The New York State Department of Health (DOH) recently convened a meeting of “Project 11” Delivery System Reform Incentive Payment (DSRIP) program performing provider systems (PPSs) to discuss patient activation strategies. Project 11 is intended to engage low- and non-utilizing Medicaid populations and the uninsured in their health care. The project was available primarily to public hospital-led PPSs and PPSs that are the sole ones in their region. The PPSs were required to use the Patient Activation Measure® (PAM) survey, an evidence-based tool that assesses engagement levels and offers guidance on how to increase activation and improve outcomes. The PAM score is a starting point for additional patient coaching, particularly for less-engaged patients.

In partnership with community-based organizations (CBOs), PPSs have sought people in their communities who could benefit from care connections. To date, PPSs and partners have used a monthly average of 20,000 to 30,000 PAM® surveys, implemented new coaching methods that increased each patient’s level of activation, and connected the uninsured to benefits and patients to Medicaid Health Home, primary care, and other health care services.

At the meeting, DOH and Insignia, which licenses the PAM® survey tool, provided an update on Project 11. PPSs had an opportunity to discuss overall project implementation, data and integration processes, and overall successes and challenges during the project’s implementation. In partnership with DOH, PPSs are starting to consider how the PAM® survey tool can be sustained and spread further into the health care delivery system.

GNYHA and DOH continue to support PPSs implementing Project 11. GNYHA will highlight the importance of Project 11 during the Symposium on Innovations in Patient Engagement on November 6. Additional information and a formal announcement will be sent out in late September.