HEAL NY Phase 17 Awards

Applicant Project Name Project Description Region Project Contact Project Award Project Match Total Project Amount
Anthony L. Jordan Health Center HIE Supported Care coordination for Low Income Patients with Affective Disorders The project integrates mental health and medical care to the benefit of the target population in Southwest Brooklyn. The targeted patient population ranges from schizophrenia only to all patients with serious and persistent mental illness ("SMI"), which include individuals with schizophrenia, schizoaffective disorder, bipolar disorder, and severe chronic depression. Western Bridgette Wiefling, MD
585-423-2878.
bwiefling@jordanhealth.org
$4,533,500 $4,533,550 $9,067,050
LIPIX, Inc Coordinating Care Through Interoperable HIT on Long Island Within this project, LIPIX proposes to not only greatly expand the breath of providers connected to its network by adding fifty-five (55) provider entities, but also to expend its efforts on the enhancement of regional care coordination. Long Island Benjamin Stein, MD
877-698-4759
bstein@lipix.org
$19,962,249 $22,956,633 $42,918,882
Maimonides Medical Center Comprehensive Care Management for Patients with Serious Mental Illness The project integrates mental health and medical care to the benefit of the target population in Southwest Brooklyn. The targeted patient population ranges from schizophrenia only to all patients with serious and persistent mental illness ("SMI"), which include individuals with schizophrenia, schizoaffective disorder, bipolar disorder, and severe chronic depression. New York City Pamela Brier
718-283-6009
pbrier@maimonidesmed.org
$9,810,751 $9,878,257 $19,689,008
NY Presbyterian Hospital Expanding Care Coordination Through the Use of Interoperable Health IT The project will centrally address the redesign of primary care in Northern Manhattan by supporting physicians in the transformation of their practices into Patient Centered Medical Homes (PCMHs). New York City William A. Polf, PhD
212-305-1063
polfwil@nyp.org
$10,762,040 $10,778,073 $21,540,113
NYC Health and Hospitals Corporation Connecting Primary and Behavioral health Care @ NYC HHC The mission of the Connecting Primary and Behavioral Health Care @ NYC HHC (CPBHC) project, the New York City Health and Hospitals Corporation's (HHC's) proposed HEAL 17 project, is to build capacity to improve medical and behavioral health care for patients with chronic mental illness through the clinical collaboration and integration of care processes between medical primary care providers and behavioral health providers. New York City Ramanathan Raju, MD, MBA
212-788-3321
rajur@nychhc.org
$10,000,000 $12,622,717 $22,622,717
NYC Regional Extension, Adoption Center for Health Improving Engagement and Care Coordination for Mental Health Patients in New York City REACH will be creating a new division of the Extension Center dedicated exclusively to extending EHRs to mental health providers. The proposed project will utilize NYC REACH's existing HIT and interoperability infrastructure to facilitate health information exchange between designated mental health providers in the care coordination zone (CCZ) and existing PCMH-qualified PCIP primary practices. New York City Amanda Parsons, MD, MBA
212-788-5534
aparsons@health.nyc.gov
$9,931,577 $11,813,248 $21,744,825
St. Barnabas Hospital Patient Centered Medical Home/Fordham-Tremonth Mental Health Clinic EMR Project The goal of this project is to implement access to electronic medical records throughout St. Barnabas Hospital and at each site of the Fordham-Tremont Community Mental Health Center. This implementation will support optimal patient care and ensure IT is utilized appropriately and meaningfully, in keeping with the Patient Centered Medical Home model. New York City Leonard Walsh
718-960-6561
lwalsh@sbhny.org
$3,875,894 $3,875,894 $7,751,788
THINC, Inc. Mental Health Care Coordination Project Each of the six participating NCQA Level 3 PCMHs have deployed a comprehensive, interoperable EHR system with registry-like features specifically designed to support the Care Model, manage both individual and population-based health, and report nationally-recognized quality outcome data. The success of the project will be demonstrated through improved management and coordination of care, as well as patient outcomes, for 8,550 patients with affective disorders in NY State's Hudson Valley. Hudson Valley Susan Stuard
845-896-4726
sstuard@thinc.org
$8,744,814 $9,366,040 $18,110,854
UB Associates Extending a Patient Centered Medical Home for Patients with Progressive Diabetic Nephropathy to include Mental Health Disorders The project is designed to address significant chronic health needs for an underserved patient population who have been diagnosed with diabetes, chronic kidney disease (CKD), end stage renal failure (ESRD), and the chronic mental health disorders depression, chronic anxiety and chemical dependency. The extended PCMH will facilitate improved clinical decision-making and establish a medical informatics resource at the point of service in an underserved community health center and its affiliated home care and acute care practice sites. Western Russell W. Bessette, MD
716-881-7546
bessett@buffalo.edu
$20,000,000 $23,000,000 $43,000,000
Unity Hospital Extending a Patient Centered Medical Home for Patients with Progressive Diabetic Nephropathy to include Mental Health Disorders Integrate data and expand care coordination through the use of interoperable Health IT, centered on the RHIO, so that when patients move from one system to another have an accurate and comprehensive summarized patient history to ensure continuity with the next provider of care, within and beyond the boundaries of the Unity Health System. Western Margaret A. Donahue, MD
585-368-3782
mdonahue@unityhealth.org
$7,175,778 $7,284,300 $14,460,078
Western NY Clinical Information Exchange (dba HEALTHeLINK) Expanding Care Coordination Through the Use of Interoperable Health IT Through the use of the Patient-Centered Medical Home (PCMH) model and health IT, HEALTHeLINK and its partners will follow the DIAMOND model (Depression Improvement Across Minnesota, Offering a New Direction), which transforms the way care is provided in the primary care setting. Western Daniel E. Porreca
716-206-0993
dporreca@wnyhealthelink.com
$3,779,098 $5,478,292 $9,257,390