Poverty as an Underlying Factor in the Delivery System Reform Incentive Payment (DSRIP) Program

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In 2014, Care Compass Network was created as a Performing Provider System (PPS) by the New York State Department of Health to convene and collaborate with partner organizations within a nine-county region, focusing on transforming the delivery of healthcare through increased quality of care outcomes, a reduction in preventable hospital visits, and a reduction in avoidable hospital readmissions by the Medicaid population. As CCN and our partner organizations create innovative new programs that will provide increased levels of care and health outcomes, one of our Regional Performing Units (RPU) began a discussion on what some of the root causes are that have brought about change in the delivery of healthcare.

Recently the South RPU team that covers Broome and Tioga Counties, gathered information about one of the Social Determinants of Health barriers, poverty. Many times, poverty becomes a cycle that causes trauma and toxic stress, which can negatively impact individuals and families alike. Often those who live in poverty are more likely to experience more violence, unemployment, foreclosure, deportation, homicide, illness and hospitalization, and/or eviction.

Besides poverty, low-income families can also experience a variety of other barriers to care, including language and cultural barriers, transportation challenges, and difficulty making work and child arrangements to accommodate health care appointments.

Key Findings:

According to the demographic data pulled from the Social Explorer, generally speaking, Black and Hispanic individuals in Broome and Tioga Counties are twice as likely to experience extreme poverty. While children are at greater risk for poverty than adults and seniors.

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Next Steps:

As the South RPU team continues their work within DSRIP, further discussions and analysis will be done, focusing on the Social Determinants of Health and how those effect the population that we are seeking to help through the healthcare delivery transformation.