NYHER RFA – Addendum #3
Another update was posted today.
a) Here is the direct link to the updated RFA (warning – PDF) ..
b) Here are the addenda (#1,2,3) – just 4 pages – so you don’t have to download the whole RFA again.
Now let’s parse the recent changes:
Section IIThe Applicant must be a 501(c)(3) or 501(c)(4) non-profit organization. The type of501(c)(3) or 501(c)(4) non-profit must be one of the following entity types: Community-Based organizations (CBO), Independent Practice Associations (IPAs), Health Homes,Behavioral Health Collaboratives, Federally Qualified Health Centers (FQHCs), orformer/current Deliv...
Source: Docnotes - March 17, 2024 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
FHIR and SCNs – NY 1115 waiver
Applying to be an SCN? Wondering how to respond to this paragraph?I’ll help you for free. No kidding. No strings attached. (Source: Docnotes)
Source: Docnotes - March 4, 2024 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Social Care Networks – NY
The initial RFA for New York was posted weeks ago and got rather thorough coverage so I didn’t need to discuss it here – though (predictably) I have many thoughts on the matter.Hot off the press today is an addendum. It’s a pdf but I’ve chopped it off so the link over there is just the 1st two pages of the addended document – all of which is here ICYMI. I’ll review the addendum (changes in red) below with some commentary:
Addendum
My Comments
Note that this constrains the participants. Removing “including” means that others need not apply – clearly this preclu...
Source: Docnotes - February 20, 2024 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Health > Care, Border Runs
November will mark the beginning of the 24th year of this blog. While my posts are far from frequent, I hope that each one is helping others in some way.
That’s always been my goal. Along these lines, I’ll offer the answer to a question I was asked by a start-up health IT company yesterday, and will also outline the process for the Costa Rica ==> Nicaragua ==> Costa Rica border run, which is both necessary and relatively easy.
Health > Care
“Dr. Reider – why are you interested / willing to help out little company?”Some context – and then my response. (After – ...
Source: Docnotes - October 21, 2023 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
ChatGPT Builds a Scan Server
Printers share attributes with fiberglass boats in that they do last a long time – especially if well cared for. We’ve had an HP Laserjet 1320 in the house for decades and it’s been quite reliable. Our challenge is that it’s a USB (or parallel port) printer and we’ve struggled with the network contraptions I’ve built to connect it to our home network – so when I found a printer that uses the same toner cartridges, low page count, embedded scanner and networking capability on eBay – I jumped and spent $80 to upgrade us to another (very) old printer.
So long...
Source: Docnotes - June 18, 2023 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Pulling The Rope
Dan used to say to me that we needed to motivate our teams to pull the rope. At first – I wasn’t sure what he was talking about.
Why would they pull?
What rope?
But then ..
What’s the opposite of pulling a rope?
Pushing it.
Think about how successful you will be when you do that. Yeh – pile of rope on the floor.
When / how / if people pull the rope is a product of two things:
a) Their motivation
b) Our inspiration
It’s impossible to inspire people who have no interest. It’s also impossible to inspire people without a compelling mission / story / reason.
If we have both ...
Source: Docnotes - October 18, 2022 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Welcome Back Kotter: New York ’ s next 1115 Waiver
The objectives of DSRIP 1.0 – a laundry list of HEDIS measures – made the program difficult to manage “on the ground” and too tightly tied to medical measures of success.
Too many choices. PPS were given choices about which projects they would work on – and by extension – which projects would be funded and measured. The projects were tactically expressed – and therefore too prescriptive – not just defining goals to be achieved – but presuming that DOH knew how goals would best be achieved. In many cases – this mismatch between what to do and how it would be done was...
Source: Docnotes - January 30, 2022 Category: Primary Care Authors: Jacob Tags: Health Politics Technology 1115 DSRIP VBP Source Type: blogs
Primary Health! Now from Circulo
BLUF – in October, Circulo acquired my little company, Huddle Health. We are now fully integrated into Circulo – and it’s time to describe the rationale for our convergence and some of what comes next.
If you haven’t read my short essay on Primary Health, please go read that first. We’ll wait.
—
Ok … back? Great. Now, let’s resume the story.
Years ago, I was on the faculty at Albany Medical College. We had a course called Health, Care & Society wherein students were challenged to learn and think about ethical issues, health policy principles and enga...
Source: Docnotes - January 3, 2022 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Organizational Optimization
Progress is impossible without change; and those who cannot change their minds cannot change anything.” ~George Bernard Shaw
I was asked by a member of my new team (more on that to follow) to share some resources that might be helpful as we migrate toward perfection. Rather than plopping this into a Slack message – I’ll share here so he’s not the only one to benefit.
Since humans are imperfect, any convergence of humans will also be imperfect – as will the products of our shared work. Nonetheless – our goal will always be to make our work product(s) as close to perfect as possib...
Source: Docnotes - October 29, 2021 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
What is Primary Health?
I’ve been writing a blog post on this topic for a few months.
It’s gone through several iterations and has survived a half-dozen friendly editors. This post isn’t that post, which still needs honing and will follow in the coming days. This post is the personal prelude – the why that perhaps is important to share before the what.
Simon Sinek says we should start with why.
Here goes:
My decision to go to medical school was long-delayed. Indeed – I took no science classes in college – assuring myself that I would not follow the path of my father and grandfathers – all of wh...
Source: Docnotes - August 25, 2021 Category: Primary Care Authors: Jacob Tags: Health Uncategorized Source Type: blogs
Health Equity
I suspect that you have seen the drawing and blog post describing the difference between equity and equality. It’s a compelling image. Obviously, the shortest child, given equal access to view the baseball game will benefit rather little from such equality.
Yesterday, along with several dozen others, I volunteered at a local county Covid-19 vaccination site. The experience was both uplifting and concerning.
Uplifting: despite an allocation of vaccine that was (much) less than expected, the team – a hodgepodge of retired and semi-retired doctors, nurses, county employees, lawyers and other non-clinical pe...
Source: Docnotes - January 15, 2021 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Healthcare vs. Health Care
Well, it’s finally happened. Mr. HisTalk and I violently disagree. His note today includes:
Re: journalistic style. Is it ‘health care’ or ‘healthcare?’” I use the rules of the “AP Stylebook” for journalists with few exceptions, but one of those is that I write “healthcare” as a single word. I don’t have a strong feeling either way , but the one-word variant saves space without sacrificing (although I acknowledge that (“medicalcare” or “hospitalcare” don’t work).
For reference – see the HHS web Style Guide:
Health CareNot healthcare, except on an agenc...
Source: Docnotes - May 31, 2020 Category: Primary Care Authors: Jacob Tags: Uncategorized health care healthcare Source Type: blogs
Three Big Changes
Prognosticators offer narratives of what the post-pandemic world will look like, and we see leaders invoke Rahm Emanuel (or was it Winston Churchill?) in their expressions of how they will “Gretzky” this.
Here’s my take. None of this is particularly prescient, but I’ve been asked a few times what I think comes next. My real answer? I don’t know. Some guesses below – all brought to you by the letter p.
Place – where things will happen will never be the same. The assumptions we have made about where things need to happen will evaporate, as many of them already have.
Whe...
Source: Docnotes - April 27, 2020 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Why Fee For Service Hurts Us: The Plain Language Version
I’ve had a few conversations recently with elected state officials, and I’m reminded that speaking plain language always helps. Here goes:
We all agree that fire stations are a good thing, right?
And we agree that we don’t want them to be busy …
So if the firefighters are always watching Three’s Company reruns, that would be good. We still pay for the fire station. We still pay the salaries. Happily.
Therefore – paying firefighters more for fighting more fires would be silly: their financial success would align with hardship in the community.
But this is how we pay medical ...
Source: Docnotes - February 27, 2020 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
Toyota Mirror Replacement
.. and now for something completely different. For me, writing a blog isn’t about getting clicks, earning ad revenue (no ads here) or getting tweeted. I write here to share insight that may be helpful to others. I started writing this in 1999. Topics vary, but I don’t think I’ve blogged yet about car repair. My last big home improvement project (replacing the tank water heater with an on-demand tankless one when the former died suddenly) was well covered on Facebook. I think my rationale there was: “hey friends, look what I did!” Facebook is good for that. Many people have made...
Source: Docnotes - February 2, 2020 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs
