Health Care Homes
Learning Collaborative Webinars

Fostering Belonging within the Workplace and within Health Systems

October 22, 2024, noon – 1 p.m.

Fostering Belonging explores social identities and how our experiences of where we work, play and live influence our understandings and beliefs. In this webinar, we deepen our understanding of how biases toward social identities form and how they may show up in the workplace, especially in the areas of workplace culture and health care practices and policies. Belonging is introduced along with how to foster belonging in the workplace. Lastly, we discuss best practices of how Health Care Homes may continue to work towards providing more equitable and culturally sensitive care. Presented by Amy Lopez, M.S.W., B.A., DEIB Lead of Capacity Enrichment, Office of Diversity, Equity, Inclusion & Belonging (DEIB), Minnesota Department of Health and Joanne Madrid, B.A., ORHPC Principal Program Administrator, Office of Rural Health and Primary Care, Minnesota Department of Health

Learning Objectives:

• Define social identities and the intersectionality.
• Identify belonging and fostering belonging in the workplace.
• Describe implicit and explicit bias and how it manifests in the workplace.
• Discuss best practices for equity in workplace culture, health care practices, systems, and policy.

View slides from the webinar: Slides: Fostering Belonging within the Workplace and within Health Systems (PDF)

Advancing Health and Racial Equity

October 9, 2024, noon – 1 p.m.

The Advancing Health and Racial Equity webinar introduces foundational concepts of health and racial equity, social determinants of health, and the root causes of inequities. The webinar includes presentation style and attendee participation as it relates to experiences with equity in the workplace and Health Care Homes certification standards. Presented by Amy Lopez, M.S.W., B.A., DEIB Lead of Capacity Enrichment, Office of Diversity, Equity, Inclusion & Belonging (DEIB), Minnesota Department of Health and Joanne Madrid, B.A., ORHPC Principal Program Administrator, Office of Rural Health and Primary Care, Minnesota Department of Health.

Learning Objectives:

• Increase their understanding of foundational concepts of health and racial equity.
• Correlate social determinants of health as it relates to equity.
• Recognize the root causes of inequities.
• Apply health and racial equity practices in the workplace.
• Recognize patterns in our own thoughts and behaviors.

View slides from the webinar: Slides: Advancing Health and Racial Equity (PDF)

Guiding Principles and Innovative Ideas for Engaging Patients and Families

September 19, 2024, 12pm-1pm

Person-centered care can be improved by listening to and learning from patients and families, but it can be difficult to know how to involve them in the work. This webinar will discuss multiple ways to engage patients, co-design systems and maintain the engagement. Inviting patients to partner in their care and beyond doesn’t need be just another thing you do, it can be fun! Join us to discuss how to authentically invite, include and invest in patients as partners to make healthcare better. Presented by Lisa Juliar, Director of Patient and Family Engagement, Minnesota Alliance for Patient Safety (MAPS) and Susan Pleasants, MD, MBA, Senior Vice President, Optimal Care, M Health Fairview.

Learning Objectives:

• Describe the importance of partnering with patients in their care and in the system.
• Identify innovative strategies to engage patients beyond the Patient and Family Advisory Council.
• List 3 ways to co-design with patient partners to improve care.
• Gain ideas from shared stories of success.

View slides from the webinar: Slides: Guiding Principles and Innovative Ideas for Engaging Patients and Families (PDF)

Part II: Understanding Medicare and Medicaid Billing for CHW Services in MN

September 12, 2024, noon – 1 p.m.

This is Part II of the MDH Health Care Homes sponsored webinar offered in June 2024. This webinar provides more detailed information on the billable Community Health Worker (CHW) services in MN as a result of the new Medicare Physician Fee Schedule Billing Codes for Community Health Integration and Principal Illness navigation. The webinar also held a Q and A segment that included representatives from both Minnesota Department of Health and Department of Human Services. Presenters included Kristen Godfrey Walters, MPH, CHW Training Program and Community Engagement Director, Health Promotion and Chronic Disease Division, Minnesota Department of Health; Lovena Kabba, Outpatient Policy Coordinator, Healthcare Improvement and Benefit Design Team, Minnesota Department of Human Services; and Gao Lee, Health Care Provider Trainer – Provider Relations Training Unit, Medicaid Payments and Provider Services (MPPS), Minnesota Department of Human Services.

Learning Objectives:

• Identify new opportunities for CHW services billing through Minnesota Health Care Programs to advance health equity in your organization.
• Describe the definitions, overview of services, billing and documentation requirements for Community Health Integration and Principal Illness Navigation services.
• Have questions answered and locate resources for CHW services billing through Minnesota Health Care Programs.

View slides from the webinar: Slides: Part II: Understanding Medicare and Medicaid Billing for CHW Services in MN (PDF)

It’s Not a Health Care Home Without Oral Health

August 13, 2024, 12pm-1pm

The US surgeon general’s 2000 report declared that “oral health is integral to the general health and well-being of all Americans” and “must be included in the provision of health care and design of community programs”. The bad news: Many Minnesotans continue to suffer barriers to care resulting in persistent oral health disparities. The good news: Innovation makes integration possible. Panelists provide information, practical tools, and describe partnerships to integrate oral health into whole-person health homes that are equitable, accessible, and accountable. Presenters: Deborah Jacobi, RDH, MA, Policy Director, Apple Tree Dental; Jane Neubauer, Special Project Coordinator, Early Childhood Dental Network; Nancy Franke Wilson, Executive Director, Minnesota Oral Health Coalition.

Learning Objectives:

• Describe the oral-systemic health connection and its implications for whole-person health.
• Utilize guidance in Minnesota’s State Oral Health Plan and medical-dental integration resources from the Minnesota Oral Health Coalition and the Early Childhood Dental Network.
• Engage in innovative partnerships to integrate oral health into whole-person health home that are equitable, accessible and accountable, following a Community Collaborative Practice approach that includes tele-health and more.
• Knowledge of how to access at least four resources to promote oral health within a medical setting.

View slides from the webinar: Slides: It’s Not a Health Care Home Without Oral Health (PDF)

Trends in Mental Health & Levels of Care

July 16, 2024, 12pm – 1pm

Our mental health care systems need a transformation. We need to normalize conversations around mental health, invest in education, identification, and prevention, create better ways to access care and be better prepared for crisis. This webinar reviews current trends in mental health in youth and different levels of care as potential access points and provides attendees with a better understanding to offer comprehensive care. Presented by Joshua Stein, MD Board Certified Child & Adolescent Psychiatrist PrairieCare/Psychiatric Assistance Line (PAL) Brooklyn Park, MN.

Learning Objectives:

Participants will enhance knowledge and skills to:

• Review trends in mental health.
• Clarify the demand for services.
• Discuss challenges in accessing care.

View slides from the webinar: Slides: Trends in Mental Health & Levels of Care (PDF).

Understanding Billing for CHW Services in MN – Medicare and Medicaid

June 5, 2024, 12pm-1pm

Whether you’re a health care provider, administrator, or Community Health Worker (CHW), this webinar will provide practical guidance for how clinics can effectively bill for CHW services and enhance your understanding of CHW billing. Presenters include Kristen Godfrey Walters with Minnesota Department of Health, Ann Nyakundi with MN CHW Alliance, Eric Snyder with Excelsior Bay Group, and Megan Ellingson and Megan Nieto with CHW Solutions.

Learning Objectives:

• Overview new Medicare Physician Fee Schedule Billing Codes for Community Health Integration and Principal Illness navigation
• Provide examples of successful billing and reimbursement for these new codes
• Discuss the potential opportunities for these codes in Minnesota
• Review Minnesota Health Care Program codes for CHW Education services and highlight examples of successful strategies for billing, reimbursement, and sustainability.

View the slides from the webinar: Slides: Understanding Billing for CHW Services in MN – Medicare and Medicaid (PDF)

View the Understanding CHW Billing for Medicare and Medicaid in MN webinar FAQs (PDF)

The webinar recording may be accessed from the YouTube HCH Playlist: Understanding Billing for CHW Services in MN – Medicare and Medicaid (YouTube)

The State of Colorectal Cancer in Minnesota

March 19, 2024

This webinar from the MDH Comprehensive Cancer Control Program (CCCP) highlights data on colorectal cancer incidence and mortality, and screening rates statewide and among populations experiencing the largest disparities for colorectal cancer. The CCCP team shares current guidelines and options for screening, and tools to support or improve colorectal cancer screening in clinics. Two primary care clinics also share ways that they have improved their screening rates.

Learning Objectives:

• Participants will be able to describe the populations more heavily burdened by colorectal cancer in Minnesota.
• Participants will be able to clearly outline to their patients the current screening guidelines and options for colorectal screening.
• Participants will be able to come up with 1-2 ways that they will enhance or implement changes in their clinic to improve colorectal cancer screening rates.

View the slides from the webinar: Slides: The State of Colorectal Cancer in Minnesota (PDF)

The webinar recording may be accessed from the YouTube HCH Playlist: The State of Colorectal Cancer in Minnesota (YouTube)

Care Coordinators: Bridging Care for Diabetes Management

February 8, 2024

Diabetes self-management is complicated, and supporting patients with diabetes can be challenging. Bridget Ideker from MDH explored these challenges and provided practice-based learning, tools, and resources to address them.

Learning Objectives:

• Participants will be able to state 2 ways to use the PAID scale for patients with diabetes.
• Participants will be able to define diabetes distress.
• Participants will be able to state how to refer diabetic patients to Diabetes Self-Management and Education Support (DSMES).

View the slides from the webinar: Care Coordinators: Bridging Care for Diabetes Management (PDF)

The webinar recording may be accessed from the YouTube HCH Playlist: Care Coordinators: Bridging Care for Diabetes Management (YouTube)

Developing Innovative Models of Care Post-COVID

December 12, 2023

This webinar highlights how Health Care Home clinics are responding to primary care workforce shortages post-COVID. Zora Radosevich from the Minnesota Department of Health Office of Rural Health and Primary Care kicks things off with a short presentation, then leads a panel discussion with Health Care Home providers from Stellis Health, Riverwood Healthcare, and HealthPartners.

Learning Objectives:

• Explain impact of primary care workforce challenges in Minnesota post-COVID.
• Identify innovative models of care for addressing workforce challenges.
• Describe strategies for attracting and retaining clinical staff.

View the slides from the webinar: Developing Innovative Models of Care Post-COVID (PDF)

The webinar recording may be accessed from the YouTube HCH Playlist: Developing Innovative Models of Care Post-COVID (YouTube)

Using the Connection Model to Bridge Clinic and Community

November 16, 2023

This webinar is a continuation of the webinar Overcoming Socioeconomic Barriers in Rural Minnesota Using a Connection Model. In this session, Dani Protivinsky, CentraCare, explores where and how to start building your own unique partnerships at the clinic and community level. Learn how to address social determinants of health and play a pivotal role in patient outcomes. Discover how the connection model and other resources, including the Take 5 model, can help you identify gaps and opportunities in practice and partnership to roll out your own plan of intervention.

Learning Objectives:

• Develop a unique framework that aligns with your level of existing needs.
• Launch the Take 5 method in your approach (awareness, adjustment, assistance, alignment, advocacy).
• Implement and commit to the cause.

The webinar recording may be accessed from the YouTube HCH Playlist: Using the Connection Model to Bridge Clinic and Community (YouTube)

Overcoming Socioeconomic Barriers in Rural Minnesota

September 26, 2023

Explore a connection model created, designed, and implemented by CentraCare to connect rural community members with appropriate health services. Dani Protivinsky, Director of Health Equity and Community Health Improvement at CentraCare, shares how their team of nurses, health educators, and staff members used culturally and linguistically appropriate connections and creative interventions to gain patient and community trust while reducing disparities.

Learning Objectives:

• Implement a reliable process of support for providers, care team, and patients.
• Develop and launch tools needed for outreach, reporting and workflow.
• Identify sustainable outcomes and improved health measures that align with larger strategic plan.

The webinar recording may be accessed from the YouTube HCH Playlist: Overcoming Socioeconomic Barriers in Rural Minnesota (Youtube)

Intercultural Effectiveness Webinar

June 28, 2023

This webinar was designed to enhance intercultural effectiveness for Health Care Homes stakeholders and community partners. Presented by HealthFinders Collaborative, a southern Minnesota community health center and health care home, this presentation provides valuable insights and tips for building strong connections with culturally unique patient populations, with a focus on serving the Latinx and Somali communities.

Learning Objectives:

• Recognize and deepen understanding of bias, privilege, and equity.
• Break down barriers cause by social determinants of health.
• Practice organizational and individual allyship.

View resources from the webinar:

• Addressing the Social Determinants of Health - Critical Questions (PDF)
• Community Health Improvement Matrix, Social Determinants of Health in Rice County (example) (PDF)
• Community Health Improvement Matrix, Social Determinants of Health in Rice County (blank copy) (PDF)
• Intercultural Effectiveness Webinar PowerPoint Presentation (PDF)
• Resource Guide for Intercultural Effectiveness Training - Terms and definitions, book and movie recommendations (PDF)
• Spectrum of Power Internalizing Health Equity (example) (PDF)
• Spectrum of Power Internalizing Health Equity (blank copy) (PDF)

The webinar recording may be accessed from the YouTube HCH Playlist: Intercultural Effectiveness Webinar (YouTube)

Introducing: Health Care Homes New Progression Model and Portal

Learn about the new Health Care Homes Progression Model and the portal and application process introduced in October 2022.

View the sides from the webinar: Introducing: Health Care Homes New Progression Model and Portal (PDF)

The webinar recording may be accessed from the YouTube HCH Playlist: Introducing: Health Care Homes New Progression Model and Portal (YouTube)