The Suffolk Care Collaborative (SCC) is the Performing Provider System (PPS) for Suffolk County under the Delivery System Reform Incentive Payment (DSRIP) program. The SCC has resulted from the recent partnership of thousands of healthcare delivery partners across Suffolk County, NY.
The goal of SCC is to meet the requirements of the Triple Aim Initiative – improving the patient experience of care, improving the health of populations and reducing the per capita cost of healthcare.
Our goal will be met by successfully implementing the New York State initiative called DSRIP focusing on system transformation projects, clinical improvement projects and population health projects over a five-year period.
Office of Population Health at Stony Brook Medicine
As the healthcare landscape changes, access to appropriate levels of care, patient clinical needs, payment methodologies and care delivery models have increased in complexity. The vision for The Office of Population Health (OPH) at Stony Brook Medicine is to improve county-wide health by addressing a wide range of challenges to health, to focus on building strategy and programs that will identify and stratify the risk in our population, and to improve clinical outcomes and financial results.
Based on a continuing community needs assessment, the OPH will support the SCC by designing programs and a care management infrastructure with its partners in order to align system transformation, clinical management and population health.
The role of the OPH addresses a broad definition of population health, one that focuses not only on the high-risk patients responsible for the majority of healthcare costs, but also on prevention and care of the chronic needs of all patients. The OPH will provide a way for outpatient care management to examine our population health vision. Since there are not enough providers to manage every patient continuously, our plan requires automation and predictive modeling through biomedical informatics to support providers through a care management infrastructure.
Under the guidance of the OPH, the care management program will identify, navigate, and support patient populations by supplementing the role of our provider partners to manage patient populations more effectively and efficiently, drive better outcomes, and decrease overall cost, as demanded by value-based reimbursement.
- To organize a multi-disciplinary authoritative body to lead development of service interventions, protocols and programs that address significant community and population health problems.
- To train and support a care management infrastructure with an evidence-based approach to public health interventions, health services, and health policy.
- To educate and engage our providers in community and population health sciences.
- To eliminate health disparities and improve measurable health outcomes through sustained community and organizational partnerships.