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MNCM named CMS registry; can help with QPP/MIPS reporting requirements

MNCM has been named a Qualified Clinical Data Registry (QCDR) by CMS for the upcoming Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP). A QCDR is a CMS-approved entity that collects clinical data on behalf of clinicians for data submission.

MNCM is now able to assist clinician group practices in meeting MIPS (formerly PQRS) requirements for the 2017 reporting year. The MNCM QCDR service will seamlessly submit quality measures and improvement activities to CMS.

The proven MNCM Direct Data Submission (DDS) reporting platform is familiar to many and is currently used by clinics and medical groups for state reporting. The MNCM QCDR is an enhancement of the DDS to help you comply with federal MIPS and MACRA requirements.

Simplify your reporting needs with MNCM. For details on timing, list of approved measures and more, click here.

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Annual Seminar Registration Open

Act now and register for the MN Community Measurement Annual Seminar 2017. Join this dynamic event and hear Hall of Fame television and radio broadcaster Don Shelby, National Quality Forum President and CEO Shantanu Agrawal, MD, from Washington, DC and attend panel discussions and unique interactive breakouts. Review the full agenda here.

Join the influential leaders of clinics, medical groups, health plans, social service and leading community groups as we discuss and share ideas and best practices on quality measurement, quality improvement, health equity and much more.

In addition to keynote speakers Don Shelby and Dr. Shantanu Agrawal, attend discussions on health equity and regional variation in diagnostic intensity coding. Participate in unique breakouts on patient experience, total cost of care, measure development, process and alignment.

Date & Time: Wednesday, September 13, 2017, 8:00 AM to 5:00 PM

Venue: Earle Brown Heritage Center, 6155 Earle Brown Drive, Brooklyn Center (Minneapolis), MN 55430

Attendees who complete an event evaluation will be issued a Certificate of Attendance suitable for continuing education or attendance hour credit following the Annual Seminar. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of HealthPartners Institute and MN Community Measurement. HealthPartners Institute is accredited by the ACCME to provide continuing medical education for physicians. The Office of Continuing Medical Education, HealthPartners Institute, designates this live activity for a maximum of 6.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Visit seminar2017.mncm.org for more details. See you in September!

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Results from Patient Experience Survey to be Released Soon

Do you know what percentage of Minnesotans rated their doctor a 9 or 10 out of 10 in our patient experience survey? You will soon because patient experience measurements, including regional, race and clinic level analysis of patient reported results from the 2017 Patient Experience of Care Survey will be published by MN Community Measurement (MNCM) in early August.

Results from the more than 180,000 patient-completed surveys on patient experience of care, known as the Clinician & Group Surveys Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS® 3.0) survey, from 767 clinics will be available for the public online at MNHealthScores.org. This is the third time that MNCM has conducted the Patient Experience of Care Survey, and it is the nation’s largest statewide CAHPS patient experience survey.

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Stratis Health Offers MIPS Estimator, Find Your Highest MIPS Score

Make your plan to succeed in the Quality Payment Program (QPP). Use the free Stratis Health MIPS Estimator to determine which measures and data submission methods give you the highest baseline Merit-based Incentive Payment System (MIPS) composite score.

Stratis Health is currently developing the MIPS Estimator as an online application that will aggregate a group’s data once individual data is entered. Release is planned for August. But, you don’t have to wait. Click here to Download the MIPS Estimator Prerelease Excel spreadsheet.

For assistance with QPP or the Stratis Health MIPS Estimator, email the QPP Help Desk (QPPHelp@stratishealth.org).

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MNCM’s Sonier to speak at Summit; Registration open to all

Join the Network for Regional Healthcare Improvement and the HealthDoers Network in a one-day summit to learn how transformation efforts can improve health. Speakers include MNCM President Julie Sonier, Institute for Clinical Systems Improvement Chief Medical Officer Dr. Claire Neely and many more. See full speaker list below. The summit will take place August 15 at the Park Hotel in Madison, Wisconsin. Registration is open to all and can be found at http://www.nrhi.org/all-events/leading-transformation-efforts-improve-health

The summit will provide leaders, senior executives, quality improvement and population health professionals theory and insights to help build or sustain cultures that support transformation. Participants will also learn practical ways to engage stakeholders in the transformation process – an essential element in efforts to achieve the triple aim. You’ll be surrounded by leaders with similar challenges and experiences, and learn from those who have been successful about how they did it and what they’re doing now to ensure future success.

Keynote Speaker, John Toussaint, MD

Dr. Toussaint, co-author of On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry, is internationally recognized for his work in transforming healthcare. He is the founder and CEO of Catalysis (formerly ThedaCare Center for Healthcare Value); the founding chair of the Wisconsin Collaborative for Healthcare Quality and of the Wisconsin Health Information Organization; and the non-executive leader of the Partnership for Healthcare Payment Reform in Wisconsin. He was Dr. Toussaint’s healthcare improvement work has been featured in a wide range of journals and news outlets ranging from Health Affairs and the Journal of Healthcare Management, to the Wall Street Journal and TIME Magazine.

Other Presenters Include:

Tom Evans, MD, Iowa Healthcare Collaborative; Julie Willems Van Dijk, RN PhD, Population Health Institute; Martin Hatlie, MedStar Institute for Quality and Safety; Julie Sonier, MN Community Measurement; Patricia Kosednar, Mountain Pacific Quality Health; Nancy Zionts and Robert Ferguson, Pittsburgh Regional Health Initiative; Luz Flores Lee, Common Ground Health; John Gallagher, Washington Health Alliance; Claire Neely, MD, Institute for Clinical Systems Improvement; Barbra Rabson, Massachusetts Health Quality Partners; Gabrielle Rude, PhD, Wisconsin Collaborative for Healthcare Quality; Mylia Christensen, HealthInsight.

Follow the conversation for this summit on Twitter #Transform17

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Patient Reported Outcomes and Cancer Care- Have We Reached the Tipping Point?

At the 2017 annual meeting of the American Society of Clinical Oncology, the use of patient reported outcomes took center stage with the release of a landmark randomized clinical trial comparing web-based patient-reported outcomes for symptom (pain, nausea, fatigue) monitoring versus usual care for 766 patients receiving chemotherapy. Use of the tool was associated with a significantly better medial overall survival of 31.2 months compared with 26.0 months in the usual care. Congratulations to principal investigator and MNCM measure development workgroup member, Ethan Basch MD. Read the article here.

MNCM is currently conducting pilot testing of its newly developed measures for Symptom Control During Chemotherapy (SCDC). Submission of data from volunteer test sites from MN Oncology and the University of Minnesota Physicians will occur during July-August and the measure development workgroup will convene later this fall to review results and make recommendations for use.

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Statewide Quality Reporting Forum June 22

On June 22, The Minnesota Department of Health (MDH), MN Community Measurement and Stratis Health will hold a public forum to present quality measure recommendations and other related information in connection with the annual update of the Quality Reporting System for the 2018 reporting year. The public forum provides an opportunity for interested stakeholders to comment on the recommendations and to ask questions.

Public forum details: June 22, 2017, 9:00 am – 10:30 am, online registration [Web conference registration link] Call-in number: 1-888-742-5095, conference code: 933 209 2697.

Visit the MDH website for rulemaking milestones, timeline more information at http://www.health.state.mn.us/healthreform/measurement/ruleupdate.html

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Measure Alignment with Federal Programs – MN Community Measurement’s (MNCM’s) Modification of dates for the Depression Care Measures Suite

In the 2018 report year, MNCM will modify the Index and Assessment Periods for the Depression Care Measures Suite. These date modifications are being done to ensure that all follow-up contacts for patients in the denominator population meet CMS’s Merit-Based Incentive Payment System (MIPS) requirements. CMS requires that all data related to a measure must be captured by December 31. These changes allow for completion of the assessment period by December 31. This will necessitate changes to the dates of service submitted annually.

We also want to alert medical groups about the need to implement the PHQ-9 or PHQ-9M assessment tool for all patients ages 12 and older by November 1, 2017. This date marks the start of the index period that identifies the denominator from which depression rates will be calculated for both adolescent and adult patients in the 2020 report year. Of course, groups can begin tool implementation sooner, but tool administration to adolescents should begin no later than this date to ensure accurate rate calculation in 2020.

Diagrams, tables and measure specifications demonstrating all changes – including future expansion of the depression six and 12-month follow-up windows to +/- 60 days for result calculation starting in the 2020 report year – can be found here.

For more information, contact support@mncm.org

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Measure Alignment with Federal Programs – MN Community Measurement’s (MNCM’s) Modifications to the Colorectal Cancer Screening and Optimal Asthma Control Measures

In April 2017, MNCM’s Measurement and Reporting Committee (MARC) approved recommendations that further align the Colorectal Cancer Screening measure with CMS’s Merit-Based Incentive Payment System (MIPS) requirements. MARC approved two modifications to the Colorectal Cancer Screening measure that are set to begin in the 2018 report year:

A) Remove death as an allowable exclusion; and

B) Expand encounter type criteria to include both new and established patient office visits and home visits.

In 2009, the National Committee for Quality Assurance’s (NCQA) measure for colorectal cancer screening was adapted for direct data submission accommodating for some philosophical differences regarding acceptable screening modalities. With recent changes in recommendations by the US Preventive Services Task Forces (USPSTF) that include CT Colonography and FIT-DNA testing, and NCQA’s recent update of the measure, these measures are now completely aligned.

While we understand the frustration with implementing additional modifications to the Colorectal Cancer Screening measure, keeping our measures aligned with federal programs is essential for all of us.

In addition, both the Colorectal Cancer Screening and Optimal Asthma Control measures were included on the list of finalized quality measures available for MIPS reporting in 2018 (2017 dates of service). To better align our data for these measures with MIPS requirements, it will be necessary to change the dates of service to a calendar year (January-December). Currently, these measures use mid-year to mid-year dates of service. This change will not only support medical groups in meeting federal MIPS reporting requirements, but will also support health plans in meeting state and national reporting requirements.

All of the changes mentioned above will apply to the 2018 report year (2017 dates of service). Because MIPS reporting requires data submission by March 31 each year, MNCM will move the data submission for Colorectal Cancer Screening and Optimal Asthma Control measures to Cycle A in the 2018 report year (e.g., with data submission occurring in January/February 2018).

Please note that the Maternity Care: C-Section Rate measure is not moving to Cycle A data submission because it was not on the final list of MIPS measures.

For more information, contact support@mncm.org

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HPV Education Webinar April 13

Learn about the components to the CASE approach to HPV vaccine hesitancy at this one hour webinar on Thursday, April 13, 2017. Presented by Robert M. Jacobson, MD, with Mayo Clinic and sponsored by the American Cancer Society and Wisconsin Area Health Education Centers Scenic Rivers AHEC. View the event flyer here and to register click here.

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2017 Health Information Technology (HIT) Ambulatory web survey opens February 15

The 2017 Health Information Technology (HIT) Ambulatory web survey opens February 15, 2017. This survey is an annual reporting requirement established in the Minnesota Statewide Quality Reporting and Measurement System (SQRMS) by the Minnesota Department of Health (MDH) through Minnesota Rules, Chapter 4654. All Minnesota physician clinics must complete the 2017 HIT Ambulatory Clinic Survey between February 15, 2017 and March 16, 2017.

MNCM will post a PDF version of the survey in two locations: under the “Resources” tab in the Data Portal and on the MNCM website at http://mncm.org/submitting-data/provider-tools/#online-resources (Submitting Data, Provider Tools, then Online Resources). To reduce data entry time, MNCM highly recommends that respondents gather all responses on a paper copy prior to web entry.  Please note that due to required survey settings, respondents cannot start a web survey entry and then “resume” at a later date. The survey must be completed in one sitting.

Results from the survey are used by MDH, MN e-Health Initiative, MNCM and others to report the status and use of electronic health records, health information exchange, and other health information technology across Minnesota.

Physician clinics will receive an email communication from MNCM with a link to the web version survey in mid-February. Those with questions can contact Dina Wellbrock of MNCM at mailto:wellbrock@mnc.organd (612) 454-4829.

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