SIM "stack" in Minnesota: a case study of Otter Tail County Public Health
- Collection:
- Health Policy and Services Research
- Author(s):
- Napoles, Amanda, author Worrall, Christina, author
- Contributor(s):
- State Health Access Data Assistance Center, University of Minnesota, issuing body.
- Publication:
- [Minneapolis, Minnesota] : State Health Access Data Assistance Center, University of Minnesota, December 15, 2016
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Care Reform -- methods Insurance, Health, Reimbursement Organizational Case Studies Public Health Administration Reimbursement Mechanisms Accountable Care Organizations Electronic Health Records Models, Theoretical Humans Minnesota United States
- Genre(s):
- Technical Report
- Abstract:
- The State Innovation Model (SIM) in Minnesota, known as the Minnesota Accountable Health Model, aims to develop or accelerate new care delivery and payment reform efforts in order to achieve a health care system that provides patient-centered, coordinated care; holds providers accountable for costs and quality of care; aligns financial incentives to promote the Triple Aim; and implements collaborative approaches to set and achieve health improvement goals. These SIM goals are supported by five primary "drivers," under which most activities have been organized: Driver 1. Expansion of e-Health Driver 2. Improved data analytics across the state's Integrated Health Partnerships (IHPs) Driver 3. Practice transformation to achieve team-based integrated/coordinated care Driver 4. Implementation of Accountable Communities for Health (ACHs) Driver 5. Alignment of Accountable Care Organization (ACO) components across payers related to performance measurement, competencies, and payment methods. The Minnesota Departments of Human Services and Health (DHS and MDH) have been implementing SIM strategies since 2014, under a cooperative agreement with the federal Center for Medicare and Medicaid Innovation (CMMI). With this support, the key mechanisms the state has used to execute its primary drivers are grants and contracts, technical assistance, and other resources to community and health care providers and other organizations in the state. The University of Minnesota's State Health Access Data Assistance Center (SHADAC) is conducting the state evaluation of the Minnesota Accountable Health Model under a contract with DHS and in collaboration with both DHS and MDH. One element of the state-level evaluation is to investigate the experiences of organizations participating in multiple SIM grants and contracts across more than one unique driver or strategy. The state refers to these cases as SIM program "stacking." According to SHADAC's evaluation organization database, approximately 400 organizations are involved in SIM in Minnesota, of which only 37 organizations are participating in three or more unique SIM programs, as a lead agency, partner agency, or recipient of SIM supports. SHADAC selected a case study approach to examine the interaction and impacts of SIM program "stacking" on one organization's ability to advance the Minnesota Accountable Health Model aims. SHADAC examined two organizations, both SIM priority setting providers, as the potential focus of this case study, ultimately identifying OTCPH, a local public health agency, as the case that would illuminate multiple aspects of the program "stacking" phenomenon.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (10 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101738631 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101738631