Measurement & Reporting
Governance & Policy
The Measurement and Reporting Committee (MARC) recommends measurement priorities, specifications, guiding principles and policies for public reporting of measurement data.
MARC Members
Co-Chairs
- Anne Katherine Hust, MD* (Hennepin Healthcare)
- Sue Knudson* (HealthPartners - Health Plan)
Committee Members
- Cara Hull (HealthPartners - Clinics)
- Craig Johnson (Therapy Partners, Inc)
- Dave Johnson (Hennepin County Public Health)
- Clarence Jones* (Hue-MAN Partnership)
- Sterling Kowalski (MN Department of Human Services)
- David Kurtzon (MN Department of Health)
- Jennifer Lamprecht* (Sanford Health)
- Leota Lind* (South Country Health Alliance)
- Christine Norton* (Consumer)
- Angela Olson (Fairview Range Medical Center - Hibbing)
- Bridget Olson (Planned Parenthood)
- Carmen Parrotta (NorthPoint Health & Wellness)
- Laura Pelaez, MD (Olmsted Medical Center)
- Angie Pokharel (Blue Cross Blue Shield Minnesota)
- Denise Schneekloth (MN Rural Health Cooperative)
- Anne Stephen, MD (Consumer, retired physician)
- Amanda Strom (Allina Health)
- Sean Wherry, MD* (Centracare)
MARC Meetings
MNSHINE M&R Slate of Measures
Each year, the MNSHINE Slate of Measures is reviewed by MARC. Value criteria indicate a measure must:
- Be consistent with evidence-based standards of care and guidelines
- Address a high-priority aspect of health care (i.e. high disease burden, high resource use, severity of illness)
- Demonstrate a gap in performance
- Meet reliability and validity standards
- The feasibility and burden of data collection, current use of the measures in accountability programs and/or quality improvement activities, and harmonization with existing local and national measures and/or programs – are also considered.
Recommendations from MARC inform development of the annual Slate of Measures and approved by MNSHINE Board of Directors each December.
Measure Review & Prioritization
Measure Review
Each of the publicly reported quality measures on the Slate of Measures undergoes a thorough review by MARC every three years. During these evaluations, the committee employs specific criteria to assess each measure:
- Presence of performance gap
- Impact on improving care
- Effort needed for data collection
- Effort needed to improve outcomes
- Denominator inclusivity
- Biases in calculations/algorithms
- Patient-reported outcome (PRO) tool accessibility
- Numerator based on inclusive guidelines
- Ability to stratify results by demographic variables
- Appropriateness of risk adjustment variables
- Known disparities within condition being measured
After thorough discussions, the committee votes on the future of each measure with options to continue, retire, monitor, or suggest changes (or submit comments for modifications if not measure steward).
In conjunction with the measure review process, MARC also implements a measure prioritization process every three years. This process aims to assess MNSHINE’s set of measures to ensure the topics addressed remain relevant and beneficial to the community. This process is outlined below:
- Survey community partners to prioritize measure areas.*
- MARC reviews survey results to identify top five focus areas.
- MNSHINE staff analyze and assess feasibility of existing measures in national landscape.
- MARC evaluates analyses and recommends adoption and/or development of measures.
- MNSHINE Board reviews recommendations and decides actions.
Last prioritization cycle: Fall 2023 | Next prioritization cycle: TBD
*Information on how to provide input will be sent out via MNSHINE's quarterly newsletter, The Connection.
Public Comment
MNSHINE invites public comments for all publicly reported measures at any time. These comments will be considered during MARC's standard measure review cycle for each measure. Additionally, public comments regarding measure priorities are encouraged and will be evaluated during MARC's measure prioritization process.
All comments can be submitted at publiccomment@mnshine.org. Please be sure to include your name, title, organization, and measure(s) you are commenting on in your submission.
