The AHI Performing Provider System (PPS) is an integrated, multi-sector network of over 100 organizations and agencies serving individuals across a largely rural area of upstate New York. The network serves community members in Clinton, Essex, Franklin, Fulton, Hamilton, Saratoga, St. Lawrence, Warren, and Washington counties. The AHI PPS has been formed as a partnership to plan for and manage health care restructuring in the northern New York/Adirondack region and administer the NYS Department of Health (DOH) DSRIP (Delivery System Reform Incentive Payment) program. The nine county service area spans nearly 11,000 square miles and the network serves approximately 144,000 Medicaid beneficiaries. Due to the large size of the AHI PPS, five (5) Population Health Networks (PHNs) have been created: Queensbury/Glens Falls, Fulton County, Saranac Lake, Plattsburgh and St. Lawrence County.
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 five years. DSRIP is aligned with the Triple Aim of improving access to care, improving quality of care, and reducing costs.
The AHI PPS region has experienced consistent long-term shortages of certain healthcare workers. Historically this has included physicians, mid-level providers and other staff in primary care and behavioral health settings. Needs have also occurred in post-acute care (home care and skilled nursing facilities) with home health aides, personal care aides and certified nursing assistants due to high vacancy rates. Staff in these key areas are also crucial to the successful implementation of the eleven projects and the AHI PPS Recruitment and Retention Workgroup have identified recruitment and retention in primary care, behavioral health and post-acute care settings as a high priority.