N.Y. Public Health Law Section 2805-X
Hospital-home care-physician collaboration program


1.

The purpose of this section shall be to facilitate innovation in hospital, home care agency and physician collaboration in meeting the community’s health care needs. It shall provide a framework to support voluntary initiatives in collaboration to improve patient care access and management, patient health outcomes, cost-effectiveness in the use of health care services and community population health. Such collaborative initiatives may also include payors, skilled nursing facilities and other interdisciplinary providers, practitioners and service entities.

2.

For purposes of this section:

(a)

“Hospital” shall include a general hospital as defined in this article or other inpatient facility for rehabilitation or specialty care within the definition of hospital in this article.

(b)

“Home care agency” shall mean a certified home health agency, long term home health care program or licensed home care services agency as defined in article 36 (Home Care Services)article thirty-six of this chapter.

(c)

“Payor” shall mean a health plan approved pursuant to article 44 (Health Maintenance Organizations)article forty-four of this chapter, or article thirty-two or forty-three of the insurance law.

(d)

“Practitioner” shall mean any of the health, mental health or health related professions licensed pursuant to title eight of the education law.

3.

The commissioner is authorized to provide financing including, but not limited to, grants or positive adjustments in medical assistance rates or premium payments, to the extent of funds available and allocated or appropriated therefor, including funds provided to the state through federal waivers, funds made available through state appropriations and/or funding through § 2807-V (Tobacco control and insurance initiatives pool distributions)section twenty-eight hundred seven-v of this article, as well as waivers of regulations under title ten of the New York codes, rules and regulations, to support the voluntary initiatives and objectives of this section.

4.

Hospital-home care-physician collaborative initiatives under this section may include, but shall not be limited to:

(a)

Hospital-home care-physician integration initiatives, including but not limited to:

(i)

transitions in care initiatives to help effectively transition patients to post-acute care at home, coordinate follow-up care and address issues critical to care plan success and readmission avoidance;

(ii)

clinical pathways for specified conditions, guiding patients’ progress and outcome goals, as well as effective health services use;

(iii)

application of telehealth/telemedicine services in monitoring and managing patient conditions, and promoting self-care/management, improved outcomes and effective services use;

(iv)

facilitation of physician house calls to homebound patients and/or to patients for whom such home visits are determined necessary and effective for patient care management;

(v)

additional models for prevention of avoidable hospital readmissions and emergency room visits;

(vi)

health home development;

(vii)

development and demonstration of new models of integrated or collaborative care and care management not otherwise achievable through existing models; and

(viii)

bundled payment demonstrations for hospital-to-post-acute-care for specified conditions or categories of conditions, in particular, conditions predisposed to high prevalence of readmission, including those currently subject to federal/state penalty, and other discharges with extensive post-acute needs;

(b)

Recruitment, training and retention of hospital/home care direct care staff and physicians, in geographic or clinical areas of demonstrated need. Such initiatives may include, but are not limited to, the following activities:

(i)

outreach and public education about the need and value of service in health occupations;

(ii)

training/continuing education and regulatory facilitation for cross-training to maximize flexibility in the utilization of staff, including: (A) training of hospital nurses in home care; (B) dual certified nurse aide/home health aide certification; and (C) dual personal care aide/HHA certification;

(iii)

salary/benefit enhancement;

(iv)

career ladder development; and

(v)

other incentives to practice in shortage areas; and

(c)

Hospital - home care - physician collaboratives for the care and management of special needs, high-risk and high-cost patients, including but not limited to best practices, and training and education of direct care practitioners and service employees.

(d)

Collaborative programs to address disparities in health care access or treatment, and/or conditions of higher prevalence, in certain populations, where such collaborative programs could provide and manage services in a more effective, person-centered and cost-efficient manner for reduction or elimination of such disparities.

(i)

Such programs may target one or more disparate conditions, or areas of under-service, evidenced in defined populations, including but not be limited to: (A) cardiovascular disease; (B) hypertension; (C) diabetes; (D) chronic kidney disease; (E) obesity; (F) asthma; (G) sickle cell disease; (H) sepsis; (I) lupus; (J) breast, lung, prostate and colorectal cancers; (K) geographic shortage of primary care, prenatal/obstetric care, specialty medical care, home health care, or culturally and linguistically compatible care; (L) alcohol, tobacco, or substance abuse; (M) post-traumatic stress disorder and other conditions more prevalent among veterans of the United States military services; (N) attracting members of minority populations to the field and practice of medicine; and (O) such other areas approved by the commissioner.

(ii)

Collaborative hospital-home care-physician, and as applicable additional partner, models may include under such disparities programs: (A) service planning and design; (B) recruitment of specialty personnel and/or specialty training of professionals or other direct care personnel (including physicians, home care and hospital staffs), patients and informal caregivers; (C) continuing medical education and clinical training for physicians, follow-up evaluations, and supporting educational materials; (D) use of evidenced-based approaches and/or best practices to treatment; (E) reimbursement of uncovered services; (F) bundled or other integrated payment methods to support the necessary, coordinated and cost-effective services; (G) regulatory waivers to facilitate flexibility in provider collaboration and person-centered care; (H) patient/family peer support and education; (I) data collection, research and evaluation of efficacy; and/or (J) other components or innovations satisfactory to the commissioner.

(iii)

Nothing contained in this paragraph shall prevent a physician, physicians group, home care agency, or hospital from individually applying for said grant.

(iv)

The commissioner shall consult with physicians, home care agencies, hospitals, consumers, statewide associations representative of such participants, and other experts in health care disparities, in developing an application process for grant funding or rate adjustment, and for request of state regulatory waivers, to facilitate implementation of disparities programs under this paragraph.

5.

Hospitals and home care agencies which are provided financing or waivers pursuant to this section shall report to the commissioner on the patient, service and cost experiences pursuant to this section, including the extent to which the project goals are achieved. The commissioner shall compile and make such reports available on the department’s website.

Source: Section 2805-X — Hospital-home care-physician collaboration program, https://www.­nysenate.­gov/legislation/laws/PBH/2805-X (updated Dec. 15, 2023; accessed Mar. 23, 2024).

2800
Declaration of policy and statement of purpose
2801
Definitions
2801–A
Establishment or incorporation of hospitals
2801–B
Improper practices in hospital staff appointments and extension of professional privileges prohibited
2801–C
Injunctions
2801–D
Private actions by patients of residential health care facilities
2801–E
Voluntary residential health care facility rightsizing demonstration program
2801–F
Residential health care facility quality incentive payment program
2801–G
Community forum on hospital closure
2801–H
Personal caregiving and compassionate caregiving visitors to nursing home residents during declared local or state health emergencies
2802
Approval of construction
2802–A
Transitional care unit demonstration program
2802–B
Health equity impact assessments
2803
Commissioner and council
2803–A
Authority to contract
2803–AA
Sickle cell disease information distribution
2803–AA*2
Nursing home infection control competency audit
2803–B
Uniform reports and accounting systems for hospital costs
2803–C
Rights of patients in certain medical facilities
2803–C–1
Rights of patients in certain medical facilities
2803–C–2
Lesbian, gay, bisexual and transgender, and people living with HIV long-term care facility residents’ bill of rights
2803–D
Reporting abuses of persons receiving care or services in residential health care facilities
2803–E
Residential health care facilities
2803–E*2
Reporting incidents of possible professional misconduct
2803–F
Respite projects
2803–G
Board of visitors in county owned residential health care facility
2803–H
Health related facility
2803–I
General hospital inpatient discharge review program
2803–J
Information for maternity patients
2803–J*2
Nursing home nurse aide registry
2803–K
In-patient nasogastric feeding procedures
2803–L
Community service plans
2803–M
Discharge of hospital patients to adult homes
2803–N
Hospital care for maternity patients
2803–O
Hospital care for mastectomy, lumpectomy, and lymph node dissection patients
2803–O–1
Required protocols for fetal demise
2803–P
Disclosure of information concerning family violence
2803–Q
Family councils in residential health care facilities
2803–R
Dissemination of information about the abandoned infant protection act
2803–S
Access to product recall information
2803–T
Preadmission information
2803–U
Hospital substance use disorder policies and procedures
2803–V
Lymphedema information distribution
2803–V*2
Standing orders for newborn care in a hospital
2803–W
Independent quality monitors for residential health care facilities
2803–W*2
Disclosure of information concerning pregnancy complications
2803–X
Requirements related to nursing homes and related assets and operations
2803–Y
Provision of residency agreement
2803–Z
Transfer, discharge and voluntary discharge requirements for residential health care facilities
2803–Z*2
Antimicrobial resistance prevention and education
2804
Units for hospital and health-related affairs
2804–A
State task force on clinical practice guidelines and medical technology assessment
2805
Approval of hospitals
2805–A
Disclosure of financial transactions
2805–B
Admission of patients and emergency treatment of nonadmitted patients
2805–C
Every private proprietary nursing home having a capacity of eighty patients or more may have a licensed medical doctor in attendance, upo...
2805–D
Limitation of medical, dental or podiatric malpractice action based on lack of informed consent
2805–E
Reports of residential health care facilities
2805–F
Money deposited or advanced for admittance to nursing homes
2805–G
Maintenance of records
2805–H
Immunizations
2805–I
Treatment of sexual offense victims and maintenance of evidence in a sexual offense
2805–J
Medical, dental and podiatric malpractice prevention program
2805–K
Investigations prior to granting or renewing privileges
2805–L
Adverse event reporting
2805–M
Confidentiality
2805–N
Child abuse prevention
2805–O
Identification of veterans and their spouses by nursing homes, residential health care facilities, and adult care facilities
2805–P
Emergency treatment of rape survivors
2805–Q
Hospital visitation by domestic partner
2805–R
Patients unable to verbally communicate
2805–S
Circulating nurse required
2805–T
Clinical staffing committees and disclosure of nursing quality indicators
2805–U
Credentialing and privileging of health care practitioners providing telemedicine services
2805–V
Observation services
2805–W
Patient notice of observation services
2805–X
Hospital-home care-physician collaboration program
2805–Y
Identification and assessment of human trafficking victims
2805–Z
Hospital domestic violence policies and procedures
2806
Hospital operating certificates
2806–A
Temporary operator
2806–B
Residential health care facilities
2807
Hospital reimbursement provisions
2807–A
General hospital nineteen hundred eighty-six and nineteen hundred eighty-seven inpatient rates and charges
2807–AA
Nurse loan repayment program
2807–B
Outstanding payments and reports due under subdivision eighteen of section twenty-eight hundred seven-c, sections twenty-eight hundred se...
2807–C
General hospital inpatient reimbursement for annual rate periods beginning on or after January first, nineteen hundred eighty-eight
2807–D
Hospital assessments
2807–D–1
Hospital quality contributions
2807–DD
Temporary nursing home stability contributions
2807–E
Uniform bills
2807–F
Health maintenance organization payment factor
2807–I
Service and quality improvement grants
2807–J
Patient services payments
2807–K
General hospital indigent care pool
2807–L
Health care initiatives pool distributions
2807–M
Distribution of the professional education pools
2807–N
Palliative care education and training
2807–O
Early intervention services pool
2807–P
Comprehensive diagnostic and treatment centers indigent care program
2807–R
Funding for expansion of cancer services
2807–S
Professional education pool funding
2807–T
Assessments on covered lives
2807–U
Transfers for tax credits
2807–V
Tobacco control and insurance initiatives pool distributions
2807–W
High need indigent care adjustment pool
2807–X
Grants for long term care demonstration projects
2807–Y
Pool administration
2807–Z
Review of eligible federally qualified health center capital projects
2808
Residential health care facilities
2808–A
Liability of certain persons
2808–B
Certification of financial statements and financial information
2808–C
Reimbursement of general hospital inpatient services
2808–D
Nursing home quality improvement demonstration program
2808–E
Residential health care for children with medical fragility in transition to young adults and young adults with medical fragility demonst...
2808–E*2
Nursing home ratings
2809
Residential health care facilities
2810
Residential health care facilities
2811
Discounts and splitting fees with medical referral services
2812
Construction
2813
Separability
2814
Health networks, global budgeting, and health care demonstrations
2815
Health facility restructuring program
2815–A
Community health care revolving capital fund
2816
Statewide planning and research cooperative system
2816–A
Cardiac services information
2817
Community health centers capital program
2818
Health care efficiency and affordability law of New Yorkers (HEAL NY) capital grant program
2819
Hospital acquired infection reporting
2820
Home based primary care for the elderly demonstration project
2821
State electronic health records (EHR) loan program
2822
Residential care off-site facility demonstration project
2823
Supportive housing development program
2824
Central service technicians
2824*2
Surgical technology and surgical technologists
2825
Capital restructuring financing program
2825–A
Health care facility transformation program: Kings county project
2825–B
Oneida county health care facility transformation program: Oneida county project
2825–C
Essential health care provider support program
2825–D
Health care facility transformation program: statewide
2825–E
Health care facility transformation program: statewide II
2825–F
Health care facility transformation program: statewide III
2825–G
Health care facility transformation program: statewide IV
2825–H
Health care facility transformation program: statewide V
2826
Temporary adjustment to reimbursement rates
2827
Plant-based food options
2828
Residential health care facilities
2828*2
Essential support persons allowed for individuals with disabilities during a state of emergency
2829
Nursing homes
2830
Surgical smoke evacuation
2830*2
Regulation of the billing of facility fees

Accessed:
Mar. 23, 2024

Last modified:
Dec. 15, 2023

§ 2805-X’s source at nysenate​.gov

Link Style