I value my time spent at HIMSS. It allows me to reconnect with long-time colleagues, meet new people, and check the pulse of the industry in a few short days. This year, I’ve noticed a shift in the types of conversations I’m having on population health management. Healthcare organizations have a more mature interest in discussing the opportunities and challenges of value-based care and the IT solutions that can help. An increasing number of providers are looking to take the next step with population health, scaling programs they have implemented over the last couple of years. It’s exciting to hear that the question has shifted from “should we make the shift?” to “how can we do it more efficiently and effectively?”
Caradigm had another superb day of educational presentations in our booth. I participated on the panel entitled “DSRIP Program – Enabling Participation for Performing Provider Systems.” The panel included several other experts on the program: Todd Ellis, Managing Director KPMG, Wendy Vincent, National Practice Director Beacon Partners, and Paul Contino, Chief Technology Officer NYC Health & Hospitals Corporation.
Todd Ellis kicked things off by providing an overview of the Delivery System Reform Incentive Payment (DSRIP) program. DSRIP aims to improve the Medicaid program, improving the quality of care for the underserved while better managing the more cost of that care. He claimed that the goal can be reached through an increased focus on primary care, preventive measures and patient engagement; together they can reduce the need for high-cost hospital services. Given the billions of dollars that are available to participants in the program, DSRIP represents a significant opportunity to build the systems needed to truly transform care delivery, and implement the IT solutions that can make it happen.
Succeeding within the DSRIP program, however, does present some significant challenges. Paul Contino shared his perspective of a provider that is leading a large Performing Provider System (PPS). Paul outlined two of the most important things to get right: 1) gathering and sharing data across a large number of providers using a variety of different systems and 2) developing standardized and integrated workflows. He reminded the audience that this change won’t happen overnight as it takes a significant, long-term investment of time and resources.
As one who has helped clients structure and prioritize their DSRIP programs, Wendy Vincent added a consultant’s perspective. She stressed that a PPS needs clear transparency and communication among all its partners. They need to agree on goals and processes before implementation. As providers often participate in several population health initiatives, she recommends that they take a step back and take a holistic view of all their programs to find areas of improvement and synergies that cut across multiple activities.
Lastly, the panel also talked about solutions that are needed to ensure success with DSRIP initiatives. I believe that providers must take a long-term view as they try to improve the health of a population. They need tools that are both flexible and extensible. As Paul stated, transformation will not happen overnight. Programs will change and evolve over time, and what works for one provider may not work for another. As opposed to point solutions not intended to scale beyond a narrow focus, end-to-end enterprise population health solutions give providers the flexibility and extensibility they need.
If you’re at HIMSS15 and would like to talk more about your DSRIP or other state funded strategies, then please stop by our booth #7307. You can also drop us a note here to schedule a conversation at another time.