Minnesota Department of Health selects the Institute for Clinical Systems Improvement to lead a statewide health care home learning collaborative.

• Total care reports for hospitals to be released to hospitals by June 15, 2011, with public reporting to occur beginning September 15, 2011
• Total care reports for clinics to be released to clinics by August 15, 2011, with public reporting to occur beginning November 15, 2011
• Condition-specific reports to be released to hospitals and clinics by September 15, 2011, with public reporting to occur beginning December 15, 2011

Minnesota departments of health and human services issue 2010 health care home update report to the Legislature.

CMS Advanced Primary Care Demonstration Project Minnesota was selected as one of eight states to participate in the Centers for Medicare & Medicaid Services Multi-Payer Advanced Primary Care Practice demonstration.
Second batch of HCHs was certified. MDH certified 26 additional health care homes. The new health care homes include 16 HealthPartners clinics, Bluestone Physician Services in Stillwater, SMDC Health System-Duluth Clinic, NorthPoint Health and Wellness in Minneapolis, North Suburban Family Physicians in Lino Lakes and Roseville, RiverWay Clinics in Andover, Anoka, and Elk River, and Fairview Health Services clinics in Maple Grove and Andover.

State releases first Quality Report MDH issues its report which includes risk-adjusted outcomes data for optimal diabetes care and optimal vascular care based on 2009 dates of service, plus 11 HEDIS measures based on 2008 dates of service. The report is divided into four regions and includes information on physician clinic and hospital measures for providers located in those regions.

MDH issues final administrative rules for 2011 quality reporting In addition to Optimal Diabetes Care, Optimal Vascular Care, and Health Information Technology, the final rule requires 2011 reporting for Colorectal Cancer Screening, Optimal Asthma Care, and Depression Care Measures. The rules also outline prospective reporting for patient experience in 2012 using the Clinician and Groups Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS). The final rule changes the definition of physician clinic to allow for smaller practices with multiple sites to consolidate reporting, exempts pediatric physician clinics and hospitals from submitting data on measures designed for adults if less than 10% of their population meets the measure criteria, and requires full population reporting beginning in 2012 for physician clinics which have an electronic medical record in place for a full measurement cycle.

See attached PDFs “Quality rule 101018” and “Quality measurement appendices 101129”

MDH proposes rules governing quality reporting for 2011 The MMA provided feedback to the Minnesota Department of Health to assure the measures and the reporting requirements were fair, reliable, and do not unduly increase administrative or financial burdens. See MMA comments from August 2010.

Final rule defining the 8 baskets of care is published:

• Asthma (children) - Management of asthma as a chronic disease
• Diabetes- Without co-morbidities
• Pre-Diabetes
• Low Back Pain - Management of acute episode of low back pain
• Obstetric Care
• Preventive Care (adults)
• Preventive Care (children) - Well child care, preventive care, normal newborn care
• Total Knee Replacement - preoperative through rehabilitation phase

MDH issues final administrative rules for 2010 quality reporting The final rules require all physician clinics to register annually with MDH and submit data for standardized clinical quality measures as identified on an annual basis (2010 measures were Optimal Diabetes Care, Optimal Vascular Care, and Health Information Technology). The rules also limited the ability of health plan companies to require providers to use or report quality measures that are not standardized quality measures, but allowed for health plan companies and providers to negotiate voluntary use and reporting of quality measures that are not standardized quality measures.

Grants awarded Health department awards grants to all 87 counties and eight tribal governments.

Focus areas:

• Increase affordability and access to healthy foods in communities and schools.
• Create and enforce tobacco-free policies in post- secondary institutions and worksites
• Increase capacity for walking and biking – for transportation and recreation
• Implement comprehensive worksite wellness initiatives
• Work with providers to refer patients to community resources for the prevention of chronic disease.

• Total care reports for hospitals to be released to hospitals by June 15, 2011, with public reporting to occur beginning September 15, 2011
• Total care reports for clinics to be released to clinics by August 15, 2011, with public reporting to occur beginning November 15, 2011
• Condition-specific reports to be released to hospitals and clinics by September 15, 2011, with public reporting to occur beginning December 15, 2011

MMA successfully modifies peer grouping law with changes including establishing reliability and validity standards, revised timelines, and repealed punitive provisions.

MMA selected as member of Rapid Response Team to provide methodological input during data analysis/implementation.

Mathematica Policy Research awarded contract to conduct peer grouping data analysis.

Minnesota Department of Health selects the Institute for Clinical Systems Improvement to lead a statewide health care home learning collaborative.

Minnesota departments of health and human services issue 2010 health care home update report to the Legislature.

CMS Advanced Primary Care Demonstration Project Minnesota was selected as one of eight states to participate in the Centers for Medicare & Medicaid Services Multi-Payer Advanced Primary Care Practice demonstration.
Second batch of HCHs was certified. MDH certified 26 additional health care homes. The new health care homes include 16 HealthPartners clinics, Bluestone Physician Services in Stillwater, SMDC Health System-Duluth Clinic, NorthPoint Health and Wellness in Minneapolis, North Suburban Family Physicians in Lino Lakes and Roseville, RiverWay Clinics in Andover, Anoka, and Elk River, and Fairview Health Services clinics in Maple Grove and Andover. CMS news release.

State Releases Health Care Home Payment Framework The Minnesota departments of health and human services unveiled, for public comment, a proposed framework for billing and paying for health care home services. Specific payment rates, which patients will qualify for payments and how private health plans will adopt the payment system, have yet to be decided.

Outcomes and performance measurement work group formed A measurement steering committee was created to make outcomes recommendations for health care homes to be used in public reporting and for recertification. Measures will be integrated with Minnesota Community Measurement work on quality transparency.

MDH issues final administrative rules for 2011 quality reporting In addition to Optimal Diabetes Care, Optimal Vascular Care, and Health Information Technology, the final rule requires 2011 reporting for Colorectal Cancer Screening, Optimal Asthma Care, and Depression Care Measures. The rules also outline prospective reporting for patient experience in 2012 using the Clinician and Groups Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS). The final rule changes the definition of physician clinic to allow for smaller practices with multiple sites to consolidate reporting, exempts pediatric physician clinics and hospitals from submitting data on measures designed for adults if less than 10% of their population meets the measure criteria, and requires full population reporting beginning in 2012 for physician clinics which have an electronic medical record in place for a full measurement cycle.

See attached PDFs “Quality rule 101018” and “Quality measurement appendices 101129”

MDH proposes rules governing quality reporting for 2011 The MMA provided feedback to the Minnesota Department of Health to assure the measures and the reporting requirements were fair, reliable, and do not unduly increase administrative or financial burdens. See MMA comments from August 2010.

MDH issues final administrative rules for 2010 quality reporting The final rules require all physician clinics to register annually with MDH and submit data for standardized clinical quality measures as identified on an annual basis (2010 measures were Optimal Diabetes Care, Optimal Vascular Care, and Health Information Technology). The rules also limited the ability of health plan companies to require providers to use or report quality measures that are not standardized quality measures, but allowed for health plan companies and providers to negotiate voluntary use and reporting of quality measures that are not standardized quality measures.

State data collection contract awarded to MNCM Minnesota Department of Health (MDH) enters into a 4-year, $3 million contract with MN Community Measurement (MNCM) as lead member of consortium to collect physician clinic data.

Final rule defining the 8 baskets of care is published

• Asthma (children) - Management of asthma as a chronic disease
• Diabetes- Without co-morbidities
• Pre-Diabetes
• Low Back Pain - Management of acute episode of low back pain
• Obstetric Care
• Preventive Care (adults)
• Preventive Care (children) - Well child care, preventive care, normal newborn care
• Total Knee Replacement - preoperative through rehabilitation phase

MMA submits comments on MDH/ICSI request for input on basket topic ideas.

A 14-member Baskets of Care Steering Committee is established, includes 2 MMA appointees.

Progress brief is published summarizing results from first year. Highlights include:

• 339 child care sites working on implementing healthy eating practices, serving approximately 7,700 children;
• At least 128 schools actively engaged in Farm to School efforts, serving at least 63,933 students;
• 312 child care sites working on implementing practices to support physical activity, serving approximately 8,600 children;
• At least 181 schools actively engaged in implementing Safe Routes to School policies, practices and systems changes, serving at least 79,000 students;
• 31 post-secondary institutes actively engaged in passing tobacco-free campus policies; and
• Health care work group established to systematically investigate and work toward broad-based reimbursement in health care systems for SHIP-related preventative clinical services.

Project status report provided to Legislature.

Health department awards grants to all 87 counties and eight tribal governments.

Focus areas:

• Increase affordability and access to healthy foods in communities and schools.
• Create and enforce tobacco-free policies in post- secondary institutions and worksites
• Increase capacity for walking and biking – for transportation and recreation
• Implement comprehensive worksite wellness initiatives
• Work with providers to refer patients to community resources for the prevention of chronic disease.

2008 Minnesota Legislature creates SHIP as a $47 million, two-year (FY10-11), community-level grant project aimed at reducing the burden of chronic disease associated with obesity and tobacco use.