Design Thinking for Delivery System Reform in New York: Supporting Performing Provider Systems (PPS)

Agency: The New York State Contract Reporter
State: New York
Level of Government: State & Local
Category:
  • C - Architect and Engineering Services - Construction
Opps ID: NBD15621912127507354
Posted Date: Oct 5, 2017
Due Date: Oct 27, 2017
Source: Members Only
Issue Date: 10/05/2017 Contract Number: TBD
Design Thinking for Delivery System Reform in New York: Supporting Performing Provider Systems (PPS)
Description:

BACKGROUND

The Delivery System Reform Incentive Payment (DSRIP) Program is the main mechanism by which NYS will implement the Medicaid Redesign Team (MRT) Waiver Amendment. DSRIPs purpose is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25 percent over five years. Up to $6.42 billion is allocated to this program with payouts based upon achieving predefined results in system transformation, clinical management and population health.

For additional information related to the DSRIP Program, please follow the link below:
https://www.health.ny.gov/health_care/medicaid/redesign/dsrip/

To accomplish the goals of DSRIP, Performing Provider Systems (PPS) were formed in regional areas to address and complete various operational objectives. PPS includes both major public hospitals and safety net providers, with a designated lead provider for the group. PPS are tasked with performing community need assessments and identifying DSRIP strategies that are most consistent with addressing such needs. However, PPS are consistently challenged to meet their aggressive DSRIP goals and milestones, and also are tasked with identifying a sustainable path to maintain system transformation after the DSRIP program ends. As PPS roles in DSRIP continue to evolve at a rapid pace, assistance is needed to further support each PPS in identifying and addressing overall DSRIP and post-DSRIP needs.

For more information on DSRIP PPS by region, including PPS organizational information and reporting to date, please follow the link below: http://www.health.ny.gov/health_care/medicaid/redesign/dsrip/pps_map/index.htm

In order to assist PPS in meeting their DSRIP performance goals and identifying how to sustain their progress, the New York State Department of Health (Department), Office of Health Insurance Programs (OHIP) is seeking to engage consultant services for design thinking. The objective of using design thinking to support PPS will be to utilize innovative strategies and a patient-centered approach to leverage community partnership, collective problem solving, continuous improvement and other efforts to identify a path forward that will address the unique challenges described above.


PURPOSE:

OHIP is seeking potential bidders who can conduct a series of design thinking workshops for five (5) selected PPS, as well as deliver a data driven design thinking toolkit to such PPS.

The resulting contract would focus on applying and transferring the use of design thinking to PPS to enable the creation of a long term post-DSRIP plan. The approach will ensure the PPS, their networks, their communities and the Medicaid members they serve are well positioned to sustain and enable transformation, continuous improvement, and progress in supporting delivery system reforms and improving Medicaid member outcomes in future years.

As a result of this support, it is envisioned that each PPS will be able to deploy its own design thinking strategies to sustainably meet DSRIP performance goals and demonstrate continued improvement in the future.

Specific milestones to be met under a resulting contract include:

1. Project Planning and PPS Research

? Interview key stakeholders from across five (5) high-performing PPS;
o Through these interviews, identify how to improve performance through design thinking tools;
? Conduct PPS site visits to assist the contractor in identifying challenges to be addressed during design thinking workshops;
? Provide the Department with reporting related to the information gained from the interviews and site visits;
? Meet with the PPS on research findings, challenges, and design thinking tool concepts; and
? Develop and deliver a detailed project plan to the Department, identifying all timelines and milestones for completing the project.

2. Project Implementation

? Based on the findings from the Project Planning and PPS Research outlined above, finalize and conduct a series of design thinking workshops;
o The purpose of the workshops will be to train PPS in utilizing design thinking to address performance issues and identify strategies to ensure the significant investments in delivery system transformation are sustained post-DSRIP;
o The workshops are to support PPS in designing local, collaborative approaches to implementing and sustaining DSRIP goals by engaging a diverse set of partners and stakeholders;
o The workshops are intended to support PPS in improving their patient/Medicaid member experience through application of design thinking principles;
o The Contractor will be required to conduct at least twelve (12) workshops for each of the five PPS;
o The workshops must be conducted in-person at a venue provided by the Contractor within the PPS geographical region;
? Document workshop outputs;
? Provide a web-based digital platform for all workshops conducted;
? Meet with the Department/PPS to present workshop outcomes;
? Develop and deliver an in-person presentation at the 2018 Annual Learning Symposium held in Staten Island, NY on February 6-8, 2018, communicating to PPS the potential advantages of utilizing design thinking;
? Develop and deliver an in-person presentation at the 2019 Annual Learning Symposium in the first half of 2019, exact date and location (within New York State) to be determined;
? Provide guidelines to be used by the PPS for design thinking applications and program communications; and
? The Contractor will be expected to partner with a New York institution of higher learning to use its curriculum developed in concert with the PPS to train individuals in design thinking as applied to the health care sector.

3. Review and Close Out

? Review and analyze program documentation and workshop outcomes;
? Prepare and submit final reports to the Department communicating project outcomes and findings;
? Finalize delivery of web-based digital workshop content and information related to the success of the workshops; and
? Determine and present next steps for the Department/PPS to ensure continued success through design thinking.

MINIMUM QUALIFICATIONS:

The minimum qualifications for respondents are:
? At least five (5) years of experience in the area of design thinking consulting services;
? At least five (5) years of experience in the implementation of a design thinking project related to one of the following areas: a governmental program, healthcare system, university, OR for an organization that employs over 500 people;
? At least three (3) years of organizational OR staff experience in reimagining health care systems in any combination of the following: in U.S. states outside of New York State, nationally or internationally;
? Completion of at least five (5) successful design thinking projects that have redesigned systems in relation to a governmental program, healthcare system, university, OR for an organization that employs over 500 people; and
o Three (3) of the successful design thinking transformational projects must be unrelated to the healthcare industry.

PREFERRED QUALIFICATIONS:

The preferred qualifications for respondents are:
? Demonstrated relationship with New York institution(s) of higher learning with potential to partner and develop a training program;
? Demonstrated previous experience working with both public and private sector projects;
? Demonstrated experience working on integrating system transformation with community-based organization leadership development (with projects implemented in states other than New York or internationally);
? Demonstrated communication design expertise;
? Demonstrated user or patient centered approach to system redesign; and
? Demonstrated ability to produce a unique design-thinking curriculum specific to New Yorks DSRIP program and PPS.

The contractors for the NYS DSRIP Independent Assessor, Support Team, and Evaluator contracts are not eligible for a potential resulting contract and should not respond to this advertisement. Preference will be given to entities without New York health care system consulting experience, as the direct purpose of this work will be to bring a fresh perspective on transforming the current state of health care delivery in New York.

TO RESPOND:

Interested parties should respond to this advertisement with a letter expressing their interest and demonstrating their ability to meet the minimum qualifications, and any applicable preferred qualifications, listed in the section above. Bidders should clearly document their relevant experience by including a table outlining project names, dates, and a brief synopsis of each project. Parties should email their response to OHIPContracts@health.ny.gov by October 27th, 2017, by 4:30 p.m. ET, with an original hard copy letter to follow, sent to:

Michael Lewandowski
NYS Department of Health
Office of Health Insurance Programs
One Commerce Plaza, Room 1470
Albany, NY, 12237

Due Date: 10/27/2017 4:30 PM

Contract Term: 12/1/2017-7/31/2019

Location: New York State (Statewide)

Ad Type: General

Primary Contact: Health, NYS Dept. of
Office of Health Insurance Programs

Michael Lewandowski
Health Program Administrator
1 Commerce Plaza
Albany, NY 12210
United States
Ph: 518-473-1474
Fax:
michael.lewandowski@health.ny.gov
Secondary contact: Health, NYS Dept. of
Office of Health Insurance Programs

Michael Lewandowski
Health Program Administrator
1 Commerce Plaza
Albany, NY 12210
United States
Ph: 518-473-1474
Fax:
michael.lewandowski@health.ny.gov

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