uncovering opportunity, informing change: the role of...
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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