News from Advocate Community Providers (ACP)

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November 9, 2016            Vol. 2, No. 12

ACP to Offer Diabetes Self-Management Program

Engaging patients in self-management of their chronic disease is an important step toward improving health outcomes and reducing the cost of health care.
ACP is pleased to offer a comprehensive, evidence-based, chronic disease self-management program for your patients with diabetes, as part of DSRIP Project 3.c.i.
Patient Leaders – Medicaid beneficiaries who have their Type 2 Diabetes under control – and ACP Community Health Workers (CHWs) will be trained and certified in the Stanford Model. Working in pairs, CHWs and Patient Leaders will lead workshops for patients who are struggling to control their Type 2 Diabetes.
Patient Leaders are Medicaid beneficiaries who have their Type 2 Diabetes under control, completed 8th grade, and who want to help the community. ACP will train these individuals to lead workshops for diabetic patients who are struggling with their diabetes.
Please contact Angela Lee, Jessica Eng, or Migna Taveras to learn more about how the Stanford Model program can benefit your patients and improve outcomes, and to refer patients as Patient Leaders or attendees.
The Stanford Model is a chronic disease self-management initiative to engage patients in their care. Each workshop covers:

  • Techniques to deal with problems such as frustration, fatigue, pain and isolation;
  • Appropriate exercise for maintaining and improving strength, flexibility, and endurance;
  • Appropriate use of medications;
  • Communicating effectively with family, friends, and health professionals;
  • Nutrition

Annual DSRIP Medical Records Review 

The New York State Department of Health (DOH) is conducting its annual DSRIP medical record review. It is extremely important that we do our best as a PPS to obtain all records, since ACP will receive a pass or fail based on these measures.

The measures being asked for are coded as:

  • CDC - for Comprehensive Diabetic Care
  • CBP - Control blood pressure
  • SCD - Screening for Clinical Depression

DOH has retained a third-party vendor – MedReview – to conduct this review. If you are contacted by MedReview, please contact your IPA representative or Lidia Virgil.

Gabriela Sandoval Requena Named Director, Regulatory Affairs

ACP has appointed Gabriela Sandoval Requena to a newly created position of Director, Regulatory Affairs. In this position, she is accountable for nurturing ACP’s relationships with regulatory agencies and governmental entities, individual regulators, key associations, and other organizations. She reports to ACP COO Mary Ellen Connington.

“As we move further into the complexities and nuances of implementing DSRIP, Gabriela will play a critical role in fostering relationships, enhancing internal workflows, and ensuring prompt, accurate reporting and submission of required information,” commented Ms. Connington.

Ms. Sandoval Requena joined ACP in December 2015 in the Workforce department, where she contributed to assessing, supporting, and monitoring the labor force transformation required for the proper implementation of DSRIP mandates. She successfully managed several large-scale initiatives, including ACP workforce analysis, projections, transition roadmap, and training strategy.

Previously, Ms. Sandoval Requena worked as a Policy Analyst at Coalition for the Homeless and in the New York City office of U.S. Senator Kirsten E. Gillibrand. She earned her BBA in Economics from Baruch College’s Zicklin School of Business and her Masters of Public Administration from Baruch’s School of Public Affairs. She is a native of Chile.

ACP Project Managers Earn Master Certificates

Twelve ACP team members recently completed phase one of Villanova University's Master Certificate in Applied Project Management in HealthcareThe three-phase program focuses on management skills and learning to lead in healthcare improvement initiatives.

Pictured above: Paul Mendez, Data Analyst; Misaell Cabral, Behavioral Health Coordinator; Maria Debes, Asthma Project Manager; Gabriel Rosario, Behavioral Health Project Manager; Katherine Morillo, Population Health Project Manager; Indiana Maskhulia, Health Home at Risk Project Manager; Poley Cheng, Administrative Assistant; Brandon Phan, Administrative Assistant ; Kristle Rosado, Behavioral Health Coordinator, and Shariff De Los Santos, Cardiovascular Project Manager.

Million Hearts® Campaign - At the Core of Prevention

As a core element of ACP’s Cardiovascular protocol (Project 3.b.i), ACP physicians are encouraged to follow Million Hearts®, a national initiative with an ambitious goal to prevent one million heart attacks and strokes by: 

  • Improving access to effective care.
  • Improving quality of care for the ABCS of heart health:
    • Aspirin when appropriate;
    • Blood pressure control;
    • Cholesterol management;
    • Smoking cessation.
  • Focusing clinical attention on  prevention of heart attack and stroke.
  • Activating the public to lead a heart-healthy lifestyle.
  • Improving the prescription and adherence to appropriate medications for the ABCS.

Million Hearts involves 10 steps, including creating a blood pressure monitoring station, to achieve DSRIP pay-for-performance metrics. Questions about ACP's Cardiovascular project? Contact Project Manager Shariff De Los Santos.

PCMH Level 3 Certification: ACP Can Help!

As a member of the ACP network, you are entitled to the services of a practice transformation specialist -- provided at no cost to you -- that will help your practice become certified as a Level 3 Patient Centered Medical Home (PCMH). Practices are required to achieve this certification by December 31, 2017 as part of participation in DSRIP.

We recommend allowing six months to a year to complete the PCMH certification process. Click here to read more. Contact ACP's PCMH Team for more information. 

Advocating for Better Health in Our Communities

Dr. Vincent Wang led a discussion on Diabetes Management and the proper use of medication with members of the Nan Shan Senior Center in Flushing, Queens.
Dr. Flor Dejesus joined the Foundation for Healthy Hispanic Families in presenting a seminar on Breast Cancer Prevention to women of Washington Heights. 

DASH Nutrition Plan Lifestyle Modification Workshops

High blood pressure, high cholesterol, diabetes, and obesity are all affected by a patient’s eating habits. That’s why ACP has adopted the DASH (Dietary Approaches to Stop Hypertension) Diet as our recommended nutrition plan. Building on the notion that healthy eating can serve as a tool for healing and prevention, encouraging patients to follow DASH will deliver immediate health benefits and contribute toward achieving ACP projects, most importantly Cardiovascular and Diabetes. 

We know that lifestyle modification is difficult, particularly when it comes to something like food. ACP is adapting DASH for our Chinese and Latino cultures, cuisines, and habits to help overcome barriers to change, including portion control, fast food, salt, and the high cost of fresh produce.

In December, we are rolling out a series of workshops to introduce DASH to ACP’s Community Health Workers so they can work with ACP physicians, patients and in the community.

November is National Diabetes Awareness Month

Diabetes Awareness Month is observed every November so individuals, healthcare professionals, organizations, and communities across the United States can bring attention to the millions affected by the disease. The chronic disease is the seventh leading cause of death in the country, and one of the leading contributors of high hospitalization rates across New York City neighborhoods.

ACP's Diabetes Disease Management Project 3.c.1 focuses on applying the six core elements of the Chronic Care Model (the community, the health system, self-management support, delivery system design, decision support and clinical information systems) to improve the care of patients with diabetes, encourage self-management, and decrease the rates of diabetes-related complications.

Whiteboard Video Series: "DSRIP, An Eye Towards the Future"

In the latest installment in the DSRIP whiteboard video series, “DSRIP, An Eye Towards the Future,”NYS Medicaid Director Jason Helgerson discusses what he sees beyond the goals of DSRIP to achieve a more cost-effective healthcare delivery system. The video also describes how the healthcare sector can collaborate with other similar systems to improve the health, well-being, and the happiness of the communities we serve. Watch the video here...

Zika Virus Linked to More Health Implications 

Zika remains a significant threat to New York City Latinos, many of whom travel frequently to areas like Puerto Rico and the Dominican Republic. New York State now accounts for 23% of Zika virus infections in the country with almost 100 infected pregnant women. The disease is now being linked to more severe health implications in both infected babies and adults.

  • NYC providers are to use commercial labs for all routine Zika virus testing, including the testing of pregnant women, and the NYC Public Health Lab in certain situations.
  • Zika may be in the U.S. to stay. The CDC has upgraded its Zika-related health advisory for Florida.
  • Scientists are bewildered by Zika’s path across Latin America.
  • Congenital Zika syndrome is the new name for a group of devastating birth defects that are either unique to Zika or occur rarely with other infections during pregnancy
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