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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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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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Broich Joins MN Community Measurement Board

MN Community Measurement is pleased to announce Cara Broich, RN, CPHQ, has joined the MNCM Board of Directors. Cara is the Director, Quality Improvement & Credentialing at Medica. In this role, she leads program development, management and administration of Medica’s quality and safety programs including NCQA accreditation, HEDIS data collection and clinical improvement, Medicare Stars, Quality of Care investigations and provider credentialing. In addition, she is directly involved in the Risk Adjustment program for both Medicare and ACA markets. Cara is an active member of the University of Minnesota Adult Patient Advisory Board. Prior to the health insurance industry, Cara was employed as a Cardiovascular Intensive Care unit nurse.

Cara has been involved with MN Community Measurement since its inception. She was a member of the first MN Community Measurement Reporting Advisory Committee (MARC) as well as the Asthma, Total Knee Replacement and Low Back Pain Measurement Development Groups. She is a current member of the MARC and also the Measure Review Subcommittee. Cara is a past member of the NCQA Health Plan Advisory Board and the Minnesota Department of Human Services Immunization and Pregnancy Sub-group.

In her spare time, Cara enjoys spending time with her husband and daughter, traveling, gardening and researching her family history. Cara volunteers at Providence Academy providing health screening exams for their student population. Cara has a Bachelor of Arts degree in Nursing from Gustavus Adolphus College and is a Certified Professional in Healthcare Quality.

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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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Shantanu Agrawal of the National Quality Forum Keynote at MNCM Annual Seminar

MN Community Measurement has announced that Shantanu Agrawal, MD, President and CEO of the National Quality Forum will be a featured keynote 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.

Shantanu Agrawal, MD, MPhil, is president and CEO of the National Quality Forum (NQF). A board certified emergency medicine physician who has worked in both academic and community settings, Dr. Agrawal is the former deputy administrator for the Centers for Medicare & Medicaid Services (CMS) and director of one of its largest centers, the Center for Program Integrity (CPI).

At CMS, Dr. Agrawal led an effort to improve the physician experience with Medicare by working to minimize the administrative tasks with which doctors contend. He also was one of the main architects of CMS’s strategy and action plan to address the national opioid misuse epidemic. His main focus at CPI was improving healthcare value by lowering the cost of care through the detection and prevention of waste, abuse, and fraud in the Medicare and Medicaid programs. From 2012 through 2014, CPI’s prevention efforts saved Medicare and Medicaid $42 million.

Dr. Agrawal previously served as CPI’s chief medical officer and was instrumental in launching new initiatives in data transparency and analytics, utilization management, assessment of novel payment models, and stewarding a major public-private partnership between CMS and private payers, the Health Care Fraud Prevention Partnership.

Dr. Agrawal has testified numerous times before Congress and is a frequent national speaker on healthcare and cost. He is a well-published author with articles in Journal of the American Medical Association, New England Journal of Medicine, Annals of Emergency Medicine, among others.

Prior to joining CMS, Dr. Agrawal was a management consultant at McKinsey & Company, serving the senior management of hospitals, health systems, and biotech and pharmaceutical companies on projects to improve the quality and efficiency of healthcare delivery. He also worked for a full-risk, capitated delivery system as its leader for clinical innovation and efficiency.

Dr. Agrawal completed his undergraduate education at Brown University, medical education at Weill Medical College of Cornell University and clinical training at the Hospital of the University of Pennsylvania. He has a master’s degree in social and political sciences from Cambridge University.

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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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