TIN:
SCHEDULE O
(Form 990)
Department of the Treasury
Internal Revenue Service
(Form 990)
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
2021
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". 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. 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. HPI PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HPI'S HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HPI 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 1.32 MILLION PATIENTS. HPI 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. HPI 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 HPI'S SIGNATURE INITIATIVES CONTINUING IN 2021 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 HPI, 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 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: - RUSSIAN NEWSPAPER (COLLABORATION WITH OTHER HEALTH PLANS TO PROMOTE MEDICAID AWARENESS IN THE RUSSIAN COMMUNITY) - MENTAL HEALTH EVENT FUNDRAISER FOR A PLACE FOR HOPE IN CLAY COUNTY - MILACA AND MILLE LACS AREA OPERATION COMMUNITY CONNECT (OCC) IN MILLE LACS COUNTY - BE THE VOICE, MENTAL HEALTH AND SUICIDE AWARENESS EVENT IN POLK COUNTY - OPERATION COMMUNITY CONNECT (OCC) IN CHISAGO COUNTY - KOREAN SERVICE CENTER DEMENTIA PROJECT - VOLUNTEERS OF AMERICAN (VOA) - DEMENTIA PROJECT - MINNESOTA GERONTOLOGICAL SOCIETY (MGS) - MINNESOTA PUBLIC HEALTH ASSOCIATION (MPHA) - MANY FACES CONFERENCE SPP INCENTIVES TO MEMBERS HPI PROMOTES PREVENTIVE SERVICES FOR STATE PUBLIC PROGRAM PLAN MEMBERS THROUGH INCENTIVE PROGRAMS. PEDIATRIC IMMUNIZATION INCENTIVE PROGRAM. THE PEDIATRIC IMMUNIZATION INCENTIVE PROGRAM ENCOURAGES PMAP AND MNCARE INFANTS TO GET A SERIES OF VACCINES BY THEIR SECOND BIRTHDAY. ONCE HPI RECEIVES THE CLAIMS FOR THESE VACCINES, MEMBERS RECEIVE A $25 GIFT CARD IN THE MAIL. HPI DISTRIBUTED 2,678 GIFT CARDS (VALUED AT $70,967) FOR THIS PROGRAM IN 2021. THE PRE-TEEN (ADOLESCENT) IMMUNIZATIONS INCENTIVE PROGRAM. 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 1,053 GIFT CARDS (VALUED AT $27,904) FOR THIS PROGRAM IN 2021. POSTPARTUM INCENTIVE. SNBC, PMAP AND MNCARE INSURANCE MEMBERS WHO RECEIVE A POSTPARTUM EXAM THREE TO EIGHT WEEKS AFTER THE BIRTH OF THEIR CHILD RECEIVE A $25 GIFT CARD. HPI DISTRIBUTED 128 GIFT CARDS (VALUED AT $3,392) FOR THIS PROGRAM IN 2021. 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 442 GIFT CARDS (VALUED AT $11,713) FOR THESE THREE PROGRAMS IN 2021. 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 1,054 CAR SEATS (VALUED AT $91,507) IN 2021. DENTAL KIT INITIATIVE THE DENTAL KIT INITIATIVE PROVIDES KEY DENTAL PERSONAL CARE ITEMS TO COUNTIES AS A RESPONSE TO DENTAL ACCESS BARRIERS. 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 1,008 CHILDREN AND 1,152 ADULT DENTAL KITS TO 12 HEALTHPARTNERS SERVICE COUNTIES WHICH INCLUDE ANOKA, BENTON, CARVER, CHISAGO, DAKOTA, HENNEPIN, RAMSEY, SCOTT, SHERBURNE, STEARNS, WASHINGTON, WRIGHT. COMMUNITY SPONSORSHIPS: IN 2021, $1,215 WAS PROVIDED TO SUPPORT COUNTY COMMUNITY EVENTS THAT INCLUDED COMMUNITY HEALTH FAIRS AND MENTAL HEALTH AND SUICIDE AWARENESS. $230,000 IN COMMUNITY GRANTS TO THE 12 COUNTY METRO AND CENTRAL MINNESOTA COUNTIES (ANOKA, BENTON, CARVER, CHISAGO, DAKOTA, HENNEPIN, RAMSEY, SCOTT, SHERBURNE, STEARNS, WASHINGTON, WRIGHT). |
| 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, HPI GAVE OUT OVER 85,000 BOOKS IN 2021 IN 10 DIFFERENT LANGUAGES. - IN JULY 2021, HPI AND AEON HOUSING WERE ABLE TO HOST AN OUTDOOR, JOINT BACK-TO-SCHOOL FAMILY HEALTH AND BOOK AND BACKPACK GIVEAWAY EVENT. OVER 10 COMMUNITY-BASED SUPPORT ORGANIZATIONS PARTICIPATED IN THE EVENT, INCLUDING WAY TO GROW, JEWISH FAMILY & CHILDREN'S SERVICES, HENNEPIN COUNTY FAMILY HOME VISITING, YMCA OF THE NORTH, THREE RIVERS PARKS OUTREACH TEAM, OSSEO SCHOOLS COMMUNITY OUTREACH TEAM, HEALTHPARTNERS AND PARK NICOLLET LOCAL CLINIC TEAM, BROOKLYN PARK POLICE DEPARTMENT AND CITY OF BROOKLYN PARK COMMUNITY OUTREACH TEAMS. IN ADDITION TO CHILD ATTENDEES BEING ABLE TO CHOOSE UP TO 10 BOOKS PER FAMILY, BACKPACKS OF SCHOOL SUPPLIES, COVID-19 HEALTH AND SAFETY ITEMS AND MANY OTHER GIVEAWAYS WERE AVAILABLE FOR FAMILIES. EXPERTS WERE ALSO THERE TO ANSWER CHILD GROWTH AND DEVELOPMENT AND PARENTING SUPPORT QUESTIONS AND OFFER REFERRALS. YMCA OF THE NORTH SIGNED UP FAMILIES FOR UPCOMING FREE AQUATIC SAFETY AND FAMILY SWIM LESSONS AT ONSITE POOLS. - 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), HPI ADDED A POINT OF FAMILY EDUCATION TO THE ONE-MONTH PEDIATRIC WELL CHILD VISIT. THE CLINICIAN DISCUSSES THE IMPORTANCE OF EARLY AND FREQUENT MOMENTS BETWEEN PARENT/CARETAKER AND CHILD AND PROVIDES A BOOKMARK WITH INFORMATION ABOUT SIGNING UP FOR THE THINK SMALL PARENT POWERED TEXT PROGRAM. IT IS OFFERED IN ENGLISH, SPANISH AND SOMALI LANGUAGES. THIS ADDED 7,640 YEARLY CLINICIAN EDUCATION CONVERSATIONS ABOUT EARLY BRAIN DEVELOPMENT WITH FAMILIES. - IN 2021, THINK SMALL PARENT POWERED TEXT PROGRAM BOOKMARKS WERE ALSO ADDED TO THE 32-WEEK PRENATAL VISITS ACROSS THE ENTIRE HEALTHPARTNERS CARE SYSTEM. THIS LED TO AN ADDITIONAL 12,000 YEARLY CLINICIAN EDUCATION CONVERSATIONS ABOUT EARLY BRAIN DEVELOPMENT WITH FAMILIES WITH THIS PRENATAL ADD. - THROUGHOUT 2021, HPI, IN PARTNERSHIP WITH MN REACH OUT AND READ, WORKED ON DEVELOPING A BOOKMARK THAT HELPS PARENTS TALK ABOUT RACE WITH THEIR CHILDREN. THEY PLAN TO INCORPORATE THIS AT TWO DIFFERENT AGE INTERVALS AT WELL CHILD CHECKS AND WILL USE SPECIFIC REACH OUT AND READ BOOKS TO HELP FOSTER THAT DISCUSSION. IT WILL BE OFFERED IN ENGLISH, SPANISH AND SOMALI LANGUAGES. DEVELOPMENTAL AND SOCIAL EMOTIONAL SCREENING - HPI CONTINUED TO TRACK THEIR EARLY CHILDHOOD SCREENING ACROSS ALL PRIMARY CARE CLINICS THROUGHOUT 2021. COVID CONTINUED TO PRESENT SOME CHALLENGES WITH GETTING PATIENTS IN FOR WELL CHILD CHECKS BUT FOR THOSE WHO MADE IT IN, THERE WAS ABOUT AN 80% COMPLETION RATE FOR ALL SCREENS. IN 2021, THE MN DEPARTMENT OF HEALTH AND INTERAGENCY DEVELOPMENTAL SCREENING TASK FORCE APPROVED THE SURVEY OF WELLBEING OF YOUNG CHILDREN (SWYC) SCREENING FORM FOR DEVELOPMENTAL SCREENINGS DURING WELL CHILD CHECKS. THIS SCREEN CAN BE BUILT INTO OUR ELECTRONIC MEDICAL RECORD, OFFERED IN MULTIPLE LANGUAGES, AND SENT PRIOR TO THE VISIT. OUR PEDIATRIC LEADERS WILL NOW DECIDE IF THEY WANT TO MOVE FORWARD WITH THE NEW FORM BUT KEEP THE CURRENT PROCESS FOR SOCIAL-EMOTIONAL SCREENING. POSTPARTUM DEPRESSION SCREENING - PRENATAL SCREENING: -- HEALTHPARTNERS' OB/GYN TEAM CONTINUES TO SCREEN EXPECTANT MOMS USING THE EDINBURGH POSTPARTUM DEPRESSION SCREEN AT THE INITIAL 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. IN 2021, HEALTHPARTNERS IMPLEMENTED A NEW WORKFLOW THAT INCLUDES DIRECT DOCUMENTATION INTO THE MOM'S CHART DURING THE WELL CHILD CHECK. THIS NEW PROCESS HELPS ENSURE CONSISTENCY OF CARE BECAUSE THE MOM'S CLINICIANS WILL BE ABLE TO SEE HER SCORES, ALONG WITH ANY ALERTS WITH A HIGH SCORE. -- 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. LACTATION - MOM & BABY CAFE: -- DUE TO THE PANDEMIC, WE HAD TO PUT PAUSE ON OUR MOM & BABY CAFES ACROSS THE CARE GROUP (PARK NICOLLET, COMO, WESTFIELDS, LAKEVIEW AND AMERY). WE ALSO HAD TO HOLD OFF ON THE PLANNED CAFE EXPANSION ON THE WEST SIDE OF THE TWIN CITIES. WE WILL RE-EVALUATE ONCE WE CAN SAFELY MEET IN PERSON. -- DURING THIS TIME, THE METHODIST LACTATION DEPARTMENT PILOTED HOSTING VIRTUAL MOM & BABY CAFES. GIVEN PATIENT FEEDBACK, THE LACTATION TEAMS WILL CONTINUE THIS OFFERING BUT CHANGE THE STRUCTURE OF THE CAFE. IN 2022, THEY WILL ALSO WORK WITH LACTATION TEAMS ACROSS THE ORGANIZATION SO THEY CAN HOST OTHER VIRTUAL CAFES, ALL USING THE SAME LINK SO THEY CAN OPTIMIZE STAFFING AND ACCESS FOR FAMILIES. WORKING TOGETHER ALSO HELPS ENSURE CONSISTENT MESSAGING AND EXPERIENCE FOR OUR PATIENTS. - LACTATION EDUCATION AND SUPPORT RESTRUCTURE: -- IN 2021, HEALTHPARTNERS CHILDREN'S HEALTH INITIATIVE (CHI) DID A GAP ANALYSIS OF LACTATION SUPPORT ACROSS THE HPI ENTERPRISE. FROM THAT FEEDBACK, 2022 WILL INCLUDE WORK AROUND PROMOTION OF CULTURALLY GROUNDED AND SPECIFIC COMMUNITY RESOURCES, RESOURCE DEVELOPMENT FOR BOTH STAFF AND PATIENTS AND SCHEDULING AND DOCUMENTATION ALIGNMENT. - LACTATION PARTNERSHIP WITH COUNTY WOMEN, INFANT & CHILDREN'S NUTRITION PROGRAM (WIC): -- IN 2021, THE LACTATION TEAMS STARTED DISCUSSIONS AND DEVELOPMENT OF A JOINT PAID INTERNSHIP OPPORTUNITY FOR INTERESTED LACTATION CANDIDATES OF COLOR INTO A WIC AND REGIONS JOINT-HOSTED IBCLC PROGRAM. THIS NEW INTERNSHIP AT REGIONS HOSPITAL AND WIC BEGAN IN EARLY 2022 AND WILL EXPAND TO METHODIST HOSPITAL BY THE END OF 2022. HEALTHY BEGINNINGS - ALL HPI CLINICS ARE UNIVERSALLY SCREENING WOMEN FOR SUBSTANCE USE AT THEIR INITIAL OB PRENATAL VISIT. THOSE WHO SCREEN POSITIVE ARE OFFERED THE 1:1 SUPPORT OF A HEALTHY BEGINNINGS SPECIALIST, WHO HELPS 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. - IN 2021, HEALTHY BEGINNINGS ADDED SOCIAL DETERMINANTS OF HEALTH QUESTIONS TO THEIR SCREEN. SO NOW WHEN PATIENTS ARE SCREENED AT THEIR INITIAL OB PRENATAL VISIT AND ANSWER POSITIVELY TO ANY OF THE SDOH QUESTIONS, THEY ARE OFFERED 1:1 SUPPORT WITH A HEALTHY BEGINNINGS COORDINATOR AND PROVIDED IDENTIFIED RESOURCES. ADOLESCENT SEXUAL HEALTH - IN 2021, CHI AND THE HEALTHPARTNERS INSTITUTE OF RESEARCH WRAPPED UP THEIR PILOT AROUND 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. THE FEEDBACK WAS OVERWHELMINGLY POSITIVE FROM BOTH TEEN PATIENTS AND CLINICIANS. UNFORTUNATELY, THE LIMITING FACTOR TO EXPAND TO OTHER CLINICS IS FUNDING FOR AN IPAD. WE WILL PLAN TO INCLUDE THIS WORK WHEN OUR CLINICS UNIVERSALLY ADOPT IPAD CHECK-IN USE (TBD). -- 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. - IN 2021, CHI LEADERS CONTINUED THEIR PARTNERSHIP WITH THE POWERUP TEEN LEADERSHIP COUNCIL. THEY IMPLEMENTED THE QUESTIONNAIRE GIVEN THEIR FEEDBACK AND ARE NOW APPOINTED ON THE COUNCIL'S ADVISORY COMMITTEE TO STAY ENGAGED IN THEIR WORK. |
| PART III, CONT. | - THE GROUP WILL CONTINUE TO WORK ON EXPANDING TIMELY ACCESS TO LONG ACTING REVERSIBLE CONTRACEPTION BY IMPLEMENTING TRAINING OPPORTUNITIES ACROSS HPI CLINICS, AND WORK WITH THE PATIENT PRIVACY WORK GROUP TO SUPPORT CLINICAL GUIDANCE FOR MINOR CONSENT. DUE TO THE PANDEMIC, WE HOSTED ONLY A COUPLE TRAININGS IN 2021. 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, AND IN 2021, A PERINATAL ANALYSIS WAS BUILT, SO LEADERS CAN EASILY REVIEW THEIR SITES AND COMPARE TO OTHER CARE TEAMS WITHIN THE ORGANIZATION. THE GROUP PLANS TO REVIEW AND SET GOALS FOR CERTAIN MEASURES IN 2022. - 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. IN 2021, WE PILOTED REFERRING OUR PATIENTS TO THEIR PROGRAM. CHI CONTINUES TO WORK THROUGH SOME BARRIERS WITH THIS REFERRAL PROCESS, AS IT IS NOT AUTOMATED, SO CLINICIANS COULD FORGET TO BRING IT UP. - IN 2021, PARK NICOLLET OB/GYN DEPARTMENT RECEIVED A 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 WERE PROVIDED A SELF-ASSESSMENT ON WHERE THEY WERE 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. -- PART OF THIS WORK ALSO INCLUDED A "TRAIN THE TRAINER AND ACTION LEARNING MODELS THAT INVOLVED ALL OB TEAMS AND PARTNERS TO ENSURE EVERYONE UNDERSTANDS THE AFFECTS BIAS AND RACISM HAVE ON ONE'S HEALTH. - AT THE END OF 2021, HPI PARTNERED WITH EVERYDAY MIRACLES TO HELP COVER THE COST OF PRENATAL CLASSES. THIS WILL HELP IN PROVIDING MORE CULTURALLY RELEVANT SUPPORT TO FAMILIES. LITTLE MOMENTS COUNT - A STATE-WIDE INITIATIVE CALLED LITTLE MOMENTS COUNT (LMC) WAS FORMED IN 2018. THIS BUILT 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. LMC'S FOCUS IS ON BUILDING A SOCIAL MOVEMENT TO BUILD PARENT AND CAREGIVER AWARENESS AND ACTION, INCLUDING PARTNERS IN MANY SECTORS AND USING A COMMUNITY GRASSROOTS AND COLLECTIVE ACTION 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 2021, WE HELD OUR SIXTH ANNUAL LITTLE MOMENTS COUNT COMMUNITY EDUCATIONAL EVENT. OVER THE PAST SIX YEARS, HEALTHPARTNERS HAS PLANNED AND FUNDED ANNUAL EDUCATION EVENTS ON THE TOPIC OF EARLY BRAIN DEVELOPMENT. A SEVENTH IS PLANNED FOR FALL 2022. EACH YEAR, APPROXIMATELY 500 PEOPLE ATTEND AND POSTING THE EVENT ONLINE CAN ADD UP TO 4,000 VIEWS OF THE EDUCATIONAL EVENT CONTENT. 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. INTERNALLY, LMC FITS UNDER CHI'S EARLY BRAIN DEVELOPMENT AND STRENGTHENING COMMUNITIES' AREAS OF FOCUS AND IS ALSO PROMOTED THROUGH OUR REACH OUT AND READ PROGRAM AT WELL CHILD CHECKS. LITTLE MOMENTS COUNT IS A STATEWIDE SOCIAL MOVEMENT AND 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. HPI CONTINUES TO BE THE PRIMARY CONVENER FOR THE STATEWIDE LITTLE MOMENTS COUNT WORK, HOSTING LITTLE MOMENTS COUNT LEADERSHIP COUNCIL MEETINGS SIX TIMES EACH YEAR WITH 57 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. OTHER LITTLE MOMENTS COUNT FACTS: -- OUR LMC CULTURAL CONSULTING GROUP HAS REPRESENTATIVES FROM THE AFRICAN AMERICAN, HMONG, SOMALI, AMERICAN INDIAN AND LATIN AMERICAN COMMUNITIES. -- HEALTHPARTNERS CEO ANDREA WALSH ALSO CONTINUES TO LEAD COORDINATED HEALTH CARE SYSTEMS ACTION, HAVING CONVENED NINE SYSTEM CEO MEETINGS TO DATE. A SEPARATE OPERATIONS-FOCUSED SYSTEM GROUP IS ALSO MEETING TO SUPPORT COORDINATED ACTION AND IMPLEMENTATION ACROSS OUR STATE. IN 2021, THE WORK OF THIS WORKING GROUP INCLUDED OUTREACH TO OVER 150,000 FAMILIES OF YOUNG CHILDREN, DISTRIBUTION OF OVER 214,000 CHILDREN'S BOOKS THROUGH REACH OUT AND READ MN, AND THINK SMALL PARENT POWERED TEXT PROGRAM PROMOTION TO OVER 5000 FAMILIES. -- IN FEBRUARY 2021, LMC PARTNERED WITH THE ITASCA PROJECT TO LAUNCH THE 1000 DAYS WORK. IN 2021, 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, FEATURING BEST PRACTICE AND EMPLOYER FAMILY SUPPORT OPTIONS. ITASCA'S MORE THAN 100 MEMBER-EMPLOYERS ARE WORKING TOGETHER TO HELP SPREAD THIS IMPORTANT WORK. BREASTFEEDING SUPPORT AND OPTIMIZATION ARE CONSIDERED A KEY ISSUE WITHIN OUR ORGANIZATION. REGIONS HOSPITAL AND LAKEVIEW HOSPITAL MAINTAIN ACCREDITATION BY BABY-FRIENDLY USA. ALTHOUGH NOT DESIGNATED, METHODIST HOSPITAL COMPLETED ALL THE BABY-FRIENDLY USA PATHWAY AND PREPARATION ACTION. MOM & BABY CAFE, A WEEKLY BREASTFEEDING SUPPORT GROUP, CONTINUED TO BE SUPPORTED THROUGHOUT 2021. WE ALSO LAUNCHED THE PARTNERS IN BREASTFEEDING PRENATAL BREASTFEEDING EDUCATION CLASS AT THE HPI 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, HPI HAS PROVIDED EMPLOYER SUPPORT TO OPTIMIZE BREASTFEEDING ENVIRONMENTS IN THE COMMUNITY. INTERNALLY, HPI HAS WORKED WITH MDH AND HAS BECOME A BREASTFEEDING-FRIENDLY DESIGNATED EMPLOYER. HPI 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. |
| PART III, CONT. | IN 2020 AND CONTINUED IN 2021, HPI EDUCATION TEAMS STARTED 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. THIS CONTENT WILL HELP TO ENHANCE WHAT'S ALREADY OFFERED AND SERVE AS A COMPLEMENT 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 HPI HOSPITAL-SPECIFIC WIC INFANT OF COLOR SUPPLEMENTATION DATA FOR OUR REVIEW. THIS IS CO-MONITORED OVER TIME. HPI 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. HPI ALSO PROVIDED FREE HPI MARKET RESOURCE TEAM HOURS TO HELP CREATE A METRO OUTPATIENT CLINIC SURVEY ON NON-MEDICAL NEED FORMULA DISTRIBUTION PRACTICES AND EDUCATION NEEDED. HPI CONTINUES TO PARTICIPATE IN THE TWIN CITIES REGIONAL BREASTFEEDING COALITION AND PROVIDES SUPPORT OF THIS COALITION TO ADDRESS EQUITY AND CREATE AN IMPROVED BREASTFEEDING CARE CONTINUUM FOR THE COMMUNITY. HPI ALSO PLAYS AN ACTIVE ROLE ON THE STATEWIDE BREASTFEEDING COALITION, AS WELL AS MANY COUNTY COALITIONS. IN 2018, HPI 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. IN 2021, HPI WORKED WITH THE DEPARTMENT OF LABOR (DOL) TO HELP INTEGRATE AND PROMOTE THE NEW ENHANCED PREGNANCY AND LACTATION HEALTH AND SAFETY WORKSITE PROTECTIONS. LEADERS FROM ACROSS THE ORGANIZATION QUICKLY ADAPTED MATERIALS AND CREATED ADDITIONAL LEADER SUPPORTS TO HELP NAVIGATE THE NEW PROTECTIONS. ADDITIONALLY, LITTLE MOMENTS COUNT TEAMS ADDED EXPECTING AND NEW PARENT DOL FLYERS IN ENGLISH, SPANISH AND SOMALI TO OUR TABLES AT LIVE EVENTS. 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. - HPI 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; THE MODEL 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 - HPI 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 THE SCHOOL CHALLENGE IS AN INNOVATIVE PROGRAM FOCUSED ON ENCOURAGING ELEMENTARY-AGED STUDENTS TO GET CURIOUS AND EXCITED TO TRY FRUITS AND VEGGIES AND MOVE THEIR BODIES IN FUN, NEW WAYS. IN 2021, SCHOOLS TOLD US IT IS A PRIORITY TO HELP STUDENTS FEEL GOOD AND RECHARGE THEIR BODIES AND BRAINS. THEREFORE, "FEEL GOOD" WAS ADDED AS A KEY FOCUS ALONGSIDE "EAT BETTER AND "MOVE MORE," HELPING KIDS EXPLORE THE MIND-BODY CONNECTION AND WAYS TO RELAX AND RECHARGE. THE SCHOOL CHALLENGE PIVOTED TO INCREASE FLEXIBILITY AND ADAPTABILITY FOR ANY LEARNING PLATFORM, WHETHER INSIDE A CLASSROOM OR VIRTUALLY FROM HOME. THE CHALLENGE OFFERS EASY MODULES WITH DIGITAL TOOLS, RESOURCES, AND LESSON PLANS, ALLOWING TEACHERS TO CHOOSE WHEN, WHERE, AND HOW TO USE THEM WITH THEIR CLASS. TEACHERS CAN NOW PARTICIPATE AS AN INDIVIDUAL CLASSROOM OR AS PART OF AN OVERALL SCHOOL PROGRAM. THIS PROGRAM IS PROVIDED AT NO COST TO SCHOOLS OR YOUTH ORGANIZATIONS. BY PARTICIPATING, TEACHERS AND YOUTH LEADERS: - CHOOSE WHEN, WHERE AND HOW TO IMPLEMENT THE CHALLENGE - SUPPORT AND ENCOURAGE STUDENTS TO EAT BETTER, MOVE MORE AND FEEL GOOD - EARN CLASSROOM INCENTIVES TO FURTHER PROMOTE STUDENT WELL-BEING - RECEIVE FUN AND ENGAGING POWERUP RESOURCES TO SHARE WITH STUDENTS AND FAMILIES, AVAILABLE IN MULTIPLE LANGUAGES - ARE GUIDED THROUGH THE CHALLENGE WITH WEEKLY PROGRAM COMMUNICATIONS - PRIORITIZE STUDENT WELLNESS AND DO WHAT'S BEST FOR KIDS! NOW GOING INTO ITS NINTH YEAR, THE CLASSROOM-BASED PROGRAM INCLUDES MORE THAN 50 SCHOOLS AND ON AVERAGE, REACHES MORE THAN 19,000 STUDENTS THROUGHOUT THE REGION. OF THOSE, MORE THAN 10,000 ARE STUDENTS IN 30 ST. CROIX VALLEY SCHOOLS. AS A RESULT, 83% OF STAFF AND 74% OF FAMILIES REPORTED POSITIVE CHANGES IN THE EATING HABITS OF PARTICIPATING CHILDREN SINCE THE START OF THE SCHOOL CHALLENGE, OBSERVING KIDS EATING MORE FRUITS AND VEGETABLES. POWER UP SCHOOL CHALLENGE AND HEALTH EQUITY POWERUP IS ACTIVELY TRYING TO REACH AND RECRUIT MORE VULNERABLE COMMUNITIES TO PARTICIPATE IN THE SCHOOL CHALLENGE. USING THE CENTER FOR DISEASE CONTROL'S SOCIAL VULNERABILITY INDEX, WHICH USES CENSUS VARIABLES TO IDENTIFY COMMUNITIES THAT NEED EXTRA SUPPORT, WE REASSESSED OUR RECRUITMENT STRATEGY TO TARGET SOCIALLY VULNERABLE DISTRICTS AND ZIP CODES THROUGH PARTNERSHIPS, OUTREACH AND SOCIAL MEDIA ADS. WITH OUR INCREASED FOCUS ON SOCIAL NEEDS AND HEALTH EQUITY, POWERUP CONVENED THE NEWLY FORMED COMMUNITY HEALTH EDUCATION ADVISORY COUNCIL AT HEALTHPARTNERS TO REVIEW AND ADVISE ON THE POWERUP FAMILY MAGAZINE, DISTRIBUTED TO KIDS AND FAMILIES DURING THE SCHOOL CHALLENGE. THE GROUP PROVIDED THEIR PERSPECTIVES AND INSIGHTS, KEEPING IN MIND INCLUSIVENESS, CULTURAL RELEVANCE, HEALTH LITERACY, PHYSICAL ABILITIES AND BODY SIZES, AND SOCIAL NEEDS. SUBSIDIZED HEALTH SERVICES SUPPORTING NAMI MN HPI HAS A LONG RELATIONSHIP WITH NATIONAL ALLIANCE ON MENTAL ILLNESS, MINNESOTA CHAPTER. IN 2021, HPI WAS A SPONSOR OF THE NAMI GAMES NIGHT A VIRTUAL EVENT OF FUN AND EDUCATION. AND HPI WAS A GOLD SPONSOR OF MINNESOTA'S NAMI WALK, AN EVENT TO RAISE AWARENESS AND REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. IN 2021, THE HPI TEAM OF 80 WALKERS RAISED $7,648 FOR NAMI MINNESOTA. MAKE IT OK - MAKE IT OK IS A COMMUNITY CAMPAIGN TO REDUCE STIGMA BY INCREASING UNDERSTANDING AND CREATING CARING CONVERSATIONS ABOUT MENTAL ILLNESS. IN 2021, MAKE IT OK REACHED THOUSANDS THROUGH VIRTUAL AND IN-PERSON EVENTS, TRAININGS, PRESENTATIONS, MESSAGING EFFORTS, PLUS OUR NETWORK OF AMBASSADORS AND COMMUNITY PARTNERS! WE ALSO LEARNED A LOT. MENTAL HEALTH AND WELL-BEING ROSE TO A TOP PRIORITY IN 2021 THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS). THE DATA ANALYZED AS PART OF THE CHNA REAFFIRMED THE IMPORTANCE OF THIS ISSUE AND THE IMPORTANCE OF MAKE IT OK. FIGHTING STIGMA AND CREATING CARING COMMUNITIES ARE A KEY PART OF THAT PRIORITY. THROUGH THE HEALTHPARTNERS IMPACT SURVEY, WE CONTINUE TO SEE HOW WE ARE MAKING PROGRESS, AND THAT THERE IS MORE WORK TO DO. IN 2022 WE ARE DEVELOPING NEW STRATEGIES AND PARTNERSHIPS TO HELP ENSURE WE ARE REDUCING STIGMA IN OUR ENTIRE COMMUNITY, WITH A PRIORITY ON IDENTIFYING AND REACHING THOSE MOST VULNERABLE AND RELUCTANT TO SEEK MENTAL HEALTH CARE. WE WILL ALSO LEARN MORE ABOUT HOW COVID-19 HAS INFLUENCED ATTITUDES ABOUT MENTAL HEALTH AND ILLNESS. |
| PART III, CONT. | 2021 MAKE IT OK HIGHLIGHTS: - 270+ TRAINED AS MAKE IT OK AMBASSADORS IN 2021, THROUGH 17 VIRTUAL TRAININGS - 1350+ REACHED THROUGH 32 MAKE IT OK VIRTUAL AND IN PERSON PRESENTATIONS AND TABLING EVENTS. MORE THAN 88 PERCENT OF PARTICIPANTS REPORTED INCREASED KNOWLEDGE ABOUT MENTAL ILLNESS AND GREATER CONFIDENCE IN TALKING ABOUT MENTAL ILLNESS AS A RESULT OF THE PRESENTATIONS. - 765 AMBASSADORS CONNECTED THROUGH OUR QUARTERLY MAKE IT OK AMBASSADOR NEWSLETTERS - REFRESHED AND REVAMPED MAKE IT OK MESSAGING WITH A FOCUSED APPROACH TO REACH THOSE IDENTIFIED AS MOST RELUCTANT TO SEEK MENTAL HEALTH CARE - MAKE IT OK HAS BEEN A KEY PARTNER IN A COMPREHENSIVE APPROACH TO MENTAL HEALTH FOR STUDENTS IN THE LOCAL SCHOOLS. - THERE WERE A TOTAL OF 74,945 WEB VISITS TO MAKEITOK.ORG IN 2021. THE MAKE IT OK TOOLS AND RESOURCES WERE DOWNLOADED 382 TIMES BY PEOPLE IN OVER 250 U.S. CITIES AND INCLUDING COUNTRIES THAILAND AND THE NETHERLANDS. OUR FIVE CITIES WITH THE MOST WEB VISITS INCLUDE MINNEAPOLIS, MOUNTAIN VIEW, CA, MONROE, LA, ST. PAUL AND CHICAGO. IMPROVING BEHAVIORAL HEALTH OUTCOMES THROUGH SUPPORTS FOR TREATMENT ADHERENCE HPI IS HIGHLY EFFECTIVE AT SUPPORTING MEMBERS IN INCREASING TREATMENT ADHERENCE. THE FOUR CLASSES OF PSYCHIATRIC MEDICATION THAT HPI 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 2021, THERE WERE MORE THAN 78,000 COMMUNICATIONS TO 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 $25,000. REDUCING PSYCHIATRIC HOSPITALIZATIONS & READMISSIONS HPI PLANS EMPLOY STAFF TO PROVIDE BEHAVIORAL HEALTH COACHING AND CARE COORDINATION TO SUPPORT NEARLY 12,000 HIGH-RISK MEMBERS TO PREVENT CRISES THAT LEAD TO EMERGENCY HOSPITALIZATION. HPI 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 DUE TO FEWER HOSPITALIZATIONS. HPI 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. IN 2021, 327 MEMBERS WERE TELEPHONICALLY OUTREACHED IN RESPONSE TO 401 EMERGENCY DEPARTMENT VISITS FOR BEHAVIORAL HEALTH CONCERNS, AS SEVERAL MEMBERS EXPERIENCED MORE THAN ONE ED VISIT AND, THUS, RECEIVED MULTIPLE OUTREACHES. OF THE 327 MEMBERS WHO RECEIVED THIS OUTREACH, 137 WERE NEWLY IDENTIFIED FOR BEHAVIORAL HEALTH CASE MANAGEMENT BECAUSE OF THEIR ED VISIT, AND OUR CASE MANAGERS REACHED 45 (33%) OF THOSE MEMBERS AND ENGAGED THEM IN BEHAVIORAL HEALTH CASE MANAGEMENT SERVICES. THE REMAINING MEMBERS WERE ALREADY ENGAGED IN BEHAVIORAL HEALTH CASE MANAGEMENT AND THE CONTACT THEY RECEIVED IN RESPONSE TO THEIR ED VISIT WAS ONGOING SUPPORT THEY RECEIVED AS PART OF THE SERVICE. 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 HAVE WORKED TO ACHIEVE IMPACTFUL RESULTS WITH MEMBERS IDENTIFIED AS HIGH RISK OR RISING RISK OF SUICIDE. IN 2021, 250 INDIVIDUAL MEMBERS IN OUR BH CASE MANAGEMENT PROGRAM WERE IDENTIFIED AS HIGH RISK OR RISING RISK OF SUICIDE ON 490 OCCASIONS, AS SEVERAL MEMBERS WERE IDENTIFIED AS AT RISK/RISING RISK ON MORE THAN ON OCCASION. OUR CASE MANAGERS ASSESSED MEMBERS IN 208 (42%) OF THESE OCCURRENCES USING 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 $3.7M, WITH 96% USED FOR SALARIES AND BENEFITS FOR STAFF. IMPROVING PATIENT SAFETY AND REDUCING DRUG RELATED OVERUSE AND MISUSE HPI 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, HEALTHPARTNERS HEALTH PLAN PROVIDES OVERSIGHT AND GUIDANCE TO ROUGHLY 400 MEMBERS ANNUALLY WHO ARE RESTRICTED TO A SINGLE PHYSICIAN, PHARMACY AND HOSPITAL IN ORDER TO MINIMIZE MEDICATION -- SEEKING FROM MULTIPLE PHYSICIANS SIMULTANEOUSLY. BEHAVIORAL HEALTH CASE MANAGERS WHO PROVIDE RRP CASE MANAGEMENT SUPPORT ROUGHLY 115 OF THE MEMBERS ON AN ANNUAL BASIS. THE 2021 COSTS OF THE HPI BH RESTRICTED RECIPIENT PROGRAM WERE APPROXIMATELY $200,000. BEHAVIORAL HEALTH CLINIC WITHOUT WALLS THE BEHAVIORAL HEALTH DEPARTMENT CONTINUES TO PARTNER WITH TWO AGENCIES RADIAS HEALTH AND VAIL PLACE 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. DUE TO SUCCESS OF THIS PROGRAM IN HELPING MEMBERS RECEIVE DIRECT SUPPORT THAT THEY HAVE EITHER NOT QUALIFIED FOR OR ENGAGED IN EFFECTIVELY THROUGH OTHER SERVICES, THE PARTNERSHIPS BETWEEN HEALTHPARTNERS AND THE TWO AGENCIES HAVE CONTINUED BEYOND THE INITIAL 18-MONTH PILOT; AS OF JANUARY 2022, EACH AGENCY IS ENTERING INTO ITS THIRD YEAR OF CLINIC WITHOUT WALLS WITH HPI. RADIAS HEALTH IS AN INTEGRATED HEALTH CARE 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. IN 2021, 51 MEMBERS WERE REFERRED TO RADIAS HEALTH FOR CLINIC WITHOUT WALLS SUPPORT. OF THESE 51 MEMBERS, RADIAS ENGAGED 35 (69%) OF THEM WHERE THE MEMBER PARTICIPATED IN AT LEAST ONE, IF NOT MORE, FACE TO FACE CONTACTS. 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. IN 2021, 68 MEMBERS WERE REFERRED TO VAIL FOR CLINIC WITHOUT WALLS SUPPORT. OF THESE 68 MEMBERS, VAIL ENGAGED 38 (56%) OF THEM IN AT LEAST ONE, IF NOT MORE, FACE TO FACE CONTACTS. |
| PART III, CONT. | MYSTRENGTH (NEW) IN AUGUST OF 2021, HEALTHPARTNERS LAUNCHED MYSTRENGTH TO ALL OF ITS MEMBERS AND PATIENTS AT NO COST TO THEM. MYSTRENGTH IS AN ONLINE PROGRAM TO HELP IMPROVE EMOTIONAL HEALTH AND WELL-BEING. THE TOOL INCLUDES OPPORTUNITIES FOR PARTICIPANTS TO: - LEARN FROM HUNDREDS OF ACTIVITIES, ARTICLES AND VIDEOS THAT ARE SUGGESTED BASED ON INDIVIDUAL GOALS AND PREFERENCES. - PRACTICE TECHNIQUES TO HELP SHIFT THINKING AND BE MORE RESILIENT - LEARN ABOUT MANAGING STRESS, ANXIETY, AND DEPRESSION. MYSTRENGTH INCLUDES RESOURCES THAT ARE TAILORED TO MULTIPLE CONDITIONS, INCLUDING ANXIETY, DEPRESSION, STRESS, INSOMNIA, DRUG OR ALCOHOL RECOVERY, CHRONIC PAIN, BIPOLAR DISORDER, OPIOID RECOVERY AND MORE. IN 2021, HEALTHPARTNERS INVESTED $213,000 IN PROVIDING MYSTRENGTH RESOURCES FOR MEMBERS, SENDING OVER 430,000 COMMUNICATIONS THAT SHARED INFORMATION WITH MEMBERS ABOUT THE RESOURCES. A TOTAL OF 1,937 MEMBERS ENGAGED WITH MYSTRENGTH IN 2021. COMMUNITY EVENTS NAMI WALK (SEPTEMBER 25, 2021) HPI HAS HAD A LONG RELATIONSHIP WITH NAMI AND HAS BEEN ONE OF THE FIRST SPONSORS SINCE ITS INAUGURAL WALK IN 2007. IN 2021, HPI ORGANIZATIONS RAISED $7,648 AND HAD 80 REGISTERED WALKERS. THE MINNESOTA NAMI WALK WAS MOVED TO A VIRTUAL FORMAT AND THE MINNEHAHA PARK CELEBRATION MOVED ONLINE. PRIDE FESTIVAL (JULY 2021) -HPI HAS BEEN A LONGTIME ADVOCATE OF THE PRIDE FESTIVAL. TO ENHANCE PERSONAL COVID SAFETY IN 2021, HPI HOSTED A SELF-SERVICE BOOTH AT THE PRIDE FESTIVAL. HIGHER GROUND ACADEMY CAREER FAIR: NINE HPI CLINICIANS PARTICIPATED IN VIRTUAL CAREER DAY WITH HIGHER GROUND ACADEMY, A K-12 CHARTER SCHOOL IN ST. PAUL SERVING STUDENTS WHO ARE PRIMARILY EAST AFRICAN. NINETY-FIVE JUNIOR AND SENIOR STUDENTS FROM THE SCHOOL PARTICIPATED. MIDWAY PEACE PARK GRAND OPENING (JUNE 15, 2021): MIDWAY PEACE PARK IS THE RESULT OF A DECADE OF COMMUNITY ADVOCACY AROUND A DREAM FOR MORE GREEN SPACE. ONCE A VACANT LOT, THIS NEW THREE ACRE PARK IS ADJACENT TO HPI MIDWAY/CIH CLINIC'S PARKING LOT. IT FEATURES A PLAY AREA, WALKING LOOP, MOSAIC ART BY LOCAL ARTIST LORI GREENE, BENCHES FOR SITTING UNDER THE SHADE OF NEW TREES, A UNIQUE STORM WATER CHANNEL AND INFILTRATION PONDS, AS WELL AS A FULL BASKETBALL COURT. HPI PARTICIPATED IN THE GRAND OPENING BY STAFFING A BOOTH OFFERING HEALTH CARE PREVENTION MATERIALS AND 450 GIVEAWAYS. MENTAL HEALTH DAY AT THE STATE FAIR (AUGUST 30, 2021): MENTAL HEALTH AWARENESS AT THE STATE FAIR WAS BACK IN 2021! THIS EVENT FEATURES 45 MENTAL HEALTH ORGANIZATIONS FROM ACROSS THE STATE AND IS AN OPPORTUNITY TO RAISE AWARENESS ABOUT MENTAL HEALTH, WHICH IS MORE IMPORTANT NOW THAN EVER BEFORE AS WE CONTINUE TO RECOVER FROM IMPACTS OF THE GLOBAL PANDEMIC. ACTIVITIES INCLUDE COLLABORATIVE COMMUNITY ART PROJECT, NATIVE AMERICAN DRUM CIRCLE, A PANEL ON MENTAL HEALTH AND MORE. THE STATE FAIR PROVIDES A UNIQUE OPPORTUNITY TO EDUCATE A VERY LARGE AND DIVERSE GROUP OF PEOPLE ABOUT MENTAL HEALTH ISSUES - SOMETHING THAT TOUCHES ALMOST EVERY FAMILY IN SOME WAY. LED BY THE MN STATE ADVISORY COUNCIL ON MENTAL HEALTH & SUBCOMMITTEE ON CHILDREN'S MENTAL HEALTH AND NAMI MINNESOTA. HEALTHPARTNERS SPONSORED A BOOTH AND FEATURED MAKEITOK GIVEAWAYS AND FREE HEALTH EDUCATION MATERIALS ON HOW TO REDUCE THE STIGMA OF MENTAL ILLNESS. THE FOOD GROUP HPI 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 ITS NETWORK OF HUNGER-RELIEF PROGRAMS. IN 2021, HPI CONTRIBUTED 63 POUNDS OF DONATIONS. COMMUNITY BUILDING ACTIVITIES TRANSFORMING CARE AND COVERAGE TO IMPROVE OUTCOMES HPI IS WORKING TO TRANSFORM HEALTH CARE BY DELIVERING OUTSTANDING CARE AND SERVICE THAT IS CONSISTENT WITH THE ORGANIZATION'S VISION: HEALTH AS IT SHOULD BE, AFFORDABILITY AS IT MUST BE THROUGH RELATIONSHIPS BASED ON TRUST. OUR STRATEGIC APPROACH TO IS SUPPORT OUR HEALTHY HIGH PERFORMING TEAMS TO DELIVER BEST OUTCOMES FOR PATIENTS AND MEMBERS. THIS MEANS WE FOCUS ON THE PURSUIT TO SIMULTANEOUSLY OPTIMIZE THE HEALTH OF THE POPULATION AND THE EXPERIENCE OF EVERYONE, WHILE REDUCING PER CAPITA HEALTH CARE COSTS. AS AN INTEGRATED ORGANIZATION WE COLLABORATE AND CONNECT WITH OTHERS TO ADOPT AND SHARE IMPROVEMENTS SUCH AS BEST PRACTICES AND PATIENT EDUCATION MATERIALS ACROSS THE SYSTEM. HPI 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. HPI'S 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, HPI HAS OUTPERFORMED MINNESOTA, REGIONAL AND NATIONAL RISK-ADJUSTED COST OF CARE BENCHMARKS FOR MANY YEARS. HPI FINANCIALLY INCENTS PROVIDERS THROUGH ITS TCOC PROGRAM TO ACHIEVE THE BEST OUTCOMES FOR THE POPULATION THEY SERVE BY IMPROVING THE HEALTH OF THE POPULATION, ENHANCING THE PATIENT'S EXPERIENCE AND MAKING HEALTH CARE MORE AFFORDABLE. HEALTHPARTNERS HAS BEEN DEVELOPING HEALTH CARE COST OF CARE AND RESOURCE USE MEASURES SINCE 1995. IN 2021, THE MEASUREMENT SUITE WAS RE-ENDORSED BY THE NATIONAL QUALITY FORUM. |
| 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 REDUCING CARBON EMISSIONS, 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. HPI 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. WE ARE COMMITTED 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. HPI HAS MANY GREEN TEAMS ACROSS OUR ORGANIZATION THAT WORK HARD ON LEADING OUR SUSTAINABILITY INITIATIVES. GREEN TEAMS ARE BASED AT AMERY HOSPITAL & CLINIC, HUDSON HOSPITAL & CLINIC, HUTCHINSON HEALTH HOSPITAL, LAKEVIEW HOSPITAL, METHODIST HOSPITAL, REGIONS HOSPITAL, WESTFIELDS HOSPITAL & CLINIC AND SEVERAL OF OUR CLINICS AND ADMINISTRATIVE BUILDINGS. IN 2021, DUE TO THE CONTINUED IMPACTS OF THE COVID-19 PANDEMIC, HPI HELD VIRTUAL EARTH DAY AND FALL SUSTAINABILITY EVENTS ACROSS THE ORGANIZATION. WE CREATED A TEAM ON THE ON-LINE ECOCHALLENGE AND HAD OUR STAFF COMMIT TO PERSONAL ACTIONS TO IMPROVE THE ENVIRONMENT. WE ALSO HELD IN-PERSON SUSTAINABILITY AWARENESS EVENTS WHERE IT WAS SAFE TO DO SO. HPI 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 2021, WE HAD SIX MEDICINE TAKE-BACK KIOSKS IN SERVICE AT OUR CLINICS AND HOSPITALS. THESE KIOSKS CAN ACCEPT CONTROLLED SUBSTANCES AND OTHER MEDICATIONS. HPI IS ABLE TO PROPERLY DISPOSE OF THESE MEDICATIONS, SO THEY ARE NOT DISCHARGED TO THE ENVIRONMENT OR END UP BEING MISUSED. IN 2021, HPI COLLECTED OVER 2,600 POUNDS OF MEDICATION FROM THE PUBLIC THROUGH THIS PROGRAM. SINCE 2011, WE HAVE COLLECTED OVER 41,900 POUNDS OF MEDICINES. TO DATE THE ORGANIZATION HAS SPENT ABOUT $176,000 OR $4.21 PER POUND FOR PROPER DISPOSAL OF MEDICINES. IN 2021, OUR SOLAR PANELS PRODUCED THE EQUIVALENT OF OVER 1,300 HOUSES' ENERGY USE FOR ONE YEAR, AND WE HAVE SIGNED AGREEMENTS THAT WILL PRODUCE MORE THAN 1,400 HOUSES' WORTH OF SOLAR ENERGY STARTING IN 2022. IN 2021, WE ALSO SAVED THE EQUIVALENT OF 60 HOUSES' ENERGY USE FOR ONE YEAR AND RECEIVED OVER $140,000 IN REBATES BY PURSUING INNOVATIVE ENERGY EFFICIENCY PROJECTS. AT THE START OF THE PANDEMIC, OUR TEAMS QUICKLY SWITCHED TO VIDEO VISITS TO KEEP BOTH EMPLOYEES AND PATIENTS SAFE. BY EMBRACING THIS NEW TECHNOLOGY, PATIENTS WHO TYPICALLY CAME TO CLINICS FOR AN IN-PERSON VISIT SAVED OVER 10 MILLION MILES AND 436,000 GALLONS OF GAS IN THE FIRST NINE MONTHS OF 2021. AND, WHEN MANY ADMINISTRATIVE EMPLOYEES MOVED TO A REMOTE WORK SETTING, MILES DRIVEN AND OVERALL EMISSIONS REDUCED BY OVER 60 PERCENT. THROUGHOUT REMOTE WORKING, EMPLOYEES TRAVELED LESS FOR BUSINESS PURPOSES AS WELL AND SAVED OVER $1.1 MILLION IN MILEAGE REIMBURSEMENT COSTS. HPI WON A 2021 SYSTEM FOR CHANGE AWARD FOR EXEMPLARY SUSTAINABILITY STRATEGY FOR THE SIXTH YEAR IN A ROW FROM PRACTICE GREENHEALTH, THE LEADING HEALTH CARE SUSTAINABILITY ORGANIZATION IN NORTH AMERICA. HPI HAS RECEIVED ADDITIONAL HIGH HONORS NATIONALLY FROM PRACTICE GREENHEALTH, WINNING 31 AWARDS IN 2020. HUDSON HOSPITAL & CLINIC AND WESTFIELDS HOSPITAL & CLINIC RECEIVED A GREEN MASTERS AWARD FROM THE WISCONSIN SUSTAINABLE BUSINESS COUNCIL IN 2021. RESEARCH AND EDUCATION - MINNESOTA HEALTH LITERACY PARTNERSHIP: WE ARE A MEMBER OF THE MINNESOTA HEALTH LITERACY PARTNERSHIP, A COLLABORATIVE OF HOSPITALS, CLINIC SYSTEMS, HEALTH PLANS AND COMMUNITY AND PUBLIC ORGANIZATIONS. THIS GROUP SHARES INFORMATION AND ENGAGES IN JOINT PLANNING ON HEALTH LITERACY ISSUES. THE GROUP IS COMMITTED TO ADVANCING HEALTH LITERACY, SO ALL PEOPLE IN OUR COMMUNITY CAN UNDERSTAND AND ENGAGE IN THEIR HEALTH AND HEALTH CARE. - THE EXCHANGE: WE PARTICIPATE IN THE EXCHANGE, A COLLABORATIVE OF MINNESOTA HEALTH-RELATED ORGANIZATIONS. MEMBERS COMBINE RESOURCES AND COLLABORATE TO CREATE AND MAINTAIN AN ONLINE LIBRARY OF HEALTH-RELATED MATERIALS IN LANGUAGES MOST COMMONLY SPOKEN IN MINNESOTA. THE EXCHANGE ALSO DISSEMINATES INFORMATION ON ISSUES OF LITERACY, CLASS, CULTURE, RACE AND SPIRITUALITY AS THEY AFFECT HEALTH DISPARITIES. LANGUAGE ASSISTANCE - 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. - OUR STATIC AFTER-VISIT SUMMARY (AVS) CONTENT IS NOW AVAILABLE IN BOTH SPANISH AND VIETNAMESE. WE DEPLOYED THIS FUNCTIONALITY IN EMERGENCY CENTERS ACROSS OUR SYSTEM EFFECTIVE AUGUST 2021 AND HAVE COLLECTED USER FEEDBACK AS WE MOVE FORWARD FOR DEPLOYMENT IN THE INPATIENT AND AMBULATORY SETTING IN 2022. |
| PART III, CONT. | BUILDING AN EFFECTIVE WORKFORCE TO SUPPORT HEALTH EQUITY, DIVERSITY AND INCLUSION - CULTURE ROOTS: WE HAVE EXTENSIVE INTERNAL COMMUNICATIONS TO BUILD STAFF UNDERSTANDING AND CAPABILITIES IN CULTURAL HUMILITY. THE BIMONTHLY "CULTURE ROOTS" NEWSLETTER CONTINUES TO BE AN ORGANIZATION-WIDE EDUCATIONAL TOOL. CULTURE ROOTS' SUBSCRIPTION BASE AGAIN GREW NEARLY 6% THIS YEAR AS MORE HEALTHPARTNERS EMPLOYEES BECAME AWARE OF CULTURE ROOTS THROUGH INTERNAL, ORGANIZATION-WIDE COMMUNICATIONS; HEALTH EQUITY-RELATED TRAININGS; AND OTHER ACTIVITIES. THE CULTURE ROOTS SUBSCRIBER LIST IS CURRENTLY AT 854. TOPICS FOR 2021 INCLUDED USING PREFERRED NAME TO ADVANCE LGBTQ HEALTH, ADDRESSING DISPARITIES IN DEPRESSION SCREENING AND FOLLOW-UP, HISTORICAL TRAUMA IN HEALTH CARE, ADVANCING HEALTH EQUITY IN OUR HOSPITALS, ADDRESSING MATERNAL AND INFANT HEALTH DISPARITIES IN BLACK PATIENTS AND UNDERSTANDING AND MITIGATING MICROAGGRESSIONS. - HEALTH EQUITY CHAMPIONS: THE HEALTHPARTNERS HEALTH EQUITY CHAMPIONS PROGRAM CONTINUED IN 2021. 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. -- 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 359 CHAMPIONS WERE PARTICIPATING BY END OF 2021; WE HAD 48 NEW CHAMPIONS JOIN US THIS YEARA 14% INCREASE IN MEMBERSHIP. - IN ADDITION TO PRODUCING CULTURE ROOTS, THE HEALTH EQUITY CHAMPIONS TEAM DISTRIBUTED SEVERAL E-BLASTS AND ANNOUNCEMENTS TO HELP INCREASE CHAMPIONS' AWARENESS OF AND PARTICIPATION OF VARIOUS HEALTH-EQUITY-RELATED EVENTS AND ACTIVITIES. - WE CREATED A TEAMS CHANNEL TO ALLOW CHAMPIONS TO COMMUNICATE IN REAL TIME TO SHARE INSIGHTS, NEWS AND ANNOUNCEMENTS. CHAMPIONS OPT IN TO THIS DEDICATED TEAMS SPACE. CURRENTLY, 117 MEMBERS STAY CONNECTED THROUGH THIS CHANNEL. - THE HEALTH EQUITY CHAMPIONS PROGRAM HELD FOUR QUARTERLY WEBEX PRESENTATIONS IN 2021 TO HELP CHAMPIONS STAY UPDATED ON HEALTH EQUITY ACTIVITIES, PROGRAMS AND INITIATIVES HAPPENING ACROSS OUR SYSTEM. EACH PRESENTATION FOCUSED ON ONE OF THE FOUR CORNERSTONES OF OUR EQUITY, INCLUSION AND ANTI-RACISM ORGANIZATION-WIDE WORK. THE WEBEX PRESENTATIONS WERE WELL-ATTENDED AND GENERATED POSITIVE FEEDBACK. - CHAMPIONS ALSO HAD SEVERAL OPPORTUNITIES THIS YEAR TO PARTICIPATE IN SMALL-GROUP FEEDBACK SESSIONS OR PILOT TRAININGS TO LEND A DIVERSITY LENS TO VARIOUS PROJECTS WE HAVE HAPPENING ACROSS THE ORGANIZATION. FEEDBACK SESSION TOPICS INCLUDED IMPROVING RATES OF PREVENTIVES SERVICES SCREENING FOR PEOPLE OF COLOR AND HOW TO BUILD TRUST AMONG MARGINALIZED GROUPS WITHIN THE COMMUNITIES WE SERVE. PILOT TRAINING SESSIONS INCLUDED RECOGNIZING AND MITIGATING UNCONSCIOUS BIAS. EQUITY, INCLUSION AND ANTI-RACISM CABINET IN THE WAKE OF GEORGE FLOYD'S MURDER, 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 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 WAY TO GROW, THINK SMALL, 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 - HPI 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%. - 2021 MINNESOTA COVID-19 VACCINE EQUITY PARTNERSHIP WITH MN COUNCIL OF HEALTH PLANS & MINNESOTA ASSOCIATION OF COUNTY HEALTH PLANS: IN 2021, HEALTHPARTNERS JOINED A COLLABORATION FOR VACCINE EQUITY. TO IMMUNIZE FOR IMPACT, MINNESOTA DEPARTMENT OF HEALTH (MDH) AND DEPARTMENT OF HUMAN SERVICES (DHS) IN CLOSE PARTNERSHIP WITH EIGHT MINNESOTA'S MANAGED CARE ORGANIZATIONS, COORDINATED AND SHARED RESOURCES TO HELP AND CONNECT MORE MINNESOTANS FROM COMMUNITIES HARDEST HIT BY COVID-19 TO LIFESAVING VACCINES. THE PURPOSE OF THE PARTNERSHIP IS FOR HEALTH PLANS TO DRIVE EQUITABLE OUTCOMES AMONG THEIR MEMBERS BY PRIORITIZING OUTREACH EFFORTS TO THOSE WHO LIVE IN HIGH SOCIAL VULNERABILITY INDEX (SVI) AREAS (E.G., SVI QUARTILE 1) AND THOSE ENROLLED IN MINNESOTA HEALTH CARE PROGRAMS. THIS INNOVATIVE PARTNERSHIP STARTED BY PROVIDING INFORMATION ON MEMBERS' VACCINATION STATUS AND SVI ZIP CODE AREA TO ASSIST PLANS IN PROACTIVE OUTREACH TO MEMBERS WITH RELIABLE INFORMATION ON VACCINATION AND HELP IN ACCESSING THE COVID-19 VACCINE LANGUAGE ASSISTANCE AND INTERPRETER SERVICES - 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. - ONE HUNDRED PERCENT OF EMPLOYED INTERPRETERS AT HPI HAVE A MINIMUM OF 40 HOURS OF PROFESSIONAL TRAINING. SEVENTY-TWO PERCENT OF HPI 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. |
| FORM 990, PART III, LINE 4A | - HPI 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 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 HPI, HSC NEW, REGIONS NEO, AND NEW RESIDENT ORIENTATION. HPI 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 2021, WORKSHOPS WERE OFFERED ON (1) ADVANCE CARE PLANNING, (2) COVID-19 VACCINES, AND (3) MAINTAINING A HEALTH VOICE. - HPI INTERPRETERS WERE INVOLVED IN SEVERAL ACTIVITIES THAT BENEFIT OUR PATIENTS, MEMBERS AND COMMUNITY. IN 2021, THESE ACTIVITIES INCLUDED: - PARTICIPATING IN COMMUNITY BENEFIT ACTIVITIES, INCLUDING: TRANSLATING HEALTH AND FINANCIAL EDUCATION MATERIALS INTO SOMALI, HMONG, SPANISH, KAREN, AND VIETNAMESE. PROVIDING TRAINING TO COMMUNITY INTERPRETERS THROUGH THREE CONTINUING EDUCATION EVENTS. PROVIDING TRANSLATION AND VOICEMAIL INTERPRETATION SERVICES TO DIAMONDHEAD CLINIC, A FREE SCHOOL-BASED PROGRAM. MAKING OUTREACH CALLS TO A SELECT GROUP OF HEALTHPARTNERS PATIENTS WHO RESIDE IN RAMSEY COUNTY TO ENSURE THEY DID NOT MISS THE DEADLINE TO ENROLL IN AN INSURANCE PLAN. - TRAINING STUDENT INTERNS FROM CENTURY COLLEGE AND HAMLINE UNIVERSITY WAS PUT ON HOLD IN 2021 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 AN EIGHT-DAY IMPROVEMENT IN LENGTH OF STAY FOR LEP PATIENTS WHEN COMPARING DATA FROM 2016 TO 2021. 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. HEALTHPARTNERS GOVERNMENT PROGRAMS PROVIDES AN ANNUAL WEBINAR TRAINING FOR CONTRACTED INTERPRETERS. THE TOPIC WAS ADVANCE CARE PLANNING: A TRAINING FOR INTERPRETERS. THE TRAINING WAS ATTENDED (VIRTUALLY) BY 28 AGENCY INTERPRETERS, REPRESENTING FOUR AGENCIES WITH WHICH HPI CONTRACTS. THE HPI PRESENTER FOR THE TRAINING WAS LISA LOBEJKO, LICSW, SOCIAL WORKER, COMMUNITY SENIOR CARE. 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 72% OF RESPONDENTS WERE ATTENDING OUR ANNUAL TRAINING FOR THE FIRST TIME AND 95% AGREED THAT THEY WOULD BE ABLE TO APPLY THE TRAINING TO THEIR PERSONAL AND PROFESSIONAL WORK. ONE HUNDRED PERCENT OF THE PARTICIPANTS AGREED OR STRONGLY AGREED THAT THE TRAINING MET THEIR EXPECTATIONS. COMMUNITY BENEFIT OPERATIONS: COMMUNITY COLLABORATION TO GAIN INSIGHTS AND ENGAGE COMMUNITY THROUGH 2021, ALL EIGHT HOSPITALS WITHIN THE HPI ORGANIZATION PARTNERED WITH THE COMMUNITY IN WHICH THEY ARE EMBEDDED TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA IS COMPLETED EVERY THREE YEARS. THE CHNA PROCESS IS DESIGNED TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF THE COMMUNITY THAT THE HOSPITAL SERVES AS WELL AS TO IDENTIFY RESOURCES TO ADDRESS THOSE NEEDS. THIS PROCESS IS AN ESSENTIAL COMPONENT IN ACHIEVING THE HEALTHPARTNERS MISSION: TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS, AND COMMUNITY. MULTIPLE DATA SOURCES WERE USED, INCLUDING HEALTHPARTNERS PATIENT AND MEMBER-REPORTED DATA, AND PUBLICLY AVAILABLE DATA DESCRIBING BOTH DEMOGRAPHIC CHARACTERISTICS AND HEALTH AND WELLBEING OUTCOMES. DURING THE PROCESS, WE ENGAGED COMMUNITY MEMBERS AND PUBLIC HEALTH, HOSTED 41 COMMUNITY CONVERSATIONS, AND SURVEYED 444 OF OUR OWN CLINICIANS TO MORE DEEPLY UNDERSTAND HOW WE MIGHT IMPACT THE HEALTH OF OUR COMMUNITY. THE TOP PRIORITIES WERE REVIEWED WITHIN THE CONTEXT OF COVID-19 IMPACT AND STRUCTURAL RACISM. AND ALL PRIORITIES WERE DETERMINED TO BE INTERTWINED AND COLLECTIVELY IMPACT OUR COMMUNITIES. PRIORITIES WERE THEN RANKED TO DEFINE THE TOP FIVE NEEDS ACROSS THE COMMUNITIES THAT HEALTHPARTNERS SERVES. 1. MENTAL HEALTH & WELL-BEING 2. ACCESS TO HEALTH 3. ACCESS TO CARE 4. NUTRITION AND PHYSICAL ACTIVITY 5. SUBSTANCE USE AND ADDICTION 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 MAKE IT OK CAMPAIGN, POWERUP AND LITTLE MOMENTS COUNT. EXAMPLES OF PARTNERS INCLUDE ORGANIZATIONS SUCH AS TPT, NORTHSIDE ACHIEVEMENT ZONE, NAMI, HABITAT FOR HUMANITY, ST. PAUL BOOKMOBILE, HUNGER SOLUTIONS, AND MANY OTHERS. WE CONTINUE OUR WORK WITH THE ITASCA PROJECT. THIS IS AN EMPLOYER-LED ALLIANCE TO ADDRESS REGIONAL ISSUES THAT AFFECT OUR FUTURE COMPETITIVENESS AND QUALITY OF LIFE. A MAJOR FOCUS OF THE ITASCA PROJECT IS CLOSING THE GAP ON SOCIOECONOMIC DISPARITIES IN THE REGION THROUGH COLLECTIVE ACTION BY BUSINESSES. DETAILS ON COMMUNITY BENEFIT ACTIVITIES CAN BE FOUND ON THE HEALTHPARTNERS, INC. 990S. 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 2021, HEALTHPARTNERS SERVED ON THIS ORGANIZATION WITH REPRESENTATIVES ON THE BOARD AS WELL AS THE TWO SUBCOMMITTEES. CCH CONTINUES TO DEVELOP COMMON TOOLS AND RESOURCES, FACILITATE QUANTITATIVE AND QUALITATIVE DATA SHARING, AND TAKE COLLECTIVE ACTION FOR SYSTEMS CHANGE. IN 2021, CCH CONTINUED THE EXPLORATION OF SOCIAL ISOLATION AND COMMUNITY CONNECTIONS. 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 -5,086,950. 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) 2021
Additional Data
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