Minnesota Accountable Health Model

A C C O U N TA B L E C O M M U N I T I E S F O R H E A LT H R F P�I N F O R M AT I O N A L W E B I N A R�

S E P T E M B E R 1 0 , 2 0 1 4�

Welcome�

• Welcome to the Minnesota Accountable Health

Model Accountable Communities for Health 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 -

2

Agenda

• Brief SIM-Minnesota overview

• Accountable Communities fo r Health goals�

• Proposal requirements

• Review and scoring

• Continuum of Accountabilit y Matrix

• Resources

• Questions

National State Innovation Model (SIM)

• SIM provides support to develop and test state-based models for payment and health care delivery systems transformation

• Minnesota awarded largest testing grant ($45.3 million), February 2013

• Five other states also received SIM testing grants from CMMI: MA, ME, VT, OR and AR.

GoalsMinnesota Accountable Health Model�

Minnesota’s Health Reform Goals

• Improved experience of care�

• Improved population health

• Lower costs

�

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�

Social Determinants of Health and The Triple Aim

Accountable Communities for�Health Goals�

Select up to 12 new Accountable Communities for Health�and provide financial support to:�

4 Create new, sustainable venues through which providers

engage with communities in more meaningful ways to

improve individual and community and population health.

4 Ensure selected ACH communities have identified their

own health and cost goals and measurement tools, and

they have a solid plan to be sustainable in the future.

Refer to page 9 of RFP – Goals and Outcomes

9

Awards and Available Funding�

• $4,440,000 is available for implementation of 24-month

projects.

• Grants will be in place for two years starting January 1,

2015 – December 31, 2016.

• Up to $370,000 will be awarded per proposal for up to

12 Accountable Communities for Health.

Refer to page 3 of RFP – Available Funding and Estimated Awards�

Grant Activities & Timeline�

Refer to page 4 of RFP – Grant Timeline�

Eligible Applicants�

• Designate a grant applicant (AKA grant recipient)�• Must be in State of Minnesota

• Able to meet fiscal and other grant requirements�• Applicant can be:

• Community or consumer organization

• Tribal organization

• County, non-profit, or for-profit

• Local public health department

• Health care provider or health plan

Refer to page 9 of RFP – Grant Applicant

Required Infrastructure Elements for ACH�Applications

Essential infrastructure:

• Target population

• Advancing health equity strategies

• Community engagement

• Community partnerships

• Quality infrastructure and measurement

• Accountable Care Organization partnership

• Health reform history

Refer to page 10 of RFP – Essential Infrastructure, and page 22 – Proposal Instructions

Deliverables, Activities, and Work Plan�

• Leadership team

• Community based care coordination system/team

• Population based prevention

• Sustainability plan

• Measurement plan

• Learning Collaborative

Refer to page 15 of RFP – Required Deliverables and Activities, and

page 24 – Proposal Instructions

Form B Work Plan�

Elements:

Implementation

Of:

OBJECTIVES ACTIVITIES TRACKING

METHODS

MILESTONES/

TIMELINES

Example:

Leadership team

structure, year 1

Establish

guidelines for

leadership

structure.

Develop

guidelines for

leadership

structure

with the

leadership

team.

Charter

Meeting

minutes

Approval

process

Leadership

structure

membership

Leadership

structure in

place by

September

2015

Applicant Capacity and Project Implementation�

Information about the applicant agency submitting the proposal:�

• Project lead or co-leads

• Capacity for managing a collaborative community or

multidisciplinary project with diverse partners

• Infrastructure for the ACH project (communications, facilities,

staffing)

• Financial management capacity

• Ability to participate in the evaluation and submit required

reports

Refer to page 28 of RFP – Applicant Capacity and Project Implementation

Budget

• Submit separate budgets for year 1 and year 2

• Section 1 is a line-item budget

• Include costs for the applicant agency and other ACH partners

in the Staff, Fringe, Travel, Supplies, and Other categories

• Equipment and Indirect costs are not covered

• Include a Budget Justification Narrative

• Section 2 is a deliverables-based budget (cross-walk

with the work plan)

Refer to page 29 of RFP – Budget

Budget Section 2: Deliverables-based�Deliverable: Leadership

Structure

Avg by Hour Estimated

Hrs

Billable Amt

Implementation of

leadership activities to

support the ACH including

meeting logistics such as

travel and supplies, setting

agendas, staffing to support

ACH activities and

facilitation.

$ 32.00 190.0 $ 6,080

Total $ 6,080

In-kind and Optional Additional Funds

In-kind

• Description of in-kind support is a grant requirement

• Include sources and amounts of in-kind resources

• Document in-kind in space provided at end of budget form

Optional additional funds

• MDH has option to fund more than $370,000

• Use separate budget form worksheet for optional funds�• Up to $300,000 for 2 year funding period

Accountable Communities for Health Proposal�Requirements�

• Applications must be written in 12-point font with one-inch margins and a maximum of 22 pages of narrative.

• Page limits are outlined in Section 11.

• All pages must be numbered consecutively.

• Applicants must submit ten (10) copies of the proposal and an electronic version of the proposal on a USB drive. Faxed or emailed applications will not be accepted.

• Applications must meet application deadline requirements; late applications will not be reviewed.

• Applications must be complete and signed where noted.

• Incomplete applications will not be considered for review.

Refer to page 20 of the RFP – Grant Application and Program Summary

Proposal Content Requirements • Application Face Sheet (Form A)

• Project summary, 1 page

• Essential infrastructure, 12 pages

• Project description and required deliverables, 6 pages

• Project work plan (Form B) (Document referenced in grant contract)

• Applicant capacity to implement the project, 3 pages

• Budget (Form C)

• Budget Justification Narrative (Form D)

• Due diligence form (Form E)

• Continuum of Accountability Matrix Assessment Tally (Form F)

• Letters of Support Checklist (Form H), and letters of support

• ACH Partners Table (Form I)

Refer to page 20 of the RFP – Grant Application and Program Summary�

Review and Scoring�Grant proposals will be scored on a 100-point scale according to criteria in Section 11: Proposal Instructions.

Criteria Maximum Points Required infrastructure 30

Proposal description/required deliverables/

work plan 35

Applicant capacity/project implementation 15

Budget 20

Total 100

Refer to page 22 of RFP – Proposal Instructions and page 34 Proposal

Evaluation

Essential Infrastructure Review Criteria part 1�

B. Criteria for grant review: The Essential Infrastructure section of the application will be reviewed and scored according to the following criteria (30 points):

• The applicant has clearly identified the target population.

• The rationale for choosing the target population is supported by data such as community health assessment or other population based data.

• The strategy for serving underserved or marginalized populations is clearly articulated.

• The applicant describes how health equity is integrated into the work of the ACH.

• The applicant clearly identifies how community partners are suited to address the identified population and goals as described.

Essential Infrastructure Review Criteria part 2�

• There are sufficient letters of support from community�partners, some that reflect the target population.�

• The applicant clearly describes the level of community engagement and plan for ongoing community engagement in the work of the ACH.

• The applicant clearly describes the team’s ability to participate in tests of change, and the federal and state evaluation requirements.

• The applicant outlines the team’s partnership with an ACO.�• There are sufficient letters of participation from ACO

partner(s).

• The health reform history for ACH partners is described.

Continuum of Accountability Matrix Assessment�RFP Requirements�

For Accountable Communities for Health proposals:

1.� Individual organizations / providers must complete the Matrix Assessment Tool.

2.� Collectively, partners must come together and complete the Matrix Assessment Tool to reflect the current status.

3.� Individual organizations and the partnership must enter results in the Matrix Tally Sheet and submit it with the proposal.

Refer to page 33 of RFP – Continuum of Accountability Matrix Assessment

Minnesota Accountable Health Model:�Continuum of Accountability Matrix Assessment Tool�

Goal: Use the assessment to identify areas and opportunities for�growth - move further to the right in as many areas as possible.�

Organizations or partnerships may be at different levels of

development on various areas and use different approaches.

It is not necessary for an organization to have achieved

capabilities in all areas in order to be eligible for support or

technical assistance.

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_�DYNAMIC_CONVERSION&RevisionSelectionMethod=Latest�Released&dDocName=SIM_Docs_Reps_Pres�

Continuum of Accountability Matrix Questions�

Matrix Assessment Question Example�

Form F: Continuum of Accountability Matrix�Assessment Tally Sheet�

RFP Resources�

• ACH RFP, forms, resources on the Accountable Communities for�Health concept and Community Care Teams lessons learned�http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYN�AMIC_CONVERSION&RevisionSelectionMethod=LatestReleased�&dDocName=SIM_RFPs

• Included in the ACH RFP, Appendix B Resources

• Regional meetings presentation and handouts

http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYN�AMIC_CONVERSION&RevisionSelectionMethod=LatestReleased�&dDocName=SIM_Events�

Remember the Letter of Intent!�• A Letter of Intent to

respond is required

• Due September 26 by

4:00 pm

• Use form G template

• Email it to Chris Dobbe at�chris.dobbe@state.mn.us

• It is non-binding

Place on Letterhead:

Deadline September 26, 2014, 4:00 pm CST

Accountable Communities for Health

(date)

This is written notification of the intent to submit an application to the Minnesota Department of Health for funding under the Minnesota Accountable Health Model Accountable Communities for Health (ACH) grant program. We understand that the application deadline for our proposal is October 20, 2014 at 4:00 pm CST. Information on our ACH is provided below.

Applicant organization name:

Contact person:

Contact person email:

Key ACH partners/proposed leadership structure:

Planned ACO partner:

Planned target population:

Signature:

Title:

Q&A�

• It’s now time for the question and answer protion 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 questions. 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

• Go to the SIM RFPs

website and click on

Accountable

Communities for

Health grant program

page

• Enter your question in

the survey form

More Information�• Visit

www.mn.gov/sim

• Email sim@state.mn.us

• ACH RFP and Q&A http://www.dhs.state. mn.us/main/idcplg?Idc Service=GET_DYNAMIC _CONVERSION&Revisio

nSelectionMethod=Lat estReleased&dDocNam e=SIM_RFPs -