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Joseph Lamantia

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Focusing on clinical and population improvements for our communities

By Joseph Lamantia

Whether or not you’ve already heard of the Delivery System Reform Incentive Payment Program, one thing is for certain: it’s about to change health care in our state.

In April 2014, New York State Governor Andrew M. Cuomo announced that New York had finalized terms with the federal government for a groundbreaking waiver enabling the state to reinvest $6.2 billion in federal savings generated by Medicaid Redesign Team reforms. Known as DSRIP, the program promotes community-level collaborations, with a focus on improving health care for patients covered by Medicaid and those who are uninsured.

The main goal of the program is to reduce avoidable emergency room visits and avoidable hospital admissions among Medicaid and uninsured populations by 25 percent over a five-year period. The plan is to accomplish this through enhanced collaboration among providers, improved electronic and direct communications, and ready access to primary care and behavioral health services.

For example, offering after-hours appointments can help patients who work full-time; translation services can assist those for whom English is a second language; and transportation to appointments can help patients who don’t have access to a vehicle or public transportation.

The DSRIP initiative for Suffolk County and its network of providers is called the Suffolk Care Collaborative.

The Office of Population Health at Stony Brook Medicine is administering the SCC and is responsible for coordinating more than 500 countywide organizations, including hospitals, skilled nursing facilities, long-term home health care providers, behavioral health professionals, community-based organizations, certified home health agencies, physician practices and many other integral health care delivery system partners.

Some of the 11 focus areas of the SCC are diabetes care, pediatric asthma home-based self-management, cardiovascular care, behavioral health access and substance abuse prevention programs. Central to all programs is a coordination-of-care effort using care mangers embedded in the community to support health care providers and patients to achieve individual health goals. Connecting with patients at the point of care, identifying needs and providing appropriate support in the community will help prevent unnecessary emergency room visits and hospitalizations, and support a healthier population.

Suffolk County has approximately 150,000 uninsured residents and 240,000 Medicaid enrollees who can benefit from the program’s initiatives. And, because improvements made will affect the overall health care delivery system, they have the potential to benefit everyone — enhancing the patient experience and outcomes. When providers collaborate on patient care, information can be shared, test duplication can be avoided and preventive measures can be put in place to help all patients stay healthier.

Visit www.suffolkcare.org to learn more about the Suffolk Care Collaborative.

Joseph Lamantia is the chief of operations for population health at Stony Brook Medicine.