Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
GROUP HEALTH PLAN INC |
410797853 | 170(B)(1) (A)(III) | Yes | 0 | 0 | |
| (B)
REGIONS HOSPITAL |
410956618 | 170(B)(1) (A)(III) | Yes | 0 | 0 | |
| (C)
HEALTHPARTNERS INC |
411693838 | 501(C)(4) | Yes | 0 | 0 | |
Total 3
|
0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| FORM 990, SCHEDULE A, PART I, LINE 11(G), COLUMN (V) | NO DIRECT MONETARY SUPPORT IS INDICATED FROM HEALTHPARTNERS RESEARCH & EDUCATION (INSTITUTE) TO ITS SUPPORTED ORGANIZATIONS: HOWEVER, THE INSTITUTE PERFORMS SERVICES WHICH ITS SUPPORTED ORGANIZATIONS WOULD OTHERWISE PERFORM ON THEIR OWN. THE NATURE OF THESE SERVICES, AND THE RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS IS DESCRIBED IN SCHEDULE O "FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS." |
| SCHEDULE A, PART IV, SECTION A, LINE 3B | INSTITUTE SUPPORTED ORGANIZATIONS THAT ARE 501 (C) (4) ORGANIZATIONS ARE REQUIRED TO BE A NON-PROFIT CORPORATION UNDER MINNESOTA LAW. THE STATE OF MINNESOTA MONITORS THE PUBLIC BENEFIT OF THESE ORGANIZATIONS ANNUALLY TO ENSURE THAT THEY MEET STATE AND FEDERAL REQUIREMENTS. |
| SCHEDULE A, PART IV, SECTION A, LINE 3C | NO DIRECT MONETARY SUPPORT IS INDICATED FROM THE INSTITUTE TO ITS SUPPORTED ORGANIZATIONS: HOWEVER, THE INSTITUTE PERFORMS SERVICES WHICH ITS SUPPORTED ORGANIZATIONS WOULD OTHERWISE PERFORM ON THEIR OWN. THE NATURE OF THESE SERVICES, AND THE RELATIONSHIP WITH ITS SUPPORTED ORGANIZATIONS IS DESCRIBED IN SCHEDULE O "FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS." |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS | CORPORATE STRUCTURE, PURPOSE, GOVERNANCE HEALTHPARTNERS INSTITUTE FOR EDUCATION AND RESEARCH (INSTITUTE) IS A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS "HEALTHPARTNERS". FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED SYSTEM OF HEALTH CARE DELIVERY AND HEALTH CARE FINANCING ORGANIZATIONS, AND IS ONE OF THE LARGEST CONSUMER-GOVERNED ORGANIZATIONS IN THE COUNTRY. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTHCARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY, ALL AT THE SAME TIME. HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS WITH HEALTH CARE ACTIVITIES PRIMARILY OPERATING IN MINNESOTA AND WESTERN WISCONSIN. HEALTHPARTNERS PROVIDES A FULL-RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLAN'S SERVE MORE THAN 1.5 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE, AND IS THE TOP-RANKED COMMERCIAL PLAN IN MINNESOTA. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,700 PHYSICIANS, SIX HOSPITALS, 55 PRIMARY CARE CLINICS, 22 URGENT CARE LOCATIONS AND NUMEROUS SPECIALTY PRACTICES IN MINNESOTA AND WESTERN WISCONSIN. IN ADDITION, HEALTHPARTNERS DENTAL CARE SYSTEM HAS MORE THAN 60 DENTISTS AND 22 DENTAL CLINICS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUND RAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN THE HEALTHPARTNERS FAMILY, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS AND PATIENTS LIVE HEALTHIER LIVES. HEALTHPARTNERS COLLABORATE WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES CONTINUING IN 2014 ARE TOTAL COST OF CARE MEASUREMENTS (DEVELOPMENT OF A NATIONALLY RECOGNIZED METRIC, ENDORSED BY THE NATIONAL QUALITY FORUM, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4) AND IS THE SOLE CORPORATE MEMBER OF THE INSTITUTE. THE INSTITUTE IS RECOGNIZED AS A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3) AS A SUPPORTING ORGANIZATION OF HPI, AND TO GROUP HEALTH PLAN, INC. (GHI), A MINNESOTA NONPROFIT CORPORATION AND LICENSED STAFF MODEL HMO, AND TO REGIONS HOSPITAL (REGIONS), A MINNESOTA NONPROFIT CORPORATION AND LICENSED HOSPITAL. BOTH GHI AND REGIONS ARE RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(3). FOR INFORMATION ABOUT THE CHARITABLE AND COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF THE INSTITUTE'S SUPPORTED ORGANIZATIONS, SEE THE FORM 990 ANNUAL FILINGS FOR EACH ENTITY. THE INSTITUTE WORKS WITH AND SUPPORTS CERTAIN EXEMPT ORGANIZATIONS WITHIN HEALTHPARTNERS TO ACHIEVE THESE AIMS WITH MAXIMUM EFFICIENCY AND COLLABORATION. THE INSTITUTE'S MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. ITS VISION IS HEALTH AS IT COULD BE, AFFORDABILITY AS IT MUST BE, THROUGH RELATIONSHIPS BUILT ON TRUST. THE INSTITUTE AND HEALTHPARTNERS PARTNER'S WITH HMOS, CARE PROVIDERS, AND NONPROFIT ORGANIZATIONS THROUGHOUT THE REGION AND THE NATION TO INCREASE ACCESS FOR THE UNDERSERVED, CREATE AND DISSEMINATE RESEARCH AND CARE-IMPROVEMENT INFORMATION, PARTICIPATE IN THE DEVELOPMENT OF PUBLIC POLICY, AND MAXIMIZE SHARED RESOURCES FOR THE IMPROVEMENT OF THE HEALTH CARE SYSTEM AND THE COMMUNITY'S OVERALL HEALTH. THE INSTITUTE PROVIDES NATIONALLY ACCREDITED GRADUATE MEDICAL EDUCATION, CONTINUING MEDICAL EDUCATION, CLINICAL SIMULATION, AND OTHER HEALTH PROFESSIONAL EDUCATION. IT HAS BEEN RECOGNIZED LOCALLY AND NATIONALLY FOR ITS INNOVATIVE EDUCATIONAL PROGRAMS BY ORGANIZATIONS SUCH AS THE ALLIANCE FOR CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, THE ALLIANCE FOR INDEPENDENT ACADEMIC MEDICAL CENTERS, AND THE MINNESOTA ALLIANCE FOR PATIENT SAFETY. BENEFIT TO THE COMMUNITY HEALTH PROFESSIONAL EDUCATION: RESIDENT AND OTHER HEALTH PROFESSIONAL TRAINING: IN PARTNERSHIP WITH THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL, THE INSTITUTE TRAINS MORE THAN 500 RESIDENT PHYSICIANS (130 FTES) ANNUALLY IN 22 PROGRAMS AT REGIONS AND THE HEALTHPARTNERS MEDICAL GROUP AND CLINICS (HPMG CLINICS). THE COST OF RUNNING THE MEDICAL EDUCATION PROGRAMS WAS MORE THAN $22 MILLION IN 2014. AREAS OF RESIDENT TRAINING INCLUDED: - EMERGENCY MEDICINE - EMERGENCY MEDICAL SERVICES - PEDIATRIC EMERGENCY MEDICINE - PHYSICIAN ASSISTANT EMERGENCY MEDICINE - FOOT & ANKLE SURGERY - HAND SURGERY - HOSPITAL MEDICINE - MEDICAL TOXICOLOGY - OCCUPATIONAL MEDICINE - PSYCHIATRY (JOINT PROGRAM WITH ANOTHER AREA HOSPITAL) - PHYSICIAN ASSISTANT/NURSE PRACTITIONER FELLOWSHIP IN PSYCHIATRY - PHARMACY - MANAGED CARE PHARMACY THE INSTITUTE ALSO PROVIDED EDUCATION IN 10 OTHER RESIDENCY PROGRAMS AFFILIATED WITH THE UNIVERSITY OF MINNESOTA. RESIDENT PHYSICIANS PROVIDED CARE IN MANY HIGH-INTENSITY AREAS OF REGIONS, INCLUDING THE EMERGENCY CENTER, INTENSIVE CARE, SURGICAL SUITES, AND PATIENT UNITS. THEY PROVIDED CARE FOR PATIENTS FROM UNDERSERVED AND DISADVANTAGED COMMUNITIES. IN ADDITION, RESIDENTS CONTRIBUTED TO MEDICAL RESEARCH AND THE ACADEMIC ENVIRONMENT THAT SUSTAINS REGIONS AND HEALTHPARTNERS' CUTTING-EDGE APPROACH TO CARE. RESIDENTS ALSO SERVED ON COMMITTEES AND TEAMS AT REGIONS AND HPMG CLINICS, INCLUDING: - GRADUATE MEDICAL EDUCATION (GME) COMMITTEE - RESIDENT FORUMS - PATIENT SAFETY AND QUALITY INITIATIVES - THE INSTITUTE'S BOARD OF DIRECTORS - EDUCATION COMMITTEE OF THE INSTITUTE - LEARNING ENVIRONMENT COMMITTEE REGIONS EMERGENCY MEDICINE RESIDENCY SUPPLEMENTS THE CLINICAL LEARNING EXPERIENCE WITH LECTURES, WORKSHOPS AND PROCEDURAL SKILLS LABS THAT ARE OPEN (SPACE PERMITTING) TO ALL RESIDENTS, FACULTY, STUDENTS, ALUMNI, NURSES, PHYSICIAN ASSISTANTS, CONSULTANTS AND OTHERS FROM THE RESIDENCY COMMUNITY TO SHARE AND DISCUSS NEW KNOWLEDGE. CLINICAL EDUCATION: THE OFFICE OF MEDICAL EDUCATION (OME), A DEPARTMENT IN THE INSTITUTE, MANAGES ALL UNDERGRADUATE AND GRADUATE MEDICAL EDUCATIONAL ACTIVITIES IN THE HEALTHPARTNERS SYSTEM, INCLUDING NEGOTIATING, IMPLEMENTING AND MONITORING MEDICAL EDUCATION TRAINING CONTRACTS AND INSTITUTIONAL AFFILIATION AGREEMENTS. THE OME ALSO OVERSEES AND ENSURES COMPLIANCE WITH INSTITUTIONAL AND PROGRAM REQUIREMENTS OF THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), AND THE COUNCIL ON PODIATRIC MEDICAL EDUCATION (CPME). THE OME FURTHER ENSURES COMPLIANCE WITH POLICIES AND PROCEDURES AND MANAGES ALL OPERATIONAL ASPECTS OF THE UNDERGRADUATE AND GME TRAINING ACTIVITIES AT THE VARIOUS CLINICS AND HOSPITALS IN THE HEALTHPARTNERS SYSTEM. THE OME ARRANGES ALL CLINICAL ROTATIONS AND OBSERVATIONS FOR PROSPECTIVE AND CURRENT STUDENTS IN MEDICAL EDUCATION PROGRAMS, PHYSICIAN ASSISTANTS, NURSES, RADIATION TECHNICIANS AND OTHER ALLIED HEALTH PROFESSIONALS. OME ACCOMMODATED MORE THAN 200 COMMUNITY OBSERVERS INTERESTED IN A CAREER IN HEALTH CARE, FOR ABOUT 200 HOURS OF COORDINATION EFFORT IN 2014. |
| FORM 990, PART III, LINE 4A | CLINICAL SIMULATION: HEALTHPARTNERS CLINICAL SIMULATION, A DEPARTMENT WITHIN THE INSTITUTE, IMPROVES PATIENT SAFETY BY PROVIDING SIMULATED CLINICAL EXPERIENCES FOR HEALTHCARE PROFESSIONALS INCLUDING PHYSICIANS, NURSES, RESPIRATORY THERAPISTS, PHARMACISTS, DENTISTS, PARAMEDICS AND STUDENTS. THE EDUCATION OF MEDICAL AND NURSING STUDENTS, RESIDENTS, DOCTORS, AND NURSES AT REGIONS, HPMG CLINICS, METHODIST HOSPITAL AND INDIVIDUALS WORKING AT OTHER HEALTH CARE ORGANIZATIONS IN MINNESOTA AND WESTERN WISCONSIN IS ENHANCED BY INCORPORATING SIMULATION. EDUCATIONAL TOPICS IN 2014 INCLUDED PROCEDURAL SKILLS, REDUCING FAILURE TO RECOGNIZE/RESCUE, CRITICAL CARE, PROGRESSIVE CARE, OBSTETRICAL & PEDIATRIC EMERGENCY MANAGEMENT, AIRWAY MANAGEMENT, CARDIAC ARREST MANAGEMENT & EFFECTIVE USE OF SIMULATION IN EDUCATIONAL PROGRAMS. IN 2014, HEALTHPARTNERS CLINICAL SIMULATION PROVIDED THE FOLLOWING SERVICES TO THE COMMUNITY IN THE CLINICAL SIMULATION & LEARNING CENTER OR AT OTHER FACILITIES THROUGH THE MOBILE SIMULATION PROGRAM: 1. EDUCATIONAL COURSES/ACTIVITIES: - OBSTETRICAL AND PEDIATRIC MANAGEMENT FOR DAKOTA COUNTY PARAMEDICS - PEDIATRIC TRAUMA MANAGEMENT FOR NURSES, PHYSICIANS, AND PHYSICIAN ASSISTANTS AT OSCEOLA MEDICAL CENTER. 2. STUDENT EVENTS: THE SIMULATION CENTER PROVIDED CLINICAL EXPERIENCES FOR ELEMENTARY, JUNIOR HIGH, AND HIGH SCHOOL STUDENTS. THIS OFFERED A HANDS-ON OPPORTUNITY TO EXPLORE A VARIETY OF HEALTH CARE AND BIOMEDICAL ENGINEERING CAREERS. 3. PROMOTION OF SIMULATION: THE SIMULATION CENTER STAFF VOLUNTEERED TIME TO STAFF THE NEW HENNEPIN COUNTY MEDICAL CENTER SIMULATION CENTER DURING ITS OPEN HOUSE. STAFF DEMONSTRATED EQUIPMENT AND PROVIDED INFORMATION ON PATIENT SAFETY AND OTHER USES OF SIMULATION. 4. COMMUNITY GROUP TOURS/EVENTS: FREE TOURS WERE CONDUCTED FOR COMMUNITY MEMBERS AND THE SIMULATION CENTER STAFF PARTICIPATED IN NATIONAL DIABETES AWARENESS WEEK EVENT AT THE MALL OF AMERICA IN BLOOMINGTON, MN. 5. CONFERENCE PRESENTATIONS: PRESENTATIONS WERE GIVEN IN 2014 TO COMMUNITY AUDIENCES. PRESENTERS SHARED EXPERIENCES, OUTCOMES, LESSONS LEARNED, AND HOW TO INCORPORATE BEST PRACTICES. 6. CONSULTATION: STAFF SHARED THEIR EXPERTISE WITH THE SIMULATION COMMUNITY BY PROVIDING TECHNOLOGY SUPPORT FOR STAFF AT COMMUNITY HOSPITALS AND COLLEGES. CONTINUING EDUCATION: THE INSTITUTE PROVIDES CONTINUING EDUCATION THAT SUPPORTS THE IMPROVEMENT OF THE COMPETENCE OF PHYSICIANS AND HEALTH CARE PROFESSIONALS, HEALTH CARE PRACTICE, AND THE HEALTH OF OUR PATIENTS AND COMMUNITY. THE INSTITUTE AND PARK NICOLLET INSTITUTE CONTINUING MEDICAL EDUCATION TEAMS COMBINED IN 2014. THE PARK NICOLLET INSTITUTE IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION. CONTINUING EDUCATION ACTIVITIES ARE TARGETED TO LOCAL, REGIONAL, AND NATIONAL AUDIENCES. IN 2014, THE INSTITUTE PROVIDED THE FOLLOWING CONTINUING EDUCATION SERVICES TO THE COMMUNITY: - INFORMATION ABOUT BEST PRACTICES IN EMERGING CLINICAL TOPICS THROUGH OUR WEBSITE, WWW.HEALTHPARTNERS.COM/INSTITUTE/INDEX.HTML COMMUNITY OF PRACTICE EVENT FOR CLINICIAN EDUCATORS WAS HELD IN APRIL, 2014 TO ENGAGE CLINICIAN EDUCATORS IN THE TWIN CITIES PASSIONATE ABOUT MEDICAL EDUCATION TO PROMOTE SHARING OF BEST PRACTICES AND PROVIDE INPUT ON THE FUTURE DIRECTION OF MEDICAL EDUCATION. FUNDING FOR PROFESSIONAL EDUCATION AND RESEARCH: THE INSTITUTE'S KNOWLEDGE BANK IS A FUND DEVELOPED TO SUPPORT LEARNING AND TEACHING IN ALL HEALTH DISCIPLINES AT EVERY STAGE OF CAREER DEVELOPMENT THROUGH SCHOLARSHIPS AND GRANTS FOR PROFESSIONAL EDUCATION. SCHOLARSHIPS AND GRANTS IN 2014 SUPPORTED HEALTH CARE PROFESSIONALS IN ATTENDING CONFERENCES, TRAINING PROGRAMS, AND ROTATIONS FOR GME. THE INSTITUTE OFFERS RESEARCH GRANTS TO RESIDENTS IN HEALTHPARTNERS AND CLOSELY AFFILIATED RESIDENCY PROGRAMS. THESE GRANTS OF UP TO $2,000 ARE AVAILABLE ON A ONE-TIME BASIS TO PARTIALLY FUND RESEARCH PROJECTS THAT ENABLE RESIDENTS TO PARTICIPATE IN MENTORED RESEARCH PROGRAMS. IMPROVING CROSS-CULTURAL CARE: IN 2013, THE INSTITUTE LAUNCHED THE SECOND ITERATION OF THE EBAN EXPERIENCE, CALLED THE 3D COLLABORATIVE, TO IMPROVE DIABETES OUTCOMES IN AFRICAN AMERICAN AND EAST AFRICAN POPULATIONS. THE 3D COLLABORATIVE IS A YEARLONG LEARNING COLLABORATIVE THAT BEGAN IN MAY 2013 AND ENDED IN JUNE 2014. IT BRINGS HEALTH CARE PROFESSIONALS, PATIENTS AND COMMUNITY MEMBERS TOGETHER TO REDUCE DIABETES DISPARITIES. FIVE TEAMS WORKED TO IDENTIFY CULTURALLY SPECIFIC BEST PRACTICES TO IMPROVE DIABETES KNOWLEDGE ABOUT SELF-MANAGEMENT AND PREVENTION AND CONNECT PATIENTS WITH COMMUNITY ORGANIZATIONS TO SUPPORT HEALTHY LIFESTYLE BEHAVIORS. THE TEAMS LEARNED TO APPLY BASIC QUALITY IMPROVEMENT PROCESSES AND LISTEN TO THOSE MOST AFFECTED BY DISPARITIES TO IMPROVE HEALTH OUTCOMES. BEST PRACTICES AND RECOMMENDATIONS FOR CARE TEAMS ARE BEING CURATED AND WILL BE SPREAD ACROSS THE HEALTH SYSTEM AND COMMUNITIES. BEGINNING IN 2015, THIS WORK IS BEING CURATED IN AN EBOOK FORM FOR FUTURE DISSEMINATION. COMMUNITY HEALTH EDUCATION: IN 2014, THE INSTITUTE PARTICIPATED IN THE COMMUNITY GRAND ROUNDS, WHICH BRINGS EDUCATION AND TRAINING TO HOSPITALS, CLINICS, AND OTHER PLACES OF BUSINESS AT NO COST. REGION'S MEDICAL AND PROFESSIONAL STAFF GAVE PRESENTATIONS IN THE COMMUNITY ON TOPICS SUCH AS TRAUMA AND BURN CARE, PAIN MANAGEMENT, COMMON EAR NOSE & THROAT PROBLEMS, SLEEP DISORDERS AND URINE DRUG TESTING. COMMUNITY COLLABORATION: AS A MEMBER OF THE METROPOLITAN MINNESOTA COUNCIL ON GRADUATE MEDICAL EDUCATION (MMCGME), THE INSTITUTE HAS TAKEN A LEADERSHIP ROLE IN PROMOTING A COMMUNITY APPROACH TO RESIDENT EDUCATION. THE MMCGME CONSIDERS HOW MANY PHYSICIANS ARE NEEDED IN THE METROPOLITAN AREA AND WHAT TYPES OF RESIDENTS WILL BEST SERVE THE COMMUNITY'S NEEDS. THIS TYPE OF ANALYSIS AND PLANNING IS PARTICULARLY IMPORTANT BECAUSE THE NUMBER OF RESIDENCY "SLOTS" (NUMBER OF RESIDENTS FOR WHICH MEDICARE PROVIDES FUNDING) HAS DECREASED IN THE TWIN CITIES. PLANNING FOR THE GROWTH OF RESIDENCY POSITIONS IS INCREASINGLY IMPORTANT IN MEETING COMMUNITY NEEDS. THE INSTITUTE'S EXECUTIVE DIRECTOR OF EDUCATION CONTRIBUTES TO A SUBCOMMITTEE FOCUSED ON IMPROVING EFFICIENCY IN ADMINISTRATION OF RESIDENCY PROGRAMS AND DECREASING PROGRAM COSTS. UNDER THE MMCGME, THE INSTITUTE HAS HELPED ESTABLISH THE TWIN CITIES RESIDENT COUNCIL, AN ORGANIZATION OF RESIDENT PHYSICIANS IN THE TWIN CITIES WHOSE AIM IS TO IMPROVE THE QUALITY AND SAFETY OF PATIENT CARE. THE COUNCIL IS COMPOSED OF RESIDENTS FROM TEACHING HOSPITALS IN THE TWIN CITIES, INCLUDING THE UNIVERSITY OF MINNESOTA, HENNEPIN COUNTY MEDICAL CENTER, ABBOTT NORTHWESTERN HOSPITAL, REGIONS, AND VETERANS ADMINISTRATION. IT SEEKS TO STANDARDIZE THE PROCESSES INVOLVED IN HANDOFFS AND PAGING IN TWIN CITIES' HOSPITALS TO PREVENT ERRORS AND DELAYS IN PATIENT CARE. INSTITUTE STAFF VOLUNTEERED AT NONPROFIT ORGANIZATIONS SUCH AS THE ALLIANCE FOR INDEPENDENT ACADEMIC MEDICAL CENTERS, ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, ASSOCIATION FOR HOSPITAL MEDICAL EDUCATION AND ACCREDITATION COUNCIL OF CONTINUING MEDICAL EDUCATION, TO IMPROVE HEALTH CARE-DELIVERY. THE INSTITUTE HAS LED THE PROFESSIONAL DEVELOPMENT OF REGIONAL RESIDENCY PROGRAM COORDINATORS BY PLANNING AND COORDINATING AN ANNUAL CONFERENCE. STAFF MEMBERS CONTRIBUTE ANNUALLY BY PRESENTING AT THIS CONFERENCE. INSTITUTE STAFF PARTICIPATED IN A WEEKLY READING PROGRAM THROUGH THE NONPROFIT EVERYBODY WINS MINNESOTA, SERVING AS A CLASSROOM COORDINATOR AT THE ST. PAUL MUSIC ACADEMY. RESEARCH: RESEARCH AREAS OF FOCUS AT THE INSTITUTE ARE CHRONIC DISEASE, CLINICAL RESEARCH, CRITICAL CARE, HEALTH ECONOMICS, MATERNAL AND CHILD HEALTH, HEALTH BEHAVIORS, MENTAL HEALTH, PATIENT-CENTERED OUTCOMES RESEARCH, NEUROSCIENCE AND ALZHEIMER'S DISEASE, AND ORAL AND DENTAL HEALTH. IN 2014, THE INSTITUTE WAS INVOLVED IN NEARLY 300 RESEARCH PROJECTS. AN OVERVIEW OF SOME PROJECT AREAS FOLLOWS. CHRONIC DISEASE: DIABETES, HYPERTENSION AND CARDIOVASCULAR RISK REDUCTION IS A STRENGTH IN THE INSTITUTE'S CENTER FOR CHRONIC CARE INNOVATION. IN 2014, INSTITUTE INVESTIGATORS LED AND WERE INVOLVED IN THESE STUDIES: DIABETES: - MINNESOTA MEDICAID INCENTIVES FOR PREVENTION OF DIABETES DEMONSTRATION - THIS STUDY IS TESTING THE EFFECTS OF TWO PATIENT INCENTIVE STRUCTURES DESIGNED TO CHANGE THE COMPLEX BEHAVIOR OF WEIGHT LOSS AMONG MINNESOTA MEDICAID BENEFICIARIES AT HIGH RISK FOR DIABETES. INCENTIVES WILL BE DELIVERED TO BENEFICIARIES THROUGH PARTICIPATION IN AN EVIDENCE-BASED DIABETES PREVENTION PROGRAM DESIGNED TO PROVIDE EDUCATION AND SUPPORT LEADING TO SIGNIFICANT WEIGHT LOSS. THE PROJECT ALSO INCLUDES DELIVERY OF THE INTERVENTION BY YMCA LIFESTYLE INSTRUCTORS. THE STUDY IS BEING CONDUCTED IN PRIMARY CARE CLINICS AS PART OF A GROUP-RANDOMIZED TRIAL THAT INCLUDES 13 CLINIC SYSTEMS WITH 19 PARTICIPATING CLINIC SITES AND 3,240 MEDICAID BENEFICIARIES OVER 5 YEARS (NOVEMBER 2011 - OCTOBER 2016). |
| FORM 990, PART III, LINE 4A | - SIMULATED DIABETES TRAINING FOR RESIDENT PHYSICIANS - THIS STUDY COMPLETED IN 2013 AIMED TO IMPROVE THE SAFETY AND EFFECTIVENESS OF DIABETES CARE DELIVERED BY PRIMARY CARE RESIDENTS THROUGH A SIMULATED LEARNING INTERVENTION THAT OVERCOMES OBSTACLES TO OUTPATIENT DIABETES CARE TRAINING IN PRIMARY CARE RESIDENCY PROGRAMS. IN 2014, RESULTS WERE DISSEMINATED THROUGH A PUBLISHED PAPER AND ORAL PRESENTATIONS. THE PROVIDER EDUCATION TOOL DEVELOPED THROUGH THIS STUDY HAS BEEN LICENSED TO SIMCARE HEALTH, AND THE RESEARCHERS CONTINUE UPDATING THE LEARNING PROGRAM BASED ON NEW CLINICAL EVIDENCE, FOOD AND DRUG ADMINISTRATION-APPROVED MEDICATIONS, AND CHANGES TO GUIDELINES. - SUPREME - IN THE BUILDING NEW CLINICAL INFRASTRUCTURE FOR COMPARATIVE EFFECTIVENESS RESEARCH STUDY, THE INSTITUTE IS ADDRESSING WHETHER INTENSIVE GLYCEMIC CONTROL IN ADULTS WITH TYPE 2 DIABETES LEADS TO BETTER SHORT- AND LONGER-TERM OUTCOMES THAN LESS-INTENSIVE THERAPY AND DETERMINING WHETHER ITS BENEFIT IS A FUNCTION OF AGE, PREVIOUS CARDIOVASCULAR DISEASE, BLOOD PRESSURE OR LOW-DENSITY LIPOPROTEIN CHOLESTEROL CONTROL. IT USES OBSERVATIONAL LONGITUDINAL ANALYSES IN A POOLED CLINICAL COHORT OF 500,000 PATIENTS AND SECONDARY ANALYSES USING AN INSTRUMENTAL VARIABLE. THIS STUDY COMPLETED IN 2014. - CARDIOVASCULAR (CV) BENEFITS AND SAFETY OF GLUCOSE - LOWERING THERAPIES IN ADULTS WITH DIABETES. THIS NATIONAL INSTITUTES OF HEALTH (NIH)-SPONSORED PROJECT EXAMINES DETAILED CLINICAL DATA FROM 1.3 MILLION ADULTS WITH TYPE 2 DIABETES WITH MORE THAN 4 MILLION PERSON-YEARS OF FOLLOW UP TO QUANTIFY THE CV BENEFITS AND RISKS OF COMMONLY USED COMBINATIONS OF GLUCOSE-LOWERING MEDICATIONS. STUDY RESULTS COULD SUBSTANTIALLY IMPROVE CV OUTCOMES IN THE MORE THAN 20 MILLION AMERICANS WITH TYPE 2 DIABETES BY IDENTIFYING WHICH COMMONLY USED COMBINATIONS OF GLUCOSE-LOWERING MEDICATIONS MAXIMIZE CV BENEFITS AND MINIMIZE CV RISKS. - IMPACT OF BARIATRIC SURGERY ON LONG - TERM DIABETES REMISSION AND COMPLICATIONS. THE UNITED KINGDOM PROSPECTIVE DIABETES STUDY AND THE DIABETES CONTROL AND COMPLICATIONS TRIAL HAVE SHOWN THAT TRANSIENT PERIODS OF RELATIVELY BETTER GLYCEMIC CONTROL RESULTED IN SIGNIFICANT LONG-TERM BENEFITS IN TERMS OF REDUCED MICROVASCULAR AND MACROVASCULAR COMPLICATIONS, EVEN THOUGH THE LEVELS OF GLYCEMIC CONTROL EVENTUALLY BECAME IDENTICAL BETWEEN INTERVENTION AND CONTROL SUBJECTS WHEN THE RANDOMIZATION PERIOD ENDED. THE PROLONGED BENEFICIAL EFFECTS OF IMPROVED GLYCEMIC CONTROL OBSERVED IN THESE STUDIES HAVE BEEN TERMED THE "LEGACY EFFECT" OR "METABOLIC MEMORY." THE GOAL OF THIS NIH - FUNDED STUDY IS TO INVESTIGATE WHETHER THERE IS A LEGACY EFFECT INDUCED BY BARIATRIC SURGERY. - WEIGHT LOSS IN DIABETES PATIENTS - THIS JENNY CRAIG SPONSORED PROJECT AIMS TO TEST WHETHER PARTICIPATION IN A COMMERCIAL WEIGHT-LOSS PROGRAM PROMOTES GREATER WEIGHT LOSS AND WEIGHT LOSS MAINTENANCE AT 1 YEAR IN OVERWEIGHT OR OBESE MEN AND WOMEN WITH TYPE 2 DIABETES THAN IN PEOPLE RECEIVING USUAL CARE; TO EXAMINE WHETHER THERE IS A DIFFERENTIAL WEIGHT LOSS RESPONSE AT 3, 6 AND 12 MONTHS TO DIFFERENT MACRONUTRIENT COMPOSITION IN THE WEIGHT LOSS INTERVENTION; AND TO DESCRIBE THE EFFECT OF PARTICIPATION IN THE PROGRAM ON MARKERS OF GLYCEMIC CONTROL, HEART DISEASE RISK, AND CARDIOPULMONARY FITNESS, QUALITY OF LIFE AND EATING ATTITUDES AND BEHAVIORS. HYPERTENSION: - ELECTRONIC HEALTH RECORD (EHR)-BASED CLINICAL DECISION SUPPORT TO IMPROVE BLOOD PRESSURE MANAGEMENT IN ADOLESCENTS - THIS PROJECT USES EHR TECHNOLOGY TO (A) DELIVER PATIENT-SPECIFIC CLINICAL DECISION SUPPORT (CDS) TO CARE PROVIDERS OF ADOLESCENTS AT THE POINT OF CARE, (B) ASSESS THE IMPACT OF THIS INTERVENTION ON IDENTIFICATION AND CLINICAL CARE OF HYPERTENSION IN ADOLESCENTS, AND (C) ASSESS THE IMPACT OF THE INTERVENTION ON COSTS OF CARE. THE INNOVATIVE INTERVENTION PROVIDES A USEFUL TEMPLATE FOR EXTENDING EHR-BASED CDS TO OTHER DOMAINS OF ADOLESCENT CARE TO TRANSLATE MASSIVE PUBLIC AND PRIVATE INVESTMENTS IN EHR TECHNOLOGY INTO IMPROVED ADOLESCENT HEALTH OUTCOMES. IT IS SPONSORED BY THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE. THE 2-YEAR INTERVENTION HAS BEEN IN THE FIELD SINCE APRIL 2014 AND HAS BEEN WELL RECEIVED BY PEDIATRICIANS AND FAMILY PRACTICE PROVIDERS ALIKE. - PEDIATRIC HYPERTENSION AND OBESITY - A MULTICENTER STUDY LED BY THE INSTITUTE WITH KAISER PERMANENTE IN COLORADO AND NORTHERN CALIFORNIA TO EXAMINE PREDICTORS OF AND PATTERNS OF CARE IN PEDIATRIC HYPERTENSION AND OBESITY. FUNDED BY THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE, THIS STUDY WAS COMPLETED IN 2014. CARDIOVASCULAR: - PRIORITIZED CLINICAL DECISION SUPPORT (CDS) TO REDUCE CV RISK - THE OBJECTIVE OF THIS PROJECT IS TO DEVELOP AND IMPLEMENT POINT-OF-CARE EHR-DRIVEN CDS THAT IDENTIFIES AND PRIORITIZES AVAILABLE EVIDENCE-BASED CLINICAL OPTIONS TO REDUCE CV RISK IN MODERATE- TO HIGH-RISK ADULTS. IF SUCCESSFUL, THIS APPROACH WILL (A) IMPROVE CHRONIC DISEASE OUTCOMES, (B) USHER IN THE ERA OF PERSONALIZED MEDICINE, (C) MAXIMIZE CLINICAL RETURN ON THE MASSIVE INVESTMENTS BEING MADE IN SOPHISTICATED OUTPATIENT EHR SYSTEMS, AND (D) REDUCE THE PIPELINE OF CV RISK TO SUSTAIN DECADES-LONG IMPROVEMENT TRENDS IN CV EVENTS AND RELATED MORTALITY IN THE UNITED STATES. THIS PROJECT IS FUNDED BY THE NATIONAL HEART, LUNG AND BLOOD INSTITUTE. THE INTERVENTION PERIOD ENDED IN AUGUST 2014. THE PROJECT TEAM, WITH SUPPORT FROM THE HPMG, ROLLED OUT THE CDS TOOL TO ALL HEALTHPARTNERS AND AFFILIATED PRIMARY CARE AND DIABETES EDUCATION DEPARTMENTS. IN TOTAL, THE CDS TOOL, KNOWN AS THE CV WIZARD, IS OPERATIONAL IN 88 DEPARTMENTS AND 36 CLINICS IN THE HEALTHPARTNERS FAMILY OF CARE. STUDY OUTCOMES ARE BEING ANALYZED. TREATMENT OF PULMONARY CONDITIONS AND DISEASE: - CHRONIC OBSTRUCTIVE PULMONARY DISEASE - THE NIH-FUNDED STUDY MULTICOMPONENT INTERVENTION TO DECREASE CHRONIC OBSTRUCTIVE PULMONARY DISEASE-RELATED HOSPITALIZATIONS IS BEING CONDUCTED IN COLLABORATION WITH MAYO CLINIC. - COPDGENE, A MULTISITE, OBSERVATIONAL STUDY DIRECTED BY THE NATIONAL JEWISH AND HARVARD/CHANNING LAB AND FUNDED BY NIH. IT IS DESIGNED TO DISCOVER GENETIC FACTORS THAT MIGHT PREDICT COPD. THE RESEARCHERS ARE ALSO ASSESSING GENETIC FACTORS ASSOCIATED WITH OTHER SMOKING-RELATED DISORDERS (E.G., CANCER, HEART/VASCULAR DISEASE). CRITICAL CARE RESEARCH CENTER (CCRC): EIGHT ACUTE CARE SERVICE LINES FOR THE HPMG AND REGIONS HAVE MORE THAN 50 ACTIVE RESEARCH STUDIES UNDER WAY, INCLUDING RESEARCH IN ADULT AND PEDIATRIC TRAUMA, MEDICAL AND SURGICAL INTENSIVE CARE, EMERGENCY MEDICINE, PRE-HOSPITAL EMERGENCY CARE, BURN CARE, HOSPITAL MEDICINE, AND GENERAL SURGERY. THE CRITICAL CARE RESEARCH CENTER AT REGIONS IS THE CENTRAL COORDINATING CENTER FOR THESE SPECIALTY AREAS. RESEARCH ACTIVITIES SUPPORT THE LEVEL I ADULT AND PEDIATRIC TRAUMA CENTER AND BURN CENTER VERIFICATION REQUIREMENTS AND ACADEMIC/SCHOLARLY PROJECT REQUIREMENTS OF THE SURGERY AND EMERGENCY MEDICINE RESIDENCY PROGRAMS. CURRENT CCRC RESEARCH INCLUDES: - EFFECT OF FIRE FIGHTER SELF CONTAINED BREATHING APPARATUS USE ON CARBOXYHEMOGLOBIN VALUES DURING THE OVERHAUL PHASE OF FIRE FIGHTING - PREDICTION OF SUDDEN DEATH IN MULTI-ETHNIC COMMUNITIES (P.R.E.S.T.O.) PILOT STUDY - INTRAOSSEOUS PRESSURE MONITORING IN SURGICAL INTENSIVE CARE UNIT PATIENTS - USE OF THE LUCAS DEVICE IN AIR MEDICAL TRANSPORTATION - PREDICTORS OF SUCCESSFUL WEANING FROM MECHANICAL VENTILATION - PROTECT III: PROGESTERONE FOR THE TREATMENT OF TRAUMATIC BRAIN INJURY - BURN PATIENT ACUITY DEMOGRAPHICS, SCAR CONTRACTURES AND REHABILITATION TREATMENT TIME RELATED TO PATIENT OUTCOMES (ACT) - MASSIVE TRANSFUSION PROTOCOL UTILIZATION IN NON-TRAUMA PATIENTS - MEASURING NON-INVASIVE CARDIAC OUTPUT MONITORING DATA TRENDS IN THE ACUTE FLUID RESUSCITATION PHASE OF BURN INJURY - CELLULITIS FOLLOWING THERMAL INJURY - CONTINUOUS LIDOCAINE INFUSION FOR MANAGEMENT OF PERIOPERATIVE BURN PAIN - EXAMINING POSTOPERATIVE SORE THROAT IN PATIENTS RECEIVING MONITORED ANESTHESIA CARE (MAC) USING A TRADITIONAL AND NON-TRADITIONAL OROPHARYNGEAL AIRWAY - THE BIOMECHANICAL EFFECTS OF FLACCID PARALYSIS INDUCED BY BOTULINUM TOXIN A AFTER DAMAGE CONTROL LAPAROTOMY: A RANDOMIZED CLINICAL TRIAL - MANAGEMENT OF ABDOMINAL WALL RECONSTRUCTION USING A DEDICATED TEAM APPROACH - PREVALENCE OF ELEVATED MEAN INTRA-ABDOMINAL PRESSURE IN A CONVENIENCE SAMPLE OF PATIENTS WITH CLINICAL RISK FACTORS FOR ELEVATED INTRA-ABDOMINAL PRESSURE: A PILOT STUDY - EFFECT OF PRONE POSITIONING ON OPTIMAL PEEP IN ACUTE LUNG INJURY AND INTRA-ABDOMINAL HYPERTENSION - BOOMTOWN: A RETROSPECTIVE STUDY OF BURN PATIENTS INJURED IN OIL FIELD-RELATED ACCIDENTS |
| FORM 990, PART III, LINE 4A | HEALTH ECONOMICS: THE INSTITUTE'S HEALTH ECONOMICS TEAM HAS BEEN RECOGNIZED FOR ITS COST-EFFECTIVENESS MODELING EXPERIENCE, KNOWLEDGE OF EVIDENCE-BASED PREVENTIVE CARE, AND A SET OF MODELS BUILT FOR FUTURE WORK. THE TEAM IS CURRENTLY USING THESE MODELS IN POLICY ANALYSES IN COLLABORATION WITH THE CENTERS FOR DISEASE CONTROL (CDC) AND PREVENTION AND THE ROBERT WOOD JOHNSON FOUNDATION. THE TEAM HAS RECOGNIZED STRENGTHS IN ECONOMETRIC ANALYSIS OF CLAIMS DATA, CLINIC OPERATIONS AND ELECTRONIC HEALTH RECORD (EHR) ANALYSIS. RECENTLY, LED BY THE ECONOMICS TEAM, THE INSTITUTE HAS BEGUN WORK ON SYSTEMATIC EVIDENCE REVIEWS FOR THE CDC AND THE UNITED STATES PREVENTIVE SERVICES TASK FORCE AS AN AFFILIATE MEMBER OF THE KAISER PERMANENTE RESEARCH AFFILIATES EVIDENCE-BASED PRACTICE CENTER. KEY CURRENT OR RECENT PROJECTS: - IMPROVING COMMUNITY HEALTH BY ASSESSING COMMUNITY INTERVENTIONS AND DEVELOPING AN ONLINE RESOURCE TO SUPPORT DECISION-MAKING, FUNDED BY THE ROBERT WOOD JOHNSON FOUNDATION (THIS IS A PUBLICLY AVAILABLE POLICY PLANNING WEB SITE TOOL (WWW.COMMUNITYHEALTHADVISOR.ORG) FOR LOCAL, STATE AND NATIONAL PUBLIC HEALTH AND GOVERNMENTAL PLANNERS). THE WEB SITE WAS MADE PUBLIC IN JULY 2014 AND NOW INCLUDES 13 INTERVENTIONS IN THE AREAS OF REDUCING TOBACCO USE AND IMPROVING PHYSICAL ACTIVITY. - MODELING THE HEALTH AND ECONOMIC IMPACT OF RECOMMENDED AND/OR PROMISING INTERVENTIONS IN THE AREAS OF OBESITY PREVENTION, TOBACCO CONTROL, CARDIOVASCULAR DISEASE, AND COMMUNITY- LEVEL IMPLEMENTATION OF THE NATIONAL PREVENTION STRATEGY, FUNDED BY THE CDC. MATERNAL AND CHILD HEALTH: THIS IS A STRONG INVESTIGATOR GROUP WITH BACKGROUNDS IN CLINICAL PSYCHOLOGY, CLINICAL MEDICINE, AND EPIDEMIOLOGY. IT MAINTAINS STRONG RELATIONSHIPS WITH PEDIATRICS AND OB-GYN HEALTH CARE LEADERS INTERESTED IN RESEARCH PARTNERSHIPS. SOME OF THE WORK THE GROUP IS CONDUCTING INCLUDES: - OBESITY PREVENTION IN CHILDREN - FUNDED BY THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES, THE HEALTHY HOMES/HEALTHY KIDS: PEDIATRIC PRIMARY CARE-BASED OBESITY PREVENTION STUDY EVALUATES THE LONG-TERM EFFICACY OF A PEDIATRIC PRIMARY CARE-BASED OBESITY-PREVENTION INTERVENTION FOR AT-RISK 5 TO 9 YEAR OLD CHILDREN. A RELATED STUDY FUNDED BY THE NATIONAL INSTITUTE OF CHILD HEALTH AND DEVELOPMENT/NIH WITH THE MINNESOTA CENTER FOR CHILDHOOD OBESITY PREVENTION, LINKING PRIMARY CARE, AND COMMUNITY & FAMILY (NET-WORKS) FOCUSES ON A MULTISETTING, MULTICOMPONENT OBESITY-PREVENTION INTERVENTION FOR AT-RISK 2 TO 4 YEAR OLD CHILDREN. - THE VACCINE SAFETY DATALINK, STUDIES OF VACCINE SAFETY DURING PREGNANCY, FUNDED BY THE CDC AND PREVENTION. - EHR-BASED CLINICAL DECISION SUPPORT TO IMPROVE BLOOD PRESSURE MANAGEMENT IN ADOLESCENTS, FUNDED BY - NATIONAL HEART, LUNG AND BLOOD INSTITUTE (NHLBI). INVESTIGATION OF RACIAL/ETHNIC DISPARITIES IN IMMUNIZATION SERIES COMPLETION: - BIRTH DEFECTS STUDY TO EVALUATE PREGNANCY EXPOSURE (BD-STEPS), BD-STEPS IS A MULTI-SITE COLLABORATIVE PROJECT AIMING TO IDENTIFY MODIFIABLE MATERNAL EXPOSURES IN EARLY PREGNANCY THAT MAY INCREASE THE RISK OF MAJOR BIRTH DEFECTS. AMONG THE GOALS OF THE PROJECT ARE CONDUCTING COMPREHENSIVE ASCERTAINMENT OF COMMON, MAJOR BIRTH DEFECTS, IDENTIFYING ASSOCIATIONS WITH ENVIRONMENTAL EXPOSURES AND GENETIC FACTORS. - MINDFUL MOOD BALANCE FOR MOMS - THIS NATIONAL INSTITUTE OF MENTAL HEALTH SPONSORED STUDY AIMS TO GAUGE THE EFFECTIVENESS OF A WEB-BASED, MINDFULNESS-BASED COGNITIVE THERAPY PROGRAM TO HELP WOMEN PREVENT DEPRESSION, REDUCE STRESS AND PROMOTE THEIR OWN HEALTH AND WELL-BEING DURING PREGNANCY AND AFTER. HEALTH BEHAVIORS: IN 2014, THE INSTITUTE CONDUCTED THE FOLLOWING STUDIES FOCUSED ON HEALTH BEHAVIORS: - HARVARD SCHOOL OF PUBLIC HEALTH CENTER FOR WORK, HEALTH, AND WELLBEING (CENTER) - INSTITUTE PRINCIPAL INVESTIGATOR (PI) NICO PRONK, PHD, IS WORKING WITH THE CENTER TO IMPROVE THE HEALTH OF WORKERS THROUGH DESIGNING, TESTING, IMPLEMENTING AND DISSEMINATING EFFECTIVE AND INTEGRATED WORKSITE POLICIES, PROGRAMS AND PRACTICES THAT FOSTER A HEALTHY WORK ENVIRONMENT, REDUCE POTENTIAL HAZARDOUS JOB EXPOSURES, AND PROMOTE SAFE AND HEALTHY BEHAVIORS. THE CENTER FOCUSES ON WORKSITE EFFORTS TO COORDINATE AND INTEGRATE OCCUPATIONAL SAFETY AND HEALTH AND WORKPLACE HEALTH PROMOTION, AS WELL AS OTHER WORKSITE INITIATIVES CONTRIBUTING TO WORKER HEALTH (E.G., FAMILY-SUPPORTIVE POLICIES, BENEFITS POLICIES, OTHER ENVIRONMENTAL SUPPORTS). -EVALUATING OPTIONS FOR NON-RESPONDENTS: A SEQUENTIAL MULTIPLE ASSIGNMENT RANDOMIZED TRIAL (SMART) APPROACH TO ENHANCING WEIGHT LOSS. THIS NIH-SPONSORED TRIAL, CALLED BESTFIT IS STUDYING ADAPTIVE INTERVENTIONS THAT OFFER "THE RIGHT TREATMENT AT THE RIGHT TIME FOR THE RIGHT PERSON" TO INCREASE THE NUMBER OF PEOPLE WHO CAN SUCCESSFULLY LOSE WEIGHT. SMART DESIGNS WERE DEVELOPED TO BUILD OPTIMAL ADAPTIVE INTERVENTIONS BUT HAVE NOT YET BEEN APPLIED TO OBESITY TREATMENT. THE PROPOSED SMART TRIAL WILL EVALUATE THE OPTIMAL TIMING AND THERAPEUTIC APPROACH FOR IMPROVING WEIGHT LOSS OUTCOMES AMONG NONRESPONDERS TO STATE-OF-THE-ART BEHAVIORAL WEIGHT LOSS PROGRAMS. - MINNESOTA FAMILY ENVIRONMENTAL EXPOSURE TRACKING (MN FEET). IN THIS NIH - SPONSORED TRIAL, THE INSTITUTE IS ASSISTING WITH RECRUITMENT FOR MN FEET, A MINNESOTA DEPARTMENT OF HEALTH STUDY DESIGNED TO CHARACTERIZE MERCURY EXPOSURES IN MINNESOTA PREGNANT WOMEN AND NEWBORNS FROM CERTAIN TARGETED GROUPS AND IDENTIFY ANY DISPARITIES; DETERMINE THE PROPORTION OF BABIES AND WOMEN WITH MERCURY EXPOSURES ABOVE A LEVEL OF HEALTH CONCERN AND INITIATE A PUBLIC HEALTH RESPONSE; INVESTIGATE SOURCES OF MERCURY EXPOSURE USING SURVEY DATA AND SPECIATION OF CORD BLOOD SAMPLES; ESTABLISH AN INFRASTRUCTURE FOR ONGOING BIOMONITORING SURVEILLANCE OF NEWBORN EXPOSURES; CONTINUE TO INVESTIGATE THE RELATIONSHIP BETWEEN MERCURY LEVELS IN NEWBORN BLOODSPOT VS. CORD BLOOD AS A WAY TO ASSESS THE USEFULNESS OF THIS METHOD; AND CHARACTERIZE EXPOSURE TO OTHER METALS (LEAD, CADMIUM) IN CORD BLOOD. - MINNESOTA OBESITY CENTER - FEDERAL INFRASTRUCTURE FUNDING TO SUPPORT THE DEVELOPMENT OF AN OBESITY RESEARCH AGENDA IN THE HEALTH CARE DELIVERY SYSTEM. MENTAL HEALTH: IN 2014, THE INSTITUTE RESEARCHERS WERE ACTIVE IN IMPORTANT DEPRESSION STUDIES: - THE DIAMOND STUDY - A COMPREHENSIVE EVALUATION OF A GROUNDBREAKING INITIATIVE TO CHANGE THE WAY MINNESOTANS RECEIVE TREATMENT FOR DEPRESSION. THE NATIONAL INSTITUTE OF MENTAL HEALTH AWARDED THE INSTITUTE A $3 MILLION GRANT TO STUDY THE DIAMOND INITIATIVE, A STATEWIDE IMPROVEMENT INITIATIVE LED BY MINNESOTA'S INSTITUTE FOR CLINICAL SYSTEMS IMPROVEMENT (ICSI). COMPONENTS OF THE NEW CARE MODEL INCLUDE SYSTEMATIC MONITORING OF PATIENT AND DEPRESSION SEVERITY IN A TRACKING SYSTEM BY A CARE MANAGER IN THE CLINIC WHO IS SUPERVISED THROUGH WEEKLY DISCUSSIONS WITH A PSYCHIATRIST, THE ADDITION OF A CARE MANAGER TO THE PATIENT'S TREATMENT TEAM FOR MORE PERSONALIZED CARE, AND A TRACKING SYSTEM TO MONITOR FOLLOW-UP CARE AND TREATMENT EFFECTIVENESS. THE DIAMOND DEPRESSION CARE MODEL WAS IMPLEMENTED IN ABOUT 85 PRIMARY CARE MEDICAL CLINICS IN MINNESOTA IN 2008 AND 2009. THE STUDY IS EVALUATING CHANGES IN PATIENT CARE, PATIENT OUTCOMES, PATIENT CARE COST AND UTILIZATION, COST TO CLINICS AND HEALTH PLANS TO IMPLEMENT THE CARE MODEL, AND CLINIC FACTORS IMPORTANT TO SUCCESS. - THE COMPASS PROJECT - AN $18 MILLION INNOVATION AWARD FROM THE CENTERS FOR MEDICARE & MEDICAID SERVICES TO ICSI AND NINE PARTNER ORGANIZATIONS IN SEVEN STATES TO SPREAD THE COLLABORATIVE CARE MODEL FOR DEPRESSION PIONEERED IN THE DIAMOND INITIATIVE, BUT THIS TIME FOR PATIENTS WHO HAVE DIABETES OR HEART DISEASE AND DEPRESSION. THE INSTITUTE IS IN CHARGE OF EVALUATING THIS INITIATIVE AND PROVIDING REGULAR DATA REPORTS TO ALL PARTIES FOR MONITORING AND IMPROVING THE INTERVENTION. IN MINNESOTA, THIS PROJECT INVOLVES MAYO CLINIC SITES AND CLINICS IN FIVE OTHER CARE SYSTEMS. - MENTAL HEALTH RESEARCH NETWORK: A POPULATION-BASED APPROACH TO TRANSFORM RESEARCH: SUBPROJECT PERINATAL DEPRESSION WAS RENEWED VIA COOPERATIVE AGREEMENT IN 2014. THE PRIMARY AIM OF THIS PROJECT IS TO IMPROVE THE MANAGEMENT OF MENTAL HEALTH CONDITIONS THROUGH A CLOSER CONNECTION AMONG RESEARCH, PRACTICE AND POLICY. THIRTEEN SITES PARTICIPATE IN THE NETWORK, WHICH IS WORKING ON THREE PILOT PROJECTS AND ONE LARGE PROJECT: A RANDOMIZED CLINICAL TRIAL TO REDUCE CARDIOVASCULAR RISK IN ADULTS WITH SERIOUS MENTAL ILLNESS THAT IS BASED AT THE INSTITUTE UNDER THE DIRECTION OF REBECCA ROSSOM, MD. |
| FORM 990, PART III, LINE 4A | PATIENT-CENTERED OUTCOMES RESEARCH: MEASURING PATIENT OUTCOMES FROM HIGH-TECH DIAGNOSTIC IMAGING STUDIES - IN 2012, THE INSTITUTE, UNDER PI LEIF SOLBERG, MD, RECEIVED A $660,800 GRANT FROM THE PATIENT-CENTERED OUTCOMES RESEARCH INSTITUTE TO EVALUATE THE USE OF PATIENT SURVEYS, HEALTH PLAN CLAIMS DATA, AND MEDICAL RECORDS INFORMATION TO ANALYZE THE CARE PROCESS AND OUTCOMES EXPERIENCES OF PATIENTS AFTER THEY HAVE ADVANCED IMAGING TESTS FOR ABDOMINAL OR LOW BACK PAIN. THE GRANT WORK CONTINUED THROUGH 2014. NEUROSCIENCE AND ALZHEIMER'S DISEASE RESEARCH: THE INSTITUTE'S RESEARCH IS INTERNATIONALLY KNOWN FOR PIONEERING TREATMENT AND PREVENTION OF ALZHEIMER'S DISEASE, PARKINSON'S DISEASE, STROKE AND OTHER BRAIN DISORDERS. THE INSTITUTE MAINTAINS ONE OF THE WORLD'S LARGEST HUMAN BRAIN BANKS FOR RESEARCH, FOCUSES ON CLINICAL TRIALS, THE DEVELOPMENT OF A PATIENT REGISTRY TO STUDY MEMORY, AND THE DEVELOPMENT OF DRUGS AND INTRANASAL DRUG-DELIVERY TO TREAT BRAIN DISORDERS. THIS DELIVERY METHOD BYPASSES THE BLOOD-BRAIN BARRIER TO TARGET THE BRAIN WHILE AVOIDING THE SYSTEMIC SIDE EFFECTS OF OTHER DELIVERY METHODS. OUR RESEARCHERS COLLABORATE WITH 40 RESEARCHERS WORLDWIDE WHO USE THE INTRANASAL TREATMENT METHOD IN THEIR OWN RESEARCH. - STUDIES OF THERAPEUTICS GIVEN INTRANASALLY (E.G., DEFEROXAMINE, INSULIN, ADULT STEM CELLS) TO TREAT AND PREVENT BRAIN DEGENERATION IN ALZHEIMER'S DISEASE, PARKINSON'S DISEASE, AND STROKE. INTRANASAL INSULIN TREATMENT, DEVELOPED BY THE INSTITUTE, HAS BEEN SHOWN IN MULTIPLE PHASE II CLINICAL TRIALS TO INCREASE MEMORY, ATTENTION, AND FUNCTIONING IN PATIENTS WITH ALZHEIMER'S DISEASE. - MINNESOTA MEMORY PROJECT - THE MINNESOTA MEMORY PROJECT IS A FIRST-OF-ITS-KIND REGISTRY TO TRACK OVER 500 AGING ADULTS OF MINNESOTA AND SURROUNDING AREAS. IT AIMS IS TO COLLECT INFORMATION ON MEMORY CHANGES ASSOCIATED WITH AGING IN THE PRESENCE AND ABSENCE OF BRAIN DISEASE; TO GATHER INFORMATION FROM CAREGIVERS ABOUT THE HEALTH EFFECTS RELATED TO CARING FOR INDIVIDUALS WITH MEMORY LOSS; AND TO CONNECT INTERESTED PARTICIPANTS WITH CUTTING-EDGE RESEARCH STUDIES. - THE INSTITUTE PRESENTED 14 TALKS FOR OUR 2014 NEWLY STARTED "ASK THE EXPERTS" SPEAKERS SERIES IN WHICH WE COLLABORATED WITH OTHER COMMUNITY ORGANIZATIONS. THIS SERIES WAS DESIGNED TO PROVIDE INFORMATION ABOUT DEMENTIA TO PROFESSIONALS, CAREGIVERS, AND FAMILIES. 11 OF THE 14 TALKS WERE GIVEN AT CARE FACILITY WITHIN THE TWIN CITIES AREA, AND THE OTHER FOUR WERE PRESENTED IN THE GREATER METROPOLITAN AREA. THE INSTITUTE RECEIVED A VERY POSITIVE RESPONSE TO THIS NEW SERIES AND CONTINUE TO SCHEDULE THEM THROUGHOUT 2015 AND INTO 2016. - NUMEROUS OTHER PRESENTATIONS WERE OFFERED THROUGHOUT THE YEAR. IN ADDITION, THREE OF OUR PHYSICIANS (RESEARCH AND CLINICIANS) PRESENTED AT THE ALZHEIMER'S ASSOCIATION MEETING OF THE MINDS ALL-DAY CONFERENCE. - MONTHLY 1-HOUR "GET TO KNOW US" SESSIONS WERE HELD AT REGIONS FOR COMMUNITY MEMBERS WHO WERE INTERESTED IN HEARING MORE ABOUT RESEARCH BEING CONDUCTED AND CLINICAL CARE BEING GIVEN AT THE CENTER FOR MEMORY & AGING. - NUMEROUS INTERVIEWS WERE GIVEN TO THE MEDIA BY PHYSICIANS TO EXPLAIN SCIENTIFIC RESULTS OF OUR RESEARCH. ORAL HEALTH AND DENTISTRY: - DOES PARTICIPATION IN A DENTAL PRACTICE - BASED RESEARCH NETWORK IMPACT TREATMENT? THE PRESUMED BENEFIT OF PRACTICE-BASED RESEARCH NETWORKS IS THAT PARTICIPANTS BELIEVE THE RESULTS, SEE THEM AS APPLICABLE TO THEIR PATIENTS, AND THUS RAPIDLY IMPLEMENT FINDINGS. THIS STUDY, LED BY PI BRAD RINDAL, DDS, ADDRESSES THIS IMPORTANT QUESTION BY EXAMINING THE CARE-DELIVERY PATTERNS OF DENTISTS, INDEPENDENT OF A SPECIFIC DENTAL PRACTICE-BASED RESEARCH NETWORK STUDY. - NATIONAL DENTAL PRACTICE-BASED RESEARCH NETWORK - UNDER PI BRAD RINDAL, DDS, THE NATIONAL DENTAL PRACTICE-BASED RESEARCH NETWORK IS A CONSORTIUM OF PARTICIPATING PRACTICES AND DENTAL ORGANIZATIONS COMMITTED TO ADVANCING KNOWLEDGE OF DENTAL PRACTICE AND WAYS TO IMPROVE IT. ESSENTIALLY, IT IS PRACTICAL SCIENCE DONE ABOUT AND FOR THE BENEFIT OF "REAL-WORLD" EVERYDAY CLINICAL PRACTICE. THE MAJOR SOURCE OF FUNDING FOR THE NATION'S NETWORK IS THE NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH (NIDCR), PART OF THE NIH. THE INSTITUTE IS THE ADMINISTRATIVE BASE OF THE MIDWEST REGION, WHICH INCLUDES ILLINOIS, INDIANA, IOWA, MICHIGAN, MINNESOTA, NEBRASKA, NORTH DAKOTA, OHIO, SOUTH DAKOTA, AND WISCONSIN. - EDENT II - UNDER PI JIM FRICTON, DDS, THIS PROPOSAL AIMS TO USE HEALTH INFORMATION TECHNOLOGY TO IMPROVE THE QUALITY AND SAFETY OF DENTAL CARE FOR PATIENTS WITH SERIOUS CHRONIC MEDICAL CONDITIONS (EG, DIABETES, HEART DISEASE, PULMONARY DISEASE). THE USE OF CDS SOFTWARE IN ELECTRONIC DENTAL RECORDS (EDRS), WHEN INTEGRATED WITH EMRS, CAN PROMPT DENTISTS WHEN THEY NEED TO CHANGE CLINICAL PROTOCOL FOR PATIENTS WITH MEDICAL CONDITIONS AND PROVIDE PERSONALIZED, EVIDENCE-BASED RECOMMENDATIONS TO DO SO. IN THIS STUDY, WE EXTEND EARLIER RESEARCH TO DETERMINE THE CLINICAL DECISION SUPPORT COMPONENTS THAT MOST INCREASE USE BY DENTAL PROVIDERS AND BE THE FIRST TO USE A HEALTH INFORMATION EXCHANGE, MNHIE, TO TRANSLATE THE CDS INTO USE BY COMMUNITY DENTAL PROVIDERS. - AN INNOVATIVE APPROACH TO DISSEMINATE DENTAL RESEARCH. IN 2012, UNDER PI WILLIAM RUSH, PHD, THE INSTITUTE RECEIVED A $1.8 MILLION GRANT FROM THE NIDCR TO GIVE DENTISTS SIMULATED PATIENTS POSING EVIDENCE-BASED CHALLENGES OF EFFECTIVE TREATMENT AND BUILT-IN TREATMENT-SPECIFIC CDS. THE RESEARCHERS ASSIGNED HEALTHPARTNERS DENTAL GROUP DENTISTS TO EITHER A USUAL-CARE OR SIMULATION GROUP TO MEASURE THEIR TREATMENT-PLANNING PATTERNS AFTER THE SIMULATION GROUP WAS EXPOSED TO EVIDENCE-BASED SIMULATIONS AND FEEDBACK SUPPORT. WE EXPECT TO FIND THAT THE DENTISTS EXPOSED TO THE SIMULATION ENCOUNTERS WILL EXHIBIT PRACTICE PATTERNS MORE CONGRUENT WITH SUCCESSFUL PATTERNS PRACTICED IN THE SIMULATION. THIS PROJECT WILL CONTINUE UNTIL FEBRUARY 2016. - THE ORAL HEALTH IMPACT PROFILE (OHIP) STUDY IS A PROJECT TO EXPLORE AND VALIDATE THE PROPOSED DIMENSIONS OF THE OHIP. BEFORE HEALTHPARTNERS' INVOLVEMENT, THE PRIMARY INVESTIGATOR MIKE JOHN AND STAFF AT THE UNIVERSITY OF MINNESOTA CONDUCTED A FACTOR ANALYSIS ON SECONDARY OHIP DATA FROM 7 COUNTRIES. INSTITUTE CO INVESTIGATORS BILL RUSH, PHD AND BRAD RINDAL, DDS WILL BE INVOLVED IN DETERMINING HOW THE PROPOSED DIMENSIONAL STRUCTURE PROPOSED BY THE FACTOR ANALYSIS HOLDS UP IN A NON-RESEARCH DENTAL PATIENT POPULATION (HEALTHPARTNERS DENTAL GROUP). THIS PROJECT WILL CONTINUE TO RUN UNTIL MAY 2016. EXTERNAL COLLABORATION: THE HMO RESEARCH NETWORK (HMORN): THE INSTITUTE IS A MEMBER OF HMORN, A COLLABORATIVE OF 19 RESEARCH CENTERS AFFILIATED WITH INTEGRATED HEALTH CARE SYSTEMS. THE RELATIONSHIP UNITES A MUCH BROADER BREADTH OF EXPERTISE AND DATA THAN ANY ONE ORGANIZATION COULD ON ITS OWN. INSTITUTE AND HMORN RESEARCHERS HAVE WORKED ON FEDERALLY FUNDED PROJECTS SUCH AS THE HMO CANCER RESEARCH NETWORK, VACCINE SAFETY DATALINK, CENTER FOR EDUCATION AND RESEARCH IN THERAPEUTICS, COORDINATED CLINICAL STUDIES NETWORK, CARDIOVASCULAR RESEARCH NETWORK, DECIDE NETWORK, THE U.S. FOOD AND DRUG ADMINISTRATION (FDA) SENTINEL, AND THE MENTAL HEALTH RESEARCH NETWORK. MENTAL HEALTH RESEARCH NETWORK (MHRN): THE MHRN IS FUNDED BY THE NATIONAL INSTITUTE OF MENTAL HEALTH TO USE THE COMBINED INSURANCE AND CARE DELIVERY DATA OF 13 MEMBER ORGANIZATIONS NATIONALLY TO IMPROVE THE MANAGEMENT OF MENTAL HEALTH CONDITIONS THROUGH A CLOSER CONNECTION AMONG RESEARCH, PRACTICE AND POLICY. BESIDES USING EXISTING DATA TO UNDERSTAND VARIATIONS IN CARE AMONG THE 12 MILLION MEMBER PATIENTS IN 16 STATES, THE INSTITUTE IS PARTICIPATING IN SEVERAL NEW RESEARCH STUDIES INVOLVING SUICIDE AND SUICIDE PREVENTION, DEPRESSION IN PREGNANCY, THE EFFECT OF FDA WARNINGS ON THE CARE AND HEALTH OF ADOLESCENTS TREATED WITH ANTIDEPRESSANTS, AND AUTISM. THE INSTITUTE IS ALSO PIONEERING EFFORTS TO ENGAGE HEALTH SYSTEM LEADERS AND A VARIETY OF STAKEHOLDERS IN DETERMINING RESEARCH PRIORITIES AND COLLABORATING ON SPECIFIC RESEARCH AND IMPROVEMENT PROJECTS. |
| FORM 990, PART III, LINE 4A | THE MINI-SENTINEL: THE MINI-SENTINEL IS COLLABORATIVE OF SIX HMORN CENTER FOR EDUCATION AND RESEARCH ON THERAPEUTICS SITES. THE MINI-SENTINEL WORKS WITH 19 OTHER NATIONAL CENTERS AND ORGANIZATIONS UNDER DR. RICHARD PLATT AT HARVARD PILGRIM HEALTH CARE IN RESPONSE TO A REQUEST FOR PROPOSAL PUBLISHED BY THE FDA TO DEVELOP THE SENTINEL INITIATIVE. THE SENTINEL INITIATIVE IS THE OUTCOME OF THE 2008 PUBLICATION "THE SENTINEL INITIATIVE: NATIONAL STRATEGY FOR MONITORING MEDICAL PRODUCT SAFETY." IN 2014, THE INSTITUTE PARTICIPATED IN THE FOLLOWING MINI-SENTINEL PROJECTS: - CASE IDENTIFICATION, VALIDATION, AND ADJUDICATION OF ANAPHYLAXIS - SIGNAL REFINEMENT OF ANGIOEDEMA EVENTS IN ASSOCIATION WITH USE OF DRUGS THAT ACT ON THE RENIN-ANGIOTENSIN-ALDOSTERINE SYSTEM CANCER RESEARCH: IN 2014, THE INSTITUTE CONTINUED TO CONDUCT STUDIES LOCALLY AND TO ACTIVELY PARTICIPATE IN THE HMO CANCER RESEARCH NETWORK, A NATIONAL CANCER INSTITUTE (NCI)-FUNDED COLLABORATIVE STUDYING CANCER PREVENTION, DIAGNOSIS, AND TREATMENT. THE INSTITUTE CANCER GROUP PARTICIPATED IN: - DEVELOPING A MODEL TO PREDICT NEUTROPENIA RISK IN PATIENTS WITH CANCER USING THE VIRTUAL DATA WAREHOUSE: OUR PRIMARY AIM IS TO CONDUCT A FEASIBILITY STUDY REPLICATING THE PREDICTION OF PATIENT RISK USING A NEUTROPENIA PREDICTION MODEL DEVELOPED BY LYMAN, ET AL. WHICH INCLUDES PATIENT DIAGNOSIS, AGE, LIVER AND RENAL FUNCTION, WHITE BLOOD CELL COUNT, AND PRIOR CHEMOTHERAPY AS SIGNIFICANT PREDICTORS. THIS WILL BE CONDUCTED AT TWO CRN SITES WHERE BEACON WAS IMPLEMENTED ONLY RECENTLY OR IS NOT IMPLEMENTED AT ALL. THIS PROPOSAL IS COMPLEMENTARY TO THE FOLLOWING INTERNAL FEASIBILITY GRANT CURRENTLY FUNDED AND CONDUCTED AT HEALTHPARTNERS TO DEVELOP AN ALGORITHM BASED ON THE EXISTING NEUTROPENIA RISK MODEL USING VDW AND EPIC BEACON DATA. - DEVELOPING AN ALGORITHM TO IDENTIFY FEBRILE NEUTROPENIA RISK IN PATIENTS WITH CANCER USING THE VDW. - HEALTHY KIDS AFTER CANCER: A PHYSICAL ACTIVITY AND NUTRITION: THIS STUDY WILL EVALUATE THE FEASIBILITY, ACCEPTABILITY, AND POTENTIAL EFFICACY OF A PARENT-TARGETED, PHONE-BASED PROGRAM TO PREVENT UNHEALTHY WEIGHT GAIN AND IMPROVE BIOMARKERS OF OXIDATIVE STRESS AND INFLAMMATION AMONG CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA SURVIVORS. RESULTS WILL INFORM A LARGE-SCALE, MULTISITE TRIAL GRANT APPLICATION. - BUILDING THE CAPABILITY TO CONDUCT POPULATION-BASED RESEARCH ON CANCER DURING PREGNANCY - CHART REVIEW EVALUATION OF COLONY STIMULATING FACTOR USE AMONG CANCER PATIENTS - CRN4: CANCER RESEARCH RESOURCES & COLLABORATION IN INTEGRATED HEALTH CARE SYSTEMS - DIABETES, METFORMIN AND BREAST CANCER PROGNOSIS VACCINE SAFETY DATALINK: THE VACCINE SAFETY DATALINK (VSD) IS A COLLABORATION OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AMERICA'S HEALTH INSURANCE PLANS, AND 10 HMOS, INCLUDING HEALTHPARTNERS, REPRESENTED BY THE INSTITUTE THAT MONITORS AND ASSESSES THE SAFETY OF CHILDHOOD AND ADULT VACCINES. THE HMOS CREATE IDENTICAL DATA SETS OF ALL VACCINE EXPOSURES AND MEDICALLY TREATED ILLNESSES AND DEMOGRAPHIC INFORMATION (E.G., DATE OF BIRTH, SEX, RESIDENCE). THE INSTITUTE WAS THE LEAD SITE FOR FIVE VSD STUDIES IN 2014: 1. TDAP SAFETY DURING PREGNANCY 2. TDAP COVERAGE STATUS DURING PREGNANCY 3. TIV AND CONGENITAL ANOMALIES/BIRTH DEFECTS 4. HPV SAFETY DURING PREGNANCY 5. H1N1 VACCINE SAFETY IN PREGNANT WOMEN STUDIES COMPLETED IN 2014: - SAFETY OF ALTERNATIVE VACCINE SCHEDULES - SECOND DOSE VARICELLA VACCINATION AMONG CHILDREN FOLLOWING EXPANSION OF THE ACIP RECOMMENDATIONS: A VACCINE SAFETY DATALINK STUDY - VSD COVERAGE LEVELS - SAFETY OF THE YELLOW FEVER VACCINE - GUILLIAN-BARRE SYNDROME AND INFLUENZA - POPULATION INCIDENCE OF NARCOLEPSY MIDWEST RESEARCH NETWORK (MWRN): THE INSTITUTE WAS A FOUNDING MEMBER OF THE NEW MIDWEST RESEARCH NETWORK (MWRN) IN 2011. THE NETWORK'S MISSION IS TO COLLABORATE IN THE DEVELOPMENT, IMPLEMENTATION, AND APPLICATION OF RESEARCH THAT IMPROVES THE OUTCOMES, EXPERIENCE, AND AFFORDABILITY OF HEALTH CARE FOR ALL PEOPLE IN THE REGION. MEMBERS OF THE NETWORK INCLUDE RESEARCH ORGANIZATIONS, PROVIDER GROUPS, QUALITY- IMPROVEMENT ORGANIZATIONS, GOVERNMENT AGENCIES, AND HEALTH PLANS IN MINNESOTA, NORTH DAKOTA, AND WISCONSIN. MEMBERS OF THE GROUP ARE FOCUSING ON TOPICS SUCH AS MENTAL HEALTH, DATA-SHARING PROTOCOLS, AGING, AND CLINICAL DECISION SUPPORT TOOLS. PATIENT OUTCOMES RESEARCH TO ADVANCE LEARNING (PORTAL) PORTAL IS A NEW NETWORK THAT UNITES FOUR LEADING HEALTH CARE DELIVERY SYSTEMS: KAISER PERMANENTE, GROUP HEALTH COOPERATIVE, HEALTHPARTNERS, AND DENVER HEALTH. THE 11 RESEARCH CENTERS AFFILIATED WITH THESE SYSTEMS WILL COLLABORATE WITH PATIENTS, CLINICIANS, AND OPERATIONAL LEADERS TO DEVELOP THE INFRASTRUCTURE TO CREATE A CLINICAL DATA RESEARCH NETWORK. THE PORTAL NETWORK HAS NEARLY 11 MILLION MEMBERS ENROLLED IN ITS DELIVERY SYSTEMS IN NINE STATES AND THE DISTRICT OF COLUMBIA, HAS AT LEAST ONE SITE IN EACH OF THE FOUR MAJOR CENSUS REGIONS, AND OFFERS A DIVERSE PATIENT POPULATION THAT REFLECTS THE CHARACTERISTICS OF US RESIDENTS. THE PORTAL NETWORK PROPOSES TO CREATE COHORTS OF: (1) PATIENTS WITH A DIAGNOSIS OF COLORECTAL CANCER (CRC); (2) ADOLESCENTS AND ADULTS WITH SEVERE CONGENITAL HEART DISEASE (CHD); AND (3) ADULTS WHO ARE OVERWEIGHT OR OBESE, INCLUDING THOSE WHO HAVE PRE-DIABETES OR DIABETES. INTEROPERABILITY AMONG THE SITES IS ACHIEVED THROUGH THE USE OF A COMMON DATA MODEL, WHICH IS BUILT ON A FOUNDATION ESTABLISHED BY THE HMO RESEARCH NETWORK INTERNAL COLLABORATION: PARTNERSHIP GRANTS, DISCOVERY GRANTS, AND PROGRAM DEVELOPMENT GRANTS ARE FUNDED BY DONATIONS TO THE INSTITUTE AND MATCHED BY HEALTHPARTNERS. THE $30,000 DISCOVERY GRANTS FUND INTERNAL PROJECTS THAT HAVE PROMISE FOR FUTURE EXTERNAL FUNDING, ADDRESS CLINICAL AND/OR ORGANIZATIONAL CONCERNS, INVEST IN A NEW RESEARCHER, AND/OR SUPPORT ORGANIZATIONAL AND CLINICAL LEARNING TO IMPROVE PATIENT CARE OR ENHANCE THE ABILITY TO CONDUCT MEANINGFUL RESEARCH. THE $30,000 PARTNERSHIP GRANTS FOSTER COLLABORATION BETWEEN RESEARCHERS AND OPERATIONAL LEADERS TO ANSWER CRITICAL QUESTIONS ABOUT EXISTING HEALTH PROGRAMS AND PATIENT CARE. PROGRAM DEVELOPMENT GRANTS, NEW IN 2013, OFFER $60,000 TO SUPPORT A SPECIFIC PROGRAM OF RESEARCH, WHETHER IT EXPANDS AN EXISTING LINE OF RESEARCH OR TAKES IT IN A NEW DIRECTION. ALL PROGRAMS SUPPORT SHARING OF RESULTS IN THE PUBLIC DOMAIN THROUGH PUBLICATION OF FINDINGS IN PEER-REVIEWED JOURNALS. THREE DISCOVERY GRANTS, ONE PARTNERSHIP GRANT, AND TWO PROGRAM DEVELOPMENT GRANTS WERE AWARDED IN 2014. 2014 DISCOVERY GRANTS: - EFFECT OF NOREPINEPHRINE ON CEREBRAL OXYGENATION IN A PORCINE MODEL OF PROPRANOLOL TOXICITY AFTER MAXIMIZATION OF HIGH DOSE INSULIN (HDI) THERAPY - AWARDED $30,000. - DEVELOPING AN ALGORITHM TO IDENTIFY FEBRILE NEUTROPENIA RISK IN PATIENTS WITH CANCER USING THE VDW - AWARDED $29,437. - BISPECTRAL INDEX AS A PROXY FOR CEREBRAL PERFUSION DURING PREHOSPITAL CPR - AWARDED $29,963. DESIGNING AN APPROACH TO ENCOURAGE PLAN DENTAL OFFICES TO INTERVENE WITH TOBACCO USERS - AWARDED $29,507. - COGNITION LINKED TO ENDURANCE & VIGOROUS EXERCISE RESEARCH FOR PATIENTS WITH PARKINSON'S DISEASE (CLEVER - PD) - AWARDED $28,903. - ASSESSING INTRAOSSEOUS PRESSURE IN HEALTHY HUMAN SUBJECTS: PROOF OF CONCEPT - AWARDED $59,898. 2014 PARTNERSHIP GRANTS: - INVESTIGATION OF RACIAL/ETHNIC DISPARITIES IN IMMUNIZATION SERIES COMPLETION - AWARDED $29,496. - ENHANCING CLASSIFICATION OF ADHERENCE BEHAVIORS THROUGH TRAJECTORY MODELS - AWARDED $59,633. - ENDING THE EMERGENCY DEPARTMENT QUICK FIX: A COLLABORATIVE PROGRAM TO IMPROVE PATIENT OUTCOMES AND REDUCE EMERGENCY DEPARTMENT VISITS FOR NON-TRAUMATIC DENTAL COMPLAINTS - AWARDED $30,000. PUBLICATIONS: IN 2014, THE INSTITUTE RESEARCHERS DISSEMINATED THE RESULTS OF THEIR RESEARCH BY PUBLISHING 285 ARTICLES, BOOKS AND BOOK CHAPTERS AND BY GIVING 275 PAPER AND POSTER PRESENTATIONS AT NATIONAL AND INTERNATIONAL CONFERENCES. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE CORPORATE MEMBER OF THE INSTITUTE IS HEALTHPARTNERS, INC. (HPI), A MINNESOTA NON-PROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4). |
| FORM 990, PART VI, SECTION A, LINE 7A | HPI, AS THE SOLE CORPORATE MEMBER, SELECTS AND/OR APPROVES ALL DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | HPI, AS THE SOLE CORPORATE MEMBER APPROVES ACTIONS AS FOLLOWS: - AMENDMENTS TO THE ARTICLES AND BYLAWS - ANNUAL AND CAPITAL BUDGETS AND LONG-RANGE PLANS - UNBUDGETED SPECIAL PROJECTS IN EXCESS OF $10,000 - GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY - A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF $10,000 - DISPOSITION OF SUBSTANTIALLY ALL ASSETS - MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION - DISSOLUTION - SELECTION OF OFFICERS |
| FORM 990, PART VI, SECTION B, LINE 11 | THE INSTITUTE'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF THE INSTITUTE. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GROUP HEALTH PLAN, INC. (GHI), THE MANAGEMENT TEAM OF THE INSTITUTE, GHI'S INTERNAL LEGAL DEPARTMENT AND THE INSTITUTE'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF THE INSTITUTE. THE INSTITUTE MAKES AVAILABLE TO THE GOVERNING BODY (BOARD OF DIRECTORS) A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT A MEETING OF THE FULL BOARD OF DIRECTORS. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN MINUTES OF THE MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE INSTITUTE IS GOVERNED BY AN 18 MEMBER BOARD OF DIRECTORS. AS REQUIRED BY THE BYLAWS OF THE INSTITUTE, THE INSTITUTE'S BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, ALL BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS AND KEY EMPLOYEES ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND REQUESTED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL OF HEALTHPARTNERS WILL SUMMARIZE THE FINDINGS FOLLOWING REVIEW OF THE QUESTIONNAIRE AND WILL SUBMIT A REPORT TO THE CHAIR, PRESIDENT AND THE EXECUTIVE DIRECTOR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROCESS FOR DETERMINING COMPENSATION OF CEO, OTHER OFFICERS AND KEY EMPLOYEES THE INSTITUTE HAS NO EMPLOYEES. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PAID BY GHI, A RELATED ORGANIZATION WHICH HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE INSTITUTE'S EXECUTIVE DIRECTOR AND ITS OTHER OFFICERS AND MEDICAL DIRECTORS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE GHI BOARD OF DIRECTORS' COMPENSATION COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED. THE REVIEW INCLUDES ALL COMPONENTS OF COMPENSATION; BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE DIRECTION OF THE COMPENSATION COMMITTEE, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION COMMITTEE. FOR THE PRESIDENT, EXECUTIVE DIRECTOR AND CERTAIN OTHER POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE, STAFF IS NOT IN ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE BOARD OF DIRECTORS HAS DELEGATED TO THE COMPENSATION COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE DIRECTOR BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA, APPROVED BY THE COMPENSATION COMMITTEE. THE BOARD HAD DELEGATED TO THE PRESIDENT (WITH AUTHORITY TO FURTHER DELEGATE) THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL OTHER OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMPENSATION COMMITTEE. ANY EXCEPTIONS NEED TO BE APPROVED BY THE COMPENSATION COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND W2 STATEMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE INSTITUTE'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM THE INSTITUTE OR HEALTHPARTNERS. THE INSTITUTE'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. THE INSTITUTE'S CONFLICT OF INTEREST POLICY WHICH IS THE SAME AS THAT OF IT'S RELATED ORGANIZATIONS, HEALTHPARTNERS, INC. AND GHI CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE. |
| FORM 990, PART VII, SEC A, LN 1A, COL B: AVERAGE HOURS-RELATED ORGANIZATION | ALL OFFICERS OF THE INSTITUTE ARE EMPLOYED AND COMPENSATED BY GHI. THE REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. |
| FORM 990, PART XI, LINE 9: | FASB 124 - FAIR MARKET VALUATION ADJUSTMENT 406,321. ROUNDING 9. |
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