COMMUNITY CARE OF BROOKLYN
Community Care of Brooklyn (CCB) was established under the New York State Delivery System Reform Incentive Program (DSRIP) to promote the transformation of the healthcare system in a way that will improve patient experience and drive high-quality, cost-effective care. CCB envisions a future in which health outcomes and patient satisfaction are improved, and preventable hospitalizations are reduced, through the support for best practices in primary and specialty care, shared IT systems, and more consistent strategies for care coordination.
With over 800 participant organizations and more than 3,000 clinical providers, including 1,100 primary care providers, the CCB performing provider system (PPS) aims to create a new model of coordinated care for Brooklyn’s Medicaid population, with the goal of improving healthcare for Medicaid beneficiaries, and transforming the healthcare delivery system in Brooklyn. In addition to many independent healthcare providers, CCB partnership includes healthcare systems, such as medical centers and hospitals, Federally Qualified Health Centers (FQHC), and Independent Practice Associations (IPA).
CCB is helping to coordinate more than 10 DSRIP projects that target the healthcare needs of patients throughout Brooklyn. These projects focus on patients with diverse types of illness and address needs of both specific patient populations and specific settings of care. Among the most important projects is “3.g.i.”, which aims to integrate palliative care into the Patient-Centered Medical Home Model. CCB believes that improvement in the practice of primary palliative care—interventions delivered through primary care that aim to reduce the burden of illness associated with any type of serious chronic illness—is essential to advancing the PPS transformational agenda.
The Palliative Care Project 3.g.i.
Project (3.g.i.) will be accomplished through an innovative and sustained collaboration with the education and research-based MJHS Institute for Innovation in Palliative Care, a member of the not-for-profit MJHS health system. Through this collaboration, the primary care providers in the CCB network will have access to a multifaceted educational program focused on best practices in palliative care and specific practice support through patient screening and education, guidelines for the management of common problems in the seriously ill, and outcomes tracking. This effort will achieve the overarching DSRIP goals of partnership, guideline development and dissemination, and patient engagement.