CHA News Article

Report Highlights Successes of California’s DSRIP 2010-2015

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 California’s federal pay-for-performance initiative — the Delivery System Reform Incentive Program (DSRIP) — which was 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. California’s DSRIP 2010-2015: Successes to Build On, is the first comprehensive report on cumulative successes under the program. The report features several pages of statewide results, along with a two-page brief for each individual health system. In addition, Successes to Build On tells the stories of some of the patients whose lives were transformed by care they received through DSRIP projects.

The DSRIP has both enabled and required California’s public health care systems to make significant improvements in core delivery across their systems in primary care, specialty care, inpatient and other settings. Under the DSRIP, each public health system 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, improving inpatient safety and HIV transition projects. The full report is attached.

For example, statewide:

  • Nearly 700,000 patients were newly placed into medical homes.
  • More than 1 million patients were added to disease management registries.
  • Systems that focused on increasing primary care capacity did so by more than 20 percent.
  • 36 clinics across the state piloted physical and behavioral health integration, and now serve as models for the rest.