In Staten Island, a large percentage of the population receives most of their care close to home, and providers, care managers, and outreach coordinators have a good understanding of their community and the patients they serve.
With a population of approximately 468,730, Staten Island Performing Provider System (SI PPS) serves nearly 130,000 patients, 50,000 of whom are uninsured. Approximately four out of ten Staten Island residents qualify for the borough’s Delivery System Reform Incentive Payment (DSRIP) Program.
SI PPS, led by Executive Director Joseph Conte and guided by Salvatore Volpe, MD, Chief Medical Officer, has built a strategy to meet DSRIP project requirements through engagement with their partners—70 institutional members and hundreds of clinical practitioners—and Healthix to innovate and implement efficient solutions for patient engagement, management, and care coordination.
These project goals include engaging consumers in their health at different stages and levels of need. Priorities include:
- Connecting patients to primary care,
- Integrating behavioral health with primary care
- Developing community treatment programs for people with substance use issues
- Supporting patients at home after hospital discharge
- Working with home care agencies to provide appropriate care
- Assisting nursing homes in managing changes in a patient’s condition to avoid emergency room visits
The SI PPS has established a robust health IT and HIE infrastructure, it relies on connectivity to Healthix and the Statewide Health Information Network for New York (SHIN-NY) to provide data to its data warehouse and analytics engine. Healthix provides SI PPS with access to actionable information to improve tracking and reporting of DSRIP performance metrics.