Uncovering Opportunity, Informing Change: The Role of MNCM

Julie Sonier, PresidentMN Community Measurement

September 12, 2018 1

© 2018 MN Community Measurement. All Rights Reserved.

MN Community Measurement: Who We Are and What We Do

Multi-stakeholder collaborative

Physicians

Hospitals and health systems

Health plans

Employers

Consumers

State government

Activities

Develop

Collect

Analyze

Report

Types of data

Quality

Cost

Patient Experience

Disparities

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© 2018 MN Community Measurement. All Rights Reserved.

MNCM Context and History

Working together to agree on

measurement priorities

Reducing fragmented,

conflicting, and duplicative efforts

Combining data to get more reliable and stable results

Creating a common, trusted

source of information

Making data transparent

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MNCM grew out of the idea that everyone benefits from:

© 2018 MN Community Measurement. All Rights Reserved.

Our Work Continues to Evolve

Some examples:• Incorporating socioeconomic status into risk adjustment

of quality measures• Reducing the burden of data reporting• Streamlining data feeds to reduce fragmentation and

increase actionability• Re-designing reports to be more accessible to wider

audiences• Helping to shape national efforts to measure quality and

cost4

© 2018 MN Community Measurement. All Rights Reserved.

Risk Adjustment

Adjust for differences in

patient populations

Maintain transparency

of actual outcomes

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“Actual to Expected” Method

© 2018 MN Community Measurement. All Rights Reserved.

Impact of Adjusting for SES: Diabetes Care Example

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© 2018 MN Community Measurement. All Rights Reserved.

Reducing Burden of Data Reporting: Streamlined Quality Data Submission (SQDS)

• Goals:• Streamline submission and validation processes – reduce

provider burden• Multiple approaches for data submission – not one size fits all• Produce more timely results/benchmarking for QI purposes

Phase IEvaluate

Phase IIDevelop

Phase IIIBuild

Phase IVImplement

• Evaluate current state

• Business requirements

• Work plan• Procurement

• Application Development

• Infrastructure build• Testing

• Implement• Learn

Where we are now – 18 medical groups volunteered to pilot test

© 2018 MN Community Measurement. All Rights Reserved.

Multi-Stakeholder Data Solutions

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Goals

• Reduce fragmentation of information received by providers, • Reduce duplication of effort, • Increase availability of timely and actionable information.• Build on core MNCM strength as trusted source of data for health care

quality and cost, and as a forum for collaboration that improves efficiency and value.

Environmental Scan/Assessment

• All stakeholders share the common goals of improving population health management, quality, and affordability

• Common desire to improve usefulness and actionability of data

Next Steps

• Specific options – what, who, how

© 2018 MN Community Measurement. All Rights Reserved.

Collaboration is the Key• Our work is better when

it is informed by the full range of stakeholder perspectives

• We need stakeholder input to figure out the best ways to move forward and fulfill the promise of collaboration

• We live in a world that is constantly changing

• The voices of stakeholders are more important than ever 9