MN Community Measurement (MNCM) has released a new report highlighting quality of care for chronic conditions. The report, “Quality of Care for Chronic Conditions,” presents data collected by MNCM in 2018 on quality measures for chronic disease care, including comparisons by medical group and clinic.
Key Findings of the Report
While Minnesota has some of the best health indicators in the country, measurement results show a pattern of wide variation in health care quality overall and significantly different outcomes among some patient populations. Key findings of the report include:
- Statewide results for all chronic condition measures have been relatively stable over the last three years but show continued room for improvement. See page 8 of the report.
- Rates are, on average, significantly better for patients with chronic conditions who live in metro areas. For example, patients with asthma who live in small town or rural areas have the lowest rates. See page 10 of the report.
- In general, measures of how well chronic conditions are managed mostly improve with age. For example, the highest rates occur among people age 60 and older with ischemic vascular disease. See page 11 of the report.
- Outcome rates vary by race and Hispanic ethnicity. In general, rates for diabetes vascular and asthma are lower for American Indians, African Americans, and Hispanics. See page 13 of the report.
The report also presents results by gender and language.
The measures were developed or selected for their potential to reduce the modifiable risks and complications associated with these conditions. National and state statistics illustrate the need for improvement in care.
- Roughly 151 million adults in the United States are physically, emotionally, and financially affected by chronic disease.
- 60 percent of adults in the United States have a chronic disease and 40 percent of adults have two or more. This number is predicted to increase rapidly in future years.
- Chronic diseases such as diabetes, heart disease, stroke, or cancer are leading causes of death and disability in the United States.
- In Minnesota, those diagnosed with chronic conditions accounted for 83 percent of all medical spending in the state in 2012, with an average of $12,800 in health care spending per person.
Although statewide rates have been relatively stable, the report also illustrates substantial variation across health care providers (page 9 of the report). MN Community Measurement President Julie Sonier says, “The reason we do this work is to provide health care decision makers with information that can be used to improve health outcomes. Many health care providers in Minnesota have been very successful in this effort, and we should look to spread these stories of success.”
Andrea Walsh, president and chief executive officer of HealthPartners, one of the highest performing medical groups across most measures in Minnesota, says that data drives progress.
“High quality care doesn’t just happen. It’s a continual process that’s guided by data to drive improvement and innovation across our system so that we can better serve patients,” she explains. “This report recognizes the work we’ve done to improve treatment of chronic conditions and pushes us to do better, especially our focus in reducing health disparities among diverse racial and ethnic communities.”
Read the full report.