Region 3
2010 Minnesota
Health Care Quality
Report
Minnesota Department of Health, Health Economics Program
85 East Seventh Place, St. Paul, MN 55164-0882
Phone: 651-201-3555 | TDD: 651-201-5797
www.health.state.mn.us/healthreform/measurement
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Quality Health Care Measures | November 2010 | 2010 Health Care Quality Report
November 2010
Dear Community Member:
We are pleased to provide this report of the Minnesota Statewide Quality
Reporting and Measurement System. It enhances our state’s quality data
and market transparency for health care and is a building block for transformation of health care.
This quality report is a critical component of Minnesota’s nation-leading
health reform law of 2008. The law requires the Minnesota Department
of Health (MDH) to develop a standardized set of quality measures for
hospitals and physician clinics across the state and to produce a public
report on health care quality. These efforts build on important work that
has been done in Minnesota for many years by MN Community Measurement (MNCM), Stratis Health and the Minnesota Hospital Association
(MHA) and have drawn upon their multi-stakeholder, community-wide
processes for measure development and selection. Through the requirements in the 2008 law, MDH has expanded the reach of this work:
1. Scope. Approximately 520 Minnesota clinics have reported data to the
state system in the first year of required data submission, increasing by
over 40 percent the number of physician clinics that reported voluntarily
to MNCM. We now have a more complete picture of health care in
urban and rural areas. Hospitals are also now submitting data on more
than 40 quality measures.
2. Risk adjustment. The information on quality builds on the work done
by MNCM. The results have been risk-adjusted to reflect the complexity of the patients that providers serve. This requirement aims to ensure
that the results are fair for all providers, regardless of the makeup of
their patient populations.
Comprehensive information about health care quality is a cornerstone of
our health reform initiative – which has been called “Minnesota’s Vision
for a Better State of Health.” Throughout the implementation of our vision, we have been working hard to achieve the “Triple Aim” of improving
the health of the population, the patient experience of care and the affordability of health care. Quality reporting is a vital component of these
goals; if we want to truly improve our state’s health in the future, we must
first have robust, fair and accurate information about the quality of health
care being provided today. This information is also a critical building block
of provider peer grouping (PPG), another component of the 2008 state
health reform law. PPG will compare providers on a combined measure
of risk-adjusted cost and quality. The risk-adjusted quality information
presented in this report will be part of the peer grouping analysis. In the
future, the release of these risk-adjusted results will be part of the yearly
release of PPG.
I thank the providers who have been important partners as we have
expanded Minnesota’s quality measurement system. I also want to thank
our partners at MNCM and Minnesota’s non-profit health plans for playing
a key role in developing new quality measures and supporting providers’
efforts to submit data. We also appreciate the effective collaboration with
MHA, Stratis Health, the Institute for Clinical Systems Improvement and
the Minnesota Medical Association in supporting providers’ efforts both
to submit data and to improve quality. We have had substantive conversations about these efforts, and I hope these discussions will continue as
we work to improve health care value in Minnesota – and the health of all
Minnesotans.
In summary, this quality report is an important stepping stone toward a
value-based health care system in Minnesota – one that reflects both
quality and cost. Together, those elements will provide a better picture of
health care value in our state, encourage redesign of care and payment
based on value and allow consumers to choose providers based on both
quality and cost. With such information we can reach our vision of a better state of health care – and a better state of health.
Sincerely,
Sanne Magnan, M.D., Ph.D.
Commissioner
November 2010 | 2010 Health Care Quality Report | Quality Health Care Measures
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Table of Contents
Region Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
What is High Quality Care?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Methods Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Report Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Physician Clinic Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Quality of Care for Chronic (Ongoing) Conditions Measures. . . . . 15
Adults with Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Adults with Vascular Disease. . . . . . . . . . . . . . . . . . . . . . . 16
Adults with High Blood Pressure. . . . . . . . . . . . . . . . . . . . 17
Children and Adults with Asthma . . . . . . . . . . . . . . . . . . . 17
Quality of Care for Acute (Shorter Term) Conditions Measures . . 18
The Best Care for…
Children with a Cold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Children with a Sore Throat. . . . . . . . . . . . . . . . . . . . . . . . 19
Adults with Bronchitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Quality of Preventive Care Measures . . . . . . . . . . . . . . . . . . . . . . 21
4
The Best Care for…
The Best Care to…
Help Prevent Breast Cancer. . . . . . . . . . . . . . . . . . . . . . . . 22
Help Prevent Cervical Cancer . . . . . . . . . . . . . . . . . . . . . . 22
Help Prevent Colorectal Cancer. . . . . . . . . . . . . . . . . . . . . 23
Quality Health Care Measures | November 2010 | 2010 Health Care Quality Report
Help Prevent Cancer . . . . . . . . . . . . . . . . . . . . . . 23
Appendices
Detect Chlamydia. . . . . . . . . . . . . . . . . . . . . . . . . 24
Provide Childhood Immunizations. . . . . . . . . . . . 24
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Hospital Measures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Appendix 1: Physician Clinic Measures. . . . . . . . . . . . . . 88
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Quality of Care for Heart Conditions Measures. . . . . . . . 51
Guide
to Understanding the Detailed Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Quality of Care for Chronic Conditions Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Quality of Care for Acute Conditions Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Heart Attacks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Quality of Preventive Care Measure Result Data . . . . . 182
Heart Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Quality of Care for Surgeries Measures . . . . . . . . . . . . . 61
Heart Surgeries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Other Surgeries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Quality of Care for Medical Complications and
Infections Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Medical Complications. . . . . . . . . . . . . . . . . . . . . . . . 68
Infection Prevention. . . . . . . . . . . . . . . . . . . . . . . . . . 71
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Quality of Care for Other Conditions Measures . . . . . . . 78
Pneumonia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Hip Fracture Treatment . . . . . . . . . . . . . . . . . . . . . . . 83
Childbirth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Appendix 2: Hospital Measures. . . . . . . . . . . . . . . . . . . 259
Guide
to Understanding the Detailed Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
Quality of Care for Heart Conditions Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
Quality of Care for Heart Surgeries Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Quality of Care for Other Surgeries Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266
Quality of Care for Medical Complications
Measure Result Data. . . . . . . . . . . . . . . . . . . . . . . . . . . 270
Quality of Infection Prevention Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272
Quality of Care for Other Conditions Measure
Result Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274
Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278
November 2010 | 2010 Health Care Quality Report | Quality Health Care Measures
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REGION 3
This report is separated into four regions due to the large
amount of data included. Physician clinics and hospitals
are divided into regions based on the county where they are
located. The list on the next page identifies which counties
are included under each region. Use this information to
find the region you are interested in.
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Quality Health Care Measures | November 2010 | 2010 Health Care Quality Report
Region 1
Northwest and
West Central
Becker
Beltrami
Clay
Clearwater
Douglas
Grant
Hubbard
Kittson
Lake of the Woods
Mahnomen
Marshall
Norman
Otter Tail
Pennington
Polk
Pope
Red Lake
Roseau
Stevens
Traverse
Wilkin
Region 2
Northeast
and Central
Aitkin
Benton
Carlton
Cass
Chisago
Cook
Crow Wing
Isanti
Itasca
Kanabec
Koochiching
Lake
Mille Lacs
Morrison
Pine
Sherburne
St. Louis
Stearns
Todd
Wadena
Wright
Region 3
Twin Cities
Metro
Anoka
Carver
Dakota
Hennepin
Ramsey
Scott
Washington
Region 4
Southwest,
Southeast and
South Central
Big Stone
Blue Earth
Brown
Chippewa
Cottonwood
Dodge
Faribault
Fillmore
Freeborn
Goodhue
Houston
Jackson
Kandiyohi
Lac Qui Parle
Le Sueur
Lincoln
Lyon
Martin
McLeod
Meeker
Mower
Murray
Nicollet
Nobles
Olmsted
Pipestone
Redwood
Renville
Rice
Rock
Sibley
Steele
Swift
Wabasha
Waseca
Watonwan
Winona
Yellow Medicine
November 2010 | 2010 Health Care Quality Report | Quality Health Care Measures
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What is high quality health care?
High quality in health
care can be described as
“doing the right thing,
at the right time, in the
right way – and having
the best possible results.”
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The Institute of Medicine states that high quality health care is:
Effective: Treatment uses scientific knowledge and medical
experience to increase the chances of getting the best results,
and decrease the chances of getting bad results, including death.
Safe: Treatment does not result in medical complications or
cause harm to the patient that can be prevented.
Patient-centered: Doctors, nurses, and other medical staff treat
patients with respect, dignity and compassion, and are responsive
to patients’ needs, values, and preferences.
Timely: Patients get the care they need without harmful delays.
Efficient: Treatment does not waste doctors’ or patients’ time or
money.
Equitable: The same level of care is available to everyone, including
men, women and children of all cultures, incomes, education level,
social status or any other characteristics.
Quality Health Care Measures | November 2010 | 2010 Health Care Quality Report
Methods Overview
nThis
report includes information about the quality of care provided by physician clinics and hospitals in one region of the state.
Readers may easily compare the results of a particular physician
clinic or hospital with a statewide average on most measures.
nMuch
of the data for this report was collected as part of the Minnesota Statewide Quality Reporting and Measurement
System.
–P
hysician clinics are required to report data at the clinic level.
Data collected directly from physician clinics included in this
report relates to care provided in 2009. While participation in
these data collection systems is required under state law, not
all physician clinics submitted data. Those clinics are included
in this report with a note they did not submit required data.
For more information on which physician clinics are included,
see the Physician Clinic Inclusion section on page 255.
–H
ospital results are available on 43 measures. The time periods covered by each measure vary; more details are available
in Appendix Two.
nResults
are publicly reported for those physician clinics submitting data on 30 or more patients for each measure, while hospital results are reported for those hospitals with data on 25 or
more patients for each measure. These numbers are considered
the minimum standards for valid public reporting and align with
established reporting standards in Minnesota and at the national
level. Physician clinics and hospitals that submitted data on
fewer numbers of patients are included in this report with a note
they did not have sufficient data for public reporting purposes.
nResults
are risk-adjusted, meaning that results are adjusted to
account for differences in patient populations that are beyond
the control of a doctor or hospital. This is done in order to make
results comparable regardless of patient characteristics. For
example, hospital outcome measures, such as death rates for
patients with a broken hip, take into account how sick individual
patients are. Similarly, results for physician clinics assume that
physician clinics have the same proportion of patients covered
by commercial insurance, Medicare, and MN health care programs or are uninsured. More details about how risk adjustment
was carried out for particular categories of measures is available
in Appendices One and Two.
nThis
report uses the terms “physician clinic” and “medical
group” to describe the settings in which physicians provide
medical services. For purposes of this report, a physician clinic
is a specific location in which a physician practices, while a
medical group may be a larger organization that includes multiple
physician clinics.
nSome
results are calculated at the medical group level. For
those measures, each physician clinic associated with a particular medical group has been given the medical group’s score for
that measure. While those measure results include a broader
population of patients than any one individual clinic, each individual physician clinic contributed to the medical group’s score.
nMore
detail about physician performance, data collection and
methodology is available in Appendix One. Additional information about hospital performance, data collection and methodology is available in Appendix Two.
November 2010 | 2010 Health Care Quality Report | Quality Health Care Measures
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Health Care Quality in Minnesota
Quality in health care, including
in doctor’s offices and hospitals,
can be described as “doing the
right thing, at the right time, in
the right way – and having the best
possible results.”
This report provides information on how well physician clinics, like
your doctor’s office, and hospitals in Minnesota care for patients
with a wide range of health problems. It can:
nHelp
you choose a hospital or physician clinic for yourself,
nProvide
useful information for your loved ones if they need to
visit the doctor’s office or hospital for care,
nEncourage
nHelp
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clinics and hospitals to improve their quality, and
everyone learn more about health care quality.
Why should you look at this information?
Don’t people receive high quality care in all physician clinics or hospitals? Here are the facts:
nAll
clinics and hospitals do not provide the same quality of care.
Some are better than others.
nA
particular clinic or hospital might do a very good job on some
health problems and not on other health issues.
nYour
doctor, or the specialist or surgeon he or she recommends,
may be highly skilled, but clinic and hospital quality also depend
on how well all of the staff, such as nurses, take care of you, and
on how well the clinic or hospital is organized.
nFor
the physician measures, some clinics do better at managing
chronic or ongoing conditions than others. Some physician clinics may also do a better job of treating different conditions like
asthma or diabetes. Keep in mind that clinics vary in how well
they do at managing these different conditions.
nWhenever
people go to the hospital, they risk getting a
new health problem while getting medical care for an existing
problem. Hospitals vary in how well they protect patients from
these risks.
Quality Health Care Measures | November 2010 | 2010 Health Care Quality Report
Given these facts, the goal of this report is to give you information
you can use to increase your chances of getting the best possible
care when you need it.
How should you use this report?
How can this information help you? First, you can use this information to help you choose a clinic or hospital. The physician clinic
measures are for different health conditions and preventive care. If
you or someone you care about has one of these conditions, you
can use this information to choose a clinic. This also applies to
hospitals where you can use the hospital measures to choose a
hospital that’s right for you if you are being admitted to the hospital
in the near future. It can help you find a clinic or hospital that is
especially good at treating the conditions you face, or especially
good at avoiding complications in the case of the hospital measures.
The best way to use this particular report is also to look for patterns in the scores. Some clinics or hospitals may do very well
across the board; others may do well in some areas and not in
others; still others may really show problems in a wide range of
areas. Look carefully for these patterns. At the same time, if there
is a particular operation, medical condition, or complication that is of
particular concern to you, you will want to give more consideration
to information related to those concerns.
A few things to keep in mind as you use
this information:
This information is a starting point for looking at the quality of care
at a particular clinic or hospital. The overall scores and specific topic
results are not the final word. There are a few things to keep in
mind when looking at this report.
nThis
report doesn’t cover all conditions, preventive treatments, surgeries or complications.
.Additional information may be included in future reports.
nDon’t
presume that because a clinic or hospital does well
(or poorly) in one area of health care, that it will do well (or
poorly) in all areas.
Physician clinics and hospitals have strengths and weaknesses
in providing different types of care.
nIn
some cases the specific measures track serious failures in
a hospital’s performance which happen only once in a great
while.
You have to be careful when comparing hospitals on these
very rare events. The numbers are so small that it is hard to
know when a difference means something or just happened by
chance. For example, only a handful of patients experience bad
reactions to a blood transfusion out of a million people each year.
nDon’t
give too much weight to small differences between
clinics or hospitals.
Even on more common events, be careful not to give too much
weight to small differences. For example, if in one hospital, 25
people out of a thousand had too much bleeding after an operation, and in another hospital, 26 people out a thousand did, that’s
a really small difference and you shouldn’t worry about it.
November 2010 | 2010 Health Care Quality Report | Quality Health Care Measures
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Region 3
Physician Clinic Measures
Twin Cities Metro: Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, Washington
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physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
Physician Clinic Measures
Quality of Care for Chronic Conditions. . . . . . . . . . . . . . . . . . . . . . . . . . 15
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Quality of Care for Acute Conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Choose the health care quality topic you
want to learn about.
Physician clinic quality information is available for three main topics
in this section. These areas include:
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
nChronic
Quality of Preventive Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
nAcute
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Conditions (Ongoing Conditions)
Conditions (Shorter Term Illnesses)
nPreventive
Care (Avoiding Illness)
One topic may be of greater interest to you than others. For example, if you or a loved one has a chronic or ongoing condition like
diabetes, you will probably be interested in the “Chronic Conditions”
topic. However, if you are interested in finding out how well your
clinic does with keeping you healthy, check out the “Preventive
Care” section.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
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Each topic includes information on several different quality indicators. A quality indicator is information, in this case a percentage
rate, that shows how often patients had a particular experience
when they received medical care. These experiences reflect a particular aspect of health care quality. Each health topic is briefly described below, with examples of quality indicators for that topic. To
learn about all the indicators presented for each topic, please turn to
the appropriate page noted in the index at the start of this section.
Chronic Conditions: Chronic conditions are ongoing and cannot be
cured, but can be managed with the right kinds of treatments. This
section includes measures related to chronic conditions like diabetes, vascular care, high blood pressure, and asthma.
More Information about the Results
Be sure to note whether a higher or lower percentage rate is better for the measure you are interested in. For all of the physician
clinic measures, a higher percentage rate is always going to
be better. Keep in mind the percentage rate is related to how
many patients out of one hundred reached the treatment goals,
or received the right type of medication. For example, if the clinic
rate for the “Best Care for Adults with Diabetes” measure is 36%,
this means 36 out of 100 patients achieved the five goals outlined
in this measure.
Acute Conditions: Acute conditions are illnesses that don’t last
very long, typically less than three months. This section includes
measures for the treatment of acute conditions like colds and sore
throats in children, as well as bronchitis in adults.
Preventive Care: Preventive care can help keep you healthy, as
well as detect certain illnesses early, when treatment can be more
effective. This section includes preventive measures like cancer
screenings, chlamydia tests, and childhood immunizations.
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Quality Health Care Measures | November 2010 | 2010 Health Care Quality Report
Quality of Care for Chronic Conditions
Section CONTENTS
The Best Care for Adults with Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
The Best Care for Adults with Vascular Disease. . . . . . . . . . . . . . . . . . . . . . . 16
The Best Care for Adults with High Blood Pressure. . . . . . . . . . . . . . . . . . . . 17
The Best Care for Children and Adults with Asthma. . . . . . . . . . . . . . . . . . . . 17
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Quality of Care for Chronic Conditions
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Chronic health conditions are ongoing health conditions
like diabetes or heart disease. These conditions are prevalent and costly. For example, in 2007 about 7.8% of the US
population had diabetes. This translates to a cost of $174
billion in direct costs like medical expenses, and indirect
costs like disability and work loss. Not only are these conditions expensive, but they can be difficult to manage and
lead to other medical conditions. However, there are treatments and treatment goals which have been proven to help
those with chronic conditions stay healthy and limit their
risk of other complications. The following section includes
measures that help patients with chronic conditions stay
healthy.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
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The Best Care for Adults with Diabetes
What is the measure?
The best care for diabetes includes helping patients achieve five
goals. This measure shows the percentage of diabetes patients,
ages 18-75, who met all five goals:
1)Blood Sugar Control: Most recent
When choosing a
HbA1C test in the last 12 months
clinic, look for the
has a level of less than 8%
clinic that has a
2Blood Pressure Control: Most
higher rate.
recent blood pressure in the last 12
months was less than 130/80 mm Hg
3)Cholesterol Control: Most recent LDL
or “bad” cholesterol was less than 100 mg/dl
4)Daily aspirin use (or a documented contraindication) for
those ages 41 or older
5) Tobacco free status: No smoking or chewing of tobacco
Why is this important?
The five goals identified in this measure have been shown to
have the greatest impact on the health of those with diabetes.
Heart disease and stroke are the leading causes of early death
among people with diabetes. Those diabetes patients who
meet the five goals outlined in this measure will greatly lower
their risk of heart attacks, blood vessel damage and other vascular diseases. They will also experience fewer problems with
their kidneys, eyes and nervous system.
Performance on this measure ranged from zero percent to
57 percent.
MEASURE SOURCE: Optimal Diabetes Care Composite
The Best Care for Adults with
Vascular Disease
What is the measure?
The best care for vascular disease includes
helping patient achieve four goals. This
measure shows the percentage of vascular
patients ages 18-75, who met all four goals:
higher rate.
1)Blood Pressure Control: Most recent blood pressure
in the last 12 months was less than 130/80 mm Hg
2)Cholesterol Control: Most recent LDL or “bad”
cholesterol was less than 100 mg/dl
3)Daily aspirin use (or a documented contraindication)
4)Tobacco Free Status: No smoking or chewing of tobacco
Why is this important?
Vascular disease is any condition that affects the blood vessels
and limits their ability to supply blood, oxygen and nutrients to
the body from the heart. Vascular disease is most commonly
due to hardening of the arteries or the slow build-up of fatty
substances over time along the blood vessel wall, which make
it harder for the heart to pump blood through the artery. Depending on which arteries become blocked, different parts of
the body can be affected by this reduction in blood flow, which
is also called ischemia. A blockage in the coronary arteries, or
the blood vessels of the heart, can lead to chest pain or a heart
attack. Achieving the four treatment goals in this measure will
help stop the build-up of fatty substances along the blood vessel
wall that make it harder for the heart to pump blood.
Performance on this measure ranged from zero percent to
63 percent.
MEASURE SOURCE: Optimal Vascular Care Composite
16
When choosing a
clinic, look for the
clinic that has a
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
The Best Care for Adults with High
Blood Pressure
The Best Care for Children and Adults
with Asthma
What is the measure?
The best treatment for high blood
pressure includes keeping blood
pressure below 140/90 mmHg.
This measure shows the percentage
of adults, ages 18-85, diagnosed
with high blood pressure that had a
blood pressure reading lower than 140/90
mmHg.
What is the measure?
The best treatment for asthma includes a prescription medication (such as an inhaler) to control the symptoms. This measure
shows the percentage of asthma patients, ages 5-56, who were
prescribed appropriate medication.
When choosing a
clinic, look for the
clinic that has a
higher rate.
High blood pressure is often called the “silent killer” because
many people don’t know they have it. The only way to know is
to have your blood pressure checked.
Why is this important?
Asthma is one of the most common chronic conditions in the
United States. It causes the tiny airways that bring air to the
lungs to narrow, reducing the flow of oxygen to the body. For
asthma sufferers, a trigger such as cigarette
smoke, perfume, allergies or dust in the air
can cause the tiny airways to constrict,
When choosing a
choking the flow of oxygen to the body’s
clinic, look for the
systems. Symptoms of asthma include
clinic that has a
difficulty breathing or shortness of breath,
higher rate.
a tight feeling in the chest, coughing and
wheezing. Inhaled corticosteroids are the
recommended therapy for those with moderate to severe asthma. When used regularly they are proven to
reduce the inflammation in the airways caused by asthma.
Performance on this measure ranged from 34 percent to
85 percent.
Performance on this measure ranged from 81 percent to
97 percent.
MEASURE SOURCE: HEDIS: Controlling High Blood Pressure
MEASURE SOURCE: HEDIS: Use of Appropriate Medications for People
Why is this important?
High blood pressure, also known as hypertension, is a major risk
factor for other diseases including heart attack, heart disease,
kidney failure and stroke. Having your blood pressure monitored
regularly and working with your doctor to keep your blood pressure below 140/90 mmHg can reduce your risk of developing
these conditions.
with Asthma
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
17
Quality of Care for Acute Conditions
Section CONTENTS
The Best Care for Children with a Cold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
The Best Care for Children with a Sore Throat . . . . . . . . . . . . . . . . . . . . . . . . 19
The Best Care for Adults with Bronchitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Quality of Care for Acute Conditions
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Acute health conditions usually happen suddenly and do
not last long. Typically, acute illnesses last less than three
months. A sore throat or a cold are both considered acute
conditions. Treating these illnesses might not involve any
prescription medication. In fact, the best treatment could be
over-the-counter medication or getting some rest. The following section includes measures for acute conditions where
the best treatment was given for the identified illness. This
includes measures showing whether antibiotics were appropriately prescribed.
18
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
The Best Care for Children with a Cold
What is the measure?
Treatment of the common cold should not include prescribing
antibiotics. This measure shows the percentage of children,
3 months to 18 years, diagnosed with a cold and not given an
antibiotic.
Why is this important?
The most effective cure for the
common cold is self-care at home.
This can include over-the-counter
medication, drinking fluids, and
getting plenty of rest. There are
over 200 viruses which can cause this
illness, and antibiotics are not effective
against viruses such as colds.
When choosing a
clinic, look for the
clinic that has a
HIgher rate.
Remember, antibiotics are medicines that kill bacteria, not viruses. Taking antibiotics for viral illnesses, like the common cold,
will not work. Even worse, using antibiotics when they are not
needed may make them less likely to work for other illnesses in
the future.
Performance on this measure ranged from 40 percent to
97 percent.
The Best Care for Children with
a Sore Throat
What is the measure?
In some cases, the treatment of a sore throat includes prescribing antibiotics. This measure shows the percentage of children,
ages 2-18, diagnosed with a sore throat and
given a strep test and antibiotics rather than
just receiving antibiotics without a strep test.
When choosing a
clinic, look for the
clinic that has a
Why is this important?
Most sore throats are caused by viruses
higher rate.
and go away on their own after about a
week. Sore throats not caused by viruses
are usually caused by a bacterium called
group A Streptococcus, and commonly called strep throat. Strep
throat can be treated with antibiotics. Untreated strep throat can
lead to rare but serious complications.
Performance on this measure ranged from 27 percent to
99 percent.
MEASURE SOURCE: HEDIS: Appropriate Testing for Children with
Pharyngitis
MEASURE SOURCE: HEDIS: Appropriate Treatment for Children with
Upper Respiratory Infection
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
19
The Best Care for Adults with Bronchitis
What is the measure?
Treatment of bronchitis in adults should not include prescribing
antibiotics. This measure shows the percentage of adults
18 - 64 years, diagnosed with acute bronchitis and not given an antibiotic.
When choosing a
Why is this important?
clinic, look for the
Acute bronchitis is sometimes also
clinic that has a
called a chest cold. The most effechigher rate.
tive cure for acute bronchitis is similar to
when you have a cold. It can include overthe-counter medication to help quiet your
cough, drinking fluids and getting plenty of rest.
Antibiotics are medicines that kill bacteria. Only one in ten cases
of bronchitis are bacterial, which means 9 out of 10 cases of
bronchitis won’t be cured with an antibiotic. Also, using antibiotics when they are not needed may make them less likely to
work for other illnesses in the future.
Performance on this measure ranged from seven percent to
57 percent.
MEASURE SOURCE: HEDIS: Avoidance of Antibiotic Treatment in Adults
with Acute Bronchitis
20
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
Quality of Preventive Care
Section CONTENTS
The Best Care to Help Prevent Breast Cancer. . . . . . . . . . . . . . . . . . . . . . . . . 22
The Best Care to Help Prevent Cervical Cancer . . . . . . . . . . . . . . . . . . . . . . . 22
The Best Care to Help Prevent Colorectal Cancer. . . . . . . . . . . . . . . . . . . . . . 23
The Best Care to Help Prevent Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Quality of Preventive Care
The Best Care to Detect Chlamydia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
The Best Care to Provide Childhood Immunizations. . . . . . . . . . . . . . . . . . . . 24
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Preventive care keeps you healthy by avoiding an illness
altogether or detecting it early when treatment can be most
effective. Receiving the right screenings and treatments are
an important part of health care quality. For example, cancer
screenings done at the right time can help detect abnormal
cells early before they turn into cancer. The following section
includes preventive care measures where the right screenings
or treatments were given at the right time for the identified
illness.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
21
The Best Care to Help Prevent
Breast Cancer
The Best Care to Help Prevent
Cervical Cancer
What is the measure?
Women of a certain age should get a regular mammogram
to check for signs of breast cancer. This measure shows the
percentage of women, ages 52-69, who
had a mammogram during the past two
years.
What is the measure?
Prevention of cervical cancer in women includes getting a
regular Pap test. This measure shows the percentage of women, ages 24-64, who received a Pap test in the last 3 years.
When choosing a
clinic, look for the
clinic that has a
Why is this important?
A mammogram is the screening test
higher rate.
used to check for breast cancer. It
detects cancer early, when it can be
treated most successfully. Breast cancer is the most common cancer affecting women in the United
States. It is also the second
leading cause of cancer death in women.
Why is this important?
Cervical cancer develops slowly. Getting regular screenings can
lead to early detection and successful treatment. Screening is
done using Pap tests in which cells are taken
from the cervix. The cells are then examined
for abnormalities.
Performance on this measure ranged
from 50 percent to 89 percent.
MEASURE SOURCE: HEDIS: Cervical Cancer
Performance on this measure ranged from 55 percent to
91 percent.
Screening
MEASURE SOURCE: HEDIS: Breast Cancer Screening
22
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
When choosing a
clinic, look for the
clinic that has a
higher rate.
The Best Care to Help Prevent
Colorectal Cancer
The Best Care to Help Prevent Cancer
What is the measure?
Adults of a certain age should receive a test to check for colorectal cancer. This measure shows the percentage of adults,
ages 51-80, who received one or more of
four proven screening tests:
nFecal
occult blood test
sigmoidoscopy
nDouble contrast barium enema
nColonoscopy
nFlexible
When choosing a
clinic, look for the
clinic that has a
higher rate.
Why is this important?
Most colorectal cancer begins as a polyp. A polyp is a growth
projecting from the colon or rectum. Polyps can be detected
during screening exams. The removal of the polyp can be the
key to preventing colon cancer.
Performance on this measure ranged from 43 percent to
94 percent.
MEASURE SOURCE: HEDIS: Colorectal Cancer Screening
What is the measure?
Tests to check for cancer are an important part of preventive
care for people of a certain age. This measure shows the percentage of adults, ages 51-80, who received appropriate cancer
tests.
For women, this measure includes getting tested for:
nBreast cancer
nCervical cancer, and
nColorectal cancer
For men, this measure
includes getting tested for:
nColorectal cancer
When choosing a
clinic, look for the
clinic that has a
higher rate.
Why is this important?
Cancer is the result of uncontrolled growth and spread of abnormal cells. Each type of cancer varies in how fast it grows and
how it may spread in the body. The causes of cancer are complex and they may involve the individual’s inherited genetics, as
well as outside factors such as exposure to chemicals, smoke
and the sun. Getting the right cancer screenings can catch the
cancer early, leading to more successful treatment.
Performance on this measure ranged from 15 percent to
89 percent.
MEASURE SOURCE: HEDIS: Cancer Screening Combined
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
23
The Best Care to Detect Chlamydia
What is the measure?
Testing for Chlamydia is important for the health of teenage and
young women who are having sex. This measure shows the
percentage of sexually-active females, ages 16-25, who received a Chlamydia test.
Why is this important?
Chlamydia is the most common
sexually-transmitted infection in the
United States. Many infected people
have no symptoms. If left untreated,
it can lead to infertility, or
complications during pregnancy.
When choosing a
clinic, look for the
clinic that has a
higher rate.
Performance on this measure ranged from 15 percent to
81 percent.
MEASURE SOURCE: HEDIS: Chlamydia Screening in Women
The Best Care to Provide
Childhood Immunizations
What is the measure?
Protecting children from diseases involves getting important
shots (vaccinations) when they will do the most good. This measure shows the percentage of children who received all of these
vaccinations by the age of two:
nDiphtheria
and Tetanus
nPolio
nMeasles,
Mumps and Rubella
Influenza Type B
nHepatitis B
nChicken Pox
nPneumococcal
nH
When choosing a
clinic, look for the
clinic that has a
higher rate.
Why is this important?
Before immunizations, infectious diseases often harmed or
even killed infants, children and adults. While some of these
diseases have been greatly reduced or even eliminated, these
diseases could return and spread if children are not immunized
against them. It is important that vaccinations are given at the
right time for them to work the best.
Performance on this measure ranged from 54 percent to
92 percent.
MEASURE SOURCE: HEDIS: Childhood Immunization Status
24
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
70%
92%
87%
86%
19%
83% 80%
72% 53%
Provide Childhood Immunizations
34%
Detect Chlamydia
Overall Minnesota Average
Help Prevent Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
Help Prevent Breast Cancer
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Adults with Bronchitis
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
49%
80%
*
*
Andover
Fairview Andover Clinic
15%
28%
*
*
92%
88%
*
*
*
*
HealthPartners- RiverWay
40%
46%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
35%
44%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
*
Anoka
HealthPartners- RiverWay
Apple Valley
Apple Valley Medical Clinic
49%
47%
61%
91%
80%
92%
57%
77%
76%
74%
50% 61%
Fairview CedarRidge Clinic
29%
38%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
HealthPartners
39%
47%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
MD Physicals Incorporated
+
+
*
*
*
*
*
*
*
*
44%
57%
77%
93%
96%
96%
22%
88%
83%
75%
10%
8%
*
*
64%
83%
11%
79%
75%
*
49%
49%
76%
91%
92%
88%
14%
81%
80%
72%
*
*
*
*
Arden Hills
HealthPartners
66% 68% 86%
Belle Plaine
Southern Metro Medical Clinics
*
41%
*
Blaine
Allina Medical Clinic
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
45% 61% 81%
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
25
Detect Chlamydia
Provide Childhood Immunizations
80%
*
*
28%
34%
70%
92%
87%
86%
19%
83% 80%
Fairview Blaine Clinic
17%
26%
*
*
92%
88%
*
*
*
*
Multicare Associates- Blaine Medical Center
24%
27%
56%
91%
83%
98%
*
79%
80%
46%
38% 44% 83%
41% 49% 88%
Help Prevent Cancer
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Help Prevent Breast Cancer
49%
Adults with Bronchitis
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
72% 53%
*
Bloomington
Aspen Medical Group
11%
24%
67%
91%
91%
95%
25%
85%
82%
74%
Bloomington Lake Clinic- Xerxes
22%
34%
83%
95%
97%
*
16%
82%
81%
81%
Fairview Oxboro Clinic
46%
58%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
HealthPartners
31%
41%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
Park Nicollet Clinic
32%
38%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
*
18%
*
Brooklyn Center
HealthPartners
39%
42%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
Hennepin Faculty Associates- Hennepin Care North
10%
*
60%
94%
94%
88%
45%
81%
80%
60%
55% 62% 61%
North Memorial Clinic- Brooklyn Center Physicians
21%
32%
54%
94%
93%
83%
17%
78%
77%
65%
47% 53%
33%
38%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
45% 61% 81%
Park Nicollet Clinic
*
Brooklyn Park
Allina Medical Clinic
57%
*
76%
91%
92%
88%
14%
81%
80%
72%
Fairview Brooklyn Park Clinic
23%
27%
*
*
92%
88%
*
*
*
*
* Sufficient data not available.
26
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
*
*
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
*
87%
86%
North Memorial Clinic- Brooklyn Park Physicians
19%
29%
54%
94%
93%
83%
Provide Childhood Immunizations
92%
Detect Chlamydia
70%
49%
80%
19%
83% 80%
72% 53%
17%
78%
77%
65%
47% 53%
*
*
Help Prevent Cancer
34%
Help Prevent Colorectal Cancer
28%
Help Prevent Breast Cancer
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
Burnsville
Burnsville Family Physicians
31%
36%
71%
*
*
*
40%
85%
87%
66%
22% 46%
Fairview Ridges Clinic
31%
44%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Park Nicollet Clinic
37%
40%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
Quello Clinic
26%
37%
71%
89%
91%
90%
14%
83%
83%
69%
46% 55%
*
39%
68%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Allina Medical Clinic
40%
42%
76%
91%
92%
88%
14%
81%
80%
72%
Team Health Care Clinic
+
+
*
*
*
*
*
*
*
*
UMP MN Heart Burnsville Clinic
*
Champlin
45% 61% 81%
*
*
*
Chanhassen
Park Nicollet Clinic
35%
42%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
Quello Clinic
42%
59%
71%
89%
91%
90%
14%
83%
83%
69%
46% 55%
*
21%
27%
81%
90%
76%
95%
14%
75%
76%
67%
58% 48%
*
36%
48%
*
*
74%
78%
*
*
*
*
Ridgeview Chanhassen Clinic
Chaska
Allina Medical Clinic- Crossroads Chaska
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
*
*
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
27
92%
87%
86%
22%
24%
74%
93%
89%
95%
Lakeview Clinic
15%
29%
49%
95%
87%
Valley Family Practice
20%
8%
*
*
19%
24%
*
*
Fairview Jonathan Clinic
Provide Childhood Immunizations
70%
Detect Chlamydia
34%
Help Prevent Colorectal Cancer
28%
49%
80%
19%
83% 80%
72% 53%
20%
82%
82%
79%
89%
16%
83%
83%
94%
*
*
*
*
*
*
*
*
*
*
92%
88%
*
*
*
*
*
*
*
Help Prevent Cancer
Help Prevent Breast Cancer
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
58% 57% 84%
54% 85%
Columbia Heights
Fairview Columbia Heights Clinic
Coon Rapids
Allina Health System- Metropolitan Heart & Vascular Institute
*
30%
Allina Health System- Midwest Internal Medicine
*
*
75%
91%
90%
89%
21%
83%
81%
43%
36% 48% 75%
Allina Medical Clinic
44%
49%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Anoka Area Family Medicine Clinic
+
+
*
*
*
*
*
*
*
*
*
*
*
Dr. Jerrol Noller
+
+
*
*
*
*
*
*
*
*
*
*
*
41%
46%
77%
93%
96%
96%
22%
88%
83%
75%
+
+
HealthPartners
Twin Cities Heart and Lung
75%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
66% 68% 86%
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Cottage Grove
Allina Medical Clinic
41%
44%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
HealthEast
33%
38%
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
* Sufficient data not available.
28
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
Detect Chlamydia
Provide Childhood Immunizations
80%
*
*
34%
70%
92%
87%
86%
19%
83% 80%
New Hope-Crystal Medical Clinic
+
+
*
*
*
*
*
*
*
*
Northwest Family Physicians
23%
34%
63%
96%
90%
93%
22%
79%
78%
59%
One Stop Medical Center
+
+
*
*
*
*
*
*
*
*
45%
54%
76%
91%
92%
88%
14%
81%
80%
72%
Eagan Child and Family Care
+
+
*
*
*
*
*
*
*
*
Fairview Eagan Clinic
44%
60%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
HealthEast
*
*
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
Minnesota Center for Obesity, Metabolism, and Endocrinology (MNCOME)
19%
*
Park Nicollet Clinic
40%
44%
78%
92%
90%
94%
14%
87%
84%
79%
+
+
*
*
*
*
*
*
*
*
Overall Minnesota Average
Help Prevent Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Help Prevent Breast Cancer
49%
Adults with Bronchitis
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
72% 53%
Crystal
*
41% 57%
*
*
*
*
Eagan
Allina Medical Clinic
Yankee Square Family Practice
45% 61% 81%
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
64% 52% 89%
*
*
*
Eden Prairie
Fairview EdenCenter Clinic
32%
46%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Park Nicollet Clinic
38%
43%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
29
87%
86%
19%
83% 80%
72% 53%
Provide Childhood Immunizations
92%
Help Prevent Cancer
70%
Help Prevent Colorectal Cancer
34%
Detect Chlamydia
Overall Minnesota Average
Help Prevent Breast Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
49%
80%
Edina
Allina Health System- Abbott Northwestern General Medicine Associates
31%
35%
75%
91%
90%
89%
21%
83%
81%
43%
36% 48% 75%
Allina Medical Clinic
41%
43%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Consultants Internal Medicine
8%
18%
*
*
*
*
*
80%
78%
*
Edina Family Physicians
12%
20%
50%
90%
71%
*
14%
89%
89%
64%
Edina Sports Health & Wellness
10%
19%
*
*
*
*
13%
82%
85%
*
Endocrinology Clinic of Minneapolis
25%
*
Fairview Crosstown Clinic
39%
58%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
France Avenue Family Physicians
41%
56%
*
*
*
*
16%
73%
81%
77%
68% 58%
One Stop Medical Center
+
+
*
*
*
*
*
*
*
*
38%
45%
71%
89%
91%
90%
14%
83%
83%
69%
Sharpe Dillon Cockson & Associates PA
+
+
*
*
*
*
*
*
*
*
*
*
*
Southdale Internal Medicine, PA
47%
48%
*
*
*
*
*
87%
77%
*
*
*
*
The Schuster Clinic
+
+
*
*
*
*
*
*
*
*
*
*
*
UMP MN Heart Edina Clinic
*
33%
Quello Clinic
* Sufficient data not available.
30
*
*
50% 41%
*
45%
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
*
*
46% 55%
*
*
*
68%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
87%
86%
5%
*
81%
90%
76%
95%
Provide Childhood Immunizations
92%
49%
80%
19%
83% 80%
72% 53%
14%
75%
76%
67%
58% 48%
Help Prevent Cancer
70%
Help Prevent Colorectal Cancer
34%
Detect Chlamydia
Overall Minnesota Average
Help Prevent Breast Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
Excelsior
Ridgeview Excelsior Clinic
*
Farmington
Allina Medical Clinic
43%
53%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Fairview Farmington Clinic
*
*
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
FamilyHealth Medical Clinic
2%
*
*
*
90%
89%
25%
82%
75%
*
*
15%
*
Farmington Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
38%
44%
76%
91%
92%
88%
14%
81%
80%
72%
Forest Lake
Allina Medical Clinic
45% 61% 81%
Fridley
Fairview Fridley Clinic
17%
21%
*
*
92%
88%
*
*
*
*
Multicare Associates- Fridley Medical Center
21%
24%
56%
91%
83%
98%
*
79%
80%
46%
38% 44% 83%
North Memorial Clinic- Golden Valley Physicians
23%
26%
54%
94%
93%
83%
17%
78%
77%
65%
47% 53%
45%
51%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
*
*
*
Golden Valley
Park Nicollet Clinic
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
31
70%
92%
87%
86%
19%
83% 80%
72% 53%
Provide Childhood Immunizations
34%
Detect Chlamydia
Overall Minnesota Average
Help Prevent Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
Help Prevent Breast Cancer
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Adults with Bronchitis
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
49%
80%
Hastings
Allina Medical Clinic - W First St
39%
52%
*
*
*
96%
*
*
*
*
*
*
*
Allina Medical Clinic- Nininger
38%
50%
*
*
*
96%
*
*
*
*
*
*
*
7%
*
67%
91%
91%
95%
25%
85%
82%
74%
41% 49% 88%
Hopkins
Aspen Medical Group
Hugo
Fairview Hugo Clinic
29%
52%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
HealthEast
33%
*
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
Inver Grove Heights
Aspen Medical Group
11%
24%
67%
91%
91%
95%
25%
85%
82%
74%
41% 49% 88%
Family HealthServices Minnesota
32%
41%
85%
91%
88%
84%
25%
79%
75%
81%
59%
HealthPartners
51%
52%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
Inver Grove Heights Family Medical Center
+
+
*
*
*
*
*
*
*
*
*
*
*
+
+
*
*
*
*
*
*
*
*
*
*
*
*
87%
Jordon
Jordon Medical Clinic
* Sufficient data not available.
32
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
87%
86%
19%
83% 80%
72% 53%
Provide Childhood Immunizations
92%
Help Prevent Cancer
70%
Help Prevent Colorectal Cancer
34%
Detect Chlamydia
Overall Minnesota Average
Help Prevent Breast Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
49%
80%
Lakeville
Fairview Lakeville Clinic
43%
37%
74%
93%
89%
95%
20%
82%
82%
79%
FamilyHealth Medical Clinic
9%
*
*
*
90%
89%
25%
82%
75%
*
*
15%
*
Lakeville Family Practice
+
+
*
*
*
*
*
*
*
*
*
*
*
31%
45%
71%
89%
91%
90%
14%
83%
83%
69%
46% 55%
Quello Clinic
58% 57% 84%
*
Lino Lakes
Fairview Lino Lakes Clinic
32%
33%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
HealthPartners
33%
42%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
+
+
*
*
*
*
*
*
*
*
Little Canada
Little Canada Medical Clinic
*
*
*
Maple Grove
Allina Medical Clinic
41%
52%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Fairview Bass Lake Clinic
45%
31%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Fairview Maple Grove Medical Center
37%
42%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Maple Medical Center, PA
+
+
*
*
*
*
*
*
*
*
11%
25%
73%
87%
90%
91%
17%
85%
82%
94%
North Clinic
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
*
*
66% 45%
*
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
33
92%
87%
86%
North Memorial Clinic- Camden Physicians Maple Grove
15%
39%
75%
92%
94%
93%
34%
43%
78%
92%
90%
Park Nicollet Clinic
Provide Childhood Immunizations
70%
Detect Chlamydia
34%
Help Prevent Colorectal Cancer
28%
49%
80%
19%
83% 80%
72% 53%
28%
84%
80%
79%
69% 52%
94%
14%
87%
84%
79%
64% 52% 89%
41% 49% 88%
Help Prevent Cancer
Help Prevent Breast Cancer
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
*
Maplewood
Aspen Medical Group
16%
44%
67%
91%
91%
95%
25%
85%
82%
74%
Attending Physicians
6%
17%
*
*
*
*
*
*
*
*
*
*
*
Family HealthServices Minnesota- Afton Road
32%
49%
85%
91%
88%
84%
25%
79%
75%
81%
59%
*
87%
HealthEast
29%
40%
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
HealthPartners
38%
47%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
St. Paul Cardiology
+
+
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic
*
35%
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Minneapolis
Allina Health System- Abbott Northwestern General Medicine Associates
4%
*
Allina Health System- Minneapolis Heart Institute
*
25%
64%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Allina Medical Clinic- Isles
39%
47%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Allina Medical Clinic- Nicollet Mall
36%
45%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Allina Medical Clinic- The Doctors Uptown
43%
54%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
* Sufficient data not available.
34
75%
91%
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
90%
89%
21%
83%
81%
43%
36% 48% 75%
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
87%
86%
19%
83% 80%
72% 53%
Provide Childhood Immunizations
92%
Help Prevent Cancer
70%
Help Prevent Colorectal Cancer
34%
Detect Chlamydia
Overall Minnesota Average
Help Prevent Breast Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
49%
80%
Aspen Medical Group- East Lake Street
3%
12%
67%
91%
91%
95%
25%
85%
82%
74%
AXIS Medical Center
+
+
*
*
*
*
*
*
*
*
*
*
*
Bloomington Lake Clinic
23%
35%
83%
95%
97%
*
16%
82%
81%
81%
*
18%
*
Boynton Health Service
10%
*
*
*
*
*
*
*
*
*
*
*
*
Bruley Center
+
+
*
*
*
*
*
*
*
*
*
*
*
Cedar Riverside People’s Center- People’s Center Medical Clinic
13%
*
64%
*
*
*
*
89%
74%
70%
*
55%
*
Community University Health Care Center
13%
10%
67%
89%
94%
89%
47%
68%
79%
44%
Crown Medical Center
+
+
*
*
*
*
*
*
*
*
Fairview Hiawatha Clinic
34%
43%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Fairview Northeast Clinic
37%
39%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Fairview Uptown Clinic
29%
31%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Fremont Community Health Services- Central Avenue Clinic
10%
*
67%
89%
94%
89%
47%
68%
79%
44%
34% 54% 79%
Fremont Community Health Services- Fremont Clinic
1%
14%
67%
89%
94%
89%
47%
68%
79%
44%
34% 54% 79%
Fremont Community Health Services- Sheridan
*
*
67%
89%
94%
89%
47%
68%
79%
44%
34% 54% 79%
Green Central Medical Clinic
18%
*
67%
89%
94%
89%
47%
68%
79%
44%
34% 54% 79%
40%
46%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
HealthPartners- Riverside
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
41% 49% 88%
34% 54% 79%
*
*
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
35
Detect Chlamydia
Provide Childhood Immunizations
The Best Care To...
49%
80%
28%
34%
70%
92%
87%
86%
Hennepin Faculty Associates- HCMC Family Medical Center
12%
9%
60%
94%
94%
88%
Hennepin Faculty Associates- HCMC Hennepin Heart Center
*
12%
60%
94%
94%
Hennepin Faculty Associates- HCMC Medicine Clinic
8%
7%
60%
94%
Hennepin Faculty Associates- HCMC Positive Care Clinic
10%
*
60%
Hennepin Faculty Associates- Hennepin Care South
14%
*
60%
Hennepin Faculty Associates- Hennepin Center for Diabetes & Endocrinology 12%
*
60%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Hennepin Faculty Associates- Hennepin Center for Senior Care
18%
*
60%N/AN/AN/AN/A
81%N/A
60%
55%N/AN/A
Hennepin Faculty Associates- Hennepin Family Care East Lake Clinic
11%
*
60%
94%
94%
88%
45%
81%
80%
60%
55% 62% 61%
Hennepin Faculty Associates- HFA Internal Medicine Clinic
16%
18%
60%
94%
94%
88%
45%
81%
80%
60%
55% 62% 61%
Hennepin Faculty Associates- HFA Senior Care Clinic at Augustana
*
*
81%N/A
60%
55%N/AN/A
Johnson Street Medical Clinic
3%
*
*
*
*
*
*
*
50%
*
*
*
*
Medical Care Services, PA
+
+
*
*
*
*
*
*
*
*
*
*
*
Metropolitan Internists PA
+
+
*
*
*
*
*
*
*
*
*
*
*
Native American Community Clinic
0%
10%
*
*
*
*
*
*
*
*
*
*
*
North Memorial Clinic- Camden Physicians
14%
25%
75%
92%
94%
93%
28%
84%
80%
79%
69% 52%
*
North Memorial Clinic- Northeast Family Physicians
13%
21%
54%
94%
93%
83%
17%
78%
77%
65%
47% 53%
*
* Sufficient data not available.
36
Help Prevent Breast Cancer
19%
83% 80%
72% 53%
45%
81%
80%
60%
55% 62% 61%
88%
45%
81%
80%
60%
55% 62% 61%
94%
88%
45%
81%
80%
60%
55% 62% 61%
94%
94%
88%
45%
81%
80%
60%
55% 62% 61%
94%
94%
88%
45%
81%
80%
60%
55% 62% 61%
60%N/AN/AN/AN/A
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Help Prevent Cancer
Adults with Bronchitis
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
Detect Chlamydia
Provide Childhood Immunizations
80%
28%
34%
70%
92%
87%
86%
19%
83% 80%
North Memorial Heart & Vascular Institute
*
55%
54%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
NorthPoint Health & Wellness Center
9%
20%
70%
88%
95%
*
*
72%
77%
*
*
81%
*
Park Avenue Family Practice
+
+
*
*
*
*
*
*
*
*
*
*
*
Park Nicollet Clinic
21%
30%
78%
92%
90%
94%
14%
87%
84%
79%
Riverside Family Physicians
11%
*
*
*
*
*
*
71%
76%
*
*
*
*
Ronald R Vessey MD Internal Medicine Services, PA
*
*
*
*
*
*
*
*
*
*
*
*
*
Southside Medical Clinic
19%
*
67%
89%
94%
89%
47%
68%
79%
44%
UMP MN Heart University Clinic
*
32%
68%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
University of Minnesota Physicians - Broadway Family Medicine
7%
13%
55%
92%
94%
98%
19%
80%
81%
53%
49%
*
62%
University of Minnesota Physicians - Medicine Specialties Clinic 6A
24%
*
55%
92%
94%
98%
19%
80%
81%
53%
49%
*
62%
University of Minnesota Physicians - Mill City Clinic
39%
*
55%
92%
94%
98%
19%
80%
81%
53%
49%
*
62%
University of Minnesota Physicians - Primary Care Center
24%
34%
55%
92%
94%
98%
19%
80%
81%
53%
49%
*
62%
University of Minnesota Physicians - Smiley’s Clinic
27%
*
55%
92%
94%
98%
19%
80%
81%
53%
49%
*
62%
North Memorial Clinic- Minnetonka Physicians
15%
30%
54%
94%
93%
83%
17%
78%
77%
65%
47% 53%
37%
46%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
Help Prevent Cancer
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Help Prevent Breast Cancer
49%
Adults with Bronchitis
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
72% 53%
64% 52% 89%
34% 54% 79%
MINNETONKA
Park Nicollet Clinic- Carlson
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
37
Prevention
The Best Care for...
The Best Care For...
The Best Care To...
*
75%
81%
59%
*
87%
82%
75%
*
*
15%
*
16%
83%
83%
94%
*
54% 85%
94%
21%
82%
79%
85%
55% 52% 90%
90%
91%
17%
85%
82%
94%
66% 45%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
87%
90%
91%
17%
85%
82%
94%
66% 45%
70%
92%
87%
86%
19%
83% 80%
*
9%
*
*
*
*
*
*
*
*
3%
10%
*
*
64%
83%
11%
79%
75%
30%
44%
85%
91%
88%
84%
25%
79%
7%
31%
*
*
90%
89%
25%
13%
35%
49%
95%
87%
89%
25%
28%
81%
90%
93%
11%
17%
73%
87%
47%
50%
76%
8%
43%
73%
Help Prevent Colorectal Cancer
34%
Help Prevent Cervical Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Cancer
41%
Help Prevent Breast Cancer
*
Adults with Bronchitis
*
Children with a Sore Throat
*
Children with a Cold
*
Children and Adults with Asthma
*
Adults with High Blood Pressure
80%
Adults with Vascular Disease
49%
When choosing a clinic, look for the clinic
that has a higher rate.
Overall Minnesota Average
Provide Childhood Immunizations
Acute Conditions
Detect Chlamydia
Chronic Conditions
Adults with Diabetes
Quality of Care
72% 53%
New Prague
Queen of Peace Hospital- Outpatient Clinic
Southern Metro Medical Clinics- New Prague Medical Clinic
North St. Paul
Family HealthServices Minnesota- North St. Paul Clinic
Northfield
FamilyHealth Medical Clinic
Norwood
Lakeview Clinic
Oakdale
HealthEast
Osseo
North Clinic
*
Plymouth
Allina Medical Clinic- West Health Campus
North Clinic- WestHealth
* Sufficient data not available.
38
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
*
92%
87%
86%
North Memorial Clinic- Camden Physicians Plymouth
24%
37%
75%
92%
94%
93%
North Memorial Clinic- Plymouth Internal Medicine
24%
31%
54%
94%
93%
Northwest Family Physicans
29%
38%
63%
96%
36%
40%
78%
Park Nicollet Clinic
Provide Childhood Immunizations
70%
Detect Chlamydia
34%
Help Prevent Colorectal Cancer
28%
49%
80%
19%
83% 80%
72% 53%
28%
84%
80%
79%
69% 52%
*
83%
17%
78%
77%
65%
47% 53%
*
90%
93%
22%
79%
78%
59%
41% 57%
*
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
Help Prevent Cancer
Help Prevent Breast Cancer
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
Prior Lake
Allina Medical Clinic- Crossroads Prior Lake
27%
*
*
*
74%
78%
*
*
*
*
Fairview RidgeValley Clinic
43%
45%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Park Nicollet Clinic
37%
32%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
42%
48%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Allina Medical Clinic
39%
48%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Richfield Medical Group
23%
53%
*
*
*
*
16%
71%
78%
*
North Clinic- Oakdale Office
16%
18%
73%
87%
90%
91%
17%
85%
82%
94%
Robbinsdale Clinic, PA
+
+
*
*
*
*
*
*
*
*
*
*
*
Ramsey
Allina Medical Clinic
Richfield
*
*
*
Robbinsdale
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
66% 45%
*
*
*
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
39
87%
86%
*
*
74%
93%
89%
95%
34%
49%
63%
96%
90%
Fairview Rosemount Clinic
44%
63%
74%
93%
Rosemount Family Physicians
+
+
*
Provide Childhood Immunizations
92%
Detect Chlamydia
70%
Help Prevent Colorectal Cancer
34%
Overall Minnesota Average
49%
80%
19%
83% 80%
72% 53%
20%
82%
82%
79%
58% 57% 84%
93%
22%
79%
78%
59%
41% 57%
89%
95%
20%
82%
82%
79%
58% 57% 84%
*
*
*
*
*
*
*
Help Prevent Cancer
Help Prevent Breast Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
Rogers
Fairview Rogers Clinic
Northwest Family Physicians
*
Rosemount
*
*
*
Roseville
HealthPartners- North Suburban Roseville
39%
44%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
Multicare Associates- Roseville Medical Center
20%
26%
56%
91%
83%
98%
*
79%
80%
46%
38% 44% 83%
23%
*
*
*
*
*
*
*
*
*
26%
*
71%
89%
91%
90%
14%
83%
83%
69%
46% 55%
45% 61% 81%
Richard Schoewe, MD
*
*
*
Savage
Quello Clinic
*
Shakopee
Allina Medical Clinic
37%
41%
76%
91%
92%
88%
14%
81%
80%
72%
Allina Medical Clinic- Crossroads Shakopee Dean Lakes
42%
43%
*
*
74%
78%
*
*
*
*
Park Nicollet Clinic
32%
46%
78%
92%
90%
94%
14%
87%
84%
79%
* Sufficient data not available.
40
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
*
*
64% 52% 89%
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
*
87%
86%
19%
83% 80%
72% 53%
Provide Childhood Immunizations
92%
Help Prevent Cancer
70%
Help Prevent Colorectal Cancer
34%
Detect Chlamydia
Overall Minnesota Average
Help Prevent Breast Cancer
28%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Adults with Bronchitis
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
49%
80%
Shoreview
Allina Medical Clinic
40%
47%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Family HealthServices Minnesota
36%
50%
85%
91%
88%
84%
25%
79%
75%
81%
59%
*
87%
One Stop Medical Center
+
+
*
*
*
*
*
*
*
*
*
*
*
Silver Lake Clinic
13%
23%
56%
90%
91%
97%
*
78%
85%
84%
62% 40%
41%
57%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
12%
28%
81%
90%
76%
95%
14%
75%
76%
67%
58% 48%
*
11%
26%
56%
90%
91%
97%
*
78%
85%
84%
62% 40%
*
+
+
*
*
*
*
*
*
*
*
*
Shorewood
Park Nicollet Clinic
Spring Park
Ridgeview Westonka Clinic
St. Anthony
Silver Lake Clinic
St. Francis
St. Francis Medical Clinic
*
*
*
St. Louis Park
HealthPartners- West
38%
41%
77%
93%
96%
96%
22%
88%
83%
75%
Integrative Options
+
+
*
*
*
*
*
*
*
*
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
66% 68% 86%
*
*
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
41
Detect Chlamydia
Provide Childhood Immunizations
80%
*
*
28%
34%
70%
92%
87%
86%
19%
83% 80%
Life Medical
5%
9%
*
*
*
*
*
*
*
*
Park Nicollet Clinic- Creekside
26%
39%
78%
92%
90%
94%
14%
87%
84%
79%
Park Nicollet Clinic- Heart and Vascular
*
24%
78%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic- St. Louis Park Endocrinology
26%
*
78%N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic- St. Louis Park Family Medicine
31%
45%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
Park Nicollet Clinic- St. Louis Park Internal Medicine
38%
46%
78%
92%
90%
94%
14%
87%
84%
79%
64% 52% 89%
24%
32%
*
*
*
*
*
*
*
*
*
*
*
Steven Saliterman, MD
Help Prevent Cancer
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Help Prevent Breast Cancer
49%
Adults with Bronchitis
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
72% 53%
*
64% 52% 89%
St. Paul
Adult Medicine, PA
51%
*
*
*
*
*
*
*
*
*
*
*
*
Advanced Medical Clinic, Inc
+
+
*
*
*
*
*
*
*
*
*
*
*
Allina Medical Clinic- United Medical Specialties
40%
43%
76%
91%
92%
88%
14%
81%
80%
72%
Arcade Medical Clinic
+
+
*
*
*
*
*
*
*
*
Aspen Medical Group- Bandana Square
17%
37%
67%
91%
91%
95%
25%
85%
82%
74%
41% 49% 88%
Aspen Medical Group- Highland
18%
56%
67%
91%
91%
95%
25%
85%
82%
74%
41% 49% 88%
Boynton Health Service
*
*
*
*
*
*
*
*
*
*
*
Children’s Speciality Clinic
10%
*
*
97%
94%
96%
*
*
85%
*
*
* Sufficient data not available.
42
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
45% 61% 81%
*
*
*
*
40% 78%
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
*
Prevention
The Best Care for...
The Best Care For...
The Best Care To...
*
*
28%
34%
70%
92%
87%
86%
19%
83% 80%
Donald E Gehrig, MD, Internal Medicine, LLC
+
+
*
*
*
*
*
*
*
*
Dr Bobby Yang Medical Clinic
+
+
*
*
*
*
*
*
*
*
Fairview Highland Park Clinic
29%
45%
74%
93%
89%
95%
20%
82%
82%
79%
58% 57% 84%
Family HealthServices Minnesota- Highland Family Physicians
32%
48%
85%
91%
88%
84%
25%
79%
75%
81%
59%
*
87%
Family HealthServices Minnesota- Larpenteur Clinic
29%
50%
85%
91%
88%
84%
25%
79%
75%
81%
59%
*
87%
Family HealthServices Minnesota- Maryland Clinic
20%
32%
85%
91%
88%
84%
25%
79%
75%
81%
59%
*
87%
Gillette Children’s Specialty Healthcare
*
*
*
*
*
*
*
*
*
*
*
*
*
Gillette Lifetime Specialty Healthcare
*
*
*
*
*
*
*
*
*
*
*
*
*
HealthEast- Downtown St. Paul
42%
50%
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
HealthEast- Grand Avenue
32%
*
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
HealthEast- Midway
46%
60%
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
HealthEast- Rice Street
19%
26%
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
HealthEast- Roselawn
20%
36%
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
HealthEast- St Anthony Park
3%
*
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
HealthPartners- Center for International Health
27%
31%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
HealthPartners- Como
37%
50%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Help Prevent Cancer
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Help Prevent Breast Cancer
*
Adults with Bronchitis
*
Children with a Sore Throat
*
Children with a Cold
*
Children and Adults with Asthma
80%
Adults with High Blood Pressure
49%
Adults with Vascular Disease
Provide Childhood Immunizations
Acute Conditions
Detect Chlamydia
Chronic Conditions
Adults with Diabetes
Quality of Care
72% 53%
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
43
34%
70%
92%
87%
86%
HealthPartners- Health Center for Women
31%
37%
77%
93%
96%
96%
HealthPartners- Health Specialty Center
33%
42%
77%
93%
96%
HealthPartners- Midway
28%
36%
77%
93%
HealthPartners- Specialty Center
*
42%
77%
HealthPartners- St. Paul
26%
36%
Metropolitan Medical Associates
+
Midway Family Clinic
New Americans Community Clinic
80%
19%
83% 80%
72% 53%
22%
88%
83%
75%
66% 68% 86%
96%
22%
88%
83%
75%
66% 68% 86%
96%
96%
22%
88%
83%
75%
66% 68% 86%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
+
*
*
*
*
*
85%
77%
*
*
*
*
+
+
*
*
*
*
*
*
*
*
*
*
*
+
+
*
*
*
*
*
*
*
*
*
*
*
Open Cities Health Center- Dunlap
16%
0%
67%
89%
94%
89%
47%
68%
79%
44%
34% 54% 79%
Open Cities Health Center- Northend
9%
*
67%
89%
94%
89%
47%
68%
79%
44%
34% 54% 79%
Parkway Family Physicians
31%
39%
*
*
*
93%
13%
77%
79%
*
*
*
*
St. Paul Family Medical Center
+
+
*
*
*
*
*
*
*
*
*
*
*
St. Paul Cardiology
+
+
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic- Downtown
*
46%
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
United Family Medicine
9%
21%
55%
81%
93%
99%
*
72%
78%
59%
*
66%
*
University of Minnesota Physicians - Bethesda Clinic
23%
15%
55%
92%
94%
98%
19%
80%
81%
53%
49%
*
62%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
* Sufficient data not available.
44
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Help Prevent Cancer
Help Prevent Breast Cancer
49%
Adults with Bronchitis
Provide Childhood Immunizations
28%
Detect Chlamydia
Help Prevent Colorectal Cancer
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
The Best Care To...
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
Detect Chlamydia
Provide Childhood Immunizations
The Best Care To...
49%
80%
*
62%
28%
34%
70%
92%
87%
86%
University of Minnesota Physicians - Phalen Clinic
23%
33%
55%
92%
94%
98%
West Side Community Health Services- East Side Family Clinic
0%
*
67%
89%
94%
West Side Community Health Services- La Clinica
18%
22%
67%
89%
West Side Community Health Services- McDonough Homes Clinic
14%
*
67%
Xoua Thao Medical Center
+
+
St Croix Family Medical Clinic
24%
*
St Paul Heart Clinic- Lakeview Heart Center
*
44%
Stillwater Medical Group- Curve Crest Clinic
21%
28%
68%
95%
92%
95%
16%
78%
78%
86%
73% 53% 84%
19%
83% 80%
72% 53%
19%
80%
81%
53%
49%
89%
47%
68%
79%
44%
34% 54% 79%
94%
89%
47%
68%
79%
44%
34% 54% 79%
89%
94%
89%
47%
68%
79%
44%
34% 54% 79%
*
*
*
*
*
*
*
*
67%
89%
94%
89%
47%
68%
79%
44%
Help Prevent Cancer
Help Prevent Breast Cancer
Overall Minnesota Average
Adults with Bronchitis
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Children with a Sore Throat
The Best Care For...
Children with a Cold
The Best Care for...
Children and Adults with Asthma
Prevention
Adults with High Blood Pressure
Acute Conditions
Adults with Vascular Disease
Chronic Conditions
Adults with Diabetes
Quality of Care
*
*
*
Stillwater
34% 54% 79%
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Vadnais Heights
Family HealthServices Minnesota
23%
39%
85%
91%
88%
84%
25%
79%
75%
81%
59%
HealthEast
39%
54%
81%
90%
93%
94%
21%
82%
79%
85%
55% 52% 90%
24%
33%
49%
95%
87%
89%
16%
83%
83%
94%
*
54% 85%
22%
38%
*
.*
*
75%
*
86%
80%
*
*
23%
*
87%
Waconia
Lakeview Clinic
Watertown
Catalyst Medical Clinic
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
45
The Best Care For...
The Best Care To...
83%
94%
54% 85%
94%
14%
87%
84%
79%
64% 52% 89%
28%
34%
70%
92%
87%
86%
Lakeview Clinic
10%
33%
49%
95%
87%
89%
39%
47%
78%
92%
90%
Help Prevent Cancer
83%
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
16%
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
80%
Children with a Sore Throat
49%
Children with a Cold
72% 53%
Children and Adults with Asthma
83% 80%
Adults with High Blood Pressure
19%
Adults with Vascular Disease
Provide Childhood Immunizations
The Best Care for...
Detect Chlamydia
Prevention
Help Prevent Breast Cancer
Acute Conditions
Adults with Bronchitis
Chronic Conditions
Adults with Diabetes
Quality of Care
*
Wayzata
Park Nicollet Clinic
West St. Paul
Allina Medical Clinic
42%
41%
76%
91%
92%
88%
14%
81%
80%
72%
45% 61% 81%
Family HealthServices Minnesota- Gorman Clinic
41%
51%
85%
91%
88%
84%
25%
79%
75%
81%
59%
*
87%
+
+
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Reshi Medical
White Bear Lake
AALFA Family Clinic
19%
*
*
*
*
*
*
76%
74%
*
Aspen Medical Group
20%
26%
67%
91%
91%
95%
25%
85%
82%
74%
41% 49% 88%
Family HealthServices Minnesota
48%
57%
85%
91%
88%
84%
25%
79%
75%
81%
59%
*
87%
Family HealthServices Minnesota- Banning Avenue
37%
39%
85%
91%
88%
84%
25%
79%
75%
81%
59%
*
87%
HealthPartners
34%
41%
77%
93%
96%
96%
22%
88%
83%
75%
66% 68% 86%
*
*
*
*
*
*
*
*
*
*
41%
49%
76%
91%
92%
88%
14%
81%
80%
72%
LifeSteps Family Physicians, PA
*
*
*
Woodbury
Allina Medical Clinic
* Sufficient data not available.
46
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
45% 61% 81%
For more detailed information, see appendices starting on page 88.
physician CLINIC Measures | November 2010 | 2010 Health Care Quality Report
Prevention
The Best Care for...
The Best Care For...
The Best Care To...
87%
81%
59%
*
87%
79%
85%
55% 52% 90%
88%
83%
75%
66% 68% 86%
*
*
*
28%
34%
70%
92%
87%
86%
Family HealthServices Minnesota
27%
40%
85%
91%
88%
84%
Family HealthServices Minnesota- Woodlane Family Practice
28%
43%
85%
91%
88%
HealthEast
34%
35%
81%
90%
HealthPartners
36%
47%
77%
Ilko Family Medicine
+
+
*
+
+
*N/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Cardiology- Woodwinds Office
* Sufficient data not available.
Help Prevent Breast Cancer
19%
83% 80%
72% 53%
25%
79%
75%
81%
84%
25%
79%
75%
93%
94%
21%
82%
93%
96%
96%
22%
*
*
*
*
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Help Prevent Cancer
Adults with Bronchitis
Note on Percentage Rates:
The rate shows how many patients out of
one hundred reached the treatment goals or
received the best medication.
Help Prevent Colorectal Cancer
Overall Minnesota Average
When choosing a clinic, look for the clinic
that has a higher rate.
Help Prevent Cervical Cancer
Children with a Sore Throat
*
Children with a Cold
59%
Children and Adults with Asthma
80%
Adults with High Blood Pressure
49%
Adults with Vascular Disease
Provide Childhood Immunizations
Acute Conditions
Detect Chlamydia
Chronic Conditions
Adults with Diabetes
Quality of Care
*
*
*
For more detailed information, see appendices starting on page 88.
November 2010 | 2010 Health Care Quality Report | physician CLINIC Measures
47
Region 3
Hospital Measures
Twin Cities Metro: Anoka, Carver, Dakota, Hennepin, Ramsey, Scott, Washington
48
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Hospital Measures
Quality of Care for Heart Conditions. . . . . . . . . . . . . . . . . . . . . . . . . 51
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Quality of Care for Surgeries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Choose the health care quality topic you
want to learn about.
Hospital quality information is available for four topics:
nHeart
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Conditions
nSurgeries
Quality of care for medical Complications and Infections. . . . 68
nMedical
nOther
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Quality of Care for Other Conditions. . . . . . . . . . . . . . . . . . . . . . . . . 78
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Complications and Infections
Conditions
One topic may be of greater interest to you than others. For example, if you or a loved one has a heart problem, you will probably be
interested in the “Heart Conditions” topic. However, anyone facing
a hospital stay should be interested in the topic “Medical Complications and Infections in the Hospital” since it discusses problems that
can occur for any hospital patient. All the information refers to care
provided for adult patients.
November 2010 | 2010 Health Care Quality Report | Hospital Measures
49
Each topic includes information on several different quality indicators. A quality indicator is a piece of information, usually a percentage rate, that shows how often patients had a particular experience
when they received medical care. These experiences reflect a
particular aspect of health care quality. Each health topic is briefly
described below, with examples of quality indicators for that topic.
To learn about all the indicators presented for each topic, please turn
to the appropriate page noted in the index at the start of this section.
Heart Conditions: This section includes measures related to
whether patients received the best type of care for heart attacks and
heart failure.
More Information about the Results
Be sure to note whether a higher or lower percentage rate is
better for the measure you are interested in. This will vary across
the different measures for hospitals. Keep in mind the percentage
rate is related to how many patients out of one hundred met the
criteria outlined in the measure. For example, if the hospital rate for
the “Heart Attack: Aspirin Given When Patients Arrived at the Hospital” measure is 88%, this means 88 out of 100 heart attack patients
received aspirin when they arrived at the hospital.
Surgeries: This section includes information associated with heart
surgeries and surgery to repair an abnormally enlarged artery supplying blood to the lower half of the body. There is also information
regarding surgery-related complications and treatments.
Medical Complications and Infections in the Hospital for Adult
Patients: This section includes problems or complications that can
be experienced by any hospital patient, as well as infection prevention measures.
Other Conditions: This section includes information about the best
types of treatment for pneumonia patients, and problems related to
hip fracture surgeries, and childbirth, specifically how often a birthrelated injury occurs to the mother.
50
Quality Health Care Measures | November 2010 | 2010 Health Care Quality Report
Quality of Care for Heart Conditions
Section CONTENTS
Quality of Care for Heart Attacks
The Best Care for Heart Attack Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Aspirin Given When Patients Arrived at the Hospital. . . . . . . . . . . . . . . . . . . . 52
Aspirin Prescribed When Patients were Released from the Hospital. . . . . . . 53
Quality of Care for Heart Conditions
Patients Given ACE Inhibitor or ARB Prescription for Left Ventricular
Systolic Dysfunction (LVSD) When Released from the Hospital. . . . . . . . . . . 53
Heart attacks
Patients Given Advice or Counseling About Quitting Smoking
While in the Hospital. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Patients Given Beta Blocker Prescription When Released
from the Hospital. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Patients Given Fibrinolytic Medication Within 30 Minutes
of Hospital Arrival. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Patients Given PCI Within 90 Minutes of Hospital Arrival. . . . . . . . . . . . . . . . 55
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
A heart attack (also called acute myocardial infarction or AMI)
happens when the arteries leading to the heart become
blocked and the blood supply is slowed or stopped. When
the heart muscle can’t get the oxygen and nutrients it needs,
the part of the heart tissue that is affected may die.
The symptoms of a heart attack can include:
n chest pain (often described as a crushing, squeezing or burning
pain in the center of the chest that may radiate to your arm or jaw)
Quality of Care for Heart Failure
n
The Best Care for Heart Failure Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
n
Patients Given Instructions When Released from the Hospital. . . . . . . . . . . . 57
n
Patients Given Evaluation of Left Ventricular Systolic (LVS) Function
While in the Hospital or Scheduled for After the Patient was Released. . . . . 57
Patients Given ACE Inhibitor or ARB Prescription for Left Ventricular
Systolic Dysfunction (LVSD) When Released from the Hospital. . . . . . . . . . . 58
Patients Given Advice or Counseling About Quitting Smoking While
in the Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
n
n
n
shortness of breath
dizziness or faintness
sweating
nausea
cold or clammy skin
a gray or very ill appearance.
Sometimes there may be no symptoms, especially if you have
diabetes. Women sometimes have different symptoms, such as
a different kind of chest pain and/or abdominal pain.
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
November 2010 | 2010 Health Care Quality Report | Hospital Measures
51
The Best Care for Heart Attack Patients
What is the measure?
This measure shows the percent of patients receiving ALL of the
appropriate care that they should have received based on their clinical condition. For heart attack patients this includes the remaining
measures in this section:
n
Aspirin Given When Patients Arrive at the Hospital
Aspirin Given When Patients were Released from the Hospital
nPatients Given ACE Inhibitor or ARB Prescription for left ventricular
systolic dysfunction (LVSD) When Released from the Hospital
n Patients Given Advice or Counseling About Quitting Smoking
While in the Hospital
nPatients Given Beta Blocker Prescription When Released
from the Hospital
nPatients Given Fibrinolytic Medication Within 30 Minutes
of Hospital Arrival
n Patients Given PCI Within 90 Minutes of Hospital Arrival
n
The measure takes patient individuality into consideration, looking at
one patient and his/her episode of care at a time, related to heart attacks (also known as acute myocardial infarction or AMI).
Why is this important?
This measure is a composite, or all-or-none,
When choosing a
quality of care measure called an approprihospital, look for the
ate care measure (ACM). These types of
hospital that has a
measures are patient-focused measures that
higher rate.
provide a way of looking at whether a patient
received ALL of the “appropriate” or “right
care” (recommended treatments) that he or
she should have received, based on his or her clinical condition.
Heart Attack: Aspirin Given When
Patients Arrived at the Hospital
What is the measure?
This measure shows the percent of heart
attack patients who were given (or took)
aspirin within 24 hours of arrival at the
hospital.
higher rate.
Why is this important?
The heart is a muscle that gets oxygen
through blood vessels. Sometimes blood
clots can block these blood vessels, and the heart can’t get
enough oxygen. This can cause a heart attack (also known as an
acute myocardial infarction or AMI). Chewing an aspirin as soon
as symptoms of a heart attack begin may help reduce the severity of the attack. This chart shows the percent of heart attack patients who were given (or took) aspirin within 24 hours of arrival
at the hospital.
Performance on this measure ranged from 93 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(AMI-1: Aspirin at arrival)
Performance on this measure ranged from 88 percent to 100 percent.
MEASURE SOURCE: Acute Myorcardial Infarction Appropriate Care
Measure (AMI-ACM)
52
When choosing a
hospital, look for the
hospital that has a
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Heart Attack: Aspirin Prescribed When
Patients were Released from the Hospital
What is the measure?
This measure shows the percent of
heart attack patients who were prescribed aspirin when they were discharged from the hospital.
When choosing a
hospital, look for the
hospital that has a
higher rate.
Why is this important?
Blood clots can block blood vessels.
Aspirin can help prevent blood clots from
forming or help dissolve blood clots that have formed. Following
a heart attack, continued use of aspirin may help reduce the risk
of another heart attack. Aspirin can have side effects like stomach inflammation, bleeding, or allergic reactions. Talk to your
health care provider before using aspirin on a regular basis to
make sure it’s safe for you.
Performance on this measure ranged from 95 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(AMI-2: Aspirin prescribed at discharge)
Heart Attack: Patients Given ACE Inhibitor
or ARB Prescription for Left Ventricular
Systolic Dysfunction (LVSD) When
Released from the Hospital
What is the measure?
This measure is used to assess the percent of heart attack patients
with left ventricular systolic dysfunction (LVSD) who were prescribed an ACE Inhibitor or ARB when they were discharged from
the hospital. For purposes of this measure, LVSD is defined as chart
documentation of a left ventricular ejection fraction (LVEF) less than
40% or a narrative description of left ventricular systolic (LVS) function consistent with moderate or severe systolic dysfunction.
Why is this important?
ACE (angiotensin converting enzyme) inhibitors
When choosing a
and ARBs (angiotensin receptor blockers) are
hospital, look for the
hospital that has a
medicines used to treat patients with heart failure
and are particularly beneficial in those patients
higher rate.
with heart failure and decreased function of the
left side of the heart. Early treatment with ACE
inhibitors and ARBs in patients who have heart
failure symptoms or decreased heart function after a heart attack can
also reduce their risk of death from future heart attacks. ACE inhibitors and ARBs work by limiting the effects of a hormone that narrows
blood vessels, and may thus lower blood pressure and reduce the
work the heart has to perform. Since the ways in which these two
kinds of drugs work are different, your doctor will decide which drug is
most appropriate for you. If you have a heart attack and/or heart failure,
you should get a prescription for ACE inhibitors or ARBs if you have
decreased heart function before you leave the hospital.
Performance on this measure ranged from 96 percent to 100 percent.
MEASURE SOURCE: Hospital Compare Measure
(AMI-3: ACEI or ARB for Left Ventricular Systolic Dysfunction (LVSD))
November 2010 | 2010 Health Care Quality Report | Hospital Measures
53
Heart Attack: Patients Given Advice or
Counseling About Quitting Smoking
While in the Hospital
Heart Attack: Patients Given Beta
Blocker Prescription When Released
from the Hospital
What is the measure?
This measure shows the percent of heart attack patients with a
history of smoking cigarettes, who were given advice/counseling about stopping smoking while they
were in the hospital. For the purposes
of this measure, a smoker is defined as
When choosing a
someone who has smoked cigarettes
hospital, look for the
anytime during the year prior to hospital
hospital that has a
arrival.
What is the measure?
This measure shows the percent of heart
attack patients who were prescribed a
beta-blocker when they were discharged
from the hospital.
higher rate.
Why is this important?
Smoking increases your risk for developing blood clots and heart disease that can result in a heart
attack, heart failure or stroke. Smoking causes your arteries to
thicken and your blood vessels to narrow. Fat and plaque stick
to the walls of your arteries, which makes it harder for blood to
flow. Reduced blood flow to your heart may result in chest pain,
high blood pressure, and an increased heart rate. Smoking is
also linked to lung disease and cancer, and can cause premature
death. It is important that you get information to help you quit
smoking before you leave the hospital. Quitting may help prevent another heart attack.
higher rate.
Why is this important?
Beta blockers are a type of medicine that is used to lower blood
pressure, treat chest pain (angina) and heart failure, and to help
prevent a heart attack. Beta blockers relieve the stress on your
heart by slowing the heart rate and reducing the force with
which your heart muscles contract to pump blood. They also
help keep blood vessels from constricting in your heart, brain,
and body. If you have a heart attack, you should get a prescription for a beta blocker before you leave the hospital.
Performance on this measure ranged from 93 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(AMI-5: Beta-blocker prescribed at discharge)
Performance on this measure ranged from 99 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(AMI-4: Adult smoking cessation advice/counseling)
54
When choosing a
hospital, look for the
hospital that has a
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Heart Attack: Patients Given
Fibrinolytic Medication Within
30 Minutes of Hospital Arrival
What is the measure?
This measure shows the percent of
heart attack patients receiving fibrinolytic
therapy during the hospital stay and
having a time from hospital arrival to
fibrinolysis of 30 minutes or less.
Heart Attack: Patients Given PCI Within
90 Minutes of Hospital Arrival
When choosing a
hospital, look for the
hospital that has a
higher rate.
Why is this important?
The heart is a muscle that gets oxygen
through blood vessels. Sometimes blood clots can block these
blood vessels and the heart can’t get enough oxygen. This can
cause a heart attack. Fibrinolytic drugs are medicines that can
help dissolve blood clots in blood vessels and improve blood
flow to your heart. You should get them within 30 minutes of
arrival at the hospital.
MEASURE sOURCE: Hospital Compare Measure (AMI-7a: Fibrinolytic
therapy received within 30 minutes of hospital arrival)
What is the measure?
This measure shows the percentage of heart attack patients
receiving primary Percutaneous Coronary Intervention (PCI)
during the hospital stay. For the purposes of this measure, the
PCI was received within 90 minutes or less from
the time the patient arrived at the hospital.
When choosing a
Why is this important?
hospital, look for the
The heart is a muscle that gets oxygen
hospital that has a
through blood vessels. Sometimes blood
higher rate.
clots can block these blood vessels, and
the heart can’t get enough oxygen. This can
cause a heart attack. Percutaneous Coronary
Interventions (PCI) are procedures that are
among the most effective ways to open blocked blood vessels and
help prevent further heart muscle damage. A PCI is performed by a
doctor to open the blockage and increase blood flow in blocked blood
vessels. Improving blood flow to your heart as quickly as possible
lessens the damage to your heart muscle. It also can increase your
chances of surviving a heart attack. There are three procedures commonly described by the term PCI. These procedures all involve a catheter (a flexible tube) that is inserted, often through your leg, and guided
through the blood vessels to the blockage. The three procedures are:
n
Angioplasty - a balloon is inflated to open the blood vessel.
- a small wire tube called a stent is placed in the blood vessel
to hold it open.
nAtherectomy - a blade or laser cuts through and removes the blockage.
nStenting
Performance on this measure ranged from 87 percent to 100 percent.
MEASURE SOURCE: Hospital Compare Measure (AMI-8a: Primary percutaneous coronary intervention (PCI) received within 90 minutes of hospital arrival)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
55
Heart failure
The Best Care for Heart Failure Patients
Heart Failure is a weakening of the heart’s pumping
power. With heart failure, your body doesn’t get enough
oxygen and nutrients to meet its needs. Your heart tries
to pump more blood, but the muscle walls become
weaker over time.
What is the measure?
This measure shows the percent of patients receiving ALL of
the appropriate care that they should have received based on
their clinical condition. For heart failure patients this includes the
remaining measures in this section:
n
Symptoms of heart failure may include:
n shortness of breath from fluid in the lungs
n swelling (such as in legs, ankles or abdomen)
n dizziness
n fatigue
n weakness
n cold or clammy skin
n a rapid or irregular heartbeat.
Heart failure can be a result of heart condition due to
nhardening of the arteries, also known as coronary
artery disease,
n a heart attack,
ncardiomyopathy (heart muscle damage from infection
or alcohol or drug abuse), or
nan overworked heart (caused over time by conditions
like high blood pressure, kidney disease, diabetes, or
a defect from birth).
Patients Given Instructions When Released from the Hospital
Patients Given Evaluation of Left Ventricular Systolic (LVS)
Function While in the Hospital or Scheduled for After the Patient
was Released
nPatients Given ACE Inhibitor or ARB Prescription for Left Ventricular
Systolic Dysfunction (LVSD) When Released from the Hospital
n Patients Given Advice or Counseling About Quitting Smoking
While in the Hospital
n
The measure takes patient individuality into consideration, looking at one patient and their episode of care at a time, related to
heart failure.
Why is this important?
When choosing a
This measure is a composite, or all-orhospital,
look for the
none, quality of care measure called
hospital that has a
an appropriate care measure (ACM).
higher rate.
These types of measures are patientfocused measures that provide a way of
looking at whether a patient received ALL
of the “appropriate” or “right care” (recommended treatments)
that he or she should have received, based on his or her clinical condition. Each patient is unique and may not be eligible for
every type of care for a condition. The measure takes this into
consideration.
Performance on this measure ranged from 26 percent to 98 percent.
MEASURE SOURCE: Heart Failure Appropriate Care Measure (HF-ACM)
56
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Heart Failure: Patients Given Instructions
When Released from the Hospital
What is the measure?
This measure shows the percent of heart failure patients given
written discharge instructions or educational materials when
they were discharged from the hospital.
Why is this important?
When choosing a
Heart failure is a chronic condition.
hospital,
look for the
It results in symptoms such as shorthospital that has a
ness of breath, dizziness, and fatigue.
higher rate.
Before you leave the hospital, the staff
at the hospital should provide you with
information to help you manage the
symptoms after you get home. The information
should include:
n
n
n
n
n
n
activity level (what you can and can’t do)
diet (what you should, and shouldn’t eat or drink)
medications
follow-up appointment
watching your daily weight
what to do if your symptoms get worse
Heart Failure: Patients Given Evaluation
of Left Ventricular Systolic (LVS) Function
While in the Hospital or Scheduled for
After the Patient was Released
What is the measure?
This measure shows the percent of heart failure patients with documentation in the hospital record that left ventricular systolic (LVS)
function was evaluated before arrival, during hospitalization, or is
planned for after discharge.
Why is this important?
The proper treatment for heart failure
depends on what area of your heart is
affected. An important test is to check how
your heart is pumping, called an “evaluation
of the left ventricular systolic function.” It can
tell your health care provider whether the left
side of your heart is pumping properly.
When choosing a
hospital, look for the
hospital that has a
higher rate.
Performance on this measure ranged from 70 percent to
100 percent.
Performance on this measure ranged from 50 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(HF-2: Evaluation of left ventricular systolic (LVS) function)
MEASURE SOURCE: Hospital Compare Measure
(HF-1: Discharge instructions)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
57
Heart Failure: Patients Given ACE
Inhibitor or ARB Prescription for Left
Ventricular Systolic Dysfunction (LVSD)
When Released from the Hospital
What is the measure?
This measure shows the percent of heart failure patients with left ventricular systolic dysfunction (LVSD) who are prescribed an ACEI or ARB
at hospital discharge. For purposes of this measure, LVSD is defined
as chart documentation of a left ventricular ejection fraction (LVEF)
less than 40% or a narrative description of left ventricular systolic (LVS)
function consistent with moderate or severe systolic dysfunction.
Why is this important?
ACE (angiotensin converting enzyme) inhibiWhen choosing a
tors and ARBs (angiotensin receptor blockers)
hospital, look for the
are medicines used to treat patients with
hospital that has a
heart failure and are particularly beneficial in
higher rate.
those patients with heart failure and decreased function of the left side of the heart.
Early treatment with ACE inhibitors and ARBs
in patients who have heart failure symptoms or decreased heart
function after a heart attack can also reduce their risk of death from
future heart attacks. ACE inhibitors and ARBs work by limiting the effects of a hormone that narrows blood vessels, and may thus lower
blood pressure and reduce the work the heart has to perform. Since
the ways in which these two kinds of drugs work are different, your
doctor will decide which drug is most appropriate for you. If you have
a heart attack and/or heart failure, you should get a prescription for
ACE inhibitors or ARBs if you have decreased heart function before
you leave the hospital.
Heart Failure: Patients Given Advice
or Counseling About Quitting Smoking
While in the Hospital
What is the measure?
This measure shows the number of heart failure patients with
a history of smoking cigarettes, who are given advice or counseling about stopping smoking while in the hospital. For the
purposes of the measure, a smoker is
defined as someone who has smoked
cigarettes anytime during the year prior
When choosing a
to hospital arrival.
hospital, look for the
hospital that has a
Why is this important?
higher rate.
Smoking increases your risk for developing blood clots and heart disease,
which can result in a heart attack, heart
failure or stroke. Smoking causes your blood vessels to thicken.
Fat and plaque then stick to the wall of your blood vessels,
which makes it harder for blood to flow. Reduced blood flow
to your heart may result in chest pain, high blood pressure, and
an increased heart rate. Smoking is linked to lung disease and
cancer, and can cause premature death. It is important for your
health that you get information to help you quit smoking before
you leave the hospital.
Performance on this measure ranged from 96 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(HF-4: Adult smoking cessation advice/counseling)
Performance on this measure ranged from 81 percent to 100 percent.
MEASURE SOURCE: Hospital Compare Measure
(HF-3: ACEI or ARB for left ventricular systolic dysfunction (LVSD))
58
Hospital Measures | November 2010 | 2010 Health Care Quality Report
The Best Care for Heart Failure Patients
Patients Given ACE Inhibitor or ARB
Prescription for LVSD When Released
from the Hospital
Patients Given Advice or Counseling About
Quitting Smoking While in the Hospital
94%
83%
70%
83%
86%
83%
100% 100%
*
100%
92%
92%
100%
98%
100%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
93%
*
*
91%
92%
98%
98%
*
100% 100%
*
96%
90%
89%
99%
95%
100%
*
*
*
*
*
*
*
*
88%
90%
88%
100%
100%
100%
*
*
*
92%
93%
97%
*
*
*
*
*
*
*
*
*
*
*
100%
100%
99%
*
96%
93%
93%
100%
99%
100%
100%
97%
100%
99%
*
98%
85%
84%
98%
96%
96%
100%
99%
100%
100%
98%
*
95%
92%
91%
99%
98%
100%
*
*
*
*
*
*
*
84%
*
97%
*
*
higher
is better
higher
is better
higher
is better
higher
is better
97%
95%
93%
94%
Abbott Northwestern Hospital - Minneapolis
99%
100%
100%
98%
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
Fairview Ridges Hospital - Burnsville
91%
100%
95%
*
Fairview Southdale Hospital - Edina
98%
99%
99%
99%
Gillette Children’s Specialty Healthcare - St. Paul
*
*
*
*
Hennepin County Medical Center - Minneapolis
97%
100%
99%
100%
Lakeview Memorial Hospital - Stillwater
*
*
*
*
*
Maple Grove Hospital
*
*
*
*
Mercy Hospital - Coon Rapids
98%
99%
100%
North Memorial Health Care - Robbinsdale
97%
99%
Park Nicollet Methodist Hospital - St. Louis Park
97%
Queen Of Peace Hospital - New Prague
*
higher
is better
* Sufficient data not available
For more detailed information, see appendices starting on page 259.
90%
*
*
100% 100%
higher
is better
higher
is better
higher
is better
Patients Given Instructions When
Released from the Hospital
Patients Given PCI Within 90 Minutes
of Hospital Arrival
*
Patients Given Fibrinolytic Medication
Within 30 Minutes of Hospital Arrival
90%
Overall Minnesota Average
higher
is better
Heart Failure
Patients Given Beta Blocker Prescription
When Released from the Hospital
Patients Given Advice or Counseling About
Quitting Smoking While in the Hospital
HOSPITAL NAME
Patients Given ACE Inhibitor or ARB Prescription for LVSD When Released from Hospital
Note on Percentage Rates:
The rate shows how many patients out of one
hundred received the described treatment.
Aspirin Prescribed When Patients
were Released from the Hospital
When choosing a hospital, please check to
see if the higher or lower rate is better.
Aspirin Given When Patients
Arrived at the Hospital
The Best Care for Heart Attack Patients
Heart Attack
Patients Given Evaluation of LVS Function
While in the Hospital or Scheduled for After
the Patient was Released
Quality of Care
for Heart Conditions
higher
is better
higher
is better
higher
is better
November 2010 | 2010 Health Care Quality Report | Hospital Measures
higher
is better
59
Heart Failure
Patients Given ACE Inhibitor or ARB
Prescription for LVSD When Released
from the Hospital
Patients Given Advice or Counseling About
Quitting Smoking While in the Hospital
86%
83%
100%
*
*
92%
100%
100%
100%
92%
92%
100%
92%
*
*
96%
97%
99%
*
*
*
*
82%
80%
97%
97%
100%
*
89%
80%
76%
98%
94%
100%
99%
*
98%
94%
93%
100%
99%
99%
*
100%
*
*
95%
96%
100%
98%
97%
*
100%
99%
*
*
92%
91%
99%
100%
100%
*
*
*
*
*
*
70%
66%
97%
100%
*
higher
is better
higher
is better
higher
is better
higher
is better
93%
94%
90%
90%
*
94%
83%
70%
83%
Regina Medical Center - Hastings
*
*
*
*
*
*
*
*
98%
97%
Regions Hospital - St. Paul
95%
100%
99%
97%
100%
98%
*
88%
94%
Ridgeview Medical Center - Waconia
97%
100%
100%
*
*
100%
*
*
St Francis Regional Medical Center - Shakopee
*
*
*
*
*
*
*
St John’s Hospital: Health East Care System - Maplewood
99%
99%
100%
*
*
100%
St Joseph’s Hospital: HealthEast Care System - St Paul
96%
98%
99%
97%
99% 100%
United Hospital - St Paul
98%
99%
99%
98%
100%
Unity Hospital - Fridley
98%
100%
*
*
University of Minnesota Medical Center: Fairview - Minneapolis
98%
100%
99%
Woodwinds Hospital: HealthEast Care System - Woodbury
*
*
higher
is better
higher
is better
* Sufficient data not available
For more detailed information, see appendices starting on page 259.
60
Hospital Measures | November 2010 | 2010 Health Care Quality Report
higher
is better
higher
is better
higher
is better
Patients Given Instructions When
Released from the Hospital
The Best Care for Heart Failure Patients
95%
HOSPITAL NAME
Patients Given Fibrinolytic Medication
Within 30 Minutes of Hospital Arrival
97%
Note on Percentage Rates:
The rate shows how many patients out of one
hundred received the described treatment.
Aspirin Prescribed When Patients
were Released from the Hospital
When choosing a hospital, please check to
see if the higher or lower rate is better.
Aspirin Given When Patients
Arrived at the Hospital
Overall Minnesota Average
The Best Care for Heart Attack Patients
Patients Given PCI Within 90 Minutes
of Hospital Arrival
Patients Given Beta Blocker Prescription
When Released from the Hospital
Patients Given Advice or Counseling About
Quitting Smoking While in the Hospital
Patients Given ACE Inhibitor or ARB Prescription for LVSD When Released from Hospital
Heart Attack
Patients Given Evaluation of LVS Function
While in the Hospital or Scheduled for After
the Patient was Released
Quality of Care
for Heart Conditions
higher
is better
higher
is better
higher
is better
higher
is better
Quality of Care for Surgeries
Section CONTENTS
Quality of Heart Surgeries
Heart Bypass Surgery: Number of Operations and Death Rate. . . . . . . . . . . . 62
Angioplasty Heart Surgery: Number of Operations and Death Rate. . . . . . . . 62
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Quality of Care for Surgeries
Heart Surgeries
Quality of Other Surgeries
Surgical Repair of an Abdominal Aortic Aneurysm:
Number of Operations and Death Rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Vaginal Hysterectomy Surgical Site Infection Rate . . . . . . . . . . . . . . . . . . . . . 64
Surgery Patients Whose Doctors Ordered Treatment
to Prevent Blood Clots After Certain Types of Surgeries. . . . . . . . . . . . . . . . . 64
Surgery Patients Who Received Treatment at the Right Time
to Prevent Blood Clots After Certain Types of Surgery. . . . . . . . . . . . . . . . . . 65
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266
When arteries carrying blood to the heart get blocked, this
can lead to a heart attack. There are a number of surgical
interventions which can unblock these blood vessels and
restore blood flow. Since these surgeries are so technically
difficult, outcomes will generally be better at hospitals that
perform more of these procedures. The measures in this section report the number of surgeries performed and the death
rate for heart bypass surgery and angioplasty heart surgery.
Use the information in this section to see how hospitals
compare in their quality of care related to heart surgeries.
November 2010 | 2010 Health Care Quality Report | Hospital Measures
61
Heart Bypass Surgery: Number of
Operations and Death Rate
Angioplasty Heart Surgery: Number of
Operations and Death Rate
When choosing a
What is the measure?
hospital,
look for the
Heart bypass surgery can restore good
hospital
that has a
blood flow to the heart. The coronary
higher number
artery bypass graft (CABG) surgery
of
operations and
reroutes, or “bypasses,” blood around
lower death
clogged arteries to improve blood flow
rate.
and oxygen to the heart. These measures show the number of times a hospital performed a CABG and the rate of patient deaths related
to the surgery. Research shows that, in general, when hospitals
do these procedures frequently, they are more likely to have
good results. Often, but not always, a hospital that has a higher
number of operations will have lower death rates.
What is the measure?
Percutaneous transluminal coronary angioplasty (PTCA) can
restore good blood flow to the heart. PTCA surgery involves
inserting a tube through the leg or arm, into the heart, to open
blocked arteries and keep them open. These measures show
the number of times a hospital performed this procedure and
the rate of patient deaths related to the surgery. Research
shows that, in general, when hospitals do these procedures
frequently, they are more likely to have good results. Often, but
not always, a hospital that has a higher number of procedures
will have lower death rates.
Why is this important?
The arteries that bring blood to the heart muscle can become
clogged by fat and other substances. This can slow or stop blood
flow through the heart’s blood vessels, leading to chest pain or a
heart attack. A bypass surgery may be recommended to implant
tissue from another part of the body to act as a tube that allows
blood to flow around one or more blocked or narrowed arteries.
Although CABG is a fairly common form of open heart surgery, it
is a technically difficult procedure. Errors during the surgery may
lead to other health problems, such as heart attack, stroke, and
death. About 3-4% of patients die from CABG surgery. Your surgical risks are related to your age, other medical conditions and the
number of procedures you have during one operation. Hospitals
that perform more of these surgeries have been associated with
better outcomes, including a lower number of deaths.
Why is this important?
The arteries that bring blood to the heart
When choosing a
muscle can become clogged by fat and other
hospital, look for the
hospital that has a
substances. This can slow or stop blood flow
higher number
through the heart’s blood vessels, leading to
of operations and
chest pain or a heart attack. A PTCA may be
recommended to open blocked arteries and
lower death
improve blood to flow to the heart. A catheter
rate.
(long hollow tube) is inserted through the leg
or arm, into the heart, to open blocked arteries.
Although PTCA is a fairly common form of heart surgery, it is a
technically difficult procedure. Errors during surgery may lead to
other health problems. About 1.31% of U.S. patients die from
PTCA surgery. Your surgical risks are related to your age and
other medical conditions.
MEASURE SOURCE: AHRQ Inpatient Quality Indicators (IQI 6: PTCA Volume and IQI 30: PTCA Mortality Rate)
MEASURE sOURCE: AHRQ Inpatient Quality Indicators (IQI 5: CABG Volume and IQI 12: CABG Mortality Rate)
62
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Other Surgeries
Every year, more than 15 million Americans have surgery.
Of these surgeries, those that are not related to an emergency are called elective surgeries. In these cases you
have time to learn about your operation. You can also
use this time to work with your doctor and make sure
this is the right treatment for you. It is also important to
consider the type of care provided at the hospital, which
can reduce your risk of complications or infections. There
are steps hospitals can take to lower the risk of complication and provide higher quality of care related to surgeries. An example would be ordering the best medications
to prevent blood clots after an operation.
Use the information in this section to see how hospitals
compare in their quality of care related to surgeries.
Surgical Repair of an Abdominal Aortic
Aneurysm: Number of Operations and
Death Rate
What is the measure?
These measures show the quality of hospital care related to the surgical repair of an enlarged artery or vein supplying blood to the lower
half of the body. The table below shows the number of times a hospital performed this operation and rate of patient deaths related to
the surgery. This procedure is somewhat rare. Research shows that,
in general, when hospitals do these procedures frequently, they are
more likely to have good results. Often, but not always, a hospital
that has a higher number of operations will have lower death rates.
Why is this important?
When choosing a
Surgery to repair an abdominal aortic aneuhospital, look for the
rysm (AAA) is recommended if the aneurysm
hospital that has a
causes additional symptoms or grows to a size higher number
that is likely to burst. Abdominal aortic aneuof operations and
rysm repair is a fairly rare form of surgery. It
lower death
is a technically difficult procedure with a high
rate.
death rate compared to other forms of surgery.
Surgeons completing AAA repair need to have great skill using complex equipment. Technical errors may lead to other health problems,
such as irregular heartbeat, heart attack, injury to the large intestine
(colonic ischemia), and death.
MEASURE SOURCE: AHRQ Inpatient Quality Indicators (IQI 4: Abdominal aortic
aneurysm (AAA) repair volume and IQI 11: Abdominal aortic aneurysm (AAA)
repair mortality rate)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
63
Vaginal Hysterectomy Surgical
Site Infection Rate
What is the measure?
This measure shows the percent of vaginal hysterectomy
patients with a surgical site infection.
Why is this important?
When
choosing a hospital,
Surgical site infections are a common
look for the hospital
complication of care. They can inthat
has a Lower
crease the length and cost of a hospital
Infection
stay. About 2.6 percent of operations
rate.
are complicated by surgical site infections every year. By following proven
strategies for infection prevention,
these rates can be reduced. This would save the patient from
this potentially serious complication and the hospital the additional resources associated with that care.
MEASURE sOURCE: Healthcare-Associated Infection Measure
(Vaginal hysterectomy surgical site infection rate)
Surgery Patients Whose Doctors
Ordered Treatment to Prevent Blood
Clots After Certain Types of Surgeries
What is the measure?
This measure shows the percent of surgery patients whose
doctors ordered treatments to prevent blood clots after certain
types of surgeries. In this case, the recommended venous
thromboembolism (VTE) prophylaxis, or treatment to prevent
blood clots, was ordered anytime from hospital arrival to 24
hours after surgery end time.
Why is this important?
When choosing a
Certain surgeries increase the risk that the
hospital, look for the
patient will develop a blood clot (venous
hospital that has a
thromboembolism). When patients stay
higher rate.
still for a long time after some types of
surgery, they are more likely to develop a
blood clot in the veins of the legs, thighs,
or pelvis. A blood clot slows down the flow of blood, causing
swelling, redness, and pain. A blood clot can also break off and
travel to other parts of the body. If the blood clot gets into the
lung, it is a serious problem that can cause death.
To help prevent blood clots from forming after surgery, doctors
can order treatments to be used just before or after the surgery.
These include blood-thinning medications, elastic support stockings, or mechanical air stockings that help with blood flow in the
legs.
Performance on this measure ranged from 75 percent to 100
percent.
MEASURE SOURCE: Hospital Compare Measure (SCIP-VTE-1: Surgery patients with recommended venous thromboembolism prophylaxis ordered)
64
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Surgery Patients Who Received Treatment
at the Right Time to Prevent Blood Clots
After Certain Types of Surgery
What is the measure?
This measure shows the percent of surgery patients who got
treatment at the right time to help prevent blood clots after certain
types of surgeries. These treatments need to be started at the
right time, which is typically during the period that begins 24 hours
before surgery and ends 24 hours after surgery.
Why is this important?
When choosing a
Many factors influence a surgery patient’s
hospital,
look for the
risk of developing a blood clot, including the
hospital that has a
type of surgery. When patients stay still for a
higher rate.
long time after some types of surgery, they
are more likely to develop a blood clot in the
veins of the legs, thighs, or pelvis. A blood clot
slows down the flow of blood, causing swelling, redness, and pain.
A blood clot can also break off and travel to other parts of the body.
If the blood clot gets into the lung, it is a serious problem that can
sometimes cause death.
Treatments to help prevent blood clots from forming after surgery
include blood-thinning medications, elastic support stockings, or
mechanical air stockings that help with blood flow in the legs.
Performance on this measure ranged from 66 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure (SCIP-VTE-2: Surgery patients who received appropriate venous thromboembolism prophylaxis within
24 hours prior to surgery to 24 hours after surgery)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
65
Surgery Patients Who Received
Treatment at the Right Time to
Prevent Blood Clots After Certain
Types of Surgery
Vaginal Hysterectomy
Surgical Site Infection
Surgery Patients Whose Doctors
Ordered Treatment to Prevent
Blood Clots After Certain Types
of Surgeries
When Compared
to Expected Rate
Risk Adjusted Death Rate
Number of Operations
When Compared
to Expected Rate
Risk Adjusted Death Rate
Number of Operations
When Compared
to Expected Rate
HOSPITAL NAME
Risk Adjusted Death Rate
Number of Operations
Number of Operations: The number of these surgeries performed.
Risk Adjusted Rate: This takes the severity of each patient’s illness
into account.
When Compared to Expected: This comparison is based on how the
hospital’s risk adjusted rate measures up to the expected rate of other
similar hospitals, identifying it as performing the SAME, BETTER, or
WORSE.
When selecting a hospital, look for one with at least a SAME rating and
ideally a BETTER rating.
Surgical Repair
of an Abdominal
Aortic Aneurysm
Angioplasty
Heart Surgery
Heart Bypass Surgery
When choosing a hospital, please check to
see if the higher or lower rate is better.
Other Surgeries
Infection Rate
Heart Surgeries
When Compared to
Other Hospitals
Quality of Care
for Surgeries
Overall Minnesota Average
87%
86%
Abbott Northwestern Hospital - Minneapolis
367
1%
Better
1824
1%
Better
122
2%
1%
99%
98%
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
*
*
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
*
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
*
*
*
*
*
*
*
*
*SAME
0%
87%
82%
Fairview Southdale Hospital - Edina
189
7%SameSAME
0%
97%
93%
Gillette Children’s Specialty Healthcare - St. Paul
*
Hennepin County Medical Center - Minneapolis
50
Lakeview Memorial Hospital - Stillwater
*
*
*
*
*
Maple Grove Hospital
*
*
*
*
*
Mercy Hospital - Coon Rapids
207
0%
Better
954
1%Same
41
North Memorial Health Care - Robbinsdale
108
2%Same
540
2%Same
Park Nicollet Methodist Hospital - St. Louis Park
221
3%Same
473
2%Same
Queen Of Peace Hospital - New Prague
*
1%Same
*
*
0%Same
*
*
480
*
175
*
2%Same
*
*
*
*
*
*
*
*
*
*
*
*
*
*
98%
96%
*
*
*
*SAME
4%
82%
82%
*
*
*
*
*
*
*
0%SameSAME
0%
99%
97%
47
8%SameSAME
0%
97%
97%
50
3%
BetterSAME
2%
93%
93%
*
*
*SAME
0%
*
*
2%Same
*
36
BetterSAME
*
*
higher
is better
* Sufficient data not available or procedure is not performed at hospital.
For more detailed information, see appendices starting on page 259.
66
Hospital Measures | November 2010 | 2010 Health Care Quality Report
higher
is better
Overall Minnesota Average
Surgery Patients Who Received
Treatment at the Right Time to
Prevent Blood Clots After Certain
Types of Surgery
Vaginal Hysterectomy
Surgical Site Infection
Surgery Patients Whose Doctors
Ordered Treatment to Prevent
Blood Clots After Certain Types
of Surgeries
When Compared
to Expected Rate
Risk Adjusted Death Rate
Number of Operations
When Compared
to Expected Rate
Risk Adjusted Death Rate
Number of Operations
When Compared
to Expected Rate
HOSPITAL NAME
Risk Adjusted Death Rate
Number of Operations
Number of Operations: The number of these surgeries performed.
Risk Adjusted Rate: This takes the severity of each patient’s illness
into account.
When Compared to Expected: This comparison is based on how the
hospital’s risk adjusted rate measures up to the expected rate of other
similar hospitals, identifying it as performing the SAME, BETTER, or
WORSE.
When selecting a hospital, look for one with at least a SAME rating and
ideally a BETTER rating.
Surgical Repair
of an Abdominal
Aortic Aneurysm
Angioplasty
Heart Surgery
Heart Bypass Surgery
When choosing a hospital, please check to
see if the higher or lower rate is better.
Other Surgeries
Infection Rate
Heart Surgeries
When Compared to
Other Hospitals
Quality of Care
for Surgeries
87%
86%
*
96%
94%
BetterSAME
0%
92%
77%
Regina Medical Center - Hastings
*
*
*
*
*
*
*
*
Regions Hospital - St. Paul
137
1%
Better
613
1%
Better
40
4%
Ridgeview Medical Center - Waconia
*
*
*
44
0%Same
*
*
*SAME
0%
100%
100%
St Francis Regional Medical Center - Shakopee
*
*
*
*
*
*
*
*
*SAME
3%
94%
92%
St John’s Hospital: Health East Care System - Maplewood
*
*
*
*
*
*
*
*
*SAME
1%
90%
89%
St Joseph’s Hospital: HealthEast Care System - St Paul
180
2%
Better
500
1%
Better
34
9%SameSAME
0%
93%
89%
United Hospital - St Paul
200
1%
Better
810
1%Same
29
4%SameSAME
1%
97%
97%
Unity Hospital - Fridley
*
*
*
*
*
*
*
*
*worse
6%
98%
96%
University of Minnesota Medical Center: Fairview - Minneapolis
115
377
1%
Better
*
*
*SAME
0%
91%
89%
Woodwinds Hospital: HealthEast Care System - Woodbury
*
*
*
*
*
*
*SAME
0%
93%
92%
2%Same
*
*
*
*
higher
is better
higher
is better
* Sufficient data not available or procedure is not performed at hospital.
For more detailed information, see appendices starting on page 259.
November 2010 | 2010 Health Care Quality Report | Hospital Measures
67
Quality of Care for Medical
Complications and Infections
Section CONTENTS
Quality of Care for Medical Complications in the Hospital for Adult Patients
Death Rate From Failure to Identify and Treat a
Serious Complication. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Rate of Patients with Bed Sores. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Rate of Blood Clots in the Lung or Large Vein After an Operation . . . . . . . . . 70
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 270
Quality of Infection Prevention
Central Line Infection (CLI) Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Ventilator Associated Pneumonia (VAP) Prevention. . . . . . . . . . . . . . . . . . . . . 72
Surgery Patients Given an Antibiotic Within an Hour Before
Surgery to Help Prevent Infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Surgery Patients Given the Best Antibiotic to Help Prevent Infection. . . . . . . 73
Surgery Patients Whose Preventive Antibiotics Were Stopped
at the Right Time. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
All Heart Surgery Patients Whose Blood Sugar (Blood Glucose)
is Kept Under Good Control in the Days Right After Surgery . . . . . . . . . . . . . 74
Quality of Care for Medical
Complications and Infections
Medical Complications in the Hospital
for Adult Patients
Certain complications can arise after surgery. These may be life
threatening, ultimately resulting in death if not caught in time.
These complications include conditions like acute renal failure, which is when the kidneys stop working properly. Other
complications might be pneumonia or cardiac arrest. However,
there are steps that hospitals can take to limit the number of
complications.
The measures in this section show the rates of several complications. Use this information to see how well hospitals are doing to prevent various problems. Those hospitals with a lower
rate on the three measures are doing a better job in their quality of care for medical complications.
Surgery Patients Needing Hair Removed Before Surgery
Using a Safer Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Surgery Patients on Beta-Blocker Therapy Prior to Arrival Who
Received a Beta-Blocker During the Perioperative Period. . . . . . . . . . . . . . . . 75
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272
68
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Medical Complications:
Death Rate From Failure to Identify
and Treat a Serious Complication
Medical Complications: Rate of Patients
with Bed Sores
What is the measure?
Patients may develop serious health conditions while they are in the
hospital after surgery. These conditions can result in permanent disability and even death, if not treated quickly. This patient safety measure
shows the rate of deaths from these surgery complications.
Why is this important?
When a patient dies this way, the death is called a failure to rescue.
The serious health conditions after surgery included in the failure to
rescue measure include:
n
n
n
n
n
n
cute renal failure (sudden kidney failure)
A
Deep venous thrombosis (blood clot that
forms in a vein deep in the body)
Pneumonia
Sepsis (blood infection)
Shock and/or cardiac arrest
(severe heart attack)
Upper gastrointestinal bleeding (in the esophagus, stomach, and first part of the intestine)
When choosing
a hospital, look for
the hospital that has a
Lower rate.
In 2003, about 128 patients died for every 1,000 patients at risk of
developing these additional health problems in the hospital. Early
detection of serious health conditions after surgery and their quick
treatment may prevent a patient from dying.
Many hospitals have developed systems to detect patients in crisis
and to respond immediately. Nursing staff need to be able to notice
problems and accurately understand what they mean and respond
with appropriate care.
MEASURE SOURCE: AHRQ Patient Safety Indicator (PSI 4: Death among surgical inpatients with serious treatable complications)
What is the measure?
A pressure ulcer is a skin wound that forms
when patients stay in one position for too
long without shifting their weight. This patient safety measure shows the percent of
patients that develop pressure ulcers, also
known as decubitus ulcers or bed sores,
during their stay in the hospital.
When choosing
a hospital, look for
the hospital that has a
Lower rate.
Why is this important?
Constant pressure against the skin reduces the blood supply to that
area and that skin dies. People with limited ability to move are at risk
of developing bed sores while in the hospital. This often happens if
you use a wheelchair or you are unable to get out of bed, even for a
short period of time after surgery or an injury. People with thin skin,
like skin that has lost muscle and fat under the skin, also can develop
pressure ulcers if they repeatedly rub against something, such as
a bed sheet, cast, or brace. The most common places for pressure
ulcers are over boney areas like the elbow, heels, hips, ankles, shoulders, back, and the back of the head.
Pressure ulcers often cause infections that can lead to longer hospital
stays, higher costs, and even death. In the U.S., 7 to 10% of patients
will develop a pressure ulcer during their hospital stay. Those most at
risk include older people, stroke victims, and people with dementia
or head injuries. Seniors are at higher risk as they typically have thin
skin. Health conditions that affect blood flow, such as diabetes, and
poor diet increase the chance of pressure ulcers.
Care processes in hospitals can help prevent pressure ulcers. These
include making sure that patients change position every 2 hours or
more. Hospitals also use protection and padding to prevent rubbing
against the skin, and maintain hydration, nutrition and hygiene.
MEASURE SOURCE: AHRQ Patient Safety Indicator (PSI 3: Pressure ulcer)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
69
Medical Complications: Rate of Blood
Clots in the Lung or Large Vein After an
Operation
What is the measure?
This patient safety measure shows the percent of patients that
develop two problems with blood clots after surgery: postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT).
Why is this important?
Deep vein thrombosis (DVT) is a blood clot
When choosing
that forms in a vein deep in the body. Blood
a hospital, look for
clots occur when blood thickens and clumps
the hospital that has a
together. Most deep vein blood clots occur in
Lower rate.
the lower leg or thigh. A pulmonary embolism
(PE) is a sudden plug in a lung artery, usually
due to a blood clot that traveled to the lung
from a vein in the leg. PE is a serious condition. It can damage
the lungs and other organs in the body and cause death.
Both DVT and PE can happen after surgery, especially if patients
are unable to leave their beds. People having hip or knee replacement surgeries are at greater risk of having problem blood clots.
Remaining still during any type of surgery can lead to clots developing. The longer you are under general anesthesia, the greater
your risk of serious clots. An estimated 8.96 out of 1000 patients
developed PEs after surgeries in the U.S. in 2000.
Hospitals can help prevent problems with blood clots by providing blood thinning medications to people at risk of clots, by
using methods to squeeze the legs to improve blood flow and
by having patients move as soon as possible after surgery.
MEASURE SOURCE: AHRQ Patient Safety Indicator (PSI 12: Postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT))
70
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Infection Prevention
Hospitals can improve surgical care and reduce the risk
of wound infection after surgery by providing the right
medicines at the right time on the day of surgery.
There are also steps that you, as a patient, can take to
make sure the surgery is as safe as possible. For example,
your doctor or nurse can tell you how to wash with an
antibiotic soap the day before surgery. You can also give
your doctor or nurse a list of all your medications, including vitamins, herbal medicines, and over-the-counter medications. You should also tell your doctor or nurse about
any allergies and bad reactions to anesthesia.
Sometimes patients get an infection after surgery, even if
the hospital took steps to prevent it. Here are signs to look
out for:
n The surgical wound is red, hot, and swollen.
nYou have a fever of over 100 degrees after you go
home.
nA smelly or yellow/green fluid is coming out of the
wound.
nYour pain is increasing even though you are taking
pain medication.
Call your doctor or local hospital immediately if you have
any of these signs.
Infection Prevention:
Central Line Infection (CLI) Prevention
What is the measure?
A Central Line Infection Prevention Bundle is a package of proven interventions that produce dramatic reductions in the incidence of bloodstream infections. These types of infections are common in Intensive
Care Units where intravenous catheters are used.
This measure shows the percent of patients who were given all of the
following evidence-based interventions:
n
se of hand hygiene by the person performing the procedure.
U
Documentation that the person performing the procedure is using precautions, such as wearing a sterile gown and gloves and covering the
patient’s head and body with a large sterile drape.
n Documentation of the use of an antiseptic wipe(s).
n Documentation from the caregiver about why they
chose
When choosing a
the site or documentation about the clinical evidence
hospital, look for the
supporting the caregiver’s choice of the site.
hospital that has a
n Daily assessment is performed regarding
higher rate.
the continued necessity of catheter use.
n
Why is this important?
Infections are a common complication of care. They can increase the
length and cost of a hospital stay. By following proven strategies for
infection prevention, infection rates can be reduced. This would save
the patient from this potentially serious complication and the hospital
the additional resources associated with that care. In this case, following
the Central Line Infection Prevention Bundle would significantly reduce
infections in this area.
Performance on this measure ranged from zero percent to 100 percent.
MEASURE SOURCE: Healthcare-Associated Infection Measure (Central Line
Infection (CLI) Prevention Bundle Compliance)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
71
Infection Prevention: Ventilator Associated
Pneumonia (VAP) Prevention
What is the measure?
A Ventilator Associated Pneumonia Bundle is a package of evidence-based
interventions that produce dramatic reductions in the incidence of ventilatorassociated pneumonia. These types of infections are common in Intensive
Care Units where mechanical ventilators are used.
This measure shows the percent of patients
who are given every step in the package of
evidence-based interventions. The steps are:
nDocumentation
When choosing a
hospital, look for the
hospital that has a
that the head of the bed is
higher rate.
elevated more than 30 degrees or greater.
n Documentation that appropriate medication is
given to prevent ulcers (sores).
n Documentation of the use of appropriate mechanical equipment
to prevent ulcers (sores). Documentation of reduced sedation or
an assessment of why sedation is not reduced.
n Documentation that there is a daily assessment of whether the patient
can be weaned of the need for the ventilator.
Why is this important?
Infections are a common complication of care. They can increase the
length and cost of a hospital stay. By following proven strategies for
infection prevention, infection rates can be reduced. This would save
the patient from this potentially serious complication and the hospital
the additional resources associated with that care. In this case, following the Ventilator Associated Pneumonia Prevention measure would
significantly reduce infections in this area.
Infection Prevention: Surgery Patients
Given an Antibiotic Within an Hour
Before Surgery to Help Prevent Infection
What is the measure?
This measure shows the percent of surgical patients with prophylactic antibiotics, also known as preventative antibiotics, started
within one hour before the surgical incision.
NOTE: Patients who got vancomycin or a fluoroquinolone for prophylactic antibiotics should have the antibiotics initiated within two hours prior to surgical incision.
Due to the longer infusion time required for vancomycin or a fluoroquinolone, it is
acceptable to start these antibiotics within two hours prior to incision time.
Why is this important?
Surgical wound infections can be prevented.
Medical research shows that surgery
patients who get antibiotics within the hour
before their surgery are less likely
to get wound infections. Getting an
antibiotic earlier, or after surgery begins, is
not as effective. Hospital staff should make
sure surgery patients get antibiotics at the
right time.
higher rate.
Performance on this measure ranged from 53 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure (SCIP-Inf-1: Prophylactic
antibiotic received within one hour prior to surgical incision)
Performance on this measure ranged from 79 percent to 100 percent.
MEASURE SOURCE: Healthcare-Associated Infection Measure (Ventilator Associated Pneumonia (VAP) Prevention Bundle Compliance)
72
When choosing a
hospital, look for the
hospital that has a
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Infection Prevention:
Surgery Patients Given the Best
Antibiotic to Help Prevent Infection
What is the measure?
This measure shows the percent of surgical patients who
received the best prophylactic antibiotics, also known as preventive antibiotics, consistent with current guidelines for their
surgical procedure. These guidelines are specific to each type
of surgical procedure.
Why is this important?
Surgical wound infections can be prevented. Medical research has shown
that certain antibiotics work better to
prevent wound infections for certain
types of surgery. Hospital staff should
make sure patients get the antibiotic
that works best for their type of surgery.
When choosing a
hospital, look for the
hospital that has a
higher rate.
Performance on this measure ranged from 91 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure (SCIP-Inf-2: Prophylactic
antibiotic selection for surgical patients)
Infection Prevention:
Surgery Patients Whose Preventive
Antibiotics Were Stopped at the
Right Time
What is the measure?
This measure shows the percent of surgical patients whose
prophylactic antibiotics were discontinued within 24 hours after
surgery end time (within 48 hours for coronary artery bypass
graft (CABG) or other cardiac surgery).
NOTE: The Society of Thoracic Surgeons (STS) Practice Guideline for Antibiotic
Prophylaxis in Cardiac Surgery (2006) indicates that there is no reason to extend antibiotics beyond 48 hours for cardiac surgery and very explicitly states
that antibiotics should not be extended beyond 48 hours even with tubes and
drains in place for cardiac surgery.
Why is this important?
When choosing a
Antibiotics are often given to patients
hospital,
look for the
before surgery to prevent infection.
hospital that has a
Taking these antibiotics for more than
higher rate.
24 hours after routine surgery is usually
not necessary. Continuing the medication
longer than necessary can increase the
risk of side effects such as stomach aches
and serious types of diarrhea. Also, when antibiotics are used
for too long, patients can develop resistance to them and the
antibiotics won’t work as well.
Performance on this measure ranged from 59 percent to 100
percent.
MEASURE SOURCE: Hospital Compare Measure (SCIP-Inf-3: Prophylactic
antibiotics discontinued within 24 hours after surgery end time)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
73
Infection Prevention:
All Heart Surgery Patients Whose
Blood Sugar (Blood Glucose) is Kept
Under Good Control in the Days Right
After Surgery
What is the measure?
This measure shows the percent of cardiac surgery patients
with controlled 6 A.M. blood glucose (≤ 200 mg/dL) on postoperative day one and postoperative day two with Surgery End Date
being postoperative day zero.
Why is this important?
Even if heart surgery patients do not
have diabetes, keeping their blood
sugar under good control after
surgery lowers the risk of infection
and other problems. “Under good
control” means their blood sugar
should be 200 mg/dL or less when
checked first thing in the morning.
When choosing a
hospital, look for the
hospital that has a
higher rate.
Performance on this measure ranged from 50 percent to
97 percent.
Infection Prevention:
Surgery Patients Needing Hair Removed
Before Surgery Using a Safer Method
What is the measure?
This measure shows the percent of surgery patients with appropriate surgical site hair removal. No hair removal, or hair removal with clippers or hair removal cream is considered appropriate.
Shaving is considered inappropriate.
Why is this important?
Preparing a patient for surgery may
include removing body hair from skin
in the area where the surgery will be
done. Medical research has shown
that shaving with a razor can increase
the risk of infection. It is safer to use
electric clippers or hair removal cream.
higher rate.
Performance on this measure ranged from 77 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(SCIP-Inf-6: Surgery patients with appropriate hair removal)
MEASURE SOURCE: Hospital Compare Measure (SCIP-Inf-4: Cardiac surgery patients with controlled 6 a.m. postoperative blood glucose)
74
When choosing a
hospital, look for the
hospital that has a
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Infection Prevention:
Surgery Patients on Beta-Blocker
Therapy Prior to Arrival Who
Received a Beta-Blocker During
the Perioperative Period
What is the measure?
This measure is used to assess the percent of surgery patients on beta-blocker therapy prior to arrival who received a
beta-blocker during the perioperative period. The perioperative
period is defined as 24 hours prior to surgical incision through
discharge from the post-anesthesia care/recovery area.
Why is this important?
It is often standard procedure to stop
patients’ usual medications for awhile
before and after their surgery. But if
patients who have been taking beta
blockers suddenly stop taking them,
they can have heart problems such as
a fast heart beat. For these patients,
staying on beta blockers before and
after surgery makes it less likely
that they will have heart problems.
When choosing a
hospital, look for the
hospital that has a
higher rate.
Performance on this measure ranged from 52 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure (SCIP-Card-2: Surgery
patients on beta-blocker therapy prior to arrival who received a betablocker during the perioperative period)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
75
Quality of Care for
Medical Complications
and Infections
Medical Complications
Ventilator Associated Pneumonia
(VAP) Prevention
Surgery Patients Given an Antibiotic Within an
Hour Before Surgery to Help Prevent Infection
Surgery Patients Given the Best Antibiotic
to Help Prevent Infection
Surgery Patients Whose Preventive
Antibiotics Were Stopped at the Right Time
All Heart Surgery Patients Whose Blood Sugar
is Kept Under Good Control Right After Surgery
Surgery Patients Needing Hair Removed
Before Surgery Using a Safer Method
Surgery Patients on Beta-Blocker Therapy
Prior to Arrival Who Received a Beta-Blocker
During the Perioperative Period
87%
96%
86%
94%
94%
87%
96%
87%
Better 96%
79%
97%
99%
97%
92%
100%
92%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Better 100% 100%
97%
99%
96%
*
100%
94%
Better 94%
98%
98%
99%
95%
90%
78%
96%
*
*
*
*
*
*
*
*
44%
80%
96%
98%
96%
84%
100%
97%
*
97%
99%
99%
*
100%
95%
*
*
*
*
*
*
*
100%
96%
99%
98%
97%
100%
95%
80%
98%
92%
95%
92%
50%
100%
76%
Better 94%
91%
98%
99%
97%
92%
100%
88%
*
*
95%
98%
98%
*
100%
*
higher
is better
higher
is better
When Compared
to Expected Rate
Central Line Infection (CLI) Prevention
Blood Clots
in the Lung
or Large
Vein After an
Operation
Risk Adjusted Rate
HOSPITAL NAME
When Compared
to Expected Rate
Risk Adjusted Rate
Risk Adjusted Rate: This takes the severity of each patient’s illness into
account.
When Compared to Expected: This comparison is based on how the
hospital’s risk adjusted rate measures up to the expected rate of other
similar hospitals around the country, identifying it as performing the
SAME, BETTER, or WORSE.
When selecting a hospital, look for one with at least a SAME rating and
ideally a BETTER rating.
Patients with
Bed Sores
Risk Adjusted Rate
When choosing a hospital, please check to
see if the higher or lower rate is better.
When Compared
to Expected Rate
Deaths From
Failure to
Identify and
Treat a Serious
Complication
Infection Prevention
Overall Minnesota Average
Abbott Northwestern Hospital - Minneapolis
10%Same 0% Better
1%
Children’s Hospitals and Clinics - Minneapolis
*
*
0%Same
0%Same
Children’s Hospitals and Clinics - St. Paul
*
*
0%Same
0%Same
Fairview Ridges Hospital - Burnsville
3%Same 0% Better
0%
Fairview Southdale Hospital - Edina
9%Same 0% Better
1%
Gillette Children’s Specialty Healthcare - St. Paul
Hennepin County Medical Center - Minneapolis
15%Same 0% Better
2%
Worse
Lakeview Memorial Hospital - Stillwater
11%Same 1%Same
0%
Better 41%
Maple Grove Hospital
Mercy Hospital - Coon Rapids
7%Same 0% Better
1%
North Memorial Health Care - Robbinsdale
8%Same 0% Better
1%Same
Park Nicollet Methodist Hospital - St. Louis Park
9%Same 0% Better
1%
Queen Of Peace Hospital - New Prague
*
*
*
*
*
*
*
*
*
*
0%Same
1%Same
*
*
Better 97%
0%Same
* Sufficient data not available
For more detailed information, see appendices starting on page 259.
76
*
Hospital Measures | November 2010 | 2010 Health Care Quality Report
higher
is better
higher
is better
higher
is better
higher
is better
higher
is better
higher
is better
All Heart Surgery Patients Whose Blood Sugar
is Kept Under Good Control Right After Surgery
Surgery Patients Needing Hair Removed
Before Surgery Using a Safer Method
87%
96%
86%
94%
94%
87%
96%
*
*
92%
99%
99%
*
100%
98%
87%
Regina Medical Center - Hastings
Regions Hospital - St. Paul
10%Same 0% Better
1%
Worse
95%
93%
93%
99%
95%
97%
99%
77%
Ridgeview Medical Center - Waconia
10%Same 0% Better
1%Same
83%
80%
96%
100%
100%
*
100%
100%
St Francis Regional Medical Center - Shakopee
24%
0%
Better 99%
98%
96%
98%
98%
*
100%
92%
St John’s Hospital: Health East Care System - Maplewood
9%Same 0% Better
1%Same
65%
92%
93%
98%
96%
*
100% 89%
St Joseph’s Hospital: HealthEast Care System - St Paul
7%
1%Same
90%
92%
94%
99%
97%
83%
99%
89%
United Hospital - St Paul
16%Same 0% Better
1%
Better 96%
88%
96%
98%
96%
92%
100%
91%
Unity Hospital - Fridley
9%Same 0% Better
0%
Better 93%
100%
96%
99%
97%
*
100%
93%
University of Minnesota Medical Center: Fairview - Minneapolis
11%Same 0% Better
1%
Better 100%
99%
97%
98%
94%
89%
100%
95%
Woodwinds Hospital: HealthEast Care System - Woodbury
0%
Better 52%
84%
97%
100%
98%
*
100%
97%
higher
is better
higher
is better
higher
is better
Worse 0% Better
Better 0% Better
7%Same 0% Better
* Sufficient data not available
For more detailed information, see appendices starting on page 259.
1%Same
Surgery Patients Whose Preventive
Antibiotics Were Stopped at the Right Time
0%Same
Surgery Patients Given the Best Antibiotic
to Help Prevent Infection
*
Surgery Patients Given an Antibiotic Within an
Hour Before Surgery to Help Prevent Infection
*
Ventilator Associated Pneumonia
(VAP) Prevention
Central Line Infection (CLI) Prevention
Overall Minnesota Average
When Compared
to Expected Rate
HOSPITAL NAME
Risk Adjusted Rate
Risk Adjusted Rate
Risk Adjusted Rate: This takes the severity of each patient’s illness into
account.
When Compared to Expected: This comparison is based on how the
hospital’s risk adjusted rate measures up to the expected rate of other
similar hospitals around the country, identifying it as performing the
SAME, BETTER, or WORSE.
When selecting a hospital, look for one with at least a SAME rating and
ideally a BETTER rating.
Patients with
Bed Sores
Blood Clots
in the Lung
or Large
Vein After an
Operation
When Compared
to Expected Rate
When choosing a hospital, please check to
see if the higher or lower rate is better.
When Compared
to Expected Rate
Deaths From
Failure to
Identify and
Treat a Serious
Complication
Infection Prevention
Risk Adjusted Rate
Medical Complications
Surgery Patients on Beta-Blocker Therapy
Prior to Arrival Who Received a Beta-Blocker
During the Perioperative Period
Quality of Care for
Medical Complications
and Infections
higher
is better
higher
is better
higher
is better
higher
is better
November 2010 | 2010 Health Care Quality Report | Hospital Measures
higher
is better
77
Quality of Care for Other Conditions
Section CONTENTS
Quality of Pneumonia Care
The Best Care for Pneumonia Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Patients Assessed and Given Pneumonia Vaccination . . . . . . . . . . . . . . . . . . 79
Quality of Care for Other Conditions
Blood Test Given to Patient Prior to Receiving Antibiotics. . . . . . . . . . . . . . . 80
Pneumonia Care
Patients Given Advice or Counseling About Quitting Smoking
While in the Hospital. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Patients Given Initial Antibiotic(s) Within Six Hours After Getting
to the Hospital. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Patients Given the Most Appropriate Initial Antibiotic(s). . . . . . . . . . . . . . . . . 81
Patients Assessed and Given Influenza Vaccination . . . . . . . . . . . . . . . . . . . . 82
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274
Quality of Hip Fracture Treatment
Hip Fracture Surgery: Death Rate for Patients with a Broken Hip. . . . . . . . . . 83
Pneumonia is a serious lung infection that causes difficulty
breathing, fever, cough and fatigue. Pneumonia is caused by
a viral or bacterial infection that fills your lungs with mucus.
This lowers the oxygen level in your blood. Symptoms of
pneumonia can include the following:
n Difficulty breathing
n “Wet” cough. Your mucus may look green or bloody.
n Chest pain
n Fever and chills
n Fatigue
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276
These measures show some of the recommended treatments
for pneumonia.
Quality of Childbirth
Rate of Obstetric Tearing – Vaginal Delivery with
Medical Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Rate of Obstetric Tearing – Vaginal Delivery without
Medical Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Table of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Appendix Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 276
78
Hospital Measures | November 2010 | 2010 Health Care Quality Report
The Best Care for Pneumonia Patients
What is the measure?
This measure shows the percent of patients receiving ALL of
the appropriate care that they should have received based on
their clinical condition. For pneumonia patients
this includes the remaining measures in this section:
n
Patients Assessed and Given Pneumonia Vaccination
Blood Test Given to Patient Prior to Receiving Antibiotics
nPatients Given Advice or Counseling About Quitting Smoking
While in the Hospital
nPatients Given Initial Antibiotic(s) Within Six Hours After Getting
to the Hospital
n Patients Given the Most Appropriate Initial Antibiotic(s)
n Patients Assessed and Given Influenza Vaccination
n
The measure takes patient individuality into consideration,
looking at one patient and his/her episode of
care at a time, as it relates to pneumonia.
When choosing a
Why is this important?
hospital, look for the
This measure is a composite, or all-or-none,
hospital that has a
quality of care measure called an approprihigher rate.
ate care measure (ACM). These types of
measures are patient-focused measures that
provide a way of looking at whether a patient
received ALL of the “appropriate” or “right care” (recommended treatments) that he or she should have received, based on
his or her clinical condition. Each patient is unique and may not
be eligible for every type of care for a condition. The measure
will take this into consideration.
Pneumonia: Patients Assessed and
Given Pneumonia Vaccination
What is the measure?
This measure shows the percent of
pneumonia patients who were assessed
and given the pneumonia (also known as
pneumococcal) vaccination. This includes
patients age 65 and older who were
screened and given the pneumococcal
vaccination prior to being released from the
hospital, if indicated.
When choosing a
hospital, look for the
hospital that has a
higher rate.
Why is this important?
The pneumococcal vaccine may help you prevent, or lower the
risk of complications of pneumonia caused by bacteria. It may
also help you prevent future infections. Patients with pneumonia
should be asked if they have been vaccinated recently for pneumonia and, if not, should be given the vaccine.
Performance on this measure ranged from nine percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(PN-2: Pneumococcal vaccination)
Performance on this measure ranged from 33 percent to 100 percent.
MEASURE SOURCE: Pneumonia (PN) Appropriate Care Measure (PN-ACM)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
79
Pneumonia: Blood Test Given to
Patient Prior to Receiving Antibiotics
What is the measure?
This measure shows the percent of pneumonia patients that
had a blood culture or blood test done in the Emergency Department before getting their first dose of hospital antibiotics. This
measure focuses on treatment provided
to Emergency Department patients prior
to being admitted to the hospital.
When choosing a
hospital, look for the
hospital that has a
Why is this important?
Different types of bacteria can cause
higher rate.
pneumonia. A blood culture is a test
that can help your health care provider
identify which bacteria may have caused
your pneumonia, and which antibiotic should be prescribed. A
blood culture is not always needed, but for patients who are first
seen in the hospital emergency department, it is important for
the accuracy of the test that blood culture be conducted before
any antibiotics are started. It is also important to start antibiotics
as soon as possible.
Performance on this measure ranged from 73 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure (PN-3b: Blood cultures
performed in the emergency department prior to initial antibiotic received
in hospital)
80
Pneumonia: Patients Given Advice or
Counseling About Quitting Smoking
While in the Hospital
What is the measure?
This measure shows the percent of pneumonia patients with a
history of smoking cigarettes who were given advice or counseling about stopping smoking while in the hospital. For purposes
of this measure, a smoker is someone who has smoked cigarettes anytime during the year before being in the hospital.
Why is this important?
Smoking damages your lungs and can make it hard to breathe.
Smoking increases your chances of getting pneumonia or other
chronic lung diseases like emphysema and bronchitis. Smoking
is also linked to lung cancer, heart disease, and stroke, and can cause premature death. It is important for you to get
When choosing a
information to help you quit smoking
hospital, look for the
before you leave the hospital. Quitting
hospital that has a
may reduce your chance of getting pneuhigher rate.
monia again.
Performance on this measure ranged from
67 percent to 100 percent.
MEASURE SOURCE: Hospital Compare Measure (PN-4: Adult smoking
cessation advice/counseling)
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Pneumonia: Patients Given Initial
Antibiotic(s) Within Six Hours After
Getting to the Hospital
Pneumonia: Patients Given the Most
Appropriate Initial Antibiotic(s)
What is the measure?
This measure shows the percent of pneumonia patients who
received their first dose of antibiotics within six hours of arrival
at the hospital. Patients who get pneumonia during their stay at
the hospital are not counted in this measure.
Why is this important?
Antibiotics are used to treat adults with
When choosing a
hospital, look for the
pneumonia caused by bacteria. Early
hospital that has a
treatment with antibiotics can cure
higher rate.
bacterial pneumonia and reduce the
possibility of complications.
Performance on this measure ranged from
85 percent to 100 percent.
MEASURE SOURCE: Hospital Compare Measure (PN-5c: Initial antibiotic
received within 6 hours of hospital arrival)
What is the measure?
This measure shows the percent
of immunocompetent patients with
Community-Acquired Pneumonia who
got an initial antibiotic regimen during
the first 24 hours that was consistent
with current guidelines.
When choosing a
hospital, look for the
hospital that has a
higher rate.
Why is this important?
Pneumonia is a lung infection that is usually caused by bacteria
or a virus. If pneumonia is caused by bacteria, hospitals will treat
the infection with antibiotics. Different bacteria are treated with
different antibiotics. To learn about how hospitals use a blood
test to choose the most effective treatment for pneumonia patients, refer to the Process of Care measure named ‘Blood Test
Given to Patient Prior to Receiving Antibiotics’.
Performance on this measure ranged from 73 percent to
100 percent.
MEASURE SOURCE: Hospital Compare Measure
(PN-6: Initial antibiotic selection for community-acquired pneumonia
(CAP) in immunocompetent patients)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
81
Pneumonia: Patients Assessed and
Given Influenza Vaccination
What is the measure?
This measure shows the percent of pneumonia patients age 50
years and older, hospitalized during October, November, December, January, February, or March who were screened for influenza vaccine status and were vaccinated prior to being released
from the hospital, if this is the right treatment for the patient.
The influenza vaccine is commonly known as the flu shot.
Why is this important?
Influenza vaccinations, or flu shots, reduce
the risk of influenza, a serious and sometimes deadly lung infection that can spread
quickly in a community or facility. Hospitals
should check to make sure that pneumonia
patients, particularly those who are age 50
or older, get a flu shot during flu season to
protect them from another lung infection and
to help prevent the spread of influenza.
When choosing a
hospital, look for the
hospital that has a
higher rate.
Since a flu shot is effective for just one flu season, the period of
time used to calculate this rate is the flu season (from approximately November through March).
Performance on this measure ranged from 12 percent to 100
percent.
MEASURE SOURCE: Hospital Compare Measure (PN-7: Influenza vaccination)
82
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Hip Fracture Treatment
A hip fracture, also known as a broken hip, more commonly occurs in older adults. Usually hip fractures are
caused by a fall or some type of blow to the side of the
hip. Other medical conditions, like osteoporosis, can
make bones weaker and more likely to break. In fact,
more than 300,000 hip fractures annually are due to osteoporosis.
Treatments for hip fractures, like surgery, have certain
risks associated with them. Health problems from hip
fracture surgery may include risk for pneumonia or a
blood clot in the leg that may travel to a lung and cause
damage. If not recognized and effectively treated, these
can lead to life-threatening problems. Some surgery
complications, including death, can be prevented through
better care processes at the hospital.
Use this measure to see how well a hospital is doing at
preventing deaths after hip fracture surgery.
Hip Fracture Surgery: Death Rate for
Patients with a Broken Hip
What is the measure?
This measure shows the percent of
patients who died in the hospital, who
came in with a broken hip (hip fracture).
When choosing a
hospital, look for the
hospital that has a
lower rate.
Why is this important?
Among older people, hip fractures are
a common serious injury. If you already
have other health problems, you are more likely to have complications after surgery to repair a cracked or broken hip bone. To
decrease the risks, surgery may be delayed a couple of days to
treat other medical problems, such as heart or lung conditions.
Health problems from hip fracture surgery may include risk for
pneumonia or a blood clot in the leg that may travel to a lung
and cause damage. If not recognized and effectively treated,
these can lead to life-threatening problems. In the U.S., 3.1%
of patients having hip fracture surgery will die in the hospital as
a result of the surgery. Some surgery complications, including
death, can be prevented through better care processes at the
hospital.
MEASURE SOURCE: AHRQ Quality Indicator (IQI 19: Hip fracture mortality rate)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
83
Childbirth
Childbirth can sometimes lead to tears in the perineum.
This is the area between a woman’s vagina and anus.
A more serious tear is referred to as obstetric trauma.
However, these tears are often preventable. This is true
for births where medical instruments, like forceps, are
used. These tears can also occur when no medical instruments are used to deliver the baby. Better quality of
care for childbirth is associated with a lower number of
obstetric tears.
When planning for the delivery of your baby, discuss
this quality measurement data with your doctor to see
how to get the best care during the birth of your child.
You can use the measures in this section to see how
well a hospital is doing with its quality of care during
childbirth.
Childbirth: Rate of Obstetric
Tearing – Vaginal Delivery With
Medical Instruments
What is the measure?
This measure shows the percent of women who suffer serious
vaginal tears while giving birth, when a health care provider was
helping to deliver the baby using a forceps or other medical
instrument.
Why is this important?
During vaginal childbirth, women can tear
When choosing a
the skin and muscles between the vagina
hospital, look for the
hospital that has a
and anus, the “perineum.” Small tears
can heal well on their own or may require
lower Rate.
stitches. Serious tears require surgery to
repair and may take several months to
heal. These serious tears are referred to
as obstetric traumas. At least 4 percent of women who deliver
vaginally experience a serious tear in their perineum. Tears are
more common in women having their first vaginal birth.
Serious tears can happen even when medical instruments
are not used or when an attempted vaginal delivery ends with
cesarean-section. However, mothers who have their babies delivered vaginally with the assistance of instruments usually have
higher rates of serious tears. These tears are often preventable,
and the percentage of deliveries involving serious tears is considered an indicator of quality of care during childbirth.
MEASURE SOURCE: AHRQ Quality Indicators (PSI 18: Obstetric trauma –
vaginal delivery with instrument)
84
Hospital Measures | November 2010 | 2010 Health Care Quality Report
Childbirth: Rate of Obstetric
Tearing – Vaginal Delivery without
Medical Instruments
What is the measure?
This measure shows the percent
of women who suffer serious vaginal
tears while giving birth where no
forceps or other medical instruments
were used to assist with delivering
a baby.
When choosing a
hospital, look for the
hospital that has a
lower Rate.
Why is this important?
During vaginal childbirth, women can tear the skin and muscles
between the vagina and anus, the “perineum.” Small tears can
heal well on their own or may require stitches. Serious tears
require surgery to repair and may take several months to heal.
These serious tears are referred to as obstetric traumas. At least
4 percent of women who deliver vaginally experience a serious
tear in their perineum. Tears are more common in women having their first vaginal birth.
Serious tears can happen even when medical instruments
are not used or when an attempted vaginal delivery ends with
cesarean-section. These tears are often preventable, and the
percentage of deliveries involving serious tears is considered an
indicator of quality of care during childbirth.
MEASURE SOURCE: AHRQ Quality Indicators (PSI 19: Obstetric trauma –
vaginal delivery without instrument)
November 2010 | 2010 Health Care Quality Report | Hospital Measures
85
Quality of Care
for Other Conditions
Pneumonia Care
91%
84%
93%
87%
83%
Abbott Northwestern Hospital - Minneapolis
94%
98%
96%
100%
98%
96%
94%
1%
Better
27%
Worse
4%
Worse
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
*
*
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
*
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
82%
97%
96%
100%
93%
81%
94%
1%Same
16%Same
2%Same
Fairview Southdale Hospital - Edina
91%
96%
99%
100%
98%
89%
89%
3%Same
17%Same
4%
Worse
Gillette Children’s Specialty Healthcare - St. Paul
*
*
*
*
*
*
*
*
*
Hennepin County Medical Center - Minneapolis
77%
84%
86%
99%
88%
88%
70%
2%Same
13%Same
2%
Better
Lakeview Memorial Hospital - Stillwater
85%
88%
100%
*
96%
94%
80%
2%Same
19%Same
2%Same
Maple Grove Hospital
*
*
*
*
*
*
*
*
*
Mercy Hospital - Coon Rapids
93%
97%
97%
100%
96%
96%
93%
1%
Better
North Memorial Health Care - Robbinsdale
58%
57%
89%
93%
96%
78%
68%
Park Nicollet Methodist Hospital - St. Louis Park
87%
92%
94%
100%
97%
93%
Queen Of Peace Hospital - New Prague
89%
95%
97%
*
100%
higher
is better
higher
is better
higher
is better
* Sufficient data not available
For more detailed information, see appendices starting on page 259.
86
higher
is better
higher
is better
Hospital Measures | November 2010 | 2010 Health Care Quality Report
*
When Compared
to Expected Rate
When Compared
to Expected Rate
*
*
*
*
*
*
When Compared
to Expected Rate
83%
Risk Adjusted Rate
85%
Risk Adjusted Rate
Patients Assessed and
Given Influenza Vaccination
HOSPITAL NAME
Risk Adjusted Rate
Patients Given the Most
Appropriate Initial Antibiotic(s)
Overall Minnesota Average
Risk Adjusted Rate: This takes the severity of each patient’s illness into
account.
When Compared to Expected: This comparison is based on how the
hospital’s risk adjusted rate measures up to the expected rate of other
similar hospitals around the country, identifying it as performing the
SAME, BETTER, or WORSE.
When selecting a hospital, look for one with at least a SAME rating and
ideally a BETTER rating.
Patients Given Advice or
Counseling About Quitting
Smoking While in the Hospital
Patients Given Initial
Antibiotic(s) Within 6 Hours
After Getting to the Hospital
Rate of Obstetric
Rate of Obstetric
Tearing Vaginal
Tearing Vaginal
Delivery with
Delivery without
Medical Instruments Medical Instruments
Blood Test Given to Patient
Prior to Receiving Antibiotics
Death Rate for
Patients With a
Broken Hip
Patients Assessed and Given
Pneumonia Vaccination
Childbirth
The Best Care for
Pneumonia Patients
When choosing a hospital, please check to
see if the higher or lower rate is better.
Hip Fracture
*
20%Same
3%Same
3%Same
25%
5%
84%
3%
Better
15%Same
91%
90%
*
*
higher
is better
higher
is better
*
Worse
*
Worse
3%Same
2%Same
Patients Given Initial
Antibiotic(s) Within 6 Hours
After Getting to the Hospital
Patients Given the Most
Appropriate Initial Antibiotic(s)
Patients Assessed and
Given Influenza Vaccination
83%
91%
84%
93%
87%
83%
Regina Medical Center - Hastings
87%
97%
100%
*
97%
87%
*
Regions Hospital - St. Paul
90%
94%
95%
100%
94%
93%
90%
Ridgeview Medical Center - Waconia
94%
98%
100%
100%
98%
94%
St Francis Regional Medical Center - Shakopee
96%
97%
100%
98%
99%
St John’s Hospital: Health East Care System - Maplewood
89%
93%
97%
97%
St Joseph’s Hospital: HealthEast Care System - St Paul
80%
84%
93%
United Hospital - St Paul
92%
97%
Unity Hospital - Fridley
94%
University of Minnesota Medical Center: Fairview - Minneapolis
Woodwinds Hospital: HealthEast Care System - Woodbury
19%Same
2%Same
4%Same
21%Same
2%Same
94%
3%Same
14%Same
2%Same
98%
92%
0%Same
15%Same
2%Same
99%
93%
95%
4%Same
13%Same
2%
98%
96%
88%
87%
2%
Better
28%
2%Same
95%
100%
97%
95%
94%
1%
Better
17%Same
3%
100%
95%
100%
97%
97%
98%
1%
Better
17%Same
2%Same
84%
86%
95%
100%
93%
90%
78%
5%Same
23%Same
3%Same
93%
97%
97%
*
100%
95%
100%
2%Same
15%Same
2%Same
higher
is better
higher
is better
* Sufficient data not available
For more detailed information, see appendices starting on page 259.
higher
is better
higher
is better
higher
is better
higher
is better
*
*
When Compared
to Expected Rate
Patients Given Advice or
Counseling About Quitting
Smoking While in the Hospital
85%
Rate of Obstetric
Rate of Obstetric
Tearing Vaginal
Tearing Vaginal
Delivery with
Delivery without
Medical Instruments Medical Instruments
Risk Adjusted Rate
Blood Test Given to Patient
Prior to Receiving Antibiotics
HOSPITAL NAME
Death Rate for
Patients With a
Broken Hip
When Compared
to Expected Rate
Patients Assessed and Given
Pneumonia Vaccination
Overall Minnesota Average
Risk Adjusted Rate: This takes the severity of each patient’s illness into
account.
When Compared to Expected: This comparison is based on how the
hospital’s risk adjusted rate measures up to the expected rate of other
similar hospitals around the country, identifying it as performing the
SAME, BETTER, or WORSE.
When selecting a hospital, look for one with at least a SAME rating and
ideally a BETTER rating.
Childbirth
Risk Adjusted Rate
The Best Care for
Pneumonia Patients
When choosing a hospital, please check to
see if the higher or lower rate is better.
Hip Fracture
When Compared
to Expected Rate
Pneumonia Care
Risk Adjusted Rate
Quality of Care
for Other Conditions
Worse
Better
Worse
higher
is better
November 2010 | 2010 Health Care Quality Report | Hospital Measures
87
Appendix 1: Physician Clinic Measures
Guide to Understanding the Detailed Measure Results Data. . . . . 89
Quality of Care for Chronic Conditions Measure Results Data
The Best Care for…
Adults with Diabetes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Adults with Vascular Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Adults with High Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Children and Adults with Asthma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
The following section provides more information about the
measures outlined in this report. Additional data elements are
included in the following detailed tables; these elements vary
depending on the measure and the data source. The methods
section provides more information on the data source and
calculation for the various measures.
Quality of Care for Acute Conditions Measure Results Data
The Best Care for…
Children with a Cold (Upper Respiratory Infection) . . . . . . . . . . . . . . . . . . . . . . 136
Children with a Sore Throat (Pharyngitis) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Adults with Bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Quality of Preventive Care Measure Results Data
The Best Care to…
Help Prevent Breast Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Help Prevent Cervical Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Help Prevent Colorectal Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Help Prevent Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Detect Chlamydia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228
Provide Childhood Immunizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228
Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
** Sufficient
Sufficient data
data not
not available.
available.
88
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
guide to understanding the detailed measure results data
Physician Clinic Name:
Reports the physician clinic name alphabetically under the city in
which it is located.
Reports the patient distribution for each physician clinic or medical group between these three insurance categories. These columns show the patient distribution prior to any risk adjustment.
Medical Group Name:
Reports the medical group of which the clinic is a part. A medical
group may have one or more clinics.
Total Population or Sample:
Reports whether the results are based on the physician clinic or
medical group’s total population or a sample of the total population for that measure.
Risk Adjusted Rate:
Reports the physician clinic rate adjusted to the average statewide payer mix. The risk adjusted rate accounts for differences
in the physician clinic’s patient population beyond the provider’s
control. This adjustment is based on insurance payer type. The
three payer categories include Medicare, commercial, and MN
health care programs/uninsured.
Confidence Interval of Risk Adjusted Rate:
Reports the margin of error for the risk adjusted rate. Confidence
intervals are a range of values which demonstrate the degree of
certainty associated with the reported rate. This range takes into
account potential variance in the rate if different patients were
included in the sample. 95-percent-asymmetrical confidence
intervals are calculated for each measure for each medical group.
Asymmetrical confidence intervals are used to avoid confidence
interval lower-bound values less than zero and upper bound values greater than one hundred. For the calculation of risk adjusted
confidence intervals, a weighted average of the variance for the
payer categories was used.* Large differences between individual physician clinics’ rates may be significant and small differences
are usually not significant.
Distribution of Patient Population or Medical Group Distribution of Patient Population: Medicare/Commercial/MN Health
Care Programs and uninsured for Optimal Diabetes and Optimal
Vascular Care.
Sample Size:
Reports the number of patients meeting the criteria for inclusion
in the measure and for whom data was submitted. This column
is the denominator number used to calculate the rate.
Non-risk Adjusted Rate:
Reports the value when the numerator is divided by the denominator prior to any risk-adjustment. The denominator is the sum of
all the eligible cases submitted. The numerator is the sum of all
eligible cases submitted where recommended care was provided
or treatment goals were reached.
Confidence Interval of Non-risk Adjusted Rate:
Reports the margin of error for the non-risk adjusted rate. Confidence intervals are a range of values which demonstrate the
degree of certainty associated with the estimated rate. This
range takes into account potential variance in the rate if different
patients were included in the sample. 95-percent-asymmetrical
confidence intervals are calculated for each measure for each
medical group. Asymmetrical confidence intervals are used to
avoid confidence interval lower-bound values less than zero and
upper bound values greater than one hundred. Large differences
between individual physician clinics’ rates may be significant and
small differences are usually not significant.
* Curtin, LR and RJ Klein. “Direct Standardization (Age-Adjusted Death Rates).” Centers for Disease Control and Prevention and National Center for Health Statistics. Healthy People 2000 Statistical Notes No. 6. 1995.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
89
28% 28-29%
34%
34-35%
43%
47%
12%
6%-22%
28%
20%-39%
39%
48%
9%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
29%
Sample Size
MN Health Care Programs
28–29%
Total Population or Sample
Commercial
Distribution of
Patient Population
Medicare
Overall Minnesota Clinic Average
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
34% 34-35%
85
28%
20%-39%
Andover
Fairview Andover Clinic
Fairview Health Services
15%
7%-27%
13%
73%
HealthPartners- RiverWay HealthPartners Clinics
40%
36%-44%
25%
67%
8%Total Population 584 40%
36%-44%
46%
39%-52%
44%
49%
8%Total Population 201
46%
39%-53%
HealthPartners Clinics
35%
32%-38%
31%
60%
9%Total Population 931 36%
33%-39%
44%
37%-50%
47%
49%
4%Total Population 205
44%
37%-51%
Apple Valley Medical Clinic
Apple Valley Medical Clinic
49%
46%-52%
26%
67%
8%Total Population 1053 50%
47%-53%
47%
39%-55%
40%
58%
3%Total Population 146
47%
39%-55%
Fairview CedarRidge Clinic
Fairview Health Services
29%
25%-32%
23%
65%
12%Total Population 606 28%
25%-32%
38%
31%-46%
47%
45%
8%Total Population 155
38%
31%-46%
HealthPartners
HealthPartners Clinics
39%
35%-44%
18%
69%
13%Total Population 520 39%
35%-43%
47%
37%-57%
29%
64%
7%Total Population 102
47%
38%-57%
+
+
+
+
+
+
+
+
+
44%
40%-48%
26%
66%
8%Total Population 535 45%
10%
6%-18%
44%
50%
6%Total Population 86
49%
41%-56%
26%
64%
13%Sample
60
13%Sample
Anoka
HealthPartners- RiverWay Apple Valley
MD Physicals Incorporated
+
+
+
+
+
+
+
+
+
Arden Hills
HealthPartners
HealthPartners Clinics
41%-49%
57%
49%-64%
47%
47%
6%Total Population 154
56%
49%-64%
10%
6%-19%
8%
3%-23%
47%
47%
7%Total Population 30
7%
2%-21%
10%Total Population 171 49%
41%-56%
49%
37%-62%
35%
63%
2%Total Population 52
50%
37%-63%
Belle Plaine
Southern Metro Medical ClinicsSouthern Metro Medical Clinics
Blaine
Allina Medical Clinic
* Sufficient data not available.
90
Allina Medical Clinic
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Multicare Associates
47%
120 16%
10%-23%
26%
18%-37%
44%
40%
10%Total Population 632 24%
21%-28%
27%
22%-33%
47%
10%
5%-20%
24%
15%-37%
9%
Confidence Interval of NonRisk Adjusted Rate
59%
43%
Non-Risk Adjusted Rate
31%
34-35%
Sample Size
21%-27%
34%
Total Population or Sample
24%
28-29%
MN Health Care Programs
Commercial
18%Sample
Medicare
58%
Confidence Interval of Risk
Adjusted Rate
24%
Risk Adjusted Rate
11%-25%
28% Confidence Interval of NonRisk Adjusted Rate
MN Health Care Programs
17%
Non-Risk Adjusted Rate
Commercial
Sample Size
Medicare
16%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
55%
Multicare Associates- Blaine Medical Center
Distribution of
Patient Population
29%
Overall Minnesota Clinic Average
Fairview Health Services
Distribution of
Patient Population
28–29%
Medical
Group Name
Fairview Blaine Clinic
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
34% 34-35%
84
25%
17%-35%
46%
7%Total Population 266
27%
22%-33%
42%
48%
10%Total Population 52
23%
14%-36%
15%Sample
Bloomington
Aspen Medical Group
Aspen Medical Group
11%
5%-21%
25%
66%
Bloomington Lake Clinic- Xerxes
Bloomington Lake Clinic
22%
19%-27%
26%
57%
17%Total Population 432 22%
18%-26%
34%
27%-42%
36%
52%
12%Total Population 160
34%
27%-41%
Fairview Oxboro Clinic
Fairview Health Services
46%
43%-49%
34%
58%
8%Total Population 1152 46%
44%-49%
58%
53%-63%
41%
51%
9%Total Population 399
58%
53%-63%
HealthPartners
HealthPartners Clinics
31%
28%-35%
23%
61%
16%Total Population 664 31%
28%-35%
41%
33%-48%
34%
60%
6%Total Population 161
41%
34%-49%
Park Nicollet Clinic
Park Nicollet Health Services
32%
28%-35%
30%
60%
10%Total Population 620 32%
28%-35%
38%
31%-44%
48%
46%
7%Total Population 207
39%
32%-45%
HealthPartners
HealthPartners Clinics
39%
36%-43%
22%
60%
18%Total Population 833 39%
36%-42%
42%
37%-49%
34%
57%
9%Total Population 251
42%
36%-48%
Hennepin Faculty Associates- Hennepin Care North
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
10%
5%-15%
17%
25%
58%Total Population 256
8%
5%-12%
*
*
*
*
*
North Memorial Clinic- North Memorial
Brooklyn Center Physicians
21%
16%-27%
40%
45%
15%Total Population 209 23%
18%-29%
32%
24%-42%
47%
45%
8%Total Population 96
32%
24%-42%
Park Nicollet Clinic
Park Nicollet Health Services
33%
30%-35%
23%
60%
17%Total Population 1472 32%
29%-34%
38%
33%-44%
35%
52%
13%Total Population 319
37%
32%-43%
Allina Medical Clinic
Allina Medical Clinic
57%
46%-67%
23%
69%
59%
47%-69%
*
*
*
*
*
*
Fairview Brooklyn Park Clinic
Fairview Health Services
23%
17%-32%
30%
50%
120 23%
16%-31%
27%
42%
44%
62
26%
17%-38%
8%Sample
60
Brooklyn Center
*
*
*
*
Brooklyn Park
* Sufficient data not available.
8%Total Population 75
19%Sample
*
18%-38%
*
*
15%Sample
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
91
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
61%
Commercial
27%
Medicare
16%-23%
Confidence Interval of Risk
Adjusted Rate
19%
Risk Adjusted Rate
28% Confidence Interval of NonRisk Adjusted Rate
16%
Non-Risk Adjusted Rate
MN Health Care Programs
55%
Sample Size
Commercial
29%
Overall Minnesota Clinic Average
Total Population or Sample
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Distribution of
Patient Population
28–29%
Medical
Group Name
North Memorial Clinic- North Memorial
Brooklyn Park Physicians
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
12%Total Population 469 19%
16%-23%
29%
23%-36%
44%
49%
7%Total Population 192
30%
24%-37%
Burnsville
Burnsville Family Physicians
Burnsville Family Physicians
31%
25%-37%
23%
75%
2%Total Population 262 33%
27%-39%
36%
27%-46%
40%
59%
1%Total Population 91
36%
27%-47%
Fairview Ridges Clinic
Fairview Health Services
31%
28%-34%
33%
58%
9%Total Population 867 31%
28%-35%
44%
39%-50%
45%
46%
9%Total Population 315
44%
39%-50%
Park Nicollet Clinic
Park Nicollet Health Services
37%
34%-39%
22%
64%
14%Total Population 1213 36%
34%-39%
40%
35%-46%
40%
52%
9%Total Population 293
40%
34%-46%
Quello Clinic Quello Clinic
26%
22%-30%
25%
63%
12%Total Population 426 26%
22%-30%
37%
26%-49%
31%
60%
9%Total Population 68
35%
25%-47%
*
*
*
39%
28%-50%
47%
53%
0%Sample
60
40%
29%-53%
40%
24%
67%
9%Total Population 571 40%
42%
34%-50%
47%
47%
6%Total Population 136
43%
35%-51%
+
+
+
+
+
+
+
+
+
UMP MN Heart Burnsville ClinicUniversity of Minnesota Physicians
*
*
*
*
*
*
Champlin
Allina Medical Clinic
Allina Medical Clinic
Team Health Care Clinic
36%-44%
+
+
+
+
36%-44%
+
+
+
+
+
Chanhassen
Park Nicollet Clinic
Park Nicollet Health Services
35%
32%-39%
26%
62%
12%Total Population 684 35%
32%-39%
42%
36%-49%
42%
52%
6%Total Population 212
42%
36%-49%
Quello Clinic Quello Clinic
42%
32%-52%
19%
71%
11%Total Population 95
40%
31%-50%
59%
42%-73%
40%
57%
3%Total Population 30
60%
42%-75%
21%
16%-27%
28%
65%
7%Total Population 225 21%
16%-27%
27%
17%-39%
27%
66%
6%Total Population 62
24%
15%-36%
36%
30%-41%
32%
63%
5%Total Population 292 38%
33%-44%
48%
40%-55%
42%
53%
5%Total Population 149
48%
40%-56%
Ridgeview Chanhassen ClinicRidgeview Clinics
Chaska
Allina Medical Clinic- Crossroads Chaska
* Sufficient data not available.
92
Allina Medical Clinic
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
52%
Lakeview ClinicLakeview Clinic
15%
8%-25%
22%
75%
3%Sample
60
Valley Family PracticeValley Family Practice
20%
12%-30%
25%
64%
11%Sample
80
19%
13%-27%
36%
50%
14%Sample
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
44%
32%
56%
12%Total Population 2969 45%
Anoka Area Family Medicine Clinic
+
+
+
+
+
+
+
+
+
+
Dr. Jerrol NollerDr. Jerrol Noller
+
+
+
+
+
+
+
+
+
+
HealthPartners 41%
24%
64%
12%Total Population 753 41%
+
+
+
+
Confidence Interval of NonRisk Adjusted Rate
39%
Non-Risk Adjusted Rate
15%-30%
Sample Size
22%
Fairview Health Services
Total Population or Sample
Fairview Jonathan Clinic
28% MN Health Care Programs
16%
Risk Adjusted Rate
MN Health Care Programs
55%
Overall Minnesota Clinic Average
Non-Risk Adjusted Rate
Commercial
29%
Medical
Group Name
Sample Size
Medicare
28–29%
Physician
clinic NAME
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
28%
See page 89 for an explanation of terms.
Commercial
Distribution of
Patient Population
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Optimal Vascular Care
Confidence Interval of NonRisk Adjusted Rate
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
16%-31%
24%
15%-36%
40%
55%
5%Total Population 55
24%
14%-36%
15%
8%-26%
29%
20%-41%
35%
60%
5%Sample
60
32%
21%-44%
19%
12%-29%
8%
4%-18%
40%
53%
7%Total Population 57
7%
3%-17%
120 19%
13%-27%
24%
18%-32%
45%
36%
23%
17%-31%
*
30%
28%-32%
50%
42%
7%Total Population 3350 30%
29%-32%
*
*
*
*
51%
41%
8%Total Population 1010 50%
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
47%
47%
6%Total Population 218
47%
40%-53%
+
+
+
+
+
10%Total Population 124 23%
Columbia Heights
Fairview Columbia Heights Clinic
Fairview Health Services
19%Sample
151
Coon Rapids
Allina Health System- Metropolitan Heart & Vascular Institute
Allina Health System
Allina Health System- Midwest Internal Medicine
Allina Health System
Allina Medical Clinic Allina Medical Clinic
HealthPartners Clinics
Twin Cities Heart and Lung
42%-46%
38%-45%
+
+
+
+
43%-47%
37%-44%
+
49%
46%
+
*
46%-53%
39%-52%
+
*
*
+
*
+
*
*
47%-53%
Cottage Grove
Allina Medical Clinic
Allina Medical Clinic
41%
37%-44%
27%
58%
15%Total Population 841 40%
37%-44%
44%
38%-51%
43%
50%
7%Total Population 229
45%
38%-51%
HealthEast HealthEast Clinics
33%
29%-37%
40%
53%
7%Total Population 545 34%
30%-38%
38%
32%-45%
49%
48%
3%Total Population 203
40%
33%-47%
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
93
28% 28-29%
34%
34-35%
43%
47%
+
+
+
37%
58%
+
9%
34% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
29%
Sample Size
MN Health Care Programs
28–29%
Total Population or Sample
Commercial
Distribution of
Patient Population
Medicare
Overall Minnesota Clinic Average
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
34-35%
Crystal
New Hope-Crystal Medical Clinic
+
Northwest Family PhysiciansNorthwest Family Physicians
23%
One Stop Medical CenterOne Stop Medical Center
+
45%
Eagan Child and Family CareEagan Child and Family Care
+
Fairview Eagan Clinic
Fairview Health Services
44%
HealthEast
HealthEast Clinics
*
Minnesota Center for Obesity, Metabolism, and Endocrinology (MNCOME)
Minnesota Center for Obesity,
Metabolism, and Endocrinology (MNCOME) 19%
11%-31%
6%
84%
Park Nicollet Clinic
Park Nicollet Health Services
40%
36%-44%
19%
+
+
21%-27%
+
+
+
+
+
27%
60%
13%Total Population 754 23%
+
+
+
21%
66%
13%Total Population 514 46%
+
+
+
26%
67%
7%Total Population 464 44%
*
*
+
+
+
+
+
+
20%-26%
+
+
34%
+
+
28%-42%
+
+
+
+
4%Total Population 171
36%
29%-44%
+
+
+
+
32%
60%
8%Total Population 134
54%
46%-63%
+
+
+
+
+
43%
49%
7%Total Population 152
60%
52%-67%
+
+
+
Eagan
Allina Medical Clinic
Allina Medical Clinic
Yankee Square Family Practice
41%-49%
+
39%-48%
*
+
*
+
*
+
+
*
*
65
15%
68%
13%Total Population 578 39%
+
+
+
9%Sample
+
+
+
41%-50%
+
40%-49%
*
54%
+
60%
46%-63%
+
52%-67%
+
+
*
*
*
*
*
*
*
*
*
9%-26%
*
*
*
*
*
*
*
*
*
35%-43%
44%
25%
66%
9%Total Population 169
46%
39%-54%
+
+
+
+
+
+
+
36%-52%
+
+
+
Eden Prairie
Fairview EdenCenter Clinic
Fairview Health Services
32%
28%-37%
19%
71%
11%Total Population 478 32%
28%-36%
46%
38%-55%
46%
47%
7%Total Population 137
47%
39%-55%
Park Nicollet Clinic
Park Nicollet Health Services
38%
33%-44%
27%
61%
12%Total Population 281 39%
33%-45%
43%
34%-52%
43%
54%
3%Total Population 105
44%
35%-53%
* Sufficient data not available.
94
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
53%
Allina Medical Clinic Allina Medical Clinic
41%
37%-46%
33%
52%
Consultants Internal Medicine
Consultants Internal Medicine
8%
4%-16%
41%
56%
3%Sample
60
Edina Family PhysiciansEdina Family Physicians
12%
8%-20%
36%
63%
1%Sample
80
Edina Sports Health & WellnessEdina Sports Health & Wellness
10%
7%-16%
25%
66%
Endocrinology Clinic of MinneapolisEndocrinology Clinic of Mpls.
25%
17%-35%
25%
65%
Fairview Crosstown Clinic
Fairview Health Services
39%
34%-44%
36%
France Avenue Family Physicians
France Avenue Family Physicians
41%
35%-46%
One Stop Medical CenterOne Stop Medical Center
+
Quello Clinic
38%
Sample Size
Confidence Interval of NonRisk Adjusted Rate
44%
Non-Risk Adjusted Rate
25%-36%
Sample Size
31%
Total Population or Sample
MN Health Care Programs
Allina Health System- Abbott
Allina Health System
Northwestern General Medicine Associates
28% Commercial
16%
Medicare
55%
Confidence Interval of Risk
Adjusted Rate
29%
Overall Minnesota Clinic Average
Risk Adjusted Rate
28–29%
Medical
Group Name
Confidence Interval of NonRisk Adjusted Rate
28%
Physician
clinic NAME
Non-Risk Adjusted Rate
See page 89 for an explanation of terms.
Total Population or Sample
MN Health Care Programs
Distribution of
Patient Population
Commercial
Distribution of
Patient Population
Medicare
Optimal Vascular Care
Confidence Interval of Risk
Adjusted Rate
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
3%Total Population 426 31%
27%-35%
35%
31%-40%
53%
45%
2%Total Population 436
36%
31%-40%
15%Total Population 460 41%
36%-45%
43%
36%-51%
56%
38%
6%Total Population 196
43%
36%-50%
7%
3%-16%
18%
11%-29%
53%
47%
0%Sample
60
17%
9%-28%
11%
6%-20%
20%
13%-30%
42%
54%
4%Sample
80
20%
13%-30%
9%Total Population 197 11%
7%-16%
19%
10%-32%
36%
60%
4%Total Population 45
18%
9%-31%
23%
15%-33%
*
*
*
*
*
56%
7%Total Population 375 39%
34%-44%
58%
51%-65%
49%
44%
7%Total Population 174
58%
51%-65%
23%
70%
7%Total Population 368 40%
35%-45%
56%
45%-67%
40%
53%
7%Total Population 70
57%
45%-68%
+
+
+
+
+
+
+
+
30%
60%
10%Total Population 396 40%
44%
47%
9%Total Population 105
45%
36%-54%
+
+
+
+
+
+
+
+
+
40%
53%
55%
42%
3%Sample
60
50%
38%-62%
+
+
+
+
+
+
53%
42%
5%Sample
60
33%
23%-46%
Edina
Quello Clinic
+
34%-43%
Sharpe Dillon Cockson & Associates PASharpe, Dillon, Cockson & Associates +
Southdale Internal Medicine, PASouthdale Internal Medicine, P.A.
47%
The Schuster ClinicThe Schuster Clinic
+
+
+
UMP MN Heart Edina ClinicUniversity of Minnesota Physicians
*
*
*
* Sufficient data not available.
+
35%-59%
10%Sample
+
+
80
+
+
+
35%-45%
+
+
45%
+
+
7%Sample
60
50%
+
+
+
+
+
+
+
*
*
*
*
*
*
33%
38%-62%
+
48%
*
+
36%-54%
+
37%-60%
+
23%-45%
*
*
+
+
+
*
+
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
95
16%Total Population 80
5%
2%-12%
*
38%-48%
31%
57%
12%Total Population 317 44%
38%-49%
53%
*
*
25%
65%
*
*
47%
*
*
51%
38%
9%
34% Sample Size
Confidence Interval of NonRisk Adjusted Rate
60%
43%
Non-Risk Adjusted Rate
24%
34-35%
Sample Size
2%-13%
34%
Total Population or Sample
5%
28-29%
MN Health Care Programs
28% Commercial
MN Health Care Programs
16%
Risk Adjusted Rate
Commercial
55%
Non-Risk Adjusted Rate
Medicare
29%
Overall Minnesota Clinic Average
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
28–29%
Medical
Group Name
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Distribution of
Patient Population
Confidence Interval of NonRisk Adjusted Rate
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
34-35%
Excelsior
Ridgeview Excelsior ClinicRidgeview Clinics
*
*
*
*
*
*
52%
41%-63%
Farmington
Allina Medical Clinic Allina Medical Clinic
43%
Fairview Farmington Clinic
Fairview Health Services
*
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
2%
Farmington Clinic
Farmington Clinic
*
Allina Medical Clinic
38%
35%-42%
35%
54%
11%Total Population 721 39%
36%-43%
44%
Fairview Fridley Clinic
Fairview Health Services
17%
11%-25%
33%
55%
12%Sample
120 17%
11%-24%
Multicare Associates-
Fridley Medical Center
Multicare Associates
21%
19%-24%
38%
52%
10%Total Population 950 22%
North Memorial Clinic- North Memorial
Golden Valley Physicians
23%
19%-28%
34%
59%
Park Nicollet Clinic 45%
41%-49%
36%
55%
*
1%-8%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
39%-49%
48%
45%
45%
40%-50%
21%
15%-28%
46%
44%
141
21%
15%-28%
19%-25%
24%
20%-28%
49%
44%
7%Total Population 413
24%
21%-29%
8%Total Population 371 23%
19%-28%
26%
20%-32%
51%
43%
6%Total Population 204
25%
20%-32%
9%Total Population 593 48%
44%-52%
51%
45%-57%
46%
49%
5%Total Population 269
52%
46%-58%
*
*
*
0%
*
*
11%Total Population 71
*
10%Total Population 51
*
42%-64%
0%-7%
*
Forest Lake
Allina Medical Clinic 7%Total Population 356
Fridley
10%Sample
Golden Valley
* Sufficient data not available.
96
Park Nicollet Health Services
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
28% 28-29%
34%
34-35%
43%
47%
9%
34% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
29%
Sample Size
MN Health Care Programs
28–29%
Total Population or Sample
Commercial
Distribution of
Patient Population
Medicare
Overall Minnesota Clinic Average
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
34-35%
Hastings
Allina Medical Clinic - W First St
Allina Medical Clinic
39%
35%-42%
35%
56%
9%Total Population 680 41%
37%-44%
52%
45%-59%
50%
46%
4%Total Population 228
53%
46%-59%
Allina Medical Clinic- Nininger
Allina Medical Clinic
38%
34%-42%
36%
54%
10%Total Population 478 39%
35%-43%
50%
43%-56%
56%
38%
6%Total Population 225
51%
44%-57%
Aspen Medical Group
7%
3%-15%
25%
61%
13%Sample
7%
3%-16%
*
*
*
*
*
Fairview Hugo Clinic
Fairview Health Services
29%
23%-37%
31%
66%
4%Total Population 134 31%
24%-40%
52%
45%
50%
55%
40%-70%
HealthEast
HealthEast Clinics
33%
24%-43%
23%
71%
6%Total Population 90
33%
24%-44%
*
*
*
*
*
*
Aspen Medical Group
Aspen Medical Group
11%
5%-21%
40%
52%
8%Sample
10%
5%-20%
24%
16%-36%
41%
54%
5%Sample
60
25%
16%-37%
Family HealthServices Minnesota Family HealthServices Minnesota
32%
28%-37%
36%
58%
6%Total Population 481 33%
29%-37%
41%
35%-48%
43%
50%
6%Total Population 224
42%
36%-49%
HealthPartners
HealthPartners Clinics
51%
46%-56%
24%
63%
13%Total Population 410 51%
47%-56%
52%
43%-61%
35%
52%
13%Total Population 114
52%
43%-61%
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
Hopkins
Aspen Medical Group 60
*
*
*
*
Hugo
38%-66%
*
5%Total Population 38
*
*
Inver Grove Heights
Inver Grove Heights Family Medical Center
60
Jordon
Jordon Medical Clinic
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
97
28% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
MN Health Care Programs
29%
Sample Size
Commercial
28–29%
Total Population or Sample
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Distribution of
Patient Population
28%
Medical
Group Name
Overall Minnesota Clinic Average
Optimal Vascular Care
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
33%-50%
37%
23%-53%
33%
58%
9%Total Population 33
39%
25%-56%
1%-16%
*
*
*
*
*
*
*
*
*
+
+
+
+
+
+
+
+
+
Lakeville
Fairview Lakeville Clinic
Fairview Health Services
43%
34%-52%
20%
69%
11%Total Population 116 41%
FamilyHealth Medical Clinic FamilyHealth Medical Clinics
9%
5%-22%
16%
68%
16%Total Population 31
3%
+
+
+
+
+
Quello Clinic
31%
27%-36%
34%
57%
9%Total Population 386 32%
27%-37%
45%
38%-53%
45%
48%
7%Total Population 148
45%
37%-53%
Fairview Lino Lakes Clinic
Fairview Health Services
32%
27%-37%
28%
63%
9%Total Population 273 33%
28%-39%
33%
23%-44%
38%
57%
5%Total Population 74
34%
24%-45%
HealthPartners
HealthPartners Clinics
33%
27%-40%
18%
76%
7%Total Population 262 32%
27%-38%
42%
32%-53%
32%
65%
4%Total Population 82
43%
33%-53%
+
+
+
+
+
+
+
+
+
Lakeville Family Practice
Quello Clinic
+
+
+
+
Lino Lakes
Little Canada
Little Canada Medical Clinic
+
+
+
+
+
+
+
+
+
Maple Grove
Allina Medical Clinic
Allina Medical Clinic
41%
35%-46%
26%
64%
10%Total Population 324 40%
35%-46%
52%
41%-63%
48%
45%
7%Total Population 67
55%
43%-67%
Fairview Bass Lake Clinic
Fairview Health Services
45%
37%-54%
26%
60%
14%Total Population 122 45%
37%-54%
31%
18%-48%
69%
29%
3%Total Population 35
34%
21%-51%
Fairview Maple Grove Medical Center
Fairview Health Services
37%
31%-44%
27%
63%
10%Total Population 213 38%
31%-44%
42%
31%-54%
52%
42%
6%Total Population 63
43%
31%-55%
Maple Medical Center, PA
+
+
+
+
+
+
+
+
+
+
North ClinicNorth Clinic
11%
20%
71%
9%Sample
35%
62%
3%Sample
65
25%
16%-36%
* Sufficient data not available.
98
+
6%-21%
+
+
+
67
9%
+
4%-18%
+
25%
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
+
16%-37%
+
28% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
29%
Sample Size
MN Health Care Programs
28–29%
Total Population or Sample
Commercial
Distribution of
Patient Population
Medicare
Overall Minnesota Clinic Average
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
North Memorial Clinic- North Memorial
Camden Physicians Maple Grove
15%
12%-20%
28%
68%
4%Total Population 358 16%
13%-20%
39%
30%-48%
48%
49%
3%Total Population 100
40%
31%-50%
Park Nicollet Clinic
Park Nicollet Health Services
34%
26%-43%
29%
58%
13%Total Population 110 35%
26%-44%
43%
35%-52%
39%
52%
9%Total Population 119
43%
34%-52%
Aspen Medical Group
Aspen Medical Group
16%
9%-27%
45%
47%
8%Sample
60
15%
8%-26%
44%
32%-57%
47%
39%
14%Sample
60
45%
33%-58%
Attending Physicians
Attending Physicians
6%
3%-13%
44%
44%
12%Sample
91
7%
3%-14%
17%
9%-28%
58%
34%
8%Sample
66
17%
10%-27%
Family HealthServices Minnesota- Afton Road
Family HealthServices Minnesota
32%
28%-37%
28%
62%
9%Total Population 453 33%
29%-38%
49%
42%-56%
40%
56%
4%Total Population 177
49%
42%-56%
HealthEast
HealthEast Clinics
29%
24%-34%
35%
52%
13%Total Population 307 29%
25%-35%
40%
31%-50%
53%
39%
8%Total Population 104
42%
33%-52%
HealthPartners
HealthPartners Clinics
38%
35%-42%
24%
60%
16%Total Population 662 38%
34%-42%
47%
40%-54%
39%
50%
12%Total Population 174
46%
39%-53%
St. Paul CardiologySt. Paul Cardiology
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
St. Paul Heart Clinic St. Paul Heart
*
*
*
*
*
*
*
*
*
35%
50%
47%
3%Sample
60
38%
27%-51%
36%
31%
*
*
*
*
*
*
*
*
Maplewood
+
26%-47%
+
Minneapolis
Allina Health System- Abbott
Northwestern General Medicine Associates
Allina Health System
4%
Allina Health System- Minneapolis Heart Institute
Allina Health System
*
Allina Medical Clinic- Isles
Allina Medical Clinic
39%
33%-45%
34%
53%
13%Total Population 257 39%
Allina Medical Clinic- Nicollet Mall
Allina Medical Clinic
36%
32%-40%
33%
54%
Allina Medical Clinic- The Doctors Uptown Allina Medical Clinic
43%
37%-49%
27%
57%
* Sufficient data not available.
2%-12%
*
33%Total Population 55
*
*
*
5%
*
2%-15%
*
*
*
*
25%
24%-26%
50%
44%
6%Total Population 3710 25%
24%-27%
34%-45%
47%
37%-58%
52%
38%
10%Total Population 73
51%
39%-62%
13%Total Population 597 36%
32%-40%
45%
38%-53%
50%
38%
12%Total Population 181
45%
38%-52%
16%Total Population 245 43%
37%-49%
54%
43%-64%
29%
61%
11%Total Population 84
54%
43%-64%
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
99
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
+
Sample Size
+
Total Population or Sample
+
MN Health Care Programs
17%Sample
Commercial
47%
Medicare
36%
Confidence Interval of Risk
Adjusted Rate
1%-11%
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
MN Health Care Programs
29%
Sample Size
Commercial
28–29%
Total Population or Sample
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Distribution of
Patient Population
28%
Medical
Group Name
Overall Minnesota Clinic Average
Optimal Vascular Care
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28% 28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
60
3%
1%-11%
12%
5%-25%
33%
50%
18%Total Population 40
13%
5%-26%
+
+
+
+
+
+
+
42%
39%
19%Total Population 93
33%
25%-43%
Aspen Medical Group- East Lake Street
Aspen Medical Group
3%
AXIS Medical Center
Axis Medical Center
+
Bloomington Lake Clinic Bloomington Lake Clinic
23%
19%-27%
25%
42%
33%Total Population 465 22%
19%-26%
35%
Boynton Health Service
Boynton Health Service
10%
5%-17%
11%
73%
16%Total Population 126 10%
6%-17%
*
*
*
*
*
*
*
*
*
+
+
+
+
+
+
+
+
+
+
+
+
+
+
13%
13%-19%
13%
5%
82%Sample
*
*
*
*
*
*
*
*
13%
8%-21%
26%
28%
11%
61%Total Population 46
7%
+
+
+
+
+
+
Bruley Center
Cedar Riverside People’s Center- People’s Center Medical Clinic
Cedar Riverside People’s Center
Community University Health
Care Center
Community University Health
Care Center
Crown Medical Center
+
+
+
+
+
+
+
+
+
60
2%
0%-9%
*
11%
64%Total Population 65
8%
3%-17%
10%
+
+
+
+
+
+
+
+
+
26%-45%
9%-17%
+
+
+
+
+
2%-18%
Fairview Hiawatha Clinic
Fairview Health Services
34%
30%-39%
30%
59%
11%Total Population 506 34%
30%-39%
43%
35%-51%
43%
49%
7%Total Population 134
43%
34%-51%
Fairview Northeast Clinic
Fairview Health Services
37%
32%-42%
29%
55%
16%Total Population 397 37%
32%-42%
39%
31%-47%
51%
40%
9%Total Population 143
39%
32%-47%
Fairview Uptown Clinic
Fairview Health Services
29%
23%-35%
18%
70%
12%Total Population 215 27%
21%-33%
31%
19%-46%
39%
49%
12%Total Population 41
32%
20%-47%
Fremont Community Health Services- Central Avenue Clinic
Fremont Community Clinics
10%
2%-23%
25%
24%
51%Sample
60
8%
4%-18%
*
*
*
*
*
Fremont Community Health Services- Fremont Clinic
Fremont Community Clinics
1%
1%-7%
15%
37%
48%Sample
60
0%
0%-6%
14%
26%
38%
Fremont Community Health Services- Sheridan
Fremont Community Clinics
*
*
*
*
*
60
*
*
*
*
35%Total Population 34
9%
3%-23%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
38%
55%
47%
42%-52%
3%
10%
87%Sample
15%
8%-26%
*
HealthPartners- Riverside
40%
37%-43%
16%
63%
21%Total Population 969 39%
36%-42%
46%
100
*
*
16%-23%
* Sufficient data not available.
*
*
18%
5%-30%
*
*
Green Central Medical ClinicSouthside Community Health Services HealthPartners Clinics
*
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
42%-51%
7%Total Population 449
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
*
MN Health Care Programs
*
Commercial
11%
Medicare
15%
Confidence Interval of Risk
Adjusted Rate
8%-17%
28% Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
29%
Sample Size
MN Health Care Programs
28–29%
Total Population or Sample
Commercial
Distribution of
Patient Population
Medicare
Overall Minnesota Clinic Average
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
9%-14%
9%
5%-19%
30%
17%
54%Total Population 54
13%
6%-24%
12%
7%-20%
32%
26%
42%Total Population 113
16%
10%-24%
7%
4%-11%
35%
9%
56%Total Population 477
12%
9%-15%
Hennepin Faculty Associates- HCMC Family Medical Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
12%
Hennepin Faculty Associates- HCMC Hennepin Heart Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
*
Hennepin Faculty Associates- HCMC Medicine Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
8%
6%-10%
27%
10%
63%Total Population 1995
7%
6%-8%
Hennepin Faculty Associates- HCMC Positive Care Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
10%
3%-21%
38%
21%
41%Total Population 81
9%
4%-17%
*
*
*
*
*
*
*
*
*
Hennepin Faculty Associates- Hennepin Care South
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
14%
8%-21%
15%
17%
68%Total Population 268 16%
12%-21%
*
*
*
*
*
*
*
*
*
Hennepin Faculty Associates- Hennepin Faculty Associates:
Hennepin Center for Diabetes & Endocrinology HFA Clinics & HCMC Clinics
12%
8%-17%
19%
29%
52%Total Population 377 11%
8%-15%
*
*
*
*
*
*
*
*
*
HFA Clinics & HCMC Clinics
18%
16%-24%
48%
2%
50%Total Population 66
11%
5%-20%
*
*
*
*
*
*
*
*
*
Hennepin Faculty Associates- Hennepin Family Care East Lake Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
11%
4%-18%
8%
11%
81%Total Population 283 11%
8%-15%
*
*
*
*
*
*
*
*
*
Hennepin Faculty Associates- HFA Internal Medicine Clinic Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
16%
13%-19%
35%
40%
25%Total Population 495 15%
12%-18%
18%
47%
37%
17%
12%-23%
Hennepin Faculty Associates- HFA Senior Care Clinic at Augustana Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
*
*
*
Johnson Street Medical Clinic
Johnson Street Medical Clinic
3%
1%-9%
27%
40%
33%Total Population 89
3%
Medical Care Services, PA
Medical Care Services
+
+
+
+
+
+
+
Metropolitan Internists PA
+
+
+
+
+
+
Native American Community ClinicNative American Community Clinic
0%
0%-6%
23%
28%
48%Sample
North Memorial Clinic- North Memorial
Camden Physicians
14%
11%-18%
32%
North Memorial Clinic- North Memorial
Northeast Family Physicians
13%
9%-19%
38%
Hennepin Faculty Associates- Hennepin Faculty Associates:
Hennepin Center for Senior Care
* Sufficient data not available.
*
*
75%Total Population 708 11%
*
*
*
*
*
*
*
*
*
*
12%-24%
16%Total Population 165
*
*
*
*
*
*
*
*
*
1%-9%
*
*
*
*
*
*
*
*
*
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
60
0%
0%-6%
10%
4%-21%
50%
25%
25%Total Population 52
10%
4%-21%
57%
12%Total Population 335 14%
11%-18%
25%
18%-33%
47%
43%
9%Total Population 118
25%
18%-33%
44%
18%Total Population 176 14%
9%-19%
21%
12%-34%
50%
22%
28%Total Population 72
19%
12%-30%
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
101
+
+
30%Total Population 725 19%
+
Park Nicollet Health Services
21%
18%-24%
22%
48%
Riverside Family PhysiciansRiverside Family Physicians
11%
6%-21%
11%
82%
Ronald R Vessey MDRonald R Vessey MD
Internal Medicine Services, PA
Internal Medicine Services PA
*
*
*
Park Nicollet Clinic
Southside Medical ClinicSouthside Community Health Services UMP MN Heart University Clinic
19%
University of Minnesota Physicians
*
University of Minnesota Physicians - University of Minnesota Physicians
Broadway Family Medicine
7%
University of Minnesota Physicians - University of Minnesota Physicians
Medicine Specialties Clinic 6A
University of Minnesota Physicians - University of Minnesota Physicians
Mill City Clinic
+
*
7%-35%
*
3%
15%
+
+
7%Sample
60
7%
*
*
*
60
8%
*
*
*
82%Sample
*
*
*
*
4%-11%
26%
16%
58%Total Population 529
24%
19%-29%
23%
59%
17%Sample
39%
26%-55%
29%
54%
17%Total Population 35
University of Minnesota Physicians - University of Minnesota Physicians
Primary Care Center
24%
20%-28%
35%
University of Minnesota Physicians - University of Minnesota Physicians
Smiley’s Clinic
27%
22%-33%
North Memorial Clinic- North Memorial
Minnetonka Physicians
15%
Park Nicollet Clinic- Carlson
37%
+
34%
34-35%
43%
47%
55%
43%-66%
38%
55%
7%Sample
20%
15%-29%
37%
5%
+
+
+
34% 34-35%
60
55%
42%-67%
58%Sample
60
10%
5%-20%
+
+
+
+
+
34%
52%
13%Total Population 120
30%
23%-39%
+
17%-22%
30%
3%-16%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
4%-18%
*
22%-39%
9%
Confidence Interval of NonRisk Adjusted Rate
+
7%-11%
Non-Risk Adjusted Rate
+
Park Avenue Family Practice
*
Sample Size
9%
*
Total Population or Sample
71%Total Population 824
5%-12%
*
MN Health Care Programs
10%
9%
*
Commercial
19%
NorthPoint Health & Wellness CenterNorthPoint Health & Wellness Center *
Medicare
*
28-29%
Confidence Interval of Risk
Adjusted Rate
*
*
28% Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
*
55%
Non-Risk Adjusted Rate
29%
Sample Size
North Memorial Heart & Vascular InstituteNorth Memorial
28–29%
Total Population or Sample
28%
Distribution of
Patient Population
MN Health Care Programs
Medical
Group Name
Distribution of
Patient Population
Commercial
Overall Minnesota Clinic Average
Physician
clinic NAME
Optimal Vascular Care
Medicare
Risk Adjusted Rate
See page 89 for an explanation of terms.
Optimal Diabetes Care
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Chronic Conditions
32%
22%-45%
43%
38%
18%Sample
60
33%
23%-46%
8%-19%
36%
11%
54%Total Population 213
17%
13%-23%
9%
7%-11%
13%
286 24%
20%-29%
*
*
*
*
*
*
*
*
*
40%
26%-56%
*
*
*
*
*
*
*
*
*
47%
18%Total Population 472 24%
20%-28%
34%
51%
34%
35%
27%-43%
19%
22%
59%Total Population 470 27%
23%-31%
*
*
*
*
*
11%-20%
27%
60%
13%Total Population 229 15%
11%-20%
30%
23%-38%
34%
56%
10%Total Population 156
30%
23%-38%
34%-41%
31%
63%
6%Total Population 737 38%
34%-41%
46%
41%-52%
51%
44%
6%Total Population 290
47%
41%-53%
27%-43%
*
15%Total Population 132
*
*
*
Minnetonka
* Sufficient data not available.
102
Park Nicollet Health Services
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
26%-33%
38%
54%
8%Total Population 677 31%
7%
4%-14%
30%
56%
14%Total Population 108
13%
8%-23%
37%
53%
10%Sample
25%
22%-29%
30%
11%
6%-18%
47%
8%
Sample Size
Risk Adjusted Rate
Confidence Interval of NonRisk Adjusted Rate
30%
Non-Risk Adjusted Rate
4%
Sample Size
9%Total Population 148
Total Population or Sample
45%
3%
MN Health Care Programs
46%
Commercial
2%-8%
Southern Metro Medical Clinics- Southern Metro Medical Clinics
New Prague Medical Clinic
Medicare
*
*
Confidence Interval of Risk
Adjusted Rate
*
Risk Adjusted Rate
*
Queen of Peace Hospital- Queen of Peace Hospital Outpatient Clinic Outpatient Clinic
28% Confidence Interval of NonRisk Adjusted Rate
16%
Non-Risk Adjusted Rate
MN Health Care Programs
55%
28%
Total Population or Sample
Commercial
Distribution of
Patient Population
Medicare
Distribution of
Patient Population
29%
Medical
Group Name
Overall Minnesota Clinic Average
Optimal Vascular Care
28–29%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
*
9%
6%-16%
8%
53%
40%Total Population 93
8%
4%-15%
2%-9%
10%
4%-22%
66%
30%
4%Total Population 51
8%
3%-19%
28%-35%
44%
37%-51%
45%
48%
7%Total Population 190
44%
37%-51%
7%
4%-14%
31%
19%-46%
50%
45%
5%Total Population 38
32%
19%-47%
13%
7%-24%
35%
24%-47%
54%
43%
4%Total Population 56
34%
23%-47%
60%
9%Total Population 510 25%
22%-29%
28%
22%-36%
40%
51%
9%Total Population 140
28%
21%-36%
36%
62%
2%Sample
130 10%
6%-16%
17%
12%-24%
46%
49%
5%Sample
142
17%
12%-24%
42%-51%
25%
62%
13%Total Population 419 47%
42%-52%
50%
43%-57%
41%
54%
6%Total Population 209
50%
43%-56%
3%-16%
16%
78%
2%-14%
43%
32%-56%
30%
66%
5%Sample
46%
34%-58%
New Prague
*
*
*
*
North St. Paul
Family HealthServices Minnesota- North St. Paul Clinic
Family HealthServices Minnesota
Northfield
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
Norwood
Lakeview ClinicLakeview Clinic
60
Oakdale
HealthEast HealthEast Clinics
Osseo
North Clinic North Clinic
Plymouth
Allina Medical Clinic- West Health Campus
Allina Medical Clinic
North Clinic- WestHealth North Clinic
* Sufficient data not available.
6%Sample
69
6%
61
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
103
61%
North Memorial Clinic- North Memorial
Plymouth Internal Medicine
24%
19%-28%
40%
Northwest Family PhysicansNorthwest Family Physicians
29%
23%-35%
Park Nicollet Clinic
Park Nicollet Health Services
36%
Allina Medical Clinic- Crossroads Prior Lake
Allina Medical Clinic
Fairview RidgeValley Clinic
Fairview Health Services
Park Nicollet Clinic Confidence Interval of NonRisk Adjusted Rate
32%
Non-Risk Adjusted Rate
20%-28%
Sample Size
24%
Total Population or Sample
MN Health Care Programs
North Memorial Clinic- North Memorial
Camden Physicians Plymouth
28% Commercial
16%
Medicare
55%
Confidence Interval of Risk
Adjusted Rate
29%
Risk Adjusted Rate
28–29%
Confidence Interval of NonRisk Adjusted Rate
28%
Medical
Group Name
Non-Risk Adjusted Rate
Physician
clinic NAME
Sample Size
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Total Population or Sample
MN Health Care Programs
Distribution of
Patient Population
Commercial
Distribution of
Patient Population
Medicare
Optimal Vascular Care
Confidence Interval of Risk
Adjusted Rate
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
7%Total Population 443 26%
22%-30%
37%
31%-43%
50%
45%
5%Total Population 232
38%
32%-44%
56%
4%Total Population 451 24%
20%-28%
31%
26%-36%
47%
48%
5%Total Population 342
31%
26%-36%
21%
71%
8%Total Population 277 27%
23%-33%
38%
29%-48%
29%
65%
6%Total Population 104
38%
30%-48%
32%-41%
27%
64%
9%Total Population 476 38%
33%-42%
40%
33%-48%
44%
52%
5%Total Population 169
41%
34%-48%
27%
19%-37%
35%
59%
6%Total Population 100 28%
20%-37%
*
*
*
*
*
43%
37%-49%
25%
66%
8%Total Population 237 43%
37%-49%
45%
37%-53%
46%
46%
8%Total Population 143
45%
38%-54%
Park Nicollet Health Services
37%
31%-44%
29%
57%
15%Total Population 203 37%
31%-44%
32%
22%-43%
52%
40%
8%Total Population 62
34%
23%-46%
Allina Medical Clinic
42%
38%-46%
34%
58%
7%Total Population 632 43%
39%-47%
48%
42%-54%
51%
44%
5%Total Population 263
49%
43%-55%
Allina Medical Clinic
39%
36%-43%
37%
52%
10%Total Population 759 41%
37%-44%
48%
43%-53%
51%
42%
7%Total Population 368
49%
44%-54%
23%
15%-34%
28%
70%
2%Sample
60
23%
14%-35%
53%
41%-64%
52%
45%
3%Sample
60
57%
44%-68%
North Clinic- Oakdale OfficeNorth Clinic
16%
10%-23%
35%
57%
8%Sample
127 17%
11%-24%
18%
13%-25%
32%
61%
7%Sample
125
20%
14%-28%
Robbinsdale Clinic, PARobbinsdale Clinic, PA
+
+
+
+
+
+
+
+
+
+
Prior Lake
*
*
*
*
Ramsey
Allina Medical Clinic
Richfield
Allina Medical Clinic - Woodlake
Richfield Medical GroupRichfield Medical Group
Robbinsdale
* Sufficient data not available.
104
+
+
+
+
+
+
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
+
+
28% 28-29%
34%
34-35%
43%
47%
*
*
9%
34% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
29%
Sample Size
MN Health Care Programs
28–29%
Total Population or Sample
Commercial
Distribution of
Patient Population
Medicare
Overall Minnesota Clinic Average
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
34-35%
Rogers
Fairview Rogers Clinic
Fairview Health Services
*
34%
28%-40%
27%
65%
8%Total Population 234 35%
29%-41%
49%
37%-62%
53%
40%
44%
36%-52%
31%
65%
4%Total Population 158 45%
37%-53%
63%
48%-76%
42%
+
+
+
+
39%
34%-45%
26%
67%
7%Total Population 342 39%
34%-45%
44%
20%
15%-26%
30%
62%
9%Total Population 198 21%
16%-27%
26%
23%
15%-33%
36%
57%
7%Total Population 58
24%
15%-37%
*
Quello Clinic
26%
20%-34%
28%
59%
13%Total Population 151 26%
20%-34%
*
Allina Medical Clinic Allina Medical Clinic
37%
33%-41%
31%
53%
15%Total Population 448 37%
33%-42%
41%
Allina Medical Clinic- Crossroads Shakopee Dean Lakes
Allina Medical Clinic
42%
34%-49%
35%
57%
8%Total Population 180 43%
36%-50%
Park Nicollet Clinic
Park Nicollet Health Services
32%
29%-36%
24%
55%
21%Total Population 717 31%
28%-35%
Northwest Family PhysiciansNorthwest Family Physicians
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
7%Total Population 57
51%
38%-63%
53%
5%Total Population 38
66%
50%-79%
+
+
+
+
+
35%-53%
36%
60%
3%Total Population 118
44%
35%-53%
17%-38%
48%
47%
5%Total Population 58
26%
16%-38%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
34%-49%
43%
46%
11%Total Population 161
41%
34%-49%
43%
31%-55%
44%
49%
7%Total Population 55
44%
31%-57%
46%
40%-53%
39%
51%
10%Total Population 213
46%
39%-53%
Rosemount
Fairview Rosemount Clinic
Fairview Health Services
Rosemount Family Physicians
+
+
+
+
+
+
+
+
+
Roseville
HealthPartners- North Suburban Roseville
HealthPartners Clinics
Multicare Associates- Roseville Medical Center
Multicare Associates
Richard Schoewe, MDRichard Schoewe MD
Savage
Quello Clinic
Shakopee
* Sufficient data not available.
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
105
28% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
MN Health Care Programs
29%
Sample Size
Commercial
28–29%
Total Population or Sample
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Distribution of
Patient Population
28%
Medical
Group Name
Overall Minnesota Clinic Average
Optimal Vascular Care
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
Shoreview
Allina Medical Clinic
Allina Medical Clinic
40%
36%-44%
31%
62%
7%Total Population 670 41%
37%-44%
47%
41%-53%
50%
46%
5%Total Population 263
49%
43%-55%
Family HealthServices Minnesota
Family HealthServices Minnesota
36%
29%-43%
23%
72%
5%Total Population 239 35%
29%-41%
50%
40%-60%
38%
60%
1%Total Population 86
51%
41%-61%
One Stop Medical CenterOne Stop Medical Center
+
+
+
+
+
+
+
+
+
Silver Lake ClinicSilver Lake Clinic
13%
9%-18%
27%
67%
6%Total Population 230 13%
10%-19%
23%
14%-35%
43%
47%
10%Total Population 51
22%
12%-35%
41%
34%-48%
28%
64%
8%Total Population 203 41%
35%-48%
57%
46%-68%
41%
55%
5%Total Population 66
61%
49%-72%
12%
9%-16%
36%
58%
7%Total Population 400 13%
10%-16%
28%
21%-35%
53%
40%
7%Total Population 158
28%
22%-36%
11%
8%-15%
39%
52%
9%Total Population 398 12%
9%-16%
26%
16%-39%
53%
47%
0%Total Population 47
26%
15%-40%
+
+
+
+
+
+
+
+
+
38%
23%
67%
10%Total Population 475 38%
36%
59%
5%Total Population 140
41%
34%-50%
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
Shorewood
Park Nicollet Clinic
Park Nicollet Health Services
Spring Park
Ridgeview Westonka ClinicRidgeview Clinics
St. Anthony
Silver Lake ClinicSilver Lake Clinic
St. Francis
St. Francis Medical Clinic
+
+
+
+
+
+
+
+
+
St. Louis Park
HealthPartners- West
Integrative Options
* Sufficient data not available.
106
HealthPartners Clinics
34%-43%
+
+
+
+
33%-42%
+
41%
+
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
34%-49%
+
+
+
5%
0%-15%
22%
27%
52%Sample
Park Nicollet Clinic- Creekside
Park Nicollet Health Services
26%
21%-32%
26%
40%
Park Nicollet Clinic- Heart and Vascular
Park Nicollet Health Services
*
*
*
Park Nicollet Clinic- St. Louis Park Endocrinology
Park Nicollet Health Services
26%
24%-28%
14%
74%
12%Total Population 2858 26%
24%-28%
*
Park Nicollet Clinic-
St. Louis Park Family Medicine
Park Nicollet Health Services
31%
28%-34%
25%
58%
17%Total Population 901 30%
28%-33%
45%
Park Nicollet Clinic- St. Louis Park Internal Medicine
Park Nicollet Health Services
38%
35%-40%
34%
56%
10%Total Population 1501 39%
36%-41%
24%
15%-36%
33%
65%
2%Total Population 60
25%
40%-63%
48%
52%
0%Total Population 51
61%
+
+
+
+
34%
58%
9%Total Population 1400 41%
+
+
+
Steven Saliterman, MDSteven Saliterman, MD
*
Sample Size
34%
34-35%
43%
47%
3%
1%-11%
9%
2%-21%
21%
28%
33%Total Population 246 24%
19%-30%
39%
29%-51%
44%
24%
20%-30%
*
*
63
*
*
34% 34-35%
60
7%
3%-16%
50%
6%Total Population 66
41%
30%-53%
39%
53%
8%Total Population 273
25%
20%-30%
*
*
*
*
40%-51%
41%
52%
7%Total Population 346
46%
41%-51%
46%
42%-50%
46%
48%
6%Total Population 575
46%
42%-50%
16%-37%
32%
21%-45%
54%
46%
0%Total Population 48
33%
22%-47%
47%-73%
*
*
*
*
*
*
*
*
*
+
+
+
+
+
+
+
+
+
57%
39%
4%Total Population 220
45%
39%-52%
+
+
+
+
+
+
*
*
9%
Confidence Interval of NonRisk Adjusted Rate
28-29%
Non-Risk Adjusted Rate
Life MedicalLife Medical
28% Sample Size
16%
Total Population or Sample
55%
MN Health Care Programs
MN Health Care Programs
29%
Overall Minnesota Clinic Average
Risk Adjusted Rate
Commercial
28–29%
Medical
Group Name
Non-Risk Adjusted Rate
Medicare
28%
Physician
clinic NAME
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Commercial
Distribution of
Patient Population
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Optimal Vascular Care
Confidence Interval of NonRisk Adjusted Rate
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
51%Sample
*
*
*
St. Paul
Adult Medicine, PA
Adult Medicine, PA
51%
Advanced Medical Clinic, Inc
Advanced Medical Clinic
+
Allina Medical Clinic- United Medical Specialties
Allina Medical Clinic
40%
+
Arcade Medical Clinic
+
38%-43%
+
+
+
+
+
+
+
39%-44%
+
43%
+
37%-50%
+
+
Aspen Medical Group- Bandana Square
Aspen Medical Group
17%
10%-28%
28%
65%
7%Sample
60
17%
9%-28%
37%
27%-48%
49%
46%
5%Sample
60
38%
27%-51%
Aspen Medical Group- Highland
Aspen Medical Group
18%
11%-29%
38%
50%
12%Sample
60
18%
11%-30%
56%
42%-68%
46%
49%
5%Total Population 41
56%
41%-70%
Boynton Health Service Boynton Health Service
*
*
*
*
*
Children’s Speciality Clinic
Children’s Hospitals and Clinics
of Minnesota
10%
* Sufficient data not available.
*
10%-16%
3%
92%
*
*
5%Total Population 60
0%
*
0%-6%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
107
+
+
+
+
+
+
+
+
24%-34%
29%
62%
8%Total Population 307 30%
25%-35%
45%
32%
27%-38%
32%
62%
7%Total Population 307 34%
29%-39%
29%
25%-34%
31%
63%
6%Total Population 371 30%
20%
16%-24%
30%
55%
15%Total Population 357 20%
Gillette Children’s Specialty HealthcareGillette Children’s
*
*
*
*
*
*
*
*
*
*
Gillette Lifetime Specialty HealthcareGillette Children’s
*
*
*
*
*
*
*
*
*
*
HealthEast- Downtown St. Paul
HealthEast Clinics
42%
37%-46%
43%
49%
8%Total Population 550 44%
40%-48%
50%
HealthEast- Grand Avenue
HealthEast Clinics
32%
25%-40%
19%
60%
20%Total Population 167 31%
24%-38%
*
HealthEast- Midway
HealthEast Clinics
46%
42%-51%
41%
50%
9%Total Population 477 49%
44%-53%
60%
HealthEast- Rice Street
HealthEast Clinics
19%
15%-22%
32%
39%
29%Total Population 551 18%
15%-21%
HealthEast- Roselawn
HealthEast Clinics
20%
17%-24%
33%
45%
21%Total Population 449 21%
HealthEast- St Anthony Park
HealthEast Clinics
3%
2%-12%
42%
52%
HealthPartners- Center for International Health
HealthPartners Clinics
27%
21%-34%
20%
HealthPartners- Como
HealthPartners Clinics
37%
34%-40%
28%
+
29%
Fairview Highland Park Clinic
Fairview Health Services
Family HealthServices Minnesota- Highland Family Physicians
Family HealthServices Minnesota
Family HealthServices Minnesota-
Larpenteur Clinic
Family HealthServices Minnesota
Family HealthServices Minnesota- Maryland Clinic
Family HealthServices Minnesota
* Sufficient data not available.
108
Sample Size
Risk Adjusted Rate
Dr Bobby Yang Medical Clinic
34% 34-35%
+
+
+
+
+
+
10%Total Population 109
44%
35%-53%
56%
4%Total Population 102
50%
40%-60%
47%
49%
5%Total Population 110
51%
42%-60%
47%
41%
12%Total Population 102
31%
23%-41%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
57%
40%
51%
46%-57%
*
*
*
*
53%-66%
52%
41%
6%Total Population 204
61%
54%-67%
26%
19%-35%
47%
40%
12%Total Population 114
25%
18%-34%
17%-25%
36%
26%-47%
48%
41%
11%Total Population 73
36%
26%-47%
2%
0%-10%
*
*
*
*
*
17%
64%Total Population 337 28%
23%-33%
31%
17%-47%
36%
18%
46%Total Population 50
30%
19%-44%
61%
11%Total Population 830 37%
34%-41%
50%
44%-55%
37%
57%
6%Total Population 321
50%
44%-55%
6%Total Population 51
28-29%
34%
34-35%
43%
47%
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
36%-54%
47%
43%
48%
39%-58%
40%
25%-35%
50%
41%-59%
16%-24%
32%
24%-42%
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
45%-56%
*
*
9%
Confidence Interval of NonRisk Adjusted Rate
+
Non-Risk Adjusted Rate
+
+
Sample Size
+
Total Population or Sample
+
Donald E Gehrig, MD, Donald E Gehrig, MD,
Internal Medicine, LLC Internal Medicine, LLC
28% MN Health Care Programs
16%
28%
Risk Adjusted Rate
MN Health Care Programs
55%
Medical
Group Name
Non-Risk Adjusted Rate
Commercial
29%
Overall Minnesota Clinic Average
Physician
clinic NAME
Total Population or Sample
Medicare
28–29%
See page 89 for an explanation of terms.
Commercial
Distribution of
Patient Population
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Optimal Vascular Care
Confidence Interval of NonRisk Adjusted Rate
Optimal Diabetes Care
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Chronic Conditions
4%Total Population 305
*
*
*
*
*
*
28% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
MN Health Care Programs
29%
Sample Size
Commercial
28–29%
Total Population or Sample
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Distribution of
Patient Population
28%
Medical
Group Name
Overall Minnesota Clinic Average
Optimal Vascular Care
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
HealthPartners- Health Center for Women
HealthPartners Clinics
31%
25%-37%
23%
63%
14%Total Population 240 31%
25%-37%
37%
25%-51%
35%
53%
12%Total Population 49
39%
26%-53%
HealthPartners- Health Specialty Center
HealthPartners Clinics
33%
31%-36%
34%
45%
22%Total Population 1734 32%
30%-35%
42%
37%-48%
54%
27%
19%Total Population 338
42%
37%-47%
HealthPartners- Midway
HealthPartners Clinics
28%
24%-33%
31%
32%
36%Total Population 472 27%
23%-31%
36%
26%-48%
31%
34%
34%Total Population 96
31%
23%-41%
HealthPartners- Specialty Center
HealthPartners Clinics
*
*
*
42%
39%-45%
37%
48%
15%Total Population 1036 40%
37%-43%
HealthPartners- St. Paul
HealthPartners Clinics
26%
22%
57%
20%Total Population 902 25%
36%
29%-43%
42%
43%
15%Total Population 179
35%
29%-42%
Metropolitan Medical Associates
Metropolitan Medical Associates
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
Midway Family Clinic
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
New Americans Community Clinic
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
Open Cities Health Center- DunlapOpen Cities Health Center
16%
7%-30%
5%
23%
72%Sample
60
10%
5%-20%
0%-6%
22%
17%
62%Sample
60
2%
Open Cities Health Center- NorthendOpen Cities Health Center
9%
1%-22%
15%
15%
70%Sample
60
2%
0%-9%
*
*
*
*
*
Parkway Family Physicians
31%
23%-39%
25%
65%
10%Total Population 124 31%
23%-39%
35%
57%
8%Total Population 37
38%
24%-54%
St Paul Family Medical Center
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
St. Paul Cardiology St. Paul Cardiology
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
St. Paul Heart Clinic- DowntownSt. Paul Heart
*
*
*
*
*
*
*
*
*
46%
35%-58%
38%
57%
5%Sample
60
45%
33%-58%
United Family MedicineUnited Family Medicine
9%
3%-19%
26%
33%
41%Sample
70
6%
2%-14%
21%
13%-32%
39%
39%
21%Sample
70
21%
13%-32%
University of Minnesota Physicians - University of Minnesota Physicians
Bethesda Clinic
23%
17%-30%
28%
16%
56%Total Population 427 16%
13%-20%
15%
7%-27%
42%
24%
34%Total Population 60
17%
9%-28%
* Sufficient data not available.
Parkway Family Physicians
*
23%-29%
*
*
*
*
*
23%-28%
0%
*
39%
*
26%-54%
*
*
0%-9%
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
109
University of Minnesota Physicians - University of Minnesota Physicians
Phalen Clinic
23%
18%-28%
27%
23%
50%Total Population 354 26%
West Side Community Health Services- East Side Family Clinic
West Side Community Health Services
0%
0%-6%
20%
17%
63%Sample
60
0%
0%-6%
*
West Side Community Health Services- La Clinica
West Side Community Health Services
18%
11%-28%
10%
10%
80%Sample
60
12%
6%-22%
22%
West Side Community Health Services- McDonough Homes Clinic
West Side Community Health Services
14%
12%-21%
25%
5%
70%Sample
60
7%
3%-16%
*
*
*
*
*
*
+
+
+
+
+
+
+
+
+
+
+
7%
14%
79%Total Population 43
*
*
*
*
*
Xoua Thao Medical Center
+
+
Sample Size
Sample Size
28% Total Population or Sample
16%
MN Health Care Programs
55%
Commercial
29%
Medicare
MN Health Care Programs
28–29%
Risk Adjusted Rate
Commercial
28%
Medical
Group Name
Non-Risk Adjusted Rate
Medicare
Physician
clinic NAME
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Confidence Interval of NonRisk Adjusted Rate
Distribution of
Patient Population
Non-Risk Adjusted Rate
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Optimal Vascular Care
Confidence Interval of NonRisk Adjusted Rate
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
22%-31%
33%
22%-46%
41%
20%
39%Total Population 62
34%
23%-46%
*
*
*
*
18%
10%-31%
*
*
*
+
+
+
+
*
*
*
*
+
*
16%-32%
33%
2%
*
*
*
65%Total Population 49
Stillwater
St Croix Family Medical ClinicSouthside Community Health Services 24%
St Paul Heart Clinic- Lakeview Heart CenterSt. Paul Heart
*
Stillwater Medical Group- Curve Crest ClinicStillwater Medical Group
21%
11%-41%
*
*
*
*
7%
*
*
*
19%-24%
31%
62%
6%Total Population 1655 22%
2%-19%
*
44%
33%-55%
45%
53%
2%Sample
60
45%
33%-58%
20%-24%
28%
24%-32%
44%
53%
4%Total Population 523
28%
24%-32%
Vadnais Heights
Family HealthServices Minnesota
Family HealthServices Minnesota
23%
19%-28%
30%
57%
14%Total Population 297 23%
19%-28%
39%
31%-48%
43%
51%
6%Total Population 108
40%
31%-49%
HealthEast
HealthEast Clinics
39%
34%-45%
24%
66%
10%Total Population 371 40%
35%-45%
54%
42%-65%
40%
58%
2%Total Population 53
55%
41%-67%
24%
16%-36%
34%
59%
7%Sample
60
25%
16%-37%
33%
23%-44%
52%
47%
2%Sample
60
33%
23%-46%
22%
13%-33%
36%
54%
10%Sample
60
22%
13%-34%
38%
27%-50%
50%
45%
5%Sample
60
38%
27%-51%
Waconia
Lakeview ClinicLakeview Clinic
Watertown
Catalyst Medical Clinic
* Sufficient data not available.
110
Catalyst Medical Clinic
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Lakeview ClinicLakeview Clinic
10%
5%-20%
28%
61%
Park Nicollet Health Services
39%
35%-44%
37%
Allina Medical Clinic Allina Medical Clinic
42%
39%-46%
Family HealthServices Minnesota- Gorman Clinic
Family HealthServices Minnesota
41%
36%-45%
+
10%Sample
28% 60
28-29%
34%
34-35%
43%
47%
9%
34% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medicare
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
29%
Sample Size
MN Health Care Programs
28–29%
Total Population or Sample
Commercial
Distribution of
Patient Population
Medicare
Overall Minnesota Clinic Average
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Optimal Vascular Care
28%
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
34-35%
10%
5%-20%
33%
22%-47%
33%
61%
6%Total Population 54
33%
22%-47%
55%
8%Total Population 498 41%
37%-45%
47%
41%-54%
47%
49%
4%Total Population 242
48%
42%-54%
35%
52%
14%Total Population 830 43%
40%-46%
41%
36%-47%
49%
42%
9%Total Population 281
42%
36%-48%
30%
63%
7%Total Population 428 43%
39%-48%
51%
44%-58%
47%
49%
5%Total Population 171
53%
45%-60%
+
+
+
Wayzata
Park Nicollet Clinic
West St. Paul
Reshi Medical
+
+
+
+
+
+
+
+
+
+
+
+
+
+
*
*
*
*
*
*
*
*
White Bear Lake
AALFA Family Clinic
AALFA Family Clinic
19%
14%-25%
25%
69%
6%Total Population 218 20%
15%-26%
*
Aspen Medical Group Aspen Medical Group
20%
13%-31%
38%
57%
5%Sample
22%
13%-34%
26%
15%-41%
38%
59%
3%Total Population 34
24%
12%-40%
Family HealthServices Minnesota
Family HealthServices Minnesota
48%
42%-53%
32%
60%
8%Total Population 278 50%
44%-55%
57%
48%-66%
51%
45%
4%Total Population 104
60%
50%-69%
Family HealthServices Minnesota- Banning Avenue
Family HealthServices Minnesota
37%
31%-42%
31%
61%
8%Total Population 285 38%
32%-43%
39%
31%-47%
40%
58%
2%Total Population 134
40%
32%-48%
HealthPartners
HealthPartners Clinics
34%
30%-39%
30%
64%
6%Total Population 434 36%
32%-41%
41%
33%-50%
31%
63%
6%Total Population 122
40%
32%-49%
*
*
*
*
*
*
*
41%
26%
66%
39%
54%
49%
44%-55%
LifeSteps Family Physicians, PALifesteps Family Physicians
*
*
*
60
*
*
*
*
*
*
*
*
Woodbury
Allina Medical Clinic
* Sufficient data not available.
Allina Medical Clinic
37%-44%
8%Total Population 912 42%
39%-46%
49%
44%-55%
7%Total Population 293
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
111
29%
Confidence Interval of NonRisk Adjusted Rate
22%-34%
Non-Risk Adjusted Rate
28%
Sample Size
Total Population or Sample
67%
MN Health Care Programs
26%
Commercial
22%-33%
Medicare
27%
Confidence Interval of Risk
Adjusted Rate
28% Risk Adjusted Rate
16%
Confidence Interval of NonRisk Adjusted Rate
55%
Non-Risk Adjusted Rate
MN Health Care Programs
29%
Sample Size
Commercial
28–29%
Total Population or Sample
Medicare
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Distribution of
Patient Population
28%
Medical
Group Name
Overall Minnesota Clinic Average
Optimal Vascular Care
See page 89 for an explanation of terms.
Physician
clinic NAME
Optimal Diabetes Care
Risk Adjusted Rate
Quality of Care for
Chronic Conditions
28-29%
34%
34-35%
43%
47%
9%
34% 34-35%
7%Total Population 254 29%
24%-35%
40%
29%-52%
35%
62%
3%Total Population 65
40%
29%-52%
64%
8%Total Population 228 28%
23%-34%
43%
30%-56%
31%
65%
4%Total Population 50
40%
28%-54%
Family HealthServices Minnesota
Family HealthServices Minnesota
Family HealthServices Minnesota- Woodlane Family Practice
Family HealthServices Minnesota
HealthEast
HealthEast Clinics
34%
30%-37%
31%
61%
9%Total Population 748 34%
31%-37%
35%
29%-42%
49%
46%
5%Total Population 231
36%
30%-42%
HealthPartners
HealthPartners Clinics
36%
33%-39%
23%
67%
10%Total Population 938 36%
33%-40%
47%
41%-53%
32%
61%
8%Total Population 271
46%
40%-52%
Ilko Family Medicine
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
St. Paul Cardiology- Woodwinds OfficeSt. Paul Cardiology
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
+
* Sufficient data not available.
112
+ Data not reported (for information on Physician Clinic Inclusion see page 255).
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Controlling High Blood Pressure
92%
77%
23%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
NA
Total Population or Sample
92–92%
MN Health Care Programs
Medicare
*
68–72%
Confidence Interval of Risk
Adjusted Rate
*
70% Risk Adjusted Rate
12%
Confidence Interval of NonRisk Adjusted Rate
60%
Non-Risk Adjusted Rate
28%
Sample Size
68–72%
Total Population or Sample
MN Health Care Programs
70%
Commercial
Overall Minnesota Clinic Average
Medicare
Medical
Group Name
Medical Group
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
92% 92–92%
*
*
Andover
Fairview Andover Clinic
Fairview Health Services
*
HealthPartners- RiverWay HealthPartners Clinics
77%
72%-81%
32%
60%
HealthPartners Clinics
77%
72%-81%
32%
Apple Valley Medical Clinic
Apple Valley Medical Clinic
61%
50%-70%
Fairview CedarRidge Clinic
Fairview Health Services
74%
HealthPartners
HealthPartners Clinics
77%
*
77%
*
76%
*
*
*
*
*
*
*
*N/A
*
*
*
*
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
16%
80%
4%Sample
69
61%
44%-76%
91%
83%-95%N/A
97%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
*
*
*
*
32%
60%
1091
77%
*
*
*
*
28%
65%
650
76%
Anoka
HealthPartners- RiverWay Apple Valley
MD Physicals Incorporated
*
*
*
*
*
*N/A
92%
82%-97%
77%
23%Total Population 1237 93%
91%-94%
83%
17%Total Population 1621 93%
91%-94%
*
3%Total Population 62
*
*
*
*
*
Arden Hills
HealthPartners
HealthPartners Clinics
72%-81%
8%Sample
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
Belle Plaine
Southern Metro Medical ClinicsSouthern Metro Medical Clinics
*
*
*
*
*
*N/A
*
*
*
*
*
*
Blaine
Allina Medical Clinic
Allina Medical Clinic
71%-81%
8%Sample
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
113
Controlling High Blood Pressure
Fairview Blaine Clinic
Fairview Health Services
Multicare Associates- Blaine Medical Center
Multicare Associates
68
65%
42%-82%
91%
84%-95%N/A
75%
*
*N/A
*
23%
Confidence Interval of NonRisk Adjusted Rate
9%Sample
*
Non-Risk Adjusted Rate
*
77%
Sample Size
*
*
92%
Total Population or Sample
*
68–72%
Risk Adjusted Rate
70% MN Health Care Programs
41%
Medicare
50%
Confidence Interval of Risk
Adjusted Rate
28%-85%
Confidence Interval of NonRisk Adjusted Rate
56%
*
NA
12%
Non-Risk Adjusted Rate
*
*
92–92%
60%
Sample Size
*
28%
Total Population or Sample
68–72%
MN Health Care Programs
70%
Medical Group
Distribution of
Patient Population
Commercial
Overall Minnesota Clinic Average
Medicare
Medical
Group Name
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
92% 92–92%
*
*
25%Total Population 105
90%
83%-95%
*
*
*
Bloomington
Aspen Medical Group
Aspen Medical Group
67%
54%-79%
51%
44%
6%Sample
158
66%
54%-76%
91%
87%-93%N/A
79%
21%Total Population 316
91%
87%-94%
Bloomington Lake Clinic- Xerxes
Bloomington Lake Clinic
83%
78%-87%
44%
41%
15%Sample
84
86%
75%-92%
95%
84%-99%N/A
68%
32%Total Population 41
95%
84%-99%
Fairview Oxboro Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
HealthPartners
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
Park Nicollet Clinic
Park Nicollet Health Services
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
HealthPartners
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
Hennepin Faculty Associates- Hennepin Care North
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%
94%
89%-97%N/A
35%
65%Total Population 228
92%
88%-95%
North Memorial Clinic- North Memorial
Brooklyn Center Physicians
54%
29%-78%
37%
52%
11%Sample
120
54%
34%-74%
94%
89%-97%N/A
83%
17%Total Population 159
94%
90%-97%
Park Nicollet Clinic
Park Nicollet Health Services
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
Allina Medical Clinic
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Fairview Brooklyn Park Clinic
Fairview Health Services
*
*
*
*
*
Brooklyn Center
Brooklyn Park
*
*
*
*
*
* Sufficient data not available.
114
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
*
*
*
*
*
*
Controlling High Blood Pressure
Use of Appropriate Medications for People with Asthma
North Memorial Clinic- North Memorial
Brooklyn Park Physicians
54%
29%-78%
37%
52%
11%Sample
120
54%
34%-74%
94%
92–92%
NA
77%
23%
92% 92–92%
89%-97%N/A
83%
17%Total Population 159
94%
90%-97%
*
*
Non-Risk Adjusted Rate
92%
Sample Size
68–72%
Total Population or Sample
70% MN Health Care Programs
12%
Medicare
60%
Confidence Interval of Risk
Adjusted Rate
MN Health Care Programs
28%
Risk Adjusted Rate
Commercial
68–72%
Non-Risk Adjusted Rate
Medicare
70%
Medical
Group Name
Sample Size
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Total Population or Sample
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Confidence Interval of NonRisk Adjusted Rate
Medical Group
Distribution of
Patient Population
Confidence Interval of NonRisk Adjusted Rate
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
Burnsville
Burnsville Family Physicians
Burnsville Family Physicians
71%
56%-87%
24%
75%
1%Sample
69
71%
50%-85%
*
Fairview Ridges Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Park Nicollet Clinic
Park Nicollet Health Services
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
Quello Clinic Quello Clinic
71%
55%-86%
31%
63%
6%Sample
87
71%
47%-87%
89%
81%-94%N/A
88%
12%Total Population 104
81%-93%
68%
55%-80%
60%
32%
8%Sample
64
61%
42%-77%N/AN/AN/AN/AN/AN/AN/AN/AN/A
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
*
*
*
*
*
UMP MN Heart Burnsville ClinicUniversity of Minnesota Physicians
*N/A
*
*
*
*
88%
Champlin
Allina Medical Clinic
Allina Medical Clinic
Team Health Care Clinic
*
*
*
*
91%
*
90%-93%N/A
*N/A
82%
*
18%Total Population 1562 92%
*
*
*
*
90%-93%
*
Chanhassen
Park Nicollet Clinic
Park Nicollet Health Services
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
Quello Clinic Quello Clinic
71%
55%-86%
31%
63%
6%Sample
87
71%
47%-87%
89%
81%-94%N/A
88%
12%Total Population 104
88%
81%-93%
81%
69%-92%
31%
62%
8%Sample
65
82%
64%-92%
90%
81%-95%N/A
90%
10%Total Population 81
90%
82%-95%
*
*
*
*
*
*
*
*
Ridgeview Chanhassen ClinicRidgeview Clinics
Chaska
Allina Medical Clinic- Crossroads Chaska
Allina Medical Clinic
*
*
*
*
*N/A
*
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
115
Controlling High Blood Pressure
616
Lakeview ClinicLakeview Clinic
49%
17%-81%
33%
61%
5%Sample
Valley Family PracticeValley Family Practice
*
*
*
*
*
*
*
*
*
*
75%
66%-84%
32%
58%
75%
66%-84%
32%
76%
71%-81%
Anoka Area Family Medicine Clinic
*
Dr. Jerrol NollerDr. Jerrol Noller
*
HealthPartners 77%
*
93%
91%-94%N/A
77%
95%
90%-98%N/A
92%
Confidence Interval of NonRisk Adjusted Rate
9%Sample
23%
Non-Risk Adjusted Rate
55%
77%
Sample Size
36%
NA
Total Population or Sample
68%-79%
92–92%
MN Health Care Programs
74%
Fairview Health Services
Medicare
Fairview Jonathan Clinic
70% Confidence Interval of Risk
Adjusted Rate
12%
Risk Adjusted Rate
MN Health Care Programs
60%
Confidence Interval of NonRisk Adjusted Rate
Commercial
28%
Non-Risk Adjusted Rate
Medicare
68–72%
Overall Minnesota Clinic Average
Sample Size
Confidence Interval of Risk
Adjusted Rate
70%
Medical
Group Name
Total Population or Sample
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
68–72%
92%
92% 92–92%
74%
68%-78%
23%Total Population 1237 93%
91%-94%
65
48%
25%-73%
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*N/A
*
*
*
10%Sample
139
75%
64%-84%N/AN/AN/AN/AN/AN/AN/AN/AN/A
58%
10%Sample
139
75%
64%-84%
91%
86%-94%N/A
75%
25%Total Population 202
91%
86%-94%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
32%
60%
1091
77%
*
*
*
*
8%Total Population 178
96%
91%-98%
*
*
*
*
*
*
Columbia Heights
Fairview Columbia Heights Clinic
Fairview Health Services
Coon Rapids
Allina Health System- Metropolitan Heart & Vascular Institute
Allina Health System
Allina Health System- Midwest Internal Medicine
Allina Health System
Allina Medical Clinic Allina Medical Clinic
HealthPartners Clinics
Twin Cities Heart and Lung
72%-81%
*
8%Sample
*
*
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
Cottage Grove
Allina Medical Clinic
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
HealthEast HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
86%-93%
* Sufficient data not available.
116
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
90%
Controlling High Blood Pressure
Fairview Eagan Clinic
Fairview Health Services
74%
HealthEast
HealthEast Clinics
81%
Minnesota Center for Obesity, Metabolism, and Endocrinology (MNCOME)
Minnesota Center for Obesity,
Metabolism, and Endocrinology (MNCOME) Park Nicollet Clinic
Park Nicollet Health Services
65%
*
*
68%-79%
36%
55%
71%-91%
44%
50%
*
*
28%
66%
*
*
23%
Confidence Interval of NonRisk Adjusted Rate
*
28%
Non-Risk Adjusted Rate
*
77%
Sample Size
Eagan Child and Family CareEagan Child and Family Care
*
NA
Total Population or Sample
76%
45%
92–92%
MN Health Care Programs
46%
92%
Medicare
*
*
68–72%
Confidence Interval of Risk
Adjusted Rate
*
70% Risk Adjusted Rate
One Stop Medical CenterOne Stop Medical Center
12%
Confidence Interval of NonRisk Adjusted Rate
60%
Non-Risk Adjusted Rate
Northwest Family PhysiciansNorthwest Family Physicians
28%
Sample Size
*
68–72%
Total Population or Sample
MN Health Care Programs
New Hope-Crystal Medical Clinic
Commercial
70%
Overall Minnesota Clinic Average
Medicare
Medical
Group Name
Medical Group
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
92% 92–92%
*
*
97%
90%-99%
*
*
Crystal
*
63% 20%-100%
*
*
*
*
*
9%Sample
68
64%
*
*
*
650
76%
*
*
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
86%-93%
*
*
425
78%
*
*
*
*
36%-85%
*
*
96%
*
*N/A
91%-98%N/A
*N/A
*
92%
*
*
*
*
8%Total Population 87
*
*
*
Eagan
Allina Medical Clinic
Allina Medical Clinic
Yankee Square Family Practice
71%-81%
*
*
*
78%
*
73%-83%
*
8%Sample
*
*
*
*
6%Sample
*
*
71%-81%
*
91%
*
90%-93%N/A
*N/A
82%
*
18%Total Population 1562 92%
*
*
*
*
90%
90%-93%
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
72%-83%
*
92%
*
90%-94%N/A
*N/A
90%
*
10%Total Population 1226 93%
*
*
*
*
92%-94%
*
Eden Prairie
Fairview EdenCenter Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Park Nicollet Clinic
Park Nicollet Health Services
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
117
Controlling High Blood Pressure
10%Sample
139
Allina Medical Clinic Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
Consultants Internal Medicine
Consultants Internal Medicine
*
*
*
Edina Family PhysiciansEdina Family Physicians
50%
37%
62%
Edina Sports Health & WellnessEdina Sports Health & Wellness
*
*
*
Endocrinology Clinic of MinneapolisEndocrinology Clinic of Mpls.
*
*
Fairview Crosstown Clinic
Fairview Health Services
74%
France Avenue Family Physicians
France Avenue Family Physicians
*
One Stop Medical CenterOne Stop Medical Center
*
Quello Clinic
71%
Confidence Interval of NonRisk Adjusted Rate
58%
23%
92% 92–92%
91%
86%-94%N/A
75%
25%Total Population 202
91%
86%-94%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Non-Risk Adjusted Rate
32%
77%
Sample Size
66%-84%
NA
Total Population or Sample
75%
92–92%
MN Health Care Programs
Medicare
Allina Health System- Abbott
Allina Health System
Northwestern General Medicine Associates
70% Confidence Interval of Risk
Adjusted Rate
12%
Risk Adjusted Rate
MN Health Care Programs
60%
Confidence Interval of NonRisk Adjusted Rate
Commercial
28%
Non-Risk Adjusted Rate
Medicare
68–72%
Overall Minnesota Clinic Average
Sample Size
Confidence Interval of Risk
Adjusted Rate
70%
Medical
Group Name
Total Population or Sample
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
68–72%
92%
75%
64%-84%
650
76%
71%-81%
*
*
2%Sample
66
49%
*
*
*
*
*
*
*
*
*
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
36%
55%
616
74%
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
31%
63%
6%Sample
87
71%
88%
81%-93%
Edina
Quello Clinic
*
35%-64%
68%-79%
55%-86%
*
*
9%Sample
*
35%-64%
68%-78%
47%-87%
*
90%
*
93%
89%
*N/A
80%-94%N/A
*N/A
91%-94%N/A
81%-94%N/A
*
98%
*
77%
88%
*
*
*
2%Total Population 51
*
*
*
*
*
90%
79%-96%
*
*
23%Total Population 1237 93%
12%Total Population 104
91%-94%
Sharpe Dillon Cockson & Associates PASharpe, Dillon, Cockson & Associates *
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Southdale Internal Medicine, PASouthdale Internal Medicine, P.A.
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
The Schuster ClinicThe Schuster Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
UMP MN Heart Edina ClinicUniversity of Minnesota Physicians
68%
60%
32%
64
61%
55%-80%
8%Sample
42%-77%N/AN/AN/AN/AN/AN/AN/AN/AN/A
* Sufficient data not available.
118
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Controlling High Blood Pressure
65
Confidence Interval of NonRisk Adjusted Rate
8%Sample
23%
92% 92–92%
90%
81%-95%N/A
90%
10%Total Population 81
90%
82%-95%
82%
64%-92%
Non-Risk Adjusted Rate
62%
77%
Sample Size
31%
NA
92%
Total Population or Sample
69%-92%
92–92%
68–72%
MN Health Care Programs
81%
Medicare
Confidence Interval of Risk
Adjusted Rate
70% Risk Adjusted Rate
MN Health Care Programs
12%
Confidence Interval of NonRisk Adjusted Rate
Commercial
60%
Non-Risk Adjusted Rate
Medicare
28%
Sample Size
Confidence Interval of Risk
Adjusted Rate
68–72%
Total Population or Sample
Risk Adjusted Rate
70%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
Excelsior
Ridgeview Excelsior ClinicRidgeview Clinics
Farmington
Allina Medical Clinic Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Fairview Farmington Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Farmington Clinic
Farmington Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic
76%
28%
65%
650
76%
Fairview Fridley Clinic
Fairview Health Services
*
*
*
*
*
Multicare Associates-
Fridley Medical Center
Multicare Associates
56%
28%-85%
50%
41%
9%Sample
68
65%
42%-82%
91%
84%-95%N/A
75%
North Memorial Clinic- North Memorial
Golden Valley Physicians
54%
29%-78%
37%
52%
11%Sample
120
54%
34%-74%
94%
89%-97%N/A
Park Nicollet Clinic 78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
Forest Lake
Allina Medical Clinic 71%-81%
8%Sample
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Fridley
*
*
*
*
*
*N/A
*
*
*
*
*
*
25%Total Population 105
90%
83%-95%
83%
17%Total Population 159
94%
90%-97%
90%
10%Total Population 1226 93%
92%-94%
Golden Valley
Park Nicollet Health Services
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
119
Controlling High Blood Pressure
92%
77%
23%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
NA
Total Population or Sample
92–92%
MN Health Care Programs
Medicare
68–72%
Confidence Interval of Risk
Adjusted Rate
70% Risk Adjusted Rate
12%
Confidence Interval of NonRisk Adjusted Rate
60%
Non-Risk Adjusted Rate
28%
Sample Size
68–72%
Total Population or Sample
MN Health Care Programs
70%
Commercial
Overall Minnesota Clinic Average
Medicare
Medical
Group Name
Medical Group
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
92% 92–92%
Hastings
Allina Medical Clinic - W First St
Allina Medical Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- Nininger
Allina Medical Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Aspen Medical Group
67%
54%-79%
51%
44%
6%Sample
158
66%
54%-76%
91%
87%-93%N/A
79%
21%Total Population 316
91%
87%-94%
Fairview Hugo Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
HealthEast
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
Aspen Medical Group
Aspen Medical Group
67%
54%-79%
51%
44%
6%Sample
158
66%
54%-76%
91%
87%-93%N/A
79%
21%Total Population 316
91%
87%-94%
Family HealthServices Minnesota Family HealthServices Minnesota
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
HealthPartners
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Hopkins
Aspen Medical Group Hugo
Inver Grove Heights
Inver Grove Heights Family Medical Center
Jordon
Jordon Medical Clinic
* Sufficient data not available.
120
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Controlling High Blood Pressure
68%-78%
93%
Confidence Interval of NonRisk Adjusted Rate
74%
23%
92% 92–92%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Non-Risk Adjusted Rate
616
77%
Sample Size
9%Sample
NA
Total Population or Sample
55%
92–92%
MN Health Care Programs
36%
92%
Medicare
68%-79%
68–72%
Confidence Interval of Risk
Adjusted Rate
70% Risk Adjusted Rate
MN Health Care Programs
12%
Confidence Interval of NonRisk Adjusted Rate
Commercial
60%
Non-Risk Adjusted Rate
Medicare
28%
Sample Size
Confidence Interval of Risk
Adjusted Rate
68–72%
Total Population or Sample
Risk Adjusted Rate
70%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
Lakeville
Fairview Lakeville Clinic
Fairview Health Services
74%
FamilyHealth Medical Clinic FamilyHealth Medical Clinics
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Quello Clinic
71%
55%-86%
31%
63%
6%Sample
87
71%
47%-87%
89%
81%-94%N/A
88%
12%Total Population 104
88%
81%-93%
Fairview Lino Lakes Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
HealthPartners
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
*
*
*
*
*
Lakeville Family Practice
Quello Clinic
Lino Lakes
Little Canada
Little Canada Medical Clinic
*
*
*
*
*
*N/A
*
*
*
*
*
*
Maple Grove
Allina Medical Clinic
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Fairview Bass Lake Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Fairview Maple Grove Medical Center
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Maple Medical Center, PA
*
*
*
*
*
North ClinicNorth Clinic
73%
56%
39%
126
70%
*
59%-87%
*
*
5%Sample
*
56%-81%
*
87%
*N/A
80%-91%N/A
*
88%
*
*
*
12%Total Population 112
*
*
85%
77%-90%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
121
Controlling High Blood Pressure
3%Sample
67
Park Nicollet Clinic
Park Nicollet Health Services
78%
73%-83%
28%
66%
6%Sample
Aspen Medical Group
Aspen Medical Group
67%
54%-79%
51%
44%
6%Sample
Attending Physicians
Attending Physicians
*
*
*
Family HealthServices Minnesota- Afton Road
Family HealthServices Minnesota
85%
77%-92%
32%
64%
HealthEast
HealthEast Clinics
81%
71%-91%
44%
HealthPartners
HealthPartners Clinics
77%
72%-81%
St. Paul CardiologySt. Paul Cardiology
*
St. Paul Heart Clinic St. Paul Heart
*
75%
Confidence Interval of NonRisk Adjusted Rate
51%
23%
92% 92–92%
92%
84%-97%N/A
89%
11%Total Population 85
93%
85%-97%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
54%-76%
91%
87%-93%N/A
79%
21%Total Population 316
91%
87%-94%
*
*
16%Total Population 287
91%
87%-94%
80%
20%Total Population 302
90%
86%-93%
83%
17%Total Population 1621 93%
91%-94%
Non-Risk Adjusted Rate
46%
77%
Sample Size
55%-94%
NA
Total Population or Sample
75%
92–92%
MN Health Care Programs
Medicare
North Memorial Clinic- North Memorial
Camden Physicians Maple Grove
70% Confidence Interval of Risk
Adjusted Rate
12%
Risk Adjusted Rate
MN Health Care Programs
60%
Confidence Interval of NonRisk Adjusted Rate
Commercial
28%
Non-Risk Adjusted Rate
Medicare
68–72%
Overall Minnesota Clinic Average
Sample Size
Confidence Interval of Risk
Adjusted Rate
70%
Medical
Group Name
Total Population or Sample
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
68–72%
92%
75%
55%-88%
425
78%
158
66%
*
*
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
*
*
*
*
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
*
*
*
*
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
66%-84%
32%
58%
10%Sample
139
75%
64%-84%
64%
37%-90%
40%
52%
8%Sample
61
64%
41%-82%N/AN/AN/AN/AN/AN/AN/AN/AN/A
Maplewood
*
*
*
*
*
*N/A
*
*
*
*
Minneapolis
Allina Health System- Abbott
Northwestern General Medicine Associates
Allina Health System
Allina Health System- Minneapolis Heart Institute
Allina Health System
Allina Medical Clinic- Isles
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Allina Medical Clinic- Nicollet Mall
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Allina Medical Clinic- The Doctors Uptown Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
91%
* Sufficient data not available.
122
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
86%-94%N/A
75%
25%Total Population 202
91%
86%-94%
Controlling High Blood Pressure
91%
*
*
84
86%
Confidence Interval of NonRisk Adjusted Rate
41%
54%-76%
77%
23%
92% 92–92%
87%-93%N/A
79%
21%Total Population 316
91%
87%-94%
*
*
95%
84%-99%
Non-Risk Adjusted Rate
44%
66%
NA
Sample Size
*
158
92–92%
Total Population or Sample
*
92%
MN Health Care Programs
44%
68–72%
Medicare
51%
70% Confidence Interval of Risk
Adjusted Rate
54%-79%
Risk Adjusted Rate
MN Health Care Programs
12%
Confidence Interval of NonRisk Adjusted Rate
Commercial
60%
Non-Risk Adjusted Rate
Medicare
28%
Sample Size
Confidence Interval of Risk
Adjusted Rate
68–72%
Total Population or Sample
Risk Adjusted Rate
70%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
Aspen Medical Group- East Lake Street
Aspen Medical Group
67%
AXIS Medical Center
Axis Medical Center
*
Bloomington Lake Clinic Bloomington Lake Clinic
83%
Boynton Health Service
Boynton Health Service
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
64%
61%-67%
0%
3%
97%Sample
67
50%
38%-62%
*
*N/A
*
*
*
*
*
*
67%
65%-69%
3%
0%
97%Sample
161
58%
50%-67%
89%
91%
84%-95%
*
*
*
*
*
*
*
Bruley Center
Cedar Riverside People’s Center- People’s Center Medical Clinic
Cedar Riverside People’s Center
Community University Health
Care Center
Community University Health
Care Center
Crown Medical Center
*
78%-87%
*
6%Sample
*
*
15%Sample
*
*
*
75%-92%
*
*
95%
*
*N/A
84%-99%N/A
79%-97%N/A
*N/A
*
68%
20%
*
*
*
*
32%Total Population 41
80%Total Population 127
*
*
*
Fairview Hiawatha Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Fairview Northeast Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Fairview Uptown Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Fremont Community Health Services- Central Avenue Clinic
Fremont Community Clinics
67%
65%-69%
3%
0%
97%Sample
161
58%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
Fremont Community Health Services- Fremont Clinic
Fremont Community Clinics
67%
65%-69%
3%
0%
97%Sample
161
58%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
Fremont Community Health Services- Sheridan
Fremont Community Clinics
67%
65%-69%
3%
0%
97%Sample
161
58%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
Green Central Medical ClinicSouthside Community Health Services 67%
65%-69%
3%
0%
97%Sample
161
58%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
HealthPartners- Riverside
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
HealthPartners Clinics
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
123
Controlling High Blood Pressure
70% 68–72%
92%
77%
23%
92% Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
NA
Total Population or Sample
92–92%
MN Health Care Programs
Medicare
12%
Confidence Interval of Risk
Adjusted Rate
60%
Risk Adjusted Rate
MN Health Care Programs
28%
Confidence Interval of NonRisk Adjusted Rate
Commercial
68–72%
Non-Risk Adjusted Rate
Medicare
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Medical Group
Distribution of
Patient Population
70%
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
92–92%
Hennepin Faculty Associates- HCMC Family Medical Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%
94%
89%-97%N/A
35%
65%Total Population 228
92%
88%-95%
Hennepin Faculty Associates- HCMC Hennepin Heart Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%
94%
89%-97%N/A
35%
65%Total Population 228
92%
88%-95%
Hennepin Faculty Associates- HCMC Medicine Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%
94%
89%-97%N/A
35%
65%Total Population 228
92%
88%-95%
Hennepin Faculty Associates- HCMC Positive Care Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%
94%
89%-97%N/A
35%
65%Total Population 228
92%
88%-95%
Hennepin Faculty Associates- Hennepin Care South
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%
94%
89%-97%N/A
35%
65%Total Population 228
92%
88%-95%
Hennepin Faculty Associates- Hennepin Faculty Associates:
Hennepin Center for Diabetes & Endocrinology HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%N/AN/AN/AN/AN/AN/AN/AN/AN/A
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%N/AN/AN/AN/AN/AN/AN/AN/AN/A
Hennepin Faculty Associates- Hennepin Family Care East Lake Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%
94%
89%-97%N/A
35%
65%Total Population 228
92%
88%-95%
Hennepin Faculty Associates- HFA Internal Medicine Clinic Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%
94%
89%-97%N/A
35%
65%Total Population 228
92%
88%-95%
Hennepin Faculty Associates- HFA Senior Care Clinic at Augustana Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
38%-81%
9%
32%
58%Sample
561
58%
46%-69%N/AN/AN/AN/AN/AN/AN/AN/AN/A
Johnson Street Medical Clinic
Johnson Street Medical Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Medical Care Services, PA
Medical Care Services
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Metropolitan Internists PA
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Native American Community ClinicNative American Community Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
North Memorial Clinic- North Memorial
Camden Physicians
75%
55%-94%
46%
51%
3%Sample
67
75%
55%-88%
92%
84%-97%N/A
89%
11%Total Population 85
93%
85%-97%
North Memorial Clinic- North Memorial
Northeast Family Physicians
54%
29%-78%
37%
52%
11%Sample
120
54%
34%-74%
94%
89%-97%N/A
83%
17%Total Population 159
94%
90%-97%
Hennepin Faculty Associates- Hennepin Center for Senior Care
Hennepin Faculty Associates:
* Sufficient data not available.
124
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Controlling High Blood Pressure
Use of Appropriate Medications for People with Asthma
54%
29%-78%
37%
52%
11%Sample
120
54%
34%-74%N/AN/AN/AN/AN/AN/AN/AN/AN/A
NorthPoint Health & Wellness CenterNorthPoint Health & Wellness Center
70%
67%-72%
2%
9%
89%Sample
66
62%
49%-74%
Park Avenue Family Practice
*
*
*
*
*
Park Nicollet Health Services
78%
28%
66%
425
78%
Riverside Family PhysiciansRiverside Family Physicians
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Ronald R Vessey MDRonald R Vessey MD
Internal Medicine Services, PA
Internal Medicine Services PA
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
91%
84%-95%
Park Nicollet Clinic
*
73%-83%
*
*
6%Sample
*
72%-83%
Southside Medical ClinicSouthside Community Health Services 67%
65%-69%
3%
0%
97%Sample
161
58%
50%-67%
UMP MN Heart University Clinic
*
92%
89%
64%-100%N/A
*N/A
90%-94%N/A
79%-97%N/A
77%
14%
*
90%
20%
Sample Size
NA
Non-Risk Adjusted Rate
88%
92–92%
Total Population or Sample
North Memorial Heart & Vascular InstituteNorth Memorial
92%
MN Health Care Programs
70% Commercial
12%
68–72%
Medicare
MN Health Care Programs
60%
Risk Adjusted Rate
Commercial
28%
Overall Minnesota Clinic Average
Non-Risk Adjusted Rate
Medicare
68–72%
Medical
Group Name
Sample Size
Confidence Interval of Risk
Adjusted Rate
70%
Physician
clinic NAME
Total Population or Sample
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Confidence Interval of NonRisk Adjusted Rate
Medical Group
Distribution of
Patient Population
Confidence Interval of NonRisk Adjusted Rate
Quality of Care for
Chronic Conditions
23%
92% 86%Total Population 36
*
*
*
92%
78%-97%
*
*
10%Total Population 1226 93%
80%Total Population 127
92–92%
92%-94%
University of Minnesota Physicians
68%
55%-80%
60%
32%
8%Sample
64
61%
42%-77%N/AN/AN/AN/AN/AN/AN/AN/AN/A
University of Minnesota Physicians - University of Minnesota Physicians
Broadway Family Medicine
55%
28%-82%
23%
38%
39%Sample
191
56%
37%-73%
92%
87%-95%N/A
53%
47%Total Population 167
90%
84%-94%
University of Minnesota Physicians - University of Minnesota Physicians
Medicine Specialties Clinic 6A
55%
28%-82%
23%
38%
39%Sample
191
56%
37%-73%
92%
87%-95%N/A
53%
47%Total Population 167
90%
84%-94%
University of Minnesota Physicians - University of Minnesota Physicians
Mill City Clinic
55%
28%-82%
23%
38%
39%Sample
191
56%
37%-73%
92%
87%-95%N/A
53%
47%Total Population 167
90%
84%-94%
University of Minnesota Physicians - University of Minnesota Physicians
Primary Care Center
55%
28%-82%
23%
38%
39%Sample
191
56%
37%-73%
92%
87%-95%N/A
53%
47%Total Population 167
90%
84%-94%
University of Minnesota Physicians - University of Minnesota Physicians
Smiley’s Clinic
55%
28%-82%
23%
38%
39%Sample
191
56%
37%-73%
92%
87%-95%N/A
53%
47%Total Population 167
90%
84%-94%
North Memorial Clinic- North Memorial
Minnetonka Physicians
54%
29%-78%
37%
52%
11%Sample
120
54%
34%-74%
94%
89%-97%N/A
83%
17%Total Population 159
94%
90%-97%
Park Nicollet Clinic- Carlson
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
Minnetonka
Park Nicollet Health Services
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
125
Controlling High Blood Pressure
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
32%
64%
175
85%
*
*
*
*
17%-81%
33%
61%
5%Sample
65
48%
25%-73%
95%
90%-98%N/A
92%
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
73%
59%-87%
56%
39%
5%Sample
126
70%
56%-81%
87%
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
73%
59%-87%
56%
39%
5%Sample
126
70%
56%-81%
Risk Adjusted Rate
*
85%
*
49%
23%
Confidence Interval of NonRisk Adjusted Rate
*
Non-Risk Adjusted Rate
*
77%
Total Population or Sample
*
NA
MN Health Care Programs
*
Southern Metro Medical Clinics- Southern Metro Medical Clinics
New Prague Medical Clinic
92–92%
Commercial
*
92%
Medicare
*
*
68–72%
Risk Adjusted Rate
*
70% Confidence Interval of Risk
Adjusted Rate
Confidence Interval of NonRisk Adjusted Rate
MN Health Care Programs
*
Queen of Peace Hospital- Queen of Peace Hospital Outpatient Clinic Outpatient Clinic
Non-Risk Adjusted Rate
Commercial
12%
Sample Size
Medicare
60%
70%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
28%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
68–72%
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Sample Size
Quality of Care for
Chronic Conditions
92% 92–92%
*
*
*
*
*
*
91%
87%-94%
*
*
8%Total Population 178
96%
91%-98%
80%
20%Total Population 302
90%
86%-93%
80%-91%N/A
88%
12%Total Population 112
85%
77%-90%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
87%
80%-91%N/A
88%
12%Total Population 112
77%-90%
New Prague
North St. Paul
Family HealthServices Minnesota- North St. Paul Clinic
Family HealthServices Minnesota
77%-92%
4%Sample
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
Northfield
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
*
*
*
*
*
*N/A
*
*
*
*
Norwood
Lakeview ClinicLakeview Clinic
Oakdale
HealthEast HealthEast Clinics
Osseo
North Clinic North Clinic
Plymouth
Allina Medical Clinic- West Health Campus
Allina Medical Clinic
North Clinic- WestHealth North Clinic
* Sufficient data not available.
126
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
85%
Controlling High Blood Pressure
Use of Appropriate Medications for People with Asthma
77%
23%
92% 92–92%
75%
55%-94%
46%
51%
3%Sample
67
92%
84%-97%N/A
89%
11%Total Population 85
93%
85%-97%
North Memorial Clinic- North Memorial
Plymouth Internal Medicine
54%
29%-78%
37%
52%
11%Sample
34%-74%
94%
89%-97%N/A
83%
17%Total Population 159
94%
90%-97%
Northwest Family PhysicansNorthwest Family Physicians
63% 20%-100%
46%
45%
64%
36%-85%
96%
91%-98%N/A
92%
8%Total Population 87
97%
90%-99%
Park Nicollet Clinic
Park Nicollet Health Services
78%
28%
66%
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
Allina Medical Clinic- Crossroads Prior Lake
Allina Medical Clinic
*
*
*
*
*
Fairview RidgeValley Clinic
Fairview Health Services
74%
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
Park Nicollet Clinic Park Nicollet Health Services
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
*
*
*
*
*
North Clinic- Oakdale OfficeNorth Clinic
73%
56%
39%
126
70%
Robbinsdale Clinic, PARobbinsdale Clinic, PA
*
*
*
*
*
75%
55%-88%
120
54%
9%Sample
68
6%Sample
Sample Size
North Memorial Clinic- North Memorial
Camden Physicians Plymouth
Confidence Interval of NonRisk Adjusted Rate
NA
92%
Non-Risk Adjusted Rate
92–92%
68–72%
Total Population or Sample
70% MN Health Care Programs
Medicare
12%
73%-83%
Confidence Interval of Risk
Adjusted Rate
60%
Risk Adjusted Rate
28%
Overall Minnesota Clinic Average
Confidence Interval of NonRisk Adjusted Rate
MN Health Care Programs
68–72%
Medical
Group Name
Non-Risk Adjusted Rate
Commercial
70%
Physician
clinic NAME
Sample Size
Medicare
See page 89 for an explanation of terms.
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
Prior Lake
*
*
*
*
*
*N/A
*
*
*
*
*
*
Ramsey
Allina Medical Clinic
Richfield
Allina Medical Clinic
Richfield Medical GroupRichfield Medical Group
*
*
*
*
*
*N/A
*
*
*
*
*
*
85%
77%-90%
*
*
Robbinsdale
59%-87%
*
5%Sample
*
*
56%-81%
*
87%
*
80%-91%N/A
*N/A
88%
*
12%Total Population 112
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
127
Controlling High Blood Pressure
616
63% 20%-100%
46%
45%
9%Sample
74%
36%
55%
9%Sample
*
*
*
77%
72%-81%
32%
60%
56%
28%-85%
50%
41%
*
*
*
Quello Clinic
71%
55%-86%
31%
63%
Allina Medical Clinic Allina Medical Clinic
76%
71%-81%
28%
65%
Allina Medical Clinic- Crossroads Shakopee Dean Lakes
Allina Medical Clinic
*
*
*
Park Nicollet Clinic
Park Nicollet Health Services
78%
28%
66%
93%
91%-94%N/A
77%
36%-85%
96%
91%-98%N/A
92%
68%-78%
93%
91%-94%N/A
77%
Confidence Interval of NonRisk Adjusted Rate
9%Sample
23%
Non-Risk Adjusted Rate
55%
77%
Sample Size
36%
NA
Total Population or Sample
68%-79%
92–92%
MN Health Care Programs
74%
Medicare
70% Confidence Interval of Risk
Adjusted Rate
12%
Risk Adjusted Rate
MN Health Care Programs
60%
Confidence Interval of NonRisk Adjusted Rate
Commercial
28%
Non-Risk Adjusted Rate
Medicare
68–72%
Overall Minnesota Clinic Average
Sample Size
Confidence Interval of Risk
Adjusted Rate
70%
Medical
Group Name
Total Population or Sample
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
68–72%
92%
92% 92–92%
74%
68%-78%
23%Total Population 1237 93%
91%-94%
68
64%
616
74%
*
*
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
9%Sample
68
65%
42%-82%
91%
84%-95%N/A
75%
25%Total Population 105
90%
83%-95%
*
*
*
*
*
6%Sample
87
71%
47%-87%
89%
81%-94%N/A
88%
12%Total Population 104
88%
81%-93%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
*
*
425
78%
Rogers
Fairview Rogers Clinic
Fairview Health Services
Northwest Family PhysiciansNorthwest Family Physicians
8%Total Population 87
97%
90%-99%
23%Total Population 1237 93%
91%-94%
Rosemount
Fairview Rosemount Clinic
Fairview Health Services
Rosemount Family Physicians
68%-79%
*
*
*
*
*
*N/A
*
*
*
*
*
*
Roseville
HealthPartners- North Suburban Roseville
HealthPartners Clinics
Multicare Associates- Roseville Medical Center
Multicare Associates
Richard Schoewe, MDRichard Schoewe MD
*
*
*
*
*N/A
*
*
*
*
Savage
Quello Clinic
Shakopee
*
73%-83%
*
*
6%Sample
*
72%-83%
*
92%
* Sufficient data not available.
128
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
90%-94%N/A
*
90%
*
*
*
*
10%Total Population 1226 93%
*
92%-94%
Controlling High Blood Pressure
92%
23%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
77%
Sample Size
NA
Total Population or Sample
92–92%
MN Health Care Programs
Medicare
68–72%
Confidence Interval of Risk
Adjusted Rate
70% Risk Adjusted Rate
MN Health Care Programs
12%
Confidence Interval of NonRisk Adjusted Rate
Commercial
60%
Non-Risk Adjusted Rate
Medicare
28%
Sample Size
Confidence Interval of Risk
Adjusted Rate
68–72%
Total Population or Sample
Risk Adjusted Rate
70%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
92% 92–92%
Shoreview
Allina Medical Clinic
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Family HealthServices Minnesota
Family HealthServices Minnesota
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
One Stop Medical CenterOne Stop Medical Center
*
*
*
*
*
*
*
Silver Lake ClinicSilver Lake Clinic
56%
31%-81%
34%
64%
2%Sample
69
55%
32%-76%
90%
80%-96%N/A
91%
91%
81%-96%
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
81%
69%-92%
31%
62%
8%Sample
65
82%
64%-92%
90%
81%-95%N/A
90%
10%Total Population 81
90%
82%-95%
56%
31%-81%
34%
64%
2%Sample
69
55%
32%-76%
90%
80%-96%N/A
91%
9%Total Population 57
91%
81%-96%
*
*
*
*
*
*
*
*
77%
32%
60%
1091
77%
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
9%Total Population 57
Shorewood
Park Nicollet Clinic
Park Nicollet Health Services
Spring Park
Ridgeview Westonka ClinicRidgeview Clinics
St. Anthony
Silver Lake ClinicSilver Lake Clinic
St. Francis
St. Francis Medical Clinic
*
*
*
*
*N/A
*
*
*
*
St. Louis Park
HealthPartners- West
Integrative Options
HealthPartners Clinics
#N/A
72%-81%
*
8%Sample
*
*
72%-81%
*
93%
*
91%-94%N/A
*N/A
83%
*
17%Total Population 1621 93%
*
*
*
*
91%-94%
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
129
Controlling High Blood Pressure
6%Sample
425
78%
72%-83%
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%N/AN/AN/AN/AN/AN/AN/AN/AN/A
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%N/AN/AN/AN/AN/AN/AN/AN/AN/A
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
90%
10%Total Population 1226 93%
92%-94%
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Risk Adjusted Rate
78%
Park Nicollet Clinic- Heart and Vascular
Park Nicollet Health Services
Park Nicollet Clinic- St. Louis Park Endocrinology
Park Nicollet Health Services
Park Nicollet Clinic-
St. Louis Park Family Medicine
Park Nicollet Health Services
Park Nicollet Clinic- St. Louis Park Internal Medicine
Park Nicollet Health Services
92%
90%-94%N/A
77%
23%
*
*
90%
*
*
Non-Risk Adjusted Rate
66%
*N/A
Sample Size
28%
Park Nicollet Health Services
*
Total Population or Sample
73%-83%
Park Nicollet Clinic- Creekside
*
NA
MN Health Care Programs
*
*
92–92%
Commercial
*
*
Medicare
*
*
92%
Confidence Interval of Risk
Adjusted Rate
*
68–72%
Risk Adjusted Rate
*
Life MedicalLife Medical
Steven Saliterman, MDSteven Saliterman, MD
Confidence Interval of NonRisk Adjusted Rate
MN Health Care Programs
70% Non-Risk Adjusted Rate
Commercial
12%
Sample Size
Medicare
60%
70%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
28%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
68–72%
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Confidence Interval of NonRisk Adjusted Rate
Quality of Care for
Chronic Conditions
92% 92–92%
*
*
10%Total Population 1226 93%
92%-94%
St. Paul
Adult Medicine, PA
Adult Medicine, PA
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Advanced Medical Clinic, Inc
Advanced Medical Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- United Medical Specialties
Allina Medical Clinic
76%
28%
65%
650
76%
*
*
*
*
*
Arcade Medical Clinic
71%-81%
*
8%Sample
*
*
71%-81%
*
91%
*
90%-93%N/A
*N/A
82%
*
18%Total Population 1562 92%
*
*
*
90%-93%
*
*
Aspen Medical Group- Bandana Square
Aspen Medical Group
67%
54%-79%
51%
44%
6%Sample
158
66%
54%-76%
91%
87%-93%N/A
79%
21%Total Population 316
91%
87%-94%
Aspen Medical Group- Highland
Aspen Medical Group
67%
54%-79%
51%
44%
6%Sample
158
66%
54%-76%
91%
87%-93%N/A
79%
21%Total Population 316
91%
87%-94%
Boynton Health Service Boynton Health Service
*
*
*
*
*
*
*
*
*
*
*
*
Children’s Speciality Clinic
Children’s Hospitals and Clinics
of Minnesota
*
*
*
*
*
*
*
*
*
97%
* Sufficient data not available.
130
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
96%-98%N/A
*
75%
*
*
*
25%Total Population 1362 97%
96%-98%
Controlling High Blood Pressure
Use of Appropriate Medications for People with Asthma
*
*
*
*
*
*
*
*
*
*
*
*
*
68%-79%
36%
55%
9%Sample
616
74%
68%-78%
93%
91%-94%N/A
77%
23%Total Population 1237 93%
91%-94%
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
Gillette Children’s Specialty HealthcareGillette Children’s
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Gillette Lifetime Specialty HealthcareGillette Children’s
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
HealthEast- Downtown St. Paul
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
HealthEast- Grand Avenue
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
HealthEast- Midway
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
HealthEast- Rice Street
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
HealthEast- Roselawn
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
HealthEast- St Anthony Park
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
HealthPartners- Center for International Health
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
HealthPartners- Como
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
Risk Adjusted Rate
*
74%
Fairview Highland Park Clinic
Fairview Health Services
Family HealthServices Minnesota- Highland Family Physicians
Family HealthServices Minnesota
Family HealthServices Minnesota-
Larpenteur Clinic
Family HealthServices Minnesota
Family HealthServices Minnesota- Maryland Clinic
Family HealthServices Minnesota
77%
23%
*N/A
*
*
*
*N/A
*
*
*
Non-Risk Adjusted Rate
*
Sample Size
*
Dr Bobby Yang Medical Clinic
NA
Total Population or Sample
*
*
92–92%
MN Health Care Programs
*
92%
Commercial
*
Donald E Gehrig, MD, Donald E Gehrig, MD,
Internal Medicine, LLC Internal Medicine, LLC
68–72%
Medicare
70% Risk Adjusted Rate
MN Health Care Programs
12%
70%
Non-Risk Adjusted Rate
Commercial
60%
Medical
Group Name
Sample Size
Medicare
28%
Overall Minnesota Clinic Average
Physician
clinic NAME
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
68–72%
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Confidence Interval of NonRisk Adjusted Rate
Medical Group
Distribution of
Patient Population
Confidence Interval of NonRisk Adjusted Rate
Quality of Care for
Chronic Conditions
92% 92–92%
*
*
*
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
131
Controlling High Blood Pressure
92%
Confidence Interval of NonRisk Adjusted Rate
77%
23%
92% 92–92%
Sample Size
Non-Risk Adjusted Rate
NA
Total Population or Sample
92–92%
MN Health Care Programs
Medicare
68–72%
Confidence Interval of Risk
Adjusted Rate
70% Risk Adjusted Rate
MN Health Care Programs
12%
Confidence Interval of NonRisk Adjusted Rate
Commercial
60%
Non-Risk Adjusted Rate
Medicare
28%
Sample Size
Confidence Interval of Risk
Adjusted Rate
68–72%
Total Population or Sample
Risk Adjusted Rate
70%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
HealthPartners- Health Center for Women
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
HealthPartners- Health Specialty Center
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
HealthPartners- Midway
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
HealthPartners- Specialty Center
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
HealthPartners- St. Paul
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
Metropolitan Medical Associates
Metropolitan Medical Associates
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Midway Family Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
New Americans Community Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Open Cities Health Center- DunlapOpen Cities Health Center
67%
65%-69%
3%
0%
97%Sample
161
58%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
Open Cities Health Center- NorthendOpen Cities Health Center
67%
65%-69%
3%
0%
97%Sample
161
58%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
Parkway Family Physicians
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
St Paul Family Medical Center
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
St. Paul Cardiology St. Paul Cardiology
*
*
*
*
*
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic- DowntownSt. Paul Heart
*
*
*
*
*
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
United Family MedicineUnited Family Medicine
55%
40%-69%
0%
42%
58%Sample
72
52%
32%-71%
81%
65%-93%N/A
38%
62%Total Population 45
80%
66%-89%
University of Minnesota Physicians - University of Minnesota Physicians
Bethesda Clinic
55%
28%-82%
23%
38%
39%Sample
191
56%
37%-73%
92%
87%-95%N/A
53%
47%Total Population 167
90%
84%-94%
Parkway Family Physicians
* Sufficient data not available.
132
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Controlling High Blood Pressure
Use of Appropriate Medications for People with Asthma
University of Minnesota Physicians - University of Minnesota Physicians
Phalen Clinic
55%
28%-82%
23%
38%
39%Sample
191
56%
37%-73%
West Side Community Health Services- East Side Family Clinic
West Side Community Health Services
67%
65%-69%
3%
0%
97%Sample
161
58%
West Side Community Health Services- La Clinica
West Side Community Health Services
67%
65%-69%
3%
0%
97%Sample
161
West Side Community Health Services- McDonough Homes Clinic
West Side Community Health Services
67%
65%-69%
3%
0%
97%Sample
*
*
*
3%
0%
*
*
*
*
92–92%
NA
77%
23%
92% 92–92%
92%
87%-95%N/A
53%
47%Total Population 167
90%
84%-94%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
58%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
161
58%
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
91%
84%-95%
*
*
*
*
161
58%
91%
84%-95%
*
*
*
*
*N/A
*
*
*
Non-Risk Adjusted Rate
92%
Sample Size
68–72%
Total Population or Sample
70% MN Health Care Programs
12%
*
Medicare
60%
Xoua Thao Medical Center
Confidence Interval of Risk
Adjusted Rate
MN Health Care Programs
28%
Risk Adjusted Rate
Commercial
68–72%
Non-Risk Adjusted Rate
Medicare
70%
Medical
Group Name
Sample Size
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Total Population or Sample
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Confidence Interval of NonRisk Adjusted Rate
Medical Group
Distribution of
Patient Population
Confidence Interval of NonRisk Adjusted Rate
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
*
Stillwater
St Croix Family Medical ClinicSouthside Community Health Services 67%
65%-69%
97%Sample
50%-67%
89%
79%-97%N/A
20%
80%Total Population 127
St Paul Heart Clinic- Lakeview Heart CenterSt. Paul Heart
*
Stillwater Medical Group- Curve Crest ClinicStillwater Medical Group
68%
56%-81%
17%
81%
2%Sample
70
68%
54%-79%
95%
90%-97%N/A
92%
8%Total Population 224
95%
91%-97%
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
Vadnais Heights
Family HealthServices Minnesota
Family HealthServices Minnesota
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
HealthEast
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
49%
17%-81%
33%
61%
5%Sample
65
48%
25%-73%
95%
90%-98%N/A
92%
8%Total Population 178
96%
91%-98%
Waconia
Lakeview ClinicLakeview Clinic
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
133
Controlling High Blood Pressure
25%-73%
95%
90%-98%N/A
92%
78%
73%-83%
28%
66%
6%Sample
425
78%
72%-83%
92%
90%-94%N/A
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
Non-Risk Adjusted Rate
Family HealthServices Minnesota
Sample Size
Family HealthServices Minnesota- Gorman Clinic
MN Health Care Programs
Allina Medical Clinic
Commercial
Risk Adjusted Rate
Allina Medical Clinic 77%
23%
Confidence Interval of NonRisk Adjusted Rate
48%
NA
Non-Risk Adjusted Rate
65
Park Nicollet Health Services
92–92%
Total Population or Sample
5%Sample
*
92%
MN Health Care Programs
61%
49%
*
68–72%
Commercial
33%
70% Medicare
17%-81%
*
12%
Risk Adjusted Rate
*
60%
Confidence Interval of Risk
Adjusted Rate
Confidence Interval of NonRisk Adjusted Rate
Medicare
*
70%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
28%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
68–72%
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Sample Size
Quality of Care for
Chronic Conditions
92% 92–92%
*
*
96%
91%-98%
90%
10%Total Population 1226 93%
92%-94%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
*
*
*
*
*
*
Watertown
Catalyst Medical Clinic
Catalyst Medical Clinic
Lakeview ClinicLakeview Clinic
*
*
*
*
*
*N/A
*
*
*
*
8%Total Population 178
Wayzata
Park Nicollet Clinic
West St. Paul
Reshi Medical
White Bear Lake
AALFA Family Clinic
AALFA Family Clinic
*
Aspen Medical Group Aspen Medical Group
67%
54%-79%
51%
44%
6%Sample
158
66%
54%-76%
91%
87%-93%N/A
79%
21%Total Population 316
91%
87%-94%
Family HealthServices Minnesota
Family HealthServices Minnesota
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
Family HealthServices Minnesota- Banning Avenue
Family HealthServices Minnesota
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
HealthPartners
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
*
*
*
*
*
LifeSteps Family Physicians, PALifesteps Family Physicians
*
*
*
*
*
* Sufficient data not available.
134
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
*
*
*
*
*
*
Controlling High Blood Pressure
68–72%
92%
92% Confidence Interval of NonRisk Adjusted Rate
23%
Non-Risk Adjusted Rate
77%
Sample Size
NA
Total Population or Sample
92–92%
MN Health Care Programs
Medicare
70% Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
MN Health Care Programs
12%
Confidence Interval of NonRisk Adjusted Rate
Commercial
60%
Non-Risk Adjusted Rate
Medicare
28%
Sample Size
Confidence Interval of Risk
Adjusted Rate
68–72%
Total Population or Sample
Risk Adjusted Rate
70%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Use of Appropriate Medications for People with Asthma
Medical Group
Distribution of
Patient Population
Commercial
Quality of Care for
Chronic Conditions
92–92%
Woodbury
Allina Medical Clinic
Allina Medical Clinic
76%
71%-81%
28%
65%
8%Sample
650
76%
71%-81%
91%
90%-93%N/A
82%
18%Total Population 1562 92%
90%-93%
Family HealthServices Minnesota
Family HealthServices Minnesota
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
Family HealthServices Minnesota- Woodlane Family Practice
Family HealthServices Minnesota
85%
77%-92%
32%
64%
4%Sample
175
85%
75%-91%
91%
87%-94%N/A
84%
16%Total Population 287
91%
87%-94%
HealthEast
HealthEast Clinics
81%
71%-91%
44%
50%
6%Sample
189
79%
69%-87%
90%
86%-93%N/A
80%
20%Total Population 302
90%
86%-93%
HealthPartners
HealthPartners Clinics
77%
72%-81%
32%
60%
8%Sample
1091
77%
72%-81%
93%
91%-94%N/A
83%
17%Total Population 1621 93%
91%-94%
Ilko Family Medicine
*
*
*
*
*
*
*
*
*
St. Paul Cardiology- Woodwinds OfficeSt. Paul Cardiology
*
*
*
*
*
*
*
*
*N/AN/AN/AN/AN/AN/AN/AN/AN/A
*
*N/A
*
*
*
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
135
Overall Minnesota Clinic Average
87–87%
86%
86–86%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medical Group
Distribution of
Patient Population
Medicare
87% Confidence Interval of Risk
Adjusted Rate
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
87%
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
Andover
Fairview Andover Clinic
Fairview Health Services
92%
86%-96%N/A
55%
45%Total Population 105
92%
86%-96%
88%
77%-94%N/A
75%
25%Total Population 55
89%
78%-95%
HealthPartners- RiverWay HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
Apple Valley Medical Clinic
Apple Valley Medical Clinic
80%
74%-86%N/A
77%
23%Total Population 228
82%
76%-86%
92%
88%-95%N/A
85%
15%Total Population286
92%
88%-95%
Fairview CedarRidge Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
HealthPartners
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
*
*
*
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
64%
51%-76%N/A
87%
13%Total Population 91
63%
52%-72%
83%
73%-91%N/A
95%
5%Total Population 95
84%
76%-90%
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Anoka
HealthPartners- RiverWay Apple Valley
MD Physicals Incorporated
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Arden Hills
HealthPartners
HealthPartners Clinics
Belle Plaine
Southern Metro Medical ClinicsSouthern Metro Medical Clinics
Blaine
Allina Medical Clinic
Allina Medical Clinic
* Sufficient data not available.
136
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Overall Minnesota Clinic Average
Fairview Blaine Clinic
Fairview Health Services
Multicare Associates- Blaine Medical Center
Multicare Associates
87% 87–87%
86%
86–86%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medical Group
Distribution of
Patient Population
Medicare
Confidence Interval of Risk
Adjusted Rate
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
87%
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
92%
86%-96%N/A
55%
45%Total Population 105
92%
86%-96%
88%
77%-94%N/A
75%
25%Total Population 55
89%
78%-95%
83%
77%-87%N/A
57%
43%Total Population 219
83%
77%-87%
98%
95%-99%N/A
63%
37%Total Population223
98%
95%-99%
93%-97%N/A
71%
29%Total Population328
95%
93%-97%
*
*
Bloomington
Aspen Medical Group
Aspen Medical Group
91%
88%-93%N/A
54%
46%Total Population 393
91%
88%-94%
95%
Bloomington Lake Clinic- Xerxes
Bloomington Lake Clinic
97% 87%-100%N/A
50%
50%Total Population 42
98%
88%-100%
*
Fairview Oxboro Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
HealthPartners
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
Park Nicollet Clinic
Park Nicollet Health Services
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
HealthPartners
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
Hennepin Faculty Associates- Hennepin Care North
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
94%
89%-99%N/A
9%
91%Total Population 432
97%
95%-98%
88%
76%-98%N/A
12%
88%Total Population163
93%
88%-96%
North Memorial Clinic- North Memorial
Brooklyn Center Physicians
93%
89%-96%N/A
35%
65%Total Population 279
94%
90%-96%
83%
74%-89%N/A
61%
39%Total Population 90
81%
72%-88%
Park Nicollet Clinic
Park Nicollet Health Services
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
Allina Medical Clinic
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Fairview Brooklyn Park Clinic
Fairview Health Services
92%
86%-96%N/A
55%
45%Total Population 105
92%
86%-96%
88%
77%-94%N/A
75%
25%Total Population 55
89%
78%-95%
*N/A
*
*
*
*
Brooklyn Center
Brooklyn Park
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
137
94%
90%-96%
83%
Confidence Interval of NonRisk Adjusted Rate
65%Total Population 279
Non-Risk Adjusted Rate
35%
Sample Size
89%-96%N/A
86–86%
Total Population or Sample
86%
MN Health Care Programs
87–87%
Non-Risk Adjusted Rate
87% Sample Size
44%
Commercial
93%
56%
Medical Group
Distribution of
Patient Population
Medicare
NA
Confidence Interval of Risk
Adjusted Rate
North Memorial Clinic- North Memorial
Brooklyn Park Physicians
Confidence Interval of NonRisk Adjusted Rate
87–87%
Total Population or Sample
87%
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
74%-89%N/A
61%
39%Total Population 90
81%
72%-88%
*
*
Burnsville
Burnsville Family Physicians
Burnsville Family Physicians
*
Fairview Ridges Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
Park Nicollet Clinic
Park Nicollet Health Services
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
Quello Clinic Quello Clinic
91%
86%-94%N/A
61%
39%Total Population 187
91%
87%-95%
90%
85%-94%N/A
76%
24%Total Population175
90%
85%-94%
UMP MN Heart Burnsville ClinicUniversity of Minnesota Physicians
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Champlin
Allina Medical Clinic
Allina Medical Clinic
Team Health Care Clinic
92%
*
91%-93%N/A
*N/A
61%
*
39%Total Population 2641
*
*
*
92%
*
91%-93%
*
88%
*
86%-89%N/A
*N/A
72%
*
28%Total Population1439
*
*
*
88%
86%-89%
*
*
Chanhassen
Park Nicollet Clinic
Park Nicollet Health Services
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
Quello Clinic Quello Clinic
91%
86%-94%N/A
61%
39%Total Population 187
91%
87%-95%
90%
85%-94%N/A
76%
24%Total Population175
90%
85%-94%
76%
68%-82%N/A
69%
31%Total Population 147
76%
69%-82%
95%
90%-98%N/A
81%
19%Total Population112
95%
89%-98%
74%
58%-85%N/A
70%
30%Total Population 40
78%
62%-88%
78%
65%-87%N/A
92%
8%Total Population 49
78%
64%-87%
Ridgeview Chanhassen ClinicRidgeview Clinics
Chaska
Allina Medical Clinic- Crossroads Chaska
Allina Medical Clinic
* Sufficient data not available.
138
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Fairview Jonathan Clinic
Fairview Health Services
23%Total Population 351
*
92%
*N/A
*
*
*
*
86%
82%-89%
*
*
Confidence Interval of NonRisk Adjusted Rate
77%
Non-Risk Adjusted Rate
82%-90%N/A
Sample Size
87%
88%-90%
Total Population or Sample
89%
NA
71%
29%
86% 86–86%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
89%
85%-93%N/A
84%
16%Total Population268
90%
85%-93%
*
*
89%
78%-95%
*
86–86%
MN Health Care Programs
48%Total Population 2410
86%
Commercial
52%
87–87%
Medical Group
Distribution of
Patient Population
Medicare
87%-90%N/A
Sample Size
89%
87% Confidence Interval of Risk
Adjusted Rate
Valley Family PracticeValley Family Practice
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
Lakeview ClinicLakeview Clinic
56%
Non-Risk Adjusted Rate
NA
Medical
Group Name
Overall Minnesota Clinic Average
Total Population or Sample
87–87%
MN Health Care Programs
87%
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
*N/A
*
*
*
*
Columbia Heights
Fairview Columbia Heights Clinic
Fairview Health Services
86%-96%N/A
55%
45%Total Population 105
92%
86%-96%
88%
77%-94%N/A
75%
25%Total Population 55
Coon Rapids
Allina Health System- Metropolitan Heart & Vascular Institute
Allina Health System
Allina Health System- Midwest Internal Medicine
Allina Health System
Allina Medical Clinic Allina Medical Clinic
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
90%
85%-94%N/A
44%
56%Total Population 217
91%
86%-94%
89%
84%-93%N/A
67%
33%Total Population206
89%
84%-92%
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Anoka Area Family Medicine Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Dr. Jerrol NollerDr. Jerrol Noller
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
HealthPartners 96%
96%
94%-97%
HealthPartners Clinics
Twin Cities Heart and Lung
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Cottage Grove
Allina Medical Clinic
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
HealthEast HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
139
Appropriate Treatment for Children with
Upper Respiratory Infection
Confidence Interval of NonRisk Adjusted Rate
Confidence Interval of NonRisk Adjusted Rate
90%
One Stop Medical CenterOne Stop Medical Center
*
92%
Eagan Child and Family CareEagan Child and Family Care
*
Fairview Eagan Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
HealthEast
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
92%-96%N/A
69%
Minnesota Center for Obesity, Metabolism, and Endocrinology (MNCOME)
Minnesota Center for Obesity,
Metabolism, and Endocrinology (MNCOME) N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic
Park Nicollet Health Services
Commercial
MN Health Care Programs
Sample Size
Medicare
87–87%
86%
86–86%
NA
71%
29%
*
*
Non-Risk Adjusted Rate
87% Sample Size
Northwest Family PhysiciansNorthwest Family Physicians
44%
Total Population or Sample
*
56%
MN Health Care Programs
NA
Commercial
New Hope-Crystal Medical Clinic
Overall Minnesota Clinic Average
Medicare
87–87%
Medical
Group Name
Risk Adjusted Rate
87%
Physician
clinic NAME
Non-Risk Adjusted Rate
See page 89 for an explanation of terms.
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
86% 86–86%
*
*
93%
88%-96%
*
*
88%
86%-89%
*
*
35%Total Population1584
95%
94%-96%
31%Total Population401
94%
92%-96%
Crystal
*N/A
85%-94%N/A
*N/A
*
59%
*
*
*
*
41%Total Population 147
*
*
*
*
90%
*
*
85%-94%
*
*
93%
*
*N/A
88%-96%N/A
*N/A
80%
*
*
*
20%Total Population160
*
*
*
Eagan
Allina Medical Clinic
Allina Medical Clinic
Yankee Square Family Practice
90%
*
91%-93%N/A
*N/A
88%-91%N/A
*N/A
61%
*
69%
*
39%Total Population 2641
*
*
*
31%Total Population 2049
*
*
*
92%
*
89%
*
91%-93%
*
88%-90%
*
88%
*
94%
*
86%-89%N/A
*N/A
93%-95%N/A
*N/A
72%
*
79%
*
28%Total Population1439
*
*
*
21%Total Population1630
*
*
*
94%
93%-95%
*
*
Eden Prairie
Fairview EdenCenter Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
Park Nicollet Clinic
Park Nicollet Health Services
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
* Sufficient data not available.
140
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Consultants Internal Medicine
Consultants Internal Medicine
Confidence Interval of NonRisk Adjusted Rate
Allina Medical Clinic
Total Population or Sample
Allina Medical Clinic 56%Total Population 217
92%
91%-93%N/A
61%
39%Total Population 2641
*
Edina Family PhysiciansEdina Family Physicians
71%
Edina Sports Health & WellnessEdina Sports Health & Wellness
*
Endocrinology Clinic of MinneapolisEndocrinology Clinic of Mpls.
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Fairview Crosstown Clinic
Fairview Health Services
89%
France Avenue Family Physicians
France Avenue Family Physicians
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
One Stop Medical CenterOne Stop Medical Center
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
Quello Clinic
91%
Sharpe Dillon Cockson & Associates PASharpe, Dillon, Cockson & Associates
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
Southdale Internal Medicine, PASouthdale Internal Medicine, P.A.
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
The Schuster ClinicThe Schuster Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
UMP MN Heart Edina ClinicUniversity of Minnesota Physicians
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
91%
86%-94%
92%
91%-93%
Non-Risk Adjusted Rate
44%
86–86%
Sample Size
85%-94%N/A
86%
Commercial
90%
87–87%
Medicare
87% Overall Minnesota Clinic Average
Risk Adjusted Rate
44%
Medical
Group Name
Non-Risk Adjusted Rate
56%
Physician
clinic NAME
Sample Size
NA
See page 89 for an explanation of terms.
MN Health Care Programs
Confidence Interval of NonRisk Adjusted Rate
Allina Health System- Abbott
Allina Health System
Northwestern General Medicine Associates
Total Population or Sample
87–87%
MN Health Care Programs
87%
Medical Group
Distribution of
Patient Population
Commercial
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
89%
84%-93%N/A
67%
33%Total Population206
89%
84%-92%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Edina
Quello Clinic
*N/A
54%-83%N/A
*N/A
87%-90%N/A
86%-94%N/A
*
93%
*
52%
61%
*
*
*
7%Total Population 30
*
*
*
48%Total Population 2410
39%Total Population 187
*
63%
*
89%
91%
*
46%-78%
*
88%-90%
87%-95%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
95%
90%
94%-96%N/A
85%-94%N/A
65%
76%
35%Total Population1584
95%
94%-96%
*
*
*
*
*
*
90%
85%-94%
*
*
*
*
*
*
*
*
*
*
*
24%Total Population175
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
141
Overall Minnesota Clinic Average
31%Total Population 147
76%
69%-82%
Confidence Interval of NonRisk Adjusted Rate
69%
Non-Risk Adjusted Rate
68%-82%N/A
Sample Size
76%
86–86%
Total Population or Sample
86%
MN Health Care Programs
87–87%
Commercial
87% Risk Adjusted Rate
44%
Non-Risk Adjusted Rate
56%
Sample Size
NA
Medical Group
Distribution of
Patient Population
Medicare
Confidence Interval of NonRisk Adjusted Rate
Medical
Group Name
Total Population or Sample
87–87%
MN Health Care Programs
87%
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
95%
90%-98%N/A
81%
19%Total Population112
95%
89%-98%
Excelsior
Ridgeview Excelsior ClinicRidgeview Clinics
Farmington
Allina Medical Clinic Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Fairview Farmington Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
90%
83%-95%N/A
76%
24%Total Population 127
91%
85%-95%
89%
79%-95%N/A
88%
12%Total Population 68
90%
80%-95%
Farmington Clinic
Farmington Clinic
*
*
*
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Fairview Fridley Clinic
Fairview Health Services
92%
86%-96%N/A
55%
45%Total Population 105
92%
86%-96%
88%
77%-94%N/A
75%
25%Total Population 55
89%
78%-95%
Multicare Associates-
Fridley Medical Center
Multicare Associates
83%
77%-87%N/A
57%
43%Total Population 219
83%
77%-87%
98%
95%-99%N/A
63%
37%Total Population223
98%
95%-99%
North Memorial Clinic- North Memorial
Golden Valley Physicians
93%
89%-96%N/A
35%
65%Total Population 279
94%
90%-96%
83%
74%-89%N/A
61%
39%Total Population 90
81%
72%-88%
Park Nicollet Clinic 90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Forest Lake
Allina Medical Clinic Fridley
Golden Valley
Park Nicollet Health Services
* Sufficient data not available.
142
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Overall Minnesota Clinic Average
87% 87–87%
86%
86–86%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medical Group
Distribution of
Patient Population
Medicare
Confidence Interval of Risk
Adjusted Rate
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
87%
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
Hastings
Allina Medical Clinic - W First St
Allina Medical Clinic
*
*N/A
*
*
*
*
*
*
96%
85%-98%N/A
78%
22%Total Population 36
97%
86%-100%
Allina Medical Clinic- Nininger
Allina Medical Clinic
*
*N/A
*
*
*
*
*
*
96%
85%-98%N/A
78%
22%Total Population 36
97%
86%-100%
Aspen Medical Group
91%
88%-93%N/A
54%
46%Total Population 393
91%
88%-94%
95%
93%-97%N/A
71%
29%Total Population328
95%
93%-97%
Fairview Hugo Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
HealthEast
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
Aspen Medical Group
Aspen Medical Group
91%
88%-93%N/A
54%
46%Total Population 393
91%
88%-94%
95%
93%-97%N/A
71%
29%Total Population328
95%
93%-97%
Family HealthServices Minnesota Family HealthServices Minnesota
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
HealthPartners
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Hopkins
Aspen Medical Group Hugo
Inver Grove Heights
Inver Grove Heights Family Medical Center
Jordon
Jordon Medical Clinic
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
143
Overall Minnesota Clinic Average
87% 87–87%
86%
86–86%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medical Group
Distribution of
Patient Population
Medicare
Confidence Interval of Risk
Adjusted Rate
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
87%
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
Lakeville
Fairview Lakeville Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
FamilyHealth Medical Clinic FamilyHealth Medical Clinics
90%
83%-95%N/A
76%
24%Total Population 127
91%
85%-95%
89%
79%-95%N/A
88%
12%Total Population 68
90%
80%-95%
*
*
*
Quello Clinic
91%
86%-94%N/A
61%
39%Total Population 187
91%
87%-95%
90%
85%-94%N/A
76%
24%Total Population175
90%
85%-94%
Fairview Lino Lakes Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
HealthPartners
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
*
*
*
Lakeville Family Practice
Quello Clinic
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Lino Lakes
Little Canada
Little Canada Medical Clinic
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Maple Grove
Allina Medical Clinic
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Fairview Bass Lake Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
Fairview Maple Grove Medical Center
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
Maple Medical Center, PA
*
*
*
North ClinicNorth Clinic
90%
93%
82%-98%
*N/A
82%-95%N/A
*
71%
*
*
*
29%Total Population 94
*
90%
*
83%-95%
*
91%
* Sufficient data not available.
144
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
81%-95%N/A
*
91%
*
*
*
9%Total Population 44
88%-91%N/A
69%
Aspen Medical Group
91%
88%-93%N/A
54%
Attending Physicians
Attending Physicians
*
Family HealthServices Minnesota- Afton Road
Family HealthServices Minnesota
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
78%-89%N/A
78%
HealthEast
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
92%-96%N/A
HealthPartners
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
93%
87%-97%
31%Total Population 2049
89%
46%Total Population 393
91%
86–86%
Commercial
90%
86%
Medicare
Risk Adjusted Rate
36%Total Population 104
Non-Risk Adjusted Rate
64%
Sample Size
88%-97%N/A
87–87%
Confidence Interval of NonRisk Adjusted Rate
Aspen Medical Group
94%
87% Non-Risk Adjusted Rate
Park Nicollet Health Services
44%
Medical
Group Name
Sample Size
Park Nicollet Clinic
56%
Physician
clinic NAME
Total Population or Sample
NA
See page 89 for an explanation of terms.
MN Health Care Programs
North Memorial Clinic- North Memorial
Camden Physicians Maple Grove
Confidence Interval of NonRisk Adjusted Rate
87–87%
Total Population or Sample
87%
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Commercial
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
93%
80%-97%N/A
70%
30%Total Population 40
93%
80%-97%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
88%-94%
95%
93%-97%N/A
71%
29%Total Population328
95%
93%-97%
*
*
22%Total Population199
85%
79%-89%
69%
31%Total Population401
94%
92%-96%
76%
24%Total Population1154
96%
94%-97%
Maplewood
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
St. Paul CardiologySt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic St. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Minneapolis
Allina Health System- Abbott
Northwestern General Medicine Associates
Allina Health System
Allina Health System- Minneapolis Heart Institute
Allina Health System
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Allina Medical Clinic- Isles
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Allina Medical Clinic- Nicollet Mall
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Allina Medical Clinic- The Doctors Uptown Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
90%
85%-94%N/A
44%
56%Total Population 217
91%
86%-94%
89%
84%-93%N/A
67%
33%Total Population206
89%
84%-92%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
145
Overall Minnesota Clinic Average
88%-94%
95%
AXIS Medical Center
Axis Medical Center
*
Bloomington Lake Clinic Bloomington Lake Clinic
Boynton Health Service
Boynton Health Service
*
*N/A
*
*
*
*
*
*
*N/A
*
*
*
*
*
*N/A
*
*
*
*
94%
*
Cedar Riverside People’s Center- People’s Center Medical Clinic
Cedar Riverside People’s Center
Community University Health
Care Center
Community University Health
Care Center
Crown Medical Center
*N/A
97% 87%-100%N/A
89%-99%N/A
*N/A
*
50%
7%
*
*
*
*
50%Total Population 42
93%Total Population 361
*
*
*
*
NA
71%
29%
86% 86–86%
93%-97%N/A
71%
29%Total Population328
95%
93%-97%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
93%
88%-96%
*
*
98%
93%
*
*
Confidence Interval of NonRisk Adjusted Rate
91%
Non-Risk Adjusted Rate
46%Total Population 393
91%
Sample Size
54%
Total Population or Sample
88%-93%N/A
Aspen Medical Group
86–86%
MN Health Care Programs
86%
Commercial
87–87%
Medical Group
Distribution of
Patient Population
Medicare
87% Confidence Interval of Risk
Adjusted Rate
44%
Non-Risk Adjusted Rate
56%
Sample Size
NA
Aspen Medical Group- East Lake Street
Bruley Center
Confidence Interval of NonRisk Adjusted Rate
87–87%
Total Population or Sample
87%
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
88%-100%
90%-95%
*
89%
*
77%-100%N/A
*N/A
11%
*
89%Total Population152
*
*
*
Fairview Hiawatha Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
Fairview Northeast Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
Fairview Uptown Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
Fremont Community Health Services- Central Avenue Clinic
Fremont Community Clinics
94%
89%-99%N/A
7%
93%Total Population 361
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
Fremont Community Health Services- Fremont Clinic
Fremont Community Clinics
94%
89%-99%N/A
7%
93%Total Population 361
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
Fremont Community Health Services- Sheridan
Fremont Community Clinics
94%
89%-99%N/A
7%
93%Total Population 361
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
Green Central Medical ClinicSouthside Community Health Services 94%
89%-99%N/A
7%
93%Total Population 361
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
HealthPartners- Riverside
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
HealthPartners Clinics
* Sufficient data not available.
146
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Overall Minnesota Clinic Average
87–87%
86%
86–86%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medical Group
Distribution of
Patient Population
Medicare
87% Confidence Interval of Risk
Adjusted Rate
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
87%
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
Hennepin Faculty Associates- HCMC Family Medical Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
94%
89%-99%N/A
9%
91%Total Population 432
97%
95%-98%
88%
76%-98%N/A
12%
88%Total Population163
93%
88%-96%
Hennepin Faculty Associates- HCMC Hennepin Heart Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
94%
89%-99%N/A
9%
91%Total Population 432
97%
95%-98%
88%
76%-98%N/A
12%
88%Total Population163
93%
88%-96%
Hennepin Faculty Associates- HCMC Medicine Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
94%
89%-99%N/A
9%
91%Total Population 432
97%
95%-98%
88%
76%-98%N/A
12%
88%Total Population163
93%
88%-96%
Hennepin Faculty Associates- HCMC Positive Care Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
94%
89%-99%N/A
9%
91%Total Population 432
97%
95%-98%
88%
76%-98%N/A
12%
88%Total Population163
93%
88%-96%
Hennepin Faculty Associates- Hennepin Care South
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
94%
89%-99%N/A
9%
91%Total Population 432
97%
95%-98%
88%
76%-98%N/A
12%
88%Total Population163
93%
88%-96%
Hennepin Faculty Associates- Hennepin Faculty Associates:
Hennepin Center for Diabetes & Endocrinology HFA Clinics & HCMC Clinics
Hennepin Faculty Associates- Hennepin Faculty Associates:
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
HFA Clinics & HCMC Clinics
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Hennepin Faculty Associates- Hennepin Family Care East Lake Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
94%
89%-99%N/A
9%
91%Total Population 432
97%
95%-98%
88%
76%-98%N/A
12%
88%Total Population163
93%
88%-96%
Hennepin Faculty Associates- HFA Internal Medicine Clinic Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
94%
89%-99%N/A
9%
91%Total Population 432
97%
95%-98%
88%
76%-98%N/A
12%
88%Total Population163
93%
88%-96%
Hennepin Faculty Associates- HFA Senior Care Clinic at Augustana Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Johnson Street Medical Clinic
Johnson Street Medical Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Medical Care Services, PA
Medical Care Services
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Metropolitan Internists PA
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Native American Community ClinicNative American Community Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
North Memorial Clinic- North Memorial
Camden Physicians
94%
88%-97%N/A
64%
36%Total Population 104
93%
87%-97%
93%
80%-97%N/A
70%
30%Total Population 40
93%
80%-97%
North Memorial Clinic- North Memorial
Northeast Family Physicians
93%
89%-96%N/A
35%
65%Total Population 279
94%
90%-96%
83%
74%-89%N/A
61%
39%Total Population 90
81%
72%-88%
Hennepin Center for Senior Care
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
147
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medical Group
Distribution of
Patient Population
Medicare
Confidence Interval of Risk
Adjusted Rate
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
87%
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
Overall Minnesota Clinic Average
North Memorial Heart & Vascular InstituteNorth Memorial
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
NorthPoint Health & Wellness CenterNorthPoint Health & Wellness Center Park Avenue Family Practice
95% 84%-100%N/A
86% 86–86%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
94%
93%-95%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Ronald R Vessey MDRonald R Vessey MD
Internal Medicine Services, PA
Internal Medicine Services PA
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
93%
88%-96%
UMP MN Heart University Clinic
University of Minnesota Physicians
89%-99%N/A
7%
93%Total Population 361
89%
93%
*
29%
Riverside Family PhysiciansRiverside Family Physicians
31%Total Population 2049
*
71%
90%
94%
*
NA
Southside Medical ClinicSouthside Community Health Services *
91%-99%
86–86%
Park Nicollet Health Services
69%
*
96%
86%
*
88%-91%N/A
*
95%Total Population 111
87–87%
Park Nicollet Clinic
*N/A
5%
87% 88%-90%
90%-95%
94%
89%
93%-95%N/A
77%-100%N/A
79%
11%
21%Total Population1630
89%Total Population152
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
University of Minnesota Physicians - University of Minnesota Physicians
Broadway Family Medicine
94%
89%-99%N/A
7%
93%Total Population 428
96%
93%-97%
98%
94%-99%N/A
10%
90%Total Population 91
98%
92%-99%
University of Minnesota Physicians - University of Minnesota Physicians
Medicine Specialties Clinic 6A
94%
89%-99%N/A
7%
93%Total Population 428
96%
93%-97%
98%
94%-99%N/A
10%
90%Total Population 91
98%
92%-99%
University of Minnesota Physicians - University of Minnesota Physicians
Mill City Clinic
94%
89%-99%N/A
7%
93%Total Population 428
96%
93%-97%
98%
94%-99%N/A
10%
90%Total Population 91
98%
92%-99%
University of Minnesota Physicians - University of Minnesota Physicians
Primary Care Center
94%
89%-99%N/A
7%
93%Total Population 428
96%
93%-97%
98%
94%-99%N/A
10%
90%Total Population 91
98%
92%-99%
University of Minnesota Physicians - University of Minnesota Physicians
Smiley’s Clinic
94%
89%-99%N/A
7%
93%Total Population 428
96%
93%-97%
98%
94%-99%N/A
10%
90%Total Population 91
98%
92%-99%
North Memorial Clinic- North Memorial
Minnetonka Physicians
93%
89%-96%N/A
35%
65%Total Population 279
94%
90%-96%
83%
74%-89%N/A
61%
39%Total Population 90
81%
72%-88%
Park Nicollet Clinic- Carlson
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
Minnetonka
Park Nicollet Health Services
* Sufficient data not available.
148
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Appropriate Treatment for Children with
Upper Respiratory Infection
51%-76%N/A
87%
13%Total Population 91
63%
52%-72%
83%
73%-91%N/A
95%
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
78%-89%N/A
90%
83%-95%N/A
76%
24%Total Population 127
91%
85%-95%
89%
87%
82%-90%N/A
77%
23%Total Population 351
86%
82%-89%
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%
82%-95%N/A
71%
29%Total Population 94
92%
91%-93%N/A
61%
90%
82%-95%N/A
71%
Commercial
MN Health Care Programs
Sample Size
Medicare
86%
86–86%
NA
71%
29%
Confidence Interval of NonRisk Adjusted Rate
64%
87–87%
Non-Risk Adjusted Rate
87% Sample Size
Southern Metro Medical Clinics- Southern Metro Medical Clinics
New Prague Medical Clinic
44%
Total Population or Sample
*
56%
Commercial
NA
Medicare
Queen of Peace Hospital- Queen of Peace Hospital Outpatient Clinic Outpatient Clinic
Overall Minnesota Clinic Average
Risk Adjusted Rate
87–87%
Medical
Group Name
MN Health Care Programs
Confidence Interval of NonRisk Adjusted Rate
87%
Physician
clinic NAME
Non-Risk Adjusted Rate
See page 89 for an explanation of terms.
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
86% 86–86%
*
*
5%Total Population 95
84%
76%-90%
78%
22%Total Population199
85%
79%-89%
79%-95%N/A
88%
12%Total Population 68
90%
80%-95%
89%
85%-93%N/A
84%
16%Total Population268
90%
85%-93%
90%-95%
94%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
90%
83%-95%
91%
81%-95%N/A
91%
9%Total Population 44
93%
82%-98%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
29%Total Population 94
90%
83%-95%
91%
81%-95%N/A
91%
9%Total Population 44
93%
82%-98%
New Prague
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
North St. Paul
Family HealthServices Minnesota- North St. Paul Clinic
Family HealthServices Minnesota
Northfield
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
Norwood
Lakeview ClinicLakeview Clinic
Oakdale
HealthEast HealthEast Clinics
Osseo
North Clinic North Clinic
Plymouth
Allina Medical Clinic- West Health Campus
Allina Medical Clinic
North Clinic- WestHealth North Clinic
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
149
Overall Minnesota Clinic Average
87% 87–87%
86%
86–86%
NA
71%
29%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medical Group
Distribution of
Patient Population
Medicare
Confidence Interval of Risk
Adjusted Rate
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
87%
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
86% 86–86%
North Memorial Clinic- North Memorial
Camden Physicians Plymouth
94%
88%-97%N/A
64%
36%Total Population 104
93%
87%-97%
93%
80%-97%N/A
70%
30%Total Population 40
93%
80%-97%
North Memorial Clinic- North Memorial
Plymouth Internal Medicine
93%
89%-96%N/A
35%
65%Total Population 279
94%
90%-96%
83%
74%-89%N/A
61%
39%Total Population 90
81%
72%-88%
Northwest Family PhysicansNorthwest Family Physicians
90%
85%-94%N/A
59%
41%Total Population 147
90%
85%-94%
93%
88%-96%N/A
80%
20%Total Population160
93%
88%-96%
Park Nicollet Clinic
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
74%
58%-85%N/A
70%
30%Total Population 40
78%
62%-88%
78%
65%-87%N/A
92%
8%Total Population 49
78%
64%-87%
Park Nicollet Health Services
Prior Lake
Allina Medical Clinic- Crossroads Prior Lake
Allina Medical Clinic
Fairview RidgeValley Clinic
Fairview Health Services
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
Park Nicollet Clinic Park Nicollet Health Services
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
*
*
*
North Clinic- Oakdale OfficeNorth Clinic
90%
93%
82%-98%
Robbinsdale Clinic, PARobbinsdale Clinic, PA
*
*
*
Ramsey
Allina Medical Clinic
Richfield
Allina Medical Clinic
Richfield Medical GroupRichfield Medical Group
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Robbinsdale
82%-95%N/A
*N/A
71%
*
29%Total Population 94
*
*
*
90%
*
83%-95%
*
91%
*
* Sufficient data not available.
150
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
81%-95%N/A
*N/A
91%
*
9%Total Population 44
*
*
*
85%-94%N/A
59%
89%
87%-90%N/A
52%
*
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
83%
77%-87%N/A
57%
43%Total Population 219
83%
77%-87%
98%
95%-99%N/A
63%
*
Quello Clinic
91%
86%-94%N/A
61%
39%Total Population 187
91%
87%-95%
90%
85%-94%N/A
76%
Allina Medical Clinic Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
Allina Medical Clinic- Crossroads Shakopee Dean Lakes
Allina Medical Clinic
74%
58%-85%N/A
70%
30%Total Population 40
78%
62%-88%
78%
Park Nicollet Clinic
Park Nicollet Health Services
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
41%Total Population 147
90%
48%Total Population 2410
89%
Confidence Interval of NonRisk Adjusted Rate
90%
88%-90%
Non-Risk Adjusted Rate
89%
86–86%
Sample Size
48%Total Population 2410
86%
Total Population or Sample
52%
87–87%
Commercial
87%-90%N/A
87% Medicare
89%
Overall Minnesota Clinic Average
Risk Adjusted Rate
44%
Medical
Group Name
Non-Risk Adjusted Rate
56%
Physician
clinic NAME
Sample Size
NA
See page 89 for an explanation of terms.
MN Health Care Programs
Confidence Interval of NonRisk Adjusted Rate
Total Population or Sample
87–87%
MN Health Care Programs
87%
Medical Group
Distribution of
Patient Population
Commercial
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
85%-94%
93%
88%-96%N/A
80%
20%Total Population160
93%
88%-96%
88%-90%
95%
94%-96%N/A
65%
35%Total Population1584
95%
94%-96%
*
*
24%Total Population1154
96%
94%-97%
37%Total Population223
98%
95%-99%
*
*
24%Total Population175
90%
85%-94%
72%
28%Total Population1439
88%
86%-89%
65%-87%N/A
92%
8%Total Population 49
78%
64%-87%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
Rogers
Fairview Rogers Clinic
Fairview Health Services
Northwest Family PhysiciansNorthwest Family Physicians
Rosemount
Fairview Rosemount Clinic
Fairview Health Services
Rosemount Family Physicians
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Roseville
HealthPartners- North Suburban Roseville
HealthPartners Clinics
Multicare Associates- Roseville Medical Center
Multicare Associates
Richard Schoewe, MDRichard Schoewe MD
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Savage
Quello Clinic
Shakopee
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
151
Overall Minnesota Clinic Average
86–86%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
86%
MN Health Care Programs
87–87%
Commercial
87% Medical Group
Distribution of
Patient Population
Medicare
44%
Confidence Interval of Risk
Adjusted Rate
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
87%
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
Shoreview
Allina Medical Clinic
Allina Medical Clinic
92%
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
Family HealthServices Minnesota
Family HealthServices Minnesota
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
One Stop Medical CenterOne Stop Medical Center
*
*
*
Silver Lake ClinicSilver Lake Clinic
91%
78%-97%N/A
78%
22%Total Population 45
91%
79%-96%
97%
88%-97%N/A
86%
14%Total Population 37
100%
91%-100%
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
76%
68%-82%N/A
69%
31%Total Population 147
76%
69%-82%
95%
90%-98%N/A
81%
19%Total Population112
95%
89%-98%
91%
78%-97%N/A
78%
22%Total Population 45
91%
79%-96%
97%
88%-97%N/A
86%
14%Total Population 37
100%
91%-100%
*
*
*
96%
96%
94%-97%
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Shorewood
Park Nicollet Clinic
Park Nicollet Health Services
Spring Park
Ridgeview Westonka ClinicRidgeview Clinics
St. Anthony
Silver Lake ClinicSilver Lake Clinic
St. Francis
St. Francis Medical Clinic
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
St. Louis Park
HealthPartners- West
Integrative Options
HealthPartners Clinics
95%-96%N/A
*N/A
55%
*
45%Total Population 2252
*
*
*
96%
*
95%-96%
*
96%
*
* Sufficient data not available.
152
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
94%-97%N/A
*N/A
76%
*
24%Total Population1154
*
*
*
Appropriate Treatment for Children with
Upper Respiratory Infection
Confidence Interval of NonRisk Adjusted Rate
Confidence Interval of NonRisk Adjusted Rate
Park Nicollet Health Services
90%
Park Nicollet Clinic- Heart and Vascular
Park Nicollet Health Services
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic- St. Louis Park Endocrinology
Park Nicollet Health Services
Park Nicollet Clinic-
St. Louis Park Family Medicine
Park Nicollet Health Services
Park Nicollet Clinic- St. Louis Park Internal Medicine
Park Nicollet Health Services
Steven Saliterman, MDSteven Saliterman, MD
Commercial
MN Health Care Programs
69%
*
*
Sample Size
Medicare
88%-91%N/A
*
*
31%Total Population 2049
*
89%
87–87%
*
88%-90%
86%
*
94%
86–86%
NA
*N/A
93%-95%N/A
71%
*
79%
29%
*
*
*
21%Total Population1630
Non-Risk Adjusted Rate
Park Nicollet Clinic- Creekside
*N/A
87% Sample Size
*
44%
Total Population or Sample
56%
MN Health Care Programs
Life MedicalLife Medical
NA
Commercial
87–87%
Medicare
87%
Medical
Group Name
Risk Adjusted Rate
Physician
clinic NAME
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
86% 86–86%
*
*
94%
93%-95%
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
90%
88%-91%N/A
69%
31%Total Population 2049
89%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
St. Paul
Adult Medicine, PA
Adult Medicine, PA
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Advanced Medical Clinic, Inc
Advanced Medical Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- United Medical Specialties
Allina Medical Clinic
92%
88%
86%-89%
*
*
*
Arcade Medical Clinic
91%-93%N/A
*N/A
61%
*
39%Total Population 2641
*
*
*
92%
*
91%-93%
*
88%
*
86%-89%N/A
*N/A
72%
*
28%Total Population1439
*
*
*
Aspen Medical Group- Bandana Square
Aspen Medical Group
91%
88%-93%N/A
54%
46%Total Population 393
91%
88%-94%
95%
93%-97%N/A
71%
29%Total Population328
95%
93%-97%
Aspen Medical Group- Highland
Aspen Medical Group
91%
88%-93%N/A
54%
46%Total Population 393
91%
88%-94%
95%
93%-97%N/A
71%
29%Total Population328
95%
93%-97%
Boynton Health Service Boynton Health Service
*
*
*
Children’s Speciality Clinic
Children’s Hospitals and Clinics
of Minnesota
94%
96%
95%-97%
*N/A
93%-95%N/A
*
71%
*
*
*
29%Total Population 4823
*
94%
*
93%-94%
*
96%
*N/A
95%-96%N/A
*
77%
*
*
*
23%Total Population3577
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
153
Appropriate Treatment for Children with
Upper Respiratory Infection
*
*
*
*
*
*
*N/A
*
*
*
Dr Bobby Yang Medical Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
89%
87%-90%N/A
52%
48%Total Population 2410
89%
88%-90%
95%
94%-96%N/A
65%
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
78%-89%N/A
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
Gillette Children’s Specialty HealthcareGillette Children’s
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
Gillette Lifetime Specialty HealthcareGillette Children’s
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
HealthEast- Downtown St. Paul
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
92%-96%N/A
69%
HealthEast- Grand Avenue
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
92%-96%N/A
HealthEast- Midway
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
HealthEast- Rice Street
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
HealthEast- Roselawn
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
HealthEast- St Anthony Park
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
HealthPartners- Center for International Health
HealthPartners Clinics
96%
95%-96%N/A
55%
HealthPartners- Como
HealthPartners Clinics
96%
95%-96%N/A
55%
Fairview Highland Park Clinic
Fairview Health Services
Family HealthServices Minnesota- Highland Family Physicians
Family HealthServices Minnesota
Family HealthServices Minnesota-
Larpenteur Clinic
Family HealthServices Minnesota
Family HealthServices Minnesota- Maryland Clinic
Family HealthServices Minnesota
Commercial
MN Health Care Programs
Sample Size
Medicare
86%
86% 86–86%
*
*
*
*
*
*
35%Total Population1584
95%
94%-96%
78%
22%Total Population199
85%
79%-89%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
*
*
*
*
*
*
31%Total Population401
94%
92%-96%
69%
31%Total Population401
94%
92%-96%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
94%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
90%-95%
94%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
93%
90%-95%
94%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
* Sufficient data not available.
154
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
86–86%
NA
71%
29%
Confidence Interval of NonRisk Adjusted Rate
*
87–87%
Non-Risk Adjusted Rate
*N/A
87% Total Population or Sample
*
44%
MN Health Care Programs
56%
Commercial
Donald E Gehrig, MD, Donald E Gehrig, MD,
Internal Medicine, LLC Internal Medicine, LLC
NA
Medicare
87–87%
Risk Adjusted Rate
87%
Medical
Group Name
Sample Size
Confidence Interval of NonRisk Adjusted Rate
Physician
clinic NAME
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
Overall Minnesota Clinic Average
87–87%
86%
86–86%
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Medical Group
Distribution of
Patient Population
Medicare
87% Confidence Interval of Risk
Adjusted Rate
44%
Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
56%
Non-Risk Adjusted Rate
NA
Sample Size
87–87%
Total Population or Sample
87%
Medical
Group Name
MN Health Care Programs
Physician
clinic NAME
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
HealthPartners- Health Center for Women
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
HealthPartners- Health Specialty Center
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
HealthPartners- Midway
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
HealthPartners- Specialty Center
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
HealthPartners- St. Paul
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
Metropolitan Medical Associates
Metropolitan Medical Associates
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Midway Family Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
New Americans Community Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Open Cities Health Center- DunlapOpen Cities Health Center
94%
89%-99%N/A
7%
93%Total Population 361
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
Open Cities Health Center- NorthendOpen Cities Health Center
94%
89%-99%N/A
7%
93%Total Population 361
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
Parkway Family Physicians
*
*N/A
*
*
*
*
*
*
93%
77%-98%N/A
63%
37%Total Population 30
93%
79%-98%
St Paul Family Medical Center
*
*N/A
*
*
*
*
*
*
*
*
*
St. Paul Cardiology St. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic- DowntownSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
United Family MedicineUnited Family Medicine
93%
83%-98%N/A
24%
76%Total Population 87
94%
87%-98%
99%
89%-99%N/A
31%
69%Total Population 36
97%
86%-100%
University of Minnesota Physicians - University of Minnesota Physicians
Bethesda Clinic
94%
89%-99%N/A
7%
93%Total Population 428
96%
93%-97%
98%
94%-99%N/A
10%
90%Total Population 91
98%
92%-99%
Parkway Family Physicians
*N/A
*
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
155
West Side Community Health Services- McDonough Homes Clinic
West Side Community Health Services
89%-99%N/A
7%
93%Total Population 361
93%
94%
89%-99%N/A
7%
93%Total Population 361
94%
89%-99%N/A
7%
93%Total Population 361
*
Medicare
94%
Xoua Thao Medical Center
*N/A
*
*
*
*
Risk Adjusted Rate
93%-97%
Non-Risk Adjusted Rate
96%
Sample Size
93%Total Population 428
89%-99%N/A
Confidence Interval of NonRisk Adjusted Rate
West Side Community Health Services
7%
94%
NA
71%
29%
86% 86–86%
98%
94%-99%N/A
10%
90%Total Population 91
98%
92%-99%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
93%
88%-96%
*
*
93%
88%-96%
*
*
*
86–86%
Non-Risk Adjusted Rate
West Side Community Health Services- La Clinica
86%
Sample Size
West Side Community Health Services
87–87%
Total Population or Sample
West Side Community Health Services- East Side Family Clinic
87% MN Health Care Programs
44%
Commercial
University of Minnesota Physicians - University of Minnesota Physicians
Phalen Clinic
56%
NA
Medical
Group Name
Medical Group
Distribution of
Patient Population
Medicare
87–87%
Confidence Interval of NonRisk Adjusted Rate
87%
Total Population or Sample
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Physician
clinic NAME
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Commercial
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
*N/A
*
*
*
*
Stillwater
St Croix Family Medical ClinicSouthside Community Health Services 94%
89%-99%N/A
7%
93%Total Population 361
93%
90%-95%
89%
77%-100%N/A
11%
89%Total Population152
St Paul Heart Clinic- Lakeview Heart CenterSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Stillwater Medical Group- Curve Crest ClinicStillwater Medical Group
92%
88%-95%N/A
89%
11%Total Population 443
91%
87%-93%
95%
93%-97%N/A
87%
13%Total Population405
95%
93%-97%
Vadnais Heights
Family HealthServices Minnesota
Family HealthServices Minnesota
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
HealthEast
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
87%
82%-90%N/A
77%
23%Total Population 351
86%
82%-89%
89%
85%-93%N/A
84%
16%Total Population268
90%
85%-93%
*
75%
59%-85%N/A
86%
14%Total Population 36
75%
59%-86%
Waconia
Lakeview ClinicLakeview Clinic
Watertown
Catalyst Medical Clinic
Catalyst Medical Clinic
*N/A
*
*
*
*
*
*
* Sufficient data not available.
156
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Family HealthServices Minnesota- Gorman Clinic
Family HealthServices Minnesota
90%
88%-91%N/A
69%
92%
91%-93%N/A
88%
84%-91%N/A
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
86%
86%
82%-89%
31%Total Population 2049
89%
61%
39%Total Population 2641
66%
34%Total Population 384
86–86%
Commercial
23%Total Population 351
87–87%
Medicare
77%
Risk Adjusted Rate
82%-90%N/A
Non-Risk Adjusted Rate
87%
Sample Size
87% Confidence Interval of NonRisk Adjusted Rate
Allina Medical Clinic
44%
Non-Risk Adjusted Rate
Allina Medical Clinic 56%
Sample Size
Park Nicollet Health Services
Total Population or Sample
NA
Medical
Group Name
MN Health Care Programs
Lakeview ClinicLakeview Clinic
Confidence Interval of NonRisk Adjusted Rate
87–87%
Total Population or Sample
87%
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Commercial
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Physician
clinic NAME
Medical Group
Distribution of
Patient Population
Appropriate Testing for Children with Pharyngitis
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Confidence Interval of Risk
Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
89%
85%-93%N/A
84%
16%Total Population268
90%
85%-93%
88%-90%
94%
93%-95%N/A
79%
21%Total Population1630
94%
93%-95%
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
88%
86%-89%
88%
84%-90%
84%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
*
*
*
*
*
*
Wayzata
Park Nicollet Clinic
West St. Paul
Reshi Medical
White Bear Lake
AALFA Family Clinic
AALFA Family Clinic
*
Aspen Medical Group Aspen Medical Group
91%
88%-93%N/A
54%
46%Total Population 393
91%
88%-94%
95%
93%-97%N/A
71%
29%Total Population328
95%
93%-97%
Family HealthServices Minnesota
Family HealthServices Minnesota
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
Family HealthServices Minnesota- Banning Avenue
Family HealthServices Minnesota
88%
84%-91%N/A
66%
34%Total Population 384
88%
84%-90%
84%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
HealthPartners
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
*
*
*
92%
88%
86%-89%
LifeSteps Family Physicians, PALifesteps Family Physicians
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
Woodbury
Allina Medical Clinic
Allina Medical Clinic
91%-93%N/A
61%
39%Total Population 2641
92%
91%-93%
88%
86%-89%N/A
72%
28%Total Population1439
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
157
34%Total Population 384
88%
Confidence Interval of NonRisk Adjusted Rate
66%
Non-Risk Adjusted Rate
84%-91%N/A
Sample Size
88%
84%-90%
Total Population or Sample
88%
MN Health Care Programs
34%Total Population 384
86–86%
Commercial
66%
86%
Medical Group
Distribution of
Patient Population
Medicare
84%-91%N/A
87–87%
Confidence Interval of Risk
Adjusted Rate
88%
87% Appropriate Testing for Children with Pharyngitis
Confidence Interval of NonRisk Adjusted Rate
44%
Sample Size
56%
Non-Risk Adjusted Rate
NA
Medical
Group Name
Overall Minnesota Clinic Average
Total Population or Sample
87–87%
MN Health Care Programs
87%
Commercial
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Medical Group
Distribution of
Patient Population
Medicare
Risk Adjusted Rate
Appropriate Treatment for Children with
Upper Respiratory Infection
Risk Adjusted Rate
Quality of Care for
Acute Conditions
NA
71%
29%
86% 86–86%
84%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
84%-90%
84%
78%-89%N/A
78%
22%Total Population199
85%
79%-89%
Family HealthServices Minnesota
Family HealthServices Minnesota
Family HealthServices Minnesota- Woodlane Family Practice
Family HealthServices Minnesota
HealthEast
HealthEast Clinics
93%
90%-95%N/A
62%
38%Total Population 414
93%
90%-95%
94%
92%-96%N/A
69%
31%Total Population401
94%
92%-96%
HealthPartners
HealthPartners Clinics
96%
95%-96%N/A
55%
45%Total Population 2252
96%
95%-96%
96%
94%-97%N/A
76%
24%Total Population1154
96%
94%-97%
Ilko Family Medicine
*
*
*
St. Paul Cardiology- Woodwinds OfficeSt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
*N/A
*
*
*
*
*
*
*
* Sufficient data not available.
158
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
*
*
*
*
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19%
19–20%
Total Population or Sample
87%
13%
19% 19–20%
*
*
*
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
Andover
Fairview Andover Clinic
Fairview Health Services
*
HealthPartners- RiverWay HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
Apple Valley Medical Clinic
Apple Valley Medical Clinic
57%
43%-70%N/A
97%
3%Total Population
35
63%
46%-77%
Fairview CedarRidge Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
HealthPartners
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
*
*
*
*
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
11%
6%-19%N/A
97%
3%Total Population
70
10%
5%-19%
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
*N/A
*
*
*
Anoka
HealthPartners- RiverWay Apple Valley
MD Physicals Incorporated
*N/A
*
*
*
Arden Hills
HealthPartners
HealthPartners Clinics
Belle Plaine
Southern Metro Medical ClinicsSouthern Metro Medical Clinics
Blaine
Allina Medical Clinic
Allina Medical Clinic
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
159
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
Fairview Blaine Clinic
Fairview Health Services
Multicare Associates- Blaine Medical Center
Multicare Associates
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Bloomington
Aspen Medical Group
Aspen Medical Group
25%
21%-29%N/A
90%
10%Total Population
373
25%
21%-29%
Bloomington Lake Clinic- Xerxes
Bloomington Lake Clinic
16%
9%-27%N/A
75%
25%Total Population
64
16%
9%-26%
Fairview Oxboro Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
HealthPartners
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
Park Nicollet Clinic
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
HealthPartners
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
Hennepin Faculty Associates- Hennepin Care North
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
45%
28%-63%N/A
68%
32%Total Population
31
48%
32%-65%
North Memorial Clinic- North Memorial
Brooklyn Center Physicians
17%
11%-25%N/A
86%
14%Total Population
115
17%
12%-25%
Park Nicollet Clinic
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
Allina Medical Clinic
Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Fairview Brooklyn Park Clinic
Fairview Health Services
*
*
*
*
Brooklyn Center
Brooklyn Park
*N/A
*
*
* Sufficient data not available.
160
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
North Memorial Clinic- North Memorial
Brooklyn Park Physicians
19%
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
17%
11%-25%N/A
86%
14%Total Population
115
17%
12%-25%
Burnsville
Burnsville Family Physicians
Burnsville Family Physicians
40%
30%-52%N/A
98%
2%Total Population
58
43%
31%-56%
Fairview Ridges Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Park Nicollet Clinic
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
Quello Clinic Quello Clinic
14%
10%-20%N/A
88%
12%Total Population
197
14%
10%-20%
UMP MN Heart Burnsville ClinicUniversity of Minnesota Physicians
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Champlin
Allina Medical Clinic
Allina Medical Clinic
Team Health Care Clinic
14%
*
13%-15%N/A
*N/A
89%
*
11%Total Population
*
*
2739
14%
13%-15%
*
*
*
Chanhassen
Park Nicollet Clinic
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
Quello Clinic Quello Clinic
14%
10%-20%N/A
88%
12%Total Population
197
14%
10%-20%
14%
10%-19%N/A
97%
3%Total Population
205
14%
10%-20%
*
*
*
*
Ridgeview Chanhassen ClinicRidgeview Clinics
Chaska
Allina Medical Clinic- Crossroads Chaska
Allina Medical Clinic
*N/A
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
161
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
Fairview Jonathan Clinic
Fairview Health Services
19–20%
87%
13%
19% 19–20%
Sample Size
NA
Total Population or Sample
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Lakeview ClinicLakeview Clinic
16%
10%-23%N/A
89%
11%Total Population
134
16%
10%-23%
Valley Family PracticeValley Family Practice
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Columbia Heights
Fairview Columbia Heights Clinic
Fairview Health Services
Coon Rapids
Allina Health System- Metropolitan Heart & Vascular Institute
Allina Health System
Allina Health System- Midwest Internal Medicine
Allina Health System
Allina Medical Clinic Allina Medical Clinic
N/AN/AN/AN/AN/AN/AN/AN/AN/A
21%
16%-28%N/A
71%
29%Total Population
216
22%
17%-28%
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Anoka Area Family Medicine Clinic
*
*N/A
*
*
*
*
*
*
Dr. Jerrol NollerDr. Jerrol Noller
*
*N/A
*
*
*
*
*
*
HealthPartners 22%
665
22%
19%-26%
HealthPartners Clinics
Twin Cities Heart and Lung
19%-26%N/A
92%
8%Total Population
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Cottage Grove
Allina Medical Clinic
Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
HealthEast HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
* Sufficient data not available.
162
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
Crystal
New Hope-Crystal Medical Clinic
*
Northwest Family PhysiciansNorthwest Family Physicians
22%
One Stop Medical CenterOne Stop Medical Center
*
14%
Eagan Child and Family CareEagan Child and Family Care
*
Fairview Eagan Clinic
Fairview Health Services
20%
18%-22%N/A
88%
HealthEast
HealthEast Clinics
21%
14%-30%N/A
90%
Minnesota Center for Obesity, Metabolism, and Endocrinology (MNCOME)
Minnesota Center for Obesity,
Metabolism, and Endocrinology (MNCOME)
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic
Park Nicollet Health Services
14%
*
*N/A
16%-29%N/A
*N/A
*
90%
*
*
*
*
*
*
157
22%
16%-29%
*
*
*
2739
14%
13%-15%
*
*
*
12%Total Population
1867
20%
18%-22%
10%Total Population
105
21%
14%-30%
10%Total Population
*
*
Eagan
Allina Medical Clinic
Allina Medical Clinic
Yankee Square Family Practice
13%-15%N/A
*N/A
12%-15%N/A
*N/A
89%
*
94%
*
11%Total Population
*
*
6%Total Population
*
*
2126
14%
13%-16%
*
*
*
Eden Prairie
Fairview EdenCenter Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Park Nicollet Clinic
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
163
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
87%
13%
19% 19–20%
Sample Size
NA
Total Population or Sample
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
Edina
Allina Health System- Abbott
Allina Health System
Northwestern General Medicine Associates
21%
16%-28%N/A
71%
29%Total Population
216
22%
17%-28%
Allina Medical Clinic Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Consultants Internal Medicine
Consultants Internal Medicine
*
*
*
*
Edina Family PhysiciansEdina Family Physicians
14%
10%-20%N/A
96%
4%Total Population
209
14%
10%-20%
Edina Sports Health & WellnessEdina Sports Health & Wellness
13%
7%-25%N/A
98%
2%Total Population
41
12%
5%-26%
Endocrinology Clinic of MinneapolisEndocrinology Clinic of Mpls.
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Fairview Crosstown Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
France Avenue Family Physicians
France Avenue Family Physicians
16%
10%-24%N/A
97%
3%Total Population
90
16%
9%-24%
One Stop Medical CenterOne Stop Medical Center
*
*
*
*
Quello Clinic
14%
197
14%
10%-20%
Sharpe Dillon Cockson & Associates PASharpe, Dillon, Cockson & Associates
*
*N/A
*
*
*
*
*
*
Southdale Internal Medicine, PASouthdale Internal Medicine, P.A.
*
*N/A
*
*
*
*
*
*
The Schuster ClinicThe Schuster Clinic
*
*N/A
*
*
*
*
*
*
UMP MN Heart Edina ClinicUniversity of Minnesota Physicians
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Quello Clinic
*N/A
*N/A
10%-20%N/A
*
*
88%
*
*
*
12%Total Population
* Sufficient data not available.
164
*
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19%
19–20%
87%
13%
19% 19–20%
Sample Size
NA
Total Population or Sample
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
Excelsior
Ridgeview Excelsior ClinicRidgeview Clinics
14%
10%-19%N/A
97%
3%Total Population
205
14%
10%-20%
Farmington
Allina Medical Clinic Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Fairview Farmington Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
25%
15%-39%N/A
89%
11%Total Population
45
24%
14%-39%
Farmington Clinic
Farmington Clinic
*
*
*
*
Allina Medical Clinic
14%
2739
14%
13%-15%
Fairview Fridley Clinic
Fairview Health Services
*
*N/A
*
*
*
*
*
*
Multicare Associates-
Fridley Medical Center
Multicare Associates
*
*N/A
*
*
*
*
*
*
North Memorial Clinic- North Memorial
Golden Valley Physicians
17%
11%-25%N/A
86%
14%Total Population
115
17%
12%-25%
Park Nicollet Clinic 14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
*N/A
*
*
*
Forest Lake
Allina Medical Clinic 13%-15%N/A
89%
11%Total Population
Fridley
Golden Valley
Park Nicollet Health Services
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
165
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
Hastings
Allina Medical Clinic - W First St
Allina Medical Clinic
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- Nininger
Allina Medical Clinic
*
*N/A
*
*
*
*
*
*
Aspen Medical Group
25%
21%-29%N/A
90%
10%Total Population
373
25%
21%-29%
Fairview Hugo Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
HealthEast
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
Aspen Medical Group
Aspen Medical Group
25%
21%-29%N/A
90%
10%Total Population
373
25%
21%-29%
Family HealthServices Minnesota Family HealthServices Minnesota
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
HealthPartners
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Hopkins
Aspen Medical Group Hugo
Inver Grove Heights
Inver Grove Heights Family Medical Center
Jordon
Jordon Medical Clinic
* Sufficient data not available.
166
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19%
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
Lakeville
Fairview Lakeville Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
FamilyHealth Medical Clinic FamilyHealth Medical Clinics
25%
15%-39%N/A
89%
11%Total Population
45
24%
14%-39%
*
*
*
*
Quello Clinic
14%
10%-20%N/A
88%
12%Total Population
197
14%
10%-20%
Fairview Lino Lakes Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
HealthPartners
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
*
*
*
*
Lakeville Family Practice
Quello Clinic
*N/A
*
*
*
Lino Lakes
Little Canada
Little Canada Medical Clinic
*N/A
*
*
*
Maple Grove
Allina Medical Clinic
Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Fairview Bass Lake Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Fairview Maple Grove Medical Center
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Maple Medical Center, PA
*
*
*
*
North ClinicNorth Clinic
17%
141
17%
12%-24%
*N/A
12%-23%N/A
*
97%
*
*
3%Total Population
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
167
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19%
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
North Memorial Clinic- North Memorial
Camden Physicians Maple Grove
28%
21%-37%N/A
97%
3%Total Population
129
29%
22%-37%
Park Nicollet Clinic
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
Aspen Medical Group
Aspen Medical Group
25%
21%-29%N/A
90%
10%Total Population
373
25%
21%-29%
Attending Physicians
Attending Physicians
*
*
*
*
Family HealthServices Minnesota- Afton Road
Family HealthServices Minnesota
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
HealthEast
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
HealthPartners
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
Maplewood
*
*N/A
*
*
St. Paul CardiologySt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic St. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Minneapolis
Allina Health System- Abbott
Northwestern General Medicine Associates
Allina Health System
Allina Health System- Minneapolis Heart Institute
Allina Health System
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Allina Medical Clinic- Isles
Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Allina Medical Clinic- Nicollet Mall
Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Allina Medical Clinic- The Doctors Uptown Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
21%
16%-28%N/A
71%
29%Total Population
* Sufficient data not available.
168
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
216
22%
17%-28%
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
Total Population or Sample
87%
13%
Aspen Medical Group- East Lake Street
Aspen Medical Group
25%
AXIS Medical Center
Axis Medical Center
*
Bloomington Lake Clinic Bloomington Lake Clinic
16%
Boynton Health Service
Boynton Health Service
*
*N/A
*
*
*
*N/A
*
*
*N/A
*
47%
*
Bruley Center
Cedar Riverside People’s Center- People’s Center Medical Clinic
Cedar Riverside People’s Center
Community University Health
Care Center
Community University Health
Care Center
Crown Medical Center
21%-29%N/A
*N/A
9%-27%N/A
36%-58%N/A
*N/A
90%
*
75%
60%
*
Sample Size
NA
10%Total Population
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
373
25%
21%-29%
*
*
*
64
16%
9%-26%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
101
47%
37%-56%
*
*
*
*
*
25%Total Population
40%Total Population
*
*
Fairview Hiawatha Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Fairview Northeast Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Fairview Uptown Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Fremont Community Health Services- Central Avenue Clinic
Fremont Community Clinics
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
Fremont Community Health Services- Fremont Clinic
Fremont Community Clinics
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
Fremont Community Health Services- Sheridan
Fremont Community Clinics
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
Green Central Medical ClinicSouthside Community Health Services
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
HealthPartners- Riverside
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
HealthPartners Clinics
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
169
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
Hennepin Faculty Associates- HCMC Family Medical Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
45%
28%-63%N/A
68%
32%Total Population
31
48%
32%-65%
Hennepin Faculty Associates- HCMC Hennepin Heart Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
45%
28%-63%N/A
68%
32%Total Population
31
48%
32%-65%
Hennepin Faculty Associates- HCMC Medicine Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
45%
28%-63%N/A
68%
32%Total Population
31
48%
32%-65%
Hennepin Faculty Associates- HCMC Positive Care Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
45%
28%-63%N/A
68%
32%Total Population
31
48%
32%-65%
Hennepin Faculty Associates- Hennepin Care South
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
45%
28%-63%N/A
68%
32%Total Population
31
48%
32%-65%
Hennepin Faculty Associates- Hennepin Faculty Associates:
Hennepin Center for Diabetes & Endocrinology HFA Clinics & HCMC Clinics
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Hennepin Faculty Associates:
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Hennepin Faculty Associates- Hennepin Family Care East Lake Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
45%
28%-63%N/A
68%
32%Total Population
31
48%
32%-65%
Hennepin Faculty Associates- HFA Internal Medicine Clinic Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
45%
28%-63%N/A
68%
32%Total Population
31
48%
32%-65%
Hennepin Faculty Associates- HFA Senior Care Clinic at Augustana Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Johnson Street Medical Clinic
Johnson Street Medical Clinic
*
*N/A
*
*
*
*
*
*
Medical Care Services, PA
Medical Care Services
*
*N/A
*
*
*
*
*
*
Metropolitan Internists PA
*
*N/A
*
*
*
*
*
*
Native American Community ClinicNative American Community Clinic
*
*N/A
*
*
*
*
*
*
North Memorial Clinic- North Memorial
Camden Physicians
28%
21%-37%N/A
97%
3%Total Population
129
29%
22%-37%
North Memorial Clinic- North Memorial
Northeast Family Physicians
17%
11%-25%N/A
86%
14%Total Population
115
17%
12%-25%
Hennepin Faculty Associates- Hennepin Center for Senior Care
HFA Clinics & HCMC Clinics
* Sufficient data not available.
170
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19%
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
North Memorial Heart & Vascular InstituteNorth Memorial
N/AN/AN/AN/AN/AN/AN/AN/AN/A
NorthPoint Health & Wellness CenterNorthPoint Health & Wellness Center
*
*N/A
*
*
*
*
*
*
Park Avenue Family Practice
*
*N/A
*
*
*
*
*
*
Park Nicollet Health Services
14%
2126
14%
13%-16%
Riverside Family PhysiciansRiverside Family Physicians
*
*N/A
*
*
*
*
*
*
Ronald R Vessey MDRonald R Vessey MD
Internal Medicine Services, PA
Internal Medicine Services PA
*
*N/A
*
*
*
*
*
*
Southside Medical ClinicSouthside Community Health Services
47%
101
47%
37%-56%
UMP MN Heart University Clinic
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic
University of Minnesota Physicians
12%-15%N/A
36%-58%N/A
94%
60%
6%Total Population
40%Total Population
University of Minnesota Physicians - University of Minnesota Physicians
Broadway Family Medicine
19%
12%-30%N/A
69%
31%Total Population
71
24%
16%-35%
University of Minnesota Physicians - University of Minnesota Physicians
Medicine Specialties Clinic 6A
19%
12%-30%N/A
69%
31%Total Population
71
24%
16%-35%
University of Minnesota Physicians - University of Minnesota Physicians
Mill City Clinic
19%
12%-30%N/A
69%
31%Total Population
71
24%
16%-35%
University of Minnesota Physicians - University of Minnesota Physicians
Primary Care Center
19%
12%-30%N/A
69%
31%Total Population
71
24%
16%-35%
University of Minnesota Physicians - University of Minnesota Physicians
Smiley’s Clinic
19%
12%-30%N/A
69%
31%Total Population
71
24%
16%-35%
North Memorial Clinic- North Memorial
Minnetonka Physicians
17%
11%-25%N/A
86%
14%Total Population
115
17%
12%-25%
Park Nicollet Clinic- Carlson
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
Minnetonka
Park Nicollet Health Services
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
171
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
New Prague
Queen of Peace Hospital- Queen of Peace Hospital Outpatient Clinic Outpatient Clinic
*
Southern Metro Medical Clinics- Southern Metro Medical Clinics
New Prague Medical Clinic
11%
6%-19%N/A
97%
25%
22%-29%N/A
25%
*N/A
*
*
*
*
*
*
3%Total Population
70
10%
5%-19%
93%
7%Total Population
590
25%
22%-29%
15%-39%N/A
89%
11%Total Population
45
24%
14%-39%
16%
10%-23%N/A
89%
11%Total Population
134
16%
10%-23%
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
17%
12%-23%N/A
97%
3%Total Population
141
17%
12%-24%
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
17%
12%-23%N/A
97%
3%Total Population
141
17%
12%-24%
North St. Paul
Family HealthServices Minnesota- North St. Paul Clinic
Family HealthServices Minnesota
Northfield
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
Norwood
Lakeview ClinicLakeview Clinic
Oakdale
HealthEast HealthEast Clinics
Osseo
North Clinic North Clinic
Plymouth
Allina Medical Clinic- West Health Campus
Allina Medical Clinic
North Clinic- WestHealth North Clinic
* Sufficient data not available.
172
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
87%
13%
19% 19–20%
Sample Size
NA
Total Population or Sample
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
North Memorial Clinic- North Memorial
Camden Physicians Plymouth
28%
21%-37%N/A
97%
3%Total Population
129
29%
22%-37%
North Memorial Clinic- North Memorial
Plymouth Internal Medicine
17%
11%-25%N/A
86%
14%Total Population
115
17%
12%-25%
Northwest Family PhysicansNorthwest Family Physicians
22%
16%-29%N/A
90%
10%Total Population
157
22%
16%-29%
Park Nicollet Clinic
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
*
*
*
*
Park Nicollet Health Services
Prior Lake
Allina Medical Clinic- Crossroads Prior Lake
Allina Medical Clinic
Fairview RidgeValley Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
Park Nicollet Clinic Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
16%
10%-26%N/A
98%
2%Total Population
62
16%
9%-27%
North Clinic- Oakdale OfficeNorth Clinic
17%
12%-23%N/A
97%
3%Total Population
141
17%
12%-24%
Robbinsdale Clinic, PARobbinsdale Clinic, PA
*
*
*
*
*N/A
*
*
*
Ramsey
Allina Medical Clinic
Richfield
Allina Medical Clinic
Richfield Medical GroupRichfield Medical Group
Robbinsdale
*N/A
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
173
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19%
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
Rogers
Fairview Rogers Clinic
Fairview Health Services
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
22%
16%-29%N/A
90%
10%Total Population
157
22%
16%-29%
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
*
*
*
*
22%
665
22%
19%-26%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Quello Clinic
14%
10%-20%N/A
88%
12%Total Population
197
14%
10%-20%
Allina Medical Clinic Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Allina Medical Clinic- Crossroads Shakopee Dean Lakes
Allina Medical Clinic
*
*
*
*
Park Nicollet Clinic
Park Nicollet Health Services
14%
2126
14%
13%-16%
Northwest Family PhysiciansNorthwest Family Physicians
Rosemount
Fairview Rosemount Clinic
Fairview Health Services
Rosemount Family Physicians
*N/A
*
*
*
Roseville
HealthPartners- North Suburban Roseville
HealthPartners Clinics
Multicare Associates- Roseville Medical Center
Multicare Associates
Richard Schoewe, MDRichard Schoewe MD
19%-26%N/A
92%
8%Total Population
Savage
Quello Clinic
Shakopee
*N/A
12%-15%N/A
*
94%
*
6%Total Population
* Sufficient data not available.
174
*
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19%
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
Shoreview
Allina Medical Clinic
Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Family HealthServices Minnesota
Family HealthServices Minnesota
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
One Stop Medical CenterOne Stop Medical Center
*
*N/A
*
*
*
*
*
*
Silver Lake ClinicSilver Lake Clinic
*
*N/A
*
*
*
*
*
*
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
14%
10%-19%N/A
97%
3%Total Population
205
14%
10%-20%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
22%
665
22%
19%-26%
*
*
*
*
Shorewood
Park Nicollet Clinic
Park Nicollet Health Services
Spring Park
Ridgeview Westonka ClinicRidgeview Clinics
St. Anthony
Silver Lake ClinicSilver Lake Clinic
St. Francis
St. Francis Medical Clinic
St. Louis Park
HealthPartners- West
Integrative Options
HealthPartners Clinics
19%-26%N/A
*N/A
92%
*
8%Total Population
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
175
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
Total Population or Sample
87%
13%
*
Park Nicollet Clinic- Creekside
Park Nicollet Health Services
14%
Park Nicollet Clinic- Heart and Vascular
Park Nicollet Health Services
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic- St. Louis Park Endocrinology
Park Nicollet Health Services
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic-
St. Louis Park Family Medicine
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
Park Nicollet Clinic- St. Louis Park Internal Medicine
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
*
*N/A
*
*
*
*
*
*
94%
*
*
19–20%
12%-15%N/A
*
19% Life MedicalLife Medical
Steven Saliterman, MDSteven Saliterman, MD
*N/A
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
6%Total Population
*
*
*
2126
14%
13%-16%
St. Paul
Adult Medicine, PA
Adult Medicine, PA
*
*N/A
*
*
*
*
*
*
Advanced Medical Clinic, Inc
Advanced Medical Clinic
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- United Medical Specialties
Allina Medical Clinic
14%
2739
14%
13%-15%
*
*
*
*
Arcade Medical Clinic
13%-15%N/A
*N/A
89%
*
11%Total Population
*
*
Aspen Medical Group- Bandana Square
Aspen Medical Group
25%
21%-29%N/A
90%
10%Total Population
373
25%
21%-29%
Aspen Medical Group- Highland
Aspen Medical Group
25%
21%-29%N/A
90%
10%Total Population
373
25%
21%-29%
Boynton Health Service Boynton Health Service
*
*N/A
*
*
*
*
*
*
Children’s Speciality Clinic
Children’s Hospitals and Clinics
of Minnesota
*
*N/A
*
*
*
*
*
*
* Sufficient data not available.
176
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19%
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
Non-Risk Adjusted Rate
Overall Minnesota Clinic Average
MN Health Care Programs
Medical
Group Name
Commercial
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medicare
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
Donald E Gehrig, MD, Donald E Gehrig, MD,
Internal Medicine, LLC Internal Medicine, LLC
*
*N/A
*
*
*
*
*
*
Dr Bobby Yang Medical Clinic
*
*N/A
*
*
*
*
*
*
20%
18%-22%N/A
88%
12%Total Population
1867
20%
18%-22%
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
Gillette Children’s Specialty HealthcareGillette Children’s
*
*N/A
*
*
*
*
*
*
Gillette Lifetime Specialty HealthcareGillette Children’s
*
*N/A
*
*
*
*
*
*
HealthEast- Downtown St. Paul
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
HealthEast- Grand Avenue
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
HealthEast- Midway
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
HealthEast- Rice Street
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
HealthEast- Roselawn
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
HealthEast- St Anthony Park
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
HealthPartners- Center for International Health
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
HealthPartners- Como
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
Fairview Highland Park Clinic
Fairview Health Services
Family HealthServices Minnesota- Highland Family Physicians
Family HealthServices Minnesota
Family HealthServices Minnesota-
Larpenteur Clinic
Family HealthServices Minnesota
Family HealthServices Minnesota- Maryland Clinic
Family HealthServices Minnesota
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
177
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
87%
13%
19% 19–20%
Sample Size
NA
Total Population or Sample
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
HealthPartners- Health Center for Women
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
HealthPartners- Health Specialty Center
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
HealthPartners- Midway
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
HealthPartners- Specialty Center
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
HealthPartners- St. Paul
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
Metropolitan Medical Associates
Metropolitan Medical Associates
*
*N/A
*
*
*
*
*
*
Midway Family Clinic
*
*N/A
*
*
*
*
*
*
New Americans Community Clinic
*
*N/A
*
*
*
*
*
*
Open Cities Health Center- DunlapOpen Cities Health Center
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
Open Cities Health Center- NorthendOpen Cities Health Center
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
Parkway Family Physicians
13%
6%-26%N/A
97%
3%Total Population
34
12%
5%-27%
St Paul Family Medical Center
*
*
*
*
St. Paul Cardiology St. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic- DowntownSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/A
United Family MedicineUnited Family Medicine
*
University of Minnesota Physicians - University of Minnesota Physicians
Bethesda Clinic
19%
Parkway Family Physicians
*N/A
*N/A
12%-30%N/A
*
*
69%
*
*
*
31%Total Population
* Sufficient data not available.
178
*
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
*
*
71
24%
16%-35%
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
University of Minnesota Physicians - University of Minnesota Physicians
Phalen Clinic
19%
12%-30%N/A
69%
31%Total Population
71
24%
16%-35%
West Side Community Health Services- East Side Family Clinic
West Side Community Health Services
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
West Side Community Health Services- La Clinica
West Side Community Health Services
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
West Side Community Health Services- McDonough Homes Clinic
West Side Community Health Services
47%
36%-58%N/A
60%
40%Total Population
101
47%
37%-56%
*
*
*
*
St Croix Family Medical ClinicSouthside Community Health Services
47%
101
47%
37%-56%
St Paul Heart Clinic- Lakeview Heart CenterSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/A
Stillwater Medical Group- Curve Crest ClinicStillwater Medical Group
16%
10%-23%N/A
93%
7%Total Population
121
16%
10%-23%
Xoua Thao Medical Center
*N/A
*
*
*
Stillwater
36%-58%N/A
60%
40%Total Population
Vadnais Heights
Family HealthServices Minnesota
Family HealthServices Minnesota
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
HealthEast
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
16%
10%-23%N/A
89%
11%Total Population
134
16%
10%-23%
*
*
*
*
Waconia
Lakeview ClinicLakeview Clinic
Watertown
Catalyst Medical Clinic
Catalyst Medical Clinic
*N/A
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
179
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
Lakeview ClinicLakeview Clinic
19–20%
Total Population or Sample
87%
13%
Sample Size
NA
Confidence Interval of NonRisk Adjusted Rate
19%
Non-Risk Adjusted Rate
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
16%
10%-23%N/A
89%
11%Total Population
134
16%
10%-23%
Park Nicollet Health Services
14%
12%-15%N/A
94%
6%Total Population
2126
14%
13%-16%
Allina Medical Clinic Allina Medical Clinic
14%
13%-15%N/A
89%
11%Total Population
2739
14%
13%-15%
Family HealthServices Minnesota- Gorman Clinic
Family HealthServices Minnesota
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
*
*N/A
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Wayzata
Park Nicollet Clinic
West St. Paul
Reshi Medical
White Bear Lake
AALFA Family Clinic
AALFA Family Clinic
*
Aspen Medical Group Aspen Medical Group
25%
21%-29%N/A
90%
10%Total Population
373
25%
21%-29%
Family HealthServices Minnesota
Family HealthServices Minnesota
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
Family HealthServices Minnesota- Banning Avenue
Family HealthServices Minnesota
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
HealthPartners
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
*
*
*
*
14%
2739
14%
13%-15%
LifeSteps Family Physicians, PALifesteps Family Physicians
*N/A
*
*
*
Woodbury
Allina Medical Clinic
Allina Medical Clinic
13%-15%N/A
89%
11%Total Population
* Sufficient data not available.
180
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care for
Acute Conditions
Avoidance of Antibiotics in the Treatment of Adult Bronchitis
13%
Confidence Interval of NonRisk Adjusted Rate
87%
Sample Size
NA
Non-Risk Adjusted Rate
Total Population or Sample
MN Health Care Programs
Overall Minnesota Clinic Average
Commercial
Medical
Group Name
Medicare
Physician
clinic NAME
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group Distribution
of Patient Population
19% 19–20%
19%
19–20%
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
25%
22%-29%N/A
93%
7%Total Population
590
25%
22%-29%
Family HealthServices Minnesota
Family HealthServices Minnesota
Family HealthServices Minnesota- Woodlane Family Practice
Family HealthServices Minnesota
HealthEast
HealthEast Clinics
21%
14%-30%N/A
90%
10%Total Population
105
21%
14%-30%
HealthPartners
HealthPartners Clinics
22%
19%-26%N/A
92%
8%Total Population
665
22%
19%-26%
Ilko Family Medicine
*
*
*
*
St. Paul Cardiology- Woodwinds OfficeSt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/A
*N/A
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
181
Breast Cancer Screening
82–83%
84%
16%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
NA
Sample Size
80–81%
Total Population or Sample
Risk Adjusted Rate
80%
Medicare
83% Confidence Interval of Risk
Adjusted Rate
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
83%
Medical
Group Name
Commercial
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
*
*
Andover
Fairview Andover Clinic
Fairview Health Services
*
*
*
*
HealthPartners- RiverWay HealthPartners Clinics
88%
88%-89%
11%
86%
HealthPartners Clinics
88%
88%-89%
11%
Apple Valley Medical Clinic
Apple Valley Medical Clinic
77%
74%-80%
Fairview CedarRidge Clinic
Fairview Health Services
82%
HealthPartners
HealthPartners Clinics
*
*
*
*
*
*
*N/A
*
*
*
*
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
7%
92%
1%Total Population 776
78%
75%-81%
76%
73%-79%N/A
94%
6%Total Population 1025
77%
74%-79%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
*
*
*
*
*
*
*
*
*
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
79%
73%-85%
8%
88%
4%Total Population 193
80%
74%-85%
75%
69%-81%N/A
93%
7%Total Population 255
76%
71%-81%
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Anoka
HealthPartners- RiverWay Apple Valley
MD Physicals Incorporated
*
*
*
*N/A
*
*
*
*
Arden Hills
HealthPartners
HealthPartners Clinics
Belle Plaine
Southern Metro Medical ClinicsSouthern Metro Medical Clinics
Blaine
Allina Medical Clinic
Allina Medical Clinic
* Sufficient data not available.
182
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Breast Cancer Screening
Fairview Blaine Clinic
Fairview Health Services
Multicare Associates- Blaine Medical Center
Multicare Associates
76%-82%
22%
72%
*
*N/A
*
16%
*
*
*
Confidence Interval of
Non-Risk Adjusted Rate
79%
*
84%
Non-Risk Adjusted Rate
*
NA
Sample Size
*
80–81%
Total Population or Sample
*
80%
Medicare
*
82–83%
Confidence Interval of Risk
Adjusted Rate
*
83% Risk Adjusted Rate
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
83%
Medical
Group Name
Commercial
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
*
*
*
*
*
5%Total Population 843
79%
76%-82%
80%
78%-82%N/A
77%
23%Total Population 1178
80%
78%-82%
Bloomington
Aspen Medical Group
Aspen Medical Group
85%
83%-86%
13%
83%
4%Total Population 2835
85%
84%-86%
82%
80%-83%N/A
86%
14%Total Population 3902
82%
81%-83%
Bloomington Lake Clinic- Xerxes
Bloomington Lake Clinic
82%
79%-85%
14%
80%
7%Total Population 535
82%
78%-85%
81%
78%-84%N/A
72%
28%Total Population 631
81%
78%-84%
Fairview Oxboro Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
HealthPartners
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
Park Nicollet Clinic
Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
HealthPartners
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
Hennepin Faculty Associates- Hennepin Care North
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%
80%
77%-82%N/A
50%
50%Total Population 2017
77%
75%-79%
North Memorial Clinic- North Memorial
Brooklyn Center Physicians
78%
75%-80%
18%
77%
5%Total Population 1305
78%
75%-80%
77%
75%-79%N/A
80%
20%Total Population 1745
77%
75%-79%
Park Nicollet Clinic
Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
Allina Medical Clinic
Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Fairview Brooklyn Park Clinic
Fairview Health Services
*
*
*
*
*
*
*
*
*
Brooklyn Center
Brooklyn Park
*
*
*
*N/A
*
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
183
Breast Cancer Screening
Cervical Cancer Screening
78%
75%-80%
77%
Confidence Interval of
Non-Risk Adjusted Rate
5%Total Population 1305
NA
Non-Risk Adjusted Rate
77%
80–81%
Sample Size
18%
80%
82–83%
Total Population or Sample
75%-80%
Medicare
78%
Confidence Interval of Risk
Adjusted Rate
83% Risk Adjusted Rate
North Memorial Clinic- North Memorial
Brooklyn Park Physicians
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
Total Population or Sample
Medicare
83%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Commercial
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
75%-79%N/A
80%
20%Total Population 1745
77%
75%-79%
Burnsville
Burnsville Family Physicians
Burnsville Family Physicians
85%
81%-88%
8%
92%
1%Total Population 382
86%
82%-89%
87%
82%-91%N/A
97%
3%Total Population 420
89%
85%-91%
Fairview Ridges Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
Park Nicollet Clinic
Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
Quello Clinic Quello Clinic
83%
80%-85%
11%
86%
3%Total Population 1043
83%
81%-85%
83%
81%-85%N/A
89%
11%Total Population 1510
84%
82%-85%
UMP MN Heart Burnsville ClinicUniversity of Minnesota Physicians
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Champlin
Allina Medical Clinic
Allina Medical Clinic
Team Health Care Clinic
81%
81%-82%
10%
86%
*
*
*
*
4%Total Population 13556
*
*
*
82%
81%-82%
80%
*
*
*
80%-81%N/A
*N/A
88%
*
12%Total Population 21168
*
*
*
81%
80%-81%
*
*
Chanhassen
Park Nicollet Clinic
Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
Quello Clinic Quello Clinic
83%
80%-85%
11%
86%
3%Total Population 1043
83%
81%-85%
83%
81%-85%N/A
89%
11%Total Population 1510
84%
82%-85%
75%
72%-78%
8%
88%
4%Total Population 809
75%
72%-78%
76%
73%-78%N/A
89%
11%Total Population 1157
76%
74%-79%
*
*
*
*
*
*
*
*
*
Ridgeview Chanhassen ClinicRidgeview Clinics
Chaska
Allina Medical Clinic- Crossroads Chaska
Allina Medical Clinic
*
*
*
* Sufficient data not available.
184
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
*
*
*
*
Breast Cancer Screening
Cervical Cancer Screening
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
Lakeview ClinicLakeview Clinic
83%
80%-85%
12%
85%
2%Total Population 1020
83%
81%-85%
83%
80%-85%N/A
92%
Valley Family PracticeValley Family Practice
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
16%
Confidence Interval of
Non-Risk Adjusted Rate
81%-83%
84%
Sample Size
NA
Total Population or Sample
80–81%
MN Health Care Programs
Medicare
82%
Fairview Health Services
Confidence Interval of Risk
Adjusted Rate
Fairview Jonathan Clinic
80%
82–83%
Risk Adjusted Rate
83% Confidence Interval of
Non-Risk Adjusted Rate
5%
Non-Risk Adjusted Rate
86%
Sample Size
9%
Overall Minnesota Clinic Average
Total Population or Sample
Medicare
82–83%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
83%
Physician
clinic NAME
Commercial
Risk Adjusted Rate
See page 89 for an explanation of terms.
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
19%Total Population 14586
82%
82%-83%
8%Total Population 1365
82%
80%-84%
*
*
*
*
*
*
Columbia Heights
Fairview Columbia Heights Clinic
Fairview Health Services
Coon Rapids
Allina Health System- Metropolitan Heart & Vascular Institute
Allina Health System
Allina Health System- Midwest Internal Medicine
Allina Health System
Allina Medical Clinic Allina Medical Clinic
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
83%
81%-85%
11%
85%
5%Total Population 2159
83%
82%-85%
81%
80%-83%N/A
79%
21%Total Population 3190
81%
79%-82%
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Anoka Area Family Medicine Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Dr. Jerrol NollerDr. Jerrol Noller
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
HealthPartners 88%
88%-89%
11%
86%
89%
88%-89%
83%
84%
83%-84%
HealthPartners Clinics
Twin Cities Heart and Lung
3%Total Population 18560
83%-84%N/A
90%
10%Total Population 35007
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Cottage Grove
Allina Medical Clinic
Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
HealthEast HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
185
Quality of
Preventive Care
Breast Cancer Screening
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Northwest Family PhysiciansNorthwest Family Physicians
79%
76%-81%
12%
85%
One Stop Medical CenterOne Stop Medical Center
*
*
*
*
81%
81%-82%
10%
86%
Eagan Child and Family CareEagan Child and Family Care
*
*
*
*
Fairview Eagan Clinic
Fairview Health Services
82%
81%-83%
14%
81%
HealthEast
HealthEast Clinics
82%
80%-83%
16%
80%
Minnesota Center for Obesity, Metabolism, and Endocrinology (MNCOME)
Minnesota Center for Obesity,
Metabolism, and Endocrinology (MNCOME) N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic
Park Nicollet Health Services
Sample Size
16%
Confidence Interval of
Non-Risk Adjusted Rate
*
Non-Risk Adjusted Rate
*
84%
Total Population or Sample
NA
MN Health Care Programs
80–81%
Commercial
*
80%
Medicare
*
82–83%
Confidence Interval of Risk
Adjusted Rate
83% Risk Adjusted Rate
New Hope-Crystal Medical Clinic
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Overall Minnesota Clinic Average
Sample Size
82–83%
Medical
Group Name
Total Population or Sample
Medicare
83%
Physician
clinic NAME
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Commercial
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
80% 80–81%
*
*
78%
75%-80%
*
*
81%
80%-81%
*
*
Crystal
*
*
*
*
*
*
79%
76%-82%
78%
*
*
*
82%
81%-82%
80%
*
*
*
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
3%Total Population 774
*
*
*
*N/A
75%-80%N/A
*N/A
*
89%
*
*
*
*
11%Total Population 1155
*
*
*
Eagan
Allina Medical Clinic
Allina Medical Clinic
Yankee Square Family Practice
87%
86%-88%
9%
89%
*
*
*
*
4%Total Population 13556
*
*
*
3%Total Population 11687
*
*
*
87%
87%-88%
84%
*
*
*
80%-81%N/A
*N/A
84%-85%N/A
*N/A
88%
*
90%
*
12%Total Population 21168
*
*
*
10%Total Population 18097
*
*
*
85%
84%-85%
*
*
Eden Prairie
Fairview EdenCenter Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
Park Nicollet Clinic
Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
* Sufficient data not available.
186
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of
Preventive Care
Breast Cancer Screening
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
11%
85%
5%Total Population 2159
83%
82%-85%
81%
Allina Medical Clinic Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
Consultants Internal Medicine
Consultants Internal Medicine
80%
75%-85%
11%
84%
5%Total Population 275
80%
Edina Family PhysiciansEdina Family Physicians
89%
86%-91%
11%
88%
1%Total Population 812
Edina Sports Health & WellnessEdina Sports Health & Wellness
82%
77%-86%
6%
94%
1%Total Population 298
Endocrinology Clinic of MinneapolisEndocrinology Clinic of Mpls.
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Fairview Crosstown Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
France Avenue Family Physicians
France Avenue Family Physicians
73%
67%-78%
12%
87%
1%Total Population 257
74%
68%-79%
81%
76%-85%N/A
94%
6%Total Population 350
84%
79%-87%
One Stop Medical CenterOne Stop Medical Center
*
*
*
*
*
*
*
*
*
Quello Clinic
83%
80%-85%
11%
86%
83%
81%-85%
83%
84%
82%-85%
Sharpe Dillon Cockson & Associates PASharpe, Dillon, Cockson & Associates
*
*
*
*
*
*
*
*
*
Southdale Internal Medicine, PASouthdale Internal Medicine, P.A.
87%
81%-90%
16%
83%
87%
82%-91%
77%
78%
71%-83%
The Schuster ClinicThe Schuster Clinic
*
*
*
*
*
*
*
*
*
UMP MN Heart Edina ClinicUniversity of Minnesota Physicians
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Confidence Interval of
Non-Risk Adjusted Rate
81%-85%
Non-Risk Adjusted Rate
83%
Sample Size
Total Population or Sample
Allina Health System- Abbott
Allina Health System
Northwestern General Medicine Associates
MN Health Care Programs
Medicare
NA
82–83%
Commercial
Confidence Interval of Risk
Adjusted Rate
80–81%
83% Risk Adjusted Rate
80%
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Overall Minnesota Clinic Average
Sample Size
82–83%
Medical
Group Name
Total Population or Sample
Medicare
83%
Physician
clinic NAME
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
See page 89 for an explanation of terms.
Commercial
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
84%
16%
80% 80–81%
80%-83%N/A
79%
21%Total Population 3190
81%
79%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
75%-85%
78%
72%-84%N/A
94%
6%Total Population 231
78%
73%-83%
89%
87%-91%
89%
87%-92%N/A
96%
4%Total Population 936
90%
88%-92%
83%
78%-86%
85%
81%-89%N/A
97%
3%Total Population 396
84%
80%-87%
Edina
Quello Clinic
*
*
*
3%Total Population 1043
*
*
*
1%Total Population 189
*
*
*
*N/A
81%-85%N/A
*N/A
69%-83%N/A
*N/A
*
89%
*
98%
*
*
*
*
11%Total Population 1510
*
*
*
2%Total Population 175
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
187
Breast Cancer Screening
Confidence Interval of
Non-Risk Adjusted Rate
76%
Non-Risk Adjusted Rate
72%-78%
Sample Size
NA
Total Population or Sample
75%
80–81%
MN Health Care Programs
4%Total Population 809
Medicare
88%
Confidence Interval of Risk
Adjusted Rate
8%
80%
82–83%
Risk Adjusted Rate
72%-78%
83% Confidence Interval of
Non-Risk Adjusted Rate
75%
5%
Non-Risk Adjusted Rate
Sample Size
86%
Total Population or Sample
Medicare
9%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
82–83%
Commercial
Risk Adjusted Rate
83%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
73%-78%N/A
89%
11%Total Population 1157
76%
74%-79%
Excelsior
Ridgeview Excelsior ClinicRidgeview Clinics
Farmington
Allina Medical Clinic Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Fairview Farmington Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
82%
75%-87%
8%
89%
3%Total Population 146
82%
75%-88%
75%
69%-80%N/A
92%
8%Total Population 247
76%
70%-81%
Farmington Clinic
Farmington Clinic
*
*
*
*
*
*
*
*
*
Allina Medical Clinic
81%
81%-82%
10%
86%
82%
81%-82%
80%
81%
80%-81%
Fairview Fridley Clinic
Fairview Health Services
*
*
*
*
*
*
*
*
*
Multicare Associates-
Fridley Medical Center
Multicare Associates
79%
76%-82%
22%
72%
5%Total Population 843
79%
76%-82%
80%
78%-82%N/A
77%
23%Total Population 1178
80%
78%-82%
North Memorial Clinic- North Memorial
Golden Valley Physicians
78%
75%-80%
18%
77%
5%Total Population 1305
78%
75%-80%
77%
75%-79%N/A
80%
20%Total Population 1745
77%
75%-79%
Park Nicollet Clinic 87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
*
*
*
*N/A
*
*
*
*
Forest Lake
Allina Medical Clinic 4%Total Population 13556
80%-81%N/A
88%
12%Total Population 21168
Fridley
*
*
*
*N/A
*
*
*
*
Golden Valley
Park Nicollet Health Services
* Sufficient data not available.
188
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Breast Cancer Screening
82–83%
84%
16%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
NA
Sample Size
80–81%
Total Population or Sample
Risk Adjusted Rate
80%
Medicare
83% Confidence Interval of Risk
Adjusted Rate
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
83%
Medical
Group Name
Commercial
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
Hastings
Allina Medical Clinic - W First St
Allina Medical Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- Nininger
Allina Medical Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Aspen Medical Group
85%
83%-86%
13%
83%
4%Total Population 2835
85%
84%-86%
82%
80%-83%N/A
86%
14%Total Population 3902
82%
81%-83%
Fairview Hugo Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
HealthEast
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
Aspen Medical Group
Aspen Medical Group
85%
83%-86%
13%
83%
4%Total Population 2835
85%
84%-86%
82%
80%-83%N/A
86%
14%Total Population 3902
82%
81%-83%
Family HealthServices Minnesota Family HealthServices Minnesota
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
HealthPartners
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Hopkins
Aspen Medical Group Hugo
Inver Grove Heights
Inver Grove Heights Family Medical Center
Jordon
Jordon Medical Clinic
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
189
Breast Cancer Screening
82–83%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
NA
Sample Size
80–81%
Total Population or Sample
80%
Risk Adjusted Rate
Medicare
83% Confidence Interval of Risk
Adjusted Rate
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
83%
Medical
Group Name
Commercial
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
Lakeville
Fairview Lakeville Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
FamilyHealth Medical Clinic FamilyHealth Medical Clinics
82%
75%-87%
8%
89%
3%Total Population 146
82%
75%-88%
75%
69%-80%N/A
92%
8%Total Population 247
76%
70%-81%
*
*
*
*
*
*
*
*
*
Quello Clinic
83%
80%-85%
11%
86%
3%Total Population 1043
83%
81%-85%
83%
81%-85%N/A
89%
11%Total Population 1510
84%
82%-85%
Fairview Lino Lakes Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
HealthPartners
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
*
*
*
*
*
*
*
*
*
Lakeville Family Practice
Quello Clinic
*
*
*
*N/A
*
*
*
*
Lino Lakes
Little Canada
Little Canada Medical Clinic
*
*
*
*N/A
*
*
*
*
Maple Grove
Allina Medical Clinic
Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Fairview Bass Lake Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
Fairview Maple Grove Medical Center
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
Maple Medical Center, PA
*
*
*
*
*
*
*
*
*
North ClinicNorth Clinic
85%
83%-87%
18%
79%
86%
84%-87%
82%
83%
82%-85%
*
*
*
3%Total Population 1622
* Sufficient data not available.
190
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
81%-84%N/A
*
92%
*
*
*
8%Total Population 2316
Breast Cancer Screening
Cervical Cancer Screening
North Memorial Clinic- North Memorial
Camden Physicians Maple Grove
84%
82%-87%
14%
84%
2%Total Population 963
85%
83%-87%
80%
Park Nicollet Clinic
Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
Aspen Medical Group
Aspen Medical Group
85%
83%-86%
13%
83%
4%Total Population 2835
85%
Attending Physicians
Attending Physicians
*
*
*
*
Family HealthServices Minnesota- Afton Road
Family HealthServices Minnesota
79%
78%-80%
11%
87%
HealthEast
HealthEast Clinics
82%
80%-83%
16%
HealthPartners
HealthPartners Clinics
88%
88%-89%
11%
Confidence Interval of
Non-Risk Adjusted Rate
NA
Non-Risk Adjusted Rate
80–81%
Sample Size
Medicare
80%
82–83%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
83% Risk Adjusted Rate
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
Total Population or Sample
Medicare
83%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Commercial
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
77%-82%N/A
92%
8%Total Population 1299
80%
78%-82%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
84%-86%
82%
80%-83%N/A
86%
14%Total Population 3902
82%
81%-83%
*
*
*
*
*
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
80%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
Maplewood
*
*
*
*N/A
*
*
*
*
St. Paul CardiologySt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic St. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Minneapolis
Allina Health System- Abbott
Northwestern General Medicine Associates
Allina Health System
Allina Health System- Minneapolis Heart Institute
Allina Health System
Allina Medical Clinic- Isles
Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Allina Medical Clinic- Nicollet Mall
Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Allina Medical Clinic- The Doctors Uptown Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
83%
81%-85%
11%
85%
5%Total Population 2159
83%
82%-85%
81%
80%-83%N/A
79%
21%Total Population 3190
81%
79%-82%
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
191
Breast Cancer Screening
82%
80%-83%N/A
*
*
*
82%
78%-85%
81%
16%
Confidence Interval of
Non-Risk Adjusted Rate
84%-86%
Non-Risk Adjusted Rate
85%
Sample Size
4%Total Population 2835
84%
Total Population or Sample
Medicare
NA
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
80–81%
82–83%
Risk Adjusted Rate
80%
Confidence Interval of
Non-Risk Adjusted Rate
83% Non-Risk Adjusted Rate
5%
Sample Size
86%
Total Population or Sample
Medicare
9%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
82–83%
Commercial
Risk Adjusted Rate
83%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
82%
81%-83%
*
*
81%
78%-84%
Aspen Medical Group- East Lake Street
Aspen Medical Group
85%
83%-86%
13%
83%
AXIS Medical Center
Axis Medical Center
*
*
*
*
Bloomington Lake Clinic Bloomington Lake Clinic
82%
79%-85%
14%
80%
Boynton Health Service
Boynton Health Service
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
89%
73%-99%
2%
27%
70%Total Population 44
57%
42%-70%
74%
59%-88%N/A
15%
85%Total Population 149
61%
53%-69%
68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
*
*
*
*
*
*
*
*
*
Bruley Center
Cedar Riverside People’s Center- People’s Center Medical Clinic
Cedar Riverside People’s Center
Community University Health
Care Center
Community University Health
Care Center
Crown Medical Center
*
*
*
7%Total Population 535
*
*
*
*N/A
78%-84%N/A
*N/A
86%
*
72%
*
14%Total Population 3902
*
*
*
28%Total Population 631
*
*
*
Fairview Hiawatha Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
Fairview Northeast Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
Fairview Uptown Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
Fremont Community Health Services- Central Avenue Clinic
Fremont Community Clinics
68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
Fremont Community Health Services- Fremont Clinic
Fremont Community Clinics
68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
Fremont Community Health Services- Sheridan
Fremont Community Clinics
68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
Green Central Medical ClinicSouthside Community Health Services 68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
HealthPartners- Riverside
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
HealthPartners Clinics
* Sufficient data not available.
192
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Breast Cancer Screening
82–83%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
NA
Sample Size
80–81%
Total Population or Sample
80%
Risk Adjusted Rate
Medicare
83% Confidence Interval of Risk
Adjusted Rate
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
83%
Medical
Group Name
Commercial
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
Hennepin Faculty Associates- HCMC Family Medical Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%
80%
77%-82%N/A
50%
50%Total Population 2017
77%
75%-79%
Hennepin Faculty Associates- HCMC Hennepin Heart Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%
80%
77%-82%N/A
50%
50%Total Population 2017
77%
75%-79%
Hennepin Faculty Associates- HCMC Medicine Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%
80%
77%-82%N/A
50%
50%Total Population 2017
77%
75%-79%
Hennepin Faculty Associates- HCMC Positive Care Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%
80%
77%-82%N/A
50%
50%Total Population 2017
77%
75%-79%
Hennepin Faculty Associates- Hennepin Care South
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%
80%
77%-82%N/A
50%
50%Total Population 2017
77%
75%-79%
Hennepin Faculty Associates- Hennepin Faculty Associates:
Hennepin Center for Diabetes & Endocrinology HFA Clinics & HCMC Clinics
Hennepin Faculty Associates- Hennepin Faculty Associates:
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%N/AN/AN/AN/AN/AN/AN/AN/AN/A
Hennepin Faculty Associates- Hennepin Family Care East Lake Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%
80%
77%-82%N/A
50%
50%Total Population 2017
77%
75%-79%
Hennepin Faculty Associates- HFA Internal Medicine Clinic Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%
80%
77%-82%N/A
50%
50%Total Population 2017
77%
75%-79%
Hennepin Faculty Associates- HFA Senior Care Clinic at Augustana Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
81%
79%-83%
7%
72%
20%Total Population 1072
79%
77%-82%N/AN/AN/AN/AN/AN/AN/AN/AN/A
Johnson Street Medical Clinic
Johnson Street Medical Clinic
*
*
*
*
*
*
*
*
*
50%
Medical Care Services, PA
Medical Care Services
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
Metropolitan Internists PA
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
Native American Community ClinicNative American Community Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
North Memorial Clinic- North Memorial
Camden Physicians
84%
82%-87%
14%
84%
2%Total Population 963
85%
83%-87%
80%
77%-82%N/A
92%
North Memorial Clinic- North Memorial
Northeast Family Physicians
78%
75%-80%
18%
77%
5%Total Population 1305
78%
75%-80%
77%
75%-79%N/A
80%
Hennepin Center for Senior Care
29%-71%N/A
29%
71%Total Population 49
49%
36%-63%
*
*
*
*
*
*
*
*
*
*
*
8%Total Population 1299
80%
78%-82%
20%Total Population 1745
77%
75%-79%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
193
Breast Cancer Screening
Cervical Cancer Screening
18%
77%
5%Total Population 1305
78%
75%-80%
77%
NorthPoint Health & Wellness CenterNorthPoint Health & Wellness Center 72%
53%-89%
12%
25%
63%Total Population 67
73%
61%-82%
77%
*
*
*
*
*
*
*
Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
Riverside Family PhysiciansRiverside Family Physicians
71%
62%-78%
7%
90%
3%Total Population 110
70%
61%-78%
76%
68%-83%N/A
89%
Ronald R Vessey MDRonald R Vessey MD
Internal Medicine Services, PA
Internal Medicine Services PA
*
*
*
*
*
*
*
Southside Medical ClinicSouthside Community Health Services 68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
79%
76%-82%N/A
32%
UMP MN Heart University Clinic
*
*
*
*
*
*
Confidence Interval of
Non-Risk Adjusted Rate
75%-80%
Non-Risk Adjusted Rate
78%
Sample Size
Medicare
NA
82–83%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Park Nicollet Clinic
80–81%
83% Risk Adjusted Rate
North Memorial Heart & Vascular InstituteNorth Memorial
Park Avenue Family Practice
80%
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
Total Population or Sample
Medicare
83%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Commercial
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
75%-79%N/A
80%
20%Total Population 1745
77%
75%-79%
64%-89%N/A
9%
91%Total Population 338
78%
73%-82%
*
*
10%Total Population 18097
85%
84%-85%
11%Total Population 126
78%
70%-84%
*
*
68%Total Population 1621
74%
71%-76%
*N/A
*N/A
*
*
*
*
*
*
*
*
University of Minnesota Physicians
55%
42%-68%
13%
80%
7%Total Population 54
56%
42%-68%
66%
54%-76%N/A
98%
2%Total Population 51
65%
51%-76%
University of Minnesota Physicians - University of Minnesota Physicians
Broadway Family Medicine
80%
77%-82%
13%
70%
17%Total Population 1031
76%
73%-79%
81%
79%-83%N/A
48%
52%Total Population 2285
78%
76%-79%
University of Minnesota Physicians - University of Minnesota Physicians
Medicine Specialties Clinic 6A
80%
77%-82%
13%
70%
17%Total Population 1031
76%
73%-79%
81%
79%-83%N/A
48%
52%Total Population 2285
78%
76%-79%
University of Minnesota Physicians - University of Minnesota Physicians
Mill City Clinic
80%
77%-82%
13%
70%
17%Total Population 1031
76%
73%-79%
81%
79%-83%N/A
48%
52%Total Population 2285
78%
76%-79%
University of Minnesota Physicians - University of Minnesota Physicians
Primary Care Center
80%
77%-82%
13%
70%
17%Total Population 1031
76%
73%-79%
81%
79%-83%N/A
48%
52%Total Population 2285
78%
76%-79%
University of Minnesota Physicians - University of Minnesota Physicians
Smiley’s Clinic
80%
77%-82%
13%
70%
17%Total Population 1031
76%
73%-79%
81%
79%-83%N/A
48%
52%Total Population 2285
78%
76%-79%
North Memorial Clinic- North Memorial
Minnetonka Physicians
78%
75%-80%
18%
77%
5%Total Population 1305
78%
75%-80%
77%
75%-79%N/A
80%
20%Total Population 1745
77%
75%-79%
Park Nicollet Clinic- Carlson
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
Minnetonka
Park Nicollet Health Services
* Sufficient data not available.
194
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Breast Cancer Screening
82–83%
84%
16%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
NA
Sample Size
80–81%
Total Population or Sample
Risk Adjusted Rate
80%
Medicare
83% Confidence Interval of
Non-Risk Adjusted Rate
*
Non-Risk Adjusted Rate
5%
Sample Size
86%
Total Population or Sample
9%
MN Health Care Programs
82–83%
Commercial
83%
Confidence Interval of Risk
Adjusted Rate
Medicare
Overall Minnesota Clinic Average
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
*
*
New Prague
Queen of Peace Hospital- Queen of Peace Hospital Outpatient Clinic Outpatient Clinic
*
*
*
*
Southern Metro Medical Clinics- Southern Metro Medical Clinics
New Prague Medical Clinic
79%
73%-85%
8%
88%
79%
78%-80%
11%
82%
75%-87%
83%
*
*
*
*
*
*N/A
*
*
*
*
4%Total Population 193
80%
74%-85%
75%
69%-81%N/A
93%
7%Total Population 255
76%
71%-81%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
8%
89%
3%Total Population 146
82%
75%-88%
75%
69%-80%N/A
92%
8%Total Population 247
76%
70%-81%
80%-85%
12%
85%
2%Total Population 1020
83%
81%-85%
83%
80%-85%N/A
92%
8%Total Population 1365
82%
80%-84%
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
85%
83%-87%
18%
79%
3%Total Population 1622
86%
84%-87%
82%
81%-84%N/A
92%
8%Total Population 2316
83%
82%-85%
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
85%
83%-87%
18%
79%
3%Total Population 1622
86%
84%-87%
82%
81%-84%N/A
92%
8%Total Population 2316
83%
82%-85%
North St. Paul
Family HealthServices Minnesota- North St. Paul Clinic
Family HealthServices Minnesota
Northfield
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
Norwood
Lakeview ClinicLakeview Clinic
Oakdale
HealthEast HealthEast Clinics
Osseo
North Clinic North Clinic
Plymouth
Allina Medical Clinic- West Health Campus
Allina Medical Clinic
North Clinic- WestHealth North Clinic
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
195
Breast Cancer Screening
Medical Group
Distribution of
Patient Population
5%
83% 80%
80% 80–81%
Confidence Interval of
Non-Risk Adjusted Rate
16%
Non-Risk Adjusted Rate
84%
Sample Size
NA
Total Population or Sample
80–81%
MN Health Care Programs
Risk Adjusted Rate
Confidence Interval of
Non-Risk Adjusted Rate
82–83%
Medicare
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
Confidence Interval of Risk
Adjusted Rate
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Commercial
Risk Adjusted Rate
83%
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
North Memorial Clinic- North Memorial
Camden Physicians Plymouth
84%
82%-87%
14%
84%
2%Total Population 963
85%
83%-87%
80%
77%-82%N/A
92%
8%Total Population 1299
80%
78%-82%
North Memorial Clinic- North Memorial
Plymouth Internal Medicine
78%
75%-80%
18%
77%
5%Total Population 1305
78%
75%-80%
77%
75%-79%N/A
80%
20%Total Population 1745
77%
75%-79%
Northwest Family PhysicansNorthwest Family Physicians
79%
76%-81%
12%
85%
3%Total Population 774
79%
76%-82%
78%
75%-80%N/A
89%
11%Total Population 1155
78%
75%-80%
Park Nicollet Clinic
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
*
*
*
*
*
*
*
*
*
Park Nicollet Health Services
Prior Lake
Allina Medical Clinic- Crossroads Prior Lake
Allina Medical Clinic
Fairview RidgeValley Clinic
Fairview Health Services
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
Park Nicollet Clinic Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
71%
65%-77%
18%
78%
5%Total Population 240
72%
66%-77%
78%
71%-83%N/A
93%
7%Total Population 229
78%
72%-83%
North Clinic- Oakdale OfficeNorth Clinic
85%
83%-87%
18%
79%
3%Total Population 1622
86%
84%-87%
82%
81%-84%N/A
92%
8%Total Population 2316
83%
82%-85%
Robbinsdale Clinic, PARobbinsdale Clinic, PA
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
Ramsey
Allina Medical Clinic
Richfield
Allina Medical Clinic
Richfield Medical GroupRichfield Medical Group
Robbinsdale
*
*
*
* Sufficient data not available.
196
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
*
*
*
*
Breast Cancer Screening
Cervical Cancer Screening
14%
81%
5%Total Population 9579
82%
81%-83%
82%
79%
76%-81%
12%
85%
3%Total Population 774
79%
76%-82%
82%
81%-83%
14%
81%
5%Total Population 9579
82%
*
*
*
*
88%
88%-89%
11%
86%
79%
76%-82%
22%
72%
*
*
*
*
Quello Clinic
83%
80%-85%
11%
86%
Allina Medical Clinic Allina Medical Clinic
81%
81%-82%
10%
86%
Allina Medical Clinic- Crossroads Shakopee Dean Lakes
Allina Medical Clinic
*
*
*
*
Park Nicollet Clinic
Park Nicollet Health Services
87%
86%-88%
9%
89%
Confidence Interval of
Non-Risk Adjusted Rate
81%-83%
Non-Risk Adjusted Rate
82%
Sample Size
Medicare
NA
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
80–81%
82–83%
Risk Adjusted Rate
80%
83% Confidence Interval of
Non-Risk Adjusted Rate
5%
Non-Risk Adjusted Rate
86%
Sample Size
9%
Overall Minnesota Clinic Average
Total Population or Sample
Medicare
82–83%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
83%
Physician
clinic NAME
Commercial
Risk Adjusted Rate
See page 89 for an explanation of terms.
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
78%
75%-80%N/A
89%
11%Total Population 1155
78%
75%-80%
81%-83%
82%
82%-83%N/A
81%
19%Total Population 14586
82%
82%-83%
*
*
*
*
*
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
5%Total Population 843
79%
76%-82%
80%
78%-82%N/A
77%
23%Total Population 1178
80%
78%-82%
*
*
*
*
*
3%Total Population 1043
83%
81%-85%
83%
81%-85%N/A
89%
11%Total Population 1510
84%
82%-85%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
*
*
*
*
*
87%
87%-88%
84%
85%
84%-85%
Rogers
Fairview Rogers Clinic
Fairview Health Services
Northwest Family PhysiciansNorthwest Family Physicians
Rosemount
Fairview Rosemount Clinic
Fairview Health Services
Rosemount Family Physicians
*
*
*
*N/A
*
*
*
*
Roseville
HealthPartners- North Suburban Roseville
HealthPartners Clinics
Multicare Associates- Roseville Medical Center
Multicare Associates
Richard Schoewe, MDRichard Schoewe MD
*
*
*
*N/A
*
*
*
*
Savage
Quello Clinic
Shakopee
*
*
*
3%Total Population 11687
*N/A
84%-85%N/A
*
90%
*
*
*
10%Total Population 18097
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
197
Breast Cancer Screening
82–83%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
NA
Sample Size
80–81%
Total Population or Sample
80%
Risk Adjusted Rate
Medicare
83% Confidence Interval of Risk
Adjusted Rate
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
83%
Medical
Group Name
Commercial
Risk Adjusted Rate
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
Shoreview
Allina Medical Clinic
Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
Family HealthServices Minnesota
Family HealthServices Minnesota
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
One Stop Medical CenterOne Stop Medical Center
*
*
*
*
*
*
*
*
*
Silver Lake ClinicSilver Lake Clinic
78%
75%-81%
11%
87%
3%Total Population 665
78%
75%-81%
85%
82%-87%N/A
94%
6%Total Population 895
85%
83%-87%
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
75%
72%-78%
8%
88%
4%Total Population 809
75%
72%-78%
76%
73%-78%N/A
89%
11%Total Population 1157
76%
74%-79%
78%
75%-81%
11%
87%
3%Total Population 665
78%
75%-81%
85%
82%-87%N/A
94%
6%Total Population 895
85%
83%-87%
*
*
*
*
*
*
*
*
*
88%
88%-89%
11%
86%
89%
88%-89%
83%
84%
83%-84%
*
*
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
Shorewood
Park Nicollet Clinic
Park Nicollet Health Services
Spring Park
Ridgeview Westonka ClinicRidgeview Clinics
St. Anthony
Silver Lake ClinicSilver Lake Clinic
St. Francis
St. Francis Medical Clinic
*
*
*
*N/A
*
*
*
*
St. Louis Park
HealthPartners- West
Integrative Options
HealthPartners Clinics
3%Total Population 18560
*
*
*
* Sufficient data not available.
198
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
83%-84%N/A
*N/A
90%
*
10%Total Population 35007
*
*
*
Quality of
Preventive Care
Breast Cancer Screening
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
87%
86%-88%
9%
89%
Park Nicollet Clinic- Heart and Vascular
Park Nicollet Health Services
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic- St. Louis Park Endocrinology
Park Nicollet Health Services
Park Nicollet Clinic-
St. Louis Park Family Medicine
Park Nicollet Health Services
Park Nicollet Clinic- St. Louis Park Internal Medicine
Park Nicollet Health Services
Steven Saliterman, MDSteven Saliterman, MD
3%Total Population 11687
*
*
87%
87%-88%
84%
*N/A
84%-85%N/A
*
90%
*
*
*
10%Total Population 18097
Confidence Interval of
Non-Risk Adjusted Rate
Park Nicollet Health Services
*
16%
Non-Risk Adjusted Rate
Park Nicollet Clinic- Creekside
*
84%
Sample Size
*
*
NA
Total Population or Sample
*
*
80–81%
MN Health Care Programs
*
80%
Commercial
*
82–83%
Medicare
83% Confidence Interval of Risk
Adjusted Rate
Life MedicalLife Medical
5%
Risk Adjusted Rate
86%
Confidence Interval of
Non-Risk Adjusted Rate
9%
Non-Risk Adjusted Rate
82–83%
Sample Size
83%
Medical
Group Name
Total Population or Sample
Medicare
Physician
clinic NAME
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Commercial
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
80% 80–81%
*
*
85%
84%-85%
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
90%
10%Total Population 18097
85%
84%-85%
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
St. Paul
Adult Medicine, PA
Adult Medicine, PA
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Advanced Medical Clinic, Inc
Advanced Medical Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- United Medical Specialties
Allina Medical Clinic
81%
81%-82%
10%
86%
82%
81%-82%
80%
81%
80%-81%
*
*
*
*
*
*
*
*
*
Arcade Medical Clinic
4%Total Population 13556
*
*
*
80%-81%N/A
*N/A
88%
*
12%Total Population 21168
*
*
*
Aspen Medical Group- Bandana Square
Aspen Medical Group
85%
83%-86%
13%
83%
4%Total Population 2835
85%
84%-86%
82%
80%-83%N/A
86%
14%Total Population 3902
82%
81%-83%
Aspen Medical Group- Highland
Aspen Medical Group
85%
83%-86%
13%
83%
4%Total Population 2835
85%
84%-86%
82%
80%-83%N/A
86%
14%Total Population 3902
82%
81%-83%
Boynton Health Service Boynton Health Service
*
*
*
*
*
*
*
*
*
*
*
*
Children’s Speciality Clinic
Children’s Hospitals and Clinics
of Minnesota
*
*
*
*
*
*
*
*
*
85%
84%
73%-92%
*N/A
73%-92%N/A
*
83%
*
*
*
17%Total Population 58
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
199
Breast Cancer Screening
Cervical Cancer Screening
*
*
*
*
*
*N/A
*
*
*
Dr Bobby Yang Medical Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
82%
81%-83%
14%
81%
5%Total Population 9579
82%
81%-83%
82%
82%-83%N/A
81%
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
Gillette Children’s Specialty HealthcareGillette Children’s
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
Gillette Lifetime Specialty HealthcareGillette Children’s
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
HealthEast- Downtown St. Paul
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
83%
HealthEast- Grand Avenue
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
HealthEast- Midway
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
79%
HealthEast- Rice Street
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
HealthEast- Roselawn
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
HealthEast- St Anthony Park
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
HealthPartners- Center for International Health
HealthPartners Clinics
88%
88%-89%
11%
86%
HealthPartners- Como
HealthPartners Clinics
88%
88%-89%
11%
86%
Family HealthServices Minnesota- Highland Family Physicians
Family HealthServices Minnesota
Family HealthServices Minnesota-
Larpenteur Clinic
Family HealthServices Minnesota
Family HealthServices Minnesota- Maryland Clinic
Family HealthServices Minnesota
80% 80–81%
*
*
*
*
*
*
19%Total Population 14586
82%
82%-83%
93%
7%Total Population 5191
75%
74%-77%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
*
*
*
*
*
*
17%Total Population 4226
79%
77%-80%
83%
17%Total Population 4226
79%
77%-80%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
82%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
* Sufficient data not available.
200
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
16%
Confidence Interval of
Non-Risk Adjusted Rate
*
84%
Total Population or Sample
*
Fairview Health Services
NA
MN Health Care Programs
*
Fairview Highland Park Clinic
80–81%
Commercial
*
80%
Medicare
*
82–83%
Confidence Interval of Risk
Adjusted Rate
83% Risk Adjusted Rate
Donald E Gehrig, MD, Donald E Gehrig, MD,
Internal Medicine, LLC Internal Medicine, LLC
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
Total Population or Sample
Medicare
83%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Commercial
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Sample Size
Quality of
Preventive Care
Breast Cancer Screening
84%
16%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
NA
Sample Size
80–81%
Total Population or Sample
Medicare
80%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
82–83%
Risk Adjusted Rate
Confidence Interval of
Non-Risk Adjusted Rate
83% Non-Risk Adjusted Rate
5%
Sample Size
86%
Total Population or Sample
Medicare
9%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
82–83%
Commercial
Risk Adjusted Rate
83%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
HealthPartners- Health Center for Women
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
HealthPartners- Health Specialty Center
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
HealthPartners- Midway
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
HealthPartners- Specialty Center
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
HealthPartners- St. Paul
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
Metropolitan Medical Associates
Metropolitan Medical Associates
85%
79%-89%
12%
87%
1%Total Population 190
85%
80%-90%
77%
69%-83%N/A
97%
3%Total Population 157
77%
70%-83%
Midway Family Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
New Americans Community Clinic
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Open Cities Health Center- DunlapOpen Cities Health Center
68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
Open Cities Health Center- NorthendOpen Cities Health Center
68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
Parkway Family Physicians
77%
69%-84%
1%
99%
0%Total Population 92
77%
68%-85%
79%
71%-85%N/A
100%
0%Total Population 94
80%
71%-87%
St Paul Family Medical Center
*
*
*
*
*
*
*
*
*
St. Paul Cardiology St. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic- DowntownSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
United Family MedicineUnited Family Medicine
72%
66%-77%
8%
74%
18%Total Population 259
71%
65%-76%
78%
74%-82%N/A
48%
52%Total Population 604
76%
72%-79%
University of Minnesota Physicians - University of Minnesota Physicians
Bethesda Clinic
80%
77%-82%
13%
70%
17%Total Population 1031
76%
73%-79%
81%
79%-83%N/A
48%
52%Total Population 2285
78%
76%-79%
Parkway Family Physicians
*
*
*
*N/A
*
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
201
Breast Cancer Screening
Cervical Cancer Screening
77%-82%
13%
70%
17%Total Population 1031
76%
73%-79%
81%
West Side Community Health Services- East Side Family Clinic
West Side Community Health Services
68%
63%-73%
6%
52%
43%Total Population 442
61%
57%-66%
West Side Community Health Services- La Clinica
West Side Community Health Services
68%
63%-73%
6%
52%
43%Total Population 442
61%
West Side Community Health Services- McDonough Homes Clinic
West Side Community Health Services
68%
63%-73%
6%
52%
43%Total Population 442
*
*
*
*
68%
63%-73%
6%
52%
*
*
*
Confidence Interval of
Non-Risk Adjusted Rate
80%
Non-Risk Adjusted Rate
Sample Size
Medicare
NA
82–83%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
80–81%
83% Risk Adjusted Rate
University of Minnesota Physicians - University of Minnesota Physicians
Phalen Clinic
Xoua Thao Medical Center
80%
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
Total Population or Sample
Medicare
83%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Commercial
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
84%
16%
80% 80–81%
79%-83%N/A
48%
52%Total Population 2285
78%
76%-79%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
61%
57%-66%
79%
76%-82%N/A
32%
68%Total Population 1621
74%
71%-76%
*
*
*
*
*
61%
57%-66%
79%
74%
71%-76%
*N/A
*
*
*
*
Stillwater
St Croix Family Medical ClinicSouthside Community Health Services 43%Total Population 442
76%-82%N/A
32%
68%Total Population 1621
St Paul Heart Clinic- Lakeview Heart CenterSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Stillwater Medical Group- Curve Crest ClinicStillwater Medical Group
78%
77%-80%
6%
93%
1%Total Population 2518
79%
77%-81%
78%
77%-80%N/A
96%
4%Total Population 3350
80%
78%-81%
Vadnais Heights
Family HealthServices Minnesota
Family HealthServices Minnesota
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
HealthEast
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
83%
80%-85%
12%
85%
2%Total Population 1020
83%
81%-85%
83%
80%-85%N/A
92%
8%Total Population 1365
82%
80%-84%
86%
76%-92%
10%
83%
7%Total Population 58
86%
75%-93%
80%
71%-87%N/A
86%
14%Total Population 101
80%
71%-87%
Waconia
Lakeview ClinicLakeview Clinic
Watertown
Catalyst Medical Clinic
Catalyst Medical Clinic
* Sufficient data not available.
202
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Breast Cancer Screening
Cervical Cancer Screening
Lakeview ClinicLakeview Clinic
83%
80%-85%
12%
85%
2%Total Population 1020
83%
81%-85%
83%
80%-85%N/A
92%
Park Nicollet Health Services
87%
86%-88%
9%
89%
3%Total Population 11687
87%
87%-88%
84%
84%-85%N/A
Allina Medical Clinic Allina Medical Clinic
81%
81%-82%
10%
86%
4%Total Population 13556
82%
81%-82%
80%
Family HealthServices Minnesota- Gorman Clinic
Family HealthServices Minnesota
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
*
*
*
*
*
*
*
84%
16%
Confidence Interval of
Non-Risk Adjusted Rate
NA
Non-Risk Adjusted Rate
80–81%
Sample Size
Medicare
80%
82–83%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
83% Risk Adjusted Rate
5%
Confidence Interval of
Non-Risk Adjusted Rate
86%
Non-Risk Adjusted Rate
9%
Sample Size
82–83%
Total Population or Sample
Medicare
83%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Commercial
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
MN Health Care Programs
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
8%Total Population 1365
82%
80%-84%
90%
10%Total Population 18097
85%
84%-85%
80%-81%N/A
88%
12%Total Population 21168
81%
80%-81%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
*
*
Wayzata
Park Nicollet Clinic
West St. Paul
Reshi Medical
*
*
*
*N/A
*
*
*
*
White Bear Lake
AALFA Family Clinic
AALFA Family Clinic
76%
66%-83%
12%
86%
2%Total Population 84
77%
67%-85%
74%
66%-81%N/A
88%
12%Total Population 144
75%
67%-81%
Aspen Medical Group Aspen Medical Group
85%
83%-86%
13%
83%
4%Total Population 2835
85%
84%-86%
82%
80%-83%N/A
86%
14%Total Population 3902
82%
81%-83%
Family HealthServices Minnesota
Family HealthServices Minnesota
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
Family HealthServices Minnesota- Banning Avenue
Family HealthServices Minnesota
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
93%
7%Total Population 5191
75%
74%-77%
HealthPartners
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
*
*
*
*
*
*
*
*
*
81%
81%-82%
10%
86%
82%
81%-82%
80%
81%
80%-81%
LifeSteps Family Physicians, PALifesteps Family Physicians
*
*
*
*N/A
*
*
*
*
Woodbury
Allina Medical Clinic
Allina Medical Clinic
4%Total Population 13556
80%-81%N/A
88%
12%Total Population 21168
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
203
Breast Cancer Screening
11%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
93%
79%
78%-80%
11%
87%
3%Total Population 4197
80%
78%-81%
75%
74%-76%N/A
16%
Confidence Interval of
Non-Risk Adjusted Rate
78%-80%
Non-Risk Adjusted Rate
79%
Sample Size
84%
Total Population or Sample
Medicare
NA
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
80–81%
82–83%
Risk Adjusted Rate
80%
Confidence Interval of
Non-Risk Adjusted Rate
83% Non-Risk Adjusted Rate
5%
Sample Size
86%
Total Population or Sample
Medicare
9%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
82–83%
Commercial
Risk Adjusted Rate
83%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cervical Cancer Screening
Medical Group
Distribution of
Patient Population
Commercial
Quality of
Preventive Care
80% 80–81%
7%Total Population 5191
75%
74%-77%
93%
7%Total Population 5191
75%
74%-77%
Family HealthServices Minnesota
Family HealthServices Minnesota
Family HealthServices Minnesota- Woodlane Family Practice
Family HealthServices Minnesota
HealthEast
HealthEast Clinics
82%
80%-83%
16%
80%
4%Total Population 3058
82%
81%-83%
79%
77%-80%N/A
83%
17%Total Population 4226
79%
77%-80%
HealthPartners
HealthPartners Clinics
88%
88%-89%
11%
86%
3%Total Population 18560
89%
88%-89%
83%
83%-84%N/A
90%
10%Total Population 35007
84%
83%-84%
Ilko Family Medicine
*
*
*
*
*
*
*
*
*
St. Paul Cardiology- Woodwinds OfficeSt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
*
*
*
* Sufficient data not available.
204
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
*
*
*
*
Colorectal Cancer Screening
69–74%
53%
50–55%
20%
77%
*
*
3%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
*
72% Confidence Interval of
Non-Risk Adjusted Rate
*
4%
Non-Risk Adjusted Rate
76%
Sample Size
20%
Medical Group
Distribution of
Patient Population
Total Population or Sample
69–74%
MN Health Care Programs
72%
Commercial
Overall Minnesota Clinic Average
Medicare
Risk Adjusted Rate
Medical
Group Name
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
*
*
*
Andover
Fairview Andover Clinic
Fairview Health Services
*
HealthPartners- RiverWay HealthPartners Clinics
75%
70%-81%
23%
75%
HealthPartners Clinics
75%
70%-81%
23%
Apple Valley Medical Clinic
Apple Valley Medical Clinic
74%
63%-86%
Fairview CedarRidge Clinic
Fairview Health Services
79%
HealthPartners
HealthPartners Clinics
75%
*
75%
*
72%
*
*
*
*
*
*
*
*
*
*
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
13%
85%
2%Sample
65
76%
63%-85%
50%
37%-63%
13%
85%
2%Sample
65
49%
36%-62%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
*
*
*
*
*
*
*
*
*
23%
75%
919
76%
23%
75%
919
66%
60%-72%
*
*
*
*
*
*
*
*
*
21%
77%
409
72%
21%
77%
409
45%
39%-52%
Anoka
HealthPartners- RiverWay Apple Valley
MD Physicals Incorporated
*
*
*
*
*
*
*
*
Arden Hills
HealthPartners
HealthPartners Clinics
70%-81%
2%Sample
70%-81%
66%
59%-72%
2%Sample
Belle Plaine
Southern Metro Medical ClinicsSouthern Metro Medical Clinics
*
*
*
*
*
*
*
*
Blaine
Allina Medical Clinic
Allina Medical Clinic
66%-78%
2%Sample
66%-78%
45%
39%-52%
2%Sample
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
205
Colorectal Cancer Screening
Fairview Blaine Clinic
Fairview Health Services
Multicare Associates- Blaine Medical Center
Multicare Associates
*
*
*
*
46%
26%-65%
48%
50%
4%
*
*
72% 69–74%
*
53%
*
50–55%
*
20%
77%
*
*
*
*
2%Sample
65
53%
38%-67%
38%
22%-54%
48%
50%
26%-55%
38%
61%
*
*
3%
*
*
53% Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
76%
Confidence Interval of Risk
Adjusted Rate
20%
Risk Adjusted Rate
69–74%
Confidence Interval of
Non-Risk Adjusted Rate
72%
Non-Risk Adjusted Rate
Commercial
Sample Size
Medicare
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
MN Health Care Programs
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
50–55%
*
*
*
2%Sample
65
47%
35%-60%
1%Sample
123
46%
34%-58%
*
*
*
Bloomington
Aspen Medical Group
Aspen Medical Group
74%
59%-89%
38%
60%
2%Sample
167
72%
59%-83%
41%
Bloomington Lake Clinic- Xerxes
Bloomington Lake Clinic
81%
75%-87%
38%
57%
5%Sample
84
77%
60%-89%
*
Fairview Oxboro Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
HealthPartners
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
Park Nicollet Clinic
Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
HealthPartners
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
Hennepin Faculty Associates- Hennepin Care North
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
North Memorial Clinic- North Memorial
Brooklyn Center Physicians
65%
34%-95%
36%
59%
5%Sample
115
62%
37%-82%
47%
32%-61%
36%
61%
3%Sample
74
47%
35%-61%
Park Nicollet Clinic
Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
Allina Medical Clinic
Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
Fairview Brooklyn Park Clinic
Fairview Health Services
*
*
*
*
*
*
*
*
*
*
*
*
*
Brooklyn Center
Brooklyn Park
*
*
*
*
*
* Sufficient data not available.
206
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
*
*
Colorectal Cancer Screening
59%
5%Sample
115
50–55%
20%
77%
3%
62%
37%-82%
47%
32%-61%
36%
61%
3%Sample
Confidence Interval of
Non-Risk Adjusted Rate
36%
53%
Non-Risk Adjusted Rate
34%-95%
69–74%
Sample Size
65%
Total Population or Sample
MN Health Care Programs
North Memorial Clinic- North Memorial
Brooklyn Park Physicians
72% Commercial
4%
Confidence Interval of Risk
Adjusted Rate
76%
Risk Adjusted Rate
20%
Confidence Interval of
Non-Risk Adjusted Rate
69–74%
Non-Risk Adjusted Rate
72%
Sample Size
Commercial
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
74
47%
35%-61%
Burnsville
Burnsville Family Physicians
Burnsville Family Physicians
66%
54%-77%
24%
76%
0%Sample
63
65%
53%-76%
22%
13%-32%
24%
76%
0%Sample
63
22%
13%-34%
Fairview Ridges Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
Park Nicollet Clinic
Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
Quello Clinic Quello Clinic
69%
53%-84%
28%
71%
1%Sample
66
69%
53%-82%
46%
36%-55%
28%
71%
1%Sample
66
48%
36%-59%
UMP MN Heart Burnsville ClinicUniversity of Minnesota Physicians
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Champlin
Allina Medical Clinic
Allina Medical Clinic
Team Health Care Clinic
72%
*
66%-78%
*
21%
77%
*
*
2%Sample
*
*
409
72%
*
*
66%-78%
*
45%
*
39%-52%
*
21%
77%
*
*
2%Sample
*
*
409
45%
39%-52%
*
*
*
Chanhassen
Park Nicollet Clinic
Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
Quello Clinic Quello Clinic
69%
53%-84%
28%
71%
1%Sample
66
69%
53%-82%
46%
36%-55%
28%
71%
1%Sample
66
48%
36%-59%
67%
55%-79%
17%
82%
2%Sample
64
69%
52%-82%
58%
46%-70%
17%
82%
2%Sample
64
60%
43%-75%
*
*
*
*
*
*
*
*
*
*
*
*
Ridgeview Chanhassen ClinicRidgeview Clinics
Chaska
Allina Medical Clinic- Crossroads Chaska
Allina Medical Clinic
*
*
*
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
207
Colorectal Cancer Screening
Fairview Jonathan Clinic
Fairview Health Services
4%
72% 69–74%
53%
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
Lakeview ClinicLakeview Clinic
94%
90%-98%
27%
71%
3%Sample
64
94%
84%-98%
*
Valley Family PracticeValley Family Practice
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
50–55%
48%-67%
20%
77%
3%
30%
67%
3%Sample
*
*
*
*
*
*
*
*
*
*
*
*
53% Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
76%
Confidence Interval of Risk
Adjusted Rate
20%
Risk Adjusted Rate
69–74%
Confidence Interval of
Non-Risk Adjusted Rate
72%
Non-Risk Adjusted Rate
Commercial
Sample Size
Medicare
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
MN Health Care Programs
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
50–55%
403
59%
51%-68%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Columbia Heights
Fairview Columbia Heights Clinic
Fairview Health Services
Coon Rapids
Allina Health System- Metropolitan Heart & Vascular Institute
Allina Health System
Allina Health System- Midwest Internal Medicine
Allina Health System
Allina Medical Clinic Allina Medical Clinic
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
43%
33%-53%
21%
75%
4%Sample
117
43%
32%-56%
36%
26%-46%
21%
76%
3%Sample
105
36%
26%-48%
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
Anoka Area Family Medicine Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Dr. Jerrol NollerDr. Jerrol Noller
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
HealthPartners 75%
23%
75%
919
76%
23%
75%
919
66%
60%-72%
HealthPartners Clinics
Twin Cities Heart and Lung
70%-81%
2%Sample
70%-81%
66%
59%-72%
2%Sample
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Cottage Grove
Allina Medical Clinic
Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
HealthEast HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
* Sufficient data not available.
208
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Colorectal Cancer Screening
Cancer Combined Screening
21%
77%
*
*
72%-86%
30%
67%
77%-94%
33%
65%
Confidence Interval of
Non-Risk Adjusted Rate
*
Non-Risk Adjusted Rate
*
Total Population or Sample
69%
Confidence Interval of Risk
Adjusted Rate
29%
*
Northwest Family PhysiciansNorthwest Family Physicians
59%
One Stop Medical CenterOne Stop Medical Center
*
72%
Eagan Child and Family CareEagan Child and Family Care
*
Fairview Eagan Clinic
Fairview Health Services
79%
HealthEast
HealthEast Clinics
85%
Minnesota Center for Obesity, Metabolism, and Endocrinology (MNCOME)
Minnesota Center for Obesity,
Metabolism, and Endocrinology (MNCOME) N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic
Park Nicollet Health Services
72% 69–74%
53%
50–55%
20%
77%
*
*
29%
69%
*
*
21%
77%
*
*
Sample Size
4%
Commercial
New Hope-Crystal Medical Clinic
Overall Minnesota Clinic Average
Medicare
72%
Medical
Group Name
Sample Size
Physician
clinic NAME
Risk Adjusted Rate
*
Confidence Interval of
Non-Risk Adjusted Rate
*
Non-Risk Adjusted Rate
76%
Total Population or Sample
Commercial
20%
MN Health Care Programs
Medicare
69–74%
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
See page 89 for an explanation of terms.
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
MN Health Care Programs
Quality of
Preventive Care
3%
53% 50–55%
*
*
*
2%Sample
65
43%
30%-56%
*
*
*
*
409
45%
39%-52%
*
*
*
Crystal
*
46%-73%
*
*
*
*
*
2%Sample
65
59%
*
*
*
409
72%
*
*
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
*
*
46%-72%
*
*
41%
*
*
27%-55%
*
*
*
*
Eagan
Allina Medical Clinic
Allina Medical Clinic
Yankee Square Family Practice
66%-78%
*
79%
*
72%-85%
*
18%
80%
*
*
2%Sample
*
*
2%Sample
*
*
328
79%
*
*
66%-78%
*
71%-85%
*
45%
*
64%
*
39%-52%
*
57%-71%
*
18%
80%
*
*
2%Sample
*
*
2%Sample
*
*
328
64%
56%-71%
*
*
*
Eden Prairie
Fairview EdenCenter Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
Park Nicollet Clinic
Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
209
Quality of
Preventive Care
Colorectal Cancer Screening
Cancer Combined Screening
117
Allina Medical Clinic Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
Consultants Internal Medicine
Consultants Internal Medicine
*
*
*
Edina Family PhysiciansEdina Family Physicians
64%
23%
77%
Edina Sports Health & WellnessEdina Sports Health & Wellness
*
*
*
Endocrinology Clinic of MinneapolisEndocrinology Clinic of Mpls.
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Fairview Crosstown Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
France Avenue Family Physicians
France Avenue Family Physicians
77%
68%-85%
23%
77%
0%Sample
60
78%
53%-92%
68%
60%-76%
23%
77%
0%Sample
60
69%
42%-87%
One Stop Medical CenterOne Stop Medical Center
*
*
*
*
*
*
*
*
*
*
*
*
Quello Clinic
69%
28%
71%
1%Sample
66
69%
28%
71%
1%Sample
66
48%
36%-59%
50–55%
20%
77%
3%
43%
32%-56%
36%
26%-46%
21%
76%
3%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
*
*
*
*
0%Sample
66
66%
23%
77%
*
*
*
*
*
Confidence Interval of
Non-Risk Adjusted Rate
4%Sample
53%
Non-Risk Adjusted Rate
75%
69–74%
Sample Size
21%
Total Population or Sample
33%-53%
MN Health Care Programs
43%
Commercial
Medicare
Allina Health System- Abbott
Allina Health System
Northwestern General Medicine Associates
72% Confidence Interval of Risk
Adjusted Rate
4%
Risk Adjusted Rate
76%
Confidence Interval of
Non-Risk Adjusted Rate
20%
Overall Minnesota Clinic Average
Non-Risk Adjusted Rate
69–74%
Medical
Group Name
Sample Size
Commercial
72%
Physician
clinic NAME
Total Population or Sample
Medicare
See page 89 for an explanation of terms.
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
53% 50–55%
105
36%
26%-48%
409
45%
39%-52%
*
*
*
0%Sample
66
51%
39%-62%
*
*
*
*
Edina
Quello Clinic
*
52%-77%
*
*
53%-84%
*
*
*
*
*
52%-77%
*
*
53%-82%
*
50%
*
*
46%
*
38%-61%
*
*
36%-55%
*
*
*
*
Sharpe Dillon Cockson & Associates PASharpe, Dillon, Cockson & Associates *
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Southdale Internal Medicine, PASouthdale Internal Medicine, P.A.
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
The Schuster ClinicThe Schuster Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
UMP MN Heart Edina ClinicUniversity of Minnesota Physicians N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
* Sufficient data not available.
210
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Colorectal Cancer Screening
69–74%
53%
50–55%
20%
77%
64
69%
52%-82%
58%
46%-70%
17%
82%
2%Sample
3%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
2%Sample
72% Sample Size
82%
Total Population or Sample
17%
MN Health Care Programs
55%-79%
Commercial
67%
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
4%
Confidence Interval of
Non-Risk Adjusted Rate
76%
Non-Risk Adjusted Rate
20%
Sample Size
Commercial
69–74%
Total Population or Sample
Medicare
72%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
64
60%
43%-75%
Excelsior
Ridgeview Excelsior ClinicRidgeview Clinics
Farmington
Allina Medical Clinic Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
Fairview Farmington Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Farmington Clinic
Farmington Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Allina Medical Clinic
72%
21%
77%
409
72%
21%
77%
409
45%
39%-52%
Fairview Fridley Clinic
Fairview Health Services
*
*
*
*
*
*
*
*
*
*
Multicare Associates-
Fridley Medical Center
Multicare Associates
46%
26%-65%
48%
50%
2%Sample
65
53%
38%-67%
38%
22%-54%
48%
50%
2%Sample
65
47%
35%-60%
North Memorial Clinic- North Memorial
Golden Valley Physicians
65%
34%-95%
36%
59%
5%Sample
115
62%
37%-82%
47%
32%-61%
36%
61%
3%Sample
74
47%
35%-61%
Park Nicollet Clinic 79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
Forest Lake
Allina Medical Clinic 66%-78%
2%Sample
66%-78%
45%
39%-52%
2%Sample
Fridley
*
*
*
*
*
*
*
*
Golden Valley
Park Nicollet Health Services
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
211
Colorectal Cancer Screening
72% 69–74%
53%
50–55%
20%
77%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
Confidence Interval of
Non-Risk Adjusted Rate
4%
Non-Risk Adjusted Rate
76%
Sample Size
20%
Total Population or Sample
69–74%
MN Health Care Programs
72%
Commercial
Overall Minnesota Clinic Average
Medicare
Risk Adjusted Rate
Medical
Group Name
Medical Group
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
3%
53% 50–55%
Hastings
Allina Medical Clinic - W First St
Allina Medical Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Allina Medical Clinic- Nininger
Allina Medical Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Aspen Medical Group
74%
59%-89%
38%
60%
2%Sample
167
72%
59%-83%
41%
26%-55%
38%
61%
1%Sample
123
46%
34%-58%
Fairview Hugo Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
HealthEast
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
Aspen Medical Group
Aspen Medical Group
74%
59%-89%
38%
60%
2%Sample
167
72%
59%-83%
41%
26%-55%
38%
61%
1%Sample
123
46%
34%-58%
Family HealthServices Minnesota Family HealthServices Minnesota
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
HealthPartners
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Hopkins
Aspen Medical Group Hugo
Inver Grove Heights
Inver Grove Heights Family Medical Center
Jordon
Jordon Medical Clinic
* Sufficient data not available.
212
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Colorectal Cancer Screening
4%
72% 69–74%
53%
50–55%
20%
77%
3%
53% Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
76%
Confidence Interval of Risk
Adjusted Rate
20%
Risk Adjusted Rate
69–74%
Confidence Interval of
Non-Risk Adjusted Rate
72%
Non-Risk Adjusted Rate
Commercial
Sample Size
Medicare
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
MN Health Care Programs
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
50–55%
Lakeville
Fairview Lakeville Clinic
Fairview Health Services
79%
FamilyHealth Medical Clinic FamilyHealth Medical Clinics
*
*
Quello Clinic
69%
Fairview Lino Lakes Clinic
Fairview Health Services
HealthPartners
HealthPartners Clinics
Lakeville Family Practice
Quello Clinic
72%-86%
30%
67%
3%Sample
403
78%
*
*
*
*
*
*
*
*
53%-84%
28%
71%
79%
72%-86%
30%
75%
70%-81%
*
72%-84%
58%
*
*
*
*
*
*
*
*
*
*
1%Sample
66
69%
53%-82%
46%
67%
3%Sample
403
78%
72%-84%
23%
75%
2%Sample
919
76%
70%-81%
*
*
*
*
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
36%-55%
28%
71%
1%Sample
66
48%
36%-59%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
*
*
*
*
*
Lino Lakes
Little Canada
Little Canada Medical Clinic
*
*
*
*
*
*
*
*
Maple Grove
Allina Medical Clinic
Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
Fairview Bass Lake Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
Fairview Maple Grove Medical Center
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
Maple Medical Center, PA
*
*
*
*
*
*
*
*
*
*
North ClinicNorth Clinic
94%
44%
54%
120
90%
45%
55%
64
71%
42%-90%
*
90%-97%
*
*
2%Sample
*
76%-96%
*
66%
*
57%-75%
*
*
1%Sample
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
213
Colorectal Cancer Screening
2%Sample
66
Park Nicollet Clinic
Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
Aspen Medical Group
Aspen Medical Group
74%
59%-89%
38%
60%
2%Sample
Attending Physicians
Attending Physicians
*
*
*
Family HealthServices Minnesota- Afton Road
Family HealthServices Minnesota
81%
71%-91%
23%
75%
HealthEast
HealthEast Clinics
85%
77%-94%
33%
HealthPartners
HealthPartners Clinics
75%
70%-81%
23%
50–55%
20%
77%
3%
77%
64%-86%
69%
55%-84%
41%
57%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
167
72%
59%-83%
41%
26%-55%
38%
61%
*
*
*
*
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
Confidence Interval of
Non-Risk Adjusted Rate
57%
53%
Non-Risk Adjusted Rate
41%
69–74%
Sample Size
68%-91%
Total Population or Sample
79%
MN Health Care Programs
Commercial
North Memorial Clinic- North Memorial
Camden Physicians Maple Grove
72% Confidence Interval of Risk
Adjusted Rate
4%
Risk Adjusted Rate
76%
Confidence Interval of
Non-Risk Adjusted Rate
20%
Non-Risk Adjusted Rate
69–74%
Sample Size
Commercial
72%
Overall Minnesota Clinic Average
Total Population or Sample
Medicare
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
66
69%
55%-80%
2%Sample
328
64%
56%-71%
1%Sample
123
46%
34%-58%
*
*
*
1%Sample
88
59%
38%-77%
65%
1%Sample
88
58%
43%-72%
75%
2%Sample
919
66%
60%-72%
Maplewood
*
*
*
*
*
*
*
*
St. Paul CardiologySt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic St. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Minneapolis
Allina Health System- Abbott
Northwestern General Medicine Associates
Allina Health System
Allina Health System- Minneapolis Heart Institute
Allina Health System
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Allina Medical Clinic- Isles
Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
Allina Medical Clinic- Nicollet Mall
Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
Allina Medical Clinic- The Doctors Uptown Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
43%
33%-53%
21%
75%
4%Sample
117
43%
32%-56%
36%
* Sufficient data not available.
214
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
26%-46%
21%
76%
3%Sample
105
36%
26%-48%
Colorectal Cancer Screening
57%
*
Bloomington Lake Clinic Bloomington Lake Clinic
81%
Boynton Health Service
Boynton Health Service
*
*
*
*
*
70%
44%
*
Bruley Center
Cedar Riverside People’s Center- People’s Center Medical Clinic
Cedar Riverside People’s Center
Community University Health
Care Center
Community University Health
Care Center
Crown Medical Center
*
*
5%Sample
84
77%
*
*
*
*
*
*
*
*
*
*
*
66%-72%
3%
9%
88%Sample
67
26%
42%-45%
0%
56%
44%Sample
70
18%
*
*
*
75%-87%
*
*
*
*
*
*
*
77%
59%-83%
41%
26%-55%
38%
61%
*
3%
1%Sample
Confidence Interval of
Non-Risk Adjusted Rate
38%
20%
Non-Risk Adjusted Rate
*
Axis Medical Center
72%
50–55%
Sample Size
*
AXIS Medical Center
167
53%
Total Population or Sample
2%Sample
74%
69–74%
MN Health Care Programs
60%
Commercial
38%
Aspen Medical Group
Confidence Interval of Risk
Adjusted Rate
59%-89%
Aspen Medical Group- East Lake Street
72% Risk Adjusted Rate
4%
Confidence Interval of
Non-Risk Adjusted Rate
76%
Non-Risk Adjusted Rate
20%
Sample Size
Commercial
69–74%
Total Population or Sample
Medicare
72%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
123
46%
34%-58%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
13%-44%
*
*
*
*
*
*
*
*
*
8%-35%
34%
69
16%
7%-33%
*
*
*
60%-89%
*
*
32%-36%
*
0%
56%
*
*
44%Sample
*
*
Fairview Hiawatha Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
Fairview Northeast Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
Fairview Uptown Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
Fremont Community Health Services- Central Avenue Clinic
Fremont Community Clinics
44%
42%-45%
0%
56%
44%Sample
70
18%
8%-35%
34%
32%-36%
0%
56%
44%Sample
69
16%
7%-33%
Fremont Community Health Services- Fremont Clinic
Fremont Community Clinics
44%
42%-45%
0%
56%
44%Sample
70
18%
8%-35%
34%
32%-36%
0%
56%
44%Sample
69
16%
7%-33%
Fremont Community Health Services- Sheridan
Fremont Community Clinics
44%
42%-45%
0%
56%
44%Sample
70
18%
8%-35%
34%
32%-36%
0%
56%
44%Sample
69
16%
7%-33%
Green Central Medical ClinicSouthside Community Health Services 44%
42%-45%
0%
56%
44%Sample
70
18%
8%-35%
34%
32%-36%
0%
56%
44%Sample
69
16%
7%-33%
HealthPartners- Riverside
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
HealthPartners Clinics
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
215
Colorectal Cancer Screening
4%
72% 69–74%
53%
50–55%
20%
77%
3%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Confidence Interval of Risk
Adjusted Rate
76%
Risk Adjusted Rate
20%
Confidence Interval of
Non-Risk Adjusted Rate
69–74%
Non-Risk Adjusted Rate
Commercial
72%
Sample Size
Medicare
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
MN Health Care Programs
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
Hennepin Faculty Associates- HCMC Family Medical Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Hennepin Faculty Associates- HCMC Hennepin Heart Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Hennepin Faculty Associates- HCMC Medicine Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Hennepin Faculty Associates- HCMC Positive Care Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Hennepin Faculty Associates- Hennepin Care South
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Hennepin Faculty Associates- Hennepin Faculty Associates:
Hennepin Center for Diabetes & Endocrinology HFA Clinics & HCMC Clinics
Hennepin Faculty Associates- Hennepin Faculty Associates:
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Hennepin Faculty Associates- Hennepin Family Care East Lake Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Hennepin Faculty Associates- HFA Internal Medicine Clinic Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Hennepin Faculty Associates- HFA Senior Care Clinic at Augustana Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
60%
29%-91%
14%
61%
25%Sample
283
58%
36%-77%
55%
23%-86%
14%
61%
25%Sample
283
50%
30%-71%
Johnson Street Medical Clinic
Johnson Street Medical Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Medical Care Services, PA
Medical Care Services
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Metropolitan Internists PA
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Native American Community ClinicNative American Community Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
North Memorial Clinic- North Memorial
Camden Physicians
79%
68%-91%
41%
57%
2%Sample
66
77%
64%-86%
69%
55%-84%
41%
57%
2%Sample
66
69%
55%-80%
North Memorial Clinic- North Memorial
Northeast Family Physicians
65%
34%-95%
36%
59%
5%Sample
115
62%
37%-82%
47%
32%-61%
36%
61%
3%Sample
74
47%
35%-61%
Hennepin Center for Senior Care
* Sufficient data not available.
216
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Colorectal Cancer Screening
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
76%
Confidence Interval of
Non-Risk Adjusted Rate
20%
Non-Risk Adjusted Rate
Commercial
69–74%
Sample Size
Medicare
72%
Medical Group
Distribution of
Patient Population
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
MN Health Care Programs
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
Overall Minnesota Clinic Average
North Memorial Heart & Vascular InstituteNorth Memorial
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
4%
72% 69–74%
53%
50–55%
20%
77%
3%
53% 50–55%
NorthPoint Health & Wellness CenterNorthPoint Health & Wellness Center *
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Park Avenue Family Practice
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Park Nicollet Health Services
79%
18%
80%
328
79%
18%
80%
328
64%
56%-71%
Riverside Family PhysiciansRiverside Family Physicians
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Ronald R Vessey MDRonald R Vessey MD
Internal Medicine Services, PA
Internal Medicine Services PA
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
70
18%
69
16%
7%-33%
Park Nicollet Clinic
Southside Medical ClinicSouthside Community Health Services UMP MN Heart University Clinic
University of Minnesota Physicians
44%
72%-85%
42%-45%
0%
56%
2%Sample
44%Sample
71%-85%
8%-35%
64%
34%
57%-71%
32%-36%
0%
56%
2%Sample
44%Sample
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
University of Minnesota Physicians - University of Minnesota Physicians
Broadway Family Medicine
53%
35%-70%
26%
58%
16%Sample
92
50%
30%-69%
49%
31%-66%
27%
60%
14%Sample
79
48%
27%-68%
University of Minnesota Physicians - University of Minnesota Physicians
Medicine Specialties Clinic 6A
53%
35%-70%
26%
58%
16%Sample
92
50%
30%-69%
49%
31%-66%
27%
60%
14%Sample
79
48%
27%-68%
University of Minnesota Physicians - University of Minnesota Physicians
Mill City Clinic
53%
35%-70%
26%
58%
16%Sample
92
50%
30%-69%
49%
31%-66%
27%
60%
14%Sample
79
48%
27%-68%
University of Minnesota Physicians - University of Minnesota Physicians
Primary Care Center
53%
35%-70%
26%
58%
16%Sample
92
50%
30%-69%
49%
31%-66%
27%
60%
14%Sample
79
48%
27%-68%
University of Minnesota Physicians - University of Minnesota Physicians
Smiley’s Clinic
53%
35%-70%
26%
58%
16%Sample
92
50%
30%-69%
49%
31%-66%
27%
60%
14%Sample
79
48%
27%-68%
North Memorial Clinic- North Memorial
Minnetonka Physicians
65%
34%-95%
36%
59%
5%Sample
115
62%
37%-82%
47%
32%-61%
36%
61%
3%Sample
74
47%
35%-61%
Park Nicollet Clinic- Carlson
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
Minnetonka
Park Nicollet Health Services
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
217
Colorectal Cancer Screening
*
*
*
*
*
*
*
*
*
23%
75%
137
81%
*
*
*
*
90%-98%
27%
71%
3%Sample
64
94%
85%
77%-94%
33%
65%
2%Sample
136
94%
90%-97%
44%
54%
2%Sample
72%
66%-78%
21%
77%
94%
90%-97%
44%
54%
Risk Adjusted Rate
Southern Metro Medical Clinics- Southern Metro Medical Clinics
New Prague Medical Clinic
*
81%
*
94%
*
*
*
*
*
*
23%
76%
Confidence Interval of
Non-Risk Adjusted Rate
*
Non-Risk Adjusted Rate
*
Sample Size
*
77%
Total Population or Sample
*
20%
MN Health Care Programs
*
50–55%
Commercial
*
53%
Confidence Interval of Risk
Adjusted Rate
*
*
69–74%
Risk Adjusted Rate
*
72% Confidence Interval of
Non-Risk Adjusted Rate
*
Queen of Peace Hospital- Queen of Peace Hospital Outpatient Clinic Outpatient Clinic
Non-Risk Adjusted Rate
4%
Sample Size
76%
Total Population or Sample
Commercial
20%
72%
MN Health Care Programs
Medicare
69–74%
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
3%
53% 50–55%
*
*
*
*
*
*
*
*
*
*
1%Sample
88
59%
38%-77%
New Prague
North St. Paul
Family HealthServices Minnesota- North St. Paul Clinic
Family HealthServices Minnesota
71%-91%
2%Sample
68%-90%
59%
35%-82%
Northfield
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
*
*
*
*
*
*
*
*
*
*
*
*
*
84%-98%
*
*
*
*
*
*
*
*
*
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
120
90%
76%-96%
66%
57%-75%
45%
55%
1%Sample
64
71%
42%-90%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
2%Sample
120
90%
76%-96%
66%
57%-75%
45%
55%
1%Sample
64
71%
42%-90%
Norwood
Lakeview ClinicLakeview Clinic
Oakdale
HealthEast HealthEast Clinics
Osseo
North Clinic North Clinic
Plymouth
Allina Medical Clinic- West Health Campus
Allina Medical Clinic
North Clinic- WestHealth North Clinic
* Sufficient data not available.
218
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Colorectal Cancer Screening
4%
72% 69–74%
53%
50–55%
20%
77%
3%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
76%
Confidence Interval of Risk
Adjusted Rate
20%
Risk Adjusted Rate
69–74%
Confidence Interval of
Non-Risk Adjusted Rate
72%
Non-Risk Adjusted Rate
Commercial
Sample Size
Medicare
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
MN Health Care Programs
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
North Memorial Clinic- North Memorial
Camden Physicians Plymouth
79%
68%-91%
41%
57%
2%Sample
66
77%
64%-86%
69%
55%-84%
41%
57%
2%Sample
66
69%
55%-80%
North Memorial Clinic- North Memorial
Plymouth Internal Medicine
65%
34%-95%
36%
59%
5%Sample
115
62%
37%-82%
47%
32%-61%
36%
61%
3%Sample
74
47%
35%-61%
Northwest Family PhysicansNorthwest Family Physicians
59%
46%-73%
29%
69%
2%Sample
65
59%
46%-72%
41%
27%-55%
29%
69%
2%Sample
65
43%
30%-56%
Park Nicollet Clinic
Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
Allina Medical Clinic- Crossroads Prior Lake
Allina Medical Clinic
*
*
*
*
*
*
*
*
*
*
Fairview RidgeValley Clinic
Fairview Health Services
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
Park Nicollet Clinic Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
*
*
*
*
*
*
*
*
*
*
North Clinic- Oakdale OfficeNorth Clinic
94%
44%
54%
120
90%
45%
55%
1%Sample
64
71%
42%-90%
Robbinsdale Clinic, PARobbinsdale Clinic, PA
*
*
*
*
*
*
*
*
*
*
*
Prior Lake
*
*
*
*
*
*
*
*
Ramsey
Allina Medical Clinic
Richfield
Allina Medical Clinic
Richfield Medical GroupRichfield Medical Group
*
*
*
*
*
*
*
*
Robbinsdale
90%-97%
*
2%Sample
*
*
76%-96%
*
66%
*
57%-75%
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
219
Colorectal Cancer Screening
59%
46%-73%
29%
69%
2%Sample
79%
72%-86%
30%
67%
3%Sample
*
*
*
75%
70%-81%
23%
75%
46%
26%-65%
48%
50%
*
*
*
Quello Clinic
69%
53%-84%
28%
71%
Allina Medical Clinic Allina Medical Clinic
72%
66%-78%
21%
77%
Allina Medical Clinic- Crossroads Shakopee Dean Lakes
Allina Medical Clinic
*
*
*
Park Nicollet Clinic
Park Nicollet Health Services
79%
18%
80%
50–55%
20%
77%
3%
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
65
59%
46%-72%
41%
27%-55%
29%
69%
403
78%
72%-84%
58%
48%-67%
30%
67%
*
*
*
*
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
65
53%
38%-67%
38%
22%-54%
48%
50%
*
*
*
*
*
1%Sample
66
69%
53%-82%
46%
36%-55%
28%
71%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
*
*
*
*
328
79%
18%
80%
Confidence Interval of
Non-Risk Adjusted Rate
53%
Non-Risk Adjusted Rate
403
69–74%
Sample Size
3%Sample
Total Population or Sample
67%
MN Health Care Programs
30%
Commercial
72%-86%
Confidence Interval of Risk
Adjusted Rate
79%
72% Risk Adjusted Rate
4%
Confidence Interval of
Non-Risk Adjusted Rate
76%
Non-Risk Adjusted Rate
20%
Sample Size
Commercial
69–74%
Overall Minnesota Clinic Average
Total Population or Sample
Medicare
72%
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
403
59%
51%-68%
2%Sample
65
43%
30%-56%
3%Sample
403
59%
51%-68%
*
*
*
2%Sample
919
66%
60%-72%
2%Sample
65
47%
35%-60%
*
*
*
*
1%Sample
66
48%
36%-59%
2%Sample
409
45%
39%-52%
*
*
*
328
64%
56%-71%
Rogers
Fairview Rogers Clinic
Fairview Health Services
Northwest Family PhysiciansNorthwest Family Physicians
Rosemount
Fairview Rosemount Clinic
Fairview Health Services
Rosemount Family Physicians
*
*
*
*
*
*
*
*
Roseville
HealthPartners- North Suburban Roseville
HealthPartners Clinics
Multicare Associates- Roseville Medical Center
Multicare Associates
Richard Schoewe, MDRichard Schoewe MD
*
*
*
*
*
*
Savage
Quello Clinic
Shakopee
*
72%-85%
*
*
2%Sample
*
71%-85%
*
64%
* Sufficient data not available.
220
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
57%-71%
*
*
2%Sample
Colorectal Cancer Screening
72% 69–74%
53%
50–55%
20%
77%
3%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
4%
Confidence Interval of
Non-Risk Adjusted Rate
76%
Non-Risk Adjusted Rate
20%
Sample Size
Commercial
69–74%
Total Population or Sample
Medicare
72%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
Shoreview
Allina Medical Clinic
Allina Medical Clinic
72%
66%-78%
21%
77%
2%Sample
409
72%
66%-78%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
Family HealthServices Minnesota
Family HealthServices Minnesota
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
One Stop Medical CenterOne Stop Medical Center
*
*
*
*
*
*
*
*
*
*
*
Silver Lake ClinicSilver Lake Clinic
84%
75%-92%
33%
66%
0%Sample
60
83%
66%-92%
62%
52%-71%
33%
66%
0%Sample
60
64%
44%-80%
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
67%
55%-79%
17%
82%
2%Sample
64
69%
52%-82%
58%
46%-70%
17%
82%
2%Sample
64
60%
43%-75%
84%
75%-92%
33%
66%
0%Sample
60
83%
66%-92%
62%
52%-71%
33%
66%
0%Sample
60
64%
44%-80%
*
*
*
*
*
*
*
*
*
*
*
*
75%
23%
75%
919
76%
23%
75%
919
66%
60%-72%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Shorewood
Park Nicollet Clinic
Park Nicollet Health Services
Spring Park
Ridgeview Westonka ClinicRidgeview Clinics
St. Anthony
Silver Lake ClinicSilver Lake Clinic
St. Francis
St. Francis Medical Clinic
*
*
*
*
*
*
St. Louis Park
HealthPartners- West
Integrative Options
HealthPartners Clinics
70%-81%
*
2%Sample
*
*
70%-81%
*
66%
*
59%-72%
*
2%Sample
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
221
Colorectal Cancer Screening
Cancer Combined Screening
Confidence Interval of
Non-Risk Adjusted Rate
80%
Non-Risk Adjusted Rate
18%
Total Population or Sample
*
Confidence Interval of Risk
Adjusted Rate
*
*
Park Nicollet Clinic- Creekside
Park Nicollet Health Services
79%
Park Nicollet Clinic- Heart and Vascular
Park Nicollet Health Services
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic- St. Louis Park Endocrinology
Park Nicollet Health Services
Park Nicollet Clinic-
St. Louis Park Family Medicine
Park Nicollet Health Services
Park Nicollet Clinic- St. Louis Park Internal Medicine
Park Nicollet Health Services
Steven Saliterman, MDSteven Saliterman, MD
*
72%-85%
*
2%Sample
*
*
328
79%
69–74%
*
71%-85%
53%
*
64%
50–55%
*
57%-71%
20%
77%
*
*
18%
80%
*
Sample Size
72% Commercial
Life MedicalLife Medical
Overall Minnesota Clinic Average
Medicare
72%
Medical
Group Name
Sample Size
Physician
clinic NAME
Risk Adjusted Rate
*
Confidence Interval of
Non-Risk Adjusted Rate
4%
Non-Risk Adjusted Rate
76%
Total Population or Sample
Commercial
20%
MN Health Care Programs
Medicare
69–74%
Risk Adjusted Rate
See page 89 for an explanation of terms.
Medical Group
Distribution of
Patient Population
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
MN Health Care Programs
Quality of
Preventive Care
3%
53% 50–55%
*
*
*
*
328
64%
56%-71%
2%Sample
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
79%
72%-85%
18%
80%
2%Sample
328
79%
71%-85%
64%
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
St. Paul
Adult Medicine, PA
Adult Medicine, PA
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Advanced Medical Clinic, Inc
Advanced Medical Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Allina Medical Clinic- United Medical Specialties
Allina Medical Clinic
72%
21%
77%
409
72%
21%
77%
409
45%
39%-52%
*
*
*
*
*
*
*
*
*
*
Arcade Medical Clinic
66%-78%
*
2%Sample
*
*
66%-78%
*
45%
*
39%-52%
*
2%Sample
*
*
Aspen Medical Group- Bandana Square
Aspen Medical Group
74%
59%-89%
38%
60%
2%Sample
167
72%
59%-83%
41%
26%-55%
38%
61%
1%Sample
123
46%
34%-58%
Aspen Medical Group- Highland
Aspen Medical Group
74%
59%-89%
38%
60%
2%Sample
167
72%
59%-83%
41%
26%-55%
38%
61%
1%Sample
123
46%
34%-58%
Boynton Health Service Boynton Health Service
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Children’s Speciality Clinic
Children’s Hospitals and Clinics
of Minnesota
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
* Sufficient data not available.
222
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Colorectal Cancer Screening
4%
72% 69–74%
53%
50–55%
20%
77%
3%
53% Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
76%
Confidence Interval of Risk
Adjusted Rate
20%
Risk Adjusted Rate
69–74%
Confidence Interval of
Non-Risk Adjusted Rate
72%
Non-Risk Adjusted Rate
Commercial
Sample Size
Medicare
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
MN Health Care Programs
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
50–55%
Donald E Gehrig, MD, Donald E Gehrig, MD,
Internal Medicine, LLC Internal Medicine, LLC
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Dr Bobby Yang Medical Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
79%
72%-86%
30%
67%
3%Sample
403
78%
72%-84%
58%
48%-67%
30%
67%
3%Sample
403
59%
51%-68%
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
Gillette Children’s Specialty HealthcareGillette Children’s
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Gillette Lifetime Specialty HealthcareGillette Children’s
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
HealthEast- Downtown St. Paul
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
HealthEast- Grand Avenue
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
HealthEast- Midway
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
HealthEast- Rice Street
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
HealthEast- Roselawn
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
HealthEast- St Anthony Park
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
HealthPartners- Center for International Health
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
HealthPartners- Como
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
Fairview Highland Park Clinic
Fairview Health Services
Family HealthServices Minnesota- Highland Family Physicians
Family HealthServices Minnesota
Family HealthServices Minnesota-
Larpenteur Clinic
Family HealthServices Minnesota
Family HealthServices Minnesota- Maryland Clinic
Family HealthServices Minnesota
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
223
Colorectal Cancer Screening
72% 69–74%
53%
50–55%
20%
77%
3%
Confidence Interval of
Non-Risk Adjusted Rate
Non-Risk Adjusted Rate
Sample Size
Total Population or Sample
MN Health Care Programs
Commercial
Confidence Interval of Risk
Adjusted Rate
Risk Adjusted Rate
4%
Confidence Interval of
Non-Risk Adjusted Rate
76%
Non-Risk Adjusted Rate
20%
Sample Size
Commercial
69–74%
Total Population or Sample
Medicare
72%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
53% 50–55%
HealthPartners- Health Center for Women
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
HealthPartners- Health Specialty Center
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
HealthPartners- Midway
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
HealthPartners- Specialty Center
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
HealthPartners- St. Paul
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
Metropolitan Medical Associates
Metropolitan Medical Associates
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Midway Family Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
New Americans Community Clinic
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Open Cities Health Center- DunlapOpen Cities Health Center
44%
42%-45%
0%
56%
44%Sample
70
18%
8%-35%
34%
32%-36%
0%
56%
44%Sample
69
16%
7%-33%
Open Cities Health Center- NorthendOpen Cities Health Center
44%
42%-45%
0%
56%
44%Sample
70
18%
8%-35%
34%
32%-36%
0%
56%
44%Sample
69
16%
7%-33%
Parkway Family Physicians
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
St Paul Family Medical Center
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
St. Paul Cardiology St. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic- DowntownSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
United Family MedicineUnited Family Medicine
59%
44%-73%
12%
67%
21%Sample
77
45%
26%-66%
*
University of Minnesota Physicians - University of Minnesota Physicians
Bethesda Clinic
53%
35%-70%
26%
58%
16%Sample
92
50%
30%-69%
49%
Parkway Family Physicians
* Sufficient data not available.
224
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
31%-66%
*
*
27%
60%
*
*
14%Sample
*
*
*
79
48%
27%-68%
Colorectal Cancer Screening
16%Sample
92
West Side Community Health Services- East Side Family Clinic
West Side Community Health Services
44%
42%-45%
0%
56%
44%Sample
West Side Community Health Services- La Clinica
West Side Community Health Services
44%
42%-45%
0%
56%
West Side Community Health Services- McDonough Homes Clinic
West Side Community Health Services
44%
42%-45%
0%
56%
*
Xoua Thao Medical Center
*
*
*
50–55%
20%
77%
50%
30%-69%
49%
31%-66%
27%
60%
14%Sample
70
18%
8%-35%
34%
32%-36%
0%
56%
44%Sample
70
18%
8%-35%
34%
32%-36%
0%
44%Sample
70
18%
8%-35%
34%
32%-36%
0%
*
*
70
18%
*
*
*
*
*
*
53% 50–55%
79
48%
27%-68%
44%Sample
69
16%
7%-33%
56%
44%Sample
69
16%
7%-33%
56%
44%Sample
69
16%
7%-33%
*
*
*
69
16%
7%-33%
*
3%
Confidence Interval of
Non-Risk Adjusted Rate
58%
53%
Non-Risk Adjusted Rate
26%
69–74%
Sample Size
35%-70%
Total Population or Sample
53%
MN Health Care Programs
72% Commercial
University of Minnesota Physicians - University of Minnesota Physicians
Phalen Clinic
4%
Confidence Interval of Risk
Adjusted Rate
76%
Risk Adjusted Rate
20%
Confidence Interval of
Non-Risk Adjusted Rate
69–74%
Non-Risk Adjusted Rate
72%
Sample Size
Commercial
Total Population or Sample
Medicare
Overall Minnesota Clinic Average
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
*
*
Stillwater
St Croix Family Medical ClinicSouthside Community Health Services 44%
42%-45%
0%
56%
44%Sample
8%-35%
34%
32%-36%
0%
56%
44%Sample
St Paul Heart Clinic- Lakeview Heart CenterSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Stillwater Medical Group- Curve Crest ClinicStillwater Medical Group
86%
79%-93%
12%
87%
1%Sample
83
89%
79%-95%
73%
65%-81%
12%
88%
1%Sample
60
74%
62%-83%
Vadnais Heights
Family HealthServices Minnesota
Family HealthServices Minnesota
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
HealthEast
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
94%
90%-98%
27%
71%
3%Sample
64
94%
84%-98%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Waconia
Lakeview ClinicLakeview Clinic
Watertown
Catalyst Medical Clinic
Catalyst Medical Clinic
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
225
Colorectal Cancer Screening
64
Park Nicollet Health Services
79%
72%-85%
18%
80%
2%Sample
Allina Medical Clinic Allina Medical Clinic
72%
66%-78%
21%
77%
Family HealthServices Minnesota- Gorman Clinic
Family HealthServices Minnesota
81%
71%-91%
23%
75%
*
*
*
*
*
*
*
*
*
94%
84%-98%
*
328
79%
71%-85%
64%
2%Sample
409
72%
66%-78%
2%Sample
137
81%
68%-90%
*
*
*
*
*
*
*
*
*
*
53% 50–55%
*
*
*
*
*
57%-71%
18%
80%
2%Sample
328
64%
56%-71%
45%
39%-52%
21%
77%
2%Sample
409
45%
39%-52%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
3%
Confidence Interval of
Non-Risk Adjusted Rate
3%Sample
77%
Non-Risk Adjusted Rate
71%
20%
Sample Size
27%
50–55%
Total Population or Sample
90%-98%
53%
MN Health Care Programs
94%
69–74%
Commercial
Lakeview ClinicLakeview Clinic
72% Confidence Interval of Risk
Adjusted Rate
4%
Risk Adjusted Rate
76%
Confidence Interval of
Non-Risk Adjusted Rate
20%
Non-Risk Adjusted Rate
69–74%
Sample Size
Commercial
72%
Overall Minnesota Clinic Average
Total Population or Sample
Medicare
Medical
Group Name
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Medicare
Quality of
Preventive Care
*
*
Wayzata
Park Nicollet Clinic
West St. Paul
Reshi Medical
White Bear Lake
AALFA Family Clinic
AALFA Family Clinic
*
Aspen Medical Group Aspen Medical Group
74%
59%-89%
38%
60%
2%Sample
167
72%
59%-83%
41%
26%-55%
38%
61%
1%Sample
123
46%
34%-58%
Family HealthServices Minnesota
Family HealthServices Minnesota
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
Family HealthServices Minnesota- Banning Avenue
Family HealthServices Minnesota
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
88
59%
38%-77%
HealthPartners
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
*
*
*
*
*
*
*
*
*
*
72%
21%
77%
409
72%
21%
77%
409
45%
39%-52%
LifeSteps Family Physicians, PALifesteps Family Physicians
*
*
*
*
*
*
*
*
Woodbury
Allina Medical Clinic
Allina Medical Clinic
66%-78%
2%Sample
66%-78%
45%
* Sufficient data not available.
226
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
39%-52%
2%Sample
Colorectal Cancer Screening
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
1%Sample
81%
71%-91%
23%
75%
2%Sample
137
81%
68%-90%
59%
35%-82%
23%
76%
3%
Confidence Interval of
Non-Risk Adjusted Rate
77%
Non-Risk Adjusted Rate
20%
Total Population or Sample
50–55%
MN Health Care Programs
53%
Commercial
69–74%
Medicare
Confidence Interval of Risk
Adjusted Rate
72% Risk Adjusted Rate
4%
Confidence Interval of
Non-Risk Adjusted Rate
76%
Non-Risk Adjusted Rate
20%
Sample Size
Commercial
69–74%
Total Population or Sample
Medicare
72%
MN Health Care Programs
Confidence Interval of Risk
Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Cancer Combined Screening
Sample Size
Quality of
Preventive Care
53% 50–55%
88
59%
38%-77%
1%Sample
88
59%
38%-77%
Family HealthServices Minnesota
Family HealthServices Minnesota
Family HealthServices Minnesota- Woodlane Family Practice
Family HealthServices Minnesota
HealthEast
HealthEast Clinics
85%
77%-94%
33%
65%
2%Sample
136
84%
75%-91%
55%
37%-73%
33%
65%
1%Sample
88
58%
43%-72%
HealthPartners
HealthPartners Clinics
75%
70%-81%
23%
75%
2%Sample
919
76%
70%-81%
66%
59%-72%
23%
75%
2%Sample
919
66%
60%-72%
Ilko Family Medicine
*
*
*
*
*
*
*
*
*
*
St. Paul Cardiology- Woodwinds OfficeSt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
*
*
*
*
*
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
227
Chlamydia Screening
*
*
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
NA
Non-Risk Adjusted Rate
78–81%
Sample Size
MN Health Care Programs
80%
Commercial
49–50%
Medicare
49% Confidence Interval of Risk
Adjusted Rate
23%
Risk Adjusted Rate
MN Health Care Programs
77%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
NA
Non-Risk Adjusted Rate
Medicare
49–50%
Sample Size
Confidence Interval of Risk
Adjusted Rate
49%
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
*
*
*
Andover
Fairview Andover Clinic
Fairview Health Services
*
HealthPartners- RiverWay HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
Apple Valley Medical Clinic
Apple Valley Medical Clinic
61%
55%-67%N/A
93%
7%Total Population 301
59%
53%-64%
*
*
*
*
Fairview CedarRidge Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
HealthPartners
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
*
*
*
*
*
*
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
283
86%
79%-91%
41%
32%-52%N/A
93%
7%Total Population 107
41%
32%-51%
*
*
*
*
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
244
81%
73%-86%
*N/A
*
*
*
*
*
*N/A
*
*
*
Anoka
HealthPartners- RiverWay Apple Valley
MD Physicals Incorporated
*N/A
*
*
*
*
*
*N/A
*N/A
*
*
*
*
*
*
Arden Hills
HealthPartners
HealthPartners Clinics
80%-91%N/A
68%
32%Sample
Belle Plaine
Southern Metro Medical ClinicsSouthern Metro Medical Clinics
*N/A
*
*
*
Blaine
Allina Medical Clinic
Allina Medical Clinic
* Sufficient data not available.
228
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
74%-87%N/A
68%
32%Sample
Chlamydia Screening
Fairview Health Services
Multicare Associates- Blaine Medical Center
Multicare Associates
*N/A
*
*
*
*
49–50%
80%
*
*
*
63%
37%
*N/A
*
*
*
Confidence Interval of
Non-Risk Adjusted Rate
NA
Non-Risk Adjusted Rate
78–81%
Sample Size
MN Health Care Programs
49% Commercial
23%
Medicare
77%
Confidence Interval of Risk
Adjusted Rate
NA
Risk Adjusted Rate
MN Health Care Programs
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49%
Non-Risk Adjusted Rate
Medicare
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Fairview Blaine Clinic
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
*
*
*
*
44%
38%-49%N/A
73%
27%Total Population 314
44%
39%-50%
83%
67%-97%N/A
53%
47%Sample
62
83%
68%-92%
80%-94%N/A
63%
37%Sample
94
88%
79%-93%
*
*
*
Bloomington
Aspen Medical Group
Aspen Medical Group
49%
46%-53%N/A
77%
23%Total Population 809
49%
46%-53%
88%
Bloomington Lake Clinic- Xerxes
Bloomington Lake Clinic
18%
12%-27%N/A
70%
30%Total Population 97
19%
12%-27%
*
Fairview Oxboro Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
HealthPartners
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
Park Nicollet Clinic
Park Nicollet Health Services
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
79%
21%Sample
174
89%
83%-94%
HealthPartners
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
Hennepin Faculty Associates- Hennepin Care North
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
62%
55%-68%N/A
28%
72%Total Population 460
71%
67%-75%
61%
32%-89%N/A
10%
90%Sample
114
71%
59%-81%
North Memorial Clinic- North Memorial
Brooklyn Center Physicians
53%
48%-59%N/A
68%
32%Total Population 312
54%
49%-60%
*
*
*
*
Park Nicollet Clinic
Park Nicollet Health Services
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
79%
21%Sample
174
89%
83%-94%
Allina Medical Clinic
Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
Fairview Brooklyn Park Clinic
Fairview Health Services
*
*
*
*
*
*
*N/A
*
*
*
Brooklyn Center
*N/A
*
*
*
Brooklyn Park
*N/A
*
*
*
*
*
*N/A
*
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
229
Chlamydia Screening
49–50%
80%
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
NA
Non-Risk Adjusted Rate
78–81%
Sample Size
MN Health Care Programs
49% Commercial
23%
Medicare
77%
Confidence Interval of Risk
Adjusted Rate
NA
Risk Adjusted Rate
MN Health Care Programs
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49%
Non-Risk Adjusted Rate
Medicare
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
North Memorial Clinic- North Memorial
Brooklyn Park Physicians
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
53%
48%-59%N/A
68%
32%Total Population 312
54%
49%-60%
*
*N/A
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Burnsville
Burnsville Family Physicians
Burnsville Family Physicians
46%
39%-54%N/A
98%
2%Total Population 103
42%
33%-51%
*
Fairview Ridges Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
Park Nicollet Clinic
Park Nicollet Health Services
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
79%
21%Sample
174
89%
83%-94%
Quello Clinic Quello Clinic
55%
49%-62%N/A
91%
9%Total Population 301
49%-60%
*
*
*
*
UMP MN Heart Burnsville ClinicUniversity of Minnesota Physicians
54%
*N/A
*
*
*
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Champlin
Allina Medical Clinic
Allina Medical Clinic
Team Health Care Clinic
61%
*
59%-62%N/A
*N/A
81%
*
19%Total Population 4876 60%
*
*
*
*
59%-62%
81%
*
*
74%-87%N/A
*N/A
68%
*
32%Sample
*
*
244
81%
73%-86%
*
*
*
174
89%
83%-94%
Chanhassen
Park Nicollet Clinic
Park Nicollet Health Services
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
Quello Clinic Quello Clinic
55%
49%-62%N/A
91%
9%Total Population 301
54%
49%-60%
*
*N/A
*
*
*
*
*
*
48%
41%-54%N/A
88%
12%Total Population 267
46%
40%-52%
*
*N/A
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Ridgeview Chanhassen ClinicRidgeview Clinics
84%-94%N/A
79%
21%Sample
Chaska
Allina Medical Clinic- Crossroads Chaska
Allina Medical Clinic
*N/A
*
*
*
*
* Sufficient data not available.
230
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Chlamydia Screening
*
*N/A
*
*
*
*
*N/A
*
*
*
Commercial
MN Health Care Programs
Sample Size
Medicare
NA
63%
37%
80%
23%Total Population 3293 57%
55%-59%
84%
10%Total Population 337
55%
49%-60%
85%
*
*
*
*
*N/A
*
*
*
*
*
*
*N/A
*
*
Confidence Interval of
Non-Risk Adjusted Rate
90%
78–81%
49–50%
Sample Size
Valley Family PracticeValley Family Practice
48%-60%N/A
MN Health Care Programs
54%
77%
Commercial
56%-59%N/A
49% Medicare
Lakeview ClinicLakeview Clinic
23%
Confidence Interval of Risk
Adjusted Rate
57%
Fairview Health Services
77%
Risk Adjusted Rate
Fairview Jonathan Clinic
NA
Confidence Interval of
Non-Risk Adjusted Rate
49–50%
Non-Risk Adjusted Rate
Confidence Interval of Risk
Adjusted Rate
49%
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
71%-97%N/A
84%
16%Sample
60
88%
67%-96%
*
*
*
*
*
*
*
*
Columbia Heights
Fairview Columbia Heights Clinic
Fairview Health Services
Coon Rapids
Allina Health System- Metropolitan Heart & Vascular Institute
Allina Health System
Allina Health System- Midwest Internal Medicine
Allina Health System
Allina Medical Clinic Allina Medical Clinic
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
48%
44%-53%N/A
64%
36%Total Population 520
51%
46%-55%
75%
66%-82%N/A
57%
43%Sample
61
73%
56%-86%
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
Anoka Area Family Medicine Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Dr. Jerrol NollerDr. Jerrol Noller
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
HealthPartners 68%
67%-69%
86%
283
86%
79%-91%
HealthPartners Clinics
Twin Cities Heart and Lung
67%-70%N/A
82%
18%Total Population 5902 68%
80%-91%N/A
68%
32%Sample
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Cottage Grove
Allina Medical Clinic
Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
HealthEast HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
52%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
231
Chlamydia Screening
NA
63%
37%
80%
*
*
*
*N/A
*
*
*
56%
50%-62%
*
*N/A
*
*
*
*
*
*N/A
*
*
59%-62%
81%
*
*
Confidence Interval of
Non-Risk Adjusted Rate
78–81%
49–50%
Sample Size
MN Health Care Programs
49% Commercial
23%
Medicare
77%
Confidence Interval of Risk
Adjusted Rate
NA
Risk Adjusted Rate
MN Health Care Programs
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49%
Non-Risk Adjusted Rate
Medicare
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
*
*
*
*
*
*
*
*
*
*
*
244
81%
73%-86%
*
*
*
Crystal
New Hope-Crystal Medical Clinic
*
Northwest Family PhysiciansNorthwest Family Physicians
57%
One Stop Medical CenterOne Stop Medical Center
*
61%
Eagan Child and Family CareEagan Child and Family Care
*
Fairview Eagan Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
HealthEast
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
Minnesota Center for Obesity, Metabolism, and Endocrinology (MNCOME)
Minnesota Center for Obesity,
Metabolism, and Endocrinology (MNCOME) N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic
Park Nicollet Health Services
*N/A
50%-63%N/A
*N/A
*
88%
*
*
*
*
12%Total Population 236
*
*
*
Eagan
Allina Medical Clinic
Allina Medical Clinic
Yankee Square Family Practice
52%
*
59%-62%N/A
*N/A
50%-53%N/A
*N/A
81%
*
88%
*
19%Total Population 4876 60%
*
*
*
*
52%
12%Total Population 3693 49%
*
*
*
*
48%-51%
89%
*
*
74%-87%N/A
*N/A
84%-94%N/A
*N/A
68%
*
79%
*
32%Sample
*
*
21%Sample
*
*
174
89%
83%-94%
*
*
*
Eden Prairie
Fairview EdenCenter Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
Park Nicollet Clinic
Park Nicollet Health Services
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
79%
21%Sample
174
89%
83%-94%
* Sufficient data not available.
232
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Chlamydia Screening
49–50%
80%
NA
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
78–81%
Sample Size
MN Health Care Programs
49% Commercial
23%
Medicare
77%
Confidence Interval of Risk
Adjusted Rate
NA
Risk Adjusted Rate
MN Health Care Programs
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49%
Non-Risk Adjusted Rate
Medicare
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
Edina
Allina Health System- Abbott
Allina Health System
Northwestern General Medicine Associates
48%
44%-53%N/A
64%
36%Total Population 520
51%
46%-55%
75%
66%-82%N/A
57%
43%Sample
61
73%
56%-86%
Allina Medical Clinic Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
Consultants Internal Medicine
Consultants Internal Medicine
*
*
*
*
*N/A
*
*
*
*
*
*
Edina Family PhysiciansEdina Family Physicians
41%
32%-50%N/A
96%
4%Total Population 171
39%
32%-47%
*
*N/A
*
*
*
*
*
*
Edina Sports Health & WellnessEdina Sports Health & Wellness
45%
37%-54%N/A
100%
0%Total Population 77
42%
31%-53%
*
*N/A
*
*
*
*
*
*
Endocrinology Clinic of MinneapolisEndocrinology Clinic of Mpls.
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Fairview Crosstown Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
France Avenue Family Physicians
France Avenue Family Physicians
58%
45%-70%N/A
89%
11%Total Population 55
58%
45%-70%
*
*N/A
*
*
One Stop Medical CenterOne Stop Medical Center
*
*
*
*
*N/A
*
Quello Clinic
55%
54%
49%-60%
*
*N/A
Quello Clinic
*N/A
*N/A
49%-62%N/A
*
*
91%
*
*
*
*
*
*
9%Total Population 301
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Sharpe Dillon Cockson & Associates PASharpe, Dillon, Cockson & Associates *
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Southdale Internal Medicine, PASouthdale Internal Medicine, P.A.
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
The Schuster ClinicThe Schuster Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
UMP MN Heart Edina ClinicUniversity of Minnesota Physicians
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
233
Chlamydia Screening
46%
40%-52%
*
Sample Size
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
12%Total Population 267
NA
Non-Risk Adjusted Rate
88%
78–81%
Sample Size
41%-54%N/A
MN Health Care Programs
80%
Commercial
49–50%
Medicare
49% Risk Adjusted Rate
23%
Confidence Interval of
Non-Risk Adjusted Rate
77%
Non-Risk Adjusted Rate
NA
Confidence Interval of Risk
Adjusted Rate
48%
Total Population or Sample
MN Health Care Programs
49–50%
Commercial
Confidence Interval of Risk
Adjusted Rate
49%
Medicare
Risk Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
*
*
*
Excelsior
Ridgeview Excelsior ClinicRidgeview Clinics
*N/A
*
*
*
Farmington
Allina Medical Clinic Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
Fairview Farmington Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
FamilyHealth Medical Clinic
FamilyHealth Medical Clinics
15%
9%-23%N/A
88%
12%Total Population 107
15%
9%-23%
*
*N/A
*
*
*
*
*
*
Farmington Clinic
Farmington Clinic
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic
61%
59%-62%
81%
244
81%
73%-86%
Fairview Fridley Clinic
Fairview Health Services
*
*
*
*
*
*
*
Multicare Associates-
Fridley Medical Center
Multicare Associates
44%
38%-49%N/A
73%
27%Total Population 314
44%
39%-50%
83%
62
83%
68%-92%
North Memorial Clinic- North Memorial
Golden Valley Physicians
53%
48%-59%N/A
68%
32%Total Population 312
54%
49%-60%
*
*
*
*
Park Nicollet Clinic 52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
174
89%
83%-94%
*N/A
*
*
*
*
Forest Lake
Allina Medical Clinic 59%-62%N/A
81%
19%Total Population 4876 60%
74%-87%N/A
68%
32%Sample
Fridley
*N/A
*
*
*
*
*N/A
67%-97%N/A
*
53%
*
*
47%Sample
Golden Valley
Park Nicollet Health Services
* Sufficient data not available.
234
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
84%-94%N/A
*
79%
*
*
21%Sample
Chlamydia Screening
49–50%
80%
NA
63%
37%
80% Confidence Interval of
Non-Risk Adjusted Rate
78–81%
Sample Size
MN Health Care Programs
49% Commercial
23%
Medicare
77%
Confidence Interval of Risk
Adjusted Rate
NA
Risk Adjusted Rate
MN Health Care Programs
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49%
Non-Risk Adjusted Rate
Medicare
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
78–81%
Hastings
Allina Medical Clinic - W First St
Allina Medical Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- Nininger
Allina Medical Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Aspen Medical Group
49%
46%-53%N/A
77%
23%Total Population 809
49%
46%-53%
88%
80%-94%N/A
63%
37%Sample
94
88%
79%-93%
Fairview Hugo Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
HealthEast
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
Aspen Medical Group
Aspen Medical Group
49%
46%-53%N/A
77%
23%Total Population 809
49%
46%-53%
88%
80%-94%N/A
63%
37%Sample
94
88%
79%-93%
Family HealthServices Minnesota Family HealthServices Minnesota
*
*
*
87%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
HealthPartners
HealthPartners Clinics
68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Hopkins
Aspen Medical Group Hugo
Inver Grove Heights
Inver Grove Heights Family Medical Center
*N/A
67%-70%N/A
*
82%
*
*
*
18%Total Population 5902 68%
Jordon
Jordon Medical Clinic
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
235
Chlamydia Screening
MN Health Care Programs
78–81%
NA
63%
37%
78%-89%N/A
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
80%
Non-Risk Adjusted Rate
Medicare
49–50%
Sample Size
Confidence Interval of Risk
Adjusted Rate
49% Risk Adjusted Rate
23%
Confidence Interval of
Non-Risk Adjusted Rate
77%
Sample Size
NA
Non-Risk Adjusted Rate
Total Population or Sample
MN Health Care Programs
49–50%
Commercial
Confidence Interval of Risk
Adjusted Rate
49%
Medicare
Risk Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
254
84%
78%-89%
Lakeville
Fairview Lakeville Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
FamilyHealth Medical Clinic FamilyHealth Medical Clinics
15%
9%-23%N/A
88%
12%Total Population 107
15%
9%-23%
*
*N/A
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Quello Clinic
55%
49%-62%N/A
91%
9%Total Population 301
54%
49%-60%
*
*N/A
*
*
*
*
*
*
Fairview Lino Lakes Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
HealthPartners
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
*
*
*
*
*
*
Lakeville Family Practice
Quello Clinic
*N/A
*
*
*
*
64%
36%Sample
Lino Lakes
Little Canada
Little Canada Medical Clinic
*N/A
*
*
*
*
*
*N/A
*
*
*
Maple Grove
Allina Medical Clinic
Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
Fairview Bass Lake Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
Fairview Maple Grove Medical Center
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
Maple Medical Center, PA
*
*
*
*
*N/A
*
*
*
*
*
*
North ClinicNorth Clinic
45%
42%
37%-46%
*
*N/A
*
*
*
*
*
*
*N/A
40%-50%N/A
*
88%
*
*
*
12%Total Population 395
* Sufficient data not available.
236
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Chlamydia Screening
Aspen Medical Group
Aspen Medical Group
Attending Physicians
Attending Physicians
Family HealthServices Minnesota- Afton Road
Family HealthServices Minnesota
HealthEast
HealthPartners
NA
63%
37%
80%
46%-59%N/A
82%
18%Total Population 225
52%
45%-58%
*
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
79%
49%
46%-53%N/A
77%
23%Total Population 809
49%
46%-53%
88%
80%-94%N/A
63%
*
*N/A
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
87%
82%-91%N/A
55%
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
Risk Adjusted Rate
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
49% Non-Risk Adjusted Rate
23%
Sample Size
77%
*N/A
Confidence Interval of
Non-Risk Adjusted Rate
78–81%
NA
Sample Size
Park Nicollet Health Services
MN Health Care Programs
Park Nicollet Clinic
Commercial
52%
Medicare
Confidence Interval of Risk
Adjusted Rate
North Memorial Clinic- North Memorial
Camden Physicians Maple Grove
Total Population or Sample
49–50%
MN Health Care Programs
49%
Commercial
Confidence Interval of Risk
Adjusted Rate
Medicare
Risk Adjusted Rate
Overall Minnesota Clinic Average
Medical
Group Name
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
*
*
*
21%Sample
174
89%
83%-94%
37%Sample
94
88%
79%-93%
*
*
*
45%Sample
73
84%
74%-91%
69%
31%Sample
103
91%
81%-96%
68%
32%Sample
283
86%
79%-91%
*
*
*
Maplewood
*N/A
*
*
*
St. Paul CardiologySt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic St. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Minneapolis
Allina Health System- Abbott
Northwestern General Medicine Associates
Allina Health System
Allina Health System- Minneapolis Heart Institute
Allina Health System
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Allina Medical Clinic- Isles
Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
Allina Medical Clinic- Nicollet Mall
Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
Allina Medical Clinic- The Doctors Uptown Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
48%
44%-53%N/A
64%
36%Total Population 520
51%
46%-55%
75%
66%-82%N/A
57%
43%Sample
61
73%
56%-86%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
237
Chlamydia Screening
MN Health Care Programs
37%
77%
23%Total Population 809
49%
46%-53%
88%
*
*
*
*N/A
*
*
19%
12%-27%
*
*N/A
*
Risk Adjusted Rate
80%
Confidence Interval of
Non-Risk Adjusted Rate
49–50%
Non-Risk Adjusted Rate
49% Sample Size
23%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
63%
77%
Non-Risk Adjusted Rate
Medicare
NA
NA
Sample Size
Confidence Interval of Risk
Adjusted Rate
Total Population or Sample
78–81%
MN Health Care Programs
49–50%
Commercial
Confidence Interval of Risk
Adjusted Rate
49%
Medicare
Risk Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
63%
37%Sample
94
88%
79%-93%
*
*
*
*
*
*
*
*
*
Aspen Medical Group- East Lake Street
Aspen Medical Group
49%
AXIS Medical Center
Axis Medical Center
*
Bloomington Lake Clinic Bloomington Lake Clinic
18%
Boynton Health Service
Boynton Health Service
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
55%
48%-61%N/A
3%
97%Total Population 33
64%
47%-78%
*
*N/A
*
*
*
*
*
*
54%
51%-58%N/A
47%
53%Total Population 1347 60%
58%-63%
79%
74
68%
57%-78%
*
*
*
*
*
*
Bruley Center
Cedar Riverside People’s Center- People’s Center Medical Clinic
Cedar Riverside People’s Center
Community University Health
Care Center
Community University Health
Care Center
Crown Medical Center
46%-53%N/A
*N/A
12%-27%N/A
*N/A
*
70%
*
*
*
*
30%Total Population 97
*
*
*
*
80%-94%N/A
74%-84%N/A
*N/A
8%
*
92%Sample
*
*
Fairview Hiawatha Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
Fairview Northeast Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
Fairview Uptown Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
Fremont Community Health Services- Central Avenue Clinic
Fremont Community Clinics
54%
51%-58%N/A
47%
53%Total Population 1347 60%
58%-63%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
Fremont Community Health Services- Fremont Clinic
Fremont Community Clinics
54%
51%-58%N/A
47%
53%Total Population 1347 60%
58%-63%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
Fremont Community Health Services- Sheridan
Fremont Community Clinics
54%
51%-58%N/A
47%
53%Total Population 1347 60%
58%-63%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
Green Central Medical ClinicSouthside Community Health Services 54%
51%-58%N/A
47%
53%Total Population 1347 60%
58%-63%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
HealthPartners- Riverside
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
HealthPartners Clinics
* Sufficient data not available.
238
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Chlamydia Screening
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
NA
Non-Risk Adjusted Rate
MN Health Care Programs
78–81%
Sample Size
Commercial
80%
Medicare
49–50%
Risk Adjusted Rate
49% Confidence Interval of
Non-Risk Adjusted Rate
23%
Non-Risk Adjusted Rate
77%
Sample Size
NA
Confidence Interval of Risk
Adjusted Rate
Total Population or Sample
MN Health Care Programs
49–50%
Commercial
Confidence Interval of Risk
Adjusted Rate
49%
Medicare
Risk Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
Hennepin Faculty Associates- HCMC Family Medical Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
62%
55%-68%N/A
28%
72%Total Population 460
71%
67%-75%
61%
32%-89%N/A
10%
90%Sample
114
71%
59%-81%
Hennepin Faculty Associates- HCMC Hennepin Heart Center
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
62%
55%-68%N/A
28%
72%Total Population 460
71%
67%-75%
61%
32%-89%N/A
10%
90%Sample
114
71%
59%-81%
Hennepin Faculty Associates- HCMC Medicine Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
62%
55%-68%N/A
28%
72%Total Population 460
71%
67%-75%
61%
32%-89%N/A
10%
90%Sample
114
71%
59%-81%
Hennepin Faculty Associates- HCMC Positive Care Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
62%
55%-68%N/A
28%
72%Total Population 460
71%
67%-75%
61%
32%-89%N/A
10%
90%Sample
114
71%
59%-81%
Hennepin Faculty Associates- Hennepin Care South
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
62%
55%-68%N/A
28%
72%Total Population 460
71%
67%-75%
61%
32%-89%N/A
10%
90%Sample
114
71%
59%-81%
Hennepin Faculty Associates- Hennepin Faculty Associates:
Hennepin Center for Diabetes & Endocrinology HFA Clinics & HCMC Clinics
Hennepin Faculty Associates- Hennepin Faculty Associates:
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
HFA Clinics & HCMC Clinics
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Hennepin Faculty Associates- Hennepin Family Care East Lake Clinic
Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
62%
55%-68%N/A
28%
72%Total Population 460
71%
67%-75%
61%
32%-89%N/A
10%
90%Sample
114
71%
59%-81%
Hennepin Faculty Associates- HFA Internal Medicine Clinic Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
62%
55%-68%N/A
28%
72%Total Population 460
71%
67%-75%
61%
32%-89%N/A
10%
90%Sample
114
71%
59%-81%
Hennepin Faculty Associates- HFA Senior Care Clinic at Augustana Hennepin Faculty Associates:
HFA Clinics & HCMC Clinics
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Johnson Street Medical Clinic
Johnson Street Medical Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Medical Care Services, PA
Medical Care Services
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Metropolitan Internists PA
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Native American Community ClinicNative American Community Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
North Memorial Clinic- North Memorial
Camden Physicians
52%
46%-59%N/A
82%
18%Total Population 225
52%
45%-58%
*
*N/A
*
*
*
*
*
*
North Memorial Clinic- North Memorial
Northeast Family Physicians
53%
48%-59%N/A
68%
32%Total Population 312
54%
49%-60%
*
*N/A
*
*
*
*
*
*
Hennepin Center for Senior Care
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
239
Chlamydia Screening
Commercial
MN Health Care Programs
NA
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
Medicare
78–81%
Sample Size
Confidence Interval of Risk
Adjusted Rate
23%
Risk Adjusted Rate
MN Health Care Programs
77%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
NA
Non-Risk Adjusted Rate
Medicare
49–50%
Sample Size
Confidence Interval of Risk
Adjusted Rate
49%
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
Overall Minnesota Clinic Average
North Memorial Heart & Vascular InstituteNorth Memorial
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
NorthPoint Health & Wellness CenterNorthPoint Health & Wellness Center Park Avenue Family Practice
81%
70%-92%N/A
81%
75%-86%
*
*N/A
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
48%-51%
89%
174
89%
83%-94%
52%
Riverside Family PhysiciansRiverside Family Physicians
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Ronald R Vessey MDRonald R Vessey MD
Internal Medicine Services, PA
Internal Medicine Services PA
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
58%-63%
79%
74
68%
57%-78%
UMP MN Heart University Clinic
University of Minnesota Physicians
54%
51%-58%N/A
47%
*
78–81%
Southside Medical ClinicSouthside Community Health Services *
80% Park Nicollet Health Services
88%
*
80%
*
50%-53%N/A
*
84%Total Population 165
49–50%
Park Nicollet Clinic
*N/A
16%
49% 12%Total Population 3693 49%
53%Total Population 1347 60%
84%-94%N/A
74%-84%N/A
79%
8%
21%Sample
92%Sample
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
University of Minnesota Physicians - University of Minnesota Physicians
Broadway Family Medicine
*
*N/A
*
*
*
*
*
*
62%
40%-82%N/A
12%
88%Sample
69
58%
45%-69%
University of Minnesota Physicians - University of Minnesota Physicians
Medicine Specialties Clinic 6A
*
*N/A
*
*
*
*
*
*
62%
40%-82%N/A
12%
88%Sample
69
58%
45%-69%
University of Minnesota Physicians - University of Minnesota Physicians
Mill City Clinic
*
*N/A
*
*
*
*
*
*
62%
40%-82%N/A
12%
88%Sample
69
58%
45%-69%
University of Minnesota Physicians - University of Minnesota Physicians
Primary Care Center
*
*N/A
*
*
*
*
*
*
62%
40%-82%N/A
12%
88%Sample
69
58%
45%-69%
University of Minnesota Physicians - University of Minnesota Physicians
Smiley’s Clinic
*
*N/A
*
*
*
*
*
*
62%
40%-82%N/A
12%
88%Sample
69
58%
45%-69%
North Memorial Clinic- North Memorial
Minnetonka Physicians
53%
48%-59%N/A
68%
32%Total Population 312
54%
49%-60%
*
*
*
*
Park Nicollet Clinic- Carlson
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
174
89%
83%-94%
Minnetonka
Park Nicollet Health Services
* Sufficient data not available.
240
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
84%-94%N/A
*
79%
*
*
21%Sample
Chlamydia Screening
49–50%
80%
NA
63%
37%
80% Confidence Interval of
Non-Risk Adjusted Rate
78–81%
Sample Size
MN Health Care Programs
49% Commercial
23%
Medicare
77%
Confidence Interval of Risk
Adjusted Rate
NA
Risk Adjusted Rate
MN Health Care Programs
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49%
Non-Risk Adjusted Rate
Medicare
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
78–81%
New Prague
Queen of Peace Hospital- Queen of Peace Hospital Outpatient Clinic Outpatient Clinic
*
Southern Metro Medical Clinics- Southern Metro Medical Clinics
New Prague Medical Clinic
41%
Family HealthServices Minnesota
*
FamilyHealth Medical Clinics
15%
9%-23%N/A
88%
54%
48%-60%N/A
52%
*N/A
*
*
*
*N/A
*
*
*
*
*
*
41%
32%-51%
*
*N/A
*
*
*
*
*
*
*
*
87%
73
84%
74%-91%
12%Total Population 107
15%
9%-23%
*
*
*
*
90%
10%Total Population 337
55%
49%-60%
85%
71%-97%N/A
84%
16%Sample
60
88%
67%-96%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
45%
40%-50%N/A
88%
12%Total Population 395
42%
37%-46%
*
*
*
*
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
244
81%
73%-86%
45%
40%-50%N/A
88%
12%Total Population 395
37%-46%
*
*
*
*
32%-52%N/A
*
*
93%
*
*
7%Total Population 107
North St. Paul
Family HealthServices Minnesota- North St. Paul Clinic
*N/A
*
*
*
*
82%-91%N/A
55%
45%Sample
Northfield
FamilyHealth Medical Clinic
*N/A
*
*
*
Norwood
Lakeview ClinicLakeview Clinic
Oakdale
HealthEast HealthEast Clinics
Osseo
North Clinic North Clinic
*N/A
*
*
*
Plymouth
Allina Medical Clinic- West Health Campus
Allina Medical Clinic
North Clinic- WestHealth North Clinic
42%
74%-87%N/A
*N/A
68%
*
32%Sample
*
*
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
241
Chlamydia Screening
Childhood Immunization Status
Park Nicollet Clinic
NA
63%
37%
80%
46%-59%N/A
82%
18%Total Population 225
52%
45%-58%
*
*N/A
*
*
*
53%
48%-59%N/A
68%
32%Total Population 312
54%
49%-60%
*
*N/A
*
*
57%
50%-63%N/A
88%
12%Total Population 236
56%
50%-62%
*
*N/A
*
*
Park Nicollet Health Services
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
Allina Medical Clinic- Crossroads Prior Lake
Allina Medical Clinic
*
*
*
Fairview RidgeValley Clinic
Fairview Health Services
57%
56%-59%N/A
77%
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
64%
Park Nicollet Clinic Park Nicollet Health Services
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
*
*
*
*
*N/A
*
*
North Clinic- Oakdale OfficeNorth Clinic
45%
42%
37%-46%
*
*N/A
*
Robbinsdale Clinic, PARobbinsdale Clinic, PA
*
*
*
*
*N/A
*
Risk Adjusted Rate
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
49% Non-Risk Adjusted Rate
23%
Sample Size
77%
Medical
Group Name
Confidence Interval of
Non-Risk Adjusted Rate
Northwest Family PhysicansNorthwest Family Physicians
78–81%
NA
Physician
clinic NAME
Sample Size
MN Health Care Programs
North Memorial Clinic- North Memorial
Plymouth Internal Medicine
Commercial
52%
Medicare
Confidence Interval of Risk
Adjusted Rate
North Memorial Clinic- North Memorial
Camden Physicians Plymouth
Total Population or Sample
49–50%
MN Health Care Programs
49%
Commercial
Confidence Interval of Risk
Adjusted Rate
Medicare
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
*
*
*
*
*
*
*
*
*
*
*
174
89%
83%-94%
*
*
*
36%Sample
254
84%
78%-89%
79%
21%Sample
174
89%
83%-94%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
74%-87%N/A
68%
32%Sample
244
81%
73%-86%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
84%-94%N/A
79%
21%Sample
Prior Lake
*N/A
*
*
*
*
*
*N/A
*
*
*
Ramsey
Allina Medical Clinic
Richfield
Allina Medical Clinic
Richfield Medical GroupRichfield Medical Group
*N/A
*
*
*
*
Robbinsdale
40%-50%N/A
*N/A
88%
*
12%Total Population 395
*
*
*
* Sufficient data not available.
242
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Chlamydia Screening
Childhood Immunization Status
Commercial
MN Health Care Programs
23%Total Population 3293 57%
55%-59%
84%
78%-89%N/A
88%
12%Total Population 236
56%
50%-62%
*
77%
23%Total Population 3293 57%
55%-59%
84%
*
*
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
27%Total Population 314
44%
39%-50%
83%
67%-97%N/A
53%
*
*
*
*N/A
*
*
54%
49%-60%
*
*N/A
*
*
19%Total Population 4876 60%
59%-62%
81%
*
*
48%-51%
89%
77%
57%
50%-63%N/A
57%
56%-59%N/A
*
68%
67%-70%N/A
82%
44%
38%-49%N/A
73%
*
Quello Clinic
55%
49%-62%N/A
91%
9%Total Population 301
Allina Medical Clinic Allina Medical Clinic
61%
59%-62%N/A
81%
Allina Medical Clinic- Crossroads Shakopee Dean Lakes
Allina Medical Clinic
*
Park Nicollet Clinic
Park Nicollet Health Services
52%
Sample Size
56%-59%N/A
Confidence Interval of
Non-Risk Adjusted Rate
Medicare
37%
49% Sample Size
Confidence Interval of Risk
Adjusted Rate
63%
23%
Overall Minnesota Clinic Average
Risk Adjusted Rate
NA
77%
Medical
Group Name
Confidence Interval of
Non-Risk Adjusted Rate
78–81%
NA
Physician
clinic NAME
Non-Risk Adjusted Rate
57%
80%
Total Population or Sample
49–50%
MN Health Care Programs
49–50%
Commercial
Confidence Interval of Risk
Adjusted Rate
49%
Medicare
Risk Adjusted Rate
See page 89 for an explanation of terms.
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
254
84%
78%-89%
*
*
*
254
84%
78%-89%
*
*
*
32%Sample
283
86%
79%-91%
47%Sample
62
83%
68%-92%
*
*
*
*
*
*
*
*
244
81%
73%-86%
*
*
*
174
89%
83%-94%
Rogers
Fairview Rogers Clinic
Fairview Health Services
Northwest Family PhysiciansNorthwest Family Physicians
*N/A
64%
*
36%Sample
*
*
Rosemount
Fairview Rosemount Clinic
Fairview Health Services
Rosemount Family Physicians
*N/A
*
*
*
*
*
78%-89%N/A
*N/A
64%
*
36%Sample
*
*
Roseville
HealthPartners- North Suburban Roseville
HealthPartners Clinics
Multicare Associates- Roseville Medical Center
Multicare Associates
Richard Schoewe, MDRichard Schoewe MD
*N/A
*
*
*
*
Savage
Quello Clinic
Shakopee
*N/A
50%-53%N/A
*
88%
*
*
*
*
12%Total Population 3693 49%
74%-87%N/A
*N/A
84%-94%N/A
68%
*
79%
32%Sample
*
*
21%Sample
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
243
Chlamydia Screening
78–81%
NA
63%
37%
59%-62%
81%
74%-87%N/A
68%
32%Sample
82%-91%N/A
55%
45%Sample
Confidence Interval of
Non-Risk Adjusted Rate
MN Health Care Programs
80%
Non-Risk Adjusted Rate
Commercial
49–50%
Sample Size
Medicare
19%Total Population 4876 60%
Confidence Interval of Risk
Adjusted Rate
81%
49% Risk Adjusted Rate
23%
Non-Risk Adjusted Rate
77%
Sample Size
NA
Confidence Interval of
Non-Risk Adjusted Rate
Total Population or Sample
MN Health Care Programs
49–50%
Commercial
Confidence Interval of Risk
Adjusted Rate
49%
Medicare
Risk Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
244
81%
73%-86%
73
84%
74%-91%
Shoreview
Allina Medical Clinic
Allina Medical Clinic
61%
Family HealthServices Minnesota
Family HealthServices Minnesota
*
*N/A
*
*
*
*
*
*
87%
One Stop Medical CenterOne Stop Medical Center
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Silver Lake ClinicSilver Lake Clinic
40%
33%-48%N/A
86%
14%Total Population 149
38%
30%-46%
*
*N/A
*
*
*
*
*
*
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
174
89%
83%-94%
48%
41%-54%N/A
88%
12%Total Population 267
46%
40%-52%
*
*N/A
*
*
*
*
*
*
40%
33%-48%N/A
86%
14%Total Population 149
38%
30%-46%
*
*N/A
*
*
*
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
68%
67%-69%
86%
283
86%
79%-91%
*
*
*
*
*
*
59%-62%N/A
Shorewood
Park Nicollet Clinic
Park Nicollet Health Services
84%-94%N/A
79%
21%Sample
Spring Park
Ridgeview Westonka ClinicRidgeview Clinics
St. Anthony
Silver Lake ClinicSilver Lake Clinic
St. Francis
St. Francis Medical Clinic
*N/A
*
*
*
*
St. Louis Park
HealthPartners- West
Integrative Options
HealthPartners Clinics
67%-70%N/A
*N/A
82%
*
18%Total Population 5902 68%
*
*
*
*
* Sufficient data not available.
244
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
80%-91%N/A
*N/A
68%
*
32%Sample
*
*
Quality of
Preventive Care
Chlamydia Screening
Childhood Immunization Status
Medical Group
Distribution of
Patient Population
52%
Park Nicollet Clinic- Heart and Vascular
Park Nicollet Health Services
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Park Nicollet Clinic- St. Louis Park Endocrinology
Park Nicollet Health Services
Park Nicollet Clinic-
St. Louis Park Family Medicine
Park Nicollet Health Services
Park Nicollet Clinic- St. Louis Park Internal Medicine
Park Nicollet Health Services
Steven Saliterman, MDSteven Saliterman, MD
50%-53%N/A
88%
*
*
*
*
48%-51%
89%
12%Total Population 3693 49%
37%
*N/A
84%-94%N/A
*
79%
*
*
21%Sample
Confidence Interval of
Non-Risk Adjusted Rate
Park Nicollet Health Services
*
63%
Non-Risk Adjusted Rate
Park Nicollet Clinic- Creekside
*
NA
Sample Size
*
*
78–81%
Total Population or Sample
*N/A
MN Health Care Programs
Life MedicalLife Medical
80%
Commercial
23%
49–50%
Medicare
77%
49% Confidence Interval of Risk
Adjusted Rate
NA
Risk Adjusted Rate
MN Health Care Programs
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49%
Medical
Group Name
Non-Risk Adjusted Rate
Medicare
Physician
clinic NAME
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Total Population or Sample
Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
80% 78–81%
*
*
*
174
89%
83%-94%
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
79%
21%Sample
174
89%
83%-94%
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
79%
21%Sample
174
89%
83%-94%
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
St. Paul
Adult Medicine, PA
Adult Medicine, PA
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Advanced Medical Clinic, Inc
Advanced Medical Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Allina Medical Clinic- United Medical Specialties
Allina Medical Clinic
61%
59%-62%
81%
244
81%
73%-86%
*
*
*
*
*
*
*
Arcade Medical Clinic
59%-62%N/A
*N/A
81%
*
19%Total Population 4876 60%
*
*
*
74%-87%N/A
*N/A
68%
*
32%Sample
*
*
Aspen Medical Group- Bandana Square
Aspen Medical Group
49%
46%-53%N/A
77%
23%Total Population 809
49%
46%-53%
88%
80%-94%N/A
63%
37%Sample
94
88%
79%-93%
Aspen Medical Group- Highland
Aspen Medical Group
49%
46%-53%N/A
77%
23%Total Population 809
49%
46%-53%
88%
80%-94%N/A
63%
37%Sample
94
88%
79%-93%
Boynton Health Service Boynton Health Service
*
*
*
*
*
*
*
Children’s Speciality Clinic
Children’s Hospitals and Clinics of Minnesota
40%
35%-40%
78%
429
80%
75%-84%
*N/A
37%-42%N/A
*
88%
*
*
*
12%Total Population 1904 38%
*N/A
74%-83%N/A
*
79%
*
*
21%Sample
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
245
Chlamydia Screening
49–50%
80%
NA
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
78–81%
Sample Size
MN Health Care Programs
49% Commercial
23%
Medicare
77%
Confidence Interval of Risk
Adjusted Rate
NA
Risk Adjusted Rate
MN Health Care Programs
49–50%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49%
Non-Risk Adjusted Rate
Medicare
Sample Size
Confidence Interval of Risk
Adjusted Rate
Overall Minnesota Clinic Average
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
Donald E Gehrig, MD, Donald E Gehrig, MD,
Internal Medicine, LLC Internal Medicine, LLC
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Dr Bobby Yang Medical Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
57%
55%-59%
84%
78%-89%N/A
64%
36%Sample
254
84%
78%-89%
*
*N/A
*
*
*
*
*
*
87%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
*
*N/A
*
*
*
*
*
*
87%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
*
*N/A
*
*
*
*
*
*
87%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
Gillette Children’s Specialty HealthcareGillette Children’s
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Gillette Lifetime Specialty HealthcareGillette Children’s
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
HealthEast- Downtown St. Paul
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
HealthEast- Grand Avenue
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
HealthEast- Midway
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
HealthEast- Rice Street
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
HealthEast- Roselawn
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
HealthEast- St Anthony Park
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
HealthPartners- Center for International Health
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
HealthPartners- Como
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
Fairview Highland Park Clinic
Fairview Health Services
Family HealthServices Minnesota- Highland Family Physicians
Family HealthServices Minnesota
Family HealthServices Minnesota-
Larpenteur Clinic
Family HealthServices Minnesota
Family HealthServices Minnesota- Maryland Clinic
Family HealthServices Minnesota
56%-59%N/A
77%
23%Total Population 3293 57%
* Sufficient data not available.
246
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Chlamydia Screening
MN Health Care Programs
78–81%
NA
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
80%
Non-Risk Adjusted Rate
Medicare
49–50%
Sample Size
Confidence Interval of Risk
Adjusted Rate
49% Risk Adjusted Rate
23%
Confidence Interval of
Non-Risk Adjusted Rate
77%
Sample Size
NA
Non-Risk Adjusted Rate
Total Population or Sample
MN Health Care Programs
49–50%
Commercial
Confidence Interval of Risk
Adjusted Rate
49%
Medicare
Risk Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
HealthPartners- Health Center for Women
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
HealthPartners- Health Specialty Center
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
HealthPartners- Midway
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
HealthPartners- Specialty Center
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
HealthPartners- St. Paul
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
Metropolitan Medical Associates
Metropolitan Medical Associates
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Midway Family Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
New Americans Community Clinic
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
Open Cities Health Center- DunlapOpen Cities Health Center
54%
51%-58%N/A
47%
53%Total Population 1347 60%
58%-63%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
Open Cities Health Center- NorthendOpen Cities Health Center
54%
51%-58%N/A
47%
53%Total Population 1347 60%
58%-63%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
Parkway Family Physicians
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
St Paul Family Medical Center
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*
*
*
*
St. Paul Cardiology St. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
St. Paul Heart Clinic- DowntownSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
United Family MedicineUnited Family Medicine
66%
University of Minnesota Physicians - University of Minnesota Physicians
Bethesda Clinic
*
Parkway Family Physicians
54%-77%N/A
*N/A
38%
*
62%Total Population 109
*
*
*
70%
61%-78%
*
*
*
62%
*N/A
40%-82%N/A
*
12%
*
*
88%Sample
*
*
*
69
58%
45%-69%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
247
Chlamydia Screening
Childhood Immunization Status
West Side Community Health Services
54%
51%-58%N/A
47%
West Side Community Health Services- La Clinica
West Side Community Health Services
54%
51%-58%N/A
West Side Community Health Services- McDonough Homes Clinic
West Side Community Health Services
54%
51%-58%N/A
*
Xoua Thao Medical Center
*N/A
*
62%
53%Total Population 1347 60%
58%-63%
47%
53%Total Population 1347 60%
47%
53%Total Population 1347 60%
*
*
*
*
*
*
*
*
*
*
NA
63%
37%
Confidence Interval of
Non-Risk Adjusted Rate
West Side Community Health Services- East Side Family Clinic
*N/A
78–81%
Sample Size
*
80%
MN Health Care Programs
49–50%
Commercial
University of Minnesota Physicians - University of Minnesota Physicians
Phalen Clinic
49% Medicare
23%
Confidence Interval of Risk
Adjusted Rate
77%
Risk Adjusted Rate
MN Health Care Programs
NA
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
49–50%
Non-Risk Adjusted Rate
Medicare
49%
Medical
Group Name
Sample Size
Confidence Interval of Risk
Adjusted Rate
Physician
clinic NAME
Total Population or Sample
Risk Adjusted Rate
Overall Minnesota Clinic Average
See page 89 for an explanation of terms.
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
Total Population or Sample
Quality of
Preventive Care
80% 78–81%
40%-82%N/A
12%
88%Sample
69
58%
45%-69%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
58%-63%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
58%-63%
79%
74%-84%N/A
8%
92%Sample
74
68%
57%-78%
*
*
*
*
*
58%-63%
79%
74
68%
57%-78%
*N/A
*
*
*
Stillwater
St Croix Family Medical ClinicSouthside Community Health Services 54%
51%-58%N/A
47%
53%Total Population 1347 60%
74%-84%N/A
8%
92%Sample
St Paul Heart Clinic- Lakeview Heart CenterSt. Paul Heart
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
Stillwater Medical Group- Curve Crest ClinicStillwater Medical Group
53%
48%-57%N/A
95%
5%Total Population 745
51%
47%-55%
84%
74%-93%N/A
92%
8%Sample
63
86%
75%-93%
*
*
87%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
Vadnais Heights
Family HealthServices Minnesota
Family HealthServices Minnesota
*
HealthEast
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
54%
48%-60%N/A
90%
10%Total Population 337
55%
49%-60%
85%
71%-97%N/A
84%
16%Sample
60
88%
67%-96%
23%
14%-37%N/A
89%
11%Total Population 35
17%
8%-33%
*
*
*
*
*N/A
*
*
*
*
Waconia
Lakeview ClinicLakeview Clinic
Watertown
Catalyst Medical Clinic
Catalyst Medical Clinic
* Sufficient data not available.
248
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
*
*
*
Chlamydia Screening
Commercial
MN Health Care Programs
49% 49–50%
80%
78–81%
NA
63%
37%
Lakeview ClinicLakeview Clinic
54%
48%-60%N/A
90%
10%Total Population 337
55%
49%-60%
85%
71%-97%N/A
84%
16%Sample
Park Nicollet Health Services
52%
50%-53%N/A
88%
12%Total Population 3693 49%
48%-51%
89%
84%-94%N/A
79%
Allina Medical Clinic Allina Medical Clinic
61%
59%-62%N/A
81%
19%Total Population 4876 60%
59%-62%
81%
74%-87%N/A
Family HealthServices Minnesota- Gorman Clinic
Family HealthServices Minnesota
*
*N/A
*
*
*
*
*
*
87%
82%-91%N/A
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
*N/A
*
*
*
*
*
*
*
*N/A
*
*
49%
46%-53%
88%
80%-94%N/A
63%
Sample Size
Medicare
23%
Total Population or Sample
Confidence Interval of Risk
Adjusted Rate
77%
Risk Adjusted Rate
NA
Confidence Interval of
Non-Risk Adjusted Rate
49–50%
Non-Risk Adjusted Rate
49%
Sample Size
MN Health Care Programs
Total Population or Sample
Commercial
Confidence Interval of Risk
Adjusted Rate
Medicare
Risk Adjusted Rate
Overall Minnesota Clinic Average
Medical
Group Name
Confidence Interval of
Non-Risk Adjusted Rate
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Non-Risk Adjusted Rate
Quality of
Preventive Care
80% 78–81%
60
88%
67%-96%
21%Sample
174
89%
83%-94%
68%
32%Sample
244
81%
73%-86%
55%
45%Sample
73
84%
74%-91%
*
*
*
*
*
*
*
*
37%Sample
94
88%
79%-93%
Wayzata
Park Nicollet Clinic
West St. Paul
Reshi Medical
White Bear Lake
AALFA Family Clinic
AALFA Family Clinic
*
Aspen Medical Group Aspen Medical Group
49%
Family HealthServices Minnesota
Family HealthServices Minnesota
*
*N/A
*
*
*
*
*
*
87%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
Family HealthServices Minnesota- Banning Avenue
Family HealthServices Minnesota
*
*N/A
*
*
*
*
*
*
87%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
HealthPartners
HealthPartners Clinics
68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
*
*
*
*
*
*
61%
59%-62%
81%
244
81%
73%-86%
LifeSteps Family Physicians, PALifesteps Family Physicians
46%-53%N/A
67%-70%N/A
*N/A
77%
82%
*
23%Total Population 809
18%Total Population 5902 68%
*
*
*
*
*N/A
*
*
*
Woodbury
Allina Medical Clinic
Allina Medical Clinic
59%-62%N/A
81%
19%Total Population 4876 60%
74%-87%N/A
68%
32%Sample
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
249
Chlamydia Screening
*
*N/A
*
*
*
*
*
*
87%
*
*
*
63%
37%
80% 78–81%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
87%
82%-91%N/A
55%
45%Sample
73
84%
74%-91%
Confidence Interval of
Non-Risk Adjusted Rate
*
NA
Non-Risk Adjusted Rate
*
78–81%
Sample Size
*
80%
MN Health Care Programs
*N/A
49–50%
Commercial
*
49% Medicare
Confidence Interval of Risk
Adjusted Rate
23%
Risk Adjusted Rate
MN Health Care Programs
77%
Confidence Interval of
Non-Risk Adjusted Rate
Commercial
NA
Non-Risk Adjusted Rate
Medicare
49–50%
Sample Size
Confidence Interval of Risk
Adjusted Rate
49%
Total Population or Sample
Risk Adjusted Rate
Medical
Group Name
Overall Minnesota Clinic Average
Medical Group
Distribution of
Patient Population
Medical Group
Distribution of
Patient Population
See page 89 for an explanation of terms.
Physician
clinic NAME
Childhood Immunization Status
Total Population or Sample
Quality of
Preventive Care
Family HealthServices Minnesota
Family HealthServices Minnesota
Family HealthServices Minnesota- Woodlane Family Practice
Family HealthServices Minnesota
HealthEast
HealthEast Clinics
52%
49%-55%N/A
74%
26%Total Population 805
52%
49%-56%
90%
83%-96%N/A
69%
31%Sample
103
91%
81%-96%
HealthPartners
HealthPartners Clinics
68%
67%-70%N/A
82%
18%Total Population 5902 68%
67%-69%
86%
80%-91%N/A
68%
32%Sample
283
86%
79%-91%
Ilko Family Medicine
*
*
*
*
*
*
St. Paul Cardiology- Woodwinds OfficeSt. Paul Cardiology
N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
*N/A
*
*
*
*
*
* Sufficient data not available.
250
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
*N/A
*
*
*
Data Sources and Data
Collection Procedures
Measures Reported Directly by Physician Clinics
Physician clinics directly report data on the optimal diabetes and
optimal vascular care measures. All data elements are specified by the Minnesota Department of Health in Minnesota Rules
Chapter 4654 and its technical appendices. These data elements
are described at a more detailed level in MN Community Measurement’s 2010 Direct Data Submission (DDS) Guide and Summary Data Submission (SDS) Guide (both relating to 2009 dates
of service). These guides provide detailed steps and instructions
to ensure submitted data meets rigorous standards.
Under Minnesota Rules Chapter 4654, physician clinics are required to submit data at a summary level. Physician clinics may
meet these data submission requirements in one of two ways: 1)
they may choose to submit data through the Direct Data Submission process as part of an agreement with MN Community
Measurement (MNCM) and authorize MNCM to submit summary data results to MDH on their behalf; or 2) they may submit
summary levels of information directly to MNCM’s portal through
the Summary Data Submission process. Data submitted through
the DDS process are audited by MNCM. Virtually all clinics (519
out of 523 on the optimal diabetes measure and 518 out of 520
on the optimal vascular care measure) used the DDS process in
reporting data on 2009 dates of service.
Regardless of which data submission method they use, physician
clinics must first register through the MNCM Data Portal. Once
registered, they indicate which data submission process they
intend to use. In this reporting cycle, physician clinics could opt
to report data on a clinic’s total patient population or to submit
data for a random sample of the clinic’s entire patient population.
Detailed instructions for sampling are also provided in the DDS
Guide and SDS Guide. Data is collected from medical records
by clinic abstractors either extracting the data from an electronic
medical record through a data query or by abstracting the data
from a paper-based medical record. Physician clinics complete
numerous quality checks of the data before it is submitted to
MNCM. All appropriate HIPAA requirements are followed for data
submitted through the DDS process. These requirements do not
apply to summary data submission because no patient-identifiable information is reported.
The required data elements are submitted directly through the
portal by physician clinics. If the data is submitted through the
DDS process, an extensive validation process is followed. MNCM
uses the National Committee for Quality Assurance’s (NCQA) “8
and 30” File Sampling Procedure, developed in 1996 in consultation with Johns Hopkins University. For a detailed description of
this procedure, see www.ncqa.org.
Claims-Based Measures Calculated at the
Medical Group Level
The data source of claims-based measures calculated at the
medical group level is the health plan administrative claims database which is supplemented by medical record review for some
measures. Most data elements are specified by the Healthcare
Effectiveness Data and Information Set (HEDIS) 2009 Technical
Specifications (2008 dates of service). HEDIS is produced and
maintained by the National Committee for Quality Assurance
(NCQA). The technical specifications provide detailed steps and
instructions to ensure that the submitted data meets rigorous
standards. Some data elements are specified by MNCM and provided to the health plans.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
251
The data elements are collected by the health plans using data
collection and reporting standards that follow the annual HEDIS
calendar. In addition, each health plan follows an extensive validation process to ensure quality measures follow the standards
described in Volume 5, HEDIS Compliance Audit ®: Standards,
Policies and Procedures. All health plan data are audited by an
NCQA-certified HEDIS auditor.
MNCM develops a Data Structure document with detailed steps
and instructions to ensure that the submitted data meets rigorous standards. In 2009, ten data sources – Blue Cross and Blue
Shield of Minnesota, FirstPlan of Minnesota, HealthPartners,
Medica, Metropolitan Health Plan, PreferredOne, PrimeWest
Health System (county-based purchaser), Sanford Health Plan,
South Country Health Alliance (county-based purchaser), UCare
– submitted data to MNCM for purposes of public reporting. The
submitted health plan data reflects patients/members enrolled in
the following products: commercial HMO/POS/PPO, Medicare
Cost, Medicare Risk, and Minnesota Health Care Programs (Prepaid Medical Assistance including dual eligibles, MinnesotaCare,
General Assistance Medical Care). These data do not include patients who are uninsured, patients who self pay, or patients who
are served by Medicaid/Medicare fee-for-service.
All data files are submitted to MNCM for aggregation and validation. These processes are performed by an independent vendor
under contract with MNCM. Files are carefully reviewed to ensure conformance with the data structure and to identify unusual
or unanticipated patterns. The files are also checked for proper
formatting, missing and invalid values, and to confirm accurate
record counts. Preliminary health plan rates are calculated and
returned to each health plan for additional validation.
252
Once these checks are finalized, the data files from all ten health
plans are aggregated to create a comprehensive data file of results by medical group. The aggregated data file is then checked
for accurate record counts, and preliminary MNCM rates are calculated. The preliminary rates are carefully reviewed by MNCM
staff and the data aggregation vendor. Particular attention is paid
to notable changes from previous years at the statewide and
medical group levels.
In this report, MDH is assigning the medical group score to each
physician clinic that is part of that medical group. Approximately
40 physician clinics report they are now part of another medical
group; these physician clinics received the medical group’s score
of which they were a part during the measurement period.
METHODOLOGY
Measures Reported Directly By Physician Clinics
Two measures are reported directly by physician clinics– Optimal
Diabetes Care and Optimal Vascular Care. These measures are
“all-or-none” composite measures, meaning that each component of the measure must be achieved for a clinic to receive
credit for providing optimal care for a particular patient. Each
year, these measure specifications are reviewed against current
evidence-based guidelines and input is sought from community
experts. The measure specifications are incorporated into Minnesota Rules Chapter 4654 and its technical appendices.
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Eligible Population Specifications
The eligible populations for these measures are identified by
physician clinics. Standard definitions for the eligible population
for each measure include elements such as age, appropriate diagnosis codes, and number of visits needed in the measurement
timeframe. Each required element is outlined in Minnesota Rules
Chapter 4654 and further specified in the 2010 DDS and SDS
Guide.
Patient Attribution to Physician Clinics
Medical groups must attribute each patient to a single physician
clinic. Each medical group’s patient attribution method must be
identified by the medical group using one of three possible methods and is then reviewed by MNCM as part of the denominator
certification process.
Sampling from Total Population
For this reporting cycle, physician clinics could either submit data
on their full population or a random sample of at least 60 patients.
The 2010 DDS and SDS Guides describe accepted methods to
select a random sample. This step is reviewed by MNCM as part
of the denominator certification process.
Numerator Specifications
The numerator is the number of patients identified from either the
eligible population or the random sample who meet the numerator targets. These targets are specified by the Minnesota Department of Health in Minnesota Rules Chapter 4654 and its technical
appendices. MNCM audits results of physician clinics using the
DDS submission process.
Calculating Non-Risk Adjusted Rates
Physician clinic rates are calculated as 100 times the number who
meet the numerator specifications divided by the number in the
denominator for the measure. Rates from measures using the total eligible population are straightforward calculations whereby the
total eligible population serves as the denominator. For clinics that
sampled their populations, the rates calculated for the measures
require weighting to account for the total eligible population. Due
to the dynamic nature of clinic patient populations, rates and 95
percent asymmetrical confidence intervals are calculated for each
measure for each clinic regardless of whether clinics report on a
full population or a sample. Asymmetrical confidence intervals are
used to avoid confidence interval lower-bound values less than
zero and upper-bound values greater than one hundred. Physician clinic rates are reported as percentages. Physician clinic rates
are first calculated for each clinic and then a statewide clinic rate
average is calculated. The statewide average rate is used when
comparing a single physician clinic to the performance of all physician clinics.
Risk Adjustment
Minnesota Statutes 62U.02 requires the Commissioner of Health
to establish a system of risk-adjusting quality measures and to
issue annual public reports on provider quality. The results in
this report are published on a risk-adjusted basis in the main part
of the document, while the technical appendices show both
risk-adjusted and unadjusted results. Physician clinic results are
adjusted by primary product type (commercial, Medicare, and MN
health care programs/uninsured). Essentially, the risk-adjusted
results assume that all physician clinics have the same distribution
of patients between these three different categories and multiplies their actual result for each product type by the statewide
distribution of patients by product type. The calculation of confidence intervals for risk adjusted rates uses a similar methodology
as described above for the calculation of non-risk adjusted rates.
However, a weighted average of the variance for the different
payer categories is used in the confidence interval calculation.*
* Curtin, LR and RJ Klein. “Direct Standardization (Age-Adjusted Death Rates).” Centers for Disease Control and Prevention and National Center for Health Statistics. Healthy People 2000 Statistical Notes No. 6. 1995.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
253
Example of Risk Adjustment Using Payer Mix
Example 1
Unadjusted Rate
Commercial MN Public Programs
MedicareTotal
Clinc A
# of patients
% distribution of patients
% meeting measure
340
85.0%
65.0%
20
5.0%
45.0%
40
10.0%
55.0%
400
100.0%
63.0%
Clinic B
# of patients
% distribution of patients
% meeting measure
100
25.0%
65.0%
100
25.0%
45.0%
200
50.0%
55.0%
400
100.0%
55.0%
Statewide
% distribution of patients
73.0%
12.0%
15.0%
100.0%
Risk Adjusted Rates to Statewide Payer Mix
Clinic A
Clinic B
61.1%
61.1%
Example 2
Unadjusted Rate
Commercial MN Public Programs
MedicareTotal
Clinc A
# of patients
% distribution of patients
% meeting measure
320
80.0%
62.5%
30
7.5%
20.0%
50
12.5%
68.0%
400
100.0%
60.0%
Clinic B
# of patients
% distribution of patients
% meeting measure
120
30.0%
66.7%
200
50.0%
50.0%
80
20.0%
75.0%
400
100.0%
60.0%
Statewide
% distribution of patients
73.0%
12.0%
15.0%
100.0%
Risk Adjusted Rates to Statewide Payer Mix
Clinic A
Clinic B
58.2%
65.9%
254
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
When a physician clinic has less than 10 patients in a payer category,
the statewide rate is incorporated into the payer category rate in proportion to the number of patients under 10 in a payer category. For
example, if a clinic has 6 Medicare patients, 60% of the Medicare
rate for the clinic would be based on the clinic’s data and 40% would
be based on the statewide average for Medicare payers. This adjustment is made to address issues with small sample sizes.
Page 254 provides two examples of the risk adjustment methodology. In example one, Clinics A and B have a different patient payer
mix, but their performance by product type is the same. Under risk
adjustment, the overall performance for both clinics is the same as
they had the same performance by product type. Without risk adjustment, Clinic A appears to perform better than Clinic B, but this is
generally due to the fact that Clinic A has more commercial patients
with higher performance and Clinic B has more Medicare and public
program patients with lower performance. In the second example,
Clinics A and B have the same unadjusted overall rate of performance, but their patient payer mix and performance by product type
is different. When results for Clinics A and B are adjusted to reflect a
statewide average distribution of patients by product type, the overall
performance for Clinic A decreases and the overall performance for
Clinic B increases. The unadjusted performance of individual clinics
is adjusted to account for potential differences in patient populations
which may be outside of the influence of a clinic. This product mix
adjustment is done to make clinic results more comparable, regardless of patient characteristics.
Limitations
Although participation in the Minnesota Statewide Quality Reporting and Measurement System was required beginning in 2010, not
all physician clinics submitted their results. Therefore, the results
collected do not represent all physician clinics that serve patients in
Minnesota. In addition, a physician clinic’s results are publicly reported only if a minimum threshold of 30 patients is met. For this
reason, MDH is not including results for 140 (or 24 percent) physician
clinics reporting data on the optimal vascular measure or 47 (or eight
percent) physician clinics submitting data on the optimal diabetes
care measure.
Physician Clinic Inclusion
A multistep approach was used to determine which physician clinics
would be included in this report. The clinics listed in this document
were required to submit data on the Optimal Diabetes Care and/or
Optimal Vascular Care measures under Minnesota Rules Chapter
4654. Medical groups with HEDIS data who were not required to
report on the diabetes or vascular measures are not included in this
report. The following considerations were used to determine which
physician clinics are included.
nIn
this first year of mandatory reporting, it was not uniformly understood among physician clinics that reporting is required at a
site level. Physician clinics may only combine reporting across
clinics when they meet certain criteria, including that various
sites are commonly owned and share common clinical staff
across their various sites. MDH recognizes that was a change
from how some physician clinics previously reported on a voluntary basis and that new physician clinics may not have understood that results for a satellite clinic may not be combined
with results from a main clinic. Recognizing this is a transition
year for physician clinic reporting, MDH is publishing the results
as they were reported at an aggregated level rather than noting
that results were not submitted specifically for a satellite clinic
location. In future years, MDH will call greater attention to this
issue in the report.
nIn
May 2010, MDH mailed letters to known physician clinics in
the state who had not registered with MNCM. Those clinics
which did not register and submit data and were determined to
have relevant specialists are included in the report. The same
assumption regarding satellite clinics was used when reviewing
these clinics. Those clinics that were part of a medical group
which did submit data are not included separately from their
medical group in this report.
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
255
nPhysician
clinics which registered with MNCM, but did not submit measure data for diabetes and vascular care were compared
with the specialty information submitted by the clinic during the
registration process. If the specialties onsite were appropriate
for measure reporting, the clinic is included in this report. If the
specialties onsite were not appropriate for measure reporting, the
clinic is not included in this report.
Eligible Population Specifications
The eligible populations for the administrative and hybrid measures are identified by each participating health plan utilizing its
respective administrative databases. NCQA’s 2009 HEDIS Technical Specifications provide the standard definitions for the eligible
population for each measure, which include data elements such
as age, continuous enrollment, and anchor date requirements.
claims-based Measures calculated at the Medical
Rates for measures using the administrative method are wholly
derived from health plan claims data, while rates for measures
using the hybrid method are derived from a combination of health
plan claims data and medical record review data. For administrative measures, the entire eligible population is the denominator.
For hybrid measures, the eligible population serves as the sampling frame from which to draw the denominator.
Group Level
Two types of measures are calculated at the medical group level
and reported for each affiliated physician clinic – measures that use
an administrative data only method and measures that use a hybrid
method. The following measures use the administrative method:
n Appropriate Testing for Children with Pharyngitis
nAppropriate Treatment for Children with
Upper Respiratory Infection
n Breast Cancer Screening
n Cervical Cancer Screening
n Chlamydia Screening
n Use of Appropriate Medications for People with Asthma
n Avoidance of Antibiotic Treatment of Adults with Bronchitis
The following measures used the hybrid method:
n Cancer Screening Combined
n Childhood Immunization Status (Combo 3)
n Controlling High Blood Pressure
n Colorectal Cancer Screening
Each year, these measure specifications are reviewed against
current evidence-based guidelines and input is sought from community experts at the national level. Measurement specifications
for medical group results were calculated using NCQA’s 2009 HEDIS Technical Specifications along with MNCM-specific numerator specifications for some measures.
256
Patient Attribution to Medical Groups
Health plans assign patients to a medical group using a frequency-based attribution logic and a standard medical group definition
using Tax Identification Numbers. Administrative billing codes
identify the frequency of patient visits to medical groups. For
most measures, patients are assigned to the medical group they
visited most frequently during the measurement year. Patients
who visit two or more medical groups with the same frequency
are attributed to the medical group visited most recently. For
three measures – Appropriate Testing for Children with Pharyngitis, Appropriate Treatment for Children with Upper Respiratory
Infection and Avoidance of Antibiotic Treatment of Adults with
Bronchitis – patients are assigned to the clinic they visited for the
specific service.
Sampling for Hybrid Measures
As noted previously, the hybrid method requires each participating health plan to first identify the eligible population meeting
measurement specifications using its administrative databases.
This population of eligibles serves as the sampling frame from
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
which to draw the denominator (the patients for whom medical record review would be completed). The resource-intensive
nature of medical record review necessitates a random sample of
the eligible population. Medical record review is conducted for all
enrollees drawn for the sample.
MNCM uses a two-stage, random sampling process. This strategy has been designed with statisticians to ensure reporting for
the maximum number of medical groups while minimizing the
impact of weighting on the results for any one medical group.
The sampling procedure starts with the health plans providing
a data file containing a record for each eligible patient for each
hybrid measure. This file also identifies eligible patients that have
also been selected for the annual HEDIS sample. Additional patients are then selected from the remaining eligible population to
meet MNCM minimum reporting requirements.
Numerator Specifications
For administrative measures, the numerator is the number of patients from the eligible population who meet numerator targets.
For hybrid measures, the numerator is the number of patients
from the sample who meet numerator targets.
Weighting
Because data for hybrid measures are taken from a sample,
results are weighted to obtain accurate rates. This allows for aggregation and unbiased reporting by medical group. Weighting is
a cost-saving measure that enables MNCM to draw a sample on
which to estimate medical group and statewide rates. Weighting
is applied to efficiently utilize health plan resources for data collection on a randomly sampled population.
Weights are calculated for each sampling stratum (i.e. health plan/
health plan product/medical group). A weight is equal to the total
eligible population for that stratum divided by the total sample
size. In calculating rates for a population – medical group or state-
wide – the denominator is the sum of the weights for all patients
in that population, and the numerator is the sum of the weights
for patients in the population who meet the numerator targets.
Calculating Non-Risk Adjusted Rates
Rates are expressed as percentages. They are calculated as 100
times the number who meet the numerator targets divided by
the number who are eligible for the measure. Rates calculated for
measures using the administrative method are straightforward.
However, rates calculated for measures using the hybrid method
require weighting because of the sampling procedures. Rates
and 95-percent-asymmetrical confidence intervals are calculated
for each measure for each medical group. Asymmetrical confidence intervals are used to avoid confidence interval lower-bound
values less than zero and upper bound values greater than one
hundred. Confidence intervals for the hybrid measures have also
been calculated to take account of the complex sampling design
and weighting using SAS survey.
Rates
Rates are calculated at both a statewide level and at a medical
group level. Statewide rates include those patients attributed to a
medical group AND those who could not be attributed to a medical group (i.e., all patients regardless of medical group affiliation).
Medical group average rates include ONLY those patients who
are attributed to medical groups. This rate is used when comparing a single medical group to the performance of all medical
groups. The medical group average may be slightly higher than
the statewide average, because it includes patients who access
care more frequently.
Risk Adjustment
Results for measures calculated at the medical group level are
also risk adjusted by primary payer type. Similar to results for the
optimal diabetes care and optimal vascular care measures, the
risk-adjusted results assume that all medical groups have the
November 2010 | 2010 Health Care Quality Report | Physician Measures appendiX
257
same distribution of patients by primary payer type (commercial,
Medicare, and MN health care programs/uninsured) and multiplies their actual result for each product type by the statewide
distribution of patients by product type. The calculation of confidence intervals for risk adjusted rates uses a similar methodology
as described above for the calculation of non-risk adjusted rates.
However, a weighted average of the variance for the different
payer categories is used in the confidence interval calculation.*
Similar to optimal diabetes and optimal vascular care, when a
medical group has less than 10 patients in a payer category, the
statewide rate is incorporated into the payer category rate in
proportion to the number of patients under 10 in a payer category. For example, if a medical group has 6 Medicare patients,
60% of the Medicare rate for the medical group would be based
on the medical group’s data and 40% would be based on the
statewide average for Medicare payers. This adjustment is
made to address issues with small sample sizes. Not all measures in these categories apply to each primary product type;
the risk adjustment methodology accounts for these variations
across measures.
Also, data used to calculate rates for these measures reflect
patients insured through ten health plans. Medical groups with
patients who are insured through other health plans, who are
uninsured, who self pay, or who are served by a fee-for-service
program are not reflected in these results. Therefore, the data for
these measures don’t necessarily represent a medical group’s
entire patient population.
Finally, while MDH is reporting these medical group level results
at the clinic level, readers should be aware that these results reflect the performance of the entire medical group with which the
clinic is affiliated rather than only that clinic’s performance. MDH
chose to report these results at the clinic level in order to present
information in a more consumer-friendly manner.
Caution is recommended when making comparisons from year
to year. Annual rate differences can occur due to natural variation,
changes in measurement specifications, changes in data sources
and other factors.
Limitations
The physician clinics identified in this report do not represent all
medical groups in Minnesota. MDH is aligning with MNCM’s established minimum thresholds for public reporting. Only medical
groups that meet these thresholds are reported. For the hybrid
measures, a minimum threshold of 60 patients per medical group
is required. For the administrative measures, a minimum threshold of 30 patients per medical group is required. It should also be
noted that medical groups reported for some measures may not
be reported for all measures.
* Curtin, LR and RJ Klein. “Direct Standardization (Age-Adjusted Death Rates).” Centers for Disease Control and Prevention and National Center for Health Statistics. Healthy People 2000 Statistical Notes No. 6. 1995.
258
Physician Measures appendiX | November 2010 | 2010 Health Care Quality Report
Appendix 2: Hospital Measures
Guide to Understanding the detailed measure result data . . . . . 260
Quality of Care for Heart Conditions measure result data. . . . . 262
Quality of Care for Heart Surgeries measure result data. . . . . . 264
Quality of Care for other surgeries measure result data. . . . . . 266
The following section provides more information about the
measures outlined in this report. Additional data elements are
included in the following detailed tables. These elements vary
depending on the measure and the data source. The methods
section provides more information on the data source and
calculation for the various measures.
Quality of Care for Medical Complications measure
result data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 270
Quality of Infection Prevention measure result data . . . . . . . . . . 272
Quality of Care for Other Conditions measure result data. . . . . 274
methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278
259
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
Guide to understanding the detailed measure result data
Hospital Compare and Appropriate Care Measures
Rate:
Reports the percentage calculated when the numerator is divided
by the denominator. The denominator is the sum of all the eligible
cases submitted. The numerator is the sum of all eligible cases
submitted where recommended care was provided.
Sample Size:
Reports the number of patients meeting the criteria for inclusion in
the measure and for whom data was submitted. This column is the
denominator number used to calculate the rate.
Observed Rate:
Reports the value when the numerator is divided by the denominator prior to any risk adjustment.
Expected Rate:
Reports the rate expected from the hospital based on the performance of other similar hospitals around the country. This calculation takes severity of patient illness into account.
Number of Operations:
Reports the total number of measure specified surgeries performed
at the hospital (for example, the total volume of heart bypass surgeries).
When Compared to Expected Rate:
Reports whether the results were significantly different from the hospital’s expected performance, compared to other similar hospitals around
the country. This is calculated by comparing the confidence interval
of the risk adjusted rate (see below) with the expected rate. The
expected rate is considered significantly different when it is higher or
lower than the confidence interval range. If it is within the confidence
interval range, the expected rate is not considered significantly different from the risk adjusted rate. In this case, the hospital’s performance
is considered average or the SAME as expected. If the expected rate
is higher, the hospital is performing BETTER than expected. If the expected rate is lower, the hospital is performing WORSE than expected.
Numerator:
Reports the sum of all eligible cases meeting the targets for the
procedure or complication in the measure (for example, the number
of patients with bed sores).
Risk Adjusted Rate:
Reports the hospital’s performance rate when adjusted to an average case-mix. This case-mix takes the severity of patient illness
into account.
Sample Size:
Reports the number of patients meeting the criteria for inclusion in
the measure and for whom data was submitted. This column is the
denominator number used to calculate the rate.
Confidence Interval of Risk Adjusted Rate:
Reports the margin of error for the risk adjusted rate. Confidence
intervals are a range of values which demonstrate the degree of
certainty associated with the estimated rate. This range takes
into account potential variance in the rate if different patients were
included in the sample.
Agency for healthcare research and quality (AHRQ)
Measures
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
260
Healthcare-Associated Infection Measures
Central Line Infection Prevention and Ventilator Associated
Pneumonia Measures
Rate:
Reports the percentage calculated when the numerator is divided by
the denominator. The denominator is the sum of all the eligible cases
submitted. The numerator is the sum of all eligible cases submitted
where recommended care was provided.
Sample Size:
Reports the number of patients meeting the criteria for inclusion in
the measure and for whom data was submitted. This column is the
denominator number used to calculate the rate.
Vaginal Hysterectomy Surgical Site Infection Measure
Risk Level 0 and Risk Level 1,2,3
Numerator:
Reports the sum of surgical site infections for each risk level category
(i.e. Risk Level 0 or Risk Level 1,2,3).
Sample Size:
Reports the number of patients meeting the criteria for inclusion in
the measure and for whom data was submitted. This column is the
denominator number used to calculate the rate.
Infection Rate:
Reports the value when the numerator is divided by the denominator
prior to any risk adjustment.
Risk Level Combined 0,1,2,3
Numerator:
Reports the sum of vaginal hysterectomy surgical site infections for
all risk levels.
261
Sample Size:
Reports the number of patients meeting the criteria for inclusion in
the measure and for whom data was submitted. This column is the
denominator number used to calculate the rate.
Infection Rate:
Reports the percentage when the numerator is divided by the denominator prior to any risk-adjustment.
Confidence Interval of Combined Rate:
Reports the margin of error for the risk adjusted rate. Confidence
intervals are a range of values which demonstrate the degree of certainty associated with the estimated rate. This range takes into account potential variance in the rate if different patients were included
in the sample.
Expected Rate:
Reports the rate of the hospital when compared to the state average.
This rate is adjusted for patient severity of illness and takes both risk
categories into account.
When Compared to Expected Rate:
Reports whether the results were significantly different from the
hospital’s expected performance, compared to other Minnesota hospitals. This is calculated by comparing the confidence interval of the
combined rate with the expected rate. The difference between the
expected rate and the infection rate are considered significant when
the expected rate is higher or lower than the confidence interval
range. If the expected rate is within the confidence interval of the
combined rate, it is not significantly different from the infection rate.
In this case the hospital’s performance is considered average or the
SAME as expected. If the expected rate is higher, the hospital is
performing BETTER than expected. If the expected rate is lower, the
hospital is performing WORSE than expected.
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
HOSPITAL NAME
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
Overall Minnesota Average
97%
95%
93%
Abbott Northwestern Hospital - Minneapolis
99% 878 100% 211
100% 786
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
91% 57 100% 54
95%
40
*
*
*
*
Fairview Southdale Hospital - Edina
98% 552
99% 498
Gillette Children’s Specialty Healthcare - St. Paul *
*
99% 359
*
*
*
*
94%
90%
sample
size
90%
98% 124 100% 280 100% 784
RATE
sample
size
*
RATE
sample
size
94%
RATE
sample
size
RATE
sample
size
RATE
sample
size
83%
86%
92% 676
92% 556
100% 676
98% 252
Patients Given Advice or Counseling About Quitting
Smoking While in the Hospital (HF-4)
58
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
93%
42
*
*
*
*
91% 159
92% 119
98% 159
98% 40
*
*
99% 110 100% 120 100% 514
*
*
96%
57
90% 329
89% 240
99% 329
95% 104
100%
40
*
*
*
*
*
*
*
80 100% 174
*
*
88%
43
90% 371
88% 309
92% 64
93% 44
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Maple Grove Hospital
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Mercy Hospital - Coon Rapids
98% 469
99% 305
100% 444 100%
59 100% 207
99% 442
*
*
96%
77
93% 340
93% 293
100% 340
North Memorial Health Care - Robbinsdale
97% 305
99% 271
100% 281
97%
63 100%
79
99% 288
*
*
98%
61
85% 286
84% 208
Park Nicollet Methodist Hospital - St. Louis Park
97% 373 100% 299
99% 332 100%
61 100%
82
98% 339
*
*
95%
58
92% 441
91% 337
Queen Of Peace Hospital - New Prague
*
*
*
*
*
84% 31
*
31 100%
*
*
*
*
*
* Sufficient data not available
262
83%
100%
*
*
sample
size
*
Lakeview Memorial Hospital - Stillwater
*
RATE
*
99% 185 100%
*
sample
size
70%
97% 201 100% 191
*
RATE
83%
Hennepin County Medical Center - Minneapolis
*
Patients Given ACE Inhibitor or ARB Prescription
for Left Ventricular Systolic Dysfunction (LVSD)
When Released from the Hospital HF-3)
Patients Given Evaluation of Left Ventricular Systolic
(LVS) Function While in the Hospital or Scheduled
for After the Patient was Released (HF-2)
Patients Given Instructions When
Released from the Hospital (HF-1)
The Right Care for Heart Failure Patients (HF-ACM)
Patients Given PCI Within 90 Minutes
of Hospital Arrival (AMI-8a)
Patients Given Fibrinolytic Medication
Within 30 Minutes of Hospital Arrival (AMI-7a)
Patients Given Beta Blocker Prescription
When Released from the Hospital (AMI-5)
Heart Failure
Patients Given Advice or Counseling About
Quitting Smoking While in the Hospital (AMI-4)
Aspirin Given When the Patient was
Released from the Hospital (AMI-2)
Aspirin Given When the Patient Arrived
at the Hospital (AMI-1)
The Right Care for Heart Attack Patients (AMI-ACM)
See page 260 for an explanation of terms.
Patients Given ACE Inhibitor or ARB Prescription
for Left Ventricular Systolic Dysfunction (LVSD)
When Released from the Hospital (AMI-3)
Heart Attack
Quality of
Care for Heart
Conditions
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
*
*
*
*
*
100% 370
*
*
100% 173
100% 112
100% 142
97%
64
*
*
*
*
*
*
*
*
*
*
99% 88
100%
74
98% 285
96% 104
96%
50
99% 441
98% 140
100%
58
*
*
97%
31
*
*
HOSPITAL NAME
RATE
sample
size
RATE
sample
size
RATE
sample
size
Overall Minnesota Average
97%
Regina Medical Center - Hastings
*
Regions Hospital - St. Paul
95% 429 100% 294
99% 375
Ridgeview Medical Center - Waconia
97% 39 100% 38
100% 26
St Francis Regional Medical Center - Shakopee
*
St John’s Hospital: Health East Care System Maplewood
99% 81
St Joseph’s Hospital:
HealthEast Care System - St Paul
*
95%
*
93%
*
*
*
RATE
sample
size
94%
*
*
97% 78
RATE
sample
size
90%
*
*
100% 157
RATE
sample
size
90%
*
RATE
sample
size
*
RATE
sample
size
94%
RATE
sample
size
RATE
sample
size
RATE
sample
size
83%
70%
*
98% 48
97% 34
100%
88% 57
94% 370
92% 289
100% 370
100% 104
*
83%
*
*
*
48
98% 382
*
*
100% 28
*
*
*
*
92% 104
92% 65
*
*
*
*
*
96% 84
97% 62
99%
*
*
82% 235
80% 184
97% 229
RATE
sample
size
86%
*
*
Patients Given Advice or Counseling About Quitting
Smoking While in the Hospital (HF-4)
Patients Given ACE Inhibitor or ARB Prescription
for Left Ventricular Systolic Dysfunction (LVSD)
When Released from the Hospital (HF-3)
Patients Given Evaluation of Left Ventricular Systolic
(LVS) Function While in the Hospital or Scheduled
for After the Patient was Released (HF-2)
Patients Given Instructions When
Released from the Hospital (HF-1)
The Right Care for Heart Failure Patients (HF-ACM)
Patients Given PCI Within 90 Minutes
of Hospital Arrival (AMI-8a)
Patients Given Fibrinolytic Medication
Within 30 Minutes of Hospital Arrival (AMI-7a)
Heart Failure
Patients Given Beta Blocker Prescription
When Released from the Hospital (AMI-5)
Patients Given Advice or Counseling About
Quitting Smoking While in the Hospital (AMI-4)
Aspirin Given When the Patient was
Released from the Hospital (AMI-2)
Aspirin Given When the Patient Arrived
at the Hospital (AMI-1)
The Right Care for Heart Attack Patients (AMI-ACM)
See page 260 for an explanation of terms.
Patients Given ACE Inhibitor or ARB Prescription
for Left Ventricular Systolic Dysfunction (LVSD)
When Released from the Hospital (AMI-3)
Heart Attack
Quality of
Care for Heart
Conditions
sample
size
RATE
83%
*
*
100% 108
100%
86
92% 38
*
*
*
*
97% 59
100%
28
*
*
*
*
*
*
*
*
*
99% 77
100% 35
*
*
*
*
100% 33
*
*
96% 366
98% 165
99% 311
97% 60
99% 97
100% 308
*
*
89% 38
80% 256
76% 189
98% 248
94% 88
100%
41
United Hospital - St Paul
98% 462
99% 277
99% 418
98% 52
100% 155
99% 384
*
*
98% 90
94% 453
93% 356
100% 452
99% 148
99%
78
Unity Hospital - Fridley
98% 57 100% 53
*
100% 28
*
*
*
*
95% 195
96% 178
100% 193
98% 53
97%
32
University Of Minnesota Medical Center:
Fairview - Minneapolis
98% 197 100% 118
100% 59
99% 178
*
*
*
*
92% 293
91% 236
99% 293
100% 114
100%
51
Woodwinds Hospital: HealthEast Care System Woodbury
*
*
*
*
*
70% 103
66% 86
97% 101
100% 26
*
*
*
*
*
*
*
*
*
*
*
*
*
99% 170
*
*
*
*
*
*
*
*
*
*
*
*
84
*
*
* Sufficient data not available
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
263
Quality of
Care for Heart
Surgeries
Heart Bypass Surgery
Angioplasty Heart Surgery
Sample Size
Observed Rate
Expected Rate
Risk Adjusted Rate
Confidence Interval
of Risk Adjusted Rate
366
1.10%
4.80%
Better
0.70%
0.00-1.90%
1824
28
1794
2.00%
2.00%
Better
1.10%
0.70-1.50%
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Fairview Southdale Hospital - Edina
189
2
188
1.10%
0.60%
0.00-2.40%
480
12
466
3.00%
1.60%
0.80-2.30%
Gillette Children’s Specialty Healthcare - St. Paul *
*
*
*
*
*
*
*
*
*
*
*
Hennepin County Medical Center - Minneapolis
50
0
47
0.00%
0.00%
0.00-5.00%
175
6
167
4.00%
2.00%
0.80-3.30%
Lakeview Memorial Hospital - Stillwater
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Maple Grove Hospital
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Mercy Hospital - Coon Rapids
207
1
205
0.50%
3.90%
Better
0.40%
0.00-2.20%
954
12
927
1.00%
1.60%Same
1.10%
0.40-1.80%
North Memorial Health Care - Robbinsdale
108
2
107
1.90%
2.60%Same
2.10%
0.00-5.40%
540
11
534
2.00%
1.80%Same
1.60%
0.80-2.50%
Park Nicollet Methodist Hospital - St. Louis Park
221
9
218
4.10%
4.30%Same
2.80%
1.10-4.50%
473
11
460
2.00%
1.90%Same
1.80%
0.90-2.70%
Queen Of Peace Hospital - New Prague
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Regina Medical Center - Hastings
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Regions Hospital - St. Paul
137
4
137
2.90%
6.10%
Better
1.40%
0.00-3.20%
613
12
602
2.00%
2.60%
Better
1.10%
0.40-1.70%
Ridgeview Medical Center - Waconia
*
*
*
*
*
*
*
*
44
0
42
0.00%
0.80%Same
0.00%
0.00-4.70%
Expected Rate
4.90%Same
*
*
2.70%Same
* Sufficient data not available or procedure is not performed at hospital.
264
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
When Compared
to Expected Rate
Numerator
4
Confidence Interval
of Risk Adjusted Rate
367
Risk Adjusted Rate
HOSPITAL NAME
When Compared
to Expected Rate
Abbott Northwestern Hospital - Minneapolis
See page 260 for an explanation of terms.
Observed Rate
Number of Operations
IQI-30
Sample Size
IQI-6
Numerator
IQI-12
Number of Operations
IQI-5
2.30%Same
*
*
2.50%Same
Quality of
Care for Heart
Surgeries
Heart Bypass Surgery
Angioplasty Heart Surgery
Sample Size
Observed Rate
Expected Rate
Risk Adjusted Rate
Confidence Interval
of Risk Adjusted Rate
*
*
*
*
*
*
*
*
*
*
*
*
*
St John’s Hospital: Health East Care System Maplewood
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
St Joseph’s Hospital:
HealthEast Care System - St Paul
180
7
177
4.00%
5.60%
Better
2.10%
0.40-3.70%
500
6
487
1.00%
1.80%
Better
0.90%
0.10-1.80%
United Hospital - St Paul
200
3
199
1.50%
4.90%
Better
0.90%
0.00-2.60%
810
14
800
2.00%
1.90%Same
1.30%
0.60-2.00%
Unity Hospital - Fridley
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
University Of Minnesota Medical Center:
Fairview - Minneapolis
115
2
110
1.80%
1.70%
0.00-4.70%
377
3
370
1.00%
1.90%
Better
0.60%
0.00-1.60%
Woodwinds Hospital: HealthEast Care System Woodbury
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Expected Rate
3.10%Same
*
*
When Compared
to Expected Rate
Numerator
*
Confidence Interval
of Risk Adjusted Rate
*
Risk Adjusted Rate
*
When Compared
to Expected Rate
HOSPITAL NAME
Observed Rate
St Francis Regional Medical Center - Shakopee
See page 260 for an explanation of terms.
Number of Operations
IQI-30
Sample Size
IQI-6
Numerator
IQI-12
Number of Operations
IQI-5
* Sufficient data not available or procedure is not performed at hospital.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
265
Surgical Repair of an Abdominal
Aortic Aneurysm
When Compared to
Expected Rate
Expected Rate
Confidence Interval
Infection Rate
Sample Size
COMBINED RISK LEVEL 0, 1, 2, 3
Numerator
Infection Rate
Sample Size
Numerator
risk level 1, 2, 3
Infection Rate
Sample Size
Numerator
Confidence Interval
of Risk Adjusted Rate
Risk Adjusted Rate
risk level 0
When Compared to
Expected Rate
Expected Rate
Observed Rate
Sample Size
See page 260 & 261 for an explanation
of terms.
Vaginal Hysterectomy Sugical Site Infection
IQI-11
Numerator
IQI-4
Number of Operations
Quality of
Care for Other
Surgeries
HOSPITAL NAME
Overall Minnesota Average
0.99%
1.65%
Abbott Northwestern Hospital - Minneapolis
122
4
122
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
*
*
*
*
*
*
Fairview Southdale Hospital - Edina
36
3
36
Gillette Children’s Specialty Healthcare - St. Paul *
*
*
*
*
*
*
Hennepin County Medical Center - Minneapolis
*
*
*
*
*
*
Lakeview Memorial Hospital - Stillwater
*
*
*
*
*
Maple Grove Hospital
*
*
*
*
*
Mercy Hospital - Coon Rapids
41
0
41
0.00% 5.00%Same
North Memorial Health Care - Robbinsdale
47
5
47
11.00% 6.70%Same
Park Nicollet Methodist Hospital - St. Louis Park
50
3
50
Queen Of Peace Hospital - New Prague
*
*
*
*
*
*
*
Regina Medical Center - Hastings
*
*
*
*
*
*
*
Regions Hospital - St. Paul
40
3
40
3.00% 7.80% Better 2.10% 0.00-4.80%
62
1.61%
1
89
1.12%
2
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
0
44
0.00%
0
11
0.00%
0
55
0.00%
0.00%-6.71% 1.12%
SAME
0
117
0.00%
0
35
0.00%
0
152 0.00%
0.00%-2.43% 1.14%
SAME
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
3
66
4.55%
0
16
0.00%
3
82
*
*
*
*
*
*
*
*
*
*
*
0.00% 0.00-5.90%
0
140
0.00%
0
38
0.00%
0
178 0.00%
0.00%-2.07% 1.13%
SAME
7.70% 2.80-12.60%
0
29
0.00%
0
12
0.00%
0
41
0.00%
0.00%-9.00% 1.18%
SAME
6.00% 10.00% Better 2.90% 0.00-6.30%
0
101
0.00%
5
114
4.39%
5
215 2.33%
0.76%-5.43% 1.34%
SAME
*
0
11
0.00%
0
15
0.00%
0
26
0.00% 0.00%-14.19% 1.37%
SAME
*
*
*
*
*
*
*
*
*
0
18
0.00%
0
103
0.00%
0
8.00% 6.20%Same
6.60% 1.00-12.20%
8.00% 10.40% Better 3.50% 0.00-7.40%
* Sufficient data not available or procedure is not performed at hospital.
266
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
151 1.32%
0.16%-4.78% 1.38%
SAME
1
3.66% 0.75%-10.69% 1.12%
*
*
121 0.00%
*
*
*
*
SAME
*
*
0.00%-3.05% 1.55% AVERAGE
Surgical Repair of an Abdominal
Aortic Aneurysm
When Compared to
Expected Rate
Expected Rate
Confidence Interval
Infection Rate
Sample Size
COMBINED RISK LEVEL 0, 1, 2, 3
Numerator
Infection Rate
Sample Size
risk level 1, 2, 3
Numerator
Infection Rate
Sample Size
Numerator
Confidence Interval
of Risk Adjusted Rate
Risk Adjusted Rate
risk level 0
When Compared to
Expected Rate
Expected Rate
Observed Rate
Sample Size
See page 260 & 261 for an explanation
of terms.
Vaginal Hysterectomy Sugical Site Infection
IQI-11
Numerator
IQI-4
Number of Operations
Quality of
Care for Other
Surgeries
HOSPITAL NAME
Overall Minnesota Average
0.99%
1.65%
Ridgeview Medical Center - Waconia
*
*
*
*
*
*
*
*
0
77
0.00%
0
22
0.00%
0
99
0.00%
St Francis Regional Medical Center - Shakopee
*
*
*
*
*
*
*
*
1
16
6.25%
0
17
0.00%
1
33
3.03% 0.08%-16.88% 1.33%SAME
St John’s Hospital: Health East Care System Maplewood
*
*
*
*
*
*
*
*
1
138
0.72%
1
69
1.45%
2
207
0.97%
St Joseph’s Hospital:
HealthEast Care System - St Paul
34
4
34
12.00% 6.20%Same 9.30% 3.50-15.20%
0
22
0.00%
0
8
0.00%
0
30
0.00% 0.00%-12.30% 1.16%SAME
United Hospital - St Paul
29
2
29
7.00% 7.70%Same 4.40% 0.00-9.80%
0
98
0.00%
1
66
1.52%
1
164
0.61%
Unity Hospital - Fridley
*
*
*
*
*
*
*
*
1
31
3.23%
2
18
11.11%
3
49
6.12% 1.26%-17.89% 1.23% WORSE
University Of Minnesota Medical Center:
Fairview - Minneapolis
*
*
*
*
*
*
*
*
0
20
0.00%
0
20
0.00%
0
40
0.00%
0.00%-9.22% 1.32%SAME
Woodwinds Hospital: HealthEast Care System Woodbury
*
*
*
*
*
*
*
*
0
49
0.00%
0
17
0.00%
0
66
0.00%
0.00%-5.59% 1.16%SAME
0.00%-3.73% 1.14%SAME
0.12%-3.49% 1.21%SAME
0.02%-3.40% 1.25%SAME
* Sufficient data not available or procedure is not performed at hospital.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
267
Quality of
Care for Other
Surgeries
See page 260 for an explanation of terms.
HOSPITAL NAME
rate
sample
size
Surgery Patients Who Received
Treatment at the Right Time to
Prevent Blood Clots After Certain
Types of Surgery (SCIP-VTE2)
Surgery Patients Whose Doctors
Ordered Treatment to Prevent
Blood Clots After Certain Types
of Surgeries (SCIP-VTE1)
Preventing Blood Clots After Certain
Types of Surgeries
rate
sample
size
Overall Minnesota Average
87%
86%
Abbott Northwestern Hospital - Minneapolis
99%
207
98%
206
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
Fairview Ridges Hospital - Burnsville
87%
101
82%
101
Fairview Southdale Hospital - Edina
97%
317
93%
316
*
*
*
Gillette Children’s Specialty Healthcare - St. Paul *
Hennepin County Medical Center - Minneapolis
98%
178
96%
177
Lakeview Memorial Hospital - Stillwater
82%
76
82%
76
Maple Grove Hospital
*
*
*
Mercy Hospital - Coon Rapids
99%
149
97%
149
North Memorial Health Care - Robbinsdale
97%
148
97%
148
Park Nicollet Methodist Hospital - St. Louis Park
93%
182
93%
180
Queen Of Peace Hospital - New Prague
*
*
*
Regina Medical Center - Hastings
96%
70
94%
70
Regions Hospital - St. Paul
92%
208
77%
208
*
*
* Sufficient data not available.
268
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
HOSPITAL NAME
rate
sample
size
Surgery Patients Who Received
Treatment at the Right Time to
Prevent Blood Clots After Certain
Types of Surgery (SCIP-VTE2)
See page 260 for an explanation of terms.
Preventing Blood Clots After Certain
Types of Surgeries
Surgery Patients Whose Doctors
Ordered Treatment to Prevent
Blood Clots After Certain Types
of Surgeries (SCIP-VTE1)
Quality of
Care for Other
Surgeries
rate
sample
size
Overall Minnesota Average
87%
86%
Ridgeview Medical Center - Waconia
100%
98
100%
98
St Francis Regional Medical Center - Shakopee
94%
84
92%
84
St John’s Hospital: Health East Care System Maplewood
90%
245
89%
242
St Joseph’s Hospital:
HealthEast Care System - St Paul
93%
202
89%
201
United Hospital - St Paul
97%
158
97%
158
Unity Hospital - Fridley
98%
223
96%
223
University Of Minnesota Medical Center:
Fairview - Minneapolis
91%
228
89%
228
Woodwinds Hospital: HealthEast Care System Woodbury
93%
124
92%
124
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
269
Confidence Interval
of Risk Adjusted Rate
Risk Adjusted Rate
When Compared to
Expected Rate
Expected Rate
Sample Size
Observed Rate
Numerator
Confidence Interval
of Risk Adjusted Rate
Risk Adjusted Rate
When Compared to
Expected Rate
Expected Rate
0.04%
1.78% Better 0.04% 0.00-0.37%
99
16307 0.61% 1.01% Better 0.61% 0.46-0.77%
*
0
50
0.00%
1.72%Same
0.00% 0.00-3.87%
0
64
0.00% 1.01%Same
0.00% 0.00-2.47%
*
0
35
0.00%
1.72%Same
0.00% 0.00-4.62%
0
30
0.00% 1.02%Same
0.00% 0.00-3.59%
2.04% 10.03%Same 2.57% 0.00-12.83%
1
1375
0.07%
1.81% Better 0.07% 0.00-0.79%
4
2590 0.15% 0.96% Better 0.16% 0.00-0.56%
8.70% 12.15%Same 9.03% 4.62-13.43%
4
2743
0.15%
1.83% Better 0.15% 0.00-0.65%
43
7136 0.60% 1.00% Better 0.61% 0.38-0.85%
*
*
*
2
176
14.19% 11.71%Same 15.28% 11.48-19.08% 16
5019
0.32%
1.74% Better 0.33% 0.00-0.72%
11.76% 12.98%Same 11.44% 1.13-21.74%
3
383
0.78%
1.87%Same
*
*
*
6.00% 11.19%Same 6.77% 1.35-12.18%
2
3358
0.06%
1.77% Better 0.06% 0.00-0.53%
28
5714 0.49% 0.99% Better 0.51% 0.24-0.77%
234
7.26% 11.01%Same 8.33% 3.90-12.75%
19
4626
0.41%
1.79% Better 0.40% 0.01-0.80%
76
6621 1.15% 1.01%Same
17
191
8.90% 12.62%Same 8.90% 4.43-13.37%
5
4124
0.12%
1.80% Better 0.12% 0.00-0.54%
43
7243 0.59% 0.99% Better 0.61% 0.38-0.85%
*
*
*
*
*
*
*
0
155
0.00%
1.82%Same
0.00% 0.00-2.13%
1
220
0.45% 1.00%Same
0.46% 0.00-1.81%
Regina Medical Center - Hastings
*
*
*
*
*
*
*
0
211
0.00%
1.79%Same
0.00% 0.00-1.85%
6
575
1.04% 0.97%Same
1.10% 0.25-1.94%
Regions Hospital - St. Paul
33
363
9.09% 11.19%Same 10.25% 6.74-13.76%
5
5070
0.10%
1.75% Better 0.10% 0.00-0.48%
94
6710 1.40% 1.02%
Ridgeview Medical Center - Waconia
3
44
6.82% 8.64%Same 9.95% 0.00-21.82%
0
647
0.00%
1.87% Better 0.00% 0.00-1.05%
12
1625 0.74% 0.97%Same
Abbott Northwestern Hospital - Minneapolis
52
536
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
1
49
Fairview Southdale Hospital - Edina
18
207
Gillette Children’s Specialty Healthcare - St. Paul *
*
Hennepin County Medical Center - Minneapolis
41
289
Lakeview Memorial Hospital - Stillwater
4
34
Maple Grove Hospital
*
*
Mercy Hospital - Coon Rapids
9
150
North Memorial Health Care - Robbinsdale
17
Park Nicollet Methodist Hospital - St. Louis Park Queen Of Peace Hospital - New Prague
9.70% 12.14%Same 10.08% 7.36-12.81%
*
*
*
*
*
*
*
*
*
*
Numerator
6980
Numerator
3
HOSPITAL NAME
Sample Size
See page 260 for an explanation of terms.
Observed Rate
PSI-12
Sample Size
PSI-3
Confidence Interval
of Risk Adjusted Rate
PSI-4
Risk Adjusted Rate
Number of Blood Clots in Lung or
Large Vein After an Operation
When Compared to
Expected Rate
Number of Patients with Bed Sores
Expected Rate
Number of Deaths from Failure to Identify
and Treat a Serious Complication
Observed Rate
Quality of Care
for Medical
Complications
*
*
*
*
*
0.77% 0.00-2.12%
*
* Sufficient data not available.
270
*
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
102
9
*
1.14% 1.00%Same
4156 2.45% 1.06%
1.16% 0.00-2.66%
Worse 2.34% 2.04-2.64%
2437 0.37% 0.96% Better 0.38% 0.00-0.79%
*
*
*
*
*
*
1.14% 0.90-1.38%
Worse 1.40% 1.16-1.64%
0.76% 0.26-1.26%
PSI-12
89
7.87% 11.65%Same
8.51% 1.57-15.46%
0
2093 0.00% 1.82% Better 0.00%
0.00-0.58%
25
3727 0.67% 0.98%Same
0.70%
0.37-1.03%
St Joseph’s Hospital:
HealthEast Care System - St Paul
15
212
7.08% 13.58% Better 6.57% 2.47-10.68%
2
3485 0.06% 1.78% Better 0.06%
0.00-0.51%
56
4305 1.30% 1.03%Same
1.28%
0.98-1.58%
United Hospital - St Paul
34
231 14.72% 11.92%Same 15.58% 11.37-19.80%
4
4436 0.09% 1.79% Better 0.09%
0.00-0.50%
47
7548 0.62% 0.99%
Better 0.64%
0.41-0.87%
Unity Hospital - Fridley
7
90
9.16% 1.98-16.35%
2
2416 0.08% 1.79% Better 0.09%
0.00-0.63%
14
2917 0.48% 0.99%
Better 0.50%
0.13-0.87%
University Of Minnesota Medical Center:
Fairview - Minneapolis
43
405 10.62% 12.35%Same 10.84% 7.71-13.98%
5
6432 0.08% 1.75% Better 0.08%
0.00-0.42%
65
8608 0.76% 1.04%
Better 0.74%
0.53-0.95%
Woodwinds Hospital: HealthEast Care System Woodbury
2
53
0
662
0.00-1.04%
12
2525 0.48% 0.96%
Better 0.50%
0.10-0.90%
7.78% 10.71%Same
3.77%
7.13%Same
6.68% 0.00-18.54%
0.00% 1.82% Better 0.00%
Sample Size
Numerator
Risk Adjusted Rate
7
When Compared to
Expected Rate
Expected Rate
St John’s Hospital: Health East Care System Maplewood
Observed Rate
1142 0.18% 0.97%
Sample Size
2
Risk Adjusted Rate
0.00-1.17%
When Compared to
Expected Rate
0.00% 1.79% Better 0.00%
Expected Rate
528
Observed Rate
0
Risk Adjusted Rate
14.81% 7.78% Worse 24.01% 8.09-39.93%
When Compared to
Expected Rate
27
Expected Rate
4
HOSPITAL NAME
Observed Rate
St Francis Regional Medical Center - Shakopee See page 260 for an explanation of terms.
Better 0.18%
Confidence Interval
of Risk Adjusted Rate
PSI-3
Numerator
PSI-4
Confidence Interval
of Risk Adjusted Rate
Number of Blood Clots in Lung or
Large Vein After an Operation
Sample Size
Number of Patients with Bed Sores
Numerator
Number of Deaths from Failure to Identify
and Treat a Serious Complication
Confidence Interval
of Risk Adjusted Rate
Quality of Care
for Medical
Complications
0.00-0.78%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
271
Quality of
Infection
Prevention
HOSPITAL NAME
rate
sample
size
rate
sample
size
rate
sample
size
rate
sample
size
rate
sample
size
rate
sample
size
rate
sample
size
Surgery Patients on Beta-Blocker
Therapy Prior to Arrival Who
Received a Beta-Blocker During
the Perioperative Period
(SCIP-Card-2)
Surgery Patients Needing Hair
Removed Before Surgery Using
a Safer Method (SCIP-Inf-6)
All Heart Surgery Patients
Whose Blood Sugar is Kept
Under Good Control Right
After Surgery (SCIP-Inf-4)
Surgery Patients Whose Preventive Antibiotics Were Stopped
at the Right Time (SCIP-Inf-3)
Surgery Patients Given the
Best Antibiotic to Help Prevent
Infection (SCIP-Inf-2)
Surgery Patients Given an
Antibiotic Within an Hour
Before Surgery to Help Prevent
Infection (SCIP-Inf-1)
See page 260 & 261 for an explanation
of terms.
Ventilator Associated Pneumonia
(VAP) Prevention
Central Line Infection (CLI)
Prevention
Infection Prevention
rate
sample
size
Overall Minnesota Average
87%
96%
86%
94%
94%
87%
96%
87%
Abbott Northwestern Hospital - Minneapolis
96% 228
79%
97%
99%
97%
92%
100%
92%
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
100% 409
100%
362
97%
258
99%
257
255
*
*
100%
380
94%
69
Fairview Southdale Hospital - Edina
94% 164
98%
180
98% 1856
99%
1881
78% 2165
96%
583
Gillette Children’s Specialty Healthcare - St. Paul *
*
*
212
*
*
566
*
*
580
*
96%
536
95% 1795
*
*
90%
158
219
*
*
*
100%
827
*
197
*
*
413
97%
98
100% 461
95%
81
*
*
Hennepin County Medical Center - Minneapolis
44% 126
Lakeview Memorial Hospital - Stillwater
41%
Maple Grove Hospital
Mercy Hospital - Coon Rapids
97% 184
100%
227
96%
503
99%
518
98%
483
97%
173
100%
718
95%
193
North Memorial Health Care - Robbinsdale
80% 269
98%
673
92%
556
95%
571
92%
545
50%
163
100%
722
76%
189
Park Nicollet Methodist Hospital - St. Louis Park
94% 123
91%
181
98%
634
99%
645
97%
596
92%
191
100% 847
88%
225
Queen Of Peace Hospital - New Prague
*
*
*
*
95%
104
98%
106
98%
103
*
*
100% 127
*
*
Regina Medical Center - Hastings
*
*
*
*
92%
180
99%
180
99%
178
*
*
100%
239
98%
42
Regions Hospital - St. Paul
95% 275
202
93%
492
99%
505
95%
475
97%
146
99%
746
77%
213
*
80%
135
96%
295
98%
298
96%
277
84%
49
292
99%
292
99%
283
*
*
*
*
*
29
*
*
97%
*
*
*
*
93%
*
*
*
*
* Sufficient data not available.
272
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
*
HOSPITAL NAME
rate
sample
size
sample
size
rate
rate
sample
size
rate
sample
size
rate
sample
size
rate
sample
size
rate
sample
size
Surgery Patients on Beta-Blocker
Therapy Prior to Arrival Who
Received a Beta-Blocker During
the Perioperative Period
(SCIP-Card-2)
Surgery Patients Needing Hair
Removed Before Surgery Using
a Safer Method (SCIP-Inf-6)
All Heart Surgery Patients
Whose Blood Sugar is Kept
Under Good Control Right
After Surgery (SCIP-Inf-4)
Surgery Patients Whose Preventive Antibiotics Were Stopped
at the Right Time (SCIP-Inf-3)
Surgery Patients Given the
Best Antibiotic to Help Prevent
Infection (SCIP-Inf-2)
Surgery Patients Given an
Antibiotic Within an Hour
Before Surgery to Help Prevent
Infection (SCIP-Inf-1)
Ventilator Associated Pneumonia
(VAP) Prevention
See page 260 & 261 for an explanation
of terms.
Infection Prevention
Central Line Infection (CLI)
Prevention
Quality of
Infection
Prevention
rate
sample
size
Overall Minnesota Average
87%
96%
Ridgeview Medical Center - Waconia
83%
30
80%
96
96%
293
100%
294
100%
291
*
*
100%
418
100%
72
St Francis Regional Medical Center - Shakopee
99%
92
98%
144
96%
323
98%
323
98%
316
*
*
100%
474
92%
105
St John’s Hospital: Health East Care System Maplewood
65% 216
92%
294
93%
777
98%
779
96%
744
*
*
100%
910
89%
135
St Joseph’s Hospital:
HealthEast Care System - St Paul
90% 200
92%
334
94%
704
99%
712
97%
658
83%
196
99%
893
89%
241
United Hospital - St Paul
96% 158
88%
166
96%
565
98%
574
96%
542
92%
202
100%
752
91%
160
Unity Hospital - Fridley
93% 147
100%
200
96%
452
99%
452
97%
426
*
*
100%
720
93%
180
University Of Minnesota Medical Center:
Fairview - Minneapolis
100% 180
99%
180
97%
388
98%
389
94%
368
89%
138
100%
635
95%
133
Woodwinds Hospital: HealthEast Care System Woodbury
52% 101
84%
161
97%
975
100%
976
98%
955
*
*
100%
1122
97%
178
86%
94%
94%
87%
96%
87%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
273
Quality of Care
for Other
Conditions
HOSPITAL NAME
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
sample
size
Patients Assessed and Given
Influenza Vaccination (PN-7)
Patients Given the Most
Appropriate Initial Antibiotic(s)
(PN-6)
Patients Given Initial Antibiotic(s)
Within 6 Hours After Getting to
the Hospital (PN-5c)
Blood Test Given to Patient Prior
to Receiving Antibiotics (PN-3b)
Patients Assessed and Given
Pneumonia Vaccination (PN-2)
The Best Care for
Pneumonia Patients (PN-ACM)
See page 260 for an explanation of terms.
Patients Given Advice or
Counseling About Quitting Smoking
While in the Hospital (PN-4)
Pneumonia Care
RATE
sample
size
Overall Minnesota Average
85%
83%
91%
84%
93%
87%
83%
Abbott Northwestern Hospital - Minneapolis
94%
470
98%
293
96%
234
100%
112
98%
283
96%
148
94%
224
Children’s Hospitals and Clinics - Minneapolis
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
82%
278
97%
179
96%
224
100%
43
93%
193
81%
120
94%
121
Fairview Southdale Hospital - Edina
91%
418
96%
291
99%
287
100%
68
98%
290
89%
186
89%
200
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Gillette Children’s Specialty Healthcare - St. Paul Hennepin County Medical Center - Minneapolis
77%
413
84%
132
86%
257
99%
173
88%
294
88%
94
70%
142
Lakeview Memorial Hospital - Stillwater
85%
66
88%
41
100%
29
*
*
96%
49
94%
35
80%
30
Maple Grove Hospital
*
*
*
*
*
*
*
*
*
*
*
*
*
*
Mercy Hospital - Coon Rapids
93%
420
97%
229
97%
183
100%
105
96%
291
96%
193
93%
169
North Memorial Health Care - Robbinsdale
58%
196
57%
107
89%
113
93%
55
96%
141
78%
96
68%
77
Park Nicollet Methodist Hospital - St. Louis Park
87%
666
92%
466
94%
356
100%
127
97%
348
93%
255
84%
333
Queen Of Peace Hospital - New Prague
89%
53
95%
40
97%
32
*
*
100%
37
91%
32
90%
29
Regina Medical Center - Hastings
87%
46
97%
29
100%
34
*
*
97%
35
87%
31
*
*
Regions Hospital - St. Paul
90%
529
94%
260
95%
141
100%
163
94%
333
93%
177
90%
247
* Sufficient data not available.
274
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
Quality of Care
for Other
Conditions
HOSPITAL NAME
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
sample
size
RATE
sample
size
Patients Assessed and Given
Influenza Vaccination (PN-7)
Patients Given the Most
Appropriate Initial Antibiotic(s)
(PN-6)
Patients Given Initial Antibiotic(s)
Within 6 Hours After Getting to
the Hospital (PN-5c)
Blood Test Given to Patient Prior
to Receiving Antibiotics (PN-3b)
Patients Assessed and Given
Pneumonia Vaccination (PN-2)
The Best Care for
Pneumonia Patients (PN-ACM)
See page 260 for an explanation of terms.
Patients Given Advice or
Counseling About Quitting Smoking
While in the Hospital (PN-4)
Pneumonia Care
RATE
sample
size
Overall Minnesota Average
85%
83%
91%
84%
93%
87%
83%
Ridgeview Medical Center - Waconia
94%
250
98%
189
100%
204
100%
38
98%
187
94%
134
94%
117
St Francis Regional Medical Center - Shakopee
96%
195
97%
121
100%
71
98%
50
99%
139
98%
85
92%
95
St John’s Hospital: Health East Care System Maplewood
89%
218
93%
138
97%
153
97%
38
99%
153
93%
116
95%
88
St Joseph’s Hospital:
HealthEast Care System - St Paul
80%
200
84%
132
93%
98
98%
46
96%
127
88%
80
87%
91
United Hospital - St Paul
92%
419
97%
222
95%
232
100%
125
97%
255
95%
170
94%
170
Unity Hospital - Fridley
94%
361
100%
212
95%
236
100%
92
97%
247
97%
158
98%
166
University Of Minnesota Medical Center:
Fairview - Minneapolis
84%
324
86%
145
95%
215
100%
84
93%
191
90%
104
78%
136
Woodwinds Hospital: HealthEast Care System Woodbury
93%
100
97%
63
97%
74
*
*
100%
75
95%
57
100%
40
* Sufficient data not available
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
275
*
*
*
*
*
*
*
*
*
Children’s Hospitals and Clinics - St. Paul
*
*
*
*
*
*
*
*
*
*
*
*
*
Fairview Ridges Hospital - Burnsville
1
72
1.00% 3.20%Same 1.30% 0.00-4.90%
41
Fairview Southdale Hospital - Edina
7
205
3.00% 3.50%Same 2.80% 0.80-4.80%
58
Gillette Children’s Specialty Healthcare - St. Paul *
*
Hennepin County Medical Center - Minneapolis
1
37
3.00% 4.90%Same 1.60% 0.00-5.60%
14
Lakeview Memorial Hospital - Stillwater
1
58
2.00% 2.30%Same 2.20% 0.00-7.20%
Maple Grove Hospital
*
*
Mercy Hospital - Coon Rapids
2
102
2.00% 5.00% Better 1.10% 0.00-3.50%
29
North Memorial Health Care - Robbinsdale
7
223
3.00% 3.50%Same 2.60% 0.70-4.60%
Park Nicollet Methodist Hospital - St. Louis Park 9
219
4.00% 4.80% Better 2.50% 0.90-4.10%
Queen Of Peace Hospital - New Prague
*
*
*
*
*
*
*
*
*
Regina Medical Center - Hastings
*
*
*
*
*
*
*
6
31
Regions Hospital - St. Paul
12
136
9.00% 6.00%Same 4.30% 2.40%-6.10%
19
Ridgeview Medical Center - Waconia
2
85
2.00% 2.40%Same 2.90% 0.00-6.80%
12
*
*
*
*
*
*
4.46% 2.44% Worse 4.46% 3.61-5.30%
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
262 15.65% 14.22%Same 15.65% 11.25-20.05%
35
1637
2.14% 2.44%Same
332 17.47% 14.22%Same 17.47% 13.39-21.55%
83
1883
4.41% 2.44% Worse 4.41% 3.48-5.34%
*
*
106 13.21% 14.22%Same 13.21% 6.76-19.65%
36
2051
1.76% 2.44% Better 1.76% 1.19-2.32%
7
36
8
434
1.84% 2.44%Same
*
*
*
*
143 20.28% 14.22%Same 20.28% 13.69-26.87%
44
1691
2.60% 2.44%Same
52
204 25.49% 14.22% Worse 25.49% 19.51-31.47%
107
2019
5.30% 2.44% Worse 5.30% 4.32-6.28%
19
123 15.45% 14.22%Same 15.45% 9.06-21.83%
77
2706
2.85% 2.44%Same
*
*
19.35% 14.22%Same 19.35% 5.45-33.26%
4
248
1.61% 2.44%Same
1.61% 0.05-3.18%
92
20.65% 14.22%Same 20.65% 12.38-28.92%
36
1671
2.15% 2.44%Same
2.15% 1.46-2.85%
83
14.46% 14.22%Same 14.46% 6.89-22.02%
18
765
2.35% 2.44%Same
2.35% 1.28-3.43%
*
*
*
*
*
*
*
19.44% 14.22%Same 19.44% 6.52-32.37%
*
*
*
*
*
*
*
*
* Sufficient data not available.
276
Confidence Interval
of Risk Adjusted Rate
*
Risk Adjusted Rate
*
When Compared to
Expected Rate
*
*
2312
188 27.13% 14.22% Worse 27.13% 20.77-33.48%
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
*
*
*
*
*
Expected Rate
*
*
Observed Rate
*
Sample Size
Children’s Hospitals and Clinics - Minneapolis
*
103
51
Numerator
1.00% 5.20% Better 0.70% 0.00-2.50%
Confidence Interval
of Risk Adjusted Rate
161
Expected Rate
2
Sample Size
Numerator
Observed Rate
Abbott Northwestern Hospital - Minneapolis
HOSPITAL NAME
Expected Rate
Sample Size
Risk Adjusted Rate
PSI-19
When Compared to
Expected Rate
PSI-18
Observed Rate
IQI-19
Confidence Interval
of Risk Adjusted Rate
Rate of Obstetric Tearing Vaginal Delivery
without Medical Instruments
Risk Adjusted Rate
Rate of Obstetric Tearing Vaginal Delivery
with Medical Instruments
Numerator
See page 260 for an explanation of terms.
Death Rate for Patients
with a Broken Hip
When Compared to
Expected Rate
Quality of Care
for Other
Conditions
*
*
*
*
*
*
2.14% 1.44-2.84%
*
*
1.84% 0.58-3.11%
*
*
2.60% 1.84-3.36%
2.85% 2.22-3.47%
*
*
Confidence Interval
of Risk Adjusted Rate
Risk Adjusted Rate
Observed Rate
When Compared to
Expected Rate
Sample Size
8
55
14.55% 14.22%Same 14.55% 5.23-23.86%
16
901
1.78% 2.44%Same
St John’s Hospital: Health East Care System Maplewood
6
143
4.00% 3.10%Same 3.90% 1.30-6.60%
27
214 12.62% 14.22%Same 12.62% 8.17-17.07%
33
2032
1.62% 2.44% Better 1.62% 1.07-2.17%
St Joseph’s Hospital:
HealthEast Care System - St Paul
4
113
4.00% 5.30% Better 1.90% 0.00-4.10%
15
53
28.30% 14.22% Worse 28.30% 16.17-40.43%
23
962
2.39% 2.44%Same
United Hospital - St Paul
2
133
2.00% 4.90% Better 0.90% 0.00-3.00%
31
185 16.76% 14.22%Same 16.76% 11.37-22.14%
71
2093
3.39% 2.44% Worse 3.39% 2.62-4.17%
Unity Hospital - Fridley
2
109
2.00% 4.90% Better 1.10% 0.00-3.40%
17
99
17.17% 14.22%Same 17.17% 9.74-24.60%
22
1195
1.84% 2.44%Same
1.84% 1.08-2.60%
University Of Minnesota Medical Center:
Fairview - Minneapolis
5
45
11.00% 6.10%Same 5.30% 2.30-8.40%
14
61
22.95% 14.22%Same 22.95% 12.40-33.50%
44
1675
2.63% 2.44%Same
2.63% 1.86-3.39%
Woodwinds Hospital: HealthEast Care System Woodbury
1
60
2.00% 3.30%Same 1.50% 0.00-5.40%
17
115 14.78% 14.22%Same 14.78% 8.30-21.27%
26
1121
2.32% 2.44%Same
2.32% 1.44-3.20%
Expected Rate
Numerator
Confidence Interval
of Risk Adjusted Rate
0.00% 3.30%Same 0.00% 0.00-4.80%
Expected Rate
39
Sample Size
0
Numerator
Observed Rate
St Francis Regional Medical Center - Shakopee HOSPITAL NAME
Expected Rate
Sample Size
Risk Adjusted Rate
PSI-19
When Compared to
Expected Rate
PSI-18
Observed Rate
IQI-19
Confidence Interval
of Risk Adjusted Rate
Rate of Obstetric Tearing Vaginal Delivery
without Medical Instruments
Risk Adjusted Rate
Rate of Obstetric Tearing Vaginal Delivery
with Medical Instruments
Numerator
See page 260 for an explanation of terms.
Death Rate for Patients
with a Broken Hip
When Compared to
Expected Rate
Quality of Care
for Other
Conditions
1.78% 0.91-2.64%
2.39% 1.43-3.36%
* Sufficient data not available.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
277
CMS HOspital Compare Measures
Data Source and Data Collection Procedures
The Minnesota Statewide Quality Reporting and Measurement System began requiring all Minnesota hospitals to
submit data on CMS “Process of Care” measures for which
they had relevant patients in January 2010. Data reported
here are related to earlier reporting cycles from hospitals that
submitted their data to the Centers for Medicare and Medicaid Services. Data is included in this report for the following
measures:
nSeven process of care measures related to heart attack care
nFour process of care measures related to heart
failure care
nSix process of care measures related to pneumonia
nEight process of care measures related to the surgical care improvement project
Data for all of these measures is for care provided from October 1, 2008 to September 30, 2009.
The information included in this report comes from the quality data submitted by hospitals to the Quality Improvement
Organizations’ (QIO) Clinical Data Warehouse for all inpatient
discharges. Except where noted, the data reflect twelve
months of experience and is updated on a rolling basis. The
data collection approach is primarily retrospective. Data
sources for required data elements include administrative
data and medical record documents. Some hospitals may
prefer to gather data concurrently by identifying patients in
the population of interest. This approach provides opportunities for improvement at the point of care/service. However,
complete documentation includes the principal and other
ICD-9-CM diagnosis and procedure codes, which require
retrospective data entry.
The CMS Abstraction and Reporting Tool (CART) is a medical
record data abstraction tool. Hospitals may use the CART to
transmit abstracted data directly into the QIO Clinical Data
Warehouse through www.QualityNet.org (a HIPAA-compliant, secure data transmission vehicle) or they may instruct
a vendor to submit the data on their behalf using QNET.
CART may also be used to transmit data directly to an ORYX
vendor from a current Joint Commission-accredited hospital.
The vendors transmit the data to the QIO Clinical Warehouse, if the hospital has authorized them to do so, on their
behalf. Under The Joint Commission program, organizations
that wish to be certified as ORYX vendors must pass certain
tests that verify their capacity to correctly handle hospital
data and calculate performance rates using the prescribed
algorithms.
Both ORYX Vendors and CART data submissions include
auditing procedures and edit checks, which assess whether
data submitted is consistent with defined parameters for
sample size, outliers, and missing data. The data for this publication has been audited/edited, but not validated.
Sampling
Whether or not a hospital uses sampling is determined by
rules established by The Joint Commission and CMS. The
same sampling methodology is used by hospitals for both
their non-Medicare cases and Medicare cases and is based
on the number of discharges per topic each quarter. More
detailed information is available at www.QualityNet.org.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
278
Calculating Rates
Each rate calculation is based on the hospital’s relevant discharges. Only patients meeting certain criteria for a measure
are included in the calculation of the rate for a measure.
The performance rate for individual hospitals is calculated by
dividing the numerator by the denominator. The denominator is the sum of all eligible cases (as defined in the measure
specifications) submitted to the QIO Clinical Data Warehouse
for the reporting period. The numerator is the sum of all
eligible cases submitted for the same reporting period where
the recommended care was provided. The same data is used
for individual hospital and state rate calculations.
A two-step process was used to calculate the state comparison group rates. The state comparison rate for each measure
was calculated using all of the data submitted to the QIO
Clinical Data Warehouse for hospitals with at least one case
that met the measure’s inclusion criteria (that is, for which the
denominator was greater than zero).
First, the individual hospital performance rates were calculated using the method described above for all hospitals. Next,
hospitals with “0 patients” were excluded from the calculation. For the state averages, a simple average was constructed where the numerator was the sum of all non-excluded
hospitals’ scores and the denominator was the total number
of hospitals, each calculated at the individual state level. The
state average is calculated before excluding rates that are
suppressed on the CMS Hospital Compare website.
Limitations
In order to align with accepted national standards for public
reporting with respect to the number of patients required for
reliable public reporting, results are only included on those
measures for hospitals with 25 or more cases. Because
many hospitals have fewer than 25 cases in a reporting
279
period, results are not included for a considerable number of
hospitals on some measures.
Risk Adjustment
The results for these measures are not risk adjusted because
the measures relate to whether or not a patient received appropriate treatment rather than whether a particular outcome
was achieved. Risk adjustment is performed for other measures for which patient characteristics influence a provider’s
results.
Appropriate Care Measures
The appropriate care measures utilize CMS measure data
at the individual patient level for heart attack, heart failure
and pneumonia care. With CMS permisson, Stratis Health
calculates these measures through an agreement with the
hospital. The hospital grants Stratis Health access to utilize
the hospital’s data in the QIO Clinical Data Warehouse for
the calculation of these three composite measures. Stratis
Health must access the following CMS process of care measure data at the individual patient level:
n Seven related to heart attack care
n Four related to heart failure care
n Six related to pneumonia care
Data for the measures is for care provided from October 1,
2008 to September 30, 2009.
These measures are pass/fail measures at the individual
patient level. The measures evaluate whether the patient
received all of the appropriate treatments (as defined by the
measure specifications). A patient is included if eligible (i.e.
meets denominator criteria) for at least one of the measures
in a topic (heart attack, heart failure or pneumonia). To be
considered as having appropriate care, a patient must meet
numerator criteria for each measure in which the patient
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
meets the denominator criteria. The measure calculation
accounts for the fact that some treatments may not be appropriate for all patients. (For example, if the patient does not
smoke, the “Patients given advice or counseling about quitting smoking while in the hospital (AMI-4)” is not applicable
and the hospital will automatically be given credit for meeting
this part of the measure.)
Each rate calculation is based on the hospitals’ relevant
discharges. The numerator is the sum of all eligible cases
where the recommended care was provided. The denominator is the sum of all eligible cases (as defined in the measure
specifications) submitted to the QIO Clinical Data Warehouse
for the reporting period. The performance rate for individual
hospitals is calculated by dividing the numerator by the denominator. The same data is used for individual hospital and
state rate calculations.
Agency for Healthcare Research and
Quality Measures
Data Source and Data Collection Procedures
The Minnesota Statewide Quality Reporting and Measurement System began requiring all Minnesota hospitals to
submit data on certain AHRQ measures for which they had
relevant patients in January 2010. Virtually all Minnesota
hospitals submit discharge data to the Minnesota Hospital
Association. The AHRQ measures are calculated using this
discharge data. Data is included in this report for care provided from October 1, 2008 to September 30, 2009 for the
following measures:
nSeven Inpatient Quality Indicators
– Abdominal aortic aneurysm repair volume (IQI 4)
– Abdominal aortic aneurysm mortality rate (IQI 11)
–
–
–
–
–
Coronary artery bypass graft volume (IQI 5)
Coronary artery bypass graft mortality rate (IQI 12)
Percutaneous transluminal coronary angioplasty
volume (IQI 6)
Percutaneous transluminal coronary angioplasty
mortality rate (IQI 30)
Hip fracture mortality rate (IQI 19)
nFive
–
–
–
–
–
Patient Safety Indicators
Pressure ulcer (PSI 3)
Death among surgical inpatients with serious
treatable complications (PSI 4)
Postoperative pulmonary embolism (PSI 12)
Obstetric trauma – vaginal delivery with instrument
(PSI 18)
Obstetric trauma – vaginal delivery without
instrument (PSI 19)
The Inpatient Quality Indicators (IQIs) and Patient Safety Indicators (PSIs) are sets of measures that provide a perspective
on hospital quality of care using hospital administrative data.
nThe IQIs reflect quality of care inside hospitals and
include inpatient mortality for certain procedures and
medical conditions; utilization of procedures for which
there are questions of overuse, underuse, and
misuse; and volume of procedures for which there is
some evidence that a higher volume of procedures is
associated with lower mortality.
n
The PSIs are a set of indicators providing information
on potential inhospital complications and adverse
events following surgeries, procedures, and child
birth. The PSIs were developed after a comprehensive
literature review, analysis of ICD-9-CM codes, review
by a clinician panel, implementation of risk adjustment,
and empirical analyses.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
280
The IQIs and PSIs are software tools distributed free by the
Agency for Healthcare Research and Quality (AHRQ). The
software can be used to help hospitals identify potential
problem areas that might need further study and which can
provide an indirect measure of inhospital quality of care. The
IQI software programs can be applied to any hospital inpatient
administrative data. These data are readily available and relatively inexpensive to use.
The IQIs and PSIs are respectively the second and third in the
set of AHRQ Quality Indicators (QIs) developed by investigators at Stanford University and the University of California, under a contract with AHRQ. The software may be downloaded
from www.qualityindicators.ahrq.gov.
Risk Adjustment
The AHRQ software adjusts provider results based on each
individual patient’s severity of illness.
Limitations
In order to align with accepted national standards for public
reporting with respect to the number of patients required for
reliable public reporting, results are only included for those
hospitals with 25 or more cases for each measure. Because
many hospitals have fewer than 25 cases in a reporting
period, results are not included for a considerable number of
hospitals on some measures.
NQF Healthcare Associated Infection
Measures
Data Source and Data Collection Procedures
Minnesota Statutes 62J.82 requires hospitals to report on
selected healthcare acquired infection measures. The Minnesota Hospital Association (MHA) and Stratis Health, in
281
collaboration with infection control practitioners, collect and
report hospital-specific performance of the hospital-acquired
infection measures published by the National Quality Forum
(NQF). The selected measures were first published on the
MN Hospital Quality Report (www.mnhospitalquality.org) in
October 2009. Data included in this report is for care provided from April 1, 2009 to March 31, 2010 for the following
measures:
n Central line bundle compliance
n Ventilator bundle
n Surgical site infection (SSI) rate for vaginal hysterectomy
The quality data included in this report comes from data submitted by each hospital directly to MHA on their data collection site. Each hospital must obtain the measure data via chart
abstraction. Hospitals may take the measure information
directly from the medical record, via observational audits or
through a specifically designed documentation record (i.e. daily
goals checklist). Hospitals must submit this data on a quarterly basis, no later than 45 days after the end of each quarter.
If a hospital had no cases within a given quarter, the hospital
must still report this data to MHA. The online reporting tool
requires the hospital to enter the measure numerator and denominator by month. The SSI Rate for Vaginal Hysterectomy
measure numerator and denominators must be broken down
and submitted by risk level 0, 1, 2 and 3.
The Central Line Bundle Compliance and Ventilator Bundle
measures require concurrent data collection and observation.
The SSI Rate for Vaginal Hysterectomy measure requires a
retrospective review. There is a 30 day data lag associated
with this measure.
More information about the reporting of these three measures can be found at http://www.mnhospitals.org/index/
Infection1.
Hospital Measures appendiX | November 2010 | 2010 Health Care Quality Report
Sampling
nCentral Line Bundle Compliance and the Ventilator
Bundle: Sampling is allowed for these measures if there
are more than 15 cases per month at the hospital. If
there are less than 15 cases, the total population must
be reported.
nSSI Rate for Vaginal Hysterectomy: Sampling is not allowed for this measure. The measure includes 100% of
eligible cases.
Calculating Rates
Each rate calculation is based on the hospital’s relevant
discharges. Only patients meeting certain criteria for a measure are included in the calculation of the rate for a measure.
nCentral Line Bundle Compliance and the Ventilator Bundle:
The performance rate for individual hospitals are calculated by dividing the numerator by the denominator. The
denominator is the sum of all eligible cases (as defined
in the measure specifications) submitted to MHA for the
reporting period. The numerator is the sum of all eligible
cases submitted for the same reporting period where the
recommended care was provided. The same data is used
for individual hospital and state rate calculations.
nSSI
Rate for Vaginal Hysterectomy: The infection rate for
individual hospitals in Risk Level 0 and Risk Level 1,2,3
are calculated by dividing the numerator by the denominator. The denominator is the sum of all eligible cases
(as defined in the measure specifications) submitted
to MHA for the reporting period. The numerator is the
sum of all eligible cases submitted for the same reporting period where the recommended care was provided.
The Combined Risk Level infection rate is calculated by
adding the numerators and denominators of the two risk
level categories and dividing the numerator by the de-
nominator. This combined infection rate is displayed in
the Quality of Care for Surgeries table in the front of this
report. The confidence intervals are exact poisson confidence intervals calculated by using the inverse gamma
function as proposed by Leslie Daly ( 0 infections have
a 95% confidence interval of 0 – 3.689.): (Daly, L. The
Calculation of Exact Binomial and Poisson Confidence
Limits; Comput. Biol. Med., Vol. 22, No. 5, pp 351-361,
1992). This confidence interval is compared to the expected rate to determine the significance of the results.
If the expected rate falls within the confidence interval,
the hospital’s performance is average or the same as expected. If the expected rate falls above the confidence
interval, the hospital’s performance is average or better
than expected. If the expected rate falls below the confidence interval, the hospital’s performance is below average or worse than expected. More information on these
calculations and their statistical significance is available at
http://www.mnhospitalquality.org/SSI.aspx?region=ALL&
ct=Infection+Prevention&mc=SSIVH.
To determine the state average for these measures, hospitals with “0 patients” in the measure denominator were
excluded from the calculation. Then, the sum of all the
numerators for Minnesota hospitals was divided by the sum
of all the denominators of Minnesota hospitals.
Risk Adjustment
nCentral Line Bundle Compliance and the Ventilator Bundle: The results for these measures are not risk adjusted
because the measures relate to whether or not a patient
received appropriate treatment rather than whether a
particular outcome was achieved. Risk adjustment is
performed for other measures for which patient characteristics influence a provider’s results.
November 2010 | 2010 Health Care Quality Report | Hospital Measures appendiX
282
nSSI
Rate for Vaginal Hysterectomy: The performance of
each facility relative to SSI has been adjusted to reflect
the risk associated with the reported procedure. Adjusting
for these risk levels allows for comparisons of the facilities. If a facility has a high rate after the adjustment, one
can have more confidence that the facility has SSI problems that are caused by factors other than the presence
of many high risk patients. The risk factors that are used
in adjusting a facility’s performance are the degree of contamination of the wound at the time of the operation, the
duration of the procedure, and the American Society of
Anesthesiologists (ASA) score. The latter is an estimate of
the patient’s physical condition. A risk score of 0 indicates
that the patient has a relatively low risk of developing a
surgical site infection, while a 3 indicates that a patient
has a relatively high risk of developing an infection for a
particular surgical procedure. Occasionally risk levels are
combined, as in 1,2,3. For these surgical procedures, the
Centers for Disease Control found that SSI rates were
similar whether the risk was a 1, 2 or a 3.
Limitations
In order to align with accepted national standards for public
reporting with respect to the number of patients required for
reliable public reporting, results are only included on those
measures for hospitals with 25 or more cases. Because
many hospitals have fewer than 25 cases in a reporting
period, results are not included for a considerable number of
hospitals on some measures.
NOTE: For the SSI rate for vaginal hysterectomy measure,
this included a combined sample size of 25 for all risk levels
(i.e. 0,1,2,3)
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283
Minnesota Department of Health, Health Economics Program
85 East Seventh Place, St. Paul, MN 55164-0882
Phone: 651-201-3555 | TDD: 651-201-5797
www.health.state.mn.us/healthreform/measurement