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Health Care Homes

  • Health Care Homes - Homepage
  • Patient Information
  • Sustainability Roadmap
  • Minnesota Care Coordination Effectiveness Study
  • Learning
  • Strategic Planning
  • News & Announcements
  • Background Information

Related Topics

  • DHS Behavioral Health Home Service
  • MDH Disabilities and Special Health Needs
  • MDH Health Care Facilities, Providers and Insurance
  • MDH Health Equity
Contact Info
Health Care Homes
651-201-5421
health.healthcarehomes@state.mn.us

Contact Info

Health Care Homes
651-201-5421
health.healthcarehomes@state.mn.us

Health Care Homes 
Sustainability Roadmap

Shape of Minnesota with road and sign saying MDH HCH model of care

The Health Care Homes’ (HCH) Sustainability Roadmap is a framework for action that provides strategies and ideas to support sustainability of certified HCH organizations and clinics that deliver patient-centered, whole-person, team-based care. The HCH model assists providers in meeting the Minnesota Department of Health’s long-term mission of protecting, maintaining, and improving the health of all Minnesotans through high-quality primary care.

The Roadmap was created to provide clinics and primary care teams with concrete actions and valuable resources to assist in the implementation and sustaining of the HCH model. While the Roadmap recognizes that funding for and reimbursement to primary care practices is paramount to sustainability, its scope extends beyond the financial to include other fundamental components vital to sustainability.

These essential elements within the Roadmap can be accessed to guide policy development, aid process improvement, and foster innovative action steps unique to each certified organization.

Essential Elements

Sustaining high quality primary care requires concentrated focus and intentional action. The Roadmap recognizes five essential elements ensuring sustainability of the HCH evidenced-based model of care:

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Care Coordination

High-quality care coordination is key to effective patient-centered care and is achieved through consistent workflows, communication, and collaboration between clinicians and community resources.

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Partnerships

Traditional and non-traditional partnerships are paramount to sustaining the HCH model of care and improving patient outcomes in meaningful ways.

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Finance

Reimbursement, incentives, alternative payment arrangements, value-based contracting, and optimizing revenue streams are critical components of financial stability.

Through its focus on redesign of care delivery and meaningful engagement of patients in their care, Health Care Homes is transforming health care for millions of Minnesotans.

See BACKGROUND to learn more

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Learning

Professional development opportunities for primary care team members are offered in a variety of modalities by the HCH Learning Collaborative and other nationally recognized organizations.

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Workforce

Improving organizational culture can increase recruitment and retention of health care professionals. The HCH program framework optimizes collaboration, teamwork, diversity, and engagement.

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Last Updated: 12/10/2024

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