Minnesota

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Minnesota Health Care Value Exchange Accord (February 2008)

Minnesota’s Health Reform Initiative (Minnesota Department of Health Website)

Minnesota Department of Health 2008 Health Care Reform Summary

August 10, 2009/in Policy Minnesota /by NASHP Staff

Minnesota Health Reform Legislation (2008): Chapter 358–Senate File No. 3780

August 10, 2009/in Policy Minnesota /by NASHP Staff

Minnesota HealthScores (MN Community Measurement reports)

August 10, 2009/in Policy Minnesota /by NASHP Staff

State Partnerships to Improve Quality: Models and Practices from Leading States Issue Brief

July 20, 2009/in Policy Reports /by NASHP Staff

The National Academy for State Health Policy identified ten leading state quality improvement partnerships – interrelated broad-based partnerships, mostly with public and private sector representation, which have long-term, statewide, systemic quality improvement strategic intent, and transparent agendas. This State Health Policy Briefing summarizes results of NASHP’s full report examining these partnerships in Colorado, Kansas, Maine, Massachusetts, Minnesota, Oregon, Pennsylvania, Rhode Island, Vermont, and Washington. The key factors, policies, and practices that influence the quality improvement partnerships in these 10 states offer insights for achieving systemic improvement in health care quality and performance. The full report is also available.

QI Models and Practices

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State Partnerships to Improve Quality: Models and Practices from Leading States Report

June 16, 2009/in Policy Reports /by NASHP Staff

This NASHP-led, Commonwealth Fund-supported report highlights ten leading state quality improvement partnerships, broad-based, public-private partnerships that strive for long-term, statewide, and systemic quality improvement. This report describes the state partnerships’ origins, internal processes, accomplishments, and lessons learned, as well as their five strategies for achieving quality improvement. The factors and policies that influence the 10 featured state partnerships offer key insights for achieving systemic improvement in health care quality and performance. The report features state partnerships in Colorado, Kansas, Maine, Massachusetts, Minnesota, Oregon, Pennsylvania, Rhode Island, Vermont, and Washington.

Quality Improvement Partnerships

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May 19, 2009/in Policy Minnesota /by NASHP Staff

ORIGIN AND MISSION
In November 2008, five Minnesota organizations signed an accord to form an alliance called The Minnesota Health Care Value Exchange. The alliance was established to support HIT; quality improvement and measurement; price transparency and public reporting; incentives to promote high-quality, efficient care; and consumer engagement and education. The five partner organizations comprising the Minnesota Health Care Value Exchange are:

•   Buyers Health Care Action Group (BHCAG), a non-profit coalition of large private and public employers working to redirect the focus of the health care system to optimal health and value;
•   Institute for Clinical Systems Improvement (ICSI), a non-profit organization that brings together medical groups, hospitals, health plans, employers, and other groups to provide patient-centered and value-driven care to patients in Minnesota and surrounding states;
•   MN Community Measurement (MNCM), a community-based, non-profit organization that works to accelerate the improvement of health through measurement and public reporting of health care performance;
•   Smart Buy Alliance, an affiliation of private, public, group, union, and individual health care purchasers working to ensure that health care reforms focus on improving health and health care delivery for all Minnesotans. It includes Minnesota Management & Budget (state employees) and Human Services (Medicaid, SCHIP, and MinnesotaCare); and
•   Stratis Health, a non-profit organization that leads collaboration and innovation in health care quality and safety, serves as a trusted expert in facilitating improvement for people and communities, and is the state’s Quality Improvement Organization (QIO).

GOVERNANCE
Although each of the five member organizations has its own separate governance structure, the Minnesota Health Care Value Exchange has a board with one representative from each organization. The Minnesota Health Care Value Exchange elects members to fulfill specific responsibilities, including convener of meetings and logistics (Buyers Health Care Action Group), AHRQ contactor (Smart Buy), finance representative (to be determined), and Medicare data steward (Stratis).

ACTIVITIES AND ACCOMPLISHMENTS
The Minnesota Health Care Value Exchange is working to coordinate health reform activities and build upon the quality improvement, performance measurement, and public reporting activities already occurring in the community. Priority areas include care model redesign, purchasing redesign, payment reform, consumer engagement initiatives, and electronic medical record and personal health record implementation. The Minnesota Health Care Value Exchange received Chartered Value Exchange designation from Department of Health and Human Services Secretary Mike Leavitt in March 2008.

The alliance’s activities directly relate to state health care reform legislation signed into law in May 2008 (Senate File 3780, Senate File 2942, House File 3149, and House File 1812). The goal is to move toward achieving quality, affordable, accessible health care for all Minnesotans. The legislation includes “health care home” criteria; e-prescribing; the use of encounter data to establish peer groupings of providers based on quality and efficiency; as well as payment reform, quality measurement, and cost/quality transparency. Minnesota Health Care Value Exchange is the coordinating body for members’ work on state health reform legislation, including:

•   The Minnesota Quality Reporting and Incentive Payment System,
•   Health care home support and development,
•   Bundles of care measurement and payment, and
•   Provider peer grouping by cost and quality.

The value exchange also is developing funding and other support for care re-design projects (e.g. Depression Care Improvement).

Member organizations have partnered in the past for Quality Care and Rewarding Excellence (QCare), an initiative created by the governor’s executive order in 2006. QCare aims to gather, analyze, and distribute data on health and health care in Minnesota to guide health care reform in the state. QCare identified certain focus areas (diabetic care, public health, hospital “never events”) in which to improve care, in addition to consensus goals for the state to achieve by certain dates. The QCare group included physicians, hospital leaders, members of the legislature, and businesses, as well as state agencies.

Minnesota

March 17, 2009/in Policy Minnesota /by NASHP Staff

The Adverse Health Events Reporting Law, passed during the 2003 legislative session and modified in 2004, provides health care consumers with information on how well hospitals and outpatient surgical centers are doing at preventing adverse events. The law requires that hospitals disclose when any of 28 “never events” occur and requires the Minnesota Department of Health to publish annual reports of the events by facility, along with an analysis of the events, the corrections implemented by facilities, and any recommendations for improvement in Minnesota.

Alerts and advisories	Spotlight on Patient Safety: Retained Foreign Objects, April 2009
Alerts and advisories	Spotlight on Patient Safety: September 2008
Alerts and advisories	Wrong-site Surgery
Alerts and advisories	Patient Safety Training for Providers and Facility Staff
Authorizing statutes or regulations	Minnesota Statutes, 2005, Chapter 144, Sections 7063, 7065, 7067, and 7059
Lists or clarifications of reportable events	Minnesota’s 28 Reportable Events
Lists or clarifications of reportable events	Adverse Health Events Case Studies 2010 Statewide Review
Minnesota Adverse Health Events Measurement Guide	Minnesota Adverse Health Events Measurement Guide
Public reports	Adverse Events Reported, by Facility
Public reports	Adverse Health Events in Minnesota: Fourth Annual Public Report (2008)
Public reports	Older Public Reports
Public reports	Information For Consumers, Patients, and Families
Public reports	Adverse Health Care Events Reporting System: What Have We Learned?
Public reports	Adverse Health Events Measurement Guide
State website	Minnesota Department of Health, Adverse Health Care Events Reporting System

Minnesota

February 26, 2009/in Policy Minnesota /by NASHP Staff

Minnesota’s ABCD III project, Communities Coordinating for Healthy Development will build on the state’s excellent progress in recent years in the development and coordination of early childhood services and systems. Well-established partnerships between public agencies as well as between public and private entities and an overlap in staff who work on the various initiatives provide a sound infrastructure for promoting linkages. The strong role of counties in delivering care has enabled communities to tailor services to their unique needs and created wide variability in the operation of early intervention services and access to resources across communities. Minnesota plans to achieve three objectives through ABCD III: (1) participating clinics will have a systematic process in place for screening, referring and tracking services for children and their families that will include communication between providers and the family, (2) Early Intervention agencies in the pilot communities will receive increased referrals of children and the referrals will be earlier than had previously occurred, (3) families will experience more coordinated care, feel more comfortable about referrals, diagnosis, or lack thereof, and useful anticipatory guidance.

Title	Description	Date Published	Activity
Assuring Better Child Health & Development (ABCD) in Minnesota: 2003 – 2012	(Glenace Edwall, October 2012) This is a set of slides that was presented by Glenace Edwall of the Minnesota ABCD team at the 2012 NASHP Annual Conference in Baltimore, Maryland. The presentation details the history of ABCD in Minnesota and includes information about Minnesota’s ABCD II, ABCD Screening Academy, and ABCD III projects.	January 2013	Care Coordination and Linkages to Services and Gauging Success
Tools for Creating a Communication and Feedback Loop Between EI and Pediatric Clinics	(Minnesota Department of Human Services, 2013) This is a flier developed by Minnesota DHS that details key tasks for clinics and Early Intervention providers to create a feedback work flow. The flier also includes a flow chart displaying how the work flow should work.	January 2013	Care Coordination and Linkages to Services and Improving Quality in Practice
Minnesota Interagency Consent Form	(Minnesota Department of Human Services: 2010) This interagency consent form is designed for the use, disclosure and/or release of personal and health information for purposes of developmental and mental health care coordination. The form is HIPAA compliant and includes a detailed consent for disclosure section.	January 2013	Care Coordination and Linkages to Services and Improving Policy
ABCD III: Lessons Learned Through Year 2	Wilder Research (Minnesota ABCD III Team: February 2012) This document, developed by Minnesota’s project evaluator, Wilder Research, details activities through year 2 of Minnesota’s ABCD III project. It describes pilot site activities, sustainability and spread plans, and lists lessons learned. The document also has several appendixes including one that details recent changes to Minnesota’s Early Intervention system, a summary of key reporting measures, data collection tools, and several interview protocols.	June 2012	Care Coordination and Linkages to Services and Gauging Success
ABCD III: Lessons Learned Through Year 2 Summary	Wilder Research (Minnesota ABCD III Team: February 2012) This document is a summary of the full report listed above and contains a brief overview of lessons and recommendations through the second year of Minnesota’s ABCD III project.	June 2012	Care Coordination and Linkages to Services and Gauging Success
Minnesota ABCD III Project Website	(Minnesota Department of Human Services: 2011) This is a website designed by the Minnesota ABCD III Project Team. It includes links to ABCD III tools and resources developed by the project team, ABCD III upcoming events, and tools and resources from other organizations.	April 2012	Care Coordination and Linkages to Services and Spreading Results: Dissemination Strategies
2009 Families and Children Contract Final Model	(Minnesota Department of Human Service) Families and Children Contract Final Model. Sample contract used by the Minnesota Department of Human Services to contract with Managed Care Organizations (MCO)	January 2009	Improving Policy
Sample Summary of Data Collected During Minnesota’s Parent Survey of Well-Child Visits	(Minnesota ABCD Screening Academy Project) Summary of findings from first administration of parent survey of well-child visits, arranged by: Parent and Family Concerns; Provider-Patient Discussions; Experience of Care; Family Questions; and Health Care Provider.	December 2008	Gauging Success: Measurement and Evaluation
Minnesota Department of Human Services Managed Care Contract	(Minnesota ABCD Project) This resource outlines policy improvements made during the ABCD project to Managed Care Contracts. Section 7.10.6 of the contract sets down financial incentives for implementation of standardized developmental and mental health screening with use of appropriate CPT code by participating MCO providers.	November 2007	Improving Policy
Emotional-Behavioral Screening by Primary Care Practitioner: Attitudes, Practices, and Barriers	(Katherine Murray, Andrew Barnes, Marjorie Ireland, et al.: Minnesota ABCD Project) This study assesses the specific techniques and instruments primary care pediatricians and family practitioners use to detect emotional and behavioral problems and describes their beliefs about the prevalence of these problems and barriers to universal screening. (From Abstract.)	December 2006	Spreading Results
Key Informant Interview Template for Children’s Hospital	(Minnesota ABCD project) This resource is a script/template for conducting informative interviews with critical stakeholders at the Children’s Hospital pilot site with a particular focus on assessing mental health screening activities in primary care settings.	December 2006	Testing Models
ABCD II Great Start Minnesota Project	(Glenace Edwall, Antonia Wilcoxon, Susan Castellano: Minnesota Department of Human Services) This presentation provides background information on the Minnesota ABCD II Project.	December 2006	Addressing Needs
Patient Information and Referral Sheet	(Minnesota ABCD project) This document is a standardized patient information and referral sheet used by Minnesota pilot sites and designed to capture referral needs and available services.	December 2006	Addressing Needs
Quarterly Screening Form	(Foundations for Success: Minnesota ABCD Project) This form was used by pilot sites to track and report screening rates and outcomes.	December 2006	Testing Models
Partners and Providers Page, MHCP Provider Manual, Children’s Therapeutic Services and Supports (CTSS)	(Minnesota ABCD Project) This section of the Minnesota Health Care Programs Manual details the CTSS program, including eligibility requirements and covered services. Minnesota improved program coverage by creating CTSS, which provides mental health services to children with an emotional disturbance.	December 2006	Improving Policy
Advanced Training — DC: 0-3R™: Developmentally-Based Diagnosis of the Mental Health and Developmental Disorders of Infancy and Early Childhood	(Zero to Three) This document outlines training for diagnosing developmentally-based mental health and developmental disorders of infancy and early childhood. This seminar is designed for mental health clinicians who have 1) participated in a full-day Introductory Training on use of DC: 0-3R™, and 2) have been using DC: 0-3R clinically for at least 6 months.	December 2005	Addressing Needs
Early Childhood Mental Health Summer Institute: Creating a Referral Protocol for Head Start	(Glenace Edwall and Antonia Wilcoxon: Minnesota Department of Human Services) This PowerPoint presentation was delivered at a session at the Early Childhood Mental Health Summer Institute and was designed to educate providers on improving access to follow-up services.	July 2005	Spreading Results
Introduction to the DC: 0-3™ Diagnosing Mental Health and Developmental Disorders in Very Young Children	(Molly Romer Witten: Minnesota ABCD Project) This resource is a flyer for an interactive training session that introduces mental health practitioners and other interested professionals to the DC:0-3R, a system for diagnosing the mental health and developmental disorders of very young children.	April 2005	Addressing Needs
Introduction to the DC: 0-3™ – Diagnosing Mental Health and Developmental Disorders in Very Young Children Workshop	(Minnesota ABCD Project) This interactive workshop introduces mental health practitioners and other interested professionals to a cutting edge system for diagnosing emotional and developmental disorders of very young children. This system, developed by ZERO TO THREE with the help of a diverse task force of infant mental health clinicians and researchers, takes into account the unique sensory, developmental, and relational needs of very young children.	April 2005	Addressing Needs
Minnesota Early Childhood Comprehensive Screening Systems Focus Group Report	(Minnesota ABCD Project) This resource summarizes an environmental scan of Minnesota’s screening for young children. 11 focus groups were held during March and April 2004 at five Minnesota sites—Detroit Lakes, Grand Rapids, Redwood Falls, Rochester, and Roseville. The focus groups were designed to gather information from regional experts to assess how the early childhood screening system for children from birth to age five addresses the five key elements of the Minnesota Early Childhood Comprehensive Screening Systems (MECCSS) Planning Grant.	March 2005	Gauging Success: Measurement and Evaluation

Posts

Minnesota Health Care Value Exchange Accord (February 2008)

Minnesota’s Health Reform Initiative (Minnesota Department of Health Website)

Minnesota Department of Health 2008 Health Care Reform Summary

Minnesota Health Reform Legislation (2008): Chapter 358–Senate File No. 3780

Minnesota HealthScores (MN Community Measurement reports)

State Partnerships to Improve Quality: Models and Practices from Leading States Report

Minnesota

Minnesota

Minnesota

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