Insights from the NY DSRIP Mid-Point Assessment: Areas of Focus, Improvement, and the Path Forward
Fahad Rahman Joins xG Health Solutions’ Care Redesign and Management Advisors Team
Catholic Health Serivces of Long Island Selects xG Health Solutions
Components of the DSRIP Workforce Training Strategy
Should a PPS Set Up a Hybrid Care Management Organization (CMO)?
Amplifying DSRIP Care Manager Productivity and Effectiveness
Top Five Considerations for Your DSRIP Workforce Consultant
The Delivery System Reform Incentive Payment (DSRIP) program is a federally sponsored, pay-for-performance initiative designed to achieve the Triple Aim.
DSRIP programs provide incentive payments for providers who undertake transformation projects that achieve predefined performance metrics and outcomes. Many states are implementing these programs, and our DSRIP team has an established track record of helping providers succeed under DSRIP.
Effective care management is integral to success under DSRIP because it drives reduced inpatient and emergency department use while improving quality of care. Your DSRIP program depends on having a well-trained, well-staffed care management team, empowered by tested tools, workflows, and analytics to achieve DSRIP metrics.
Our DSRIP interventions are powered by decades of experience and proven outcomes achieved at Geisinger. We have replicated Geisinger success with other clients nationwide, accelerating their journey to deliver better care at reduced costs. With this experience, we can help you meet the robust data collection and reporting requirements imposed on performing provider systems (PPS).
We also understand the challenges associated with setting up your PPS team.
A PPS needs a team of its own, but how should it be staffed? What is the optimal staffing mix and ratios? What caseload should each case manager carry? Should the PPS develop an internal care management organization to complement what exists in the county? Where should RNs and social workers be embedded? What workflows are needed to manage patients collaboratively with medical homes and MCOs?
We help our DSRIP clients address these issues with a design blueprint for care management that accounts for structure, process and standards, technology interfaces, and culture change. We then help you establish your PPS team—we know what makes a good care manager and can accelerate the hiring and training processes.
We can screen, interview, hire, manage, train, evaluate, and optimize your care management team. We also can provide Geisinger-trained care management leadership services to supervise or help your PPS team deliver a steady-state care team.
Training
Our care management training addresses the hard and soft skills your care team needs, but our support goes deeper than any other available in the market today. We provide on-the-job training for your case managers at Geisinger, where they experience immersion in successful medical home sites while working with an experienced Geisinger case manager who shows them how to get the job done. Care managers can get this real-world experience only by sitting shoulder-to-shoulder with a seasoned professional.
Workflow
After you redesign your care plan and staff and train your care management team, you need to ensure that your plan is productive. Our workflow solutions increase case manager efficiency and effectiveness using xGCare, our intuitive care management workflow and documentation tool for care managers.
Clinical Strategy
Once your care management blueprint is in place, success requires strong engagement for your practice staff to function at the highest level. We help you get there with strategies such as the following:
For more information about our DSRIP services, contact Fahad Rahman at frahman@xghealth.com or Andrew Blackmon at ablackmon@xghealth.com.