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NEWYORKSTATE OFOPPORTUNITY Departmentof HealthNew York State Department of HealthStatewide Steering CommitteeMay 1, 2017
May 1, 20172Agenda #1TopicTimeII2I34Welcome and Introductions10:30 - 10:45SIM/APC in the Current Landscape10:45 - 11:05Scope and Purpose11:05 -11:30Susan Stuard11:30 - 12:45Paul Henfield/Anne SchettineEd McNamaraJill ByronTom MahoneyLaurel PickeringAdvanced Primary Care (APC) Updates APC Scorecard Practice Transformation ROMC5LeaderMarcus FriedrichSusan StuardJames KirkwoodMarcus FriedrichLori KicinskiWorking Lunch12:45 -1:00PCMH 2017 AlignmentNYS – NCQA PCMH Program Alignment Strategy1:00 - 2:15Next Steps2:15 - 2:306Marcus FriedrichSusan StuardMarcus FriedrichSusan StuardJim Kirkwood EwvoRKl 1JR%Nir;DepartmentI ofHealth
May 1, 20173Rules of the Road Come to the meeting with a positive attitude.Treat members with respect.Be prompt arriving to the meeting and returning from breaks.Turn cell phones off or to vibrate.If you must take urgent calls, take your conversation outside.Talk one at a time, waiting to be recognized by the Chairpersons.Limit side conversations.Stay on the topic being discussed.Address any concerns about the discussion or the meeting with theChairpersons.wvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 20174Goals for Today1.Review the landscape and tangible process to date2.Set forth committee’s scope and purpose3.Begin discussion of APC strategic issueswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 20175SIM / APCIn the CurrentLandscapewvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 20176New York State Health Innovation Plan (SHIP)Delivering ttle Trip'le Aim - Healthier people, better care and individual experience, smarter spendingPillarsl111prove access tocare for all NewIntegrate care toYorkers, wittloutaddress patientneeds seamlesslydisparityMake ttle cost andquality ofcare trans:parentto empowerPay for health care Promotevalue , not volume population heallthdecision makingEllimination offinanc ial,geograph ic, culltural ,and operationalbarriers toaccess appropriatecare in a timely wayInformation toenable individ1.1alsand provid'ers tomake betterdecisions atenroll ment andl atthe poi nt of carellilteg ration ofprimary care,behavioral health ,acute and post acute care; ands1.1pportive care forthose that require itWorkforce strategyEnablersHealth infonnationtechnologyPerformancemeasurement &evaluationRewards forproviders whoachieve highstandards f or qualityandl individualexperienc e wll ilecontro lling costsImproved screeni lilgand preve ntionthrough closerli nkages betweenprimary care, pu blichealth, an dcommunity- basedsuppo rtsftthe ca pac ity a nd skills of our health care workforce to theIii Matchingevolving needs of ou r communitiesBHealth data, connectivity, analytics, and reporting capabilities to supportclin ica l integ ration, tra nsparency, new payment models, and contim.1ousinnovationCStandard approach to measuring tile Plan's impact on health systemtransformation and Triple Aim targets, inc l1.1ding se lf-evaluatiolil andi1ndependent evaluation. .:'0 0RKoPPORTUNIT'I:.DepartmentI ofHealth
May 1, 20177New York State Health Innovation Plan (SHIP)Three Core Objectives : 80% of the state’s population will receive primary care within an APC setting,with a systematic focus on population health and integrated behavioral healthcare; 80% of the care will be paid for under a value-based financial arrangement; and, Consumers will be more engaged in, and able to make more informed choicesabout their own care, supported by increased cost and quality transparencywvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 20178New York State Health Innovation Plan (SHIP)Medicaid Com merciallSelf InsuredCommon Goals: Reduce preventablehospitalizations Transform provider payments tovalue based Invest in HIT Align with prevention agenda Promote an evolved workforcewvoRKTEOFORTUNIT'I:.I Departmentof Health
May 1, 20179Our Assumptions Improved access to high performing primary care is key to improving value in healthcare and achieving Triple Aim goals. Practices and payers need a compelling clinical and payment model to invest inthese changes. A practice meeting any ‘standards’ is helpful but not a sufficient guarantee ofmeaningful practice improvement. Transformational changes in practice will remain limited if care is reimbursed on aFFS basis rewarding volume over value/quality. Maximize transformation investments by agreeing upon a model/set of milestones forAdvanced Primary Care aligned with SHIP goals.wvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201710NY State Transformation - Guiding Principles: Multi-payer scale and alignment are critical to transformation Fundamental change requires consistent focus and support over time, notjust a proliferation of innovationAPC Supports MIPS Transformation requires actionable insights driven by data that areImprovementandcomprehensive, transparent, and relevant PerformanceThe public sector at bothActivitiesthe State and Federal levels should continue totake an active leadership role, and commit to a step-change improvementin alignment and collaborationwvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201711SIM/APCWhere we wanted to go Develop an APC modelIntegrate Behavioral Health, Population HealthCreate a multi-payer approach to reimbursementSupport an evolving primary care workforce that meets future needs of an agingpopulationUsing HIT, data to manage chronic disease and Population healthDecide on Core measures that are meaningful, obtainable, and alignedwvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201712APC Capabilities:CategoryPatientcentered carePopulation HealthCare management/coordinationAccess to careDescription Engage patients as active, informed participants in their own care, and organize structures andworkflows to meet the needs of the patient populationActively promote the health of both patient panels and communities through screening, prevention,chronic disease management, and promotion of a healthy and safe environmentManage and coordinate care across multiple providers and settings by actively tracking the sickestpatients, collaborating with providers across the care continuum and broader medical neighborhoodincluding behavioral health, and tracking and optimizing transitions of carePromote access as defined by affordability, availability, accessibility, and acceptability of careacross all patient populations.,HITPayment modelQuality andperformance Use health information technology to deliver better care that is evidence-based, coordinated, andefficientParticipate in outcomes-based payment models, based on quality and cost performance, for over60% of the practice’s patient panelMeasure and actively improve quality, experience, and cost outcomes as described by the APCcore measures in the primary care panel.--f1 :'0 0 RK oRTUNIT'f:I Departmentof Health
May 1, 201713APC structural milestones CommitmentGate1What a practice achieves on its own, before any TA ormulti-payer financial supportParticipationPatientcentered carei. APC participation agreementii. Early change plan based APC questionnaireiii. Designated change agent / practice leadersiv. Participation in TA Entity APC orientationv. Commitment to achieve gate 2 milestones in 1 yeari. Process for Advanced Directive discussions with allpatients Readiness for care coordinationCare Management/ Coord.Access to careii. Behavioral health: self-assessment for BH integrationand concrete plan for achieving Gate 2 BH milestoneswithin 1 yeari. 24/7 access to a providerPrior milestones, plus i. Participation in TA Entity activities and learning (ifelecting support)i. Advanced Directive discussions with all patients 65ii. Plan for patient engagement and integration intoworkflows within one yearPrior milestones, plus i. Advanced Directives shared across medical neighborhood, where feasibleii. Implementation of patient engagement integrated into workflows including QIplan (grounded in evidence base developed in Gate 2, where applicable)i. Participate in local and county health collaborative Prevention Agenda activitiesii. Annual identification and reach-out to patients due for preventative or chroniccare managementiii. Process to refer to structured health education programsi. Identify and empanel highest-risk patients forCM/CCii. Process in place for Care Plan developmentiii. Plan to deliver CM / CC to highest-risk patientswithin one yeariv. Behavioral health: Evidence-based process forscreening, treatment where appropriate1, andreferrali. Integrate high-risk patient data from other sources (including payers)ii. Care plans developed in concert with patient preferences and goalsiii. CM delivered to highest-risk patientsiv. Referral tracking system in placev. Care compacts or collaborative agreements for timely consultations with medicalspecialists and institutionsvi. Post-discharge follow-up processvii.Behavioral health: Coordinated care management for behavioral healthi. Same-day appointmentsi. At least 1 session weekly during non-traditional hoursii. Culturally and linguistically appropriate servicesi. Plan for achieving Gate 2 milestones withinone yearHITDemonstrated APC CapabilitiesGateGate23What a practice achieves after 1 year of TA and multipayer financial support, but no care coordinationWhat a practice achieves after 2 years of TA, 1 year of multi-payer financialsupport, and 1 year of multi-payer-funded care coordinationsupport yetPopulationhealthi. Commitment to developing care plans in concert withpatient preferences and goalsDRAFTi. Tools for quality measurement encompassing allcore measuresii. Certified technology for information exchangeavailable in practice foriii. Attestation to connect to HIE in 1 yeari. 24/7 remote access to Health ITii. Secure electronic provider-patient messagingiii. Enhanced Quality Improvement including CDSiv. Certified Health IT for quality improvement, information exchangev. Connection to local HIE QEvi. Clinical Decision Support --------------------------------i: r - .Paymentmodeli. Commitment to value-based contracts with APCi. Minimum FFS with P4P contracts with APCparticipating payers representing 60% of panel within 1participating payers representing 60% of panelyeari. Minimum FFS gainsharing contracts with APC-participating payers representing60% of panelIDepartmentof Health
May 1, 201714APC VBP Payment ModelYear 1EnrollmentQ1Q2Q3Year Capabilitiesand tion supportValue-basedpaymentCommitmentSatisfy stonesReadinessfor carecoordination12-monthmilestonesImproved quality andefficiencyMaterial improvement againstselect APC core measures123GateGateGateFinancial sustainabilitySavings sufficient to offsetinvestmentsTechnical assistance for practice transformation (1 or 2 years)Grant-funded, 12,000 per APC site, per year of supportFinancial support duringtransformationPayer-funded, X PMPMEnds when carecoordinationpayments beginCare coordination paymentsPayer-funded, Y-Z PMPM,risk adjustedContinuation ofcare coordinationpaymentsPayer-funded, contingent onyearly practice assessmentOutcomes-based paymentsBonus payments, shared savings, risk sharing, or capitation, gated byquality on core measureswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201715APC measure set– 28 measures, 18 measures in Version 1ims EHR. Clai ms-onlBreast C.anoer .Sueen'inClaim s/ EH FtColo re cta'I Cancer SoreeningCla ims EHR. Clai ms-onlCla ims/ EHR/ S'1.JrveyCh lam d ia ScreeninInfluenz:a Im muniz.a tion -a II .a!jesCla ims/ EHR/ S'1.Jrvey. Claims-only possibleChildhood Imm unization [stat u )ClaimsFlu oride Varni h Applica tionClaims/ EHRTobar.co Use S.cTeenin,g .and Intervent ionClaims EHR(:Ontrollin HiBlood PressureCla ims/ EHRCla imsCla imsClaimsClaimsComprehensive Diabetes Care: Medical Attention for NephropathyCla ims EHRPersi tent Beta IBloc:ker Tr·e.atment after Heart .AttackClaims/ EHR. Cl aims-only possibl e.Medication Management fo r PeopleClaims/ EHR[Com b:ined obesity measure] Weight Asses.sment ,& Oi umeling for n,utri'llion/phys:ica'I act ivity for kidsAsthmaClaims/ EHR[Comb:ined obesity measure] Body Mass In dex (BMI] Sueen ing and Follow-UpClaims/ EHRSc.reeningfor Clinical Depressio n and Follow-up PlanClaimsCla ims/ EHRAnlidepressant M dicatio n M a.nagem.ntCla ims EHRSurv eyInitiation and IEn a. ement of .Alrnho'I and Other Dru De , endenoe Treatment././Advance Care IPlanCAH PS Access to Care, Getting Ca re QuidclyClaimsU'se of Ima i11 Studies fo, Lo w Back PainCla imsAvoidance of A ntib iotic Treat ment in adullt:s with acute bronchitis-- HEIDISClaimsIn1768/ HEDISCla imsAl l-Cause Re ad miss:ion ti ent Hos ital Utilizatiion HED IS-- HEIDISClaimsErnernDe artment Uti lizationClaimsTotall Cost Per Member l' r Mlonth" Utilization mea.sures to be added in furore cyde onc.e modified speciiic:a,t ions are developed././.,.,.,.:mentIth
May 1, 201716NY State Practice Transformation Programs: Alignment with SHIPDSRIPSIM/APCTCPICPC MACRAPrimary care model:PCMH or APCPrimary care model:SIM/APC primary caremodelPrimary care model:TCPI transformationprogramPrimary care model:medical home generallyPrimary care model:CMMI transformationprogramVBP: Medicaid VBProadmapVBP: Commercial payersprovide prospective, riskadjusted PMPMpaymentsVBP: No VBP componentVBP: Advanced APM aspart of CMS MedicareprogramsVBP: CMS, payersprovide prospective, riskadjusted PMPMpaymentsGoals of AlignmentReduce confusion for providers and payers by: leveraging natural alignment achieving incremental changes where possiblewvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201717SIM/APC – MACRA Alignment OpportunitiesMedicare Access and CHIP Reauthorization Act (MACRA) identifies new waysof paying physicians for caring for Medicare beneficiaries. SIM/APC as an option for practices to achieve MIPS goalswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201718Performance Category Weights for MIPSResource Use 0%Clinical Practice ImprovementActivities (IA) 15%APC TechnicalSpecifications alignwith 7 of 9 MIPSsub-categoriesAPC Milestone-relatedactivities aligns with 12 ACI reporting2017 Transitional YearIA60% QualityAdvancing CareInformation (ACI)25%Practices thatparticipate in APCand receivetransformationassistance can expectgreater scoringimpact in MIPSPerformancecategoriesAPC Scorecardaligns with 22 MIPSmeasureswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201719APC-Aligned MIPS Quality Payment Program (QPP) CategoriesAPC-participating practices willqualify for MIPS QPP points:Improvement Activities (IA)account for 15% of MIPS Final Scorewith maximum of 60 points**Quality accounts for 50% of MIPSscore with 80-90 points*Measure Categories: Preventive Chronic DiseaseBehavioral HealthPatient ReportedAppropriate Use*Points vary by practice size**Medium (weighted) points 10High (weighted) points 2040-60 *points22 APCalignedmeasures7 of 9 IA Categories: Care Coordination Population Health Patient Safety & PracticeAssessment BH and Mental Health Beneficiary Engagement Achieving Health Equality Expanded Practice Access63 APCcriteriaalign withIA subcategories44-60**pointswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201720Roles of Practice Transformation in Aligning MIPS and APCDOH is engaged in collaborative discussions to create a process to streamline alignment of MIPS during APCpractice transformation. These tools will:- Reflect “timeline” criteria to best prepare practices to achieve maximum goals in both programs- Develop appropriate tools and messaging for APC practice transformation agents (PT TA) to assist practices in selectingaligned measuresand performance activities that will satisfy both programs- Provide a continuous lens on MIPS QPP as a gateway to value-based payment opportunities reflective of both public andcommercial payer Next Steps:- Engage stakeholders for discussion on best approach to ensure acknowledgement of the APC Model at CMS- APC Team will review activities prescribed at Gates 2, 3 to determine that practice capabilities reflect success for MIPSrequirements- Provide timely awareness, education, and tools to APC PT TA’swvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201721Scope and PurposewvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201722Integrated Care Workgroup transition: Governance StructureMovement from:DevelopmentGathering InputStatewide Only.To:ImplementationSolving ProblemsState Steering andRegional CommitteeswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201723Governance StructureNew York State Health Innovation CouncilAPC SteeringCommitteeRegionalOversight& ManagementCommitteesEvaluation,Transparency &HIT WorkgroupWorkforceWorkgroupwvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201724Statewide APC Steering Committee: Scope and mmitteeProvidersState Gov’tRegionalFacilitatorsTA entities1. Support APC GoalsSupport the core goals of the APC model and evolveit as necessary to ensure long-term success.2. Strategic GuidanceProvide strategic guidance to NYS to ensureoverarching goals of APC are met.3. Encourage ParticipationPromote participation in APC by payers andproviders.4. Align Across ModelsProvide input regarding alignment across regions, aswell as alignment with federal and state initiatives.5. Communicate with ROMCs and NYS HICReport to NYS HIC offering legislative andregulatory recommendations as needed; supportROMC efforts to address barriers.,./1 ,wvoRK I Department 1JR%N1T'I:of Health
May 1, 201725Statewide APC Steering Committee: Assumptions Presumption that committee members are supportive of the APC model and itssuccessful implementation, within reasonable constraints NYS will retain final decision-making authority for APC-related matters and willuse this committee as key sounding board for APC issues Committee members should be able to represent the views of their organizationin discussion and may also share individual views when appropriate Committee members should brief key stakeholders within their ownorganization about the APC model and committee discussionswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201726Questions/CommentswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201727Advanced PrimaryCare (APC)UpdatewvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201728APC Updates Scorecard and measurement Practice transformation has started Regional roll out of APC, ROMC activation Independent Validation Agent (IVA) RFP to be procured Medicaid updatewvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201729APC ScorecardwvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201730The scorecard is a cornerstone of the APC programWhat the Scorecard is: A statewide report aggregating all primary care data relevant to APC Core MeasuresThe first tool to enable practices to view their performance across a consistent set ofmeasures for their entire patient panel (rather than on a per payer basis) The basis for practices to pass APC gates and access outcome-based paymentsWhat the Scorecard isn’t: A replacement for scorecards and measures required for ACOs, MA Stars, etc.A collection of brand new measures,./1 ,wvoRK I Department 1JR%N1T'I:of Health
May 1, 201731APC Scorecard MeasuresDetermined by the Integrated Care Workgroup in April 2016 Relevant to primary careEndorsed and/or used in national programsRecommended sets for primary care (such as CMS-AHIP)Used in provider payment programsParsimonious measure setAnnual Review Process Measure set - measure changes, new measuresUse by practicesUse in VBP arrangementsCapability to include non-claims based measureswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201732Need for interim solution.:-0-:,, 'J 'The eventual APCScorecard leveragesboth administrative claimsdata from the APD andclinical data from EHRs.We need an interim non-APD solution that:The timelines for APClaunch and APD roll outdo not align.The APC programlaunches in 2016, whilethe APD launch is notanticipated until 2018. Uses easily accessible data Minimizes burden on providers and payers Is high quality and consistent across all types of patients andpayers Leverages already existing processes Employs processes that can be used in future versions of thescorecardAll Payer Database anticipates commercial data intake to begin in 2018wvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201733Payer Survey: Key design questionsReportingwindowUnit ofreportingFeasiblereportingAttributionQuality controlandadjustments What are your reporting period capabilities? Would it be possible to report at individual provider per site level? What attribution methodology do you use? Are you able to do attribution across the entire membership or just asubset? How are current reports quality and accuracy tested (e.g., taking sample of claims/members and cross-checkingquality) Would it be feasible to submit numerators, denominators and provider information for each measure ?OtherBenchmarksand goalsExistingreportingPayer toprovider reportsProvidermeasuresubmission tostateOther What benchmarks / goals are currently used? What is the rationale? Which measures and other ancillary information are included? Do you currently require providers to submit any e-measures or other measures of quality? What is the penetrationof e-measure submissions among the providers? Do providers submit service information via EHRs?Department Can you report on metrics for your entire membership (vs. just on selected products)? Do you report on your entire.J I of Healthbook of business or just for certain products? Do you outsource reporting software or develop internally?
May 1, 201734Pilot – Data CollectionAPC Scorecard Version 1 - Phase 1 MeasuresDomainsPreventionNQF #/Developer32/HEDIS2372/HEDISAppropriate Use Leveraging HEDIS 2016(submitted in June 2016) withpractice information attached tomember level file 4 payers participated (2 Upstateand 2 NYC); Commercial,Medicaid and Medicare members Goal was to determine dataissues with practice aggregationacross payers Practice site able to be reportedby Tax Identification Number byall payerswvoRK I DepartmentBreast Cancer ScreeningChlamydia Screening38/HEDISChildhood Immunization Status: Combination 357/HEDISComprehensive Diabetes Care: HbA1C Testing55/HEDISComprehensive Diabetes Care: Eye Exam62/HEDISComprehensive Diabetes Care: Medical Attention forNephropathy71/HEDISPersistent Beta Blocker Treatment after Heart Attack4/HEDISConducted in 4Q 2016Cervical Cancer Screening33/HEDIS1799/HEDISBehavioral Health/Substance UseMeasures Medication Management for People With AsthmaInitiation and Engagement of Alcohol and Other DrugDependence Treatment105/HEDISAntidepressant Medication Management52/HEDISUse of Imaging Studies for Low Back Pain58/HEDISAvoidance of Antibiotic Treatment in adults with acutebronchitisTEOFORTUNIT'I:.of Health
May 1, 201735Defining Practice SitePractice/Practice GroupTINPractice Site/Medical HomeServicing LocationServicing ProvidersPhysicians & Mid-levelsCare ManagersIntegrated Providers
May 1, 201736Practices and Providers easier to define than Practice SitePractice/Practice GroupTINPractice Site/Medical HomeServicing LocationServicing ProvidersPhysicians & Mid-levelsCare ManagersIntegrated Providers
May 1, 201737Process for Initial report production and release Multiplayer aggregated results in scorecard reports at Tax ID level*Reports distributed to practices involved in APC Technical Assistance Reports shared with Practices, Practice Transformation Technical AssistanceAgents and Payers *During 2-3 Q 2017, explore ability to use other data sources to calculatepractice site level results Practice Transformation Tracking System, PCMH file, Provider Network DatawvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201738Reporting Frequency Semi-annual with move to quarterly if feasible Discuss with payers their ability and willingness to calculate off-cycleHEDIS results for 1Q 2018 Ability to adjust HEDIS software dates for non-calendar year (July 2016-June2017) If able, will discuss with payers about calculating off-cycle results more frequently Utilization Measures – added June 2018 cycleAll other measures – late 2018 – early 2019wvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201739APC Scorecard Timeline - Updated20162QVersion 1.0Scorecardimplementationand roll out20173Q4Q.l"Payerassessmentandpreparationfor reportingIill 'Pilotreporting bypayers.3QIPracticedefinition andattributionexploration workAPCScorecardcontent andformatdevelopment.2Q1QState beginsbaseline reportproduction."."'.Payers deliverfirst metricsdata files . Providers baseline Version 1.0 reportswvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201740PracticeTransformationwvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201741Making Progress Launched 10 Round 1 Practice Transformation (PT TA) contracts in 8 DFS RegionsHeld the first APC PT TA In-Person Summit:- attended by 38 Agents from 10 entities,12 Content Experts from 5 agencies,RHIOs, NYAM, and DOH APC staff- Breakout learning sessions for Behavioral Health, PopulationHealth, Core Measures, HIT, Access, and Workforce issuesHosting bi-weekly PT TA “Train-the-Trainer” Webinars that focus onAPC Milestones criteria and performance strategiesConducting Monthly Round Table discussions to encouragePT TA collaborative learning and sharing opportunities1:1 Monthly PT TA “Pulse” conference calls with APC teamRound 2 P TA applications are in review process and will deepen§1statewide penetration of APC recruited practices.-·-·--·::-:.·-- wvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201742SIM/APC TA vendorsName of AwardeeRegionAdirondack Health InstituteCapital District and AdirondacksCDPHPCapital DistrictHANYSCapital District and Long IslandChautauqua County HealthWestern (Buffalo)Solutions 4 Community HealthMid-Hudson Valley and Long IslandInstitute for Family HealthNYCIPRONYC, Central NY (Syracuse) and Long IslandPCDCNYCFund for Public Health in New YorkNYCFinger LakesFinger Lakes (Rochester) and Central NY (Syracuse)wvoRK I DepartmentTEOFORTUNIT'I:.of Health
May 1, 201743Practice Transformation Tracking System Collect and organize practice site level dataIdentify practice sites participating in otherfederally funded transformation programsAssist in recruitment communication/strategiesMonitor and report on program progress - 1. ., - . - , ,- .,. """'"''" '" C'.n'l'llltiJ :,,Rr:UCb:I11" . c: 2-1!:'l. ,.-.,,.,.e.-., .--.,, . ,.,-··, ,.t,N-.eit,'l!n w t\J .l'lhlllul! ll!IS'IOII tld-.,o,i-loMlhlh-,.njW"INml lllhllJ.K.-.w. . ,.,. . . , . .,., . . .,.-.- 'l)--""'' .:11 11 . . . . . ."".,. . ,.,.,,.1r .i . 1.,l- lll'"t -----------------j § §] I!\1------.- .-,-,",Tl[NT-CENTU
