2.a.v- Create a Medical Village/ Alternative Housing Using Existing Nursing Home Infrastructure

  •  Transform current nursing home infrastructure into a service infrastructure consistent with the long-term care needs of the community

Deliverables:

Bed reduction / facility conversion / service migration

  • Transform outdated (underperforming) nursing home capacity into a stand-alone emergency department/urgent care center or other healthcare-related purpose

Care coordination / patient navigation / population health

  • Ensure that all participating PCPs meet NCQA 2014 Level 3 PCMH accreditation and/or meet state-determined criteria for Advanced Primary Care Models by the end of Demonstration Year (DY) 3

Community support

  • Provide a clear statement of how the infrastructure transformation program will promote better service and outcomes (service volume, occupancy statistics, etc.) for the community based upon the community needs assessment including evaluation of specific planning needs for any Naturally Occurring Retirement Community (NORC) occurring within the PPS
  • Identify specific community-based services that will be developed in lieu of these beds based upon the community need

Integration of care / IDS

  • Provide a clear description of the re-configured facility will fit into a broader integrated delivery system that is committed to high quality care and willing/able to participate in payment reform
  • Use EHRs and other technical platforms to track all patients engaged in the project
  • Ensure that all safety net providers participating in Medical Villages are actively sharing EHR systems with local health information exchange/RHIO/SHIN-NY and sharing health information among clinical partners, including direct exchange (secure messaging), alerts, and patient record look-up
  • Ensure that EHR systems used in Medical Villages meet Meaningful Use and PCMH Level 3 standards

Other / misc.

  • Provide documentation that demonstrates housing plans are consistent with the Olmstead Decision and any other federal requirements

PMO Project Representatives:

Simone Brooks- brookss1@mail.amc.edu

 

 

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