MHVC will create an Integrated Delivery System (IDS) that is focused on evidence-based medicine and population health management, creating an integrated, collaborative and accountable service delivery structure that incorporates the full continuum of care, eliminating service fragmentation while increasing the opportunity to align provider incentives:

  • With a more integrated delivery system, our partners will be better able to take on risk and deliver value.
  • With a more sustainable delivery system, care is delivered locally and in the right care setting.
  • With a more patient-centered delivery system, there will be expanded access to services tailored to the unique needs of our patients and communities.

Project Integration: New Focus on Substance Use Disorder and Opiod Crisis

MHVC and its partners have been in the forefront of Substance Use Disorder (SUD) efforts, as illustrated by partner- and MHVC-level initiatives integrating DSRIP Crisis Stabilization and Behavioral Health (BH) projects. This new section will highlight those programs and initiatives; we encourage you to contact us for more information or to share your activities.

CAPE-d Superheroes Combat Drug Addiction in Dutchess and Orange with Data

CAPE and the National Guard Civil Operations Specialists team up to track incidents in real-time

In the Hudson Valley region’s war on drug addiction, a new team is using geo-mapping and data analytics to help law enforcement, emergency responders, and treatment centers anticipate “hot spots” in communities. “The goal is to move from reactive to predictive,” said Elaine Trumpetto, Executive Director of the Council on Addiction Prevention & Education of Dutchess County, Inc. (CAPE), in Fishkill, NY. “It also complements the emphasis of the NYS Office of Alcoholism and Substance Abuse Services (OASAS) on data-driven programming.”

CAPE and the New York National Guard’s Counterdrug Task Force (CDTF) have partnered with HealthlinkNY RHIO and TEAM Newburgh on a pilot project to create a real-time data analytics platform to increase the effectiveness and efficiency with which overdose and drug trafficking data can be shared and accessed. By allowing agencies treating addiction to easily share data, this program will dramatically improve the ability of each agency to combat this epidemic.

According to Corporal Julio Fernandez of the National Guard, “The CDTF is mandated to aid community organizations.” The Task Force started by getting data from emergency management services, and then expanded to include NARCAN information from first-responders and information from emergency departments (EDs). NARCAN Nasal Spray is the first and only FDA-approved nasal form of naloxone for the emergency treatment of a known or suspected opioid overdose.

The CDTF began to specifically work with the ED at St. Luke’s in Orange County. “We are informed every time there is an overdose,” said Fernandez. “Our goal is to get this program into other EDs and counties, and to work directly with law enforcement.”

The tracker is populated by ED staff when the patient arrives, and the location that EMS picked the patient up is geo-mapped in real time so that the hospital and health departments can be rapidly informed. For example, if a bad batch of heroin cut with fentanyl hits the streets, the needles-exchange van can be deployed and they can ensure that the EDs have an adequate supply of Narcan available. Since the start of the pilot in late April 2017, over 120 opioid overdoses were tracked with 6 individuals moving into recovery.

According to Brynna Trumpetto, Drug Free Community Project Coordinator for CAPE, “As a non-governmental pilot program, we started with overdoses in Orange County and a basic GoogleDocs system of tracking and data-mining. The opportunity at St. Luke’s ED gave us the ability to extend the program’s reach to a hospital system. We have many other Orange and Dutchess County partners, each representing different ways to use the data.” Project members can view incident mapping and note any upticks and locations, so prevention resources can be assigned and aligned. “We are looking to develop trend maps and to expand to geo-mapping,” said Brynna Trumpetto, “and developing the security tubing needed to encrypt the actual documents and not just the network.”

The project’s results are free and hospitals can use it now. “We are looking to expand to Putnam and Sullivan counties,” Director Trumpetto said, “and make the system more secure and robust as funding is identified.” For more information or to participate in the program, contact Elaine Trumpetto, etrumpetto@capedc.org.

What is an "Integrated Delivery System"?

MHVC asked stakeholders and partners what IDS means to them and to the people for whom they provide care in the MHVC region:

Arms Acres Announces Opiod Treatment Program

Service is available to MHVC partners throughout the region

In response to the opioid crisis and the growing needs of the community, Arms Acres, a long-standing treatment facility in Putnam County, has expanded the scope of available treatment options at the Arms Acres Clinic, which is located at 21 Old Route Six, Carmel, NY. As of June 30, 2017, Arms Acres has implemented an Opioid Treatment Program (OTP). “We are proud to be recognized as the first Opioid Treatment Program in Putnam County. Arms Acres is dedicated to helping those within our community and beyond to find recovery from opioid and heroin addiction,” said George Ryer, Executive Director of Outpatient Services at Arms Acres.

The OTP provides Methadone as well as other types of Medication Assisted Treatment, such as Suboxone and Vivitrol. A multi-disciplinary team consisting of physicians, psychiatrists, Registered Nurses, Social Workers and Certified Alcohol and Substance Abuse Counselors work together with patients to evaluate and determine the best evidence based substance abuse treatment for them. Medication Assisted Treatment and counseling services are available for adults and adolescents.

“Opioid Treatment Programs are typically utilized locally, but in many cases people cross county lines to seek these particular services. Arms Acres wants to be sure that MHVC partners throughout the region are aware of this new service,” said Eric D'Entrone, M. Ed., CRC, Associate Director of Regional Services for Arms Acres and Conifer Park.

Arms Acres provides inpatient and outpatient services to those suffering from alcohol and/or substance abuse issues. For more information, contact the Outpatient Clinic at 845-225-5202; for inpatient treatment contact 888-227-4641.

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