Working to change the culture of care

Bob Gorman

Bob Gorman

Fort Drum is full of acronyms, but the two most recent acronyms to come to the north country are courtesy of civilians: DSRIP and ALICE.

The state’s Delivery System Reform Initiative Payment (DSRIP) program is a short but tongue-twisting way of saying that too much money is being spent on people after they are sick and not enough is being spent on keeping people from getting sick.

ALICE stands for Asset Limited, Income Constrained, Employed, which is another tongue-twisting way of referring to the working poor.

The DSRIP punchline is this: The region wants to reduce hospital use by 25 percent within five years

The ALICE punchline is this: The state is getting dangerously close to having 50 percent of its households unable to generate enough income to cover the basic costs of living, let alone save for the future.

But first, DSRIP. Changing the culture of treatment to a culture of prevention is going to be difficult, especially when too many of us overdose on opiates, alcohol, tobacco, sugar, etc. Too many of us also suffer from mental, emotional and behavioral health issues. The easy thing to do is put off addressing a health issue in hopes it will go away. If we are wrong, well, there is an emergency room nearby.

Everyone in health care agrees with the direction, although hospitals are quietly trying to figure out how to eventually retool their budgets, staffs, etc., if one quarter of their patient load no longer shows up.

Leading that conversation is the North Country Initiative, which is operated out of the Fort Drum Regional Health Planning Organization. The Initiative has already secured $3 million to help the region’s hospitals with this transition, while identifying key targets such as suicide prevention, smoking cessation and diabetes reduction.

Also facing the change in direction is our nonprofit community, which is now expected to become part of a health care provider system. That sounds nice on paper, but it is requiring a complete turning of the ship for agencies that have historically operated as individual organizations.

“(DSRIP) is extremely relevant and is actually what I spend most of my days, and sleepless nights, working on,” said Korin Scheible, executive director of the Mental Health Association of Jefferson County.

“DSRIP is the main reason for our name change” from the Alcohol and Substance Abuse Council of Jefferson County to Pivot, said Executive Director William Bowman. That’s because Pivot is looking at the entire health care of an individual, not simply guiding people away from addictions.

“Currently the impact to our agency is mainly administrative, but there will be some programmatic aspects that will become part of our services as time goes on,” said Bowman. “We are looking at how our services impact the DSRIP goals of reducing unnecessary hospital admissions by 25 percent, and aligning our outcome measures to help determine that.”

Access Care and Resources for Health recently hired a staff person specifically to guide its agency through DSRIP. But it wasn’t easy. In a press release the agency noted: “ACR Health recognized the magnitude of DSRIP and made the difficult decision to take on a full-time DSRIP Coordinator, Poonam Patel. The lack of supporting funds to manage infrastructure and hire staff poses challenges as individuals in their full-time roles take on newly incorporated DSRIP responsibilities.”

Yet, all nonprofits that provides any health care services — such as behavioral health and opioid addiction — understand that treating an individual individually by each agency and health center or hospital is not always in the best interest of the person.

“We are trying to help treat the overall health — mind, body and spirit,” said Jim Scordo, executive director of Credo, which several years added a mental health clinic to its role in helping people end their drug addictions.

To better understand how DISRIP will affect the north country, please see this 20-minute tutorial at: https://vimeo.com/160913448

As for ALICE, a statewide United Way report released in November shows that 44 percent of the state’s households are generating incomes below the threshold needed to provide rent, food, medical care, educational opportunities for children and saving for the future.

In Watertown, the percentage is 57 percent. That number is in part the reason the state this year awarded a $1 million anti-poverty grant to the city, which has asked the United Way of NNY to administer. We have asked former Watertown Y executive director Peter Schmitt to lead this effort to help us better understand how we can help people receive services more promptly, and fund programs that help more citizens become self-sufficient.

DSRIP and ALICE alone won’t solve all the issues facing our community. But they are good starts and will be acronyms worth knowing about in the years to come.

Thank you, volunteers, for all you do

HOLLY BONAME n NNY BUSINESS In Jefferson County this year's recipients of the Macsherry Family Community Spirit Awards are Tops Family Markets and Heather White, left, With Richard Macsherry.

HOLLY BONAME n NNY BUSINESS
In Jefferson County this year’s recipients of the Macsherry Family Community Spirit Awards are Tops Family Markets and Heather White, left, With Richard Macsherry.

[Read more…]

August 2016: Nonprofits Today

Embracing the call to ‘Lives Matter’

Bob Gorman

Bob Gorman

In September 1976 my brother, Jim, was shooting baskets with fellow members of the Morgan State University basketball team. It was “open gym” so other students were nearby shooting baskets as well.

No big deal, except for one minor detail: Jim had just shown up on campus as the first white player to receive a basketball scholarship to Baltimore’s “historically black” Morgan State. [Read more…]

April 2016: Nonprofits Today

Working for north country businesses

Editor’s note: The following information was presented March 3 during the Business of the Year Awards given by the Greater Watertown-North Country Chamber of Commerce. The United Way of Northern New York was named the Small Nonprofit of the Year at the event.

Bob Gorman

Bob Gorman

Every day the Watertown Daily Times prints the names of people charged with driving under the influence. It’s easy to dismiss the names as representing the dregs of society.

But if you are in management around here long enough, one day one of those names will belong to one of your employees, a person who is crucial to the success of your business. [Read more…]

Business of the Year award recipients honored by Watertown chamber

Krafft Cleaning services’ Lynn E. Krafft, left, and Justin Krafft receive the For Profit, Fifty or Fewer Employees Business of the Year Award Thursday from Kylie Peck, president of Greater Watertown-North Country Chamber of Commerce at Savory Downtown. Photo by Justin Sorensen, Watertown Daily Times.

Krafft Cleaning Services’ Lynn E. Krafft, left, and Justin Krafft receive the For Profit, Fifty or Fewer Employees Business of the Year Award Thursday from Kylie Peck, president of Greater Watertown-North Country Chamber of Commerce at Savory Downtown. Photo by Justin Sorensen, Watertown Daily Times.

With roots in the city that go back to 1915, RBC Wealth Management was among the 2015 Business of the Year award recipients honored Thursday by the Greater Watertown-North Country Chamber of Commerce. [Read more…]

February 2016: Nonprofits Today

Nonprofits on front lines of heroin war

Bob Gorman

Bob Gorman

In her office at Pivot, Anita Seefried-Brown has created a collage with the faces of bright and promising young adults, all now dead from heroin and other opiate overdoses. One of the photos is of her late son, Herbie. [Read more…]

December 2015: Nonprofits Today

Local nonprofits react to wage hike

Columnist Bob Gorman

Columnist Bob Gorman

When anyone discusses the north country economy, the usual suspects are Fort Drum, agriculture and tourism. But “nonprofits” should always be part of the conversation.

More than six years ago, the Watertown Daily Times studied the financial impact of nonprofits on the north county and published this: [Read more…]

October 2015: Nonprofits Today

Transparent nonprofits build trust

Bob Gorman

Bob Gorman

An employee of the Jefferson Rehabilitation Center was recently arrested for allegedly stealing $45,000 from the bank accounts of JRC clients.

Such news is the last thing any nonprofit wants to hear. But the good news is that JRC did the right thing — it investigated the allegations, called police and is now letting the chips fall where they may. [Read more…]

July 2015: Nonprofit Toolkit

Commit to making a real difference

Columnist Bob Gorman

Columnist Bob Gorman

Which businesses relentlessly provide financial support to area nonprofits and other local causes? [Read more…]

April 2015: Nonprofits Today

North country connects with 2-1-1

Columnist Bob Gorman

Columnist Bob Gorman

Since 2000, residents of Georgia and Connecticut have been using 2-1-1, the nationally authorized phone number that connects callers to nonprofit and government services offered in their community.

Since 2007, residents of Plattsburgh and communities in all but 10 New York State counties have enjoyed the same service.

And finally in February, 2-1-1 came to Jefferson, Lewis and St. Lawrence counties. [Read more…]