A new report from MN Community Measurement (MNCM) provides a unique source of information on disparities in health care outcomes by race, ethnicity, language and country of origin.
The report includes data for 12 measures reported to MNCM in 2017 with analysis at the statewide, regional and medical group levels, and features interviews that highlight efforts to reduce the gaps in outcomes especially for populations of color in Minnesota.
“Our data show that outcomes for chronic disease and preventive care screening rates vary substantially by race, ethnicity, language and country of origin,” said Julie Sonier, MNCM President. “It is important to highlight these differences so that we can raise awareness, focus resources on reducing these inequities and track progress.”
New in the 2017 Health Equity of Care Report is trending information on the Colorectal Cancer Screening measure. The statewide colorectal cancer screening rate was 70 percent in 2014 and 73 percent in 2017. Examined by race, ethnicity, preferred language and country of origin, colorectal cancer screening is trending up for most groups. The largest increase was among patients whose preferred language is Spanish; for this group, the screening rate increased from 44 percent in 2014 to 54 percent in 2017. This represents over 2,200 more Spanish-speaking people in Minnesota getting screened for colorectal cancer.
Much of this progress can be attributed in part to local and national coordinated efforts by primary care clinicians, community organizers, cancer coalitions and others – all focusing on a shared public health goal of reaching an ambitious 80 percent screening rate for colorectal cancer. The National Colorectal Cancer Screening Roundtable leads this effort with a strong emphasis on health equity. In fact, Hispanics are a priority audience due to their low screening rates and African Americans are a priority audience due to their high incidence of colorectal cancer. One of the key messages that resonates with these audiences is that there are several screening options available, including simple take-home options. They are also encouraged to talk with their doctor about getting screened.
“It is good news that we’re making gains in colorectal cancer screening rates for most groups,” said Sonier. “However, we still have large disparities between groups that indicate the need for sustained efforts to reduce the gaps.”
The 2017 report also includes survey data that show variations in patient experience across population groups. One finding is that African American patients rated their experiences above average in four out of five patient experience categories, yet had below average results for five out of seven clinical quality measures. In contrast, despite mostly higher than average clinical quality measure outcomes, Asian patients evaluated their experience of care below the statewide average in all five categories.
“These differences highlight the fact that health care quality is multidimensional,” said Sonier. “It’s hard to know exactly why patient experience and clinical quality diverge for some population groups, but it’s our goal that these data will be used by health care providers and others to better understand the gaps and identify opportunities for improvement.”
The report includes several stories highlighting ways that these data are being used for improvement.
MNCM’s data by race, ethnicity, language and country of origin are a valuable resource that resulted from years of collaborative work to define these elements and validate best practices for collecting them. The report features information on seven clinical quality measures:
- Adolescent Mental Health and/or Depression Screening
- Pediatric Preventive Care: Overweight Counseling
- Optimal Diabetes Care
- Optimal Vascular Care
- Optimal Asthma Care for Adults
- Optimal Asthma Care for Children
- Colorectal Cancer Screening
The patient experience ratings include the following five categories, in terms of whether patients:
- Got care when needed (“Access to Care”)
- Received understandable information and instructions (“Provider Communication”)
- Received coordinated care defined by how often providers knew patient’s medical history, gave results of tests and asked about medications (“Care Coordination”)
- Experienced courteous and helpful office staff (“Office Staff”)
- Were satisfied with their provider (“Provider Rating”)
The fourth annual Health Equity of Care Report is at www.mncm.org/health-equity-of-care-report
MN Community Measurement is a non-profit organization dedicated to improving health by publicly reporting health care information. A trusted source of health care data and public reporting on quality, cost and patient experience since 2003, MNCM works with medical groups, health plans, employers, consumers and state agencies to spur quality improvement, reduce health care costs and maximize value. Learn more at MNCM.org and MNHealthScores.org.
Julie Sonier, President of MN Community Measurement (MNCM), was the featured guest and fielded questions from callers during the January 10, 2018 edition of MPR News with Kerri Miller, a live call in radio program broadcast statewide on the stations of Minnesota Public Radio.
The cost of health care, with insight from MNCM, was the featured topic. Discussion began with a focus on a recently released report from the Minnesota Department of Health noting wide variation in the cost of certain medical procedures. The report, as Sonier noted, is similar yet different from “average cost per procedure” data produced and published annually by MNCM and posted online for the public to see at MNHealthScores.org.
The wide ranging, 60-minute discussion covered cost of specific procedures, reimbursement, health insurance and calls from listeners including numerous physicians. Want to hear the program? Click here to listen to the entire conversation.
“We sometimes focus too much on cost alone and we need to look at the bigger picture,” said Sonier.
“We need to look at Total Cost of Care and quality measurement to assess both the quantity and quality of health care services in addition to the price or cost of care,” added Sonier.
Read about this and other topics discussed on the daily radio program, MPR News with Kerri Miller, at this link https://www.mprnews.org/topic/kerri-miller
MN Community Measurement is pleased to announce Mark Matthias, MD, as its newest board member. Dr. Matthias is a physician at CentraCare Health in St. Cloud, MN where he serves as Vice President of Medical Affairs and Acute Care Division.
Dr. Matthias trained at the University of Minnesota Medical School and completed his residency in Family Practice and Community Health at Methodist Hospital in St. Louis Park, MN. He has been a physician leader in Mankato, Hutchinson and Willmar prior to joining CentraCare Health in 2011.
Link to MN Community Measurement Board of Directors.
MN Community Measurement’s recorded webinars allow you to gain useful insight at a time and location convenient to you and your schedule.
MNCM was asked by both the MediSota and Minnesota Rural Health Cooperative alliances to present a webinar on the MIPS program and specifically MNCM’s Qualified Clinical Data Registry on January 11. The webinar will answer questions and reveal similar information that was previously discussed in MNCM’s prior two public QCDR Webinars. View the previous MNCM webinars under the “learn more” section of the QPP/MIPS page at this link.
MIPS submissions are due to the Centers for Medicare and Medicaid Services (CMS) on March 31! Please act now if you are interested in working with MNCM on this important submission.
Contact Tony Weldon at Weldon@mncm.org for registration and other information.
MN Community Measurement (MNCM) is seeking volunteers to participate in the pilot testing of a new measure for chronic obstructive pulmonary disease—Controlling the Impact of COPD on Health Status.
Pilot testing focuses on the development and testing of a patient reported outcome (PRO) performance measure.
Family medicine, internal medicine, geriatric medicine and pulmonology practices that care for patients with COPD are encouraged to participate in the pilot.
Eligible medical groups will be compensated for their pilot participation.
Please see http://mncm.org/copd2018/ for more details.
Make it your New Year’s resolution to attend the National Employer Summit: The Purchaser’s Role in Driving Affordability, March 6-7, 2018 in Seattle Washington.
Did you know that:
• In 2016, the average employer provided family health care policy cost $18,142, an increase of 58% since 2006
• 10-years of U.S. wage growth has been lost to health care cost increases
• Large and small businesses struggle to remain competitive and provide coverage with the current health care cost structure
• 50% of a family’s income will be consumed by health care costs by the year 2021 if we don’t make a change
To address this looming national crisis, the HealthDoers Network, the Network for Regional Healthcare Improvement, and local host Washington Health Alliance will convene health care leaders and employers to explore the role they can collectively play in bringing down the cost of health care. This summit will feature the perspective of national employer Boeing, and other leaders in this space.
To register or learn more, click this link or visit http://www.nrhi.org/all-events/national-employer-summit
As part of ongoing efforts to communicate health care performance results in a timely and user-friendly way, MNCM has created a “snapshot” from the 2017 Cycle C measure reporting period. Cycle A and Cycle B snapshots were published in the fall of 2017.
This snapshot is a summary of the Cycle C information that will be published in the Health Care Quality Report, which is anticipated to be released in early 2018. Measures in the Cycle C Snapshot include Optimal Asthma Control – Adults, Optimal Asthma Control – Children, Colorectal Cancer Screening and Maternity Care: Cesarean Section Rate.
Click here for the Cycle C Measures Snapshot link.
This information can be used to aid decision making associated with quality improvement efforts.
In 2017 (Dates of service July 1, 2016 – June 30, 2017), the statewide rate for Optimal Asthma Control – Adults was 49 percent and 57 percent for Optimal Asthma Control – Children. The statewide rate for Colorectal Cancer Screening was 73 percent. For the Maternity Care: Cesarean Section Rate measure, where a lower rate can indicate better quality care, the statewide rate was 23 percent.
The Cycle C Snapshot includes links to measure results on MNHealthScores.org, a table of the top medical groups by performance on Cycle C measures and information on where to access helpful provider and patient tools.
MNCN appreciate the significant contributions of clinics, medical groups, health plans, hospitals and other professional organizations that provide data to MN Community Measurement. Achieving our mission to accelerate the improvement of health by publicly reporting health care information relies on this collaborative, multi-stakeholder effort. MNCM strives to continue to be the trusted source for performance measurement, data sharing and public reporting locally and nationally.
MN Community Measurement is pleased to announce Marie Zimmerman has joined the Board of Directors.
Zimmerman has devoted more than a decade to public-sector health care in Minnesota, spearheading critical reforms and innovations that have been watched and emulated nationally. Appointed Minnesota’s Medicaid Director in 2014, Marie oversees the strategic policy direction and the core business functions of Medicaid and the Basic Health Program (BHP), called MinnesotaCare. The combined budgets of Medicaid and MinnesotaCare topped $11.5 billion in 2016 and provide health coverage to one in five Minnesotans, delivering health care, behavioral health services and long-term services and supports to more than one million people.
During Zimmerman’s tenure, the state has saved more than $1.5 billion through managed care reform and purchasing innovations. Savings include $213 million related to improved health outcomes for Medicaid enrollees through an accountable care model called Integrated Health Partnerships; a collaborative, patient-focused approach to delivering care while lowering cost. In addition, Zimmerman managed a successful Basic Health Program that provides affordable and comprehensive coverage for lower-income Minnesotans who do not qualify for Medicaid. Prior to her service as Medicaid Director, she acted as health care policy director for the Minnesota Department of Human Services, where she led early efforts to reform health care purchasing for Medicaid, moving the state toward a pay-for-value model.
Zimmerman is a recipient of the Women in Health Care Leadership Award from Women’s Health Leadership TRUST. She serves on the boards of the National Academy for State Health Policy and the National Association of Medicaid Directors. She holds a Master of Public Policy degree from the University of Minnesota’s Humphrey School of Public Affairs and a bachelor’s degree in economics and political science from the University of St. Thomas in Minnesota.
Link to MN Community Measurement Board of Directors.
MN Community Measurement is pleased to announce Jon Christianson has joined the Board of Directors. Christianson received his PhD in economics from the University of Wisconsin at Madison. He is on the faculty of the Division of Health Policy and Management, School of Public Health at the University of Minnesota and has held the James A. Hamilton Chair in Health Policy and Management since 1998. Professor Christianson has authored ten books and more than 200 journal articles and book chapters. He has received the Annual Research Award of the National Institute for Health Care Management and chaired AcademyHealth’s annual research meeting.
Professor Christianson’s recent research has focused on measurement and reporting of provider performance, physician payment arrangements and health care purchasers. He regularly teaches graduate courses on the health care system and on health care purchasers and health insurers. From 1998-2000, Professor Christianson served on the Institute of Medicine committee that produced the report To Err Is Human. More recently, he was a member of the IOM’s Geographic Adjustment Factors in Medicare Payment Committee and served six years on the IOM’s Board on Health Care Services which oversees all IOM health service projects. He currently is Vice-Chair of the Medicare Payment Advisory Commission, which advises Congress on Medicare.
Link to MN Community Measurement Board of Directors.
MN Community Measurement (MNCM) has published the Slate of Measures for Public Reporting in 2018. The complete list can be found on the MNCM website (www.mncm.org) and this direct link.
The annually updated listing of ambulatory and hospital measures was approved by the Measurement and Reporting Committee (MARC) and the MNCM Board of Directors on December 13, 2017.
Indicate Interest by 01/15/2018
MN Community Measurement (MNCM) is seeking volunteers to participate in the pilot testing of a new measure for chronic obstructive pulmonary disease—Controlling the Impact of COPD on Health Status. Pilot testing focuses on the development and testing of a patient reported outcome (PRO) performance measure.
The measure was developed by a MNCM-convened, multi-stakeholder COPD Measure Development Workgroup, which completed the development of measure specifications in November 2016.
The percentage of patients aged 50 – 80 years whose self-reported impact of COPD on their health status was low, stable or improved, as determined by the COPD Assessment Test (CAT) or Clinical COPD Questionnaire (CCQ). For more details, view Controlling the Impact of COPD on Health Status Measure and Field Specifications.
Family medicine, internal medicine, geriatric medicine and pulmonology practices that care for patients with COPD are encouraged to participate in the pilot. There are many benefits to participating in a pilot project, including but not limited to: implementation of PRO tools into clinical workflows and electronic record systems, providing feedback for the modification of measure specifications, the ability to have baseline data prior to wide-spread implementation, and the opportunity to gain experience in the measurement activity. Eligible medical groups will be compensated for the pilot– up to $2,000 after execution of contract, and up to $8,000 after successful data submission.
In order to have a representative and informative pilot, we need groups to volunteer to participate! Pilot dates of service start April 1, 2018.
Participation is voluntary, and all results used to analyze the measure’s performance and feasibility will be shared with pilot participants, blinded and not publicly reported.
If you are interested in potentially serving as a test site, please complete this brief survey. We will review the survey responses to help us select eligible practices.
If you have questions, please contact Tony Weldon at firstname.lastname@example.org or 612-454-4810. We look forward to working with you!
About this Project
MNCM is leading this measure development project with support from the National Quality Forum (NQF) Measure Incubator™. GlaxoSmithKline, a global leader in respiratory disease, is collaborating with the Measure Incubator as the sponsor of the project. See the NQF website to learn more about the Measure Incubator’s current work.
Minnesota is one of only three states that earned an “A” grade for transparency of physician quality measures in a recent report by Altarum’s Center for Payment Innovation and Catalyst for Payment Reform. Along with Washington and California, Minnesota earned an “A” grade for quality transparency that is based on the following criteria: independent and impartial; data are freely available; data are timely; data are available on large numbers of providers; quality measures used are meaningful; and information is easily found and understood by consumers.
The report also ranks states on price transparency, based on whether the state has a law requiring price transparency. Two states (Maine and New Hampshire) earned an “A” on this ranking. Although Minnesota does not have a law requiring a price transparency website, the pricing information that MNCM makes available through MNHealthScores.org is comparable to what is being published through those state-mandated websites.