NewYork-Presbyterian Regional Health Collaborative
Program Location:
New York City, NY
Payer Type:
Medicaid
Other
Payers:
New York State Medicaid
Reported Outcomes
Description:
The NewYork-Presbyterian Regional Health Collaborative began in 2008, when NewYork-Presbyterian collaborated with Columbia University Medical Center to find ways to improve health care delivery for the some 205,000 residents of the Washington Heights-Inwood community. They found that the community could benefit from improvements in several targeted areas: cultural competency, information technology and access to care, especially patient-centered medical homes.
The project, which was implemented in 2010, goes beyond the established patient-centered medical home model to create a “medical village,” or series of medical homes and other providers and community resources that are connected via IT infrastructure. These collaborators include school-based clinics and specialty care centers that are part of the NewYork-Presbyterian Hospital Ambulatory Care Network, NewYork-Presbyterian facilities, home care agencies and Columbia University schools, as well as social service agencies and other community-based organizations.
A study published in Health Affairs (November 2014), evaluated 5,852 high-risk patients who had some combination of diabetes, asthma, and congestive heart failure.
Fewer ED / Hospital Visits:
Compared to the year before implementation of the network:
- 29.7 percent (p<.001) reduction in ED visits
- 28.5 percent (p<.001) reduction in hospital admissions
- 36.7 percent (p<.001) reduction in thirty-day readmissions
- 4.9 percent (p<.001) decline in average length-of-stay
Improved Patient/Clinician Satisfaction:
- Patient satisfaction scores improved across all measures
Cost Savings:
- $3.281 million in total gains from the program
- These revenues included approximately $2.9 million annually from the New York State Medicaid program in increased reimbursement rates to the patient-centered medical homes and from ED cost savings of approximately $381,000. The latter amount represented the marginal expense of each avoided ED visit
- 11 percent short-term return on investment
Data Source(s):
