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Health Care Quality Measures
Adopted Rule - December 9, 2013

Minnesota Statutes 62U.02 requires the Minnesota Department of Health (MDH) to establish a standardized set of quality measures for health care providers across the state and to produce an annual report on health care quality. A subset of the standardized set of quality measures will be used for public reporting purposes.

To implement the collection of quality measurement data, MDH has developed the Minnesota Statewide Quality Reporting and Measurement System, created through Minnesota Rules, Chapter 4654. This rule compels physician clinics, ambulatory surgical centers, and hospitals to submit data on a set of quality measures to be publicly reported and also establishes a broader standardized set of quality measures for health care providers across the state. MDH will collect data on those measures to be publicly reported, while health plans may only require providers to submit data on those measures that are part of the standardized set.

The Commissioner of Health is required to annually evaluate the measures included in the standardized set of quality measures. These rules were adopted in December 2009 and amended in November 2010, 2011, 2012 and 2013. The 2013 amendments to Minnesota Rules, Chapter 4654, Permanent Rules Relating to Health Care Quality Measures, were approved by the Office of Administrative Hearings on October 25, 2013, and published in the December 9, 2013, edition of the State Register.

MDH published the proposed amendments in the State Register on August 12, 2013, and posted the proposed changes, including changes to the rule’s appendices and measure specifications, on its website. The publication of the proposed amendments initiated a formal 30-day comment period which ended on September 11, 2013. In response to recommendations from various expert panels, informed by public comments and as a result of review and analysis of SQRMS data, the rule, appendices and measure specifications, MDH made some changes to the appendices.

The final and adopted rule and appendices are available for download below.

Minnesota Statewide Quality Reporting and Measurement System, adopted rule (PDF: 37KB/ 1 page)

Minnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654, November 2013 (PDF:423 KB/ 68 pages)

Measure information

Physician Clinic Measure Specifications

Hospital Measure Specifications

Ambulatory Surgical Center Measure Specifications

UPDATE February 28, 2014: Considering that nearly all ASCs have achieved a similar high level of performance on the three quality measures that they have reported on since 2011, and to reduce provider reporting burden, MDH has determined that it will suspend SQRMS ASC registration and quality measure reporting during 2014. See SQRMS ASC 2014 Registration and Reporting Suspension Memorandum for more information.

Other Measure Specifications


Minnesota Rule 4654.0700 provides discretionary authority for the Commissioner of Health to grant variances to a data submitter for a reported quality measure collection or submission specification if the data submitter demonstrates good cause.

Variance procedure (PDF: 18KB/1 page)


Updated Wednesday, March 05, 2014 at 12:26PM