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Health Care Quality Measures - Recommendations

Minnesota Statutes 62U.02 requires the Commissioner of Health to establish a standardized set of quality measures for health care providers across the state. A subset of the standardized set of quality measures will be used for public reporting purposes. To implement the collection of quality measurement data, the Minnesota Department of Health (MDH) has developed the Minnesota Statewide Quality Reporting and Measurement System (Quality Reporting System), created through Minnesota Rules, Chapter 4654. This rule compels physician clinics 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.

Request for Comment

The Commissioner of Health is required to evaluate the measures included in the set of quality measures to be publicly reported every year. 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.

MDH invites interested stakeholders to:

  • Submit recommendations on the addition, removal, or modification of standardized quality measures for 2017 reporting (see criteria below); and
  • Review and comment on the Hospital Quality Reporting Steering Committee's measure recommendations for 2017 reporting.

Interested persons or groups must submit recommendations, comments, and questions by July 5 to: Denise McCabe, Minnesota Department of Health, P.O. Box 64882, St. Paul, MN 55164-0882;
(651) 201-5530; fax: (651) 201-201-5179; or

Public Forum
MDH, MN Community Measurement, and Stratis Health will hold a public forum webinar on June 29th to present quality measure recommendations and other related information in connection with the annual update of the Quality Reporting System for the 2017 reporting year. The public forum provides an opportunity for interested stakeholders to comment on the recommendations and to ask questions.

Webinar information:
June 29, 2016
WebEx Registration – Registration is free. If you encounter any issues registering for this conference, please contact
Telephone: 1-888-742-5095
Passcode: 933-209-2697

Agenda (PDF)

Presentations (PDF)

Standardized Measure Recommendations

The standardized set of quality measures includes the measures for which MDH directly collects data, as well as a broader set for which health plans may require providers to submit data. The Commissioner of Health established these measures in Minnesota Rules, Chapter 4654, and is required to review them on an annual basis.

Recommendations must address how addition, removal, or modification of a quality measure relates to one or more of the following criteria:

  • the magnitude of the individual and societal burden imposed by the clinical condition being measured by the quality measure, including disability, mortality and economic costs;
  • the extent of the gap between current practices and evidence-based practices for the clinical condition being measured by the quality measure, and the likelihood that the gap can be closed and conditions improved through changes in clinical processes;
  • the relevance of the quality measure to a broad range of individuals with regard to (1) age, gender, socioeconomic status, and race/ethnicity (2) the ability to generalize quality improvement strategies across the spectrum of health care conditions, and (3) the capacity for change across a range of health care settings and providers;
  • the extent to which the quality measure has either been developed or accepted, or approved through a national consensus effort;
  • the extent to which the results of the quality measure are likely to demonstrate a wide degree of variation across providers; and
  • the extent to which the quality measure is valid and reliable.

Past recommendations

Updated Tuesday, June 28, 2016 at 04:43PM