AHI PPS

Transforming The Approach To Health Care

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DSRIP Organizational Components

The AHI PPS infrastructure follows the following DSRIP organizational components:

Governance

The AHI PPS Governance Model describes our organizational structure. The AHI Board of Directors is the approver of Steering Committee recommendations. The AHI PPS Steering Committee provides strategic leadership and general oversight of the AHI PPS.

See the Governance page for details including the AHI PPS Governance Model.

PPS Financing

The AHI PPS has created a financial structure that supports the financial sustainability of the PPS throughout the five-year DSRIP demonstration period and beyond. We are also responsible for allocating performance payments among the participating providers in the PPS.

Budget – The PPS will be responsible for accepting a single payment from Medicaid tied to the organization’s ability to achieve the goals of the DSRIP Project Plan. In accepting the performance payments, the PPS must establish a plan to allocate the performance payments among the participating providers in the PPS.

Visit PPS Financing to learn more.

Cultural Competency and Health Literacy

Cultural competency and health literacy initiatives promote health equity and reduce health disparities by increasing access to health care services and improving the quality of care provided. A comprehensive cultural competency and health literacy strategy must include interventions tailored to the unique needs of our region. The AHI Performing Provider System (PPS) Cultural Competency and Health Literacy Strategy outlines a plan for increasing cultural competence and health literacy at all levels throughout our nine county service area.

Visit Cultural Competency and Health Literacy to learn more.

IT Systems and Processes

Our IT Systems and Process plan work to encompass appropriate data sharing arrangements that drive toward a high performing integrated delivery system while appropriately adhering to all federal and state privacy regulations.

To learn more, visit IT Systems and Processes.

Performance Reporting

Progress towards achieving the project goals and core requirements will be assessed by specific milestones for the DSRIP program, which are measured by particular metrics. Investments in technology, tools, and human resources will strengthen the ability of our PPS to serve target populations and pursue DSRIP project goals.

See Performance Reporting for more information.

Population Health Management

Overall DSRIP and local PPS success hinge on all facets of the PPS achieving cultural competency and improving health literacy. We are required to demonstrate cultural competence by successfully engaging Medicaid members from all backgrounds and capabilities in the design and implementation of their health care delivery system transformation.

Visit Population Health Management for details.

Clinical Integration

AHI’s Clinical Integration Strategy is predicated on a strong integrated delivery system with shared population health data, strategies utilizing community-based organizations and other providers for effective care transitions, and approaches to assure a high level of patient engagement.

See Clinical Integration for more information.

Practitioner Engagement

The existing health care system, including its 13 hospitals, seven federally-qualified health centers, 31 nursing homes, four Health Homes, 15 Certified Health Home Agencies, six hospices, four assisted living facilities, and among OMH-affiliated programs, seven inpatient mental health providers, 25 outpatient mental health programs, eight emergency mental health programs, and 45 residential mental health programs.

Visit Practitioner Engagement for details.

Workforce

The overarching DSRIP goal of a 25-percent reduction in avoidable hospital use (emergency department and admissions) will result in the transformation of the existing health care system – potentially impacting thousands of employees. This system transformation will create significant new and exciting employment opportunities for appropriately prepared workers. PPS plans must identify all impacts on their workforce that are anticipated as a result of the implementation of their chosen projects.

Learn more about the Workforce Committee, the Advisory Council, and Workgroups (including meeting overviews and presentations) by visiting the Workforce page.