Minnesota promotes health care initiatives aimed at preparing for population health management. At the state level, Minnesota is working to create a progressive health care environment through collaboration between providers, payers, and the state.
When it comes to health care reform, Minnesota is proactive. Why? Minnesotans understand the importance of providing quality health care and mandating advances such as electronic health records. If you are a progressive provider and want to work in an innovative state, check out the Minnesota job postings and come work in Minnesota.
Below are some of the initiatives and successes in Minnesota.
Progress of hospitals and providers in Meaningful Use
Minnesota has achieved considerable progress with 87% of clinics adopting an Electronic Health Record (EHR), 61% exchanging data and 92% e-prescribing. Among Minnesota hospitals, 99% have deployed an EHR, 73% report electronically sending or receiving patient data, and 72% using computerized provider order entry (CPOE).
The majority of primary care providers (80%) have attested to Meaningful Use and received health information technology (HIT) incentives and 70% of critical access and small rural hospitals have attested to Meaningful Use of their EHRs. Minnesota has a mandate that by January 1, 2015, all hospitals and health care providers must have an EHR within their hospital system or clinical practice setting.
Medical Home Models
A "health care home," also called a "medical home," is an approach to primary care in which primary care providers, families and patients work in partnership to improve health outcomes and quality of life for individuals with chronic health conditions and disabilities.
The development of health care homes in Minnesota in 2008 is part of ground-breaking state health care reform legislation. The legislation includes payment to primary care providers for partnering with patients and families to provide coordination of care. Minnesota had over 300 certified health care homes as of December 2013 representing 43% of clinics.
Health Care Homes: Good for Primary Care, Improving Care
The Minnesota Health Care Home model with its focus on whole person disease management and patient-centered care is serving as the primary driver for focusing primary care on prevention and management of chronic disease. It offers an innovative, team approach to primary care in which providers, families and patients work in partnership to improve the health and quality of life for individuals, especially those with chronic and complex conditions.
The creation of health care homes has well-positioned Minnesota to respond to the transformation of health care across the state. HCH has created the foundation for additional health care reforms that drive integration in the health care system and importantly, integration of health care with behavioral, community, social service and public health systems.
Accountable Care Organizations, Value-Based Reimbursement Models
Accountable Care Organizations are defined as a set of providers associated with a defined set of patients, accountable for the quality and cost of care for that population. Current ACO models include pioneer ACO and shared-savings ACO’s. Within an ACO, the overall goal is to coordinate care to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. Moreover, there is an emphasis on population health and preventive health provided by primary care providers. ACOs are designed to support the Institute for Healthcare Improvement (IHI) Triple Aim:
- Enhance the patient experience of care (including quality, access, and reliability);
- Improve the health of the population; and
- Reduce, or at least control, the per capita cost of care.
ACO provider-types include hospitals, primary care groups, individual providers, specialists and other health professionals. All ACO providers share responsibility for the quality and cost of care provided to patients and likewise receive a financial bonus for meeting prescribed targets.
Minnesota has four pioneer ACOs and several shared-savings ACO’s for Medicare patients. Nationwide there are nearly 400 ACO’s . Minnesota received a Centers for Medicaid and Medicare State Innovation grant for Medicaid reform through an ACO and Expansion of Medicaid. Currently there are 8 integrated health partnerships of providers/networks throughout State serving 130,000 enrollees.
Minnesota: Sure progress toward enrolling uninsured and underinsured population
How is Minnesota doing as a state getting folks insured? Minnesota elected to create its own health insurance marketplace. 200,174 Minnesotans have enrolled in comprehensive, affordable health insurance coverage through the state health insurance marketplace through March 2014. Of these, MNsure has enrolled 50,096 Minnesotans in a Qualified Health Plan, 41,403 in MinnesotaCare (a state supported health plan) and 108,675 in Medicaid.
Minnesota is a star state in health care innovation.