TIN:
SCHEDULE O
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Inspection
Name of the organization
HEALTHPARTNERS INC
Employer identification number
41-1693838
41-1693838
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS | CORPORATE STRUCTURE, PURPOSE, GOVERNANCE HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION, AND IS THE LARGEST CONSUMER-GOVERNED NONPROFIT HEALTH CARE ORGANIZATION IN THE COUNTRY. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. 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 PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,800 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 129 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.27 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES 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 2020 ARE TOTAL COST OF CARE MEASUREMENTS (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). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, 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. PROVISION OF MANAGED CARE TO STATE PUBLIC PROGRAMS BENEFICIARIES HPI CONTRACTS WITH THE STATE OF MINNESOTA TO PROVIDE MANAGED CARE SERVICES FOR THE FOLLOWING PROGRAMS: PRE-PAID MEDICAL ASSISTANCE PLAN (PMAP), A STATE- AND FEDERALLY-FUNDED PLAN FOR LOW-INCOME FAMILIES WITH CHILDREN (149,555 MEMBERS); MINNESOTACARE (MNCARE), A STATE- AND FEDERALLY-FUNDED PLAN FOR RESIDENTS WHO DO NOT HAVE ACCESS TO AFFORDABLE HEALTH CARE COVERAGE (22,167 MEMBERS); MINNESOTA SENIOR CARE PLUS (MSC+), A STATE- AND FEDERALLY-FUNDED PLAN FOR INDIVIDUALS OVER AGE 65 (1,991 MEMBERS); MINNESOTA SENIOR HEALTH OPTIONS (MSHO), A STATE- AND FEDERALLY-FUNDED PLAN THAT PROVIDES COORDINATED MEDICAL AND DRUG BENEFITS FOR INDIVIDUALS OVER AGE 65 (4,443 MEMBERS); AND SPECIAL NEEDS BASIC CARE (SNBC), A STATE- AND FEDERALLY-FUNDED PLAN FOR INDIVIDUALS WITH DISABILITIES WHO ARE 18-64 YEARS OLD (6,086 MEMBERS). HPI SUPPORTS STATE PUBLIC PROGRAM MEMBERS BY PROVIDING INFORMATION ABOUT PLAN RESOURCES AND BENEFITS TO COUNTY EMPLOYEES, NURSING HOMES, HEALTH AND HOUSING ADVOCATES, FINANCIAL WORKERS AND COMMUNITY ORGANIZATIONS THROUGH A VARIETY OF COMMUNITY EVENTS AND PROGRAMS INCLUDING: GERONTOLOGICAL SOCIETY CONFERENCE MINNESOTA PUBLIC HEALTH ASSOCIATION (MPHA) MINNESOTA SOCIAL SERVICES ASSOCIATION (MSSA) VARIOUS COUNTY AND COMMUNITY EVENTS: KAREN ORGANIZATION OF MINNESOTA (KOM) ANNUAL GALA PARENTS IN COMMUNITY ACTION, INC. (PICA) VIETNAMESE SOCIAL SERVICES TET NEW YEAR CELEBRATION SPP INCENTIVES TO MEMBERS HPI PROMOTES PREVENTIVE SERVICES FOR STATE PUBLIC PROGRAM PLAN MEMBERS THROUGH INCENTIVE PROGRAMS. THE WELL BABY INCENTIVE PROGRAM WAS ESTABLISHED AS AN OUTREACH PROGRAM AIMED AT CHILDREN ENROLLED IN PMAP OR MNCARE TO ENCOURAGE CAREGIVERS TO BRING INFANTS AGES 0 TO 15 MONTHS IN FOR ALL SIX WELL-CHILD EXAMS. KEEPING UP TO DATE ON THESE VISITS NOT ONLY KEEPS THE CHILD CURRENT ON IMMUNIZATIONS, IT SUPPORTS PREVENTIVE CARE THROUGHOUT THE CHILD'S LIFE. MEMBERS RECEIVE A $25 GIFT CARD AFTER THE FIRST THREE VISITS, AND A $50 GIFT CARD UPON COMPLETION OF ALL SIX. HPI DISTRIBUTED 462 GIFT CARDS (VALUED AT $14,350) FOR THIS PROGRAM IN 2020. THE PRE-TEEN IMMUNIZATION PROGRAM ENCOURAGES PMAP AND MNCARE YOUTH TO GET THEIR HPV, MENINGOCOCCAL AND TDAP IMMUNIZATIONS. ONCE HPI RECEIVES THE CLAIM FOR THESE VACCINES, MEMBERS RECEIVE A $25 GIFT CARD IN THE MAIL. HPI DISTRIBUTED 799 GIFT CARDS (VALUED AT $19,975) FOR THIS PROGRAM IN 2020. POSTPARTUM INCENTIVE. SNBC, PMAP AND MNCARE MEMBERS WHO RECEIVE A POSTPARTUM EXAM THREE TO EIGHT WEEKS AFTER THE BIRTH OF THEIR CHILD RECEIVE A $25 GIFT CARD. HPI DISTRIBUTED 97 GIFT CARDS (VALUED AT $2,425) FOR THIS PROGRAM IN 2020. SNBC INCENTIVES. TO ENCOURAGE AN ANNUAL PRIMARY CARE VISIT, SNBC MEMBERS WHO COMPLETE THEIR ANNUAL PRIMARY VISIT RECEIVE A $25 GIFT CARD. MEMBERS ALSO RECEIVE A $25 GIFT CARD FOR DOING A CERVICAL CANCER SCREENING OR COMPLETING A MEDICATION THERAPY MANAGEMENT VISIT. HPI DISTRIBUTED 410GIFT CARDS (VALUED AT $10,250) FOR THESE THREE PROGRAMS IN 2020. CAR SEAT PROGRAM. PMAP AND MNCARE MEMBERS AGES EIGHT AND YOUNGER OR WOMEN WHO ARE AT LEAST SIX MONTHS PREGNANT ARE ELIGIBLE TO RECEIVE A CAR SEAT WITH THE COMPLETION OF A CAR SEAT SAFETY AND EDUCATION COURSE. HPI DISTRIBUTED 672 CAR SEATS (VALUED AT $64,296) IN 2020. THE COVID-19 DENTAL SUPPORT INITIATIVE PROVIDES KEY DENTAL PERSONAL CARE ITEMS TO COUNTIES IN THIS TIME OF INCREASED NEED DUE TO COVID-19. EACH DENTAL KIT CONTAINS A TOOTHPASTE, A TOOTHBRUSH (CHILDREN OR ADULT) AND DENTAL FLOSS ALONG WITH AN EDUCATIONAL BROCHURE ABOUT ORAL HYGIENE. HEALTHPARTNERS STATE PUBLIC PROGRAMS PROVIDED 1,296 CHILDREN AND 1,728 ADULT DENTAL KITS TO HEALTHPARTNERS SERVICE COUNTIES. |
| PART III, CONT. | CHILDREN'S HEALTH INITIATIVES EARLY BRAIN DEVELOPMENT CARE AND CLINIC INITIATIVES TO EXPAND ON OUR ORGANIZATION-WIDE IMPLEMENTATION OF THE REACH OUT & READ PROGRAM FOR BABIES AND CHILDREN, AGES SIX MONTHS TO FIVE YEARS, HEALTHPARTNERS ALSO GIVES EXPECTANT MOTHERS A BLACK AND WHITE BABY BOOK AND DISCUSSES EARLY BRAIN DEVELOPMENT AT THEIR 32-WEEK PRENATAL VISIT. THIS STARTS THE CONVERSATION ABOUT BOOSTING A CHILD'S BRAIN POWER AND THE IMPORTANCE OF STARTING AT BIRTH, WITH READING, TALKING, PLAYING AND SINGING. ACROSS OUR ORGANIZATION, HEALTHPARTNERS GAVE OUT OVER 85,000 BOOKS IN 2020 IN 10 DIFFERENT LANGUAGES. IN 2020, WE APPLIED FOR A READING IS FUNDAMENTAL MATCHING GRANT TO HELP SUPPORT OUR REACH OUT AND READ PROGRAM, IN ADDITION TO HOSTING A COMMUNITY EVENT WHERE WE PROMOTE THE IMPORTANCE OF EARLY BRAIN DEVELOPMENT AND READING BY DISTRIBUTING FREE BOOKS FOR CHILDREN, AGES 0-18 YEARS OLD. . DUE TO COVID, HEALTHPARTNERS HAD TO DELAY HOSTING THE COMMUNITY EVENT PORTION, BUT DELIVERED THE 2000 FREE BOOKS DIRECTLY TO THE BROOKLYN PARK, MN, LARGE SUBSIDIZED HOUSING PARTNER, AEON AT HUNTINGTON PLACE. THIS HOUSING DEVELOPMENT HOSTS OVER 200 FAMILIES REPRESENTING MANY LANGUAGES AND CULTURES. BOOKS SELECTIONS WERE CHOSEN FROM A SCHOLASTIC CATALOG OF OVER 8000 TITLES WITH GREATEST PRIORITY PLACED ON SHOWCASING BLACK, BROWN, ASIAN AND INDIGENOUS AUTHORS AND ILLUSTRATORS. ONCE COVID-19 HAS SUBSIDED, HEALTHPARTNERS IS PLANNING TO HOST THE EARLY BRAIN DEVELOPMENT AND FAMILY HEALTH INFORMATION EVENT ONSITE AT HUNTINGTON PLACE. IN 2021, DUE TO THE LARGEST EARLY BRAIN DEVELOPMENT UNDERSTANDING GAP FOR PARENTS BEING SHOWN TO BE IN FIRST 6 MONTHS OF LIFE (BEFORE THE START OF THE REACH OUT & READ PROGRAM), HEALTHPARTNERS WILL ADD AN ADDITIONAL POINT OF FAMILY EDUCATION TO THE 1-2 MONTH PEDIATRIC WELL CHILD VISIT. THE CLINICIAN WILL DISCUSS THE IMPORTANCE OF EARLY AND FREQUENT MOMENTS BETWEEN PARENT/CARETAKER AND CHILD AND PROVIDE A BOOKMARK WITH INFORMATION ABOUT SIGNING UP FOR THE THINK SMALL PARENT POWERED TEXT PROGRAM. DEVELOPMENTAL AND SOCIAL EMOTIONAL SCREENING HEALTHPARTNERS CONTINUED TO TRACK THEIR EARLY CHILDHOOD SCREENING ACROSS ALL PRIMARY CARE CLINICS THROUGHOUT 2020. COVID DID PRESENT SOME CHALLENGES WITH GETTING PATIENTS IN FOR WELL CHILD CHECKS BUT FOR THOSE THAT MADE IT IN, THERE WAS ABOUT AN 85% COMPLETION RATE FOR ALL SCREENS. IN AN EFFORT TO INCREASE COMPLIANCE, HEALTHPARTNERS WOULD LIKE TO MAKE THESE SCREENINGS ELECTRONIC. IN PARTNERSHIP WITH OTHER MN HEALTH CARE ORGANIZATIONS, HEALTHPARTNERS WROTE A PETITION TO APPROVE A DIFFERENT FORM (SURVEY OF WELLBEING OF YOUNG CHILDREN) THAT ALREADY HAS AN ELECTRONIC PLATFORM FOR CHILD AND TEEN CHECKS; WE'RE STILL WAITING FOR APPROVAL FROM THE INTERAGENCY DEVELOPMENTAL SCREENING TASK FORCE. POSTPARTUM DEPRESSION SCREENING PRENATAL SCREENING: IN NOVEMBER 2020, HEALTHPARTNERS' OB/GYN TEAM EXPANDED THE USE OF THE EDINBURGH POSTPARTUM DEPRESSION SCREEN. IT IS NOW STANDARD ACROSS ALL CARE GROUPS TO SCREEN AT THE INITIAL PRENATAL AND 28-WEEK OB VISIT. THIS ADDITIONAL SCREENING WILL HELP OUR CARE TEAM IDENTIFY IF A MOM IS STRUGGLING PRIOR TO DELIVERY AND IN TURN, WILL HELP IMPROVE THE HEALTH OF THE MOM AND BABY. IT WILL ALSO GIVE THE CARE TEAM A BASELINE TO COMPARE TO AT HER POSTPARTUM VISIT. POSTPARTUM SCREENING: ALL MOMS ARE SCREENED AT THEIR BABY'S 1, 2, 4, AND 6 MONTHS WELL CHILD CHECK, IN ADDITION TO HER 6-WEEK POSTPARTUM VISIT. THE CHI EPDS WORKGROUP DEVELOPED A NEW WORKFLOW THAT WILL INCLUDE DIRECT DOCUMENTATION INTO THE MOM'S CHART DURING THE WELL CHILD CHECK. THIS NEW PROCESS WILL HELP ENSURE CONSISTENCY OF CARE BECAUSE THE MOM'S CLINICIANS WILL BE ABLE TO SEE HER SCORES, ALONG WITH ANY ALERTS WITH A HIGH SCORE. THIS WILL GO LIVE IN EARLY 2021. MOTHERS WHO SCREEN POSITIVE ARE OFFERED SUPPORT THROUGH CARE COORDINATION, MENTAL HEALTH RESOURCES, AND COMMUNITY REFERRALS (WHEN APPROPRIATE). OUR PARK NICOLLET MENTAL HEALTH SPECIALTY TEAM ALSO OFFERS A FREE, TWICE MONTHLY SUPPORT GROUP FOR FAMILIES STRUGGLING WITH PERINATAL MENTAL HEALTH CONCERNS. THIS GROUP SERVES AS AN IMPORTANT ELEMENT OF THE PERINATAL MENTAL HEALTH CONTINUUM OF CARE. BREASTFEEDING MOM BABY CAF: DUE TO THE PANDEMIC, WE HAD TO PUT A HOLD ON OUR CAFES ACROSS THE CARE GROUP (PARK NICOLLET, COMO, WESTFIELDS AND AMERY). WE ALSO HAD TO HOLD OFF ON THE PLANNED CAF EXPANSION ON THE WEST SIDE. WE WILL RE-EVALUATE ONCE WE CAN SAFELY MEET IN PERSON. DURING THIS TIME, THE METHODIST LACTATION DEPARTMENT INVESTIGATED HOSTING VIRTUAL CAFES. THEY STARTED PILOTING THEM IN EARLY 2021 AND WILL DECIDE TO EXPAND DEPENDING UPON PATIENT FEEDBACK. OUTPATIENT LACTATION CHAMPION: DUE TO STAFF CONSTRAINT, WE HAD TO HOLD OFF ON THIS SUPPORT. AT THE END OF 2020, WE DID PULL TOGETHER A SMALL GROUP TO START EVALUATING THE POSITION AND DISCUSS DEVELOPING A STANDARD WORKFLOW AROUND OBC UTILIZATION AND ENSURING WE HAVE THE RIGHT STAFF PROVIDING THE SUPPORT SO IT'S A SUSTAINABLE PROGRAM. ONCE THIS IS DESIGNED, WE PLAN TO CONTINUE TO WORK WITH INSTITUTE FOR THE ADVANCEMENT OF BREASTFEEDING AND LACTATION EDUCATION (IABLE) TO TRAIN OUR TEAMS. THROUGH THIS ASSESSMENT, THE PROJECT MANAGER HAS BEEN CONNECTING WITH COMMUNITY PARTNERS TO BETTER UNDERSTAND OUR PATIENT POPULATION AND NEEDS. HEALTHY BEGINNINGS ALL HEALTHPARTNERS CLINICS ARE UNIVERSALLY SCREENING WOMEN FOR SUBSTANCE USE AT THEIR INITIAL OB VISIT. THOSE WHO SCREEN POSITIVE ARE OFFERED THE 1:1 SUPPORT OF A HEALTHY BEGINNINGS SPECIALIST, WHO HELP THE PATIENT SET GOALS AND CREATE A PRACTICAL PLAN TO REACH SOBRIETY AND PARENTING GOALS; THIS INCLUDES IBCLC SPECIALIZED SUPPORT AND GUIDANCE ALONGSIDE OPIOID AVOIDANCE MAINTENANCE MEDICATION. FOR THE PAST FEW YEARS, OUR SPECIALISTS HAVE NOTICED THAT PATIENTS WHO ARE REFERRED TO THEM ARE OFTENTIMES STRUGGLING WITH MULTIPLE SOCIAL DETERMINANTS OF HEALTH. THEY HAVE BEEN CONNECTING PATIENTS TO COMMUNITY RESOURCES OR PARTNERS, LIKE CRADLE OF HOPE OR EVERYDAY MIRACLES. THE EFFECTS OF THE PANDEMIC HAVE EXASPERATED THIS NEED. DUE TO THIS DEMAND, HEALTHY BEGINNINGS LEADERS MET TO DISCUSS OFFICIALLY EXPANDING THE SCOPE OF THE H.B. SPECIALIST. IN 2021, WE WILL BE ADDING ADDITIONAL SOCIAL DETERMINANTS OF HEALTH SCREENING QUESTIONS TO INCREASE SUPPORT FOR OUR PATIENTS. ADOLESCENT SEXUAL HEALTH IN 2020, CHILDREN'S HEALTH INITATIVE (CHI) RECEIVED A GRANT TO HAVE A WORKGROUP, IN PARTNERSHIP WITH OUR HEALTHPARTNERS INSTITUTE OF RESEARCH, PILOT SURVEYING TEENS ON THE USE OF AN IPAD TO ANSWER THE TEEN QUESTIONNAIRE AND HOW THEY FELT ABOUT THAT INFORMATION BEING STORED IN THEIR RECORD. THIS PILOT IS STILL GOING ON, BUT THE INFORMATION WILL HELP US ASSESS HOW WE REACH OUT TO TEENS AND DOCUMENT IN THEIR RECORD. THE CHI ADOLESCENT SEXUAL HEALTH WORK GROUP IMPLEMENTED THE TEEN QUESTIONNAIRE IN CLINICS AND DEVELOPED RESOURCES TO SUPPORT CLINICIANS HAVING CONVERSATIONS WITH ADOLESCENTS AND PARENTS ABOUT SEXUAL HEALTH (IN PARTNERSHIP WITH THE ANNEX TEEN CLINIC) IN 2018. THE CHI LEADERS ALSO MET WITH THE POWERUP TEEN LEADERSHIP COUNCIL SPONSORS AND THEY HAVE AGREED TO ALLOW US TO BRING ITEMS FORWARD TO THEIR MEETINGS FOR FEEDBACK. IN Q4 2020, WE ASKED THE COUNCIL TO PROVIDE FEEDBACK ON OUR TEEN QUESTIONNAIRE; WHAT'S HELPFUL/RELEVANT, WHAT WE SHOULD CHANGE AND OVERALL GENERAL FEEL OF BEING ASKED THESE QUESTIONS. WE HAVE BROUGHT THIS FEEDBACK FORWARD TO THE PEDS STANDARD WORKGROUP AND WILL BE IMPLEMENTING CHANGES TO THE QUESTIONNAIRE IN 2021. THE GROUP WILL CONTINUE TO WORK ON EXPANDING TIMELY ACCESS TO LONG ACTING REVERSIBLE CONTRACEPTION BY IMPLEMENTING TRAINING OPPORTUNITIES ACROSS HEALTHPARTNERS CLINICS, AND WORK WITH THE PATIENT PRIVACY WORK GROUP TO SUPPORT CLINICAL GUIDANCE FOR MINOR CONSENT. IN 2019, THE ADOLESCENT HEALTH GROUP HAS DONE AN IUD TRAINING AND MENTORING FOR PROVIDERS. DUE TO THE PANDEMIC, WE DID NOT HOST ANY TRAININGS IN 2020 BUT HAVE SOME SCHEDULED FOR 2021. |
| PART III, CONT. | REDUCING DISPARITIES IN MATERNAL AND CHILD HEALTH IN EFFORTS TO IMPROVE QUALITY AND REDUCE HEALTH DISPARITIES, A SYSTEM-WIDE PERINATAL MEASUREMENT COMMITTEE WAS FORMED TO REVIEW CURRENT STATE PERINATAL SAFETY MEASURES, DEVELOP CONSISTENT DEFINITIONS AND ESTABLISH BEST PRACTICE IN THE IDENTIFICATION, METHOD OF TREATMENT AND PREVENTION MODELS TO REDUCE COSTS AND COMPLICATION RATES. O FROM THIS WORK, A SYSTEM-WIDE SCORECARD WAS CREATED IN 2020, ALONG WITH A PERINATAL ANALYSIS, SO LEADERS CAN EASILY REVIEW THEIR SITES AND COMPARE TO OTHER CARE TEAMS WITHIN THE ORGANIZATION. TO BETTER SERVE OUR AFRICAN AMERICAN PATIENT POPULATION, CHI HAS PARTNERED WITH INTEGRATED CARE FOR HIGH RISK PREGNANCY (ICHRP). THIS GROUP PROVIDES PROFESSIONAL EXPERTISE; KNOWLEDGE OF PRENATAL AFRICAN AMERICAN MATERNAL AND CHILD HEALTH ISSUES; KNOWLEDGE OF THE AFRICAN AMERICAN COMMUNITY; AND CONNECTIONS TO LOCAL, NATIONAL OR INTERNATIONAL RESOURCES AND COLLEAGUES. STARTING IN EARLY 2021, WE WILL BE PILOTING REFERRING OUR PATIENTS TO THEIR PROGRAM. WE THIS AS A GREAT WAY TO ENSURE OUR PATIENTS ARE FEELING SUPPORTED THROUGHOUT THEIR PREGNANCY. IN 2020, PARK NICOLLET OB/GYN DEPARTMENT APPLIED FOR AND RECEIVED AN UCARE GRANT TO SUPPORT THE DEPARTMENT IN THE EDUCATION AND ALIGNMENT AROUND RECOGNIZING AND UNDERSTANDING BIAS AND HOW IT AFFECTS HEALTH OUTCOMES. THROUGH THIS GRANT, LEADERS WILL BE PROVIDED A SELF-ASSESSMENT ON WHERE THEY ARE WITH RECOGNIZING AND UNDERSTANDING THEIR OWN BIASES, ALONG WITH WORKING WITH AN OUTSIDE CONSULTANT (THE SAME ONE THAT HELPED THE REGIONS OB TEAM WITH THEIR BIAS TRAINING) TO HELP THE DEPARTMENT UNDERSTAND AND WORK TOGETHER ON THEIR GROUP BIASES AND WHAT THEY CAN DO TO IMPROVE THE CARE FOR OUR PATIENTS OF COLOR. LITTLE MOMENTS COUNT BUILDING OFF OF A PARTNERSHIP THAT BEGAN WITH THE GREATER TWIN CITIES UNITED WAY IN 2016 TO HOST YEARLY EARLY BRAIN DEVELOPMENT EDUCATIONAL COMMUNITY EVENTS AND CONVENE PARTNERS TO WORK TOGETHER ON THIS TOPIC TO ENCOURAGE EARLY PARENT/CARETAKER-CHILD INTERACTION AND TO OPTIMIZE EARLY BRAIN DEVELOPMENT AND CHILD HEALTH, A NEW STATE-WIDE INITIATIVE WAS FORMED IN 2018, CALLED LITTLE MOMENTS COUNT (LMC). LMC'S FOCUS IS ON BUILDING A MEDIA, BUSINESS, HEALTHCARE AND COMMUNITY GRASSROOTS APPROACH TO ENCOURAGE PARENTS AND CAREGIVERS TO SPEND TIME INTERACTING WITH THEIR BABIES AND YOUNG CHILDREN, ESPECIALLY IN THE FIRST THREE YEARS OF LIFE. IN 2020, WE HELD OUR FOURTH ANNUAL LITTLE MOMENTS COUNT COMMUNITY EDUCATIONAL EVENT, IN MINNEAPOLIS, MINNESOTA. OVER THE PAST FIVE YEARS, HEALTHPARTNERS HAS PLANNED AND FUNDED FIVE ANNUAL EDUCATION EVENTS ON THE TOPIC OF EARLY BRAIN DEVELOPMENT. A SIXTH IS PLANNED FOR FALL 2021. THE PROGRAM CONTINUES TO STRENGTHEN COMMUNITY PARTNERSHIPS, INCLUDING WORKING WITH THE THINK SMALL PARENT POWERED TEXTING PROGRAM TO ENCOURAGE PARENTS TO ENGAGE WITH THEIR CHILDREN TO OPTIMIZE EARLY BRAIN DEVELOPMENT. LMC FITS UNDER CHI'S EARLY BRAIN DEVELOPMENT FOCUS AND IS ALSO PROMOTED THROUGH OUR REACH OUT AND READ PROGRAM AT WELL CHILD CHECKS. LITTLE MOMENTS COUNT IS A STATEWIDE AWARENESS BUILDING CAMPAIGN TO ENCOURAGE PARENTS AND CARETAKERS OF YOUNG CHILDREN TO PRACTICE FREQUENT SERVE AND RETURN INTERACTION TO HELP A CHILD'S BRAIN OPTIMALLY DEVELOP. OPTIMAL BRAIN DEVELOPMENT HELPS BUILD THE PARENT/CARETAKER-CHILD RELATIONSHIP AND PAVE THE WAY FOR FUTURE THINKING AND REASONING, INCLUDING BRAIN PATHWAYS NEEDED FOR READING AND MATH ACADEMIC SUCCESS, MENTAL WELL-BEING, HIGH SCHOOL GRADUATION AND OTHER MARKERS OF SUCCESS. OPTIMAL EARLY BRAIN DEVELOPMENT ALSO HELPS MITIGATE TOXIC STRESS FOR THE CHILD AND IS AN IMPORTANT UPSTREAM FACTOR THAT HELPS REDUCE FUTURE CHRONIC DISEASE AND MENTAL AND SUBSTANCE HEALTH RISKS. HEALTHPARTNERS IS THE CONVENER FOR THE STATEWIDE LITTLE MOMENTS COUNT WORK, HOSTING LITTLE MOMENTS COUNT LEADERSHIP COUNCIL MEETINGS SIX TIMES EACH YEAR WITH 40 OTHER COMMUNITY AND STATE-FOCUSED ORGANIZATIONS. HEALTHPARTNERS ALSO CONVENES AN EARLY BRAIN DEVELOPMENT CULTURAL CONSULTING GROUP AND BRINGS TOGETHER NINE LARGE HEALTH CARE SYSTEMS FROM ACROSS MINNESOTA TO PLAN COLLECTIVE ACTION ON EARLY BRAIN DEVELOPMENT. HEALTHPARTNERS WAS A CO-SPONSOR IN JANUARY 2019 AND AUGUST 2019 OF THE NO SMALL MATTER SCREENINGS A FILM CREATED TO ELEVATE THE NEED AND IMPORTANCE OF ACTION AND FUNDING FOR EARLY BRAIN DEVELOPMENT. FROM THAT SCREENING, MINNESOTA PUBLIC RADIO CREATED A RECORDING OF THE PANEL DISCUSSION THAT AIRED IN MARCH 2019. OUR LMC CULTURAL CONSULTING GROUP HAS REPRESENTATIVES FROM THE AFRICAN AMERICAN, HMONG, SOMALI, AMERICAN INDIAN AND LATIN AMERICAN COMMUNITIES. HEALTHPARTNERS CEO ANDREA WALSH IS LEADING COORDINATED HEALTH CARE SYSTEMS ACTION, HAVING CONVENED EIGHT SYSTEM CEO MEETINGS TO DATE. A SEPARATE OPERATIONS-FOCUSED SYSTEM GROUP IS ALSO MEETING TO SUPPORT COORDINATED ACTION AND IMPLEMENTATION ACROSS OUR STATE. IN FEBRUARY 2021, LMC PARTNERED WITH THE ITASCA PROJECT TO LAUNCH THE 1000 DAYS WORK. IN THIS PROJECT, ITASCA PROJECT LAUNCHED A WHITE PAPER DETAILING THE KEY ISSUE AND HOW EMPLOYERS CAN HELP, AS WELL AS A WEBPAGE WITH DETAILS ABOUT WAYS EMPLOYERS CAN SUPPORT FAMILIES WITH YOUNG CHILDREN. ITASCA'S OVER 100 MEMBER EMPLOYERS ARE WORKING TOGETHER TO HELP SPREAD THIS IMPORTANT WORK. FAMILY CENTERED CARE BREASTFEEDING SUPPORT AND OPTIMIZATION ARE CONSIDERED A KEY ISSUE WITHIN OUR ORGANIZATION. REGIONS HOSPITAL WAS ACCREDITED BY BABY-FRIENDLY USA IN JANUARY 2015 AND LAKEVIEW HOSPITAL WAS ACCREDITED IN 2018. ALTHOUGH NOT DESIGNATED, METHODIST HOSPITAL COMPLETED ALL THE BABY-FRIENDLY USA PATHWAY AND PREPARATION ACTION IN 2017. IN 2016, WE LAUNCHED A WEEKLY BREASTFEEDING SUPPORT GROUP, CALLED THE MOM & BABY CAFE, AT COMO CLINIC (MODELED AFTER OUR EXISTING SUCCESSFUL PROGRAM AT METHODIST HOSPITAL). WE ALSO LAUNCHED THE PARTNERS IN BREASTFEEDING PRENATAL BREASTFEEDING EDUCATION CLASS AT THE HEALTHPARTNERS ST. PAUL CLINIC. IN ADDITION, 45 DESIGNATED LACTATION LOUNGES ARE AVAILABLE TO PATIENTS AND EMPLOYEES ACROSS OUR ORGANIZATION. HEALTHPARTNERS HEALTH PLAN AND CLINIC CARELINE AND BABYLINE TEAM MEMBERS ARE AVAILABLE TO PROVIDE 24/7 LACTATION SUPPORT FOR FAMILIES OVER THE PHONE. ADDITIONALLY, ON THE HEALTH PLAN SIDE, HEALTHPARTNERS HAS PROVIDED EMPLOYER SUPPORT TO OPTIMIZE BREASTFEEDING ENVIRONMENTS IN THE COMMUNITY. INTERNALLY, HEALTHPARTNERS HAS WORKED WITH MDH AND HAS BECOME A BREASTFEEDING-FRIENDLY DESIGNATED EMPLOYER. HP HAS ALSO CREATED CONTENT ON THE BUSINESS CASE, BEST PRACTICES AND LAWS THAT SUPPORT BREASTFEEDING. OTHER SUPPORTS DEVELOPED INCLUDE A WAY TO PURCHASE WORKSITE LACTATION ROOM EQUIPMENT THROUGH OUR DURABLE MEDICAL EQUIPMENT (DME) TEAM, A ROOM EVALUATION GRID AND SEVERAL PRESENTATIONS FOR COMPANIES TO USE TO GET STARTED. IN 2016, LAKEVIEW HOSPITAL ALSO RECEIVED A WASHINGTON COUNTY STATE HEALTH IMPROVEMENT PROGRAM (SHIP) GRANT TO ENHANCE THE DESIGNATED LACTATION SPACE AND MAKE MILK EXPRESSION FOR TRAVELING EMPLOYEES EASIER. IN 2021, HEALTHPARTNERS EDUCATION TEAMS ARE DEVELOPING A NEW MYPREGNANCY PLATFORM TO HELP SUPPORT MEMBERS. AS PART OF THIS NEW PORTAL, ADDITIONAL EDUCATIONAL CONTENT ON LACTATION AND INFANT FEEDING WILL BE AVAILABLE, ONCE LAUNCHED. THIS CONTENT WILL HELP TO ENHANCE WHAT'S ALREADY OFFERED AND SERVE AS A COMPLIMENT TO WHAT'S ALREADY PROVIDED BY FAMILIES' CARE PROVIDERS, THE BIRTH CENTERS, AND LACTATION TEAMS. MN WIC HAS IDENTIFIED FORMULA SUPPLEMENTATION OF BABIES OF COLOR IN HOSPITALS AS A KEY ISSUE TO ADDRESS. THROUGH OUR PARTNERSHIP WITH MN WIC, IT HAS PROVIDED OUR HP HOSPITAL-SPECIFIC WIC INFANT OF COLOR SUPPLEMENTATION DATA FOR OUR REVIEW. THIS IS CO-MONITORED OVER TIME. HEALTHPARTNERS HAS ELIMINATED NON-MEDICAL NEED FORMULA DISTRIBUTION ACROSS OUR ORGANIZATIONS. GIVING NON-MEDICALLY NEEDED SAMPLES HAS BEEN SHOWN TO DECREASE A FAMILY'S CONFIDENCE IN THE ABILITY TO PRODUCE ENOUGH MILK FOR THEIR BABY AND SIGNIFICANTLY INCREASE THE LIKELIHOOD FOR A BABY TO BE PROVIDED NON-MEDICALLY NEEDED SUPPLEMENTS. HEALTHPARTNERS ALSO PROVIDED FREE HEALTHPARTNERS MARKET RESOURCE TEAM HOURS TO HELP CREATE A METRO OUTPATIENT CLINIC SURVEY ON NON-MEDICAL NEED FORMULA DISTRIBUTION PRACTICES AND EDUCATION NEEDED. IN 2017, HEALTHPARTNERS WAS A KEY SUPPORT FOR STARTING A TWIN CITIES REGIONAL BREASTFEEDING COALITION AND PROVIDES CONTINUED PARTICIPATION AND SUPPORT OF THIS COALITION TO ADDRESS EQUITY AND CREATE AN IMPROVED BREASTFEEDING CARE CONTINUUM FOR THE COMMUNITY. HEALTHPARTNERS ALSO PLAYS AN ACTIVE ROLE ON THE STATEWIDE BREASTFEEDING COALITION, AS WELL AS MANY COUNTY COALITIONS. |
| PART III, CONT. | IN 2018, HEALTHPARTNERS PROVIDED DIRECTION AND HMONG EQUITY STAFF RESOURCE TO SUPPORT AN MDH CDC-FUNDED HMONG BREASTFEEDING RATE IMPROVEMENT PROJECT. THIS PROJECT WAS COMPLETED IN JANUARY 2020, WITH RESULTS OF COMMUNITY CONVERSATIONS ON WHAT WAS NEEDED LEADING TO COMMUNITY SUPPORT DEVELOPMENT WITHIN THE HMONG COMMUNITY FOR BREASTFEEDING AND THE CREATION OF VIDEOS ON BREASTFEEDING IN HMONG AND ENGLISH, AS WELL AS A SUCCESSFUL FACEBOOK HMONG BREASTFEEDING PHOTO CONTEST TO PROMOTE AND NORMALIZE BREASTFEEDING WITHIN THE HMONG COMMUNITY. AS A RESULT OF THIS WORK, CREATION OF A MINNESOTA HMONG BREASTFEEDING COALITION IS NOW UNDER CONSIDERATION. BREASTFEEDING OPTIMIZATION AND SUPPORT ARE IDENTIFIED AS ONE OF OUR KEY CHILDREN'S HEALTH INITIATIVE (CHI) PRIORITIES. GIVEN THIS, MANY INTERNAL STREAMS OF CONSISTENCY AND QUALITY IMPROVEMENT WORK ARE UNDERWAY, WITH THE OVERALL GOAL TO HELP OPTIMIZE BREASTFEEDING IN OUR ORGANIZATION AND THE COMMUNITY: ACROSS OUR SYSTEM, BREASTFEEDING PATIENT EDUCATION HAS BEEN EDITED AND CONSISTENT MESSAGES AND MATERIALS ARE NOW BEING USED IN PRENATAL, POSTNATAL AND HOSPITAL-BASED CARE SETTINGS. HEALTHPARTNERS ROLLED OUT A PILOT OF A NEW CLINICAL OUTPATIENT BREASTFEEDING SUPPORT ROLE THE OUTPATIENT BREASTFEEDING CONSULTANT (OBC). THIS ROLE IS MEANT TO BE AN ON-THE-SPOT TRIAGE AND BASIC SUPPORT ASSIST IN EVERY OUTPATIENT CLINIC SETTING THAT SEES POSTNATAL MOMS AND BABIES. TELEPHONIC POSTNATAL BREASTFEEDING SUPPORT WAS TESTED/PILOTED AND THEN IMPLEMENTED ACROSS OUR MIDWIFE TEAMS TO ATTEMPT TO PROVIDE TIMELY SUPPORT TO INCREASE EXCLUSIVITY AND DURATION IN THE IMMEDIATE POSTPARTUM. A SIGNIFICANT IMPACT HAS BEEN SEEN IN PATIENTS OF COLOR. SOME ELEMENTS OF THIS PILOT MODEL ARE NOW FULLY ROLLED OUT WITHIN MIDWIFERY CARE AND IS ALSO BEING LOOKED AT TO SEE HOW IT CAN BE IMPLEMENTED SYSTEM WIDE. THE IMPRESSIVE RESULTS OF THE WORK HAVE BEEN PRESENTED AT SEVERAL STATEWIDE FORUMS TO ENCOURAGE OTHER SYSTEMS TO IMPLEMENT A SIMILAR MODEL. OB-PEDIATRIC-FAMILY MEDICINE COLLABORATION - HEALTHPARTNERS PROGRESS IN THE OTHER NINE AREAS OF FOCUS WOULD NOT HAVE BEEN POSSIBLE WITHOUT STRONG COLLABORATION AMONG OBSTETRICS AND GYNECOLOGY (OBGYN), PEDIATRICS AND FAMILY MEDICINE. WE HAVE A GROUP OF DEDICATED CLINICIANS MEETING REGULARLY WITH THE GOAL OF PROVIDING COORDINATED CARE FOR FAMILIES ACROSS SPECIALTIES. POWERUP AND POWERUP SCHOOL CHALLENGE SINCE 2011, HEALTHPARTNERS HAS BEEN MAKING IT EASY AND FUN TO EAT BETTER AND MOVE MORE WITH POWERUP. WE KNOW A MAJOR FACTOR IN PREVENTING MANY CHRONIC DISEASES IS A COMBINATION OF INCREASING FRUITS AND VEGETABLES AND INCREASING PHYSICAL ACTIVITY FOR KIDS, ADULTS AND COMMUNITIES. POWERUP IS A COMMUNITY-WIDE INITIATIVE THAT PROVIDE EXTENSIVE RESOURCES, RECIPES AND PROGRAMS FOR FAMILIES, SCHOOLS AND THE COMMUNITY. IN 2020, A NEWLY DESIGNED WEBSITE POWERUP4KIDS.ORG HAS EXPANDED ACCESS TO ACTIVITIES, PROGRAMS AND RESOURCES FOR BETTER EATING AND MOVING MORE. POWERUP HAS PARTNERED WITH SCHOOLS FOR 9 YEARS THROUGH THE SCHOOL CHALLENGE PROGRAM. THE INNOVATIVE TWO-WEEK PROGRAM PROVIDES SCHOOLS WITH FLEXIBLE TOOLS FOR TEACHERS, CLASSROOM VEGGIE TASTING, VEGGIE TRACKERS, PRIZES AND RESOURCES FOR FAMILIES. EVEN WITH SCHOOL AND COMMUNITY RESTRICTIONS DUE TO COVID 19, MORE THAN 54 ELEMENTARY SCHOOLS PARTICIPATED IN 2020, REACHING MORE THAN 900 CLASSROOMS. SUBSIDIZED HEALTH SERVICES SUPPORTING NAMI MN HEALTHPARTNERS HAS A LONG RELATIONSHIP WITH NATIONAL ALLIANCE ON MENTAL ILLNESS, MINNESOTA CHAPTER. FOR OVER 10 YEARS, HEALTHPARTNERS EMPLOYEES HAVE DONATED TIME BY BEING NAMI BOARD MEMBERS. IN 2020, HEALTHPARTNERS WAS A GOLD SPONSOR OF MINNESOTA'S NAMI WALK, AN EVENT TO RAISE AWARENESS AND REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. IN 2020, HEALTHPARTNERS EMPLOYEES CONTRIBUTED OVER $5,000 TOWARD THE WALK. MAKE IT OK: IN 2020 THE REACH OF THE MAKE IT OK CAMPAIGN EXPANDED THROUGH TRAINING LOCAL AMBASSADORS, PROMOTION, AND PARTNERSHIPS WITH LOCAL AGENCIES AND PUBLIC HEALTH. DESPITE THE CHALLENGE OF COVID 19, MAKE IT OK MADE PROGRESS IN REDUCING THE STIGMA OF MENTAL ILLNESS WITH THE FOLLOWING IMPACT IN 2020: MAKE IT OK HELD 11 AMBASSADOR TRAININGS BOTH IN PERSON AND VIRTUALLY, MOBILIZING AN ADDITION 200 AMBASSADORS. MAKE IT OK REACHED MORE THAN 2,000 PEOPLE THROUGH COMMUNITY PRESENTATIONS, EVENTS AND TABLING. MORE THAN 90 PERCENT OF PARTICIPANTS REPORTED INCREASED KNOWLEDGE ABOUT MENTAL ILLNESS AND GREATER CONFIDENCE IN TALKING ABOUT MENTAL ILLNESS AS A RESULT OF THE PRESENTATIONS. MAKE IT OK HAS BEEN A KEY PARTNER IN A COMPREHENSIVE APPROACH TO MENTAL HEALTH FOR STUDENTS IN THE LOCAL SCHOOLS. THERE WERE MORE THAN 70,000 WEBSITE VISITS TO MAKEITOK.ORG IN 2019. THE MAKE IT OK TOOLS AND RESOURCES WERE DOWNLOADED MORE THAN 500 TIMES BY PEOPLE IN 250 US CITIES AND 25 MINNESOTA COUNTIES. IN A SURVEY OF MAKE IT OK AMBASSADORS IN OCTOBER 2020, 88% SAID THAT MAKE IT OK WAS MORE THAN IMPORTANT THAN EVER IN A TIME OF SOCIAL ISOLATION AND EMOTIONAL STRESS FOR MANY IN OUR COMMUNITIES. IMPROVING BEHAVIORAL HEALTH OUTCOMES THROUGH SUPPORTS FOR TREATMENT ADHERENCE HEALTHPARTNERS IS HIGHLY EFFECTIVE AT SUPPORTING MEMBERS IN INCREASING TREATMENT ADHERENCE. THE FOUR CLASSES OF PSYCHIATRIC MEDICATION THAT HEALTHPARTNERS SUPPORTS THROUGH MAILED REMINDER LETTERS FOR REFILLS ARE: ANTIDEPRESSANTS, ANTIPSYCHOTICS, MOOD STABILIZERS AND ANTI-CRAVING MEDICATIONS (USED IN THE TREATMENT OF ADDICTIONS). OUR PROGRAM TARGETING A FIFTH CATEGORY OF MEDICATION SEEKS TO REDUCE BENZODIAZEPINE USE AMONG MEMBERS WITH ANXIETY DISORDERS. IN 2020, THERE WERE COMMUNICATIONS WITH MORE THAN 60,000 MEMBERS REGARDING MEDICATION REFILLS, HEALTH EDUCATION AND WITH THEIR PRESCRIBERS REGARDING OVERDUE REFILLS. THE PROGRAMS EACH HAVE DIFFERENT CONTENT BASED ON THE CONDITION BEING TARGETED AND THE OUTCOME GOALS. MEDICATION REFILL REMINDER AND HEALTH EDUCATION NEWSLETTERS WERE SENT VIA MAIL AND DIGITAL METHODS TO MEMBERS TO HELP SUPPORT ADHERENCE TO BEHAVIORAL HEALTH MEDICATIONS FOR DEPRESSION, BIPOLAR DISORDER, SCHIZOPHRENIA, CHEMICAL DEPENDENCY, AND ANXIETY DISORDERS. THE TOTAL COST OF THIS PROGRAM INCLUDING DIGITAL AND MANUAL MAILINGS WAS APPROXIMATELY $30,000. IMPROVING BEHAVIORAL HEALTH OUTCOMES THROUGH SUPPORTS FOR TREATMENT ADHERENCE HEALTHPARTNERS IS HIGHLY EFFECTIVE AT SUPPORTING MEMBERS IN INCREASING TREATMENT ADHERENCE. THE FOUR CLASSES OF PSYCHIATRIC MEDICATION THAT HEALTHPARTNERS SUPPORTS THROUGH MAILED REMINDER LETTERS FOR REFILLS ARE: ANTIDEPRESSANTS, ANTIPSYCHOTICS, MOOD STABILIZERS AND ANTI-CRAVING MEDICATIONS (USED IN THE TREATMENT OF ADDICTIONS). OUR PROGRAM TARGETING A FIFTH CATEGORY OF MEDICATION SEEKS TO REDUCE BENZODIAZEPINE USE AMONG MEMBERS WITH ANXIETY DISORDERS. IN 2020, THERE WERE COMMUNICATIONS WITH MORE THAN 60,000 MEMBERS REGARDING MEDICATION REFILLS, HEALTH EDUCATION AND WITH THEIR PRESCRIBERS REGARDING OVERDUE REFILLS. THE PROGRAMS EACH HAVE DIFFERENT CONTENT BASED ON THE CONDITION BEING TARGETED AND THE OUTCOME GOALS. MEDICATION REFILL REMINDER AND HEALTH EDUCATION NEWSLETTERS WERE SENT VIA MAIL AND DIGITAL METHODS TO MEMBERS TO HELP SUPPORT ADHERENCE TO BEHAVIORAL HEALTH MEDICATIONS FOR DEPRESSION, BIPOLAR DISORDER, SCHIZOPHRENIA, CHEMICAL DEPENDENCY, AND ANXIETY DISORDERS. THE TOTAL COST OF THIS PROGRAM INCLUDING DIGITAL AND MANUAL MAILINGS WAS APPROXIMATELY $30,000. REDUCING PSYCHIATRIC HOSPITALIZATIONS & READMISSIONS HEALTHPARTNERS PLANS EMPLOY STAFF TO PROVIDE BEHAVIORAL HEALTH COACHING AND CARE COORDINATION TO SUPPORT NEARLY 14,000 NEW HIGH-RISK MEMBERS TO PREVENT CRISES THAT LEAD TO EMERGENCY HOSPITALIZATION. HEALTHPARTNERS ALSO HELPS THOSE LEAVING THE HOSPITAL GET PROMPT TREATMENT FROM AN OUTPATIENT MENTAL HEALTH PROVIDER. A RECENT ANALYSIS INDICATES A 2.7 TO 1 RETURN ON INVESTMENT WITH GROSS SAVINGS OF $10.7M AND NET SAVINGS OF APPROXIMATELY $6.3M DUE TO FEWER HOSPITALIZATIONS. HEALTHPARTNERS PLANS EMPLOY STAFF TO PROVIDE AFTERCARE COORDINATION, WHICH CONSISTS OF PHONE CALLS TO MEMBERS AFTER THEY ARE DISCHARGED FROM INPATIENT PSYCHIATRY UNITS. THE CALLS HELP COORDINATE THEIR CARE AND ENCOURAGE THEM TO ATTEND OUTPATIENT AFTERCARE APPOINTMENTS. ED VISIT FOLLOW UP: EMERGENCY DEPARTMENT ADMISSIONS TRIGGER TELEPHONIC OUTREACH FROM OUR BEHAVIORAL HEALTH CASE MANAGERS. OUR CASE MANAGERS REACH OUT TO OUR MEMBERS TO UNDERSTAND WHAT LED UP TO THE RECENT EMERGENCY DEPARTMENT VISIT AND ASSESS CURRENT BARRIERS AND NEEDS. IF THE MEMBER PREVIOUSLY DECLINED TELEPHONIC CASE MANAGEMENT SUPPORT, OUR CASE MANAGERS WILL ATTEMPT TO ENGAGE AND SUPPORT THESE MEMBERS AT A POINT OF POTENTIAL CRISIS. THESE MEMBERS ARE OFTEN INTERESTED IN ENGAGING WITH US IN THE AFTERMATH OF A CRISIS. |
| PART III, CONT. | IN 2020, 439 MEMBERS, WHO WERE PREVIOUSLY IDENTIFIED FOR TELEPHONIC CASE MANAGEMENT SERVICES, EXPERIENCED A RECENT EMERGENCY DEPARTMENT VISIT FOR A BEHAVIORAL HEALTH CONCERN. WE ENGAGED 38% OF THESE MEMBERS IN TELEPHONIC SUPPORT BY REACHING 165 OF THE 439 MEMBERS. SUICIDE SCREENING: IN 2018, THE HEALTHPARTNERS INSTITUTE WAS PART OF A LARGE RESEARCH STUDY ACROSS SEVEN HEALTH SYSTEMS THAT DEVELOPED AND VALIDATED MODELS TO PREDICT SUICIDE ATTEMPTS USING HEALTH RECORDS AND SELF-REPORTED DATA. IN 2019, OUR HEALTH PLAN TOOK THE PUBLISHED RESEARCH AND WORKED WITH OUR OWN HEALTH INFORMATICS TEAM TO REPLICATE THE MODELS TO PREDICT RISING RISK OF SUICIDE ATTEMPTS WITH HEALTH PLAN DATA AND IMPLEMENTED USING THIS METHOD OF IDENTIFICATION TO TRIGGER OUTREACH BY OUR BEHAVIORAL HEALTH CASE MANAGERS, WHO WOULD ATTEMPT TO ENGAGE THE MEMBERS AND COMPLETE A SUICIDE ASSESSMENT AND INTERVENTION PROTOCOL TO ADDRESS RISK. OUR BEHAVIORAL HEALTH CASE MANAGERS WORKED TO ACHIEVE IMPACTFUL RESULTS WITH MEMBERS IDENTIFIED AS HIGH RISK OR RISING RISK OF SUICIDE. IN 2020, 463 INDIVIDUAL MEMBERS IN OUR BH CASE MANAGEMENT PROGRAM WERE IDENTIFIED AS HIGH RISK OR RISING RISK OF SUICIDE. OUR CASE MANAGERS ENGAGED AND ASSESSED 227 (49%) OF THOSE MEMBERS BY CONDUCTING THE COLUMBIA SUICIDE SEVERITY SCREENING. BASED ON THE RISK SCORE AND CLINICAL PICTURE OF THE MEMBERS, OUR CASE MANAGERS PROVIDED CRISIS INTERVENTION AND RESOURCES, EDUCATION, COACHING AND SUPPORT WHEN THEY NEEDED IT MOST. THE COST OF THIS PROGRAM (BEHAVIORAL HEALTH CASE MANAGEMENT INCLUDING OUTPATIENT, INPATIENT, ED VISIT, AND SUICIDE SCREENING) WAS APPROXIMATELY $5M WITH 94% USED FOR SALARIES AND BENEFITS FOR STAFF. IMPROVING PATIENT SAFETY AND REDUCING DRUG RELATED OVERUSE AND MISUSE HEALTHPARTNERS BEHAVIORAL HEALTH RESTRICTED RECIPIENT PROGRAM WAS ESTABLISHED OVER TEN YEARS AGO AND IS DESIGNED TO REDUCE MEDICATION OVERUSE AND MISUSE. FOLLOWING SPECIFIC PROGRAM PROTOCOLS FROM THE MINNESOTA DEPARTMENT OF HUMAN SERVICES UNIVERSAL RESTRICTED RECIPIENT PROGRAM, HEALTH PLANS PROVIDED OVERSIGHT AND GUIDANCE FOR NEARLY 700 MEMBERS WHO WERE RESTRICTED TO A SINGLE PHYSICIAN, PHARMACY AND HOSPITAL IN ORDER TO MINIMIZE MEDICATION-SEEKING FROM MULTIPLE PHYSICIANS SIMULTANEOUSLY. THE 2020 COSTS OF THE HEALTHPARTNERS BH RESTRICTED RECIPIENT PROGRAM WERE OVER $200,000. BEHAVIORAL HEALTH CLINIC WITHOUT WALLS IN 2019, THE BEHAVIORAL HEALTH DEPARTMENT PARTNERED WITH TWO AGENCIES ON AN 18-MONTH PILOT TO PROVIDE COMMUNITY-BASED SUPPORT, CLINIC WITHOUT WALLS, TO MEMBERS WITH SERIOUS AND PERSISTENT MENTAL ILLNESS WHO MAY NOT QUALIFY FOR OR BENEFIT FULLY FROM BENEFIT-BASED PROGRAMS. THE PARTNERSHIPS WITH RADIAS HEALTH AND VAIL PLACE ALLOW US TO SUPPORT MEMBERS ACROSS THE METRO AREA. THESE PARTNERSHIPS PROVIDE CLINICAL SUPPORT OUT IN THE COMMUNITY FOR MEMBERS WHO HAVE BEEN CHALLENGING TO ENGAGE IN COMPLEX CASE MANAGEMENT DUE TO HOMELESSNESS, MENTAL ILLNESS, AND/OR OTHER SOCIOECONOMIC FACTORS. RADIAS HEALTH IS AN INTEGRATED HEALTHCARE EXPERIENCE SERVING THE WELL-BEING OF THE WHOLE PERSON THROUGH PRIMARY CARE, BEHAVIORAL HEALTH, PHARMACY SERVICES, RESIDENTIAL TREATMENT AND SUPPORTIVE HOUSING THROUGHOUT THE METRO AREA. RADIAS HEALTH IS LOCATED IN ST. PAUL. FOR YEAR 2020, WE REFERRED 80 MEMBERS AND THEY WERE ABLE TO ENGAGE 46 (57.5%). VAIL PLACE IS A COMMUNITY RESOURCE CENTER FOR ADULTS WITH SERIOUS MENTAL ILLNESSES, SERVING AS A SINGLE POINT OF ACCESS AND COORDINATION FOR MEMBERS PURSUING RECOVERY NEEDS INCLUDING: ESSENTIAL DAILY LIVING SERVICES (HOUSING, EMPLOYMENT, HEALTH AND WELLNESS, ETC.); AND CONNECTIONS TO OTHER CRITICAL COMMUNITY RESOURCES (MEDICAL, DENTAL, BENEFITS, ETC.). VAIL PLACE HAS LOCATIONS IN UPTOWN MINNEAPOLIS AND HOPKINS. FOR YEAR 2020, WE REFERRED 80 MEMBERS AND THEY WERE ABLE TO ENGAGE 50 (62.5%). HEALTHPARTNERS INVESTED $422,275.00 IN 2020 FOR THE BEHAVIORAL HEALTH CLINIC WITHOUT WALLS PROGRAM. COMMUNITY EVENTS MARCH FOR BABIES (APRIL 27, 2019) - HEALTHPARTNERS WALK TEAM INCLUDED 31 WALKERS WHO RAISED OVER $1,000 FOR MOMS AND BABIES. NAMI WALK (SEPTEMBER 26, 2020) HEALTHPARTNERS HAS HAD A LONG RELATIONSHIP WITH NAMI AND HAS BEEN ONE OF THE FIRST SPONSORS SINCE ITS INAUGURAL WALK IN 2007. IN 2020, HEALTHPARTNERS ORGANIZATIONS RAISED $9,640 AND HAD 58 REGISTERED WALKERS. PRIDE FESTIVAL HEALTHPARTNERS HAS BEEN A LONGTIME ADVOCATE OF THE PRIDE FESTIVAL. IN 2020, HEALTHPARTNERS AND PARK NICOLLET GENDER SERVICES TEAMS ATTENDED TWIN CITIES PRIDE'S FIRST VIRTUAL MARKETPLACE. COLLEAGUES FROM GENDER SERVICES AND MELROSE HOSTED LIVE CHATROOMS TO ANSWER QUESTIONS AND SHARE INFORMATION. THE FOOD GROUP HEALTHPARTNERS HAS HAD A PARTNERSHIP WITH THE FOOD GROUP, A FULL-SERVICE FOOD BANK WITH OVER 200 HUNGER RELIEF PARTNERS STATEWIDE PROVIDING FREE FOOD, ACCESS TO BULK FOOD PURCHASING, AND FORMALIZED FOOD DRIVE PROGRAMS. THE FOOD GROUP ALSO OFFERS FOOD SHELVES FREE DELIVERY, AND OUTREACH AND ADVOCACY OPPORTUNITIES. UNLIKE SOME FOOD BANKS, THE FOOD GROUP DOES NOT CHARGE MEMBERSHIP OR HANDLING FEES TO OUR NETWORK OF HUNGER-RELIEF PROGRAMS. IN 2020, HEALTHPARTNERS CONTRIBUTED 936 POUNDS OF DONATIONS AND $87. COMMUNITY BUILDING ACTIVITIES TRIPLE AIM HEALTHPARTNERS IS WORKING TO TRANSFORM HEALTH CARE BY DELIVERING OUTSTANDING CARE AND SERVICE THAT IS CONSISTENT WITH THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S "TRIPLE AIM" INITIATIVE. HEALTHPARTNERS IS ONE OF 12 ORGANIZATIONS PARTICIPATING IN THE PROJECT, AN INTERNATIONAL INITIATIVE TO DEVELOP MODELS OF CARE THAT SIMULTANEOUSLY OPTIMIZE THE HEALTH OF THE POPULATION AND THE EXPERIENCE OF EVERYONE, WHILE REDUCING PER CAPITA HEALTH CARE COSTS. THE INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI) SELECTED HEALTHPARTNERS IN 2007 FOR THIS MULTI-YEAR PROJECT BASED ON INITIATIVES HEALTHPARTNERS HAD IN PLACE THAT SUPPORT THE TRIPLE AIM. BEING PART OF AN INTEGRATED ORGANIZATION ALLOWS ENTITIES TO ADOPT AND SHARE IMPROVEMENTS SUCH AS BEST PRACTICES AND PATIENT EDUCATION MATERIALS ACROSS THE SYSTEM. HEALTHPARTNERS CONTINUES TO WORK WITH THE TRIPLE AIM AS WE WORK TOWARDS EXCELLENCE IN HEALTH CARE. HEALTHPARTNERS IS DRIVING CHANGE THAT HELPS OUR MEMBERS LIVE HEALTHIER LIVES AND LOWERS COSTS. THROUGH OUR UNIQUE WELLNESS PROGRAMS, ADVOCACY EFFORTS AND INNOVATIVE PAYMENT APPROACHES WHICH INCENT AND REWARD QUALITY, WE ARE ABLE TO PROVIDE BETTER VALUE FOR OUR CUSTOMERS. WE COLLABORATE WITH OTHER PLANS, CARE PROVIDERS AND NON-PROFIT ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND DISSEMINATE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY AND COLLABORATE ON SYSTEM IMPROVEMENTS. BY PARTNERING WITH PROVIDERS, MEMBERS, PURCHASERS, AND THE COMMUNITY, WE ARE LEVERAGING OUR PLAN CAPABILITIES TO DEVELOP INITIATIVES, WHICH IMPROVE HEALTH, MEMBER EXPERIENCE AND AFFORDABILITY. TOTAL COST OF CARE TOTAL COST OF CARE (TCOC), IS A METHOD OF MEASURING HEALTH CARE AFFORDABILITY. TCOC MEASURES ARE POWERFUL ANALYTICAL TOOLS FOR HEALTH PLANS, PROVIDERS, MEDICAL GROUPS, GOVERNMENT AGENCIES, EMPLOYERS AND OTHERS WITH A STAKE IN REDUCING HEALTH CARE COST TRENDS. THEY CAN HELP PINPOINT WAYS TO MAKE HEALTH CARE MORE AFFORDABLE WITHOUT SACRIFICING QUALITY OR EXPERIENCE. MANY ORGANIZATIONS HAVE EXPERIMENTED WITH TCOC MODELS IN RECENT YEARS. HEALTHPARTNERS' TOTAL COST OF CARE AND RESOURCE USE (TCOC) FRAMEWORK ADDRESSES ONE OF THE MOST FUNDAMENTAL PROBLEMS RELATED TO POPULATION HEALTH: RISING HEALTH CARE COSTS. HEALTHPARTNERS HAS DEVELOPED A TCOC MODEL THAT IS UNIQUE IN A SIGNIFICANT WAY. IT IS A FULL-POPULATION, PERSON-CENTERED MEASUREMENT TOOL THAT ACCOUNTS FOR 100 PERCENT OF THE CARE PROVIDED TO A PATIENT. ADDITIONALLY, IT SUPPLIES A REPORTING SUITE TO SUPPORT MULTIPLE LEVELS OF ANALYSIS, CONSIDERING THE COST OF CARE PROVIDED TO A PATIENT (OR "TOTAL COST INDEX"), AND INCORPORATES AN INNOVATIVE APPROACH TO MEASURING RESOURCES USED IN PROVIDING THAT CARE (OR "TOTAL RESOURCE USE INDEX"). WHEN USED IN COMBINATION, THESE MEASURES YIELD MORE COMPREHENSIVE, REVEALING AND ACTIONABLE RESULTS THAN COST MEASURES ALONE. USING THIS SYSTEM, WHICH HAS BEEN MORE THAN A DECADE IN DEVELOPMENT AND STAGED-IN USE, HEALTHPARTNERS HAS OUTPERFORMED MINNESOTA, REGIONAL AND NATIONAL RISK-ADJUSTED COST OF CARE BENCHMARKS FOR MANY YEARS. HEALTHPARTNERS FINANCIALLY INCENTS PROVIDERS THROUGH ITS TCOC PROGRAM TO ACHIEVE THE INSTITUTE FOR HEALTHCARE IMPROVEMENT'S TRIPLE AIM: IMPROVING THE HEALTH OF THE POPULATION, ENHANCING THE PATIENTS EXPERIENCE AND MAKING HEALTH CARE MORE AFFORDABLE. HEALTHPARTNERS HAS BEEN DEVELOPING HEALTH CARE COST OF CARE AND RESOURCE USE MEASURES SINCE 1995. |
| PART III, CONT. | SUSTAINABILITY OUR SUSTAINABILITY PROGRAM IS IN ALIGNMENT WITH AND FULLY SUPPORTS THE MISSION OF OUR ORGANIZATION. THE SUSTAINABILITY DEPARTMENT IS RESPONSIBLE FOR MONITORING AND MAKING RECOMMENDATIONS FOR IMPROVING ENERGY EFFICIENCY, MINIMIZING WASTE, PURCHASING ENVIRONMENTALLY PREFERRED MATERIALS WHEN APPROPRIATE, MINIMIZING OUR IMPACT ON THE NATURAL ENVIRONMENT AND INTERACTING WITH THE INTERESTED STAKEHOLDERS OF THE ORGANIZATION AND IN THE COMMUNITY. HEALTHPARTNERS IS COMMITTED TO CARING FOR THE PLACES WHERE WE LIVE AND WORK SO WE CAN PROVIDE A HEALTHIER, CLEANER AND MORE LIVABLE ENVIRONMENT FOR OUR EMPLOYEES, MEMBERS, PATIENTS AND FUTURE GENERATIONS. OUR SUSTAINABILITY GOALS WILL BE TO: EXPAND THE USE OF SUSTAINABLE AND EARTH-FRIENDLY PRACTICES THAT HELP US WORK SMARTER, BE HEALTHIER AND SAVE MONEY. ENCOURAGE EMPLOYEES TO PARTICIPATE IN, CHAMPION OR SUPPORT SUSTAINABILITY PRACTICES, BOTH AT WORK AND AT HOME. MEASURE AND MONITOR OUR PROGRESS TOWARD OUR SUSTAINABILITY GOALS. LEAD, ADVOCATE OR IMPLEMENT INITIATIVES THAT IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE. HEALTHPARTNERS HAS MANY GREEN TEAMS ACROSS OUR ORGANIZATION THAT WORK HARD ON LEADING OUR SUSTAINABILITY INITIATIVES. GREEN TEAMS ARE BASED AT OUR HEALTHPARTNERS HEADQUARTERS IN BLOOMINGTON, HUDSON HOSPITAL & CLINIC, LAKEVIEW HOSPITAL, METHODIST HOSPITAL, REGIONS HOSPITAL, WESTFIELDS HOSPITAL & CLINIC, AMERY HOSPITAL & CLINIC, THE PARK NICOLLET MAIN CAMPUS CLINIC COMPLEX IN ST. LOUIS PARK AND SEVERAL OF OUR CLINICS. IN 2020, DUE TO THE ONSET OF THE COVID-19 PANDEMIC HEALTHPARTNERS HELD A VIRTUAL EARTH DAY EVENT ACROSS THE ORGANIZATION. WE CREATED A TEAM ON THE ON-LINE EARTH MONTH ECOCHALLENGE AND HAD OUR STAFF TO COMMIT TO PERSONAL ACTIONS TO IMPROVE THE ENVIRONMENT. HEALTHPARTNERS HAS ALSO BEEN A PIONEER IN REDUCING THE AMOUNT OF MEDICATION WASTE IN THE COMMUNITY BY CREATING A MEDICINE TAKE-BACK PROGRAM. THIS TAKE-BACK PROGRAM BEGAN IN 2011 TO COLLECT UNNEEDED AND UNUSED MEDICATION FROM COMMUNITY MEMBERS FOR FREE. IN 2020, WE HAD 25 MEDICINE TAKE-BACK KIOSKS IN SERVICE AT OUR CLINICS AND HOSPITALS. THESE KIOSKS CAN ACCEPT CONTROLLED SUBSTANCES AND OTHER MEDICATIONS. HEALTHPARTNERS IS ABLE TO PROPERLY DISPOSE OF THESE MEDICATIONS, SO THEY ARE NOT DISCHARGED TO THE ENVIRONMENT OR END UP BEING MISUSED. IN 2020, HEALTHPARTNERS COLLECTED OVER 4,200 POUNDS OF MEDICATION FROM THE PUBLIC THROUGH THIS PROGRAM. SINCE 2011, WE HAVE COLLECTED OVER 39,200 POUNDS OF MEDICINES. TO DATE THE ORGANIZATION HAS SPENT ABOUT $164,000 OR $4.21 PER POUND FOR PROPER DISPOSAL OF MEDICINES. IN 2020, OUR SOLAR PANELS PRODUCED THE EQUIVALENT OF OVER 1,300 HOUSES' WORTH OF ELECTRICITY, AND WE HAVE SIGNED AGREEMENTS THAT WILL PRODUCE OVER 2,000 HOUSES' WORTH OF SOLAR ELECTRICITY STARTING IN 2021. HEALTHPARTNERS WON A 2020 SUSTAINABILITY AWARD FOR EXEMPLARY SUSTAINABILITY STRATEGY FOR THE FIFTH YEAR IN A ROW FROM PRACTICE GREENHEALTH, THE LEADING HEALTH CARE SUSTAINABILITY ORGANIZATION IN NORTH AMERICA. HEALTHPARTNERS HAS RECEIVED ADDITIONAL HIGH HONORS NATIONALLY FROM PRACTICE GREENHEALTH, WINNING 31 AWARDS IN 2020. AMERY HOSPITAL & CLINIC, HUDSON HOSPITAL & CLINIC AND WESTFIELDS HOSPITAL & CLINIC HAVE ALL RECEIVED A GREEN MASTERS AWARD FROM THE WISCONSIN SUSTAINABLE BUSINESS COUNCIL. HEALTH EQUITY HEALTH EQUITY CHAMPIONS: THE HEALTHPARTNERS HEALTH EQUITY CHAMPIONS PROGRAM CONTINUED IN 2020. THE CHAMPIONS ARE STAFF MEMBERS AND PROVIDERS WHO RECEIVE EXPERT TRAINING SO THEY CAN BECOME ADVOCATES AND SERVE AS LOCAL RESOURCES FOR THEIR COLLEAGUES IN CARING FOR PATIENTS FROM DIVERSE CULTURES AND THOSE WITH LIMITED ENGLISH PROFICIENCY. O WE CHANGED OUR NAME FROM EQUITABLE CARE CHAMPIONS TO HEALTH EQUITY CHAMPIONS ON SEPTEMBER 17, 2020. THE NEW NAME REFLECTS THE SCOPE OF OUR WORK AS CHAMPIONS AND THE FACT THAT ADDRESSING EQUITY EXTENDS BEYOND ATTENDING TO DISPARATE MEASURABLE HEALTH OUTCOMES; IT ALSO INCLUDES OUR WORK TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND SYSTEMIC RACISM. NEARLY 312 CHAMPIONS PARTICIPATED IN 2020; MORE THAN 112 NEW CHAMPIONS JOINED US WITHIN ONE YEAR. WE HAD A 56% INCREASE IN MEMBERSHIP IN 2020. IN ADDITION TO PRODUCING CULTURE ROOTS, THE EQUITABLE CARE CHAMPIONS TEAM DISTRIBUTED SEVERAL E-BLASTS AND ANNOUNCEMENTS TO HELP INCREASE CHAMPIONS' AWARENESS OF AND PARTICIPATION OF VARIOUS HEALTH-EQUITY-RELATED EVENTS AND ACTIVITIES. THE EQUITABLE CARE CHAMPIONS PROGRAM HELD TWO WEBEX PRESENTATIONS IN 2020 TO HELP CHAMPIONS STAY UPDATED ON HEALTH EQUITY ACTIVITIES, PROGRAMS AND INITIATIVES HAPPENING ACROSS OUR SYSTEM. TOPICS INCLUDED AN UPDATE ON OUR EQUITY, INCLUSION AND ANTI-RACISM ORGANIZATION-WIDE WORK AND AN UPDATE ON OUR HEALTH EQUITY READMISSIONS PROJECT. THE WEBEX PRESENTATIONS WERE WELL-ATTENDED AND GENERATED POSITIVE FEEDBACK. EQUITY, INCLUSION AND ANTI-RACISM CABINET HEALTHPARTNERS REAFFIRMED ITS COMMITMENT TO IMPROVE RACIAL EQUITY IN QUALITY AND HEALTH OUTCOMES AND ADDRESS THE EFFECTS OF DISPARITIES IN SOCIAL DETERMINANTS OF HEALTH. WE ESTABLISHED THE EQUITY, INCLUSION, AND ANTI-RACISM CABINET TO AGGRESSIVELY ACCELERATE OUR EFFORTS TO ADVANCE RACIAL EQUITY AND HEALTH EQUITY. THE CABINET PROVIDES STRATEGIC LEADERSHIP IN PLANNING AND EXECUTING ACTIVITIES AIMED AT IMPROVING RACIAL EQUITY AND HEALTH EQUITY THROUGH REDUCING HEALTH CARE DISPARITIES, IMPROVING ACCESS, AND SUPPORTING AN INCLUSIVE CULTURE. THE CABINET ALIGNS RACIAL EQUITY AND HEALTH EQUITY ACTIVITIES ACROSS THE ORGANIZATION THROUGH INCLUSION IN ANNUAL PLANS AND SUPPORTS TRACKING, MONITORING AND MEASURING PROGRESS. THE CABINET: PROVIDES AN ORGANIZATION-WIDE APPROACH TO MEASURE AND REDUCE HEALTH CARE DISPARITIES SUPPORTS WORKFORCE DEVELOPMENT INITIATIVES THAT REINFORCE CULTURAL HUMILITY AND RESPECT IMPROVES CARE FOR MEMBERS WITH LIMITED ENGLISH PROFICIENCY AND WHO ARE HEARING IMPAIRED INVOLVES MEMBERS IN PLANNING AND IMPLEMENTING RACIAL EQUITY AND HEALTH EQUITY APPROACHES ENGAGES WITH COMMUNITIES ACROSS THE SEVEN-COUNTY METROPOLITAN AREA IN PARTNERSHIPS TO PROMOTE RACIAL EQUITY AND HEALTH EQUITY PROVIDES DIRECTION FOR DATA COLLECTION, ANALYSIS, AND REPORTING ACROSS THE ORGANIZATION COMMUNICATES PROGRESS ON INITIATIVES ACROSS THE ORGANIZATION, AND EXTERNALLY AS APPROPRIATE THE EQUITY, INCLUSION AND ANTI-RACISM CABINET WILL PROVIDE LEADERSHIP, DIRECTION AND OVERSIGHT THROUGH FOUR CORNERSTONES TO ACCELERATE THE PACE OF OUR WORK AND CULTIVATE ALIGNMENT AND PARTNERSHIP ACROSS THE ORGANIZATION. COMMUNITY COLLABORATION TO GAIN INSIGHTS AND ENGAGE COMMUNITY WE HAVE BUILT A CULTURE OF HEALTH EQUITY IN OUR ORGANIZATION THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. OUR 2020 COMMUNITY HEALTH NEEDS ASSESSMENTS AND PLANS, CONDUCTED BY EACH OF OUR HOSPITALS, FRAMED HEALTH EQUITY AS AN UNDERLYING DRIVER FOR ALL THE HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLANS. DURING THAT PROCESS, WE ENGAGED COMMUNITY MEMBERS, PUBLIC HEALTH, AND OUR OWN CLINICIANS TO MORE DEEPLY UNDERSTAND HOW WE MIGHT IMPACT THE HEALTH OF OUR COMMUNITY. COMMUNITY PARTNERSHIP DEVELOPMENT IS A CORE STRATEGY IN OUR WORK TO PROMOTE HEALTH EQUITY. WE INVEST IN SIX GENERAL AREAS: HEALTHY CHILDREN, MENTAL HEALTH, NUTRITION AND FITNESS, HEALTH EQUITY, WELLNESS AND PREVENTION AND RESEARCH AND EDUCATION. WE ALSO HAVE LARGER, MULTI-YEAR PARTNERSHIPS AND CAMPAIGNS WITH COMMUNITY-BASED ORGANIZATIONS TO IMPACT HEALTH DETERMINANTS, SUCH AS THE MAKEITOK CAMPAIGN, POWERUP AND LITTLE MOMENTS COUNT. EXAMPLES OF PARTNERS INCLUDE ORGANIZATIONS SUCH AS THE WILDER FOUNDATION/ ST. PAUL PROMISE NEIGHBORHOOD, THE YWCA, NORTHSIDE ACHIEVEMENT ZONE, NAMI, OVER 60 SCHOOLS THROUGHOUT THE REGION, HUNGER SOLUTIONS, AND MANY OTHERS. COLLECTION AND USE OF DATA ON RACE, ETHNICITY AND LANGUAGE PREFERENCES HEALTHPARTNERS SYSTEMATICALLY COLLECTS DATA ON RACE/ETHNICITY, LANGUAGE AND COUNTRY OF ORIGIN DIRECTLY FROM PATIENTS AND MEMBERS IN A VARIETY OF WAYS, ALL OF THEM VOLUNTARY. THESE DATA COLLECTION SOURCES INCLUDE HEALTHPARTNERS.COM, TELEPHONE CONTACTS WITH HEALTHPARTNERS CASE MANAGEMENT DEPARTMENT, ONLINE THROUGH OUR HEALTH ASSESSMENT, THE ELECTRONIC MEDICAL RECORD IN OUR CARE DELIVERY SYSTEM AND IN OUR DENTAL GROUP. WE'VE FOUND THAT COLLECTING THIS INFORMATION FACE-TO-FACE FROM PATIENTS AT THE POINT OF CARE OR HEALTH PLAN CONTACT IS AN EFFECTIVE DATA COLLECTION METHOD. ACROSS OUR CARE DELIVERY SYSTEM, WE HAVE COLLECTED RACE AND LANGUAGE INFORMATION FOR OVER 90% OF OUR PATIENTS, WITH LANGUAGE AND RACE COLLECTION RATES AT OUR HOSPITALS EXCEEDING 97% IN 2020. IN ADDITION, WE RECEIVE DATA FROM THE MINNESOTA DEPARTMENT OF HUMAN SERVICES FOR OUR MEMBERS COVERED BY MINNESOTA HEALTH CARE PROGRAMS AND IN THE 7 COUNTY METRO AREA, WHEN WE COMBINE ALL THESE DATA SOURCES, WE HAVE THIS DOCUMENTED FOR OVER 86% OF OUR UNDER AGE 65 MEDICAID MEMBERS. |
| PART III, CONT. | WE USE THESE DATA TO MONITOR THE QUALITY OF CARE DELIVERED AND PATIENT/MEMBER EXPERIENCE BY RACE/ETHNICITY AND LANGUAGE. WE ALSO USE THE DATA TO IDENTIFY STRATEGIES TO REDUCE HEALTH DISPARITIES IN TREATMENT, OUTCOMES AND SERVICE. WE INCLUDE RACE/ETHNICITY DATA ON THE MEMBER REGISTRIES WE MAKE AVAILABLE TO NETWORK PROVIDERS, SO THEY CAN IDENTIFY AND ADDRESS DISPARITIES AMONG THEIR PATIENTS. WHERE DATA ARE VOLUNTARILY AVAILABLE ON PROVIDER RACE/ETHNICITY, LANGUAGE AND/OR COUNTRY OF ORIGIN, WE USE THOSE DATA AS A RESOURCE TO RESPOND TO PATIENT/MEMBER REQUESTS. LANGUAGE ASSISTANCE WE PROVIDE INTERPRETER SERVICES IN ALL KEY LANGUAGES SPOKEN BY PATIENTS AND HAVE ACCESS TO OVER 200 LANGUAGES THROUGH TELEPHONE AND THE USE OF VIDEO REMOTE INTERPRETATION. WE CONSISTENTLY PROVIDE HIGH QUALITY FACE-TO-FACE (INCLUDING DEDICATED STAFF IN HIGH-VOLUME LOCATIONS), TELEPHONE AND VIDEO REMOTE INTERPRETER SERVICES TO OUR PATIENTS IN THEIR PREFERRED LANGUAGE FOR HEALTH CARE. 100% OF EMPLOYED INTERPRETERS AT HEALTHPARTNERS HAVE A MINIMUM OF 40 HOURS OF PROFESSIONAL TRAINING. 67% OF HEALTHPARTNERS EMPLOYED INTERPRETERS HOLD NATIONAL CERTIFICATION. UPDATED ANNUALLY, OUR LANGUAGE ASSISTANCE PLAN SETS ORGANIZATIONAL BEST PRACTICES AND EXPECTATIONS AND IS ACCOMPANIED BY THE PRACTICAL YOUR GUIDE TO INTERPRETER SERVICES. YOUR GUIDE PROVIDES ANSWERS TO QUESTIONS SUCH AS HOW TO ACCESS AN INTERPRETER AND HOW TO TALK WITH PATIENTS WHO WISH TO RELY ON FAMILY MEMBERS TO INTERPRET. TRAINING IS CONDUCTED ON THESE TOOLS TO SUPPORT CONTINUED IMPROVEMENT IN HEALTH AND EXPERIENCE OUTCOMES. MOST RECENTLY, IT HAS BEEN FURTHER UPDATED TO REFLECT THE MOST CURRENT FEDERAL GOVERNMENT GUIDANCE ON NOTIFICATION TO MEMBERS AND PATIENTS ON THEIR RIGHT TO LANGUAGE SERVICES (ACA 1557), UPDATED DATA TO REFLECT OUR MEMBERSHIP, AND UPDATED ORGANIZATION STRUCTURE INFORMATION. HEALTHPARTNERS INTERPRETER SERVICES LEADERS MEET WITH ALL CONTRACTED AGENCIES AS NEEDED TO ENSURE THEY ARE MEETING SERVICE STANDARDS AND TO ENGAGE THEM IN IMPROVEMENT ACTIVITIES THAT SUPPORT THE TRIPLE AIM. VOCERA UNITS HAVE BEEN ACTIVATED AND DUAL HANDSET PHONES DEPLOYED AT ADMISSION AT OUR LARGEST HOSPITAL TO SUPPORT IMPROVED ACCESS TO AND USE OF TELEPHONIC LANGUAGE SERVICES. SEVERAL CLINIC SITES ALSO MADE IMPROVEMENTS TO THEIR INFRASTRUCTURE AND WORKFLOW TO OFFER IMPROVED TELEPHONIC LANGUAGE SERVICES, AND VIDEO REMOTE SERVICES ARE AVAILABLE WIDELY THROUGHOUT OUR HOSPITALS AND CLINICS. INTERPRETER AWARENESS EDUCATION CONTINUES TO BE OFFERED IN MULTIPLE NEW EMPLOYEE SETTINGS AS A REGULAR PART OF THE AGENDA, INCLUDING PROVIDER NEO AT HEALTHPARTNERS, HSC NEW, REGIONS NEO, AND NEW RESIDENT ORIENTATION. HEALTHPARTNERS MEMBER SERVICES, SALES, CASE MANAGEMENT AND OTHER REPRESENTATIVES ALSO ARE TRAINED IN HOW TO USE TELEPHONIC INTERPRETER SERVICES. HEALTHPARTNERS ALSO SPONSORS SEVERAL INTERPRETER CONTINUING EDUCATION WORKSHOPS EACH YEAR FOR BOTH EMPLOYED AND CONTRACTED INTERPRETERS. IN 2020, WORKSHOPS WERE OFFERED ON (1) REMOTE INTERPRETING AND (2) DIABETES AND CULTURE. HEALTHPARTNERS INTERPRETERS WERE INVOLVED IN SEVERAL ACTIVITIES THAT BENEFIT OUR PATIENTS, MEMBERS AND COMMUNITY. IN 2020, THESE ACTIVITIES INCLUDED: PARTICIPATING IN COMMUNITY BENEFIT ACTIVITIES, INCLUDING: TRANSLATING MULTIPLE COVID-19 DOCUMENTS INTO EIGHT LANGUAGES. TRANSLATING HEALTH AND FINANCIAL EDUCATION MATERIALS INTO SOMALI, HMONG, SPANISH, AND KAREN. PROVIDING TRAINING TO COMMUNITY INTERPRETERS THROUGH TWO CONTINUING EDUCATION EVENTS. PROVIDING TRANSLATION AND VOICEMAIL INTERPRETATION SERVICES TO DIAMONDHEAD CLINIC, A FREE SCHOOL-BASED PROGRAM. TRAINING STUDENT INTERNS FROM CENTURY COLLEGE AND HAMLINE UNIVERSITY WAS PUT ON HOLD IN 2020 DUE TO COVID-19, BUT WE INTEND TO RESTART THE PROGRAM AS SOON AS SAFELY POSSIBLE. STUDENTS WERE INVITED TO ATTEND OUR CONTINUING EDUCATION EVENTS. A TOTAL OF 26 STAFF INTERPRETERS TRAINED IN SIMULTANEOUS INTERPRETING BEGAN PROVIDING SERVICES IN SEVEN LANGUAGES FOR MENTAL HEALTH GROUP THERAPY SESSIONS IN EARLY 2017. SERVICES WERE AIMED AT IMPROVING LIMITED ENGLISH PROFICIENT (LEP) PATIENT ACCESS TO THE FULL ARRAY OF AVAILABLE INPATIENT THERAPIES, WITH AN ULTIMATE GOAL OF REDUCING EXCESS INPATIENT DAYS FOR LEP PATIENTS. THIS NEW PROGRAM CONTRIBUTED TO A 9-DAY IMPROVEMENT IN LENGTH OF STAY FOR LEP PATIENTS WHEN COMPARING DATA FROM 2016 TO RESULTS IN 2020. HEALTHPARTNERS ALSO PROVIDED A WEBINAR TRAINING FOR OUR CONTRACTED INTERPRETERS. THE TOPIC WAS: COVID, MENTAL HEALTH, AND RESILIENCY: A TRAINING FOR INTERPRETERS. THE TRAINING WAS ATTENDED (VIRTUALLY) BY 68 AGENCY INTERPRETERS, REPRESENTING 5 AGENCIES WITH WHICH HEALTHPARTNERS CONTRACTS. THE HEALTHPARTNERS PRESENTER FOR THE TRAINING WAS MARY HOLLAND, MS, LPC, MANAGER, BEHAVIORAL HEALTH. PARTICIPANTS WERE ELIGIBLE TO RECEIVE 0.15 CONTINUING EDUCATION CREDITS THROUGH THE INTERNATIONAL MEDICAL INTERPRETERS ASSOCIATION. WE COMPLETED A PRE AND POST SURVEY AND LEARNED THAT 62% OF RESPONDENTS WERE ATTENDING OUR ANNUAL TRAINING FOR THE FIRST TIME AND 91% RESPONDED AGREE/STRONGLY AGREE THAT THEY WERE ABLE TO APPLY THE TRAINING TO MY PERSONAL LIFE AND PROFESSIONAL WORK. THROUGH OUR PARTNERSHIP WITH HEALTHWISE, MORE THAN 3,600 PATIENT INSTRUCTIONS ARE NOW AVAILABLE IN EPIC IN ENGLISH AND SPANISH. THESE INSTRUCTIONS CAN BE ADDED TO THE AFTER-VISIT SUMMARY/DISCHARGE INSTRUCTIONS AND PRINTED FOR PATIENTS. COMMUNITY BENEFIT OPERATIONS: COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2018, WE WORKED ON OUR NEXT CYCLE OF CHNA FOR 2019-2021. CHNA PRIORITIZATION FIVE PRIORITY AREAS: ACCESS TO CARE ACCESS TO CARE REFERS TO HAVING EQUITABLE ACCESS TO APPROPRIATE, CONVENIENT AND AFFORDABLE HEALTH CARE. THIS INCLUDES FACTORS SUCH AS PROXIMITY TO CARE, ACCESS TO PROVIDERS, COST, INSURANCE COVERAGE, AND MEDICAL TRANSPORTATION, CARE COORDINATION WITHIN THE HEALTH CARE SYSTEM AND CULTURAL SENSITIVITY AND RESPONSIVENESS. ACCESS TO HEALTH ACCESS TO HEALTH REFERS TO THE SOCIAL AND ENVIRONMENTAL CONDITIONS THAT DIRECTLY AND INDIRECTLY AFFECT PEOPLE'S HEALTH SUCH AS HOUSING, INCOME, EMPLOYMENT, EDUCATION AND MORE. THESE FACTORS, ALSO REFERRED TO AS SOCIAL DETERMINANTS OF HEALTH, DISPROPORTIONATELY IMPACT LOW INCOME COMMUNITIES AND COMMUNITIES OF COLOR. MENTAL HEALTH AND WELL-BEING MENTAL HEALTH AND WELL-BEING REFER TO THE INTERCONNECTION BETWEEN MENTAL ILLNESS, MENTAL HEALTH, MENTAL WELL-BEING AND THE ASSOCIATED STIGMA. POOR MENTAL HEALTH IS ASSOCIATED WITH POOR QUALITY OF LIFE, HIGHER RATES OF CHRONIC DISEASE AND A SHORTER LIFESPAN. NUTRITION AND PHYSICAL ACTIVITY NUTRITION AND PHYSICAL ACTIVITY REFER TO EQUITABLE ACCESS TO NUTRITION, PHYSICAL ACTIVITY AND FOOD AND FEEDING CHOICES. POOR NUTRITION AND PHYSICAL INACTIVITY ARE MAJOR CONTRIBUTORS TO OBESITY AND CHRONIC DISEASES SUCH AS DIABETES, HEART DISEASE AND STROKE, WHICH DISPROPORTIONALLY IMPACT LOW INCOME COMMUNITIES AND COMMUNITIES OF COLOR. SUBSTANCE ABUSE SUBSTANCE ABUSE AND ADDICTION ARE THE EXCESSIVE USE OF SUBSTANCES INCLUDING ALCOHOL, TOBACCO, PRESCRIPTION DRUGS, OPIOIDS AND OTHER DRUGS IN A MANNER THAT IS HARMFUL TO HEALTH AND WELL-BEING. HEALTHPARTNERS DISCUSSED AND CONSIDERED ADDITIONAL OR ALTERNATIVE PRIORITIES DURING THE PRIORITIZATION PROCESS, INCLUDING OLDER ADULT HEALTH/AGING, MATERNAL AND CHILD HEALTH, ENVIRONMENTAL HEALTH AND INJURY AND VIOLENCE. THESE NEEDS WERE NOT SELECTED AS TOP FIVE PRIORITIES IN THE CONSENSUS BUILDING PROCESS; HOWEVER, THE THEMES WILL BE CONSIDERED IN THE IMPLEMENTATION OF THE SELECTED PRIORITY AREAS. |
| PART III, CONT. | HEALTHPARTNERS APPROACH TO EQUITY AT HEALTHPARTNERS, A TOP PRIORITY IS TO MAKE SURE EVERYONE HAS EQUAL ACCESS TO EXCELLENT AND RELIABLE HEALTH CARE AND SERVICES, TO WORK TOWARD A DAY WHERE EVERY PERSON, REGARDLESS OF THEIR SOCIAL CIRCUMSTANCES, HAS THE CHANCE TO REACH THEIR BEST HEALTH. THIS REQUIRES US TO IDENTIFY AND WORK TOWARDS ELIMINATING HEALTH DISPARITIES, DEFINED BY THE CDC AS "PREVENTABLE DIFFERENCES IN THE BURDEN OF DISEASE, INJURY, VIOLENCE OR INOPPORTUNITY'S TO ACHIEVE OPTIMAL HEALTH EXPERIENCED BY SOCIALLY DISADVANTAGED RACIAL, ETHNIC, AND OTHER POPULATION GROUPS AND COMMUNITIES." OUR COMMITMENT TO HEALTH EQUITY SHAPED OUR APPROACH TO OUR CHNA AND WILL CONTINUE TO SHAPE OUR APPROACH AS WE DEVELOP AN IMPLEMENTATION PLAN TO ADDRESS COMMUNITY HEALTH NEEDS IN PARTNERSHIP WITH OUR COMMUNITY. THIS INCLUDES CONSIDERING FACTORS SUCH AS RACE, ETHNICITY, AGE, GENDER IDENTITY, SOCIOECONOMIC STATUS AND EDUCATION LEVELS WHEN SETTING PRIORITIES AND DEVELOPING IMPLEMENTATION PLANS. NEXT STEPS IMPLEMENTATION PLAN REPORT OUR HOSPITALS AND HEALTHPARTNERS WILL CONTINUE TO WORK COLLABORATIVELY WITH THE COMMUNITY TO DEVELOP SHARED GOALS AND ACTIONS THAT ADDRESS THE TOP FIVE PRIORITY NEEDS IDENTIFIED IN THE CHNA. THESE SHARED GOALS AND ACTIONS WILL BE PRESENTED IN OUR IMPLEMENTATION STRATEGY, WHICH IS A REQUIRED COMPANION REPORT TO THE CHNA. EACH NEED ADDRESSED WILL BE TAILORED TO THE HOSPITAL'S PROGRAMS, RESOURCES, PRIORITIES, PLANS AND/OR COLLABORATION WITH GOVERNMENTAL, NON-PROFIT OR OTHER HEALTH CARE ORGANIZATIONS. WHILE THE HEALTHPARTNERS HOSPITALS JOINTLY PRIORITIZED SYSTEMS-LEVEL NEEDS, THE U.S. DEPARTMENT OF THE TREASURY AND THE IRS REQUIRE A HOSPITAL ORGANIZATION TO SEPARATELY DOCUMENT THE IMPLEMENTATION STRATEGY FOR EACH OF ITS HOSPITAL FACILITIES. THE BOARD OF EACH HOSPITAL APPROVED THE IMPLEMENTATION STRATEGY MAY 2019. CENTER FOR COMMUNITY HEALTH (CCH) CCH IS A COLLABORATIVE WITH HEALTH PLANS, HOSPITALS AND LOCAL PUBLIC HEALTH AGENCIES IN THE TWIN CITIES SEVEN-COUNTY METRO AREA IN MINNESOTA. IN 2019 THE CCH BOARD AND COMMITTEES DEVELOPED A STRATEGIC PLAN TO GUIDE THE ORGANIZATION'S WORK FOR THE NEXT TWO YEARS. THE 2-YEAR PLAN CAN BE FOUND HERE. THE COLLECTIVE ACTION WORKGROUP, WHOSE NAME WAS CHANGED TO COLLECTIVE ACTION MAKING A COLLECTIVE IMPACT (CACI), WAS TASKED WITH DEVELOPING AND IMPLEMENTING ACTIVITIES THAT ADDRESS A SHARED PUBLIC HEALTH PRIORITY AREA BASED ON CHNAS. THEIR FOCUS HAS BEEN ON MENTAL HEALTH, SPECIFICALLY SOCIAL CONNECTEDNESS. THE ASSESSMENT ALIGNMENT WORKGROUP WAS TASKED WITH ASSESSING AND DEVELOPING A FRAMEWORK WITH COMMON LANGUAGE AND PROCESSES TO GUIDE MEMBERS IN CONDUCTING FUTURE COMMUNITY HEALTH NEEDS ASSESSMENTS AND ALLOWS FOR AGGREGATE ANALYSIS OF COMMUNITY HEALTH NEEDS ACROSS THE TWIN CITIES SEVEN-COUNTY METRO AREA. ADDITIONALLY, THE GROUP WILL DETERMINE MORE EFFECTIVE USE OF DATA BY IDENTIFYING OPPORTUNITIES FOR COLLABORATIVE DATA COLLECTION AND ANALYSIS AND ELIMINATING BARRIERS TO DATA SHARING AMONG MEMBERS. ITS MEMBERS INCLUDE REPRESENTATIVES FROM THE HOSPITALS, HEALTH PLAN, AND PUBLIC HEALTH SECTORS. THE WORKGROUPS MEET ONCE EACH MONTH AND ITS MEMBERS INCLUDE REPRESENTATIVES FROM THE HOSPITALS, HEALTH PLAN, AND PUBLIC HEALTH SECTORS. MORE ABOUT CCH AT WWW.MNMETROCCH.ORG |
| FORM 990, PART VI, SECTION A, LINE 2 | JULIE BUNDE AND STEVEN BUNDE ARE BOTH OFFICERS AT HPI AND ARE MARRIED. |
| FORM 990, PART VI, SECTION A, LINE 6 | EACH HPI DIRECTOR IS ALSO A CONTRACT HOLDER OF HPI HEALTH PLAN OR A HEALTH PLAN OFFERED OR ADMINISTERED BY A RELATED ORGANIZATIONS. EACH MEMBER HAS ONE VOTE. BYLAWS, SECTION 1.1. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF HPI ELECT THE MAJORITY OF THE HPI BOARD OF DIRECTORS WHO SERVE AS THE ELECTED DIRECTORS AND WHO ALSO MUST BE CONTRACT HOLDERS AS EXPLAINED IN LINE 6A. OVER 75% OF MEMBER BOARD OF DIRECTORS ARE MEMBER-ELECTED DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | HPI'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY OF HPI. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE INTERNAL TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM, THE LEGAL DEPARTMENT AND HPI'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 PRESENTED TO THE GOVERNING BODY OF HPI. HPI MAKES AVAILABLE, TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS AND TO THE FULL 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 THE HEALTHPARTNERS BOARDEFFECT PORTAL FOR ALL BOARD MEMBERS TO REVIEW PRIOR TO THE FILING OF THE 990, AND IS AN AGENDA ITEM AT A COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HPI BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE LEGAL DEPARTMENT OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | HPI HAS NO EMPLOYEES. ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE PAID BY GROUP HEALTH PLAN, INC. ("GHI"). GHI HAS AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF ITS CEO AND ITS OTHER OFFICERS. EVERY THREE YEARS, UNDER THE DIRECTION OF THE BOARD OF DIRECTORS' COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (COMPENSATION COMMITTEE), A TOTAL COMPENSATION MARKET REVIEW IS COMPLETED BY AN EXTERNAL COMPENSATION CONSULTANT. 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. BASED ON THIS MARKET DATA, THE COMPENSATION COMMITTEE DETERMINES MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH OFFICER. 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 CONSULTANT FOR THE COMPENSATION COMMITTEE. FOR THE CHIEF EXECUTIVE OFFICER AND CERTAIN OTHER POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMPENSATION COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. THE BOARD OF DIRECTORS HAS DELEGATED TO THE EXECUTIVE COMMITTEE THE ACCOUNTABILITY TO CONDUCT AN ANNUAL PERFORMANCE EVALUATION AND TO DETERMINE THE COMPENSATION OF THE CEO BASED ON THE PERFORMANCE REVIEW AND THE MARKET COMPARABILITY DATA, APPROVED BY THE COMPENSATION COMMITTEE. THE BOARD HAS DELEGATED TO THE CEO (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 TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE 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 | HPI'S FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM HPI. HPI'S ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. HPI'S CONFLICT OF INTEREST POLICY CAN BE VIEWED THROUGH THE HEALTHPARTNERS.COM WEBSITE. |
| FORM 990, PART VII, SECT. A, COL. B, AVERAGE HOURS - RELATED ORGANIZATION | ALL OFFICERS OF HPI ARE EMPLOYED AND COMPENSATED BY GHI AND PNHS. REPORTED AVERAGE HOURS WORKED ARE BASED ON TOTAL COMPENSATION FOR ALL RELATED ORGANIZATIONS. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER TO AFFILIATED ORGANIZATIONS -4,333,922. EARNINGS IN AFFILIATED ORGANIZATION -1,351,375. FAIR MARKET VALUATION ADJUSTMENT 2,523,508. |
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020
Additional Data
| Software ID: | |
| Software Version: |