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MNCM Announces Second MIPS/QPP Webinar October 25

MN Community Measurement (MNCM) will be hosting a webinar on Wednesday, October 25 at 10:00 a.m. The topic will be a second and new discussion of the upcoming Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP).

With MIPS fast approaching, MNCM continues its webinar series on MIPS and the Qualified Clinical Data Registry (QCDR). This time focusing on timelines, pricing and some essential considerations prior to making measure selections. Now is the time to ask questions, seek answers and prepare for MIPS and specifically the QPP. Whether your medical group is new to quality reporting or participated in PQRS previously, you are encouraged to join this MNCM webinar.

The webinar is free. Those wishing to participate can visit this link to attend. Please save this link to join the webinar at 10:00 a.m. on October 25.

To view the initial MNCM webinar on MIPS/QPP, or for additional details and background on MIPS, QPP or the MNCM QCDR registry services, click this link.


Become a MNCM Supporting Member Today

By joining MNCM as a Supporting Member, your organization will help further the improvement of health through measurement and public reporting. You’ll be joining many other forward thinking Supporting Member organizations.

MNCM began with an idea to report on diabetes performance at a handful of medical groups and has transformed into the primary trusted source for health data sharing and measurement in Minnesota and nationally.

Accelerating the improvement of health and catalyzing our community requires foresight. With your support, MNCM will continue to convene key stakeholders to evaluate, discuss and achieve consensus on the procedures, conditions and types of care sites that require measurement to ensure the level of highest quality and safety are being achieved.

MNCM efforts to find even more alignment with national and local measurements is being recognized. In a recent survey of MNCM medical group stakeholders, nearly two-thirds of respondents felt that MNCM measures were “well-aligned/aligned” locally and nationally.

Join MNCM today! Become a Supporting Member.

Your annual contribution will support this critical work, as well as provide you with:

•  Notification of applicable board and committee openings

•  Opportunities to network with MNCM leaders and other members who are passionate about health and health care quality

•  Notification of measure development workgroup participation and other feedback opportunities

•  Recognition on and subscription to our monthly e-newsletter

With the help of Supporting Members like you, MNCM will continue to bring individuals and organizations together to improve the health of our community.

And since MNCM is a 501(c)(3) non-profit, your organizations contribution may be tax deductible.

For more information, please contact Brian Strub at or 612-454-4827.


HEDIS Reporting Changes: Childhood Immunization Status and Immunizations for Adolescents

In August 2016, MNCM’s Measurement and Reporting Committee approved recommendations that further align the Childhood Immunization Status HEDIS measure with CMS’s Merit-Based Incentive Payment System (MIPS) requirements.

In the 2017 report year, MNCM will report the Childhood Immunization Status Combo 10 measure. The Childhood Immunization Status measure evaluates children’s vaccination status, as of their second birthday. Evidence and national consensus support the recommendation for children to receive all vaccines encompassed in the HEDIS Childhood Immunization Combo 10 measure. Currently, MNCM reports results for the Childhood Immunization Status Combo 3 measure. Three additional vaccines are included in Combo 10: Hepatitis A, Rotavirus, and influenza, all of which are included in state and national preventive care guidelines, both from ICSI and the USPSTF.

In the 2018 report year, MNCM will report the Immunizations for Adolescents Combo 2 measure. The Immunization for Adolescents measure evaluates adolescents’ vaccination status, as of their thirteen birthday. Evidence and national consensus support the recommendation for adolescents to receive all vaccines encompassed in the HEDIS Immunization for Adolescents Combo 2 measure. Currently, MNCM reports the Immunization for Adolescents Combo 1 measure. In the 2017 report year, the National Committee for Quality Assurance (NCQA) will introduce Combo 2 for this measure – an update that will include the HPV vaccine for males and females. In the 2018 report year, NCQA has updated their specifications for this measure to reflect the most recent guidelines for HPV vaccine, namely, children aged 11-12 receiving two doses, instead of the previously recommended three doses. The addition of the HPV vaccine is supported by state and national preventive care guidelines. With recent changes in recommendations by the US Preventive Services Task Forces (USPSTF) and NCQA’s recent update of the measure, reporting this measure as a Combo 2 allows MNCM to be completely aligned with national and local guidelines.


Cinqueonce Named COO for MN Community Measurement

MNCM welcomed new Chief Operating Officer Liz Cinqueonce to the staff in October. Cinqueonce has more than 20 years of experience in organizational management, health policy and government affairs.

Prior to MNCM, Cinqueonce served as Executive Director of Southern Prairie Community Care, a 12-county joint powers organization that operates a Minnesota Integrated Health Partnership focused on improving quality and managing total cost of care for more than 28,000 enrollees in Minnesota Health Care Programs; and a State-certified Health Information Organization marketed statewide as CareTrac.

She previously served as executive vice president of the Minnesota Pharmacists Association after years of service as vice president of public affairs. Her experience includes five years in state government management, including positions in the Office of Health Information Technology and the Health Economics Program at the Minnesota Department of Health and in the Performance Management and Quality Improvement Division at the Minnesota Department of Human Services.

Cinqueonce succeeds Tina Frontera in the COO role. Frontera, will continue at MNCM as a Senior Consultant until her retirement at the conclusion of 2017.


MNCM and the NQF Measure Incubator

In 2017, MNCM joined the National Quality Forum (NQF) Measure Incubator to lead a measure testing project on a project to examine a chronic obstructive pulmonary disease (COPD) patient-reported outcome performance measure (PRO-PM). This project is expected to be active until June 2019. The NQF Measure Incubator is an innovative effort that facilitates efficient measure development and testing through collaboration and partnership. It addresses important aspects of care for which quality measures are underdeveloped or non-existent. Learn more at:


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.