1. Diabetes in the Workplace: Taking Action To Improve Health and Lower Costs November 13, 2014

2. 2 Welcome!

3. 3 Today’s Agenda Welcome and Background (Carolyn Pare, Action Group President and CEO) The Impact of Diabetes in MN (Edward Ehlinger, M.D., M.S.P.H., Minnesota Commissioner of Health) Diabetes: Addressing Prevalence, Promoting Prevention (Deepak Patel, Pharm.D., Novo Nordisk) BREAK Using Digital Therapeutics to Prevent and Manage Diabetes (Sandy Schenck, Omada Health) Panel Discussion: Extending the Reach of Your Health And Wellness Initiatives to Surrounding Communities (Norma Streich and Melissa Vaughn, The Schwan Food Company; Angela Hanson and Barb Haagenstad, Blue Cross and Blue Shield of Minnesota; Jennifer Steele and Curt Turner, RedBrick Health)

4. Leadership in Action

5. Our Members We’re excited to celebrate our newest members: Blue Earth County City of Apple Valley City of Mankato Fairview Health Services Independent School District 196 League of Minnesota Cities Minnesota Inter-County Association Minnesota School Boards Association St. Louis County Wright County

6. Minnesota Bridges to Excellence: Innovating in Minnesota through Collaboration Champions of Change

7. Leveraging Community Partnerships and Best Practices Institute for Clinical System Improvement (ICSI) Develops guidelines and drives physician consensus

8. Leveraging Community Partnerships and Best Practices Institute for Clinical System Improvement (SCSI) Minnesota Community Measurement (MCMN) Develops guidelines and drives physician consensus Measures development, data aggregation, quality review, performance rates, public reporting for increased transparency

9. Leveraging Community Partnerships and Best Practices Institute for Clinical System Improvement (SCSI) Minnesota Community Measurement (MCMN) Health Plans Develops guidelines and drives physician consensus Measures development, data aggregation, quality review, performance rates, public reporting for increased transparency Aligned measure specifications used by all payers for rewards

10. Leveraging Community Partnerships and Best Practices Institute for Clinical System Improvement (SCSI) Minnesota Community Measurement (MCMN) Health Plans Guiding Coalition Develops guidelines and drives physician consensus Measures development, data aggregation, quality review, performance rates, public reporting for increased transparency Aligned measure specifications used by all payers for rewards Formed guiding coalition of employers, providers, health plans, MMA, ICSI, MNCM, Stratis Health; ensure collaboration, consensus and success of program

11. Supporting High-Quality Outcomes  Improve quality of care for patients  Raise level of purchaser and consumer awareness about variation in quality  Spark provider competition based on quality outcomes  Reduce cost

12. Supporting High-Quality Outcomes  Improve quality of care for patients  Raise level of purchaser and consumer awareness about variation in quality  Spark provider competition based on quality outcomes  Reduce cost 400% improvement in health outcomes since 2006 launch 126 clinics recognized and rewarded for providing excellent care 5,600 more Minnesotans receiving optimal care compared with prior year Estimated annual savings of $1,369 per diabetes patient Aggregated claims savings for Champions: $2,933,219

13. Reducing the Incidence of Diabetes through Collaboration and Engagement Collective Impact creates the environment in which disparate organizations can focus and succeed against complex problems. Diabetes prevention is a complex problem that cannot be solved by a single organization.

14. Reducing the Incidence of Diabetes through Collaboration and Engagement Collective Impact creates the environment in which disparate organizations can focus and succeed against complex problems. COMMON AGENDA All participants have a shared vision for change including a common understanding of the problem and a joint approach to solving it through agreed-upon actions.

15. Reducing the Incidence of Diabetes through Collaboration and Engagement Collective Impact creates the environment in which disparate organizations can focus and succeed against complex problems. SHARED MEASUREMENT Collecting data and measuring results consistently across all participants ensures efforts remain aligned and participants hold each other accountable.

16. Reducing the Incidence of Diabetes through Collaboration and Engagement Collective Impact creates the environment in which disparate organizations can focus and succeed against complex problems. MUTUALLY REINFORCING ACTVITIES Participant activities must be differentiated while still being coordinated through a mutually reinforcing plan of action.

17. Reducing the Incidence of Diabetes through Collaboration and Engagement Collective Impact creates the environment in which disparate organizations can focus and succeed against complex problems. CONTINUOUS COMMUNICATION Consistent and open communication is needed across the many players to build trust, ensure mutual objectives, and create common motivation.

18. Reducing the Incidence of Diabetes through Collaboration and Engagement Collective Impact creates the environment in which disparate organizations can focus and succeed against complex problems. BACKBONE SUPPORT Creating and managing collective impact requires a separate organization(s) with staff and a specific set of skills to serve as the backbone for the entire initiative and coordinate participating organizations and agencies.

19. The Minnesota Diabetes Collective Impact Initiative To become the State with the lowest incidence and healthiest outcomes for diabetes in the country.

20. The Minnesota Diabetes Collective Impact Initiative To become the State with the lowest incidence and healthiest outcomes for diabetes in the country. Prevention: Significantly reduce new cases of diabetes among those at high risk of developing the disease. Care Delivery: Reduce the human burden and rising cost of care for people with diabetes and its complications.

21. The Minnesota Diabetes Collective Impact Initiative To become the State with the lowest incidence and healthiest outcomes for diabetes in the country. Prevention: Significantly reduce new cases of diabetes among those at high risk of developing the disease. Care Delivery: Reduce the human burden and rising cost of care for people with diabetes and its complications. More than three dozen organizations including private plans, industry, community groups, the Centers for Disease Control, Minnesota Department of Health, and the American Diabetes Association

22. Prevention Strategy Our efforts will significantly reduce new cases of diabetes among those at high risk of developing the disease. Strategy: Identify, prioritize and scale evidence-based interventions with the highest benefit for participants and public and private payers. Objective: Ensure the National Diabetes Prevention Program is offered and available to all Minnesotans for whom it is indicated.

23. Strategic Imperatives Ensure all Minnesota payers and employers reimburse for the NDPP

24. Strategic Imperatives Ensure all Minnesota payers and employers reimburse for the NDPP Ensure all providers are aware of pre- diabetes, test for it and refer to the NDPP

25. Strategic Imperatives Ensure all Minnesota payers and employers reimburse for the NDPP Ensure all providers are aware of pre- diabetes, test for it and refer to the NDPP Ensure the NDPP is available to those without health insurance

26. Strategic Imperatives Ensure all Minnesota payers and employers reimburse for the NDPP Ensure all providers are aware of pre- diabetes, test for it and refer to the NDPP Ensure the NDPP is available to those without health insurance Scale a diverse workforce to deliver the NDPP

27. Strategic Imperatives Ensure all Minnesota payers and employers reimburse for the NDPP Ensure all providers are aware of pre- diabetes, test for it and refer to the NDPP Ensure the NDPP is available to those without health insurance Scale a diverse workforce to deliver the NDPP Generate awareness about pre- diabetes and drive those at risk to test and enroll

28. Strategic Imperatives Ensure all Minnesota payers and employers reimburse for the NDPP Ensure all providers are aware of pre- diabetes, test for it and refer to the NDPP Ensure the NDPP is available to those without health insurance Scale a diverse workforce to deliver the NDPP Generate awareness about pre- diabetes and drive those at risk to test and enroll Develop infrastructure to coordinate efforts and monitor progress until scale achieved