DSRIP Applications Point to Changing Workforce Needs

2015 Winter Newsletter, Policy Updates

Performing Provider Systems (PPS) across New York State recently submitted their applications to the New York State Department of Health for the Delivery System Reform Incentive Payment Program (DSRIP).  Part of New York State’s Medicaid waiver, the goal of DSRIP is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25% over 5 years.  Over $6 billion will be available to healthcare and social service providers (collectively referred to as a PPS) to fundamentally transform the way health care is delivered in New York State.

This system transformation will have major implications for the healthcare workforce in New York City.  The nine PPS applications in New York City, all of which are lead by hospitals, outlined expectations for changes in their workforce.  Most expected a reduction in the staffing of inpatient and emergency department care while simultaneously increasing capacity in outpatient services, primary care, community-based services, and home care.  In addition to retraining and redeployment, there will be a need to hire new workers to fulfill DSRIP goals.

A common theme across the applications was the need for new or enhanced skills for the incumbent workforce, including communication, multidisciplinary teamwork, care transitions and coordination, chronic disease management, and cultural competency.  Many of the applications identified a need to hire care coordinators, patient navigators, outreach workers, community health workers, and care managers to ensure better integration of the delivery system and in order to identify and resolve barriers in accessing care.  With a strong focus on prevention and chronic disease management, nutritionists and health educators, especially in areas such as diabetes, asthma, HIV, and tobacco cessation, were also included.  Many PPS’s plan to integrate primary care and behavioral health services, and to increase capacity in these areas, creating additional demand for primary care physicians, nurse practitioners, mental health professionals, social workers, and peer counselors.  In order to track the impact of changing models of care and progress towards goals, PPS applicants cited the additional need for data analysts and HIT professionals.

More information about DSRIP and the PPS applications can be found on the Department of Health’s website here.