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Don Shelby to Headline MNCM Annual Seminar

MN Community Measurement has announced that Hall of Fame broadcaster Don Shelby will be a headline featured speaker at the MNCM Annual Seminar on Sept 13, 2017.

Registration is open through September 1. Early bird pricing for attendance us in effect until July 14. The full event agenda is found at seminar2017.mncm.org and online registration can be accessed at this LINK.

Don Shelby is widely considered the most decorated and honored local television journalist in the country. He has won three national Emmys, the Columbia-duPont, the Scripps-Howard, the National Distinguished Service Award from the Society of Professional Journalists and he has been honored twice with the Pulitzer Prize of broadcasting, the George Foster Peabody.

He continues his 45 year career in reporting after retiring from daily journalism in November of 2010. He continues to write for MinnPost and is often read in Salon and dozens of other online news aggregators. He now specializes in environment and science reporting, and lends his time to the Climate Science Rapid Response Team.

Shelby was inducted into the Broadcasters Hall of Fame in 2008 and into the National Academy of Television Arts and Sciences Silver Circle. He was named the Reverend Dr. Martin Luther King, Jr. Humanitarian of the Year, and honored by B’nai Brith with the Great American Traditions award. In 2010 he was named Distinguished Minnesotan, an honor he shares with other luminaries such as Sigurd Olson and Will Steger.

Reporting has taken him around the globe from Romania to Egypt, Venezuela, Australia and the Arctic Circle. He originated the I-team concept of investigative reporting and served on the board of directors of Investigative Reporters and Editors (IRE), the county’s preeminent investigative journalism organization.

He has served as a war correspondent covering conflicts ranging from the Yom Kippur War in 1973 to the war in Iraq in 2009. Major General Richard Nash, commander of forces in the southern half of Iraq called Don, “…our Ernie Pyle,” referring to the noted combat correspondent of World War II.

Shelby is the author of The Season Never Ends, a collection of stories about teamwork. He is writing his second book on the developing failure of American journalism to meet the needs of voting citizens in a democracy.

He continues to stretch himself. He completed a two-month run in the Rocky Horror Show live in Minneapolis. One reviewer called it the “Show of the Year.” He has also portrayed Mark Twain on stages across the state.

Shelby is an avid outdoorsman and a primitive survival specialist. He spends much of his free time climbing icefalls, mountains, hiking and canoeing his beloved BWCAW. He has a wife and three grown daughters.

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Braddock Joins MN Community Measurement Board

MN Community Measurement is pleased to announce Mary Braddock, MD, MPH, has joined the MNCM Board of Directors. Dr. Braddock is a board certified general pediatrician with more than 25 years of experience in health care leadership focusing in the areas of health care quality, clinical outcomes measurement and health care policy. Dr. Braddock joined Medica in 2016 where she is a Medical Director responsible for quality and provides clinical leadership to the government programs area.

Prior to her current role with Medica, she served in leadership positions at Optum, Gillette Children’s Specialty Healthcare and Children’s Hospitals and Clinics of Minnesota. Dr. Braddock is passionate about using data to drive public policy, for developing organizations, and for improving the health of patients, families, and communities.

Dr. Braddock earned her medical degree at the University of Missouri-Columbia, completed her residency in pediatrics at the University of Texas Medical Branch in Galveston, Texas and has a Master’s of Public Health degree from Johns Hopkins Bloomberg School of Public Health.

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New Report Shows Health Care Disparities Persist, Changes Deliver Improved Health Outcomes to Some

Adults and children enrolled in Medical Assistance and MinnesotaCare receive certain cancer screenings, immunization and care for asthma, depression and diabetes less frequently than Minnesotans who have private or employer-based health insurance, according to a report published by MN Community Measurement (MNCM) with the Minnesota Department of Human Services (DHS). A difference between populations, or groups of people, in either access to care or health outcomes indicates that there is disparity.

The 2016 Health Care Disparities Report shows public program enrollees were 19 percent less likely to receive colorectal cancer screening; 16 percent less likely to be screened for breast cancer; 15 percent less likely to receive optimal diabetes care; 12 percent less likely to achieve childhood immunization status and children age 5-17 were 12 percent less likely to receive optimal asthma control when compared to those with private health insurance.

“This report highlights that there is still significant room for improvement to reduce health care disparities,” said Jim Chase, MNCM President.

The 2016 Health Care Disparities Report provides health care performance rates for patients enrolled in Minnesota Health Care Programs (MHCP) including Medical Assistance and MinnesotaCare. Patients enrolled in MHCP represent a population considered at-risk and include a high number of persons of color, American Indians, persons with disabilities and elderly adults. By using MHCP enrollment as a proxy for socioeconomic status, this report evaluates health care disparities that exist as a result of socioeconomic status.

The 2016 Health Care Disparities Report link: mncm.org/health-care-disparities-report

Improved Health Outcomes

Despite the gaps, Minnesota patients have seen improved health outcomes in most areas measured since the first Health Care Disparities Report was issued ten years ago.

The statewide average for public program enrollees receiving childhood immunization is now 71 percent and has increased 22 percent since first reported in 2007. The statewide average for public program enrollees receiving appropriate testing for pharyngitis, commonly called sore throat, is now 90 percent and has increased 18 percent since first reported in 2007.

Five measures showed statistically significant improvement between 2015 and 2016, including Optimal Asthma Control for Children; Childhood Immunization Status; Colorectal Cancer Screening; Appropriate Testing for Children with Pharyngitis and Appropriate Treatment for Children with Upper Respiratory Infections.

Above Average Medical Groups

All 12 measures in the report are examined at a statewide and medical group level. Medical groups with rates greater than the state average for MHCP patients are noted as above average. For example, Fairview Health Services is listed above average on nine separate measures.

“Fairview is committed to quality health care for all,” said Valerie Overton, DNP, FNP-BC, Vice President Quality and Innovation at Fairview. “We have a two-pronged approach to reducing disparities. The first is to ensure highly reliable processes that deliver quality to every patient with every interaction. The second is to continue our journey to fully understand various populations and individuals. We are using this understanding to customize care approaches when needed to deliver great health care outcomes for all our patients.”

 

“Both the journey to ensure highly reliable processes and to thoroughly understand our various populations takes time and growth for us as an organization,” added Overton. “MN Community Measurement has been a great partner by bringing clarity on health disparities through this report.”

Report Context

In 2016, more than 900,000 Minnesotans received health care coverage through Medical Assistance or MinnesotaCare programs overseen by DHS.

Due to the at-risk nature of the MHCP patient population, the Minnesota State Legislature directed DHS in 2005 to establish a performance reporting and quality improvement system for medical groups and clinics providing health care services to patients enrolled in the managed care component of MHCP. The inaugural Health Care Disparities Report was released in 2007, evaluating care provided in 2006, and was the first in the nation to include local level information that was actionable for medical groups and clinics.

This report supplies objective data and brings accountability to medical groups and clinics, allowing them to reflect on their own results and identify areas for improvement within their systems.

“Our mission is to drive substantial health care improvement and reduce gaps in care more quickly for Minnesota’s most vulnerable patients,” said Chase. “Measures help us understand where we are, and where we want to be.”

About Us: 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.

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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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Julie Sonier named new President of MN Community Measurement

MN Community Measurement (MNCM) today announced that Julie Sonier has been named President of MNCM. Sonier is only the second person to lead MNCM and will succeed current MNCM President Jim Chase who announced in October 2016 that he would step down in 2017.

“Julie Sonier is very familiar with our work, having served on the Board, and she comes to MN Community Measurement with a wealth of strong relationships and immense respect within the community,” said MNCM Board Chair Tim Hernandez, MD. “Julie will lead MN Community Measurement into its next decade and bring new vitality to our efforts to accelerate the improvement of health at an important time of change in our health care system. We are excited about having Julie join us, and at the same time we will miss Jim.”

Sonier is scheduled to begin May 1. Chase will continue to serve MNCM through April 28.

“I look forward to this opportunity to deliver and demonstrate value to our partners and the community,” said Sonier. “MN Community Measurement is one of the best examples nationally of the power of collaboration among stakeholders from across the health care spectrum to achieve results that none could achieve alone.”

Sonier brings nearly 20 years of experience working to improve health care in Minnesota. She has in-depth knowledge of the health care financing and delivery systems, as well as the state and federal policy landscapes and their associated challenges and opportunities. She has a reputation as a knowledgeable, trustworthy, creative and thoughtful leader in Minnesota’s health policy community.

Prior to MNCM, Sonier served as Director of Minnesota’s State Employee Group Insurance Program, where she worked with labor unions, health plans, other employers, state agencies, state policymakers and others on initiatives to improve health and health care through the design of insurance benefits and value-based health care purchasing. She served as lead staff for Governor Tim Pawlenty’s Health Care Transformation Task Force in 2007-2008 which brought together stakeholders from across the health policy community in Minnesota to develop nation-leading initiatives aimed at improving health care cost, quality and access. She has served as Deputy Director of the State Health Access Data Assistance Center at the University of Minnesota and as State Health Economist/Health Economics Program Director for the Minnesota Department of Health. Sonier has a MPA in economics and public policy from the Woodrow Wilson School of Public and International Affairs at Princeton University in Princeton, NJ and a BA in economics from Amherst College in Amherst, MA.

MNCM started as a pilot project in 2003 to share diabetes care outcomes at medical groups across the state. In 2004, MNCM released its first public quality report. The report provided information about care in areas such as asthma, diabetes, breast and cervical cancer and well child visits. In 2006, MNCM became the first in the nation to use electronic medical records to collect health care quality measures from clinics across the state.

“MN Community Measurement is in a strong and respected position because of the leadership of Jim Chase for more than a decade,” said Dr. Hernandez.

During his tenure at MNCM Chase has led numerous initiatives, including development of more than 70 measures used by health plans, medical groups, consumer organizations and policy makers across the state. MNCM collects information on quality and patient experience from more than 1,500 clinics, 500 medical groups and 135 hospitals and reports on health care quality, cost, health equity, and health care disparities through its public reporting website MNHealthScores.org. MNCM has led the country in use of patient reported outcome measures. The National Quality Forum, considered the gold standard for health care measurement in the United States, has endorsed nine MNCM measures for conditions including knee replacement, spine surgery and care for diabetes, depression, asthma and heart and arteries.

“MN Community Measurement has a solid foundation to continue to lead towards better value in health care especially as organizations move towards greater transparency around quality and cost,” said Dr. Hernandez.

About Us: 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.

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Applications Sought for the Measurement and Reporting Committee

MNCM’s Measurement and Reporting Committee (MARC) has an opening for a new member effective immediately.

A member is being sought for the following positions:

♦  Medical Group – Non-Metro (one opening)

This individual will replace someone who resigned from MARC due to retirement. 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.

Learn more about MARC membership and the application and nomination process
The Measurement and Reporting Committee (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.

MNCM is very interested in recruiting new members, so a variety of community stakeholders are represented and have an opportunity to serve on this important committee.

This committee meets monthly. Members are required to attend and actively participate in at least 75 percent of meetings. In-person attendance is encouraged to facilitate the best group dynamic, and phone conference attendance is available. 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.

Please email this application to Anne Snowden; MNCM Director of Performance Measurement, Validation and Reporting, at snowden@mncm.org by the close of business on Friday, April 14, 2017.

After the application nomination period has closed, MNCM staff will convene a committee to review nominations and appoint the new member with a goal to appoint the new member by the end of April, after which all nominees and the person selected as a new member will be notified.

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Registration Open for MNCM Annual Seminar 2017

Join your colleagues in quality measurement, quality improvement, patient care, cost containment and a diverse network of health and community leaders for a day of educational speakers and meaningful discussions at the MN Community Measurement (MNCM) Annual Seminar 2017.

Measuring the Path to Better Outcomes, the MNCM Annual Seminar 2017, will take place on Wednesday, September 13, 2017 at the Earle Brown Heritage Conference Center, just north of Minneapolis in Brooklyn Center. Session and featured speaker details coming soon.

Registration
Early registration rate is $275.00 (REGISTER TODAY!)
Standard registration rate increases after July 14, 2017 to $325.00.

We hope to see you September 13!

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March 15 Deadline for 2017 Health Information Technology (HIT) Ambulatory web survey

The 2017 Health Information Technology (HIT) Ambulatory web survey is closing March 15, 2017. This survey is an annual reporting requirement established in the Minnesota Statewide Quality Reporting and Measurement System by the Minnesota Department of Health. All Minnesota physician clinics must complete the HIT Ambulatory Clinic Survey annually.

Instructions for completing the survey were sent by email on February 15. MNCM has also posted a PDF version of the survey in two locations: under the “Resources” tab in the Data Portal and on the MNCM website at 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.

Additionally, here is the link to the web survey: https://www.surveymonkey.com/r/HITSurvey2017

To comply with state requirements, please complete the web survey as soon as possible.

Contact MNCM support staff at support@mncm.org or 612-746-4522 with any questions.

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Hassan Jones Joins MN Community Measurement Board

MN Community Measurement is pleased to announce Lynn Hassan Jones, MD, as its newest board member. Dr. Hassan Jones is a physician, board certified in diagnostic radiology with musculoskeletal fellowship training, and is Co-Director of MRI at Mankato Clinic in Mankato, Minnesota. Mankato Clinic is a physician-owned multispecialty clinic recently celebrating its 100th year anniversary.

In more than 20 years of medical practice, she has worked in both rural and urban settings in Minnesota and Wisconsin. Dr. Hassan Jones served a three year term on University of Minnesota Medical School Admissions Committee and has served on the University of Minnesota Medical School interview and scholarship committees and on the Health Disparities Committee of the Minnesota Medical Association.

A lifelong resident of Minnesota, Dr. Hassan Jones was born in Minneapolis and graduated from Macalester College in Saint Paul and the University of Minnesota Medical School in Minneapolis. She is a member of the American College of Radiology, Radiologic Society of North America and Minnesota Radiologic Society.

Outside of her time at Mankato Clinic, Dr. Hassan Jones splits her time between Minnesota and Champaign, Illinois where her husband Robert Jones, PhD, is currently serving as Chancellor of University of Illinois at Urbana-Champaign. Together they have five children and three grandchildren.

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Vaughn Joins MN Community Measurement Board

MN Community Measurement is pleased to announce Melissa Vaughn as its newest board member. Vaughn is Director of Employee Health & Wellness for The Schwan Food Company. Her role includes overseeing strategy, design and implementation of the Employee Health & Wellness program for 12,000 employees and their families. The Schwan Food Company has been recognized numerous times for its health and wellness efforts. The company was named as one of the “Healthiest Employers of the Twin Cities Area” by the Minneapolis/St. Paul Business Journal, and ComPsych recognized the company as a Silver Award winner of the 8th Annual Health at Work Awards. The company was also named a finalist in Minnesota Business Magazine’s Leaders in Health Care Awards for Worksite Wellness Programming.

Vaughn also serves on the Wellness & Human Performance Center Advisory Council for Southwest Minnesota State University in Marshall, Minnesota.

Vaughn received her master’s degree in Exercise Physiology from the University of Northern Colorado.

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MNCM Application to Become CMS Registry under Initial Review: Would Assist in MIPS Quality Payment Programs

MN Community Measurement (MNCM) has submitted an application to become a Qualified Clinical Data Registry with the Centers for Medicare & Medicaid Services (CMS). The application is in the initial review status that is standard for this type of application.

Presently, submitting to MNCM has allowed clinicians to attest they are meeting some of their CMS meaningful use requirements. With some modifications to our system, making this transition as a MIPS registry is feasible and a natural next step.

MNCM has several measures that are NQF endorsed and currently used in Federal programs such as the Physician Quality Reporting System. Several MNCM developed measures have a CMS QPP (Quality Payment Program) number and can be used locally and nation-wide. Additionally, data elements from the Diabetes (A1C) and Vascular (Ischemic IVD) measures also have a QPP number. A complete list of MNCM measures with their corresponding QPP numbers can be viewed at this link: mncm.org/mncm-becoming-a-cms-registry-to-assist-in-mips-quality-payment-programs

MNCM is pleased with the progress made so far, and will be providing further detail regarding the registry process and programmatic details. Stay tuned!

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Health Care Quality Report Shows Increases in Teen Mental Health Screening and Immunizations for Adolescents

Health Care Quality Report Shows Increases in Teen Mental Health Screening and Immunizations for Adolescents

The number of Minnesota teens receiving a mental health screening increased between 2015 and 2016. Likewise, the number of Minnesota adolescents receiving recommended immunizations also increased from the previous year. These findings, and results of more than 30 individual clinical quality measures, are part of a new report published March 2 by MN Community Measurement (MNCM).

The annual MNCM Health Care Quality Report, now in its 13th edition, compares clinic, medical group and hospital performance on clinical measures related to preventive and chronic care, hospital care and health information technology. An objective of the Health Care Quality Report is to provide reliable information to support medical group quality improvement. An equally important objective is greater health care transparency by sharing results with the public at-large.

The report is at www.mncm.org/health-care-quality-report

“This report provides valid and reliable information to help consumers make informed decisions about their health care,” said Jim Chase, MNCM President. “This report also contains actionable, reliable and comparable information for providers to use in their efforts to improve patient care and outcomes.”

Examples of Health Care Quality Report results:

  • The statewide screening rate for Teen Mental Health Screening increased from 40 percent in 2015 to 64 percent in 2016. This is a 24 percentage point increase in adolescent patients receiving mental health and/or depression screening at a well-child visit. This means that 64 out of 100 youth ages 12 through 17 were screened for depression and other mental health conditions at their well child exams. The Teen Mental Health Screening measure notes how many patients age 12 through 17 were screened for social, emotional and behavioral disorders by their primary care provider at a well-child visit.
  • The statewide rate for Immunizations for Adolescents increased from 75 percent in 2015 to 85 percent in 2016. This is a 10 percentage point increase in adolescents receiving immunization. This means 85 of 100 adolescents had their meningococcal and either Tdap or Td vaccines by their 13th birthday. This measure is calculated both on a statewide basis as noted above, and also an average of all medical groups reporting. The rate of Immunizations for Adolescents by all reporting medical groups, and reported on MNHealthScores.org, is 87 percent. The Immunizations for Adolescents measure shows how well Minnesota health care providers performed in keeping adolescents current on meningococcal (meningitis) and either Tdap (tetanus, diphtheria and pertussis) or Td (tetanus and diphtheria) vaccines.

“These results show that when Minnesota providers focus on a particular area, there can be a substantial positive impact,” said Chase.

Additional Health Care Quality Report key results

Two clinical measures showed noticeable improvement in their statewide rates:

  • Pediatric Preventive Care: Overweight Counseling – The statewide rate increased from 85 percent in 2015 to 89 percent in 2016.
  • Optimal Asthma Control – Adults – The statewide rate increased from 52 percent in 2015 to 55 percent in 2016.

Thirteen other clinical measures showed some small improvements in their statewide rates. Measures with increases or noted improvement include Childhood Immunization Status (Combo 3); Chlamydia Screening in Women; Appropriate Testing for Children with Pharyngitis; Appropriate Treatment for Children with Upper Respiratory Infections; Colorectal Cancer Screening; Breast Cancer Screening; Use of Spirometry Testing in the Assessment of Chronic Obstructive Pulmonary Disease; Follow-up Care for Children Prescribed Attention Deficit Hyperactivity Disorder (ADHD) Medication; Total Knee Replacement pre-op and post-op; Spinal Surgery Discectomy/Laminotomy Functional Status; Spinal Surgery Discectomy/Laminotomy pre-op and post-op; Spinal Surgery Lumbar Fusion pre-op and post-op and Maternity Care: C-Section Rate.

Six medical groups achieved rates that were above average for a cluster of primary care measures. Julie Gerndt, MD, is Chief Medical Officer at Mankato Clinic and was not surprised that Mankato Clinic was among the high performing medical groups across Minnesota.

“We expected to do well based on the commitment we made as an organization several years ago to redesign our care model for better patient outcomes,” said Dr. Gerndt. “That work is paying off.”

Park Nicollet Health, HealthPartners Clinics, Mankato Clinic, Stillwater Medical Group, Fairview Health Services and Allina Health each achieved above-average rates on at least half of the primary care clinical measures.

“These results validate that if you keep working at this over time and make it a priority, you can have an impact,” said Dr. Gerndt.

The Health Care Quality Report is organized for ease of use to both the clinician and the public at-large. The report contains easy to read tables for specific conditions or procedures, grouped by large and moderate improvement, increase or decrease. Trends are noted where a trend exists. More than 300 medical groups and 1,600 clinics are registered to submit data to MNCM. The annual Health Care Quality Report is a compilation of all measures publicly reported by MNCM during the year. Individual medical group results are also available year-round at MNHealthScores.org.

About Us

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.

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