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Delivery System Reform Incentive Payments (DSRIP) program

CCRMC and Health Centers' mission is to "care for and improve the health of all people in Contra Costa County with special attention to those most vulnerable to health problems." In working toward achieving this mission, CCRMC and Health Centers has embarked on an ambitious plan to expand access to care and enhance quality through a robust effort called the Delivery System Reform Incentive Payments (DSRIP) program.

There are three primary goals to DSRIP: improve population health, enhance the patient experience, and reduce/control the cost of care. In this unique state and federal joint program, public hospitals receive government funds for achieving specific performance improvement milestones. This pay-for-performance program is one component of California's Section 1115 Medicaid waiver, which is sometimes referred to as the state's "Bridge to Health Care Reform."

While large-scale overhauls can take a decade or more to achieve, DSRIP, which began in November, 2010, requires CCRMC and California's other public hospitals and health systems to reach an average of 217 milestones in five categories within five years. The categories include: Infrastructure Development; Innovation and Redesign; Population-Focused Improvement; Urgent Improvements in Care; and HIV Transition Projects.

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