ISBM Update - December 2018

Key Highlights This Month:  

I.        Stakeholder Engagement

• MACSSA presented to AMC Fall Conference: On December 3, a session on integrated services was presented to the AMC/Association of Minnesota Counties Annual Conference in Bloomington by Jane Hardwick, Kelly Harder (Dakota), Janet Goligowski (Stearns), and Rachel Grimes (Crow Wing). About 50 participants included county commissioners and county administrators. The presentation was described as:
• Why do integrated services matter? In 2017, county human services agencies, White Earth Tribal Nation, and the state further developed the vision for integrated services in Minnesota. The resulting model serves as a blueprint that will transform many aspects of how people experience the human services system and that will guide supporting technology.  Hear how these two counties’ initiatives are already moving in that direction. Come share your thoughts, questions, and considerations.
• Reactions were generally positive and the questions were thoughtful. MACSSA Modernization Steering Committee debriefed and will be continue to be guided by the commissioners’ comments and questions.
• Commissioners Questions:
• Have you considered partnering with school systems to access their resources, such as mental health and truancy resources?
• Sounds like everyone will do every kind of assessment, for example who will do chemical health assessments?
• What can AMC do to help? Should AMC convene MACSSA and the other affiliates, like MnCCC and LPHA to work together on this?
• What can the state do to help?
• How will you determine if anyone is better off?
• Can/will modernized data systems help do this?
• The MACSSA AMC Human Services Subgroup will continue to receive updates on integrated services on a regular basis
•  Christina (Tina) Klaphake and Wright County starts December 17! Wright County stepped up and offered 50% time for this!  She will connect with you and county staff across the state to gather input on the integrated model and to promote innovation to guide implementation.  Wright County used an interagency agreement with DHS to be reimbursed for Tina’s time.
•  Wanted: Another .5 FTE to work with Tina and all 87 counties. Please consider who you may have that would appreciate this state-wide exposure, is ready for a new challenge, and who’s county wants a closer connection to how this will be rolled out. Costs for current county staff will be reimbursed to the home county through Modernization funds via a DHS interchange agreement. Contact Pam Siebert to access the request form.
•  Personae Workgroup: This work group will lead efforts to develop personae, use cases, and journey maps that provide examples of the experience of Minnesotans who receive public health and social services as they navigate the service delivery system. The work group will also support research efforts to identify real Minnesotans’ experiences seeking public services to inform improvements needed in the process. County input is needed.
•  5 By 5, DHS messaging vendor:  Will be completing their work in February, including December proposed message framework and name recommendation options and February final integrated services business model name, message framework and verbal brand guidelines.

II.        Data Analytics

Hiring data analytics specialists:

• County Data Scientist (.5 FTE): Stephanie Radke and Kathleen Simon, Dakota County, and Erik Erikson, Hennepin,are helping to clarify this request to coordinate and avoid duplicating work in DHS. Money is set aside in Systems Modernization funding for this until 9/30/19. Stay tuned.
• DHS: Data Strategy Lead (1 FTE): A position description is being finalized. Several partners have provided input; the position will be on the DHS Business Solutions Office (Lisa Barnidge’s) Data Alignment Team. Working on the ISBM “Outcomes” narrative will be an initial task of this new position.

Below is an interesting article from the MACSSA e-News on Why Data Culture Matters. Link here: article in the recent McKinsey Quarterly.  Highlights in yellow below are mine.  As you know, data analytics is critical for the future of the MN Integrated Services Business Model. 

• Note: you can read the article and/or listen to it.
• Below is an excerpt to help us continue to move toward a common understanding

…understanding of the difference between traditional analytics (that is, business intelligence and reporting) and advanced analytics (powerful predictive and prescriptive tools such as machine learning).

• “It’s almost like a yin and yang, or a dark side and a sunny side. Introduction of the data-management policy documents, procedures, data catalog, data dictionary—the fundamental setting is common for the [financial] industry. And the mind-set necessitated to this area is more of “rule orientation.” The other side, the sunny side, I would say, is more Silicon Valley–oriented, more of the data usage, data science, data analytics, innovation, growth. Housing those two ideas into one location is so important. “

III.        Innovation

What is it? Providing the required level of time and budget to take the MN integrated services business model, refine it, experiment on it and finally turn it into a real solution. Collect lessons learned, vet them with MASCSSA and DHS, and edit ISBM to reflect new understanding and hands on experience. Think of it from two viewpoints,

• From an internal, organizational viewpoint, such as whether service is more efficient for workers
• From the viewpoint of people we serve, their perceived value; look at every new thing you are trying from various customers’ perspectives.

This approach to fleshing out the integrated model depends on counties sharing their experiences with each other and an intentional approach to vetting learnings with DHS into the business model

Examples:

• Ignite Sessions (see 2018 Fall MACSSA Conference materials): On-the-ground examples of efforts already underway in Minnesota counties moving towards the integrated services business model.
  • Social Determinants of Health: Bringing Social Determinants of Health to Life in Dakota County, Kelly Harder, Dakota County
  • Data analytics: TIES, Rachel Grimes, Crow Wing County
  • Person-centered practice: Small Counties Accessing Grants with Huge Commitments, Phyllis Reller, Pope/Grant Counties
  • Person-centered practice: Person Centered Incident Matrix, Linnea Mirsch, St. Louis County
  • Multi-gen: Case Study: Improving Screening and Referrals for Citizens, Janet Goligowski, Stearns County
  • Minnesota Local Government Awards 2018 http://lgia.umn.edu/lgia-winners-2018

Requested Actions Needed From MACSSA:  None

New Trends in This Area:  NA

Issues/Concerns Regarding This Topic:  

• Need to hire another .5 county stakeholder engagement specialist.  

• Bina Nikrin is retiring as of 2/28/19. MACSSA is committed to this role and Bina will work to ensure a smooth transition. Please contact Eric Ratzmann with questions/concerns.

Legislative Impacts:  NA

Supporting Materials:  MACSSA Presentation to AMC Conference

Contact(s):  Bina Nikrin