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Upon receiving SIM funding early in 2015, the ACH formed a
partnership to address the concern about narcotics use in the community. The
ACH Controlled Substance Care Team works closely with providers and patients to
deliver a high level of care that promotes wellness and safety, and the
Prescription Drug Task Force furthers collaboration beyond the clinic and
hospital setting. The project has been successful in helping more than 130
patients, saving $1.4 million in Medicaid funds, and reducing unnecessary
emergency department visits through its community-wide efforts. On hand to
receive the award were Kathy Lange, CHI St. Gabriel's Health Foundation
Director; Kurt Devine, MD; Heather Bell, MD; Charlie Strack, Little Falls
Police Department; Ann March, CHI St. Gabriel's Health; and Becky Kapsner,
Horizon Health Services.
The Minnesota Department of Human Services published an RFP
to solicit proposals from qualified responders to demonstrate the impact on
health costs and outcomes by connecting low-income Minnesota Health Care
Program (MHCP) participants to food security services. The RFP had a particular
focus on fulfilling the objectives of the Minnesota
Accountable Health Model through programs such as Integrated Health
Partnerships and Accountable Communities for Health.
Many of the most significant drivers of health and health
care costs are outside of the scope of health care alone. Unmet health-related
social needs, such as food insecurity and inadequate or unstable housing, may
increase the risk of developing chronic conditions, reduce individuals' ability
to manage chronic conditions, increase health care costs, and lead to avoidable
health care utilization.
The $250,000 grant was awarded to Second Harvest Heartland,
to implement a multi-pronged project that will accomplish the goals of the
grant through the following:
- Diabetes-focused healthy food provision, and
patient education intervention and research study with Allina Health clinics in
Cambridge, Coon Rapids, North Branch, and West St. Paul. The results of this
intervention will be evaluated, and Second Harvest Heartland will share results
and best practices.
- Diabetes and lipid-metabolism disorder focused
healthy food provision, patient education intervention and research study with
CentraCare Family Health Center clinic in St. Cloud, Minnesota.
- Prevention Health Desk (including integration of
social determinants of health screenings into EMR) at CentraCare Family Health
Center.
- Establishment and expansion of electronic
infrastructure to support identification and recruitment of food insecure
families, in partnership with HCMC's Analytic Center of Excellence.
This project is part of a $45 million State Innovation Model
(SIM) cooperative agreement, awarded to the Minnesota Departments of Health and
Human Services in 2013 by The Center for Medicare and Medicaid Innovation
(CMMI) to help implement the Minnesota
Accountable Health Model.
Details about SIM programs are packaged in three different types of communications.
Available on the Minnesota Accountable Health Model website, printable items include:
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Fact Sheets: A broad overview of SIM initiatives (i.e., ACHs, ACOs,)
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Success stories: Often specific to a grantee, success stories share the experiences of people impacted by SIM funded programs.
- Program Summaries: Showcase the work accomplished with SIM funding.
- A NEW summary about Emerging Professions grantee, MVNA has been posted!
The next Minnesota Accountable Health Model task force
meetings will be on September 21 at the Amherst H. Wilder Center, 451 Lexington
Parkway N., St. Paul, MN 55104
- Community
Advisory Task Force, 9:00 a.m. – 12:00 noon
- Multi-Payer
Alignment Task Force, 1:00 p.m. – 4:00 p.m.
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