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Save the Date – 9.13.17 – for the 2017 MNCM Annual Seminar

Get your datebook, update your smartphone and sync your calendar to “Save The Date” of Wednesday, September 13, 2017, for the MN Community Measurement (MNCM) Annual Seminar.

Plans are underway to build upon the successful 2016 MNCM Annual Seminar (remember Ann Bancroft) and deliver a series of speakers, interactive discussions, networking and professional development opportunities for a wide swath of quality measurement advocates and implementers.

This one-day annual educational event will once again occur at the Earle Brown Heritage Center, just a few miles north of downtown Minneapolis in Brooklyn Center, MN. Stay tuned for additional details about the 2017 topics and featured speakers.

Save the date, September 13, 2017. See you there!

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MN Community Measurement Seeks to Become Qualified CMS Registry to Assist with Clinic MACRA Medicare Quality Payment Program Needs

MN Community Measurement (MNCM) is in the process of becoming a CMS qualified registry so that clinics currently submitting data to MNCM on existing MNCM measures can meet their Federal needs to submit results for at least six quality measures* for 2017 performance period for the Merit-based Incentive Payment System (MIPS). MNCM has several measures that are NQF endorsed and currently used in Federal programs such as the Physician Quality Reporting System (PQRS).

Three of the MNCM depression measures and the asthma measure are in MIPS. The components of the diabetes (AIC component) and vascular (aspirin component) measures as well as the colorectal cancer screening measure are also included in MIPS and can be calculated from data currently submitted to the MNCM Data Portal. Other MNCM NFQ endorsed measures are also in the process of being evaluated for MIPS eligibility for Minnesota providers. Much of the work done by the Minnesota community on patient reported outcome measures, such as in depression or post procedural change in function, will become increasingly more important in MIPS. MNCM will be providing more information throughout the first quarter of 2017. Stay tuned!

* The minimum number of measures required in 2017 is six and includes two outcome measures.

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Graves Joins MN Community Measurement Board

Bentley GravesMN Community Measurement (MNCM) welcomes Bentley Graves as its newest board member. He is Director of Health Care and Transportation Policy at the Minnesota Chamber of Commerce.  Graves worked for nearly eight years on Capitol Hill in Washington, DC. His policy experience includes work on small business concerns, health care, transportation, taxes, education, foreign affairs, defense, and federal appropriations. Graves graduated cum laude from Hillsdale College in Michigan with a degree in Political Economy, is a member of the Consumer and Small Employer Advisory Committee of MNsure, the state’s health insurance exchange, and a member of the Advisory Panel for Own Your Future, an initiative designed to help Minnesotans prepare for their Long Term Care needs.

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MN Community Measurement Publishes 2017 Measures

MN Community Measurement (MNCM) has published the Slate of Measures for Public Reporting in 2017. The complete list can be found on the MNCM website (www.mncm.org) and this link.

The annually updated listing of ambulatory and hospital measures was approved by the MNCM Measurement and Reporting Committee (MARC) and the MNCM Board of Directors in December 2016.

One measure was retired, Appropriate Testing for Children with Pharyngitis.

Five measures will be evaluated in 2017 for potential retirement. The five measures to be considered for retirement are Appropriate Treatment for Children with URI (HEDIS measure), Follow-up Care for Children Prescribed ADHD Medication (HEDIS measure), Use of Spirometry Testing in Assessment and Diagnosis of COPD (HEDIS measure), Maternity Care C-Section Rate (DDS measure) and Pediatric Preventative Care Overweight Counseling (DDS measure).

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Minnesota health and medical experts cite greatest concerns — and hopes — for 2017

On January 3, 2017, MinnPost published an article titled, “Minnesota health and medical experts cite greatest concerns — and hopes — for 2017.” In the article, several health and medical experts including Jim Chase, MN Community Measurement President, were asked to answer the following question: With a new administration taking over the White House, what is your greatest concern for your particular corner of the health/medical field in the coming year? What is your greatest hope?

“2017 will be a time of great opportunity to improve our health system. We can adopt a more efficient enrollment and purchasing system for people with high risks and those who need subsidies. We can expand payment methods that focus on patient outcomes and encourage less waste on treatments with marginal benefits. We can agree on better performance metrics across payers so we reduce the administrative burden on doctors while expanding transparency about their results. We can do more to reduce health disparities by race and income by providing more information that helps address both the social and care difference that cause these disparities.  The greatest risk is people waiting to see what happens in Washington and not taking the actions we know have worked to give Minnesotans better care: focusing on patient and community needs, testing new processes and partnerships to improve outcomes, and sharing information on results.” — Jim Chase, president of Minnesota Community Measurement

The full MinnPost article can be read at this link.

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New report seeks to better understand the cost of care at Minnesota medical groups

New report seeks to better understand the cost of care at Minnesota medical groups

A new report from MN Community Measurement (MNCM) highlights the significant variation of costs across medical groups in Minnesota and examines the drivers that impact and influence health care costs.

“The continued rise of health care costs and the burden this places on families, businesses and the community makes it critical for medical groups and the community to work together,” said Jim Chase, MNCM President. “This is our endeavor in this new report.”

The 2016 Cost & Utilization Report features analysis and comparative data on medical group performance in Total Cost of Care (TCOC), which includes all costs associated with treating commercially-insured patients, including professional, facility inpatient and outpatient, pharmacy, lab, radiology, behavioral health and ancillary costs. MNCM posted total cost results in the fall on MNHealthScores.org. New in this report is information that breaks out the total cost into price and utilization.

This report shows the variation or difference in total cost by medical group. Further, the report shows how much of the variation was due to the amount medical groups were paid relative to others and how much was due to the utilization or use of services. The report also contains more detailed utilization measures such as the rate of admissions, emergency room visits, office visits and pharmacy use, using the same patients and time period as TCOC.

For example, the 2016 Cost & Utilization Report shows that depending on where you go for care:

  • A strep test can range from $8 to $101
  • Total Cost of Care can range from $365 to $914 per month on a risk adjusted basis
  • Amount of resource use for a patient ranges from 22 percent below average to 33percent above average, after accounting for patient risk
  • Emergency room use (utilization of ER as a health care service) ranges from 37 percent less than expected to 104 percent more than expected, after accounting for patient illness

A goal of the 2016 Cost & Utilization Report is to help medical groups better identify opportunities to reduce costs for their patients. The report helps evaluate the categories of care that are driving the majority of providers’ costs and the medical groups can then take actions to reduce their costs and provide more efficient care. The report helps consumers make informed decisions on where to receive care. Further, the report can be used by health plans, employers, and policy makers, all of whom have a stake in addressing the challenges of rising health care costs.

The 2016 Cost & Utilization Report includes a suite of measures which encompasses 119 separate measures of cost and utilization to give a comprehensive view of the drivers of health care costs.

The 2016 Cost & Utilization Report provides insight into individual procedure costs (Average Cost per Procedure chapter), statewide and regional views into total cost of care (TCOC chapter), along with newly published perspective on the resources used (Resource Use and Price Index chapter) and the utilization of health care (Utilization Ratios chapter). When possible, this report displays information on these measures statewide, regionally, and by medical group for ease of analysis.

Reviewed and considered as a whole or individually by chapter, these measures provide unique insight into tracking, comparing and taking actions to manage and reduce health care costs.

The results of these measures are based on 2015 health insurance claims of more than 1.5 million commercially-insured patients enrolled with four Minnesota health plans: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica and PreferredOne.

View the current, and previous MNCM cost of care reports here.

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Become a MNCM Sponsoring Member Today

As your organization looks at its end of the year giving and the selects organizations to support and partners with, we hope you’ll keep MN Community Measurement (MNCM) in mind. By joining MNCM as a Sponsoring Member, your organization will help further the improvement of health through measurement and public reporting.

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. In the coming year, MNCM will continue to convene key stakeholders to evaluate, discuss and achieve consensus on a variety of measurement and reporting initiatives on quality, cost, patient experience and health equity. At the same time, MNCM committee members, board members and staff are seeking additional alignment of national and local measurements.

Join MNCM today! Become a Sponsoring Member today.

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 measurement development workgroup participation and other feedback opportunities
  • Discounted rates on our annual one-day seminar
  • Recognition on MNCM.org and access to member-only webinars

With the help of Sponsoring Members like you, we 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 strub@mncm.org or 612-454-4827.

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Planning for the Future: MACRA and MIPS

Today, MN Community Measurement (MNCM) assists the community with local reporting requirements as well as several federal requirements involving PQRS, meaningful use attestation and NCQA requirements.

One certainty for the New Year, is that MNCM will remain a trusted partner and will help providers meet their requirements. More to come in 2017, so stay tuned!

To learn more information about what is on the horizon for 2017, contact support@mncm.org.

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Sign up Today – Make MNCM your PQRS Partner

MN Community Measurement has been – and continues to be – a trusted PQRS partner, ensuring seamless PQRS submissions for medical groups of a wide variety of sizes. Whether your medical group is returning or new to the process, contact MNCM today to discuss MNCM’s 2016-2017 Medicare Certified PQRS program.

Those who report satisfactorily for the 2016 program year will avoid the 2018 PQRS negative payment adjustment.

The submission period is fast approaching, with December kickoff meetings and January through February submission. Contact MNCM this month to get registered.

The Physician Quality Reporting System (PQRS) is a quality reporting program that encourages individual eligible professionals (EPs) and group practices to report information on the quality of care to Medicare.

Individual EPs and group practices who do not satisfactorily report data on quality measures for covered professional services are subject to a negative payment adjustment under PQRS. Note that program participation during a calendar year will affect payments after two years (i.e. 2016 program participation will affect 2018 payments). So act today.

The PQRS negative payment adjustment applies to all of the individual EP’s or PQRS group practice’s Part B covered professional services under the Medicare Physician Fee Schedule (MPFS).

Accordingly, individual EPs and group practices receiving a negative payment adjustment in 2016 (based on participation in 2014) will be paid 2.0 percent less than the MPFS amount for that service.

For 2017 and 2018 (based on participation in 2015 and 2016 program years), the negative payment adjustment is also 2.0 percent.

To learn more, and for those interested in participating in MNCM’s PQRS reporting program, please contact Tony Weldon at weldon@mncm.org.

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MARC Approves Recommendation to Publicly Report HEDIS Measure – Comprehensive Diabetes Care: Eye Exam

In November 2016, MNCM’s Measurement and Reporting Committee (MARC) approved a recommendation to publicly report the Comprehensive Diabetes Care: Eye Exam HEDIS measure in the 2018 report year (2017 dates of service) to align with federal programs (e.g., MACRA, Star Ratings) and NCQA accreditation.

This is an example of MNCM’s work to actively align measures to meet the current and future requirements for both clinicians and health plans.

This HEDIS measure reports the percentage of patients 18-75 years of age who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal or dilated eye exam (no evidence of retinopathy) in the 12 month prior the measurement period. This measure is not well suited to provider data collection as eye exams are often performed outside of a medical group’s system. The data for this measure will come from health plan claims which provide a much more comprehensive picture than the medical record alone. Minnesota-based health plans will collect the data and submit it to MNCM for aggregation and reporting. To confirm, data for this measure will not be submitted by medical groups through the direct data submission process as part of the Optimal Diabetes Care measure.

Additionally, results will be privately reported to medical groups in the 2016 report year (2015 dates of service).

For more information, contact support@mncm.org.

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MNCM Responds to Medical Group Survey Feedback

Each year, MN Community Measurement (MNCM) conducts a survey of our medical group stakeholders to gather feedback on the products and services we offer. In 2016, the survey was fielded in May. MNCM received responses from 132 medical groups, representing 48 percent of all registered groups.

Some of the medical group survey highlights include:

  • Two-thirds of respondents felt that MNCM measures were “well-aligned/aligned” locally and nationally
  • Nearly all respondents (94 percent) used MNCM measures in quality improvement initiatives
  • Medical group staff that interact most with MNCM (Data Analysts and Quality Improvement) rated MNCM customer service at 8.32 and 8.73 out of 10 points respectively. These customer service rates increased from 2015
  • On average, over 80 percent of respondents rated all MNCM data collection guides as “very helpful/helpful”

Medical groups were also able to provide open-ended comments. One theme emerged with medical groups indicating a strong interest in receiving registration and data collection guides sooner to help them better plan for upcoming data reporting. In addition, MNCM received multiple requests to open annual registration sooner as registration comes on the heels of Cycle A data reporting.

As a result, MNCM diligently updated all 11 data collection guides for 2017 by mid-November – this is on average 3-4 months earlier than last year. In addition, annual registration opened two weeks early (December 1).

MNCM sincerely appreciates the feedback received through the medical group survey and hopes that improvements made based on survey feedback enhance 2017 data reporting activities. Thank you to all who took the time to help improve this important effort.

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MNCM Health Equity Advisory Council Begins Work

Massey & Trajano to lead new MNCM workgroup

A new advisory council comprised of community-based organizations and health care representatives convened their initial meeting on October 10.  The Health Equity Advisory Council (HEAC) is co-chaired by Gaye Massey, Chief Executive Officer at YWCA St. Paul and Dan Trajano, MD, of Blue Cross and Blue Shield of Minnesota. The council is charged with providing advice to the MNCM Board of Directors on health equity measurement and reporting.

“Health equity, like patient safety, is both necessary and urgent,” said advisory council member Julia Joseph-DiCaprio, MD.

At the October meeting, the group reviewed the Health Care Disparities Report, the MNCM Health Equity of Care Report, sociodemographic data currently collected by MNCM such as Race, Ethnicity, Language and Country of Origin as well as opportunities to align with other community-based health disparities efforts.

HEAC members include co-chairs Massey and Trajano, Tesha Alston, Jennifer DuPuis, Renee Frauendienst, Bentley Graves, Jamie Gulley, Lynn Hassan Jones, Andrea Hillerud, Julia Joseph-DiCaprio, Mariam Mohamed, Ekta Prakash, Jonathan M. Rose, Patricia Ruiz de Somocurcio, Michelle Waste, Pahoua Yang and Marie Zimmerman.

Future meetings will include discussions on ideas for new variables associated with disparities.

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