Learning Collaborative

Health Care Homes Spring Learning Days

May 1, 2013 - May 2, 2013

Marriott Minneapolis Northwest
7025 Northland Drive, Brooklyn Park, MN 55430

Learning Day Objectives:

  • Attendees will be able to participate in peer-to-peer learning and networking.
  • Attendees will be able to describe tools and strategies for improving patient-centered care for adults and children.
  • Attendees will be able to identify different models for care coordination in certified health care homes.

Registration Information:

Please review the agenda below for descriptions of workshops and learning tracks.

Registration Fees:
Day 1: Fee of $25, which covers attendance to one workshop and afternoon refreshments
Day 2: Fee of $40, which covers attendance to full day of learning sessions, lunch, and morning and afternoon refreshments

Registration is now closed for the HCH Learning Days Event

Any questions regarding registration can be directed to health.healthcarehomes@state.mn.us


Agenda will be updated regularly as more information comes available on sessions.

May 1, 2013

12:30 – 1:00pm Registration
1:00 – 4:30pm Workshops

Screen, Counsel, Refer and Follow-up: Chronic Disease Prevention in Practice
Presented by: Minnesota Department of Health and Clearway Minnesota
This workshop will focus on chronic disease prevention, and will emphasize the clinical process of “screen, counsel, refer, and follow-up.” Participants will be familiarized with the key components of effective clinical interventions to assist patients in adopting healthy living behaviors. An overview will be provided on how health care home staff can screen patients, provide brief counseling on health needs, identify and then refer patients to community resources that might provide assistance, and then follow up with the patients. Discussion time regarding how these interventions can be incorporated into your HCH clinic processes will be included.

The Synergy between Meaningful Use and the Health Care Home
Presented by: Stratis Health
This workshop will begin with a review of the Accountable Care Act, Meaningful Use and Accountable Care Organizations. Presenters will review the Stage 1- Meaningful Use Objectives, 2011 PCMH standards and health care home measures. The link between the programs will be discussed. Presenters will also share State 2 Meaningful Use Objectives and engage attendees in an exercise to “map” the health care home measures.

Care Coordination for Patients with Complex Needs
Presented by: Resources Committee of the Minnesota Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration Project and Act on Alzheimer’s
The medical care of patients with complex needs (including persons with disabilities; older adults with medical, behavioral, and cognitive issues; Medicare/Dual eligible patients) is often provided in Minnesota's certified health care homes. In order to better serve these beneficiaries, it is becoming increasingly important for health care homes to coordinate medical care with other community resources. This will help members of this population to maximize functioning in the community, reduce excess disability, and support overall quality of life and wellness. Workshop participants will learn about a toolkit that is being created to help health care homes in conducting assessments and coordinating care for patients with complex needs. The toolkit provides best practices, and proven strategies and techniques to use in conducting assessments and creating care plans that incorporate community resources. Case studies will be utilized to assist participants in 1) learning about specific components of the toolkit and 2) learning about how to better coordinate care for this population. A special focus is placed on serving individuals with cognitive impairments and dementia (including Alzheimer’s disease).

May 2, 2013

7:30 – 8:00am Registration and Light Breakfast Refreshments
8:00 – 9:30am Opening Remarks and Keynote Presentation
TransforMN: What Have We Learned About Health Care Home Transformation in Minnesota?
Presented by: HealthPartners Institute for Education and Research
9:30 – 10:00am Break, Knowledge Exhibitors, Refreshments
10:00 – 11:15am Learning Track Breakout Sessions
11:15 – 12:30pm Lunch and Time for Sharing/Discussion
12:30 – 1:45pm Learning Track Breakout Sessions
1:45 – 2:00pm Break
2:00 – 3:15pm Learning Track Breakout Sessions
3:15 – 3:30pm Transition
3:30 – 4:45pm Learning Track Breakout Sessions

Learning Tracks Include:

Pediatrics Adults Care Coordination Models Behavioral Health
Participants will learn about innovative practices in children’s mental health, asthma care, and foster care evaluations. Participants will also learn of community resources available for youth with special needs. Participants will learn about best practices in reducing hospital readmissions for adults, participating in shared decision making regarding COPD, and falls risk and prevention with adults. Other topics include: payment methodology, and developing a quality independent or small clinic health care home. Participants will learn about and discuss different models of care coordination, including: RN care coordination, community health worker models, and other interdisciplinary models. Participants will learn about innovative practices in integrating behavioral health care into their primary care practices. Participants will also have the opportunity to learn about resources available to patients having behavioral health needs.

Updated Friday, 09-Aug-2013 17:32:41 CDT