Programs

If a patient consents, the only people who can access the patients’ health information are FLIPA’s network of providers that see a particular patient/client, and staff members on the FLIPA team that are responsible for contract management.

If a patient consents, FLIPA and its participating provider organizations will use the patients’ health information for: treatment services, insurance eligibility verification, care coordination, case management, and quality improvement initiatives.

The goal is to utilize FLIPA’s shared data platform: Garage​ to share data between those that serve the same patient/client.

A patient can deny or withdraw their consent at any time. The consent will be in effect until the day the patient changes their consent choice or death.​The patient health information sharing is governed by laws and regulations including New York Mental Hygiene Law Section 33.13, New York Public Health Law Article 27 F, and federal confidentiality rules, including 42 CFR Part 2 and HIPAA.

FLIPA uses Garage’s Bridge software platform for secure, real-time sharing of patient information across providers, care managers, patients, and their providers. It enables them to communicate with patients, track their care across different providers and agencies, view clinical data, and improve their care through intelligent analytics.

Bridge enables FLIPA to instill confidence in patients about their privacy while strengthening relationships with providers. It’s one of our most important tools for improving the health of the communities we serve and lowering costs.

Garage pulls together patient information from multiple sources, from risk information to diagnosis codes to prescriptions and behavioral health. It can even show the claims from hospital visits and the associated costs.

All this matters to our members, because a comprehensive picture of every patient leads to better care and lower costs. FLIPA enables its members to maximize their compensation through Value-Based Payments—the dollar amount set by insurers and health systems for specific health episodes. If an organization can address a given health episode for below the set dollar amount, they’re able to receive the difference as revenue.

The money FLIPA members save gets reinvested into their organizations so they have more resources to meet their needs, such as hiring more healthcare professionals.

• Strengthen relationships between Primary Care and Behavioral Health providers
• Create teams within FLIPA members
• Identify and address social determinants of health in pilot participants
• Administer the standardized Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) assessment tool three times (beginning of the pilot, at 60 days, and at 120 days)
• Create an incentive program to help address barriers caused by social determinants of health
• Lower overall costs for providers and insurers
• Identify services that are lacking in the FLIPA network to help expand existing services

The six-month pilot involved four member organizations to test a collaborative model for treating high-risk patients. Two sets of organizations formed pairs, each included a primary care provider and a substance use disorder behavioral health provider. FLIPA selected a cohort of patients at high risk using a range of criteria. From there, we developed a model around those patients in which the paired organizations met weekly to discuss each case, from addiction and mental health to primary care to social determinants such as employment, transportation, childcare, and housing. Those two pairings were:

• Finger Lakes Community Health was paired with FLACRA
• Tri-County Family Medicine was paired with Casa Trinity

Participants conferred with each other to coordinate their care more effectively. For instance: if there was a patient in recovery from addiction, one provider in the meeting might note that the person needed to get their driver’s license back so they could return to the workforce, get help when they need it, and avoid going to the ED for things like anxiety attacks.
The pilot program found that pairing these diverse organizations to coordinate on patient care led to dramatically improved outcomes and lower costs.