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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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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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