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Health Plan Performance Improvement Projects

Health plans participating in Minnesota Senior Health Options (MHSO) promote and support performance improvement projects as a means to improve the care to MSHO beneficiaries, comply with state requirements, and support care systems and care coordinators in their efforts to provide quality care in the complex arena of care for dually eligible patients. Health plans are required to initiate a new quality improvement project each year, and projects typically have a life cycle of two to four years. The original three MSHO Demonstration plans, Medica, Metropolitan Health Plan (MHP) and UCare Minnesota, have been working collaboratively for several years on joint quality improvement projects. Ongoing projects include efforts in Depression and Pneumococcal Vaccination. Past projects recently concluded include Heart Failure, Optimal Medication Managment (OMM), and Diabetes.

With the expansion of MSHO to additional health plans in 2006, Blue Plus, First Plan Blue, and HealthPartners have joined Medica, MHP, and UCare Minnesota to collaboratively plan and implement a project focusing on Calcium and Vitamin D supplementation which began in 2007.

The three County Based Purchasing Entity (CBPs) have now joined the PIP Collaborative and all nine plans are in process of planning a statewide initiative focusing on Aspirin Therapy for Members with Diabetes and Ischemic Vascular Disease for implementation starting in 2008.

Stratis Health provides support and assistance to the health plans in developing, implementing, and evaluating each of these improvement initiatives