DSRIP Acronyms and Definitions

DSRIP Acronyms

AV                                          Achievement Values

CNA                                       Community Needs Assessment

CHW                                      Community Health Worker

DSRIP                                    Delivery System Reform Incentive Payment Program

DY                                          Demonstration Year

HWNY                                   Health WorkForce New York

IHA                                         Iroquois Healthcare Alliance

MAPP                                    Medicaid Analytics Performance Portal

MRT                                       Medicaid Redesign Team

NYSDOH                               New York States Department of Heath

PPS                                         Performing Provider System

SHIP                                       Statewide Health Innovation Plan

DSRIP Definitions

Achievement Value – Points received by a PPS for reaching a specified performance/target milestone during a specific reporting period. Achievement Values are used to determine incentive payments based on performance

Delivery System Reform Incentive Payment Program (DSRIP) – As part of New York’s Medicaid Redesign Team (MRT) Waiver Amendment, DSRIP’s purpose is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program. The primary goal is to stabilize the safety net system and reduce avoidable hospital use by 25% over 5 years.

DSRIP Project – Individual method created by a PPS to transform the delivery of care that supports Medicaid beneficiaries and the uninsured, as well as address the broad needs for the population the PPS serves. DSRIP projects should be designed to meet and be responsive to community needs while also meeting 3 key elements: appropriate infrastructure, integration across settings, and assuming responsibility for a defined population.

DSRIP Project Plan – Detailed plans that PPSs submit to the state that detail DSRIP strategies they have selected to be directly responsive to the needs and characteristics of their community in order to achieve DSRIP’s objectives.

Milestone – DSRIP project actions or activity goals, achieved over time.

New Hires - New hires are all personnel hired as a result of DSRIP, exclusive of personnel who are redeployed (see definition below). New Hires include all new employees who support the DSRIP projects and PPS infrastructure, including but not limited to executive and administrative staff, professional and para-professional clinical staff, and professional and para-professional care coordination staff.

New York State Health Innovation Plan (SHIP) – In April 2013, the New York State Department of Health was awarded a State Innovation Model (SIM) grant by the Centers for Medicare and Medicaid Innovation (CMMI) to develop a State Healthcare Innovation Plan (also known as “the Plan”) and is the road map to achieve the “Triple Aim” for all New Yorkers: Improved health, better health care quality and consumer experience, and lower costs. The intent and the goal of the Plan is to identify and stimulate the spread of promising innovations in health care delivery and finance that result in optimal health outcomes for all New Yorkers.

PPS (Performing Provider Systems) – Entities that are responsible for performing a DSRIP project. DSRIP-eligible providers include both major public general hospitals and safety net providers, collaborating together, with a designated lead provider for the group.

Redeployed Personnel - Redeployed employees are people who are currently employed by any PPS partners in DSRIP Year 1 and who transition into another job title, including those who transition to another job with the same employer.

Retraining - Retraining is defined as training and skill development provided to current employees of PPS partners for the purpose of redeployment or to employees who are at risk or layoff. Skill development includes classroom instruction, whether provided by a college, or other training provider. It can include, particularly for at-risk employees, longer-term training to support transition to high demand occupations, such as Care Manager or Nurse Practitioner.

Training - For the purposes of DSRIP, training includes all formal skill development provided to any employees who provide services for the PPS-selected projects or central support for the PPS. Skill development includes classroom instruction, whether provided by a college or other training provider. It can include longer-term training to build talent pipelines in high demand occupations, such as Nurse Practitioner. Training includes skill development provided to incumbent workers whose job titles do not change but who are expected to perform new duties. Training also includes skill development for new hires.

For a complete DSRIP glossary, including non-workforce-related terms, please see the New York State Health Department's DSRIP Glossary page.