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Delivery System Reform Incentive Payment (DSRIP)
From Central New York Care Collaborative Community Health Assessment, Final Report, December 2014 by John Snow Inc, 44 Farnsworth Street, Boston, MA. Does their Downtown Concept meet any of the DSRIP goals, or just ruin a historic neighborhood while attempting to get a FREE parking solution for the AUD?
A. DSRIP Overview
The Delivery System Reform Incentive Payment Program (DSRIP) is groundbreaking initiative to transform the health system of New York State. The over-riding focus of DSRIP is reducing avoidable hospital use by 25% over 5 years for the Medicaid and uninsured population in New York State. However, DSRIP has five key goals.
First, DSRIP aims to be a truly transformative initiative at both the system- or market-level as well as the state level. The primary driver of this transformation will be a series of Performing Provider Systems (PPS), which have been formed throughout the State of New York as broad, truly collaborative entities that will work together to achieve the goals of DSRIP. However, there are a range of policy and regulatory changes that will occur at the State-level that will also have tremendous impact on facilitating the transformation.
Second, DSRIP aims to reduce avoidable hospital use and improve other health and public health measures. While the primary measure of success is clearly reduction of avoidable hospital use, there is a clear appreciation for the fact that this cannot be accomplished without also addressing the underlying root causes of illness that are responsible for the bulk of death and disease in the population.
Third, DSRIP aims to sustain the transformation beyond the 5-year waiver period by building on New York State’s efforts of related to payment reform. Integral to this effort will be shift away from traditional fee-for-service methods of payment to more global forms of payment combined with paying service providers across the spectrum for achieving specific patient-related metrics or outcomes (Payfor-performance).
Fourth, DSRIP aims to provide financial support to the PPS, and particularly the State’s vital safety net providers, to support the systems transfer and development of critical market-level infrastructure.
Finally, if DSRIP is going to have a lasting impact on the leading causes of illness and death in their service areas, it is clear that the PPSs’ initiatives will have to look beyond the walls of the traditional health care setting and involve the public health and community health sectors. In conceptualizing DSRIP, the State is making a very conscious effort to move the worlds of clinical medicine and primary care and the worlds of public health and community medicine closer together. As a result, the PPSs’ will need to involve these sectors, along with behavioral health, dental health and community organizations, in the process and explore how to integrate the efforts of these sectors in meaningful ways.
Wasting money, abandoning very good hospital assets, harming Utica's tax base, making our ER more accessible to the poor and uninsured, does anything add up?
References
DSRIP Frequently Asked Questions (FAQs)
Delivery System Reform Incentive Payment (DSRIP) Program
New York State Patient-Centered Medical Home
FAQs: New York State Patient-Centered Medical Home (NYS PCMH) Recognition
Emergency Room Crowding: A Marker of Hospital Health
There’s not a crisis of uninsured people overusing the emergency room
The Uninsured Do Not Use The Emergency Department More—They Use Other Care Less
The uninsured are overusing emergency rooms — and other health-care myths
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