A State of Innovation

AF4Q is the signature effort of the Robert Wood Johnson Foundation Lift the overall quality of health care in targeted communities Reduce racial and ethnic disparities Provide models for national reform AF4Q asks the people who get care, give care and pay for care to work together toward common, fundamental objectives that lead to better care. Aligning Forces for Quality (AF4Q)

AF4Q by the numbers 8 years 4 funding cycles 11 Leadership Team partners 15 Tri-Annual reports 32 AF4Q articles featuring MN accomplishments

The big questions Who would fund the work? Could we get community buy-in? Where can we have meaningful impact? How will we sustain our future efforts?

Rising to the challenge Launched and reported on the nation’s first comprehensive, statewide patient experience survey Nurtured the development of the national Health Care Home movement Supported the DIAMOND program, which has become a national model for treating depression through collaborative care Saved an estimated $234 million through the High-Tech Diagnostic Imaging (HTDI) project Developed the nation’s first Total Cost of Care measure Helped avoid nearly 8,000 hospital readmissions through the Reducing Avoidable Readmissions Effectively (RARE) Campaign

Looking beyond AF4Q Strategic alignment and sustainability Emerging local priorities such as cost, equity and potentially avoidable events Participating with national initiatives, including NHRI Looking to new and innovative funding sources

Janny Brust, MPH Chair, AF4Q Leadership Team (2013 – present) Minnesota Council of Health Plans – Director of Medical Policy and Community Affairs

The AF4Q Leadership Team Broad stakeholder group comprised of leadership and representatives from health care and provider organizations, health plans, purchasers, consumers and advocacy groups Provided practical and strategic guidance on AF4Q goals, partners and initiatives Facilitated local and national connections to drive change and improved outcomes in MN

Focus on 4.0 Continued to build on milestones Completed long-term projects, including work on care transitions, hospital readmissions, consumer engagement and improving patient experience Emphasis on strategic alignment and identifying priorities beyond the end of AF4Q $200K in additional mini-grant funding

Final AF4Q projects and partners Bonnie Westra – Content, tools and professional trainings on how to help consumers find and use quality health information online Institute for Clinical Systems Improvement – Total Cost of Care community building – RARE 2.0 Mental health – Improving patient experience in ambulatory care MN Community Measurement – Redesign of MNHealthScores.org – Public reporting of Total Cost of Care – Health Equity of Care Report Minnesota Hospital Association – Hospital care transitions Stratis Health – Guidance and trainings to disseminate results and learnings of care transitions and readmissions

Mini-grant projects and partners Minnesota Council of Health Plans – Collective Action Planning Minnesota Community Health Worker Alliance – Community Health Worker Integration in Asthma and Mental Health Care MN Community Measurement – Evaluation of Medical Group Performance Reporting Benefits and Burdens – Development of the Measures Testing Lab Twin Cities Medical Society/Honoring Choices – Multi-lingual Advanced Care Planning Resources

Current Leadership Team Janny Brust (Chair) – Minnesota Council of Health Plans Martha Burton Santibanez (Project Director) – MN Community Measurement Jim Chase (Project Director) – MN Community Measurement Barbara Daiker – Minnesota Medical Association Matt Flory – American Cancer Society MN Tina Frontera - MN Community Measurement Mary Jo George – American Association of Retired Persons Carol Lange – University of Minnesota Jennifer Lundblad – Stratis Health Sanne Magnan – Institute for Clinical Systems Improvement Judy Pechacek – University of Minnesota Kevin Peterson – University of Minnesota Kris Soegaard – Minnesota Health Action Group Cally Vinz – Institute for Clinical Systems Improvement Pam VanZyl York – Minnesota Department of Health Donna Zimmerman – HealthPartners

Thank you