Design Thinking for Delivery System Reform in New York: Supporting Performing Provider Systems (PPS)
|Agency:||The New York State Contract Reporter|
|Level of Government:||State & Local|
|Posted Date:||Oct 5, 2017|
|Due Date:||Oct 27, 2017|
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:
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.
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;
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;
3. Review and Close Out
? Review and analyze program documentation and workshop outcomes;
The minimum qualifications for respondents are:
The preferred qualifications for respondents are:
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.
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:
Contract Term: 12/1/2017-7/31/2019
Location: New York State (Statewide)
Ad Type: General
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