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St. Joseph's Hospital Health Center

Advancing Excellence

Jun 22 2014
The Disruption in Health Care

This past week I was with CEO's from across New York State hearing about changes in our industry and what we need to do to prepare for them. It is nothing short of a major disruption of our current business model, moving in a direction from being acute care focused to being community focused.

New York State wants to decrease overall hospital use by 25 percent over the next five years. They want more work done in the community using health homes, primary care medical homes, home care and technology.

I sat in the audience thinking about all we have already done to prepare:

• We have expanded our practices, and added evening and weekend hours, with more accessibility in Baldwinsville, Cazenovia, and on the Westside of Syracuse. All our primary care practices are on the journey to being “Medical Home” certified;

• Our health home staff are reaching out to individuals and families to provide care in their home, right in the community; tailored to meet their mental health, primary care, and social needs;

• We have installed SJLinked, our new electronic medical records system, which will over time connect all our sites and physicians – to better manage care and produce greater outcomes at reduced costs; and

• We’ve created community partnerships, including the Northside Urban Partnership and collaboration with the Near Westside Initiative. These partnerships will continue to expand to better serve residents in their communities..

As we continue to prepare for the healthcare model of the future, it won’t happen without some discomfort of our own. Some jobs may change, and new jobs will be created. New healthcare delivery sites be added, and new processes of care will be developed. We will continue to prepare as this shift takes place, as our colleagues our doing all over the State.

The State of New York is accelerating this transformation in healthcare delivery through a Medicaid redesign waiver called “Delivery System Reform Incentive Payment Program (DSRIP) – which has a primary goal of reducing avoidable hospital use by 25% over five years.
Watch for more information from St. Joseph’s in the coming months as we adapt to these changes. For more detailed information on the New York State DSRIP program, click here for a description on the New York State Department of Health website.

Recently, Ken Kaufman spoke at the Healthcare Association of New York State (HANYS) on “Crossing the Great Divide” and our journey of transformation. Click here for his presentation.
Finally, check out this article in the June 23, 2014 issue of The New Yorker on change management (“The Disruption Machine”). 

Change is all around us.


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