http://www.hanys.org/news/HANYS NewsA Publication of the Healthcare Association of New York Statehttp://www.hanys.org/news/http://www.hanys.org/news/images/hanys_logo_56x51.pngHANYS News Finalized Medicaid Waiver to Advance Health System Transformation <p> On Monday Governor Cuomo <a href="http://www.governor.ny.gov/press/04142014-mrt-waiver">announced</a> federal approval of the<a href="https://www.health.ny.gov/health_care/medicaid/redesign/delivery_system_reform_incentive_payment_program.htm"> details of the $8 billion Medicaid waiver</a>. &nbsp;The waiver represents a significant re-investment of savings from health care reform, to advance health care redesign throughout New York State. &nbsp;The federal funding will be contingent on health care providers meeting specific milestones in collaboration with other community-based organizations.</p> <p> This waiver re-investment also made it possible for the state to make other important investments in the recently adopted state budget, including the $1.2 billion Capital Restructuring Financing Program fund, the elimination of the 2% across-the-board Medicaid cut, and increased Vital Access Provider funding.&nbsp; &nbsp;</p> <p> HANYS' President Dennis Whalen commented, &ldquo;Agreement on the details of the federal Medicaid waiver is the key benchmark on our pathway to transform New York State's health care system.&nbsp; The waiver will fuel redesign of health care throughout the state by giving hospitals and health systems the resources and tools they need to reorient health care with innovative, patient-centered models of delivering care.&rdquo;<br /> &nbsp;<br /> From the beginning, HANYS pushed for the waiver to be made available to hospitals in all corners of the state, to provide the highest-quality, most effective, and most efficient health care to all New Yorkers.&nbsp;<br /> &nbsp;<br /> &ldquo;On behalf of New York's health care providers we thank Governor Cuomo, Senators Schumer and Gillibrand, members of the New York State Congressional Delegation, the State Senate and Assembly, the state Department of Health, and our allied association partners, said Mr. Whalen. &ldquo;We stand ready to help New York's hospitals and health systems throughout the state leverage the waiver to improve the health of New Yorkers.&rdquo;</p> <p> DOH released a pre-recorded Webinar (<a href="https://www.health.ny.gov/health_care/medicaid/redesign/docs/2014-04-11_mrt_part1.wmv">part 1</a> and <a href="https://www.health.ny.gov/health_care/medicaid/redesign/docs/2014-04-11_mrt_part2.wmv">part 2</a>) and <a href="https://www.health.ny.gov/health_care/medicaid/redesign/docs/waiver_amendment_update_present.pdf">slides</a> providing a detailed overview.&nbsp; DOH previously scheduled a <a href="https://www.health.ny.gov/health_care/medicaid/redesign/delivery_system_reform_incentive_payment_program.htm">series of public hearings/briefings</a> across the state.&nbsp; For members, HANYS prepared a <a href="http://www.hanys.org/fetch/?file=/waiver/2014-04-14_waiver_tc_highlights.pdf">summary of the major provisions</a>, created a <a href="http://www.hanys.org/waiver/?utm_source=hanys-dot-org-public&amp;utm_medium=mid-panel&amp;utm_content=New-York-State-Medicaid-Waiver&amp;utm_campaign=2014-Waiver">Medicaid Waiver Web site</a>, and will provide additional analysis and education.&nbsp; The waiver terms and conditions will be subject to a 15-day comment period (ends April 29) and the appendices have a 30-day comment period (ends May 14).&nbsp; Contact: <a href="mailto:vgrey@hanys.org">Val Grey</a></p> <p> &nbsp;</p> http://www.hanys.org/news/index.cfm?storyid=3450 2014-04-17T14:00:00-04:00 All,navigator,financial,technology,emergency,regulations,workforce “100 Ways” Hospitals and Health Systems Are Transforming Care <p> HANYS' <a href="http://www.hanys.org/100ways/">&ldquo;100 Ways, 100 Days&rdquo;</a> is an informational campaign about the many ways member institutions are transforming care delivery.&nbsp; HANYS is highlighting individual success stories that focus on specific initiatives that are improving care and enhancing the lives of patients across the state, every day.&nbsp; These success stories illustrate how providers across the state are taking the lead in developing innovative programs and new models of care. &nbsp;New success stories will be added to <a href="http://www.hanys.org/100ways/">HANYS' Web site</a>.</p> <p> HANYS recently added:</p> <ul> <li> <a href="http://www.hanys.org/100ways/case-studies/?a=vs&amp;s=South_Nassau_Caregiver_Support">South Nassau Caregiver Support:</a> Caring for a loved one with chronic illness is difficult and emotionally draining. South Nassau Communities Hospital in Oceanside has a support group that serves those caring for chronically-ill loved ones or friends where participants share and discuss the roles they juggle, their joys, their stresses, and their need for support.</li> </ul> http://www.hanys.org/news/index.cfm?storyid=3455 2014-04-17T14:00:00-04:00 Government Affairs,Quality,navigator Governor Proclaims May 7, 2014 Health Care Auxilian Day <p> At HANYS' request, Governor Andrew Cuomo proclaimed May 7, 2014, as Health Care Auxilian Day in New York State.&nbsp; The Governor's proclamation recognizes the significant role that auxilians play as community wellness ambassadors and the valuable contributions they make to advance the overall quality of public health in New York State.&nbsp; Health Care Auxilian Day is an opportunity to publicly acknowledge the important contributions and countless hours of service provided by health care auxiliaries.&nbsp; Auxilians donate significant time and resources toward patient services, wellness promotion, prevention programs, fundraising, advocacy activities, and community outreach projects to support their health care organizations and their communities.</p> <p> HANYS extends its congratulations to health care auxilians across the state for their many contributions and continued commitment to their health care organizations and their communities. Contact: <a href="mailto:eclinton@hanys.org">Eileen Clinton</a></p> http://www.hanys.org/news/index.cfm?storyid=3459 2014-04-17T14:00:00-04:00 Commissioner Shah Stepping Down <p> This week, New York State Commissioner of Health Nirav R. Shah, M.D., M.P.H., announced plans to step down from his post on May 4.&nbsp; Dr. Shah served as Commissioner since January 2011, guiding the Department of Health through major changes driven by state and federal health care reform.&nbsp; He has accepted a new position as Senior Vice President, Chief Operating Officer for Clinical Operations for the Southern California Region of Kaiser Foundation Health Plan.&nbsp;</p> <p> Howard Zucker, M.D., will take over his responsibilities on an interim basis. Dr. Zucker, an anesthesiologist who holds a law degree, was appointed First Deputy Commissioner in September.&nbsp; His previous experience includes work as U.S. Deputy Assistant Secretary of Health and Assistant Director-General of the World Health Organization.</p> <p> HANYS' President Dennis Whalen stated, &ldquo;HANYS has enjoyed working with Dr. Shah during his tenure as Commissioner of the Department of Health.&nbsp; He has been a strong leader and an enthusiastic partner in improving the health of New Yorkers and transforming the delivery of health care in New York State. His leadership and dedication will leave a legacy in New York State that is already apparent and will only grow as health care reform continues.&rdquo;</p> <p> &ldquo;As Dr. Shah transitions from the Department of Health to the next step of his career, we offer him our best wishes,&rdquo; added Mr. Whalen. &ldquo;We look forward to working with interim acting Commissioner Dr. Zucker.&nbsp; The level and breadth of his experience is remarkable and his commitment to improving health is impressive.&rdquo;</p> http://www.hanys.org/news/index.cfm?storyid=3430 2014-04-11T14:00:00-04:00 Government Affairs,Executive Suite North Country Commission Releases Recommendations for Stabilizing Care Delivery <p> The North Country Health Systems Redesign Commission released its <a href="http://www.health.ny.gov/facilities/north_country_health_systems/?utm_source=doh&amp;utm_medium=hp-button&amp;utm_campaign=nchsrc">recommendations</a> to stabilize health care delivery in the nine-county region of northern New York.&nbsp; The recommendations contain no facility-specific plans and generally align with DOH's proposed State Health Innovation Plan (SHIP), including calls for expansion of primary care and initiatives to stabilize the workforce.&nbsp; At HANYS' urging, many health care providers made presentations to the Commission about successful initiatives and partnerships already under way in the region so the panel's deliberations could build upon those successful projects.</p> <p> Key recommendations in the final report include:</p> <ul> <li> Expand primary care using the Advanced Primary Care Model proposed in SHIP and the medical home pilot in the Eastern Adirondacks.&nbsp;</li> <li> Ensure regulatory flexibility to facilitate Delivery System Reform Incentive Payment (DSRIP) projects.&nbsp;</li> <li> Integrate behavioral health care services with primary care.</li> <li> Create Essential Community Health Networks funding for essential health care facilities that are financially distressed.</li> <li> Expand assisted living facilities throughout the region.</li> <li> Develop programs and initiatives to strengthen the health care workforce.</li> <li> Expand telehealth services throughout the region.</li> </ul> <p> HANYS supports most of the recommendations, but is concerned about a recommendation to establish Regional Health Improvement Collaboratives (RHICs).&nbsp; During the recent state budget negotiations, HANYS has argued that RHICs should not have either a formal or informal role in Certificate of Need or resource allocation, that state-imposed regions (11 of them were proposed) were problematic, and that RHICs' roles needed to be clearly defined and appropriately limited.&nbsp; The final budget does not include RHICs, and instead shifts the resources the Governor had allocated to population health improvement grants. HANYS will continue to advocate for these grants to be allocated equitably across the state, consistent with the outcome of the recently adopted state budget.</p> <p> In addition, while HANYS supports the goals of DOH's proposed SHIP, HANYS has a number of concerns regarding implementation including timing, resources, and effectiveness of some of the proposals. Contact: <a href="mailto:vgrey@hanys.org">Val Grey</a></p> http://www.hanys.org/news/index.cfm?storyid=3432 2014-04-11T14:00:00-04:00 Government Affairs,Executive Suite,Finance,Quality,regulations,emergency,technology,workforce,financial,navigator HANYS’ Members Among Hazard Mitigation Grant Recipients <p> Governor Andrew Cuomo today announced that ten projects will receive a total of $128 million under the Hazard Mitigation Grant Program (HMGP). &nbsp;Authorized by the Federal Emergency Management Agency (FEMA), the program aims to increase the state's resiliency, mitigate the risks of loss and damage associated with future disasters, and reduce hardship. &nbsp;FEMA funds provide 75% reimbursement of eligible costs, up to the amount of the award. &nbsp;Projects by two HANYS' member institutions' were among the awards announced:</p> <ul> <li> <strong>Richmond University Medical Center (RUMV) Wind Resiliency and Site Drainage: &nbsp;$12,071,076.&nbsp;</strong> As a direct result of high winds and flooding from Superstorm Sandy, RUMC lost power for four days. To avert future potential losses and to ensure continuity of service for this critical care facility, this project proposes improving new green flood control measures and hardening nine buildings against wind damage by replacing doors, louvers, and windows.</li> </ul> <p> &nbsp;</p> <ul> <li> <strong>Good Samaritan Hospital Medical Center (GSHMC) and Our Lady of Consolation &nbsp;(OLC) Nursing Home: $20,980,082. </strong>The proposed projects will ensure the continuity of power to GSHMC and OLC in emergencies by replacing generators and elevating critical electrical systems. A civil engineering study will also be conducted and following its recommendations flood control measures will be taken to protect and provide resiliency against future surges from the Great South&nbsp;Bay.</li> </ul> <p> A complete list of grants is <a href="http://www.governor.ny.gov/press/04112014-hazard-mitigation-grant-projects">available online</a>.</p> <p> &nbsp;</p> http://www.hanys.org/news/index.cfm?storyid=3435 2014-04-11T14:00:00-04:00 emergency,Finance,Executive Suite,financial,navigator