Innovation Driving Change

MHVC is pleased to introduce this new section of our website featuring creative approaches and activities within our MHVC region, as well as important national best practices initiatives that our network can incorporate into the integrated delivery systems and drive outcomes and improve patient care.

Project Ideas Submitted for MHVC Innovation Fund

Large number of responses from partners and CBOs

MHVC received almost 40 Letters of Intent (LOI) from partners and CBOs seeking the competitive MHVC Innovation Fund awards. “The response was overwhelming and very gratifying,” said Marlene Ripa, Director, Network Development. “We are glad that the word got out and that respondents understood our goals.”

MHVC laid the groundwork for the LOIs with a webinar, in-person information sessions, technical assistance, fact sheets, and a detailed guidance document. Of the 37 LOIs, 22 were for Category A projects (MHVC contracted partners) and 15 were for Category B (Tier 1 CBOs). The LOIs represented projects in six of the seven counties within the MHVC region.

MHVC reviewed all submitted LOIs and invited 23 applicants to submit a full proposal: 14 in Category A and 9 in Category B. The RFP guidance packet and electronic template was sent out to selected applicants on July 17th; proposals were received on August 14th.

About the MHVC Innovation Fund

MHVC's Innovation Fund is intended to support innovative collaborative projects in the Hudson Valley Region through a formal RFP process. As of the July 5 deadline, we received 37 Letters of Intent for exciting projects across the region; 23 were asked to submit full applications.

As background, the following links were used for those submitting full proposals:

Click here and then download the Innovation Fund IPP template.

Click here for the Innovation Fund IPP FAQs.

Below are the links to the background materials that were available to LOI applicants:

Click here for the Innovation Fund Overview Webinar proceedings (June 5).

Click here for the Innovation Fund Guidance for CBOs Webinar proceedings (June 7).

Click here for the Innovation Fund Guidance Document.

Click here for Innovation Fund FAQs.

Click here for a list of MHVC Contracted Partners.

5 Ways Healthcare Organizations Can Amplify The Voice Of The Patient

Embedding “the voice of the patient” is an aspiration many healthcare organizations hold, yet one that most find challenging to operationalize. Sachin H. Jain, President and CEO of the CareMore Health System, an integrated health plan and delivery system, offers five approaches to make the patient voice real within his organization:

  1. Make Senior Leadership Accessible to All Patients
  2. Proactively Engage Patients in Informal Settings
  3. Require Non-Patient Facing Organizational Leaders to Connect with Patients Regularly
  4. Explicitly Use Patient Input to Drive Program Design
  5. Tell Patient Stories Often

Read the full article here.

Measurement with "a wink"

"Measurement misleads when it fails to award the best score to the best care, but instead rewards the best player"

As part of MHVC's goal to identify innovative- and best-practices, we want to share this excellent editorial by Victor Montori, MD, of the Mayo Clinic Shared Decision Making National Resource Center, about Quality Measurement and Pay for Performance (P4P). It speaks to the importance of doing what is right for each patient as we design programming to reach quality metrics. Read the article here.

-- Dr. Damara Gutnick, MHVC Medical Director

What Matters to You?

MHVC and its partners have embraced the new initiative, "What Matters to You?" (WMTY) and made it their own.

“Open Access” Provides Better Access for BH Patients

How one system found -- and solved -- scheduling issues

Many MHVC behavioral health (BH) partners report struggling with access and availability to services and appointments for patients. In response MHVC continues to design special programs, offer workshops, and highlight best practices that can improve access and care for patients. This month we are highlighting the innovative work at Montefiore’s Behavioral Health Centers (MBHC) to increase access to BH services.

Those who attended the breakout sessions at the MHVC Behavioral Health Learning Collaborative #2 on June 8, 2017, heard about the MBHC walk-in clinics from the Clinical Director of MBHC, Thomas Betzler, MD. “We had a lot of no-shows in our Comprehensive Outpatient Program Services (COPS) referrals. These are patients that we are mandated to see within five business days, and includes patients discharged from Psychiatric inpatient units and Emergency Departments (EDs),” said Betzler, “so we asked ourselves, ‘What can we do?’”.

In the past, COPS provided specific reimbursement in exchange for the provision of enhanced outpatient services. Although the enhanced reimbursement has stopped, the State continues to mandate a follow-up appointment within five days. However, Dr. Betzler found that only 30-40% of patients actually show up for those valuable slots, and the percentage for primary care referrals was 35%. “We decided to make those empty slots available for walk-ins, and we set up a schedule and a list of priority patients for the spots,” explained Betzler.

The success of this approach is evident in the data. “According to PSYCKES data for rehospitalizations, MBHC is at 11.4%, which is below the state 14.3% and regional rates, 14.3% and 16.4% respectively (with a very comparable patient population).” Betzler believes improved access is a large part of that positive result. “The Open Access model is the only way to drive down rehospitalizations. It cannot be a fixed window in time: It must be nimble so patients view the clinic as the primary place for quick and efficient care. We adjust our provider schedules to accommodate the needs of our patients and community.”

“We know the importance of connecting with these patients early, and making it easy for them to come back,” said Dr. Betzler. “Once they make it to the clinic, 79% return for a follow up visit within 30 days.  When we look at the return visit rate within three months, over 90% return for a follow up visit. Getting them to MBHC is important -- the walk-in service doesn’t shame the patient  for missing an appointment and then allows them easier access to behavioral treatment within the community.”

Read the complete article in our MHVC July/August newsletter here.

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