Practice Transformation RFP Webinar 10:00 am May 19, 2015Practice Transformation RFP Webinar 10:00 am May 19, 2015 Preferred method for joining the webinar: Call Back Feature. •

Practice Transformation RFP Webinar 10:00 am May 19, 2015

Preferred method for joining the webinar: Call Back Feature. • Go to the link provided for the meeting. Once you are connected on

the web you will see this box:

• Enter your phone number in the box labeled “Enter a phone number" (include area code). Long distance charges will not apply. Click “Call Me” and the system will call you. Answer the phone and follow the instructions to join the meeting.

• To mute line: *6; to unmute: #6

Information: SIM MN Website, www.mn.gov/sim

Contact: SIM MN Email, [email protected]

http://www.mn.gov/sim

mailto:[email protected]

The Minnesota Accountable

Health Model SIM Minnesota

P R A C T I C E T R A N S F O R M AT I O N R F P I N F O R M AT I O N A L

W E B I N A R

M AY 1 9 , 2 0 1 5



Welcome

• A Questions & Answers (Q&A) document will be posted after the call

• http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=SIM_Home

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



http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=SIM_Home






Agenda

• Brief SIM – Minnesota overview

• Practice Transformation grant program

• Proposal requirements

• Review and scoring

• Continuum of Accountability Matrix

• 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



http://innovation.cms.gov/initiatives/state-innovations/

Minnesota Accountable Health Model Goals





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









Practice Transformation Goal

• The goal of practice transformation is to provide financial support to a range of providers and teams in primary care, behavioral health or social services to participate in transformation activities that help remove barriers to the integration of care.

Refer to page 9 of the RFP





Awards and Available Funding

• $300,000 is available for implementation of 9 month

projects in the second grant cycle.

• Grants will be in place for 9 months starting approximately September 2015 – May, 2016.

• $20,000-$30,000 will be awarded per proposal for up to 15 Practice Transformation grants.

• One additional grant cycle will occur in October of 2015.








Grant Timelines RFP Activity Date RFP Posted Monday, May 11, 2015

Informational webinar Tuesday, May 19, 2015, 10:00am – 11:00 am. CDT

To register for the Practice Transformation webinar visit:

https://health-state-mn-ustraining.webex.com/health-state-mn-

ustraining/k2/j.php?MTID=ta9d515629f55e16bbc1159d90b739352

Power point presentation will be emailed to participants and will be available:

http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=Lat

estReleased&dDocName=sim_pt_round2

Questions can be submitted on-line https://survey.vovici.com/se.ashx?s=56206EE347A87304.

Proposals due to MDH Friday, June 26, 2015, 4:00 pm. CDT

Estimated notice of awards Friday, July 31, 2015

Estimated grant start date September 2015




https://health-state-mn-ustraining.webex.com/health-state-mn-ustraining/k2/j.php?MTID=ta9d515629f55e16bbc1159d90b739352













http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=sim_pt_round2


https://survey.vovici.com/se.ashx?s=56206EE347A87304


Eligible Applicants

Applicant must be: • Primary Care Providers or Primary Care Practice

• Behavioral health providers working with primary care providers to implement integrated services such as behavioral health homes.

• Social Service Providers working with primary care of behavioral health providers to implement integrated services.

• Tribal primary care and behavioral health providers

• Located in the State of Minnesota or serving residents of Minnesota






Funds may be used to cover The grants will support models that integrate primary care, behavioral health, and social services. Funds could be utilized for the following:

• Support of implementation activities in preparation for Health Care Home (HCH) certification or recertification to meet the criteria of the five standards of Health Care Home Certification.

• 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.

• Consultant contracts to support a proposed project

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

• Implementation of strategies to enhance team based skills or leadership skills.

Refer to page 6 & 7 of RFP





Funds may be used to cover (continued)

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

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

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

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

• Enhanced data analytic support to assist practices in managing cost and improving quality (Purchase of data analytic software is not allowed in this grant).

Refer to page 7 & 9 of the RFP





Types of Project Activities

Eligible for funding:

• Development of a care team that supports the provider in delivering patient and family centered care.

• Activities that improve the skills of staff to better engage and activate patients/families.

• 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.

• The integration and enhancement of the electronic health record with registry work, behavioral health, or case management of chronic conditions.

Refer to page 9 of RFP





Applicant Experience, Capacity and Project Description Narrative

• In your brief summary include a description of: • applicant’s capacity and experience to complete the project

• type of provider you are

• the population you serve

• the practice transformation being proposed.

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. (4 pages or less)

Refer to pages 13 of RFP





Provider Application for Practice Transformation Form B






Provide Application for Practice Transformation Form B – (continued)

• Describe how leadership, provider(s)clinician(s), and administration are engaged in this project.

• Will the services of a practice facilitator guide the practice transformation process? If so, how will the services of a practice facilitator be used?

• Describe the organization ‘s goals to be achieved through this grant funding and how progress on meeting 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.

(2 pages limit-does not include table)





Provider Application for Practice Transformation Form B – (continued)

• Do you plan to apply for Health Care Home Certification, re-certification, or becoming a behavioral health home?

Yes/No/Not Sure

If yes, Identify the plan and what is the projected date?

• If applicable, described 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 Grant Elements (Deliverables) • Project Management team –include key lead person and their capacity to

complete the project. • Work plan that includes the following deliverables:

• Implementation of the project management team members including team development and planning

• Work plan that includes three of the following deliverables that align with health care home certification standards that fit your project as listed below: Access and Communication, Participant Registry and Tracking, Care Coordination, Care Planning, and Quality Improvement

• Other specific project elements, if applicable

• Process and outcome measures are required for all deliverables

Refer to page 10 of the RFP – Required Deliverables and Activities, and Page 13 for Proposal Instructions





Work Plan and Deliverables – Form C Example:






Budget Form D – year 1 and year 2

• Submit 9 month budget: year 1 (Sept 1, 2015 – Dec. 31, 2015, year 2 (Jan. 1, 2016 – May 31, 2016)

• Section 1 is a line-item budget

• Include costs for the applicant agency in the Staff, Fringe, Consultant, Supplies, Travel, 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 20-22 of the RFP for instructions – Budget Forms on page 31-38





Form D. Section 2: Budget Deliverables

Deliverable: Project Management Avg by hour Estimated Hrs Billable Amt

Implementation of the Project Management team including team development and planning.

$ 30.00 104 $3,120.00

Total $3,120.00

Refer to page 22 for instructions and

form on page 35 & 38 of the RFP for year 1 & 2





Budget Justification Narrative-Form E

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

• 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 top page of 23 of the RFP for Instructions on Form E,

Form E is on page 39





Due Diligence Form G

• This form must be completed by the applicant organization’s administrative staff, for example, finance manager, accountant, or executive director.

• MDH required form

Refer to page 38 – 40 of the RFP







Practice Transformation Proposal Requirements

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

• Page limits are outlined in Section 9, page 11

• All pages must be numbered consecutively.

• Template forms must be used. If they are not used the application will not be accepted. Forms can be found on web link http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=sim_pt_round2#

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

• For the electronic copy include PDF and Word/Excel copies.







Practice Transformation Proposal Requirements (continued)

• Faxed or emailed applications will not be accepted.

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

• An organization cannot submit more than one application per RFP grant cycle.

• Applications must be complete and signed where noted.

• Incomplete applications will not be considered for review.






Proposal Content Requirements

• Application Face Sheet (Form A) • Application experience and capacity, and project description.

(4 page or less) • Provider Application Form (Form B) 2 page or less • Work plan and required deliverables (Form C) • Budget (Form D) year 1 and year 2) • Budget Justification Narrative (Form E) • Continuum of Accountability Matrix Assessment (Form F) • Due Diligence (Form G) for requests over $25,000

Refer to page 12 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.

Criteria Maximum Points

Applicant Experience and Capacity 30 points

Provider application 25 points

Project Proposal/work plan 30 points

Budget 15 points

Total 100 Points








Continuum of Accountability Matrix Assessment Tool and RFP Requirements

For Practice Transformation Health proposals:

• The Continuum of Accountability Matrix is under Resources on the SIM Website. This must be completed as part of your application process.

http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=SIM_DOCs_Reps_Pres • Save the Matrix Assessment Tool on your computer; it’s a fillable form. • Individual organizations / providers must complete the Matrix Assessment Tool. http://www.health.state.mn.us/ehealth/mahmassessmenttool.docx

Refer to page 22 of the RFP – Continuum of Accountability Matrix Assessment



http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=SIM_DOCs_Reps_Pres

http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=SIM_DOCs_Reps_Pres

http://www.health.state.mn.us/ehealth/mahmassessmenttool.docx



Matrix Assessment Question Example





Q&A

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

• Questions submitted today that were not answered during the webinar will be included in the Q & A document with answers.

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







How to submit questions after today

• Enter your question in the survey form

• https://survey.vovici.com/se.ashx?s=56206EE347A87304








More Information • Visit

www.mn.gov/sim

• Email

[email protected]

• Practice Transformation RFP and Q&A












Documents

Practice Transformation RFP Webinar 10:00 am May 19, 2015Practice Transformation RFP Webinar 10:00 am May 19, 2015 Preferred method for joining the webinar: Call Back Feature. •