MinnesotaAccountableHealthModel

PRACTICE  TRANSFORMATION  RFP  INFORMATIONAL WEBINAR

NOVEMBER 5, 2014

     

    

Welcome

Welcome to the Minnesota Accountable Health Model Practice Transformation grant informational webinar

We appreciate you taking the time to join us A Questions & Answers (Q&A) document will be posted

after the call http://www.dhs.state.mn.us/main/idcplg?IdcService =GET_DYNAMIC_CONVERSION&RevisionSelectionM ethod=LatestReleased&dDocName=SIM_RFPs ‐

     

 

Agenda

Brief SIM‐Minnesota overview

Practice Transformation goals Proposal requirements Review and scoring Continuum of Accountability Matrix Questions

National State Innovation Model (SIM)

MinnesotaAccountableHealth ModelGoals

 

Minnesota Accountable Health Model Test

As a testing grant Minnesota is trying to determine: Can we improve health and lower costs if more people are covered

by Accountable Care Organizations (ACO) models?

If we invest in data analytics, health information technology, practice facilitation, and quality improvement, can we accelerate adoption of ACO models and remove barriers to coordinated/integrated care.

How are health outcomes and costs improved when ACOs adopt Community Care Team and Accountable Communities for Health models to support integration of health care with non‐medical services, compared to those who do not adopt these models?

Five Drivers of Better Health

                               

                              

                              

   

PracticeTransformation Goal To provide resources to primary care clinics, behavioral health,

and social service providers/ organizations to facilitate provider‐practice transformation.

Providers and teams in primary care, social services, or behavior health will be provided financial support to allow team members to participate in transformation activities that have outcomes that help remove barriers to the integration of care.

Refer to page 8 of RFP – Goals and Outcomes

                   

        

                 

         

Awards and Available Funding $200,000 is available for implementation of 6‐month Projects in the first grant cycle.

Grants will be in place for 6 months starting approximately January, 2015 – June, 2015.

$10,000 ‐$20,000 will be awarded per proposal for up to 20 Practice Transformation grants.

Additional grant cycles will occur in 2015 and 2016.

Refer to page 6 of RFP – Available Funding and Estimated Awards

GrantActivities & Timeline

                            

                                          

             

 

Eligible Applicants

Applicant must be: Primary Care Provider or Primary Care Practice Social Service Provider working with Primary Care Providers to

implement integrated services Behavioral health providers working with primary care providers to

implement integrated services such as behavioral health homes. Tribal primary care and behavioral health providers Located in the State of Minnesota or serving residents of Minnesota

Refer to page 8 of RFP – Grant Applicant

                                        

                                                      

                             

                                          

                                                

                         

                                   

                                  

                     

     

Fundsmaybeusedtocover: These grants will support models that integrate primary care, behavioral health, and social services. Funds could be utilized for the following: Preparation for health care home (HCH) certification or recertification; such as gap analysis, assessment of patient and family

centered care, quality improvement( QI) infrastructure, assess workflow, or certification procedures.

Support implementation activities and planning for behavioral health homes (BHH) and other social service integration activities.

Salary support for provider/teams participating in the proposed project. Team members could be leadership &/or administration, project management, provider(s)/clinicians or quality improvement staff.

Consultant contracts to support a proposed project. Examples of consultant roles could include health information technology (HIT), workflow/process redesign, and implementation of quality improvement infrastructure (Q1).

Project staff time to support workflow redesign or process flow mapping within the setting.

Involvement of consumers and their families in the provision of their care; consumer advisory committees, surveys, or focus groups.

Patient and family engagement processes to enhance quality of patients’ experience, participation in care coordination, and improve health outcomes.

Process redesign for roles / responsibilities to increase efficiency of workforce utilization.

Refer to page 6 & 7 of RFP – Grant Applicant

                   

                                            

                     

                         

                                

                       

                                          

                      

Fundsmaybeusedtocover(continued) Implementation of strategies to enhance team based skills or leadership skills.

Staffing support through care coordination of high risk patients with chronic diseases such as diabetes or patients with hypertension, depression, or other chronic illnesses.

Resources to improve cultural competency in staff and efficient use of interpreters.

Implementation of quality improvement strategies to improve outcomes such as statewide quality reporting measures.

Internal assessment to identify and expand existing programs and policies that address health disparities and advance health equity.

Enhanced data analytic support to assist practices in managing cost and improving quality.

Quality improvement strategies aimed at improving referrals to and transitions management between primary care and community partners or hospitals / long term care.

Support for activities that are recommended by Practice Facilitators or professional coaches. Refer to pages 7of RFP – Grant Applicant

                                    

                              

                                           

                                 

                                       

                            

 

Types ofProject Activities thatcould befunded

Preparation for health care home certification or recertification. Development of a care team that supports the provider in delivering

patient and family centered care. Activities that foster and improve skills in providing team based care.

Activities that improve the skills of staff to better engage and activate patients/families. Involvement of patients and families in the provision of their care.

Developing community partnerships to facilitate the availability of appropriate resources and to support transitions of care for patients.

Enhance reporting capabilities to support robust patient registries for population management.

Development of a Quality Improvement Plan that addresses the Triple Aim. Support implementation activities and planning for behavioral health

homes (BHH) and other social service integration activities.

Refer to page 9 of RFP – Grant Applicant

                                                     

                                                           

   

Applicant, Experience, CapacityandProjectDescriptionNarrative

Provide a brief summary, 2 pages or less, of the applicant’s capacity and experience to complete the project. Describe the practice transformation project and how you will accomplish your goals, objectives, and outcomes. Discuss the need as identified by the Minnesota Accountability Matrix Tool. Include the expected impact it will have on transforming your practice and the population you serve.

Refer to pages 12 of RFP – Grant Applicant

                                                

ProviderApplicationforPracticeTransformation FormB

In the table below identify the provider practice/team. List team members and their role in the practice transformation project. A project Lead must be identified.

                       

                   

                                              

                                                                                              

ProviderApplication for PracticeTransformation FormB‐continued

Responding to the questions listed below. (2 pages limit‐does not include table)

Describe how leadership, clinicians, and administration are engaged in this project.

Do you plan on or are you hoping to utilize the services of a practice facilitator who can guide you through your practice transformation process?

Describe the goals your organization will achieve through this grant funding and how progress to these goals will be measured.

Describe your plan to involve patients, family members or consumers in planning and implementing the project. If this does not apply to your project, tell us why this is not applicable.

                                        

                                

                                                              

ProviderApplication for PracticeTransformation FormB‐continued

Do you plan to apply for Health Care Home Certification, re‐certification, or becoming a behavioral health home? Yes/No/Not Sure Projected date:

If applicable, describe how your organization is participating in, or preparing to participate in, an Accountable Care Organization (ACO) or similar health care delivery model that provides accountable care (including, but not limited to, the Medicare Shared Savings Program, the Medicare Pioneer ACO Program, or the Medicaid Integrated Health Partnerships program.

                                           

                 

                          

            

Required GrantElements (Deliverables)

Project Management‐lead person identified & capacity to complete the project. Team Members, Team Development, planning, & implementation. Quality Improvement Process & Outcome Measures within the project. If applicable:

• Care Coordination within the organization and with community services. • Consumer/ client or Family Participation in care planning, advisory

committees, or focus groups. • Additional project activities

Refer to page 9 of RFP –Required Deliverables and Activities, and Page 12 for Proposal Instructions.

 

Form C Work Plan

Refer to page 14 of RFP

         

  

   

            

Budget FormD

Submit 6 month budget Section 1 is a line‐item budget

• Include costs for the applicant agency in the Staff, Fringe, Travel, Supplies, and Other categories

• Equipment and Indirect costs are not covered

Section 2 is a deliverables‐based budget (cross‐walk with the work plan)

Refer to page 15‐18 of RFP for instructions – Budget Forms on page 25‐27.

 

Budget Section 2: Deliverables‐based

Refer to page 27 of RFP – Grant Applicant

                      

                                         

       

                       

Budget Justification NarrativeFormE

The Budget Narrative provides additional information to justify costs in Form D Budget.

Instructions: Provide a narrative justification where requested. The narrative justification must include a description of the funds requested and how their use will support the proposal.

Refer to page 18 of RFP for Instructions on Form E, Form E is on page 28 – Grant Applicant

   

   

   

 

 

PracticeTransformation ProposalRequirements

Applications must be written in 12‐point font with one‐inch margins.

Page limits are outlined in Section10, page 12.

All pages must be numbered consecutively.

Applicants must submit seven (7)copies of the proposal and an electronic version of the proposal ona USB drive.

Faxed or emailed applications will not be accepted.

Applications must meet application deadline requirements; late applications will not bereviewed.

Applications must be complete and signed where noted.

Incomplete applications will not be considered for review.

Refer to page 11 of the RFP – Grant Application and Program Summary

                      

       

   

     

Proposal Content Requirements

Application Face Sheet (Form A) Project summary , 4 pages or less Project Application Form (Form B) 2 pages or less Project description and required deliverables

• A work plan (Form C) (Document referenced in grant contract) Budget (Form D) Budget Justification Narrative (Form E) Continuum of Accountability Matrix Assessment (Form F)

Refer to page 11 of the RFP – Grant Application and Program Summary

                              

Proposal Evaluation Grant proposals will be scored on a 100‐point scale according to criteria in Section 10: Proposal Instructions.

                   

                                                          

                       

                                        

                                

 

Applicant Experience, Capacity, andProjectDescriptionCriteria

A. Criteria for grant review: Applicant Experience and Capacity: (35 points)

The applicant is a: • Primary care provider or primary care practice • Social services providers working with primary care or behavioral health working with primary care to implement integrated services such as behavioral health homes.

• Tribal primary care and behavioral health. • The grant applicant serves rural or underserved communities.

The applicant gives a clear picture of the history, structure, and capacity provided by the applicant agency to serve the identified population.

The applicant describes the need for practice transformation based on the completion of the Minnesota Accountability Matrix Tool.

Refer to page 12 of RFP – Grant Applicant

                

                                         

                      

                                

                                      

                                       

 

ProjectApplication forPracticeTransformation Criteria

B. Criteria for grant review: Project implementation (25 points)

The applicant clearly describes a team leader and a team that will be involved in project implementation and completion of the project.

The organization has committed the leadership, the provider(s)/clinicians, and administration to the project.

The applicant clearly describes how patients, family members, and consumers will participate in the implementation of the project.

The grant applicant is seeking health care home certification, re‐certification, or planning behavioral health homes, social services, or other integrated models.

The grant applicant is participating or preparing to participate in an Accountable Care Organization (ACO) or similar health care delivery model.

Refer to page 13 of RFP – Grant Applicant

                    

                              

                                                     

                                              

 

WorkplanandDeliverablesCriteria FormC

C. Criteria for grant review: Work plan and deliverables. (25 points)

The goals and objectives for the project are clearly defined, realistic, and measurable within the work plan.

The applicant identifies activities that will enhance practice transformation in primary care, integration of care, becoming a health care home or behavioral health home, or other integrated care model.

The applicant addresses the key deliverables of project management, team members and team development, quality improvement, & if applicable care coordination, and consumer involvement.

Refer to page 15 of RFP – Grant Applicant

                                           

                 

                         

                              

                     

 

Budget Criteria FormD&E

D. Criteria for grant review: The Budget section of the application will be reviewed and scored according to the following criteria (15 points):

Are the Budget Form and Budget Justification Narrative complete?

Do amounts on the Budget Form match what is in the Budget Justification Narrative?

Is the information in the Budget Justification Narrative consistent with what is proposed in the work plan?

Are the projected costs reasonable and sufficient to accomplish the proposed activity?

Refer to page 18 of RFP – Grant Applicant

   

      

Continuum of Accountability Matrix AssessmentRFP Requirements

For Practice Transformation Health proposals: Individual organizations / providers must complete the Matrix

Assessment Tool.

Refer to page 19 of RFP – Continuum of AccountabilityMatrix Assessment

         

 

Continuum of Accountability Matrix Assessment Tool – where do we find it?

It’s under Resources on the SIM Website.

Save the Matrix Assessment Tool on your computer; it’s a fillable form.

http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_D YNAMIC_CONVERSION&RevisionSelectionMethod=LatestRel eased&dDocName=SIM_DOCs_Reps_Pres

Matrix Assessment Question Example

       

                                

                                                    

                   

Q&A

It’s now time for the question and answer portion of the call.

All of today’s questions and answers, along with others collected earlier will be compiled into a Q&A document.

We will try to answer all of your question. If we are unable to answer today, the question and answer will still be included in the Q&A document.

The Q&A will be posted on the SIM – Minnesota RFPs page.

How to submit questions after today

More Information