Leadership in Action

1. Minnesota Bridges to Excellence Leadership in Action

2. Bringing Good Ideas to Minnesota through Collaboration • Multi-stakeholder community convening in 2005 • Learn about National Bridges to Excellence program • Implemented by GE and Ford • Financial rewards for providers that improve quality in diabetes and coronary care • Individual doctors must receive NCQA certification • Early adopter purchasers – Champions of Change • Carlson Companies • General Electric • Honeywell • 3M • Medtronic • State of MN Employer Group • Wells Fargo

3. Minnesota Bridges to Excellence - Leverage Community Partnerships and Best Practices • Institute for Clinical System Improvement (ICSI): develops guidelines and drives physician consensus • Minnesota Community Measurement (MCMN): measure development, data aggregation, quality review, performance rates, public reporting for increased transparency • Health Plans: aligned measure specifications used by all payers for rewards • Guiding Coalition formed: • Employers, providers, health plans, MMA, ICSI, MNCM, Stratis Health • Ensure collaboration, consensus and success of program

4. Supporting High Quality Outcomes • Program Goals: • Improve the quality of care for patients • Raise the level of purchaser and consumer awareness about the variation in the quality • Spark provider competition based on quality outcomes • Action Group • Manages and administers • Performance Criteria • Clinic eligibility and reward calculation • Ongoing program development/enhancement • Community Dialogues • Provider Webcasts • Celebrate Excellence: Annual Recognition Reception

5. MNBTE – Chronic Conditions * Only if risk of cardiovascular disease is present – then all adults age 18-75 ** PHQ-9 depression assessment questionnaire

6. Innovations • 2007 • Require Direct Data Submission to MNCM to reward at clinic-level based on clinical data • DHS Managed Medicaid joins program • Work with health plans to ensure alignment of measure specifications • 2008 – 2009 • More purchasers join – 14 Champions of Change • Resource Training & Solutions, Southwest/West Service Cooperative, Target, US Bank, University of Minnesota • MNBTE serves as model for State of Minnesota Quality Incentive Payment System (QIPS) • 2009 • Early adopter of depression care rewards using ICSI-developed remission measure for DIAMOND program

7. And More Innovations • 2010 • Add improvement rewards (ODC/OVC), encouraging all clinics to improve outcomes • QIPS becomes operational for State Employee Group and DHS • Action Group manages – ensures private/public market alignment • 2011 • Depression care improvement rewards added • Launched study to determine next opportunities • Supply sensitive care and overuse identified • 2012 • Learning collaborative established: Phase I – Low back pain and spine surgery • Value Statement developed outlining purchaser expectations. • Health plans, care systems and innovators meet with Champions to discuss new programs, care redesign and other efforts to improve outcomes and efficiency.

8. Champions of Change: $2,500,000 in financial Incentives * QIPS rewards additional 300+ clinics – lower minimum threshold

9. Today we recognize the Champions of Change for their leadership in rewarding providers for improved health outcomes for all Minnesotans

10. Thank You!