Provider Peer Grouping

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Minnesota's Health Reform Initiative

Provider Peer Grouping Issue Papers

The Minnesota Department of Health issued a request for information (RFI) in spring 2009 to gather information about provider peer grouping. The information collected from the RFI and through additional background research are synthesized into a set of issue papers. These papers served as the starting point for a public advisory group to provide recommendations on the development of the peer grouping system.

Issue papers

Provider Peer Grouping Issue Paper - Background (PDF: 48KB/5 pages)

Provider Peer Grouping Issue Paper - Building Blocks (PDF: 59KB/6 pages)

Provider Peer Grouping Issue Paper - Selecting Health Conditions (PDF: 41KB/4 pages)

Provider Peer Grouping Issue Paper - Unit of Analysis, Determination of Peer Groups, and Scope of Services (PDF: 49KB/5 pages)

Provider Peer Grouping Issue Paper - Cost Measurement for Provider Peer Grouping (PDF: 56KB/7 pages)

Provider Peer Grouping Issue Paper - Quality Measures for Provider Peer Grouping (PDF: 47KB/5 pages)

Provider Peer Grouping Issue Paper - Developing a Composite Measure of Cost and Quality (PDF: 97KB/3 pages)

Rapid Response Team Issues for Review

The Minnesota Department of Health has convened a Rapid Response Team (RRT) comprised of providers, purchasers and consumers, to provide input on significant methodological issues that arise during implementation of provider peer grouping. Members of the RRT are presented with material about a provider peer grouping decision point and related options, how the decision point fits into the broader context of the project, and some research and/or analysis on the issue. RRT members work independently with their stakeholder groups to solicit opinions about each issue presented to them and submit written comments. MDH provides a written decision based on the RRT feedback.

Tools for Clinic Level Peer Grouping

Quality Composite Measure Design
MDH solicited feedback from the RRT twice on this issue.

Risk Adjustment of Costs

Issue Description to RRT Members (PDF:123KB/12 pages)
Written Responses from RRT Members (PDF: 853KB/8 pages)
MDH Decision Based on RRT Feedback (PDF:35KB/3 pages)

Slides referenced on p. 3 (PDF: 185KB/28 pages)

Peer Grouping for Specific Conditions

Attribution of Patients to Providers
MDH solicited feedback from the RRT twice on this issue.

Hospital Peer Groups

Updated Friday, 12-Oct-2012 14:43:40 CDT