilities and certified home health agencies to implement initiatives to reduce or avoid readmissions and to ensure that people who are in skilled nursing facilities or are getting home health care are being treated at the most appropriate place.

And the Acute Care Team – our final area of focus led by Annie Deaver — is working in the hospital environment to ensure hospitals are prepared for the transformation of the system through clinical integration. When DSRIP is successful in achieving a 25 percent reduction in avoidable emergency room visits and hospitalizations, our hospital partners need to be prepared to manage their populations in a different way. Our Acute team is dedicated to assisting them in this preparation.

In conclusion, our goals moving forward are to continue to build strong relationships with partner organizations and to provide expert resources to assist their implementation of DSRIP deliverables. We’re excited about our re-focus on “partners” and not primarily “projects” because ultimately, they are the ones who will make DSRIP successful


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The Erie County Medical Center Corporation (ECMCC) is the parent organization of Millennium Collaborative Care

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