SIM Minnesota Monthly Update - April - May 2017

Accountable health model

State Innovation Model (SIM)

June 1, 2017

In this issue:

Task force meetings

The final Minnesota Accountable Health Model task force meeting was held as a joint meeting of both the Community Advisory and Multi-Payer Alignment task forces on Wednesday, April 19 from 9 a.m. to noon at the Amherst H. Wilder Center, 451 Lexington Parkway N., St. Paul, MN 55104. All previous task force members and sub-group members were invited to attend and were recognized for their contributions to the Minnesota Accountable Health Model. 


Minnesota e-Health Summit on June 15, 2017

Please join us at the e-Health Summit. Dr. Karen DeSalvo, former Acting Assistant Secretary for Health at the U.S. Department of Health and Human Services (HHS), will Keynote the 13th Annual Minnesota e-Health Summit: Connectivity. Equity. Health.

The deadline to register is June 7!


Medicaid Encounter Alerting Service Vendor RFP

DHS is seeking to contract with a technical services vendor to implement and host an electronic event notification service that will enable providers serving Medical Assistance and MinnesotaCare enrollees to receive more timely information about facility admission, discharges, or transfers.   

  • The objective is to support care coordination for clinical care team members so they can better manage care transitions and securely communicate clinical information with other authorized providers.  
  • The vendor would complement existing e-health connections that providers have already established but accelerate further exchange by connecting providers who are not already able to send or receive these automated notifications.  
  • The contract is focused initially on exchange of HL7 ADT ("admission," "discharge," "transfer") messages and will be phased to start with connecting partners and providers in the Integrated Health Partnerships program, but is expected to include additional providers, especially long-term services and support providers in the near future.  

Interested vendors must apply through Minnesota's Department of Administration's procurement system, SWIFT.  Responses are due June 19.  A Responders Conference is planned for June 2 at 1:00 p.m. 

Conference information


DHS requests 2018 proposals for the next generation of the Integrated Health Partnerships program

The Minnesota Department of Human Services (DHS) has announced the release of a Request for Proposals (RFP), inviting health care delivery systems to join the next generation of the Integrated Health Partnerships (IHP) program.

Over the past five years DHS has contracted with innovative health care delivery systems to provide high-quality, efficient care to Minnesota’s Medicaid population. Under this program participating providers enter into an arrangement with DHS, by which they are held accountable for the costs and quality of care their Medicaid patients receive. Providers showing an overall savings across their population, while maintaining or improving the quality of care, receive a portion of the savings. Providers who cost more over time may be required to pay back a portion of the losses.

Beginning in 2018, DHS will be expanding and enhancing this model in several important ways. DHS will introduce multiple tracks to accommodate a diverse set of provider systems, add a quarterly population-based payment to support care coordination and infrastructure needs and modify the quality measurements methodology.

DHS encourages current IHP participants, health care homes, and other innovative provider systems to apply.

Interested applicants may find the 2017 Integrated Health Partnerships (IHP) Request for Proposals (RFP) through the program’s webpage [http://www.dhs.state.mn.us/DHS-293927] or through DHS’s Grants and RFPs website [https://mn.gov/dhs/partners-and-providers/grants-rfps/].

  • Letters of intent to apply must be received no later than 4:30 p.m. CT on Friday, August 18, 2017.
  • Applications must be submitted by 4:30 p.m. CT on Friday, September 1, 2017.

Informational webinars will be scheduled throughout the open response period prior to the application due date. The dates of these webinars will be announced 10 days prior to their delivery through the DHS IHP listserv and on the IHP website.

DHS will also be releasing periodic updates on the RFP as necessary. Communication will occur through the DHS IHP email list and on the IHP website.

For further information, please contact Mathew Spaan at mathew.spaan@state.mn.us.

About the Integrated Health Partnerships Initiative

The Integrated Health Partnerships (IHP) program, Minnesota’s groundbreaking approach to delivering quality health care more efficiently for low-income people, continues to grow across the state, now encompassing 21 provider groups and more than 460,000 enrollees in the state’s public programs.

The IHP demonstration prioritizes the delivery of higher quality and lower cost health care, encouraging providers to focus on delivering efficient and effective health care and preventive services to reach mutually agreed-upon health goals. In contrast, the traditional payment system pays providers for the volume of care they deliver, rather than the quality of care they provide. Additional background on the current IHP program can be located at DHS’s Integrated Health Partnerships (IHP) Overview webpage.

The IHP initiative is a key component of a $45 million federal State Innovation Model (SIM) grant, which is helping to drive health care reform in Minnesota. Several IHP participants have also received SIM grants for their innovative efforts to improve health care.


State Evaluation

Thank you to grantees and partners for participating in SIM evaluation efforts.

As part of our SIM project, SHADAC at the University of Minnesota was hired to conduct the state evaluation and recently conducted two surveys—the SIM Minnesota Organization Survey and the ACH Provider Survey. The surveys went out to over 400 individuals statewide. Thanks to those of you who have participated. Your responses are greatly appreciated. In May, SHADAC distributed a third survey – the Health Information Exchange (HIE) User Survey—to individuals involved in a small subset of e-Health collaboratives. We are excited to share some of these findings, which will be disseminated in the final evaluation report available in late 2017.

Summary of Emerging Profession Grants Round 3

SHADAC summarized Round 3 Emerging Profession grants, the activities factors identified as facilitators or barriers to progress, and insights from the grantees. These grants were designed to improve clients' access to services through hiring dental therapists/advanced dental therapists, community health workers, and community paramedics. The grants providing up to $30,000 and other resources to five grantees across the state were used to hire and integrate these new staff to provide services, including: better coordinated care, preventive medical services, and information on accessing community services.

Using the Continuum of Accountability (CoA) matrix, grantees reported that the greatest positive change from pre to post grant were in implementing principles of patient and family centered care and in communication on care transitions. Facilitators across grantees were hiring from within the organization and developing strong communication between partners. Challenges experienced included professional skepticism, which called for training other members of the staff, as well as developing new clinic work-flow, scheduling, and billing procedures to adjust for the new hires.


Vail Place clubhouse model, speakers bureau, and the art of storytelling.

View the MINNPOST article about the innovative way Vail Place helps those with mental illness.