Health Care Quality Measures
Adopted Rule - December 2015
Enacted in 2008, Minnesota’s Health Reform Law requires the Commissioner of Health to establish a standardized set of quality measures for health care providers across the state. The goal is to create a more uniform approach to quality measurement to enhance market transparency and drive health care quality improvement through an evolving measurement and reporting strategy. This standardized quality measure set, which built on earlier voluntary efforts and made data submission by providers mandatory, is called the Minnesota Statewide Quality Reporting and Measurement System (Quality Reporting System). Physician clinics and hospitals are required to report quality measures annually.
MDH updates the Quality Reporting System measure set annually through a process that includes seeking public comment and recommendations from the community and concludes by issuing an updated administrative Rule. The Rule describes specific data elements that providers are required to submit to MDH for each measure. The 2015 amendments to Minnesota Rules, Chapter 4654, Permanent Rules Relating to Health Care Quality Measures, were approved by the Office of Administrative Hearings on December 18, 2015, and published in the January 11, 2016, edition of the State Register. The final and adopted rule, appendices, and measure specifications are available for download below.
The final and adopted rule and appendices are available for download below.
Minnesota Statewide Quality Reporting and Measurement System, Adopted Rule (PDF)
Minnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654, December 2015 (PDF)
Measure informationPhysician Clinic Measure Specifications
- Optimal Diabetes Care Composite (PDF)
- Optimal Vascular Care Composite (PDF)
- Depression Remission at Six Months (PDF)
- Optimal Asthma Control Composite (PDF)
- Asthma Education & Self-Management (PDF)
- Colorectal Cancer Screening (PDF)
- Maternity Care C-Section Rate (PDF)
- Health Information Technology Survey for Physician Clinics (PDF)
- Patient Experience of Care Survey for Physician Clinics (PDF)
- Total Knee Replacement Outcome (PDF)
- Spinal Surgery: Lumbar Fusion Outcome (PDF)
- Spinal Surgery: Lumbar Discectomy Laminotomy Outcome (PDF)
- Pediatric Preventive Care: Adolescent Mental Health and/or Depression Screening (PDF)
- Pediatric Preventive Care: Overweight Counseling (PDF)
Hospital Measure Specifications
- Hospital Value-based Purchasing Composite (PDF)
- Readmission Reduction Program Composite (PDF)
- Hospital Acquired Conditions Program Composite (PDF)
- Emergency Department Transfer Communication Composite (PDF)
- Emergency Department Stroke Registry Door-to-Imaging Performed Time Indicator (PDF)
- Emergency Department Stroke Registry Time to Intravenous Thrombolytic Therapy Indicator (PDF)
Other Measure Specifications
- Additional Information about Minnesota Department of Human Services Quality Measures as Referenced in Minnesota Rules, Chapter 4654.0200, Subp. 19C (PDF)
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.