CHA News Article

Report Highlights Successes of California’s DSRIP
Program significantly improved processes and health outcomes for patients

A new report issued by the California Association of Public Hospitals and Health Systems and its quality improvement affiliate, the California Health Care Safety Net Institute, highlights the successes of the Delivery System Reform Incentive Program (DSRIP), California’s federal pay-for-performance initiative, authorized under the section 1115 “Bridge to Reform” Waiver Demonstration. The first program of its kind in the nation, the DSRIP has paved the way for the Centers for Medicare & Medicaid Services’ approval of DSRIPs in several other states.

The DSRIP has both enabled and required California’s public health care systems (PHS) to make significant improvements in core delivery across their systems in primary care, specialty care, inpatient and other settings. Under the DSRIP, each PHS carries out 15 concurrent projects that span its entire system. Each DSRIP project is directly tied to performance milestones in the domains of infrastructure development, innovation and redesign, population-focused improvement, urgent improvement in care and HIV transition projects.

“The last five years have laid the groundwork for transformation, by proving that delivery system reform incentive programs work, and by doing this in a way that will lead to even stronger outcomes if this momentum is maintained. The next five years are critical for California’s 21 public health care systems to build on this foundation, and more fully transform California’s PHS into high performing health systems that provide access to safe, high-quality, and effective care for the millions of patients who rely on them.”

The full report is attached.