November 18, 2014 Learning Community Grant RFP Info ...

Minnesota Accountable Health Model

LEARNING COMMUNITY GRANTS RFP INFORMATIONAL WEBINAR

NOVEMBER 18, 2 0 1 4

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Welcome

• Welcome to the Minnesota Accountable Health Model Learning Community Grants informational webinar

• We appreciate you taking the time to join us • 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_learning_communities#

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



Agenda

• Brief SIM-Minnesota Overview • Learning Community Grants Overview • General Learning Community • Accountable Communities for Health Learning

Community • Proposal requirements • Review and scoring • Questions

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National State Innovation Model (SIM)

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Minnesota Accountable Health Model Goals

IHI = Institute for Healthcare Improvements

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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 Organization (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?

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Five Drivers of Better Health

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Social Determinants of Health and Triple Aim

Page numbers are provided in the RFP for guidance

General Learning Community Grant Topics pages 8-10 Required Deliverables and

Activities pages 10-11 Proposal Instructions pages 14-17 Matrix page 12

Accountable Communities for Health Learning Community Grant Topics pages 20-22 Required Deliverables and

Activities pages 22-24 Proposal Instructions pages 26-29

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Overview

• Seeking proposals to plan, implement, facilitate, and evaluate a Learning Community.

• Learning communities give care providers tools to improve quality, patient experience and health outcomes, while actively engaging communities and reducing health care expenditures.

Learning Community is defined as: learning teams who have common goals or interests, share best practice knowledge, and are actively engaged in implementing transformation in a focused, structured environment with the goal to advance patient centered, coordinated, and accountable care.

Refer to page 3 of RFP – Overview

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Overview

Four Learning Communities Grants will be funded • Three General Learning Communities

• focused on a selected transformation topic.

• One Accountable Communities for Health (ACH) Learning Community • focused on topics specific to implementation of an ACH.

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Refer to page 3 of the RFP – Overview

Overview

General Learning Community: • Minimum of 5 learning teams

recruited by the grantee • Teams will engage in sharing

experiences focused on transformative topics

• List of team participants are located on page 3 of the RFP

Accountable Communities for Health Learning Community: • Provide technical support and

peer learning opportunities for Accountable Communities for Health (ACH) teams.

• Up to 15 ACH grant teams with minimum of 4 members from each team


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Awards and Available Funding

Two rounds of funding for the General Learning Community Grants

Round 1: • Scheduled start date February

2015 • End date October 31, 2015 • Grant term 9 months • Total of up to $150,000

available for first round • Up to $50,000 will be awarded

per proposal for up to 3 awards

Round 2: • Released in January 2015 • Approximate start date April • End date December 31, 2015 • Grant term 9 months • Total of up to $150,000

available for first round • Up to $50,000 awarded per

proposal for up to 3 awards

Refer to pages 3 and 4 of the RFP – Funding

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Awards and Available Funding page 3

Applicants: • apply or re-apply for more than one grant round

• submit proposals to convene more than one learning

community during each grant round (eligible funding up to $50,000 per award).

• required to submit separate proposals for each Learning Community they convene

Refer to page 4 of the RFP – Funding

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Awards and Available Funding – Accountable Communities for Health Learning Community

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• One round for the ACH Learning Community Grant • One award of up to $200,000

• Grantees can only apply for the ACH Learning Community grant

during the first round of applications.

• Scheduled start date is February 2015 • End date December 31, 2016

Refer to page 4 of the RFP – Funding

Grant Activities & Timeline

Refer to page 4 of the RFP – Grant Timelines

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Eligible Applicants

Qualifications of the Applicant Able to meet fiscal and other grant requirements Must be located in the State of Minnesota. Must have qualifications and/or relationships in place to

recruit participants and implement a Learning Community

Refer to page 7 of the RFP – Eligible Applicant

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Desired Expertise

Knowledge

• proposed subject/topic • principles of adult learning and framework of change

Experience • designing and implementing a variety of learning methods and tools • with evaluation • in assessment

Ability to • effectively involve patient/family partners • effectively support collaboration between organizations • implement a combination of face-to-face, virtual, and distance learning activities • utilize the expertise of team members and existing infrastructures

Refer to page 7 of the RFP – Eligible Applicant

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General Learning Community

Topics pages 8-10 Required Deliverables and Activities pages 10-11

Proposal Instructions pages 14-17 Matrix page 12

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Refer to pages 8-18 of the RFP

General Learning Community

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General Learning Community Grant Topics

The Grantee must consider the learning interests and needs of potential General Learning Community Learning Teams. Topics:

• Community Integration and Partnership • Integration with Behavioral Health • Expansion of Certified Health Care Homes • Care Coordination • Quality Improvement Infrastructure • Culturally Appropriate Care • Population Health • Emerging Professions Integration • E-Health and Data Analytic

\ Refer to pages 8-10 of the RFP – Topics

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General Learning Community Grant Deliverables and Activities

Planning Phase – within 60 days

• Submit the Work Plan and Timeline of Activities. • Include identification of key content to be presented. • Submit a schedule of the learning events and any speakers • Submit a list of organizations participating • Proposed number of the team members. • Ensure attendance and commitment

Refer to page 10 of the RFP – Deliverables and Activities

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Implementation Phase – 60 days to 9 months

• Complete and submit the Matrix Count • Develop training sessions and materials • Develop and test implementation of learning using quality

improvement models. • Conduct content and sessions • Demonstrate patient and family involvement • MDH staff will host a webinar to include presentations

Refer to page 10 of the RFP – Deliverables and Activities

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Upon Completion Prepare and present an informative session • Provide materials and products created to the State for possible

distribution • Submit final syllabus, reflections, evaluation, list of resources, etc. • Submit a final project report using the format the State will

provide. • Ensure that all curriculum materials are made fully accessible in

accordance with the applicable law. (Americans with Disabilities Act standards)

• Describe how the Learning Community might be sustained. Refer to page 11 of the RFP – Deliverables and Activities

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http://mn.gov/oet/governance/for-agencies/accessibility/index.jsp

http://mn.gov/oet/governance/for-agencies/accessibility/index.jsp

General Learning Community Proposal Instructions

Applicant Experience and Capacity a) A brief history of the entity b) A brief description of applicant’s experience related to:

collaborative learning, learning communities, etc. c) Description of knowledge and experience of subject d) A brief overview of the agency’s capacity to accomplish

the grant objectives e) Description of the roles and responsibilities of the

project’s f) Anticipated barriers and challenges

Refer to page 14 of the RFP – Proposal Instructions

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Learning Community Description

• Topics • Goals and Objectives • Target Audience • Consumer and Family • Health equity • Evaluation Plan

• Measurement Tools • Timeframes • Process to make to curriculum or work plan

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Learning Community Implementation Work Plan/Timeline of Activities (Form B)

Anticipated Date Learning Objective/Activity

Learning Method Learning Outcome(s)

Measurement Anticipated # of Participants

Example 1

January 2015 Learning day focused on new preventative toolkit (screening, brief intervention, and follow-up)

Face-to-face workshop

Participants will have better understanding of screening, brief intervention, and follow-up process. Participants will be able to implement toolkit.

1. Knowledge-based pre-test and post-test distributed day of training.

2. Satisfaction Survey to be distributed and collected at end of session.

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Example 2

Monthly (February – May 2014)

Monthly Follow-Up Phone calls

Webinars/Conference calls

Participants will be able to share experiences in implementing toolkit. Opportunity to discuss and problem solve through barriers to implementation.

Satisfaction survey following webinar to be emailed out.

5-10 (webinar is geared toward those in the care coordination role)

Refer to page 15 and example page 34 of the RFP – Work Plan and Timeline

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Budget General Learning Communities Round 1: February – October 31, 2015 Section 1 is a line-item budget

• Include costs for Staff, Fringe, Travel, Supplies, and Other • Equipment and Indirect costs are not covered • Include a budget for nine months (February 2015 – October

2015).

Refer to pages 15-17 of RFP – Proposal Instructions

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Budget Section 2: Deliverables-based Section 2 is a deliverables-based budget (cross-walk with the work plan)

Deliverable: Implementation Phase Avg by Hour Estimated Hrs Billable AmtLearning Day Focused on New Preventive Toolkit 260.38$ 13.0 3,385$

-$ TOTAL 3,385$

Refer to page 17 of the RFP – Budget Section 2: Deliverables-based

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General Learning Community Grant Activity Completed AFTER Funded

Matrix Sheet EXAMPLE • Ensure individual organizations/providers

participating in the learning teams complete the Continuum of Accountability Matrix Assessment Tool for their organization

• Collect the organizations’/providers’

completed assessment(s) • Input the results in to Accountability

Matrix Count Sheet

• Turn in to MDH with 90 days of the grant start date

Refer to pages 12, 49-50 of the RFP – Upon Completion

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General Learning Community Grant Only Funded Grantee will ask organizations to complete

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Accountable Communities for Health Learning Community Grant

Topics pages 20-22 Required Deliverables and Activities pages 22-24

Proposal Instructions pages 26-29

Refer to pages 20 – 30 of the RFP

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Goals

• Provide technical support and peer learning opportunities for Accountable Communities for Health (ACH) teams. • Up to 15 ACH grant teams • Minimum of 4 members from each ACH team will participate

in ACH Learning Community activities as part of grant requirements

• Implement best practices and support development of ACH leadership structures, community-clinical care partnerships, care coordination models and systems, and sustainability plans.


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Topics Applicants must address the following 2 topics in the work plan:

• Sustainability Planning • ACH Leadership Team

And at least 5 of the following: • Community Integration and

Partnership • Integration with Behavioral

Health • Care Coordination • Quality Improvement

Infrastructure • Culturally Appropriate Care • Population Health • E-Health and Data Analytics

Refer to pages 20-22 of the RFP – Topics 34


Deliverables and Activities

Planning phase - within 60 days • In collaboration with state staff, conduct a learning community

needs assessment. • Submit a copy of the ACH Learning Community Implementation

Work Plan and timeline of activities for the first 6 months of the grant period.

• Develop content for learning sessions and identify presenters for May 12-14, 2015, learning days in St. Cloud.

Refer to page 22 of the RFP – Required Deliverables and Activities

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Deliverables and Activities page 2

Implementation phase - months 3-23

• Develop and submit final work plan. • Develop training sessions and materials. • Prepare and present information. • Participate in ongoing ACH TA. • Develop and test implementation of learning using quality

improvement models.

Refer to pages 22-23 of the RFP – Required Deliverables and Activities

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Accountable Communities for Health Learning Community Grant Proposal Instructions – Description

Learning Community Description •Topics •Needs assessment •Goals and Objectives •Health equity •Evaluation Plan

•Measurement Tools •Timeframes •Feedback loop


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Proposal Instructions – Work Plan and Timeline Learning Community Implementation Work Plan and Timeline of Activities: • Provide a work plan for the first 6 months of the grant period

using Form B. • See example of Form B for more detail. • Include:

• Timeline • Objectives and activities • Learning methods and outcomes • Measurement


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Proposal Instructions - Budget

Use calendar year budget forms for 2015 and 2016 (Form D) • February – December 2015 • January – December 2016

Refer to pages 27-29 of RFP – Proposal Instructions

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LEARNING COMMUNITY GRANTS

Final Section: Requirements pages 12-14 & 24-25

Forms pages 31-43 Q and A Survey

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Requirements

• Narrative portions of the application must be written in 12-point font, single spaced with one-inch margins.

• All pages must be numbered consecutively. • Applicants must submit one (1) signed unbound original and

seven (7) unbound copies of the proposal as well as an electronic version of the proposal on a USB drive. Faxed or emailed applications will not be accepted.

• Applications must meet application deadline requirements. • Late applications will not be reviewed. • Applications must be complete and signed where noted. • Incomplete applications will not be considered for review.

Refer to pages 13 & 24 of RFP

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Grant Proposal Requirements

• Signed Application Face Sheet (Form A) • Applicant Experience and Capacity (Limit 2 pages) • General or ACH Learning Community Description (Limit 6 pages) • General or ACH Learning Community Implementation Work Plan

(Form B) • Project Minnesota Accountable Health Model Contractor Budget

General Learning Community (Form C) • Project ACH Minnesota Accountable Health Model Contractor

Budget Learning Community (Form D) • Project Budget Justification (Form E) • Due Diligence Review Form (Form F) – submit only 1 copy

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Refer to pages 13 and 24 of the RFP – Grant Application Refer to pages 31-43 of the RFP - Forms

Forms

Form A , B, E, and F EXAMPLE:

Refer to pages 31-43 of the RFP – Forms

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Proposal Evaluation

Grant proposals will be scored on a 100-point scale as listed in the following table:

Items Points Percentage Applicant Experience and Capacity 25 points 25% Learning Community Description 30 points 30% Learning Community Implementation Plan 30 points 30% Budget and Budget Justification 15 points 15% TOTAL 100 points 100%

Refer to RFP pages 45-48 – Proposal Instructions -Proposal Evaluation

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RFP Resources

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Refer to RFP page 70 Resources

Question & Answer

• It’s now time for the question and answer portion of the call. • All of today’s questions and answers, along with others

collected earlier will be compiled into a Q&A document. • We will try to answer all of your question. If we are unable

to answer today, the question and answer will still be included in the Q&A document.

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

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How to submit questions

• Go to the SIM Website and click on Learning Collaboratives

• Click on Learning Communities RFP information

• Enter your question in the survey

form

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More Information

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

November 18, 2014 Learning Community Grant RFP Info ...

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