Minnesota

Innovations

County-Based Accountable Care Organization for Medicaid Enrollees Features Shared Risk, Electronic Data Sharing, and Various Improvement Initiatives, Leading to Lower Utilization and Costs 02/14/13

A county-based accountable care organization integrates medical, behavioral health, and social services and assigns a care coordinator to newly enrolled Medicaid beneficiaries to promote use of appropriate services, leading to fewer readmissions and emergency department visits and lower costs.

Assessment Tool Helps Clinicians Understand and Address Quality-of-Life Concerns for Those With Diabetes, Generating Positive Feedback From Clinicians and Patients 11/01/12

Before seeing their provider, patients with diabetes complete an easy-to-use assessment tool that helps identify and address their biggest quality-of-life concerns, generating overwhelmingly positive feedback from patients and clinicians.

Alliance Creates Community Health Workers' Scope of Practice, Training Curriculum, Certificate Program, and Reimbursement Strategy, Expanding Their Integration Into the Health System to Reduce Health Disparities 08/12/12

A statewide consortium of community health workers, public agencies, and nonprofits aimed to reduce health disparities by developing a standardized scope of practice, creating a training and certificate program and a stable funding strategy to secure reimbursement from Medicaid. Their work resulted in greater integration for these workers in the health care work force.

Culturally Tailored Cessation Program Significantly Reduces Tobacco Use Among Members of American Indian Tribe 08/29/11

A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.

Comprehensive, Culturally Sensitive Care and Self-Management Support Improves Health-Related Behaviors, Clinical Outcomes, and Emotional Health in Native Americans with Diabetes 05/06/11

The Full Circle Diabetes program provides comprehensive care and self-management support to Native Americans with diabetes, leading to improvements in health-related behaviors, clinical outcomes, and emotional health.

Postdischarge Followup Calls to Skilled Nursing Facilities Reduce Heart Failure Readmissions by Two-Thirds 04/10/11

Hospital case managers telephone skilled nursing facility nurses within 48 hours of each heart failure patient's discharge to verify that appropriate care management is being provided, leading to a significant reduction in readmissions and associated cost savings.

Collaborative Medication Reconciliation Significantly Reduces Errors and Readmissions in Patients Discharged to Nursing Homes 02/14/11

A collaborative medication review process involving physicians, nurses, and pharmacists virtually eliminates medication errors and significantly reduces readmissions in patients discharged to a nursing home.

Person-Centered Care for Residents with Dementia Exhibiting Aggressive Behavior Reduces Psychiatric Hospitalizations and Behavior-Related Medications 11/15/10

A dementia care facility takes a person-centered approach to caring for residents who exhibit challenging, aggressive behavior, leading to less need for psychiatric hospitalizations and behavior-related medications.

Insurer's Multifaceted Approach Facilitates Cultural and Linguistic Match Between Patient and Mental Health Provider, Leading to Higher Member Satisfaction 06/08/10

CIGNA uses a multifaceted approach to facilitate culturally appropriate behavioral health care for members, including the matching of patients to providers who meet desired characteristics; the program enhanced the diversity of the behavioral health practitioner network and increased member satisfaction.

Culturally Tailored Cessation Program for Lesbian, Gay, Bisexual, and Transgender Smokers Enhances Access and Patient Satisfaction 05/04/10

A statewide smoking cessation program tailored to the lesbian, gay, bisexual, and transgender community enhances access to culturally tailored services, increases knowledge and understanding among tobacco cessation coaches, and generates high levels of satisfaction among participants.

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