CHARTER Health Care Homes/Statewide Innovation Model Learning Collaborative Work Group Review Date: November 19, 2015 *Existing Work Groups are expected to review their charter annually to ensure that it accurately describes the purpose and the structure of the team. The charter must be submitted annually to the Health Policy Division Director for approval, even if no changes were made. Background A Health Care Home (HCH) statewide learning collaborative is required by the 2008 Health Reform legislation, Minnesota Statute §256B.0751. Legislation states: “The commissioners shall establish a health care home collaborative to provide an opportunity for health care homes and state agencies to exchange information related to quality improvement and best practices” (Minnesota Statute §256B.0751). The Minnesota Accountable Health Model (ACH) is a State Innovation Model (SIM) testing grant awarded by the Center for Medicare & Medicaid Innovation to the Minnesota Department of Human Services and Minnesota Department of Health in 2013. The purpose of this grant funding is to provide Minnesotans with better value in health care through integrated, accountable care using innovative payment and care delivery models responsive to local health needs. The grant is jointly administered by the Minnesota Department of Human Services (DHS) and the Minnesota Department of Health (MDH). Purpose, Goals, Strategy, and Deliverables The purpose of the HCH/SIM Learning Collaborative Work Group is to provide guidance and technical expertise to the Health Care Homes/State Innovation Model (HCH/SIM) program staff around Learning Collaborative activities. The Learning Collaborative Work Group shall: 1. 2. 3. 4. 5. Advise on development of Learning Collaborative initiatives Support implementation of Learning Collaborative events Advise on best practices and innovations for learning activities Advise on policies and procedures for the Learning Collaborative Ensure patients, families, and consumers are included in Learning Collaborative Work Group activities 6. Review, analyze and make recommendations based on evaluation and feedback from Learning Collaborative learning events and/or stakeholder needs. 1 The overarching goals of the Learning Collaborative Work Group include: a. Develop learning activities to support achievement of Institute for Health Improvement Triple Aim and Health Equity Triple Aim b. Build leadership, capacity and skills to lead transformational change c. Design and implement strategic learning curriculum and methodologies d. Promote peer based learning and exchange of ideas among providers, community partners and subject matter experts at learning events Related goals include: a. b. Health Care Home (HCH) Program Goals: i. Build skills to implement system delivery redesign got transforming primary care practice to patient and family centered coordinated care ii. Prepare clinics/clinicians for HCH certification and implementation of health care home standards iii. Implement population management, including methods to identify patients, such as tiering, predictive modeling and registries iv. Develop community-based relationships, communications, referrals and communications systems v. Build skills based on best practices for management of transitions State Innovation Model (SIM) Goals i. Support transformation and system redesign activities for many types of providers ii. Facilitate a forum where ACHs share experiences, best practice, and partnership skills iii. Integrate practice facilitators as a tool to provide support for transformational change iv. Share best practices models that integrate health care, behavioral health, local public health and/or long-term supports and services v. Support integration of new providers, such as community health workers, community paramedics, and advanced dental therapists, into clinical practices vi. Support integration of social workers, case managers, public health nurses, school nurses, dentists, and pharmacists into clinical practices vii. Collaborate with and learn from other SIM grantees The Learning Collaborative Work Group strategy is to promote improved workforce capabilities leading to practice transformation through the following 2016 Learning Collaborative deliverables: a. The 2016 Learning Days conference on April 26-27, 2016 will provide learning opportunities for Beginning, Intermediate and Advanced learners. b. By December 31, 2016, the Learning Collaborative will provide information and resources that foster linkage and aid care coordination between primary clinics-and community organizations. c. By December 31, 2016, the Learning Collaborative will provide information and resources to that improve workforce capabilities that support health equity. 2 Frequency of Meetings The Work Group shall meet once per quarter. Meetings shall last approximately two (2) hours. Meetings shall be held in-person, with an option to participate via webinar or conference call. Additional meetings will be scheduled if additional time is needed to complete the work. Meetings are considered public and meeting notices will be posted on the HCH website. Meeting dates and times will be also posted on the HCH SIM Outlook Calendar. Membership Expectations Work Group members shall: 1. Participate actively in meetings 2. Provide input and direction on presented materials and questions 3. Constructively represent the concerns and interests of their constituency 4. Participate in subgroup initiatives as determined by the committee 5. Champion the work of HCHs and SIM in the community. Terms of Membership Members are solicited by program staff and serve for two year terms. Membership is renewable for up to three terms for a total of 6 years. Membership terms will be staggered to ensure continuity as members come and go. The membership should generally reflect balanced interests and perspectives in terms of pediatric and adult practices, rural and urban practices, systems and small practices, general care and specialty practice, providers and community partners, providers and payers, providers and academia. To that end, the Work Group will include voting representatives from: 1. Newly certified clinic (1) 2. Recertified clinic(2) 3. SIM Grantee or Community or Social Services Agency (1) 4. HCH Clinician (1) (1) 5. Local Public Health (1) 6. Behavioral Health (1) 7. Patient/Consumer (2) 8. IT/E-Health (1) 9. Emerging Professions (1) 10. Academia (1) 11. Quality Improvement Organizations (1) 12. Professional Organizations (1) 13. Health Plan (1) Current membership roster is posted on the website. 3 Leadership The Work Group will have two co-chairs: • Co-chairs serve a two-year term from January 1 to December 31 • Co-chairs will be selected by the Work Group the final meeting of the year • Appointment times for co-chairs will be staggered Co-chairs Criteria: • Representative who works with Behavioral Health and Primary Care Integration • Representative from clinics working to improve health equity Co-Chair Responsibilities: • Assist with developing meeting agendas • Lead Meetings • Represent the Learning Collaborative Work Group at the HCH Advisory Committee and as needed • Ensure communication with program staff Decision Making Process The Work Group uses a consensus process whenever possible; however, as needed, voting may be used. In the case of voting, a quorum (at least half of the committee present) is required (exist where at least half of the committee is present and decisions require a 2/3 majority of those present. Decisions that involve activities requiring mandatory staff attendance or activity costs that exceed five hundred dollars are forwarded to the HCH Director. Ad Hoc Teams: The work group may establish ad hoc teams to complete short-term projects with a specific assignment and a timeline. Work Group Life Expectancy This is an ongoing Work Group based on state statutes. Reporting of Progress: This Work Group will report progress and recommendations to the HCH Advisory Committee. In turn the HCH Advisory Committee will provide feedback to the Work Group. The Learning Collaborative Work Group will retain final decision-making authority. Meeting agendas and materials are available by request. The meetings will not be recorded. 4
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