CNY Care Collaborative Core Capital Committee Capital Restructuring Finance Program (CRFP)

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Jasmin Warren
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1 CNY Care Collaborative Core Capital Committee Capital Restructuring Finance Program (CRFP) Review of CRFP Review Criteria, CNYCC Priorities, & CNYCC Needs Assessment Findings Alec McKinney, Project Director, John Snow, Inc. Sarah Genetti, Project Manager, John Snow, Inc. January 26, 2015.

& CNYCC Needs Assessment Findings Alec McKinney, Project Director, John

2 Agenda Overview of CRFP eligibility criteria, goals, and funding priorities Review of DSRIP Goals Review of CNYCC Steering Committee & Capital Committee Priorities Review of Major Findings from CNYCC Community Needs Assessment CRFP Application Process Application Development Tips Questions & Answers

Capital Committee Priorities Review of Major Findings from CNYCC Community

3 Overview of CRFP Sponsored jointly by NYS Department of Health and Dormitory Authority of the State of New York $1.2 Billion funds available to support capital projects State grant program for capital projects that will enhance the quality, financial viability and efficiency of the health care delivery system in New York State The majority of the CRFP funding is intended to support projects undertaken by providers that qualify for and participate in DSRIP Organization that are part of a DSRIP PPS must submit through PPS

financial viability and efficiency of the health care delivery system in New York State The majority of the CRFP funding is

4 Overview of CRFP CNYCC Steering Committee stablished an independent, objective Core Capital Committee to review and prioritize all applications Core Capital Committee members include: John Barsanti, Steven Brown, Ben Moore, Dennis Mullen, Pat Mannion, Ted Pasinski John Snow, Inc. is providing another layer of independence and is supporting review process

members include: John Barsanti, Steven Brown, Ben Moore, Dennis Mullen, Pat Mannion, Ted

5 CRFP Eligibility Criteria and Goals Applicants must be legally existing organizations capable of entering into a MGC with DOH Application specifically identified the following types of eligible provider organizations: General hospitals; Residential health care facilities; Diagnostics and treatment centers; Assisted living providers; Primary care providers; Home care providers; Provider organizations with operating certificates from DOH, OMH, OPWDD and OASAS; and OMH clinics

Residential health care facilities; Diagnostics and treatment centers; Assisted living providers; Primary care

6 CRFP Project Eligibility and Priorities Eligible projects include projects that support: Development of primary care service capacity; Development of primary care and outpatient behavioral health care integration; Consolidation of service lines among providers; Closures, mergers, and/or restructurings; Development of telehealth infrastructure; Development of coordinated co-located ambulatory care services Development of integrated delivery systems; and System transformation and the full range of DSRIP Program Goals

providers; Closures, mergers, and/or restructurings; Development of telehealth infrastructure; Development of coordinated

7 CRFP - Preferred Eligibility CRFP Reviewers will give preference to applicants that: Commit matching funds to the proposed project; Demonstrate transformational change to the health care delivery system from a fee-for-service system to a value based system; and Demonstrate significant financial need.

transformational change to the health care delivery system from a

8 Delivery System Reform Incentive Payment (DSRIP) Program Goals Improve population health Support transformational change to the healthcare delivery system Reduce costs of health care services Increase access to appropriate and high quality health care Reduce avoidable hospital use Preserve and strengthen essential safety net providers Promote broad collaboration between health, community health, and public health service providers Overall goal of the DSRIP program is to reduce avoidable hospital use by 25% over a five year period

avoidable hospital use Preserve and strengthen essential safety net providers Promote broad collaboration between health, community

9 CRFP Application Review Criteria

10 CNYCC Steering Committee & Capital Committee Priorities Rank Priority Area Description 1 2 Primary Care Strengthening Projects that expand access or reduce barriers to primary care services or create higher quality, more efficient, patient-centered primary care services will be prioritized. Behavioral Health Services Strengthening Projects 3 Care Transitions Projects 4 5 System-level Integration Projects Chronic Disease Management Projects Projects that expand access or reduce barriers to behavioral health care services or create higher quality, more efficient, patientcentered behavioral health services will be prioritized. Projects that promote more coordinated, timely, and effective care transitions and follow-up services from the hospital to the home or other post-acute settings will be prioritized. Projects that promote integration and better care coordination across service settings, including Health Information Technology (HIT), Health Information Exchange, telemedicine, and primary care integration projects, will be prioritized. Projects that expand access or reduce barriers to chronic disease management services or create higher quality, more efficient, patient-centered chronic disease management services will be prioritized.

Behavioral Health Services Strengthening Projects 3 Care Transitions Projects 4 5 System-level Integration Projects Chronic Disease Management Projects Projects that expand access or reduce barriers

11 CNYCC Community Needs Assessment Leading Findings Health Status issues: Heart disease (inc. high BP) Stroke Diabetes Cancer Respiratory Disease Obesity/lack of Fitness Mental illness Substance Abuse Maternal and Child Health HIV/AIDS and STDs (Syracuse and Utica) Service Gaps/Shortages: Primary Care Services Behavioral Health Services Oral Health Services for Low Income Underserved Populations Care Management/Care Coordination Services Transportation Services Housing Re-tooling of Excess Hospital Beds

Health HIV/AIDS and STDs (Syracuse and Utica) Service Gaps/Shortages: Primary Care Services Behavioral Health Services Oral

12 CRFP Application Process Applicant Prequalification: All not-for-profit CRFP Applicants subject to prequalification are required to register and prequalify in the Grants Gateway prior to submission of a CRFP grant application (See Section IV[E] of the RFA for further details) Question & Answer Period & Applicant Conference Questions were due by November 26, 2014 (Posted on CRFP Website) ( Applicant Conference was held on November 21, 2014 Application Filing A single application should consist of two pdf files: Technical Proposal: See attachments 2-5,13 and 14 Financial Proposal: See attachments 6-12.

due by November 26, 2014 (Posted on CRFP Website) (http://www.health.ny.gov/funding/rfa/1410100351/questions_and_answers.

13 CRFP Application Process Stage 1 Review: Reviewed for eligibility & Completeness Stage 2 Review The entire application package will be reviewed during Stage 2 Each CRFP project will be individually scored. Applications from Process A and Process B will be ranked together. Advisory Panel Review. The results of the Stage 2 process will be reviewed by an Advisory Panel and the panel will submit its recommendations to the Commissioner of DOH for final determination. Determination of Award. Commissioner of the DOH / President of the DASNY, in consultation with the OMH, OPWDD and OASAS will make awards. Commissioner will apply results of DSRIP prioritization at this point, taking into consideration CNA and fulfillment of DSRIP program goals

The results of the Stage 2 process will be reviewed by an Advisory Panel and the panel will submit its recommendations to the Commissioner of DOH for final determination.

14 Grant Writing Tips Make sure your response is aligned with grant guidance and review criteria Be specific about outputs, outcomes, and impacts Make sure project is tied to community need Show collaboration. Integrate your project with other community initiatives Avoid rhetoric and hyperbole. Illustrate with clear relevant data Write in an active voice (We will implement ) Discuss your track record with similar endeavors, if possible Be candid about potential problems and your strategy for addressing them

Integrate your project with other community initiatives Avoid rhetoric and hyperbole.

15 Questions & Answers CNY Care Collaborative Performing Provider System

PREPARING FQHCS FOR DSRIP: DSRIP Projects. A Webinar with CohnReznick and Health Management Associates

PREPARING FQHCS FOR DSRIP: DSRIP Projects A Webinar with CohnReznick and Health Management Associates Today s Presentation DSRIP Background CHCANYS DSRIP Support for FQHCs DSRIP Projects PPS Project Selection