Her job: to scrub the
Under DSRIP’s strict rules, that street medic visit didn’t count as an "event." So, Carmen did something the state auditors would call "gaming." She back-dated a telehealth check-in. She logged a "medication reconciliation" that actually happened in a laundromat. She invented a "care coordination note" that transformed a homeless man’s struggle into a clean data point. dirty angels dsrip
And the angels, for all their bureaucratic wings, could only fly because someone was willing to get them dirty. Her job: to scrub the Under DSRIP’s strict
The "Dirty Angels" of DSRIP were never about fraud. They were about the gap between a spreadsheet and a human being. The program measured clean rooms, but the real work—keeping a homeless man out of the morgue—happened in the dirt. And the angels, for all their bureaucratic wings,
The "Angels" were the measurable outcomes: lowering asthma readmissions, reducing A1C levels in diabetics, cutting ER visits for mental health crises. Clean, noble goals.
Carmen had a choice. Tell the truth: I fudged the data to get him real help. Or protect the system: Our community outreach is excellent.