AHI PPS in Action
Collaborating to Transform Health Care Delivery and
Advance Population Health in the Greater Adirondack Region

AHI PPS In Action


The AHI Performing Provider System (AHI PPS) launched in 2014 as part of the Delivery System Reform Incentive Payment (DSRIP) Program. The PPS, led by Adirondack Health Institute, was charged with bringing together community-level collaborators from all sectors to collectively reform the health care system for the benefit of Medicaid beneficiaries.

  • Reduce avoidable hospital use by 25 percent over five years;
  • One of 25 such entities in the state;
  • Covers a nine-county, 11,000-square-mile, North Country region.

Our Partnership

The AHI PPS is a partnership formed to plan for and manage DSRIP health care restructuring.

  • More than 120 partner organizations;
  • Covers all of Clinton, Essex, Franklin, Hamilton, Warren, and Washington counties, and parts of Fulton, Saratoga, and St. Lawrence counties;
  • More than 700,000 residents in the region;
  • More than 143,000 Medicaid-attributed lives in the region;
  • Partners include hospitals, primary care providers, mental health and substance abuse treatment providers, community-based organizations, and many others.

Key Initiatives and Focus Areas

AHI PPS partners have worked diligently for nearly five years to achieve DSRIP goals and improve health and wellness in our region. Some initiatives implemented to further the AHI PPS’ objectives and meet partner and community member needs included:

Promising Practices and Successes

The AHI PPS has made significant progress toward its goals over the course of the DSRIP program. Examples of emerging promising practices and partner success stories include:

Project Valuation and Funds Flow

The New York State Department of Health valued our 11 projects at nearly $178 million, to be distributed over a five-year period. The award was not a grant, but rather a performance-based award. The total value assumed all process metrics would be achieved and all performance goals would be met.

DOH has flowed funds to Adirondack Health Institute who has had the responsibility of managing the award for partners, ensuring DSRIP dollars benefit Medicaid beneficiaries and support the success of the delivery system under health care reform. Determination on the distribution of funds has been endorsed by the PPS Steering Committee, and the AHI Board of Directors.

The AHI PPS developed a scorecard to track achievement values, project milestones, and quality improvement goals.

To date, we have received 93 percent of allocated waiver revenue (this total percentage includes regular, high-performance and additional high-performance awards).

The above represents only a small sampling of robust and expansive work efforts. As the DSRIP program nears its end in March of 2020, the AHI PPS continues to assess and evaluate the impact of its partners’ collective efforts since 2015. Additional examples of promising practices, outcomes, and success stories will be forthcoming.

Program Promotion

AHInformer is a news digest containing information about Adirondack Health Institute and partner programs and initiatives, including those related to the DSRIP Program. The newsletter, distributed bi-weekly to nearly 1,100 stakeholders, has spotlighted countless AHI PPS success stories.

The AHI Informer

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