1. Minnesota Measurement and Pay for Performance
Jim Chase
Pay for Performance Conference
MiniSummit I
February 28, 2008
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2. 2007 Health Care Quality Report
Reports on 14 quality measures
Reports results on 128 medical systems
73 multi-specialty groups
34 single-specialty groups
21 urgent/convenience care
Over 90% of Minnesotans get their care from these providers
Quality ratings posted on Web site Nov. 1
Full report will be available on Nov. 15
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3. Impacts of Public Reporting and P4P
Measures are being imbedded in clinical practice
Results are being used for clinic promotion and marketing
Call for alignment
Improve the measures
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5. Direct Data Submission Advantages
All patients represented
Faster results
Site level reporting
Increased provider confidence in data
Used with electronic or paper records
New measures available
A non-profit organization formed by all of Minnesota’s health plans and the Minnesota Medical Association
MN Community Measurement’s mission is to improve the quality of care provided to patients by Minnesota’s provider groups. MN Community Measurement does this by monitoring and reporting the provider groups’ performance on a variety of measures that our medical community has agreed are important.
MN Community Measurement was recognized as a leader in health care quality improvement through measurement and reporting in recent visits to Minnesota by U.S. President Bush and U.S. Secretary of Health and Human Services Michael Leavitt, and in a recent speech by Minnesota Governor Tim Pawlenty, and through a major grant from the Robert Wood Johnson Foundation.

7. Direct Data Results Wider range of results by site
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Rewards Threshold
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11. How do DDS results compare to the health plan method?
There are slightly different measurement specifications
Only data from that group
All population not just managed care population
DDS results slightly higher, but explained by self selection of the groups
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12. Comparison of Results by Method
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13. Are We Where We Want to Be in Diabetes Care?
Optimal Diabetes Care: all cardiovascular measures at target
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Next Steps
More support for clinical data collection
Participate with other regions
Redesign payment
Redesign care
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15. Questions or Comments chase@mnhealthcare.org Jim Chase
Executive Director, MN Community Measurement
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