All posts by Admin

Applications Sought for Measurement and Reporting Committee (MARC)

[UPDATE: The deadline for this round of MARC applications has ended.]

MNCM’s Measurement and Reporting Committee (MARC) will have openings for several new members beginning February 2018. Members are being sought for the following positions:

  • Consumer (two openings)
  • Medical Group – Medium Metro (one opening)
  • Medical Group – Large Metro (two openings)
  • Medical Group – Single Specialty (one opening)

New Members will replace current members whose terms end in December 2017. In addition to filling the criteria noted above, other information that will be considered includes measurement and quality improvement experience, race and ethnic diversity and background in nursing or as another member of the care team. MNCM is interested in recruiting new members, so a variety of community stakeholders have an opportunity to serve on this important committee.

The MARC is a committee of the MNCM Board of Directors with a broad membership of community stakeholders. The committee’s purpose is to recommend measurement priorities and specifications to the Board and to recommend guiding principles and/or policies for MNCM’s public reporting of measures. The MARC is supported by Measure Development Work Groups established by MNCM staff at the direction of the MARC. Work groups are charged with recommending draft measurement specifications and data collection plans.

This committee meets monthly. Members are required to attend/actively participate in at least 75 percent of meetings. Each member serves a two-year term, and has a three-term limit. MARC members may also be asked to serve on a Measure Development Work Group.

If interested, click on the link below to complete an application by the close of business on Thursday, October 19, 2017:

Submit application to Anne Snowden, Director of Performance Measurement, Validation and Reporting at

After nominations have closed, MNCM staff will convene a committee to review applications and make selections with a goal to appoint new members by early November after which all applicants and those selected as new members will be notified.


MNCM Registry Services

The Merit-based Incentive Payment System (MIPS) is coming. Please take the time to review the MN Community Measurement Qualified Clinical Data Registry (QCDR) content at this link. Now is the time to ask questions, seek answers and prepare for MIPS and specifically the Quality Payment Program (QPP). Whether your medical group is new to quality reporting or participated in PQRS previously, you are encouraged to connect with MNCM!


MNCM Webinar Outlines QPP and MIPS

A webinar introduction of the new Merit-based Incentive Payment System (MIPS) under Medicare’s Quality Payment Program (QPP) hosted and recorded by MN Community Measurement has been posted online for viewing and review. The webinar informs viewers about QPP and MIPS reporting and is available at this link under the Learn More section. MNCM encourages those interested to check back at this link periodically as the page will be updated with new and helpful definitions, links, future webinars and other useful information.


MNCM Annual Seminar Draws 300+ To Share Best Practices

The MN Community Measurement Annual Seminar 2017, held on September 13, began with insight from journalist and local broadcasting legend Don Shelby (picture at right) and continued throughout the day with astute discussions, interactive breakout sessions, useful education, ideas and best practices.

Morning speakers included Tim Hernandez, MD, MNCM Board Chair, Don Shelby, new MNCM President Julie Sonier, a panel on health equity featuring moderators Daniel Trajano, MD, and Gaye Adams Massey and panelists Clarence Jones with Southside Community Health Services, Matt Flory with the American Cancer Society and Molly Duerr with the American Diabetes Association. The final morning speaker was National Quality Forum President and CEO Shantanu Agrawal, MD (picture below) with perspectives on the national quality measurement scene and the current view of health reform from Washington, DC.

SAVE THE DATE: Hold September 12, 2018 and plan to attend the Annual Seminar 2018!

A brief power outage at the event center dimmed the lights momentarily before Jennifer DeCubellis and Ross Owen illuminated the room with insight into the cross system measurement and approach used to improve community health in the state’s largest and most diverse county, Hennepin County, in the bonus lunch plenary session.

Interactive and informational breakout sessions began the afternoon. The three breakouts were repeated for the convenience of attendees so that any one attendee could attend and participate in the two breakout sessions that best matched and met their interests. The sessions were:

  • Patient Experience – Disparities and Community Efforts with presenters Lois Brown of the Indian Health Board of Minneapolis, JooHee Pomplun a consultant with the Hmong American Partnership and Dina Wellbrock of MNCM.
  • Cost of Care Trends and Strategies with presenters Allan Baumgarten publisher of Baumgarten’s Health Market Reviews and Gunnar Nelson of MNCM.
  • Measurement On-a-Stick Development, Process & Alignment with presenters Anne Snowden, Collette Pitzen and Amy Krier of MNCM.

The final afternoon session was an engaging plenary panel titled, “In the New World-The Impact of Variation.” The variation panel was moderated by Daniel Trajano, MD, and featured panelists Sarah Crane MD with Mayo Clinic, Mike Van Scoy MD with Essentia Health and Professor Jon Christianson PhD with the University of Minnesota.

Speaker bios and topics covered can be viewed at the Seminar website

More than 300 participated the Annual Seminar 2017. Attendees represented vastly different roles within health care measurement, quality improvement and a wide variety of practice sizes and environments among providers of various levels and experience. They came from Ely, Fergus Falls and Rochester, all across the Twin Cities and several from South Dakota, North Dakota and Wisconsin. Feedback from attendees was very positive, with 92% saying that they would attend another MNCM event.

The MNCM Annual Seminar 2018 will be held on September 12, 2018 at the Earle Brown Heritage Center in Brooklyn Center, MN.


2018 Reporting Changes: Colorectal Cancer Screening and Asthma Measures to be added to Cycle A

To better align data submission timelines for the Colorectal Cancer Screening and Asthma measures with MIPS requirements, it was necessary to change the dates of service to a calendar year (January – December). For more information about these changes, please click here. These changes not only support medical groups in meeting federal MIPS reporting requirements, but also support health plan reporting requirements. While MNCM recognizes this will require operational changes for medical groups, aligning with the federal programs is necessary for all stakeholders.

Because MIPS reporting requires data submission by March 31 each year,according to the following timelines:

  • Jan 31, 2018: Colorectal Cancer Screening
  • Feb 15, 2018: Optimal Diabetes Care, Optimal Vascular Care, Optimal Asthma Control/Self-Management & Education
  • Feb 28, 2018: Depression Care (DOS 02/01/2017-12/31/2017)

Pre-submission documentation will be requested in December 2017 to allow ample time for data collection.

Drafts of the 2018 registration and data collection guides will be available for download from the MNCM Data Portal Resources tab in September. Measure specification changes will be minimal and relatively straightforward to apply. In particular for the colorectal cancer screening specifications, there will be the expansion of event criteria to include both new and established patient office visits and home visits, and there will be the removal of allowable exclusion for death prior to the end of the measurement period.

Pre-submission forms are being revised for simplification and will be available mid-October. Final versions of the guides will be available in early November (no changes are anticipated). The portal will open for registration on November 1, 2017.


Retirement of Two Clinical Quality Measures

In June 2017, MNCM’s Measurement and Reporting Committee (MARC) recommended the retirement of two quality measures starting in the 2018 report year:

  • Pediatric Preventive Care Overweight Counseling – This is a process measure that is now topped out with a statewide rate of 90%.
  • Maternity Care Cesarean Section Rate – Although Cesarean section rates have increased significantly over the past 20 years and may be medically necessary in many situations, an appropriate target rate is unknown. The statewide Cesarean section rate of 22% (lower is better) is 3.5 percentage points below the national rate of 25.7% and the statewide rate has been flat for more than three years.

MNCM Gratefully Acknowledges Seminar Sponsors

The MN Community Measurement (MNCM) Annual Seminar takes place September 13 at the Earl Brown Center in Brooklyn Center (Minneapolis). For event details visit the Seminar website at this link.

MNCM thanks the following organizations for sponsoring the Annual Seminar 2017. It is the support and generosity of these individuals and organizations that support this important quality measurement event.

Gold Sponsors
  • Allina Health
  • Essentia Health
  • HealthPartners Care Group
  • Medica
  • Minnesota Association of County Health Plans
Silver Sponsors
  • Lynn Hassan Jones, MD
  • CentraCare Health
  • Data IQ
  • Gillette Children’s Specialty Healthcare
  • The Minnesota Health Action Group
  • The Minnesota Hospital Association
  • PreferredOne
Bronze Sponsors
  • The American Cancer Society Minnesota
  • Blue Cross and Blue Shield of Minnesota
  • UCare

For more information on these sponsors and sponsorship opportunities with the MNCM Annual Seminar, visit the Seminar sponsorship page at


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.


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 for more details. See you in September!


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 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.


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 (


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

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