MN Community Measurement
• Independent non profit 501c3 since 2004
• Multi stakeholder
• Mission is to accelerate the improvement of health by publicly reporting health care
information
• Users and Uses of Published Measures
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Medical Groups, Clinics, Hospitals
Health Plans
Consumers
Employers
Policy Makers
State of MN
Researchers
Advocacy Groups
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© 2015 MN Community Measurement. All Rights Reserved.
MN Community Measurement
• Risk Adjustment and Segmentation Committee
• The Risk Adjustment Sub-Committee of the MARC was formed in
2014 to implement risk adjustment with the current measures
and to create a framework for selection and study of future
variables.
• Continue to explore the feasibility and make recommendations
on which additional variables and/or measures should be
considered for future use in risk adjustment and segmentation.
• David Satin MD, Stefan Gildemeister, Sue Knudson, Mark Nyman MD,
Jeff Rank MD, Ann Robinow, Laura Saliterman MD, Nancy Garrett,
Dave Knutson, Jonathan Rose
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© 2015 MN Community Measurement. All Rights Reserved.
Risk Adjustment Framework and
Guiding Principles
• Adopted and Approved by MARC and BOD
• Criteria for Risk Adjustment Variables
• Clinical conceptual relationship
• Not confounded with quality of care
• Empirical association with outcome
• Contribution of unique variation
• Variation in prevalence across clinics/groups
• Data can be reliably and feasibility collected at reasonable cost
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© 2015 MN Community Measurement. All Rights Reserved.
15 Risk Adjusted Measures
Insurance
Age
Asthma (2)
X
Colorectal Cancer
Screening
X
X
Diabetes
X
X
Depression (6)
X
X
Maternity C-Sec
X
X
Severity
Diabetes
Type
BMI
Pre Op Status
X
X
X
Knee Surgery
X
Spine Surgery (2)
X
Vascular
X
X
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© 2015 MN Community Measurement. All Rights Reserved.
Race, Ethnicity, Language,
Country of Origin
• Community based initiative in 2008
• Voluntary collection process in 2010 and on going
• Only use Best Practice data
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Patients allowed to self-report RELO
Patients allowed to decline participation
Patients allowed to select one or more races
Medical groups able to capture and report more than one race
Race defined by Office of Management and Budget
• Segmentation
• Equity of Care report
• 2015 State, Regional
• 2016 State, Regional and Medical Group
• Risk Adjustment
• Initial evaluation for public reporting by MNCM underway
© 2015 MN Community Measurement. All Rights Reserved.
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