Partner Spotlight Series: Goodwill New York New Jersey
Photo courtesy of Goodwill NYNJ 2016
Goodwill NYNJ’s Innovative Approach to Integrating the DSRIP Program within their Behavioral Health Program
This month our Partner Spotlight Series focuses on Goodwill Industries of Greater New York and Northern New Jersey, Inc., a non-profit organization whose mission is to empower individuals with disabilities and other barriers to employment to gain independence through the power of work. With DSRIP, they have been thinking about how they fit in with value-based contracting.
Goodwill NYNJ Services
For over 100 years, Goodwill NYNJ has been serving those with disabilities in the Greater New York City area, Long Island, Northern New Jersey, and up to the Hudson river to the Canadian borders. With over 70 programs and 41 retail stores, Goodwill NYNJ has greatly impacted these areas. In fact, in 2015, Goodwill NYNJ served over 86,000 people and placed more than 8,600 individuals in jobs. President & CEO Katy Gaul-Stigge said, “We recognize that the unemployment rate for people with disabilities, including those with mental illness, is about 75% – so job creation, supporting individuals and their families, working with employers and reducing the stigma of mental illness are always top of mind issues.”
There are 164 Goodwill organizations in the United States and Canada and each one differs from one another. Every Goodwill adapts to meet the specific needs of its community.
One of the key highlights of Goodwill NYNJ is how they have been integrating DSRIP into their behavioral health programs and positioning themselves for the future.
Seven of the 70 programs within Goodwill NYNJ fall under the behavioral health spectrum. These programs include two Personalized Recovery Oriented Services (PROS) programs, Seamark PROS and PROS Rebound; a supportive housing program; two internationally accredited clubhouse programs, Lantern House and Citiview Connections; the Peer Advocacy Leadership (PAL) program and the Bronx Assisted Competitive Employment program (Bronx ACE).
The PROS programs are licensed by the Office of Mental Health and are located in Queens and Brooklyn. Within these programs there is focus on employment and integrating people back in the community through employment. The PROS program uses an evidence based service model called, Individual Placement and Support(IPS), to support PROS program participants in obtaining and maintaining competitive employment in the community. Staff provide participants with rapid job search with the intended goal of having the individual present to an employer in the community, either through job search, career exploration, or an interview within the first 30 days of working with an Employment Support Coordinator.
Goodwill NYNJ’s Integration of DSRIP with Behavioral Health Programs
Currently, PROS Rebound, located in Queens, has been able to incorporate DSRIP into staff education and the clinical and operational workflows.
Jennifer Tine, Senior Vice President of Behavioral Health Services, recognized that the first step was to get involved with Mount Sinai PPS. Effie Tsangalidis, Director of Managed Care Organizations, has also been an active participant with MSPPS’ Project 3aiii since early 2015. Jennifer said of Mount Sinai PPS, “We chose Mount Sinai as the partner we wanted to work with most because it was clear how structured the program was going to be.”
In order to integrate DSRIP into the PROS Program, Jennifer realized that this change needed to be communicated effectively to her staff. She provided informational meetings specific to DSRIP to inform her staff of the recent changes in healthcare.
Once her staff was aware of these changes, Jennifer and her team were able to incorporate the medication adherence self-management goals template developed from the MSPPS Project 3.a.iii Workgroup into Goodwill NYNJ’s electronic health records.
At first, staff were concerned about the additional work. However, Jennifer and her team were able to communicate the importance of incorporating self-management interventions and documentation in measuring patients’ outcomes and providing better care. Jennifer said of this integration, “It’s one thing to put the form in the electronic health record, but it actually needs to tie back to all the clinical work we’re doing, otherwise it’s not really being integrated.”
Jennifer believes that by incorporating the 3.a.iii self-management goals into monthly progress notes it reinforces to staff should be consistently thinking about meeting DSRIP goals.
Goodwill NYNJ’s Use of Patient Data to Increase Organization’s Value
Goodwill NYNJ’s tactics are preparing them for the future of DSRIP. They are currently speaking with insurance companies to study and review claims and PSYCKES data to identify areas for improvements. PSYCKES is a web-portfolio specific to patients in the New York region that give providers access to patient information. This data has provided a baseline to Goodwill NYNJ as it allows them to see how they rank among other providers geographically. They are also keeping track of their hospitalization, emergency room utilization, and employment rates.
Prior to the implementation of managed care, Jennifer said they prepared their staff and identified individuals who could be better served in other settings. Goodwill NYNJ wanted to go into managed care with the best representation of their programs and so far they have; they have yet to have a denial.
Next Steps for Goodwill NYNJ with DSRIP
Right now, Goodwill NYNJ is excited about this initiative to measure patient outcomes. Jennifer said, “Part of participating in DSRIP is how to look at outcomes and we are looking at this as a learning opportunity.”
Since Goodwill NYNJ has already integrated the project specific form into their EHR, they are looking to incorporate additional elements as well.The Project 3.a.iii subgroup is discussing an assessment specific to patient medication adherence. This questionnaire would be essential to measuring Goodwill NYNJ’s progress and showing them outcomes. Goodwill NYNJ also plans on using their DSRIP money to purchase a program that provides standardized tool data which embeds into their EHR to show outcomes.
Lastly, within the next few months the PROS program is also looking to develop resources and a curriculum for patients. Jennifer wants to create breakout sessions to educate patients on Medicaid and Managed Care. Jennifer’s thoughts on educating patients are monumental, especially because Mount Sinai PPS is currently looking for any interested patients to join their Consumer Advisory Council. Goodwill NYNJ is also looking to integrate Project 3.a.iii into the SeamarkPROS in Brooklyn program in the next few months
Goodwill NYNJ has greatly utilized their resources to implement the DSRIP program into their PROS program. Jennifer said of this progress, “We have all the pieces we need; now I need somebody to look at the data and say here are your outcomes. We’re slowly, but surely getting there.”