Education & Information



Delivery System Reform Incentive Payment Program

In April 2014, the federal Centers for Medicare and Medicaid Services (CMS) approved New York State’s Medicaid waiver request in the amount of $8 billion over five years.  These waiver dollars will allow for comprehensive reform through DSRIP - the Delivery System Reform Incentive Payment Program.  The DSRIP program promotes collaborative partnerships among health care providers and focuses on system reform, specifically a goal to achieve a 25 percent reduction in avoidable hospital use over five years.  The majority of this funding ($6.42 billion) will go towards projects focusing on system transformation, clinical improvement and population health improvement.

Partnerships of entities that agree to work together are called Performing Provider Systems (PPS).  PPSs are comprised of hospitals, skilled nursing facilities, physicians, health homes, home care agencies, diagnostic treatment centers, federally qualified health centers, behavioral health providers, and other key stakeholders. 

There are 25 PPSs located within New York State, with 10 PPSs located in Upstate New York.  Iroquois member hospitals are included in 7 Upstate PPSs: 

Adirondack Health Institute PPS

Albany Medical Center Hospital PPS

Alliance for Better Health Care, LLC

Care Compass Network

Central New York Care Collaborative

Leatherstocking Collaborative Health Partners

North Country Initiative

>> Click Here for a map and complete list of PPSs in New York State


Integrated Workforce Strategies: ONLINE EDUCATION Iroquois Healthcare Association (IHA) and HealthStream

As different organizations begin to work more closely together under New York State’s Delivery System Reform Incentive Payment (DSRIP) Program, online education becomes an effective strategy to deliver cost effective training in an efficient method to health care workers across a variety of care settings.

Iroquois Healthcare Association (IHA) has partnered with HealthStream, the leading provider of online health care education in the nation, to offer online training to the employees of Performing Provider Systems (PPSs). Over half of the nation’s hospitals, representing approximately 3.85 million healthcare professionals, use HealthStream. The breadth of their course offerings covers health care workers in acute care, post-acute care, ambulatory care, physician practice and other care settings.

Learn More About the IHA/HealthStream Collaborative

Preparing New York Hospitals for DSRIP - Download White Paper

PPSs define projects and goals to help focus the care provided in a community to be patient-centered. PPSs must meet specific project deliverables in order to receive performance payments under DSRIP. Performance payments are a new model of reimbursement for care – paying for overall performance versus paying for individual services for a patient.

The training and retraining of the workforce will be an integral PPS strategy in meeting DSRIP project deliverables. The health care workforce must work together across settings within the PPS region to provide a more coordinated approach to care through processes and protocols implemented with a cohesive perspective.


For additional information regarding DSRIP and Integrated Workforce Strategies, please contact Greg DeWitt, Director of Data Analytics and Workforce Initiatives, at or 518-348-7442.


Iroquois Healthcare Alliance & United Iroquois Shared Services
Clifton Park Office
15 Executive Park Drive
Clifton Park, NY  12065
phone:  518-383-5060
fax:  518-383-2616
Syracuse Office
5740 Commons Park
East Syracuse, NY  13057
phone:  315-445-1851
fax:  315-445-2293