MMA Opposes Proposed Change to Statewide Quality Reporting & Measurement System

On July 17, the MMA submitted comments to the Minnesota Department of Health (MDH) regarding recommended changes to the Statewide Quality Reporting and Measurement System (SQRMS). 

Under SQRMS, physician practices and hospitals are required to collect and report quality measurement data. The health department contracts with MN Community Measurement to manage specific SQRMS functions, including measure refinement and develop¬ment; data collection and validation; and data analysis. There are currently 19 SQRMS measures that apply to physician practices.

In the letter, signed by MMA President David Agerter, MD, the MMA expressed support for recommendations from MN Community Measurement to retire two measures - Cesarean Section Rate and Pediatric Overweight Counseling. The MMA also supported shifting the reporting timeline from mid-year to calendar year for the optimal asthma control, asthma education and self-management, and colorectal cancer screening measures. With the change in reporting timeline, the optimal asthma control measure and colorectal cancer screening measure would be fully aligned with Medicare’s Merit-based Incentive Payment System (MIPS) measures. 

In addition, the MMA shared its concerns that MDH's current definition of the standardized measure set is overly broad. The measures defined in the standardized set are the only measures for which health plans may require providers to submit data.

"The MMA urges the department to consider adoption of a narrower definition of the standardized measure set in order to focus Minnesota measurement activities and reduce the range of measures available for use by Minnesota health plans," Agerter wrote.

The department will issue a proposed rule, with a 30-day comment period, in the fall, and publish a final rule for 2018 by the end of the year.