Care Coordination General Resources Care Coordination General Resources

Care Coordination General Resources

Care Coordination General Resources

Overview

As the Mount Sinai PPS shifts to a clinical implementation strategy, the Care Coordination Workgroup has restructured its group to better align with these efforts. From July 2015 to February 2017 the group served to bring synergy between all 10 Delivery System Reform Incentive Payment (DSRIP) projects and organizational work streams to ensure a fully integrated delivery system within the Mount Sinai PPS. In order to meet this goal, past accomplishments of the workgroup include defining an all PPS mission and vision for care coordination, defining the care management functional requirements for a care management system, initiating the development of communications training for care coordination teams to improve health literacy, collaborating with Greater New York Association and other downstate PPs, and developing content for an all PPS social determinants of health screening tool. Currently, the group is discussing care coordination around the MSPPS Social Determinants of Health Screening Tool which will help inform future clinical implementation activities.