All Innovations

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Mercy Medical Center: Reducing Readmissions Through Clinical Excellence, Palliative Care, and Collaboration

March 17, 2011 - Mercy Medical Center in Cedar Rapids, Iowa, had readmission rates in the lowest 3 percent among U.S. hospitals in all three clinical areas—heart attack, heart failure, and pneumonia—reported to the Centers for Medicare and Medicaid Services for the selection period.

Case Study

Michigan: Access Health

August 11, 2004 - This community-based initiative is a subsidized health coverage program that targets the working uninsured in small and medium sized businesses.

State Profile

Michigan: Measuring the Long-Term Care Workforce

October 22, 2010 - Another approach to improving the quality of care as well as the quality of life for recipients of long-term care involves development of a high-quality and stable workforce. Michigan is focusing on the needs of its direct-care workers (e.g., nursing assistants, home care aides) as part of the foundation for its quality improvement activities.

State Profile

Michigan: Preferred Drug List & National Medicaid Pooling Initiative

August 10, 2004 - Michigan is pursuing two approaches to control state spending on prescription drugs--setting up its own Preferred Drug List and participating in a national pooling program designed to leverage Medicaid enrollments to negotiate lower prices.

State Profile

Michigan Tackles Health Care Disparities

October 4, 2005 - Michigan's Medicaid program has taken an aggressive, multipronged approach to addressing racial and ethnic health disparities.

State Profile

Minnesota: Community Action Plans and Health Care Homes

July 13, 2009 - Minnesota's 2008 Health Reform bill has four elements intended to work together: population health, health care market transparency and enhanced information about the quality and cost of care, payment reform, and consumer engagement.

State Profile

Minnesota: Comprehensive Quality Improvement and Payment Reform

January 14, 2010 - In 2003, Minnesota became the first state to require public reporting of never events based on the National Quality Forum list of severe reportable events.

State Profile

Minnesota: Discounted Care to Uninsured

October 4, 2005 - Minnesota's hospitals agreed to provide discounted care to uninsured patients and to be less aggressive in their debt collecting.

State Profile

Minnesota: Health Homes Tie Together State, National Health Reform Concepts

January 20, 2011 - Minnesota plans to use the ACA's Medicaid health homes option to build on its current statewide medical home initiative, which began in 2003. Jeffrey Schiff, M.D., the medical director of health care programs at Minnesota's Department of Human Services, said that the provision "is very compatible with our program.

State Profile

Minnesota: Payment Reform and Price Transparency

August 25, 2008 - In May 2008, Minnesota legislators and Governor Tim Pawlenty reached agreement on a comprehensive package of health care payment reforms designed to promote medical homes, quality measurement, and cost and quality transparency.

State Profile

Minnesota: Price Competition to Drive Payment Reform

April 28, 2008 - The Minnesota Legislature is currently engaged in a dramatic health care reform debate. Legislation based on the work of a pair of study panels passed the state Senate and House of Representatives and was handed to a conference committee for fine-tuning.

State Profile

Minnesota's Smart-Buy Alliance: A Coalition of Public and Private Purchasers Demands Quality and Efficiency in Health Care

May 26, 2005 - The state of Minnesota has joined with private business and labor groups in a "Smart-Buy Alliance" to drive quality improvements and efficiencies in the health care delivery system.

State Profile

Missouri: Focus on Nonpayment for Adverse Events

January 14, 2010 - Nonpayment for adverse events is the focus of Missouri's payment reform. Its Medicaid program, MO Healthnet, instituted a nonpayment policy for preventable serious adverse events and hospital or ambulatory surgical center–acquired conditions on June 30, 2009.

State Profile

Missouri: Pioneering Integrated Mental and Medical Health Care in Community Mental Health Centers

January 20, 2011 - Missouri has pioneered a program for Medicaid beneficiaries with severe mental illness that is based in community mental health centers and provides care coordination and disease management to address the "whole person," including both mental illness and chronic medical conditions. The initiative is a partnership among Missouri's Departments of Mental Health, MO HealthNet, and the Missouri Coalition of Community Mental Health Centers.

State Profile

Modeling and Measuring Nursing Home Reform: The Culture Change Staging Tool

November 29, 2005 - The Culture Change Staging Tool is a free, Web-based tool that enables nursing homes to assess their progress in transforming resident care.

Tool