Supporting Accountable Communities for Health

About $5.5 million, or 14 percent, of Minnesota’s SIM funds are dedicated to Accountable Communities for Health. The initiative will have a competitive process for communities to apply for grant funding in September 2014. SIM Minnesota is seeking communities at different levels of participation in accountable care models. To test the model, the initiative will pick a mix of communities with varying degrees of sophistication and experience regarding accountable care-like payment arrangements, community and provider collaboration, care coordination, population health measurement, management and evaluation, and integration across all provider settings. 

There are some basic criteria that communities must meet in order to be awarded SIM funds. The community must: 

  • • Have a community-led leadership team that represents community and broad cross-section of providers.
  • • Develop a community based care coordination service delivery team or system. 
  • • Have a population based prevention component.
  • • Participate in measurement, testing and evaluation.
  • • Include an Accountable Care Organization (ACO) partner. 

Grants will support

  • • Coordination of leadership team, recruiting members, facilitating and coordinating meetings with community partners, and managing funds.
  • • Implementation of community-based care coordination systems or teams.
  • • Implementation of small grants to support community participation.
  • • Develop infrastructure to support implementation of the ACH.

ACE Study

The Adverse Childhood Experiences (ACE) Study is one of the largest investigations ever conducted to assess associations between childhood maltreatment and later-life health and well-being. The study is a collaboration between the Centers for Disease Control and Prevention and Kaiser Permanente's Health Appraisal Clinic in San Diego.

More than 17,000 Health Maintenance Organization (HMO) members undergoing a comprehensive physical examination chose to provide detailed information about their childhood experience of abuse, neglect, and family dysfunction. To date, more than 50 scientific articles have been published and more than100 conference and workshop presentations have been made.

The ACE Study findings suggest that certain experiences are major risk factors for the leading causes of illness and death as well as poor quality of life in the United States. It is critical to understand how some of the worst health and social problems in our nation can arise as a consequence of adverse childhood experiences. Realizing these connections is likely to improve efforts towards prevention and recovery. Click Here to learn more.