Itasca Medical Care
General Info
Disclaimers
HEDIS 2014 (Reporting Year 2013)
Page
Data Last Refreshed: 7/15/2015
2
Effectiveness of Care Measures
Code
Effectiveness of Care Measures
Code
Page
Medication Management
Page
26 MPM
Annual Monitoring for Patients on Persistent Medications
62
ABA
Adult BMI Assessment
3
27 MRP
Medication Reconciliation Post Discharge
69
WCC
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
4
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
70
CIS
Childhood Immunization Status
7
Use of High Risk Medications in the Elderly
72
IMA
Immunizations for Adolescents
13
Prevention and Screening
28
29 DAE
BCS
Breast Cancer Screening
16
Code
CCS
Cervical Cancer Screening
17
30 AAP
Adult's Access to Preventive/Ambulatory Health Services
74
COL
Colorectal Cancer Screening
18
31 CAP
Children's and Adolescents' Access to Primary Care Practitioners
81
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
84
Prenatal and Postpartum Care
91
CHL
Chlamydia Screening in Women
19
32
GSO
Glaucoma Screening in Older Adults
22
33 PPC
HPV
Human Papillomavirus Vaccine for Female Adolescents
23
34
Care for Older Adults
24
33 Code
COA
Respiratory Conditions
PCE
Pharmacotherapy Management of COPD Exacerbation
25
SPR
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
29
Use of Appropriate Medications for People with Asthma
30
ASM
Cardiovascular
IET
Access / Availability of Care Measures
Use of Services Measures
Page
Page
34 W15
Well Child Visits in the First 15 Months of Life
35 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
97
Adolescent Well-Care Visits
98
36
AWC
94
Ambulatory Care
99
38
IPU
Inpatient Utilization - General Hospital/Acute Care
106
IAD
Identification of Alcohol and Other Drug Services
113
37 AMB
CMC
Cholesterol Management for Patients with Cardiovascular Conditions
33
39
CBP
Controlling High Blood Pressure
37
40 MPT
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services 120
Persistence of Beta Blocker Treatment After Heart Attack
38
41 PCR
Plan All-Cause Readmissions
PBH
Diabetes
CDC
Comprehensive Diabetes Care
39
Musculoskeletal
ART
OMW
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
46
Osteoporosis Management in Women Who had a Fracture
47
Behavioral Health
AMM
Antidepressant Medication Management
48
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
55
FUH
Follow-up After Hospitalization for Mental Illness
58
HEDIS 2014 (Reporting Year 2013)
127
41
Code
Health Plan Descriptive Information Measures
Page
42 BCR
Board Certification
131
43 ENP
Enrollment by Product Line (Age & Sex)
134
43
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2014 (Reporting Year 2013)
Page 2
Effectiveness of Care
Itasca Medical Care
Adult BMI Assessment
Data Elements
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Medicare
Advantage
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
MA Expand
F& C
2013
H
529
MN Care
2013
H
342
34
19
6.43%
411
5.00%
432
31
7.18%
5.56%
411
0.00%
331
19
5.74%
Number of Records Excluded Because of Valid
Data Errors
0
0
Number of administrative data records excluded
0
0
Number of medical record data records excluded
0
0
Number of employee/dependent medical records
excluded
0
0
0
411
31
362
95.62%
93.52%
97.72%
0
331
19
290
93.35%
90.52%
96.19%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 3
Effectiveness of Care
Itasca Medical Care
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
BMI Percentile
Data Elements
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Nutrition
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
General
Measure
Data
Ages 3-11
Ages 1217
Total
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 4
Effectiveness of Care
Itasca Medical Care
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
General
Measure
Data
Ages 3-11 Ages 12-17
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Counseling for Nutrition
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2013
H
General
Measure
Data
Total
542
310
852
542
310
852
542
310
852
5
0.92%
7
2.26%
12
1.41%
1
0.18%
1
0.32%
2
0.23%
0
0.00%
0
0.00%
0
0.00%
0
NR
0
NR
0
NR
411
0.00%
411
0.00%
310
2
NR
4
NR
6
NR
310
0
NR
1
NR
1
NR
0
0
Number of administrative data records
excluded
1
1
Number of medical records excluded
0
0
Number of employee/dependent records
excluded
0
0
Records Added from the Oversample List
2
2
HEDIS 2014 (Reporting Year 2013)
Ages 1217
2013
H
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Ages 3-11
272
139
411
272
139
411
272
139
411
2
229
84.93%
80.49%
89.36%
4
111
82.73%
76.09%
89.38%
6
340
84.18%
80.54%
87.83%
0
144
52.94%
46.83%
59.06%
1
63
46.04%
37.40%
54.69%
1
207
50.61%
45.65%
55.56%
0
135
49.63%
43.51%
55.76%
0
69
49.64%
40.97%
58.31%
0
204
49.64%
44.68%
54.59%
Page 5
Effectiveness of Care
Itasca Medical Care
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Number of administrative data records
Number of medical records excluded
Number of employee/dependent records
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
2013
H
BMI Percentile
Ages 3-11 Ages 12-17
129
2
1.55%
96
0
0.00%
Total
General
2013
H
225
2
0.89%
411
0.00%
96
Counseling for Nutrition
Ages 3-11 Ages 12-17
Total
129
1
0.78%
96
0
0.00%
225
1
0.44%
1
1.04%
0
0.00%
1
1.04%
126
1
74
59.52%
50.56%
68.49%
94
0
39
41.49%
31.00%
51.98%
220
1
113
51.82%
44.99%
58.65%
411
0.00%
96
2
2.08%
0
0.00%
2
2.08%
0
0
0
0
0
0
0
0
0
0
126
2
113
91.27%
85.94%
96.60%
94
0
81
86.17%
78.66%
93.68%
220
2
194
89.09%
84.74%
93.44%
Counseling for Physical Activity
General
Ages 3-11 Ages 12Total
2013
H
129
96
225
0
0
0
0.00%
0.00%
0.00%
411
0.00%
96
0
0
0
0.00%
0.00%
0.00%
0
0
0
0
0
126
94
220
0
0
0
71
40
111
56.35%
42.55%
50.45%
47.29%
32.03%
43.62%
65.41%
53.08%
57.29%
Page 6
Effectiveness of Care
Itasca Medical Care
Childhood Immunization Status
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Reported Rate
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 7
Effectiveness of Care
Itasca Medical Care
Childhood Immunization Status
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Reported Rate
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 8
Effectiveness of Care
Itasca Medical Care
Childhood Immunization Status
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
45
46.88%
62
64.58%
71
73.96%
65
67.71%
57
59.38%
71
73.96%
47
48.96%
61
63.54%
31
32.29%
35
36.46%
45
62
71
65
57
71
47
61
31
35
46.88%
64.58%
73.96%
67.71%
59.38%
73.96%
48.96%
63.54%
32.29%
36.46%
Numerator Events by administrative Data
45
62
71
65
57
71
47
61
31
35
Numerator Events by Medical Record
25
23
10
15
28
9
20
6
14
3
Reported Rate
72.92%
88.54%
84.38%
83.33%
88.54%
83.33%
69.79%
69.79%
46.88%
39.58%
Lower 95% Confidence Interval
63.51%
81.65%
76.59%
75.36%
81.65%
75.36%
60.09%
60.09%
36.37%
29.28%
Upper 95% Confidence Interval
82.33%
95.43%
92.16%
91.31%
95.43%
91.31%
79.50%
79.50%
57.38%
49.89%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
96
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
0
96
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Denominator
96
HEDIS 2014 (Reporting Year 2013)
Influenza
Page 9
Effectiveness of Care
Itasca Medical Care
Childhood Immunization Status
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
45
46.88%
38
39.58%
38
39.58%
34
35.42%
22
22.92%
16
16.67%
22
22.92%
13
13.54%
10
10.42%
10
10.42%
45
38
38
34
22
16
22
13
10
10
46.88%
39.58%
39.58%
35.42%
22.92%
16.67%
22.92%
13.54%
10.42%
10.42%
Numerator Events by administrative Data
45
38
38
34
22
16
22
13
10
10
Numerator Events by Medical Record
25
25
22
19
16
15
14
13
10
9
Reported Rate
72.92%
65.63%
62.50%
55.21%
39.58%
32.29%
37.50%
27.08%
20.83%
19.79%
Lower 95% Confidence Interval
63.51%
55.60%
52.29%
44.74%
29.28%
22.42%
27.29%
17.67%
12.19%
11.30%
Upper 95% Confidence Interval
82.33%
75.65%
72.71%
65.68%
49.89%
42.17%
47.71%
36.49%
29.48%
28.28%
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
96
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
0
96
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Denominator
96
HEDIS 2014 (Reporting Year 2013)
Page 10
Effectiveness of Care
Itasca Medical Care
Childhood Immunization Status
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
General
Measure
Data
H
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
10
Minimum Required Sample Size
411
Oversampling Rate
0
Final Sample Size (FSS)
10
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Denominator
10
HEDIS 2014 (Reporting Year 2013)
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
8
9
9
9
8
8
9
8
6
5
80.00%
90.00%
90.00%
90.00%
80.00%
80.00%
90.00%
80.00%
60.00%
50.00%
8
9
9
9
8
8
9
8
6
5
80.00%
90.00%
90.00%
90.00%
80.00%
80.00%
90.00%
80.00%
60.00%
50.00%
8
9
9
9
8
8
9
8
6
5
2013
Data Collection Methodology
Numerator Events by administrative Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
Page 11
Effectiveness of Care
Itasca Medical Care
Childhood Immunization Status
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
General
Measure
Data
H
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
10
Minimum Required Sample Size
411
Oversampling Rate
0
Final Sample Size (FSS)
10
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Denominator
10
HEDIS 2014 (Reporting Year 2013)
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
8
6
6
6
4
3
4
3
2
2
80.00%
60.00%
60.00%
60.00%
40.00%
30.00%
40.00%
30.00%
20.00%
20.00%
8
6
6
6
4
3
4
3
2
2
80.00%
60.00%
60.00%
60.00%
40.00%
30.00%
40.00%
30.00%
20.00%
20.00%
8
6
6
6
4
3
4
3
2
2
2013
Data Collection Methodology
Numerator Events by administrative Data
DTaP
Page 12
Effectiveness of Care
Itasca Medical Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Immunizations for Adolescents
Commercial
Commercial
Data Elements
General
Measure Data
Meningococcal
Tdap
Combo 1
Current Year's Admin Rate
NR
NR
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
NR
NR
Reported Rate
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical data records excluded
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Page 13
Effectiveness of Care
Itasca Medical Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Immunizations for Adolescents
Commercial
Minnesota Health Care Programs - Managed Care (MA-Expand)
General
Data Elements
Measure Data
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
67
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
excluded
0
HEDIS 2014 (Reporting Year 2013)
Tdap
Combo 1
27
48
26
40.30%
71.64%
38.81%
27
40.30%
48
71.64%
26
38.81%
27
3
44.78%
32.12%
57.43%
48
8
83.58%
73.97%
93.20%
26
4
44.78%
32.12%
57.43%
411
0.00%
67
Records Excluded because of Valid Data Errors
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Meningococcal
0
67
Page 14
Effectiveness of Care
Itasca Medical Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Immunizations for Adolescents
Commercial
Minnesota Health Care Programs - Managed Care (MN Care)
General
Data Elements
Measure Data
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
18
Numerator Events by Admin Data on Eligible
Current Year's Admin Rate
Minimum Required Sample Size
411
Oversampling Rate
0.00%
Final Sample Size (FSS)
18
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
0
Records Added from the Oversample List
0
Denominator
18
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Meningococcal
Tdap
Combo 1
9
50.00%
13
72.22%
7
38.89%
9
50.00%
13
72.22%
7
38.89%
9
1
NA
NA
NA
13
3
NA
NA
NA
7
3
NA
NA
NA
Page 15
Effectiveness of Care
Itasca Medical Care
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
NR
NR
NR
Medicare
Advantage
NR
NR
NR
MSHO
MA Expand
F& C
MN Care
2013
A
56
33
58.93%
45.15%
72.71%
2013
A
52
28
53.85%
39.33%
68.36%
2013
A
68
53
77.94%
67.35%
88.53%
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
NR
NR
NR
Page 16
Effectiveness of Care
Itasca Medical Care
Cervical Cancer Screening
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MA Expand
F& C
MN Care
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
H
509
2013
H
318
Numerator Events by Admin Data on Eligible
Population (before exclusions)
311
193
61.10%
411
15.00%
473
308
65.12%
0
0
10
60.69%
411
0.00%
302
193
63.91%
0
0
16
0
0
10
411
277
25
73.48%
69.09%
77.87%
0
286
193
10
70.98%
65.54%
76.41%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical record data records excluded
Commercial
NR
NR
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 17
Effectiveness of Care
Itasca Medical Care
Colorectal Cancer Screening
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Data Elements
Commercial
Medicare
Advantage
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
HEDIS 2014 (Reporting Year 2013)
SNBC
SNP
SNBC
Non SNP
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
2013
H
110
Number of numerator events by administrative data in eligible population
(before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid data errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
MSHO
58
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
52.73%
411
0.00%
110
58
52.73%
0
0
0
0
0
110
58
15
66.36%
57.08%
75.65%
Page 18
Effectiveness of Care
Itasca Medical Care
Chlamydia Screening in Women
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 16-20
NR
NR
NR
Ages 21-24
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 19
Effectiveness of Care
Itasca Medical Care
Chlamydia Screening in Women
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 16-20
Ages 21-24
Total
73
30
41.10%
29.12%
53.07%
62
30
48.39%
35.14%
61.63%
135
60
44.44%
35.69%
53.20%
2013
A
Page 20
Effectiveness of Care
Itasca Medical Care
Chlamydia Screening in Women
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Ages 16-20
Ages 21-24
Total
35
13
37.14%
19.71%
54.58%
10
6
NA
NA
NA
45
19
42.22%
26.68%
57.76%
Page 21
Effectiveness of Care
Itasca Medical Care
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare
Advantage
NR
NR
NR
MSHO
2013
A
339
247
72.86%
67.98%
77.74%
Page 22
Effectiveness of Care
Itasca Medical Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Human Papillomavirus Vaccine for Female Adolescents
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
MA Expand F & C
2013
H
32
MN Care
2013
H
7
2
0
NR
6.25%
0.00%
NR
411
0.00%
32
2
6.25%
411
0.00%
7
0
0.00%
Records Excluded because of Valid Data
Errors
0
0
Number of administrative data records
excluded
0
0
Number of medical record data records
excluded
0
0
Number of employee/dependent medical
records excluded
0
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
0
32
2
0
0
7
0
0
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Reported Rate
NR
6.25%
NA
Lower 95% Confidence Interval
NR
-3.70%
NA
Upper 95% Confidence Interval
NR
16.20%
NA
HEDIS 2014 (Reporting Year 2013)
Page 23
Effectiveness of Care
Itasca Medical Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
38
0
0
0
9.60%
0.00%
0.00%
0.00%
38
9.60%
0
0.00%
0
0.00%
0
0.00%
38
334
0
298
0
363
0
373
Reported Rate
93.94%
75.25%
91.67%
94.19%
Lower 95% Confidence Interval
91.46%
70.88%
88.82%
91.76%
Upper 95% Confidence Interval
96.42%
79.63%
94.52%
96.62%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General Measure
Data
2013
H
396
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
411
0.00%
396
Records Excluded because of Valid Data
Errors
6
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2014 (Reporting Year 2013)
Advance Care
Planning
0
396
Page 24
Effectiveness of Care
Itasca Medical Care
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 25
Effectiveness of Care
Itasca Medical Care
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
8
NA
NA
NA
9
NA
NA
NA
2013
A
11
Page 26
Effectiveness of Care
Itasca Medical Care
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 27
Effectiveness of Care
Itasca Medical Care
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Data Elements
Measurement Year
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 28
Effectiveness of Care
Itasca Medical Care
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Medicare
Advantage
NR
NR
NR
MSHO
2013
A
6
2
NA
NA
NA
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC
SNP
SNBC Non
SNP
NR
NR
NR
NR
NR
NR
Page 29
Effectiveness of Care
Itasca Medical Care
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Number of required exclusions
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 5-11
NR
NR
NR
Ages 12-18
NR
NR
NR
Ages 19-50
NR
NR
NR
Ages 51-64
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
`
Page 30
Effectiveness of Care
Itasca Medical Care
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Number of required exclusions
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Ages 5-11
Ages 12-18
Ages 19-50
Ages 51-64
Total
12
11
0
NA
NA
NA
11
9
0
NA
NA
NA
20
13
5
NA
NA
NA
7
4
3
NA
NA
NA
50
37
8
74.00%
60.84%
87.16%
2013
A
Page 31
Effectiveness of Care
Itasca Medical Care
Use of Appropriate Medications for People with Asthma
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Ages 5-11
Measurement Year
2013
Data Collection Methodology
A
2
Eligible Member Population
2
Numerator Events by Admin Data
0
Number of required exclusions
NA
Reported Rate
NA
Lower 95% Confidence Interval
NA
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Ages 12-18
Ages 19-50
Ages 51-64
Total
2
1
0
NA
NA
NA
8
6
2
NA
NA
NA
4
4
8
NA
NA
NA
16
13
10
NA
NA
NA
Page 32
Effectiveness of Care
Itasca Medical Care
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 33
Effectiveness of Care
Itasca Medical Care
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 34
Effectiveness of Care
Itasca Medical Care
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
2
0
66.67%
0.00%
2
0
66.67%
0.00%
2
1
0
3
NA
NA
NA
NA
NA
NA
2013
H
3
411
0.00%
3
0
0
0
3
Page 35
Effectiveness of Care
Itasca Medical Care
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
3
0
100.00%
0.00%
2013
H
3
411
0.00%
3
3
0
100.00%
0.00%
3
0
0
2
NA
NA
NA
NA
NA
NA
0
0
0
3
Page 36
Effectiveness of Care
Itasca Medical Care
Controlling High Blood Pressure
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
SNBC-SNP
SNBC
Non SNP
MA Expand
F&C
MN Care
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2013
H
98
2013
H
90
2013
H
61
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0.00%
411
0.00%
87
0.00%
411
0.00%
61
0
0.00%
0
0.00%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
NR
NR
NR
0.00%
411
0.00%
84
0
0.00%
NR
NR
NR
NR
Records Excluded because of Valid Data
Errors
0
0
0
Number of records excluded because of
false positive diagnoses
0
0
0
Number of administrative data records
excluded
1
0
0
Number of medical record data records
excluded
3
1
0
Number of employee/dependent medical
records excluded
0
0
0
Records Added from the OverSample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
0
80
0
53
66.25%
55.26%
77.24%
0
86
0
54
62.79%
51.99%
73.59%
0
61
0
42
68.85%
56.41%
81.29%
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 37
Effectiveness of Care
Itasca Medical Care
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Commercial
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare
Advantage
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
MA Expand
F&C
MN Care
2013
A
5
2013
A
2
2013
A
1
5
0
1
NA
NA
NA
NA
NA
NA
MSHO
NA
NA
NA
SNBC
SNP
NR
NR
NR
SNBC
Non SNP
NR
NR
NR
Page 38
Effectiveness of Care
Itasca Medical Care
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of HbA1c < 7 required administrative
data records excluded
Number of HbA1c < 7 required medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 39
Effectiveness of Care
Itasca Medical Care
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 40
Effectiveness of Care
Itasca Medical Care
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
60
2013
H
60
2013
H
60
2013
H
60
2013
H
60
2013
H
60
2013
H
60
0
0.00%
411
0%
60
0
0.00%
41
68.33%
411
0%
60
41
68.33%
46
76.67%
411
0%
60
46
76.67%
0
0.00%
411
0%
60
0
0.00%
49
81.67%
411
0%
60
49
81.67%
0
0.00%
411
0%
60
0
0.00%
0
0.00%
411
0%
60
0
0.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
60
55
0
91.67%
83.84%
99.49%
0
60
4
7
18.33%
7.71%
28.96%
0
60
0
44
73.33%
61.31%
85.36%
0
60
41
3
73.33%
61.31%
85.36%
0
60
46
2
80.00%
69.05%
90.95%
0
60
0
33
55.00%
41.58%
68.42%
0
60
49
1
83.33%
73.07%
93.60%
0
60
0
45
75.00%
63.21%
86.79%
0
60
0
36
60.00%
46.77%
73.23%
HbA1c
Testing
Poor HbA1c
Control
2013
H
60
2013
H
60
55
91.67%
411
0%
60
55
91.67%
60
100.00%
411
0%
60
60
100.00%
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Good HbA1c
Control
(<7.0%)
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 41
Effectiveness of Care
Itasca Medical Care
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC - SNP
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 42
Effectiveness of Care
Itasca Medical Care
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC - Non SNP
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 43
Effectiveness of Care
Itasca Medical Care
Comprehensive Diabetes Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
2013
H
73
2013
H
73
H
61
83.56%
548
0%
71
61
85.92%
71
97.26%
548
0%
71
71
100.00%
Number of Records Excluded Because of
Valid Data Errors
0
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2013
H
73
2013
H
73
2013
H
73
2013
H
73
2013
H
73
2013
H
73
2013
H
73
0
0.00%
548
0%
71
0
0.00%
38
52.05%
548
0%
71
38
53.52%
55
75.34%
548
0%
71
55
77.46%
0
0.00%
548
0%
71
0
0.00%
54
73.97%
548
0%
71
54
76.06%
0
0.00%
548
0%
71
0
0.00%
0
0.00%
548
0%
71
0
0.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
3
3
3
3
3
3
3
3
0
0
0
0
0
0
0
0
0
0
68
60
1
89.71%
81.75%
97.66%
0
68
15
0
22.06%
11.47%
32.65%
0
68
0
32
47.06%
34.46%
59.66%
0
68
36
3
57.35%
44.86%
69.84%
0
68
55
0
80.88%
70.80%
90.96%
0
68
0
31
45.59%
33.02%
58.16%
0
68
53
0
77.94%
67.35%
88.53%
0
68
0
47
69.12%
57.40%
80.83%
0
68
0
34
50.00%
37.38%
62.62%
NR
NR
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 44
Effectiveness of Care
Itasca Medical Care
Comprehensive Diabetes Care
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
HbA1c
2013
Measurement Year
H
Data Collection Methodology
51
Eligible Member Population
47
Numerator events by admin data in eligible
92.16%
Current Year's Administrative Rate
548
Minimum Required Sample Size
0%
Oversampling Rate
51
Final Sample Size (FSS)
47
Numerator events by admin data in FSS
92.16%
Admin rate on FSS
0
Number of Records Excluded Because of
0
Number of administrative data records
0
Number of medical record data records
0
Number of employee/dependent medical
Number of Administrative required exclusions
Number of Hybrid required exclusions
0
Additional Records Added from the
51
Denominator
47
Numerator Events by Admin Data
0
Numerator Events by Medical Record
92.16%
Reported Rate
83.80%
Lower 95% Confidence Interval
100.00%
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Poor HbA1c
2013
H
51
51
100.00%
548
0%
51
51
100.00%
0
0
0
0
0
51
6
0
11.76%
1.94%
21.59%
Good HbA1c
H
NR
NR
NR
NR
NR
Adequate
2013
H
51
0
0.00%
548
0%
51
0
0.00%
0
0
0
0
Eye Exam
2013
H
51
26
50.98%
548
0%
51
26
50.98%
0
0
0
0
LDL-C
2013
H
51
42
82.35%
548
0%
51
42
82.35%
0
0
0
0
0
51
0
33
64.71%
50.61%
78.80%
0
51
26
4
58.82%
44.34%
73.31%
0
51
42
0
82.35%
70.91%
93.80%
LDL-C Level Monitoring for
2013
2013
H
H
51
51
0
40
0.00%
78.43%
548
548
0%
0%
51
51
0
40
0.00%
78.43%
0
0
0
0
0
0
0
0
0
51
0
14
27.45%
14.22%
40.68%
0
51
40
1
80.39%
68.52%
92.27%
Blood
2013
H
51
0
0.00%
548
0%
51
0
0.00%
0
0
0
0
Blood
2013
H
51
0
0.00%
548
0%
51
0
0.00%
0
0
0
0
0
51
0
36
70.59%
57.10%
84.07%
0
51
0
21
41.18%
26.69%
55.66%
Page 45
Effectiveness of Care
Itasca Medical Care
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare
Advantage
NR
NR
NR
Page 46
Effectiveness of Care
Itasca Medical Care
Osteoporosis Management in Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
2013
A
14
2
NA
NA
NA
Page 47
Effectiveness of Care
Itasca Medical Care
Antidepressant Medication Management
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 48
Effectiveness of Care
Itasca Medical Care
Antidepressant Medication Management
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 49
Effectiveness of Care
Itasca Medical Care
Antidepressant Medication Management
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
9
6
NA
NA
NA
4
NA
NA
NA
Page 50
Effectiveness of Care
Itasca Medical Care
Antidepressant Medication Management
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 51
Effectiveness of Care
Itasca Medical Care
Antidepressant Medication Management
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 52
Effectiveness of Care
Itasca Medical Care
Antidepressant Medication Management
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2013
A
74
32
43.24%
31.28%
55.21%
20
27.03%
16.23%
37.82%
Page 53
Effectiveness of Care
Itasca Medical Care
Antidepressant Medication Management
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
19
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Effective Acute
Effective
8
NA
NA
NA
3
NA
NA
NA
Page 54
Effectiveness of Care
Itasca Medical Care
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
NR
NR
NR
NR
NR
NR
Page 55
Effectiveness of Care
Itasca Medical Care
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F& C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
23
16
NA
NA
NA
3
3
NA
NA
NA
2013
A
Page 56
Effectiveness of Care
Itasca Medical Care
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Initiation
Continuation
0
0
NA
NA
NA
0
0
NA
NA
NA
Page 57
Effectiveness of Care
Itasca Medical Care
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 58
Effectiveness of Care
Itasca Medical Care
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
3
NA
NA
NA
1
NA
NA
NA
2013
A
3
Page 59
Effectiveness of Care
Itasca Medical Care
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC - SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 60
Effectiveness of Care
Follow-up After Hospitalization for Mental Illness
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 61
Effectiveness of Care
Itasca Medical Care
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 62
Effectiveness of Care
Itasca Medical Care
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 63
Effectiveness of Care
Itasca Medical Care
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
173
164
94.80%
91.20%
98.40%
21
20
NA
NA
NA
214
201
93.93%
90.49%
97.36%
16
13
NA
NA
NA
424
398
93.87%
91.47%
96.27%
2013
A
Page 64
Effectiveness of Care
Itasca Medical Care
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 65
Effectiveness of Care
Itasca Medical Care
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 66
Effectiveness of Care
Itasca Medical Care
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
88
76
86.36%
78.63%
94.10%
1
1
NA
NA
NA
69
61
88.41%
80.13%
96.68%
16
12
NA
NA
NA
174
150
86.21%
80.80%
91.62%
2013
A
Page 67
Effectiveness of Care
Itasca Medical Care
Annual Monitoring for Patients on Persistent Medications
Minnesota Health Care Programs - Managed Care (MN Care)
General
Data Elements
Measure
Measurement Year
2013
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
ACE Inhibitors
63
55
78.29%
96.32%
Annual Monitoring for Members on
Digoxin
Diuretics
Anti-
0
0
NA
NA
63
53
74.31%
93.94%
5
4
NA
NA
Total
131
112
79.08%
91.91%
Page 68
Access/Availability of Care
Itasca Medical Care
Medication Reconciliation Post Discharge
Data Elements
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 69
Effectiveness of Care
Itasca Medical Care
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
History of Falls +
Dementia +
Tricyclic
Tricyclic
Antidepressants, Antidepressants
Antipsychotics or or Anticholinergic
Sleep Agents
Agents
NR
NR
NR
NR
NR
NR
Chronic Renal
Failure +
Nonaspirin
NSAIDs or Cox-2
Selective NSAIDs
Total
NR
NR
NR
NR
NR
NR
Page 70
Effectiveness of Care
Itasca Medical Care
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
History of Falls +
Dementia +
Tricyclic
Tricyclic
Antidepressants, Antidepressants
Antipsychotics or or Anticholinergic
Sleep Agents
Agents
Chronic Renal
Failure +
Nonaspirin
NSAIDs or Cox-2
Selective NSAIDs
Total
20
1
NA
NA
NA
108
59
54.63%
44.78%
64.48%
2013
A
40
23
57.50%
40.93%
74.07%
48
35
72.92%
59.30%
86.53%
Page 71
Effectiveness of Care
Itasca Medical Care
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
At least 1
Prescription
At least 2
Prescriptions
NR
NR
NR
NR
NR
NR
Page 72
Effectiveness of Care
Itasca Medical Care
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
General
Measure
Data
2013
A
401
At least 1
Prescription
At least 2
Prescriptions
60
14.96%
11.35%
18.58%
5
1.25%
0.04%
2.46%
Page 73
Access/Availability of Care
Itasca Medical Care
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 74
Access/Availability of Care
Itasca Medical Care
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 75
Access/Availability of Care
Itasca Medical Care
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
401
401
0
0
389
NA
NA
NA
NA
NA
NA
97.01%
95.22%
98.80%
389
97.01%
95.22%
98.80%
2013
A
Page 76
Access/Availability of Care
Itasca Medical Care
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 77
Access/Availability of Care
Itasca Medical Care
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 78
Access/Availability of Care
Itasca Medical Care
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
663
295
1
959
590
262
1
88.99%
86.53%
91.45%
88.81%
85.05%
92.58%
NA
NA
NA
853
88.95%
86.91%
90.98%
2013
A
Page 79
Access/Availability of Care
Itasca Medical Care
Adult's Access to Preventive/Ambulatory Health Services
Minnesota Health Care Programs - Managed Care (MN Care)
General Measure
Data Elements
Measurement Year
2013
Data collection methodology
A
Eligible member population (i.e. members
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Ages 20-44
Ages 45-64
Ages 65+
Total
269
224
83.27%
78.63%
87.92%
297
265
89.23%
85.53%
92.92%
2
2
NA
NA
NA
568
491
86.44%
83.54%
89.35%
Page 80
Access/Availability of Care
Itasca Medical Care
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 81
Access/Availability of Care
Itasca Medical Care
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
135
133
377
316
280
258
323
301
98.52%
96.11%
100.00%
83.82%
79.97%
87.67%
92.14%
88.81%
95.47%
93.19%
90.29%
96.09%
2013
A
Page 82
Access/Availability of Care
Itasca Medical Care
Children's and Adolescents' Access to Primary Care Practitioners
Minnesota Health Care Programs - Managed Care (MN Care)
General Measure
Data Elements
Measurement Year
2013
Data collection methodology (Administrative only)
A
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
12-24 months
25 months -
7-11 yrs.
12-19 yrs.
10
10
NA
NA
NA
82
77
93.90%
88.11%
99.69%
64
57
89.06%
80.63%
97.49%
113
104
92.04%
86.60%
97.47%
Page 83
Access/Availability of Care
Itasca Medical Care
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 84
Access/Availability of Care
Itasca Medical Care
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
Total
Initiation of Engagement
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 85
Access/Availability of Care
Itasca Medical Care
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
0
0
NA
NA
NA
Total
Initiation of Engagement
2
0
NA
NA
NA
0
NA
NA
NA
2
0
NA
NA
NA
0
NA
NA
NA
0
NA
NA
NA
Page 86
Access/Availability of Care
Itasca Medical Care
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
Total
Initiation of Engagement
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 87
Access/Availability of Care
Itasca Medical Care
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
Total
Initiation of Engagement
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 88
Access/Availability of Care
Itasca Medical Care
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
9
5
NA
NA
NA
Total
Initiation of Engagement
146
5
NA
NA
NA
67
45.89%
37.46%
54.32%
155
33
22.60%
15.48%
29.73%
72
46.45%
38.28%
54.63%
38
24.52%
17.42%
31.61%
Page 89
Access/Availability of Care
Itasca Medical Care
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
General
2013
A
13-17 Year Olds
Initiation of Engagement
18+ Year Olds
Initiation of Engagement
1
0
NA
NA
NA
Total
Initiation of Engagement
19
0
NA
NA
NA
6
NA
NA
NA
20
2
NA
NA
NA
6
NA
NA
NA
2
NA
NA
NA
Page 90
Access/Availability of Care
Itasca Medical Care
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Current year's administrative rate (before exclusions)
NR
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Page 91
Access/Availability of Care
Itasca Medical Care
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Timeliness of
Prenatal Care
Postpartum
Care
2013
H
161
2013
H
161
78
81
48.45%
411
0.00%
161
78
50.31%
411
0.00%
161
81
48.45%
50.31%
0
0
0
0
161
78
60
0
0
161
81
85.71%
80.00%
91.43%
50.31%
42.28%
58.34%
Page 92
Access/Availability of Care
Itasca Medical Care
Prenatal and Postpartum Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2014 (Reporting Year 2013)
Timeliness of
2013
H
11
4
36.36%
411
0.00%
11
4
36.36%
0
0
0
11
4
5
NA
NA
NA
Postpartum
2013
H
11
5
45.45%
411
0.00%
11
5
45.45%
0
0
0
11
5
3
NA
NA
NA
Page 93
Use of Services
Itasca Medical Care
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Page 94
Use of Services
Itasca Medical Care
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2014 (Reporting Year 2013)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
2
1.63%
6
4.88%
5
4.07%
8
6.50%
14
11.38%
27
21.95%
61
49.59%
0
NR
0
NR
0
NR
0
NR
0
NR
0
NR
0
NR
1
0
0.81%
0.00%
2.81%
3
0
2.44%
0.00%
5.57%
2
1
2.44%
0.00%
5.57%
3
1
3.25%
0.00%
6.79%
12
2
11.38%
5.36%
17.40%
23
6
23.58%
15.67%
31.49%
61
8
56.10%
46.92%
65.27%
411
0.00%
0
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2013
H
123
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
123
Page 95
Use of Services
Itasca Medical Care
Well Child Visits in the First 15 Months of Life
Minnesota Health Care Programs - Managed Care (MN Care)
Data Elements
General
Zero Visits
Measurement Year
2013
Data Collection Methodology
H
Eligible Member Population
7
0
Numerator events by admin data in eligible
0.00%
Currect Year's Administrative Rate
Minimum Required Sample Size
411
Oversampling Rate
0.00%
Final sample size (FSS)
0
0
Numerator events by admin data in FSS
NR
Administrative rate on FSS
Number of Records Excluded Because of
0
Number of employee/dependent medical
0
Additional Records Added from the
0
Denominator
7
0
Numerator Events by Admin Data
0
Numerator Events by Medical Record
NA
Reported Rate
NA
Lower 95% Confidence Interval
NA
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
0
0.00%
0
0.00%
1
14.29%
0
0.00%
2
28.57%
4
57.14%
0
NR
0
NR
0
NR
0
NR
0
NR
0
NR
0
0
NA
NA
NA
0
0
NA
NA
NA
1
0
NA
NA
NA
0
0
NA
NA
NA
2
0
NA
NA
NA
4
0
NA
NA
NA
Page 96
Use of Services
Itasca Medical Care
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MA Expand
F&C
MN Care
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
H
301
2013
H
72
Numerator events by admin data in eligible
population
186
48
NR
61.79%
411
0.00%
301
186
66.67%
411
0.00%
72
48
NR
61.79%
0
66.67%
0
0
0
0
301
186
8
64.45%
58.88%
70.03%
0
72
48
1
68.06%
56.59%
79.52%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Commercial
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 97
Use of Services
Itasca Medical Care
Adolescent Well-Care Visits
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MA Expand
F&C
MN Care
Measurement Year
Data Collection Methodology
Eligible Member Population
2013
H
492
2013
H
178
Numerator events by admin data in eligible
population
170
63
NR
34.55%
411
5.00%
432
145
35.39%
411
0.00%
178
63
NR
33.56%
0
35.39%
0
0
0
0
411
143
45
45.74%
40.80%
50.68%
0
178
63
12
42.13%
34.60%
49.67%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Commercial
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
Page 98
Use of Services
Itasca Medical Care
Ambulatory Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 99
Use of Services
Itasca Medical Care
Ambulatory Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 100
Use of Services
Itasca Medical Care
Ambulatory Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
2
1670
1940
1871
0
5483
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
0
0
0
0
1699
2146
1785
0
5630
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
1017.37
1106.19
954.04
1026.81
Emergency Room Visits
Visits
0
0
0
0
0
91
117
99
0
307
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
54.49
60.31
52.91
55.99
Page 101
Use of Services
Itasca Medical Care
Ambulatory Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 102
Use of Services
Itasca Medical Care
Ambulatory Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 103
Use of Services
Itasca Medical Care
Ambulatory Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
2376
16099
12117
18451
6176
2
0
0
0
55221
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
2073
6388
4421
10794
3924
2
0
0
0
27602
HEDIS 2014 (Reporting Year 2013)
Visits/ 1,000
Member
Months
872.47
396.79
364.86
585.01
635.36
1000.00
NA
NA
499.85
Emergency Room Visits
Visits
240
778
515
1734
306
0
0
0
0
3573
Visits/ 1,000
Member
Months
101.01
48.33
42.50
93.98
49.55
0.00
NA
NA
64.70
Page 104
Use of Services
Itasca Medical Care
Ambulatory Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Age
<1
130
1-9
2015
10-19
2701
20-44
4563
45-64
4841
65-74
24
75-84
0
85+
0
Unknown
0
14274
Total
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Outpatient Visits (Excludes
Visits
Visits/ 1,000
122
938.46
783
388.59
1137
420.96
2578
564.98
2980
615.58
10
416.67
0
NA
0
NA
0
7610
533.14
HEDIS 2014 (Reporting Year 2013)
Emergency Room Visits
Visits
Visits/ 1,000
4
30.77
56
27.79
92
34.06
185
40.54
159
32.84
0
0.00
0
NA
0
NA
0
496
34.75
Page 105
Use of Services
Itasca Medical Care
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 106
Use of Services
Itasca Medical Care
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 107
Use of Services
Itasca Medical Care
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
0
0
0
0
2
1670
1940
1871
0
5483
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
38
69
56
0
163
NA
NA
NA
NA
0.00
22.75
35.57
29.93
0
0
0
0
0
28
53
47
0
128
NA
NA
NA
NA
0.00
16.77
27.32
25.12
0
0
0
0
0
10
16
9
0
35
NA
NA
NA
NA
0.00
5.99
8.25
4.81
0
0
0
0
0
NA
NA
0.00
HEDIS 2014 (Reporting Year 2013)
29.73
23.34
6.38
0.00
Days
Days / 1,000
Member
Months
0
0
0
0
0
166
347
228
0
741
NA
NA
NA
NA
0.00
99.40
178.87
121.86
0
0
0
0
0
83
227
171
0
481
NA
NA
NA
NA
0.00
49.70
117.01
91.39
0
0
0
0
0
83
120
57
0
260
NA
NA
NA
NA
0.00
49.70
61.86
30.46
0
0
0
0
0
NA
NA
0.00
135.14
87.73
47.42
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.37
5.03
4.07
NA
4.55
NA
NA
NA
NA
NA
2.96
4.28
3.64
NA
3.76
NA
NA
NA
NA
NA
8.30
7.50
6.33
NA
7.43
NA
NA
NA
NA
NA
Page 108
Use of Services
Itasca Medical Care
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 109
Use of Services
Itasca Medical Care
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 110
Use of Services
Itasca Medical Care
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
2376
16099
12117
18451
6176
2
0
0
0
55221
Discharges
Discharges /
1,000 Member
Months
17
24
39
286
67
0
0
0
0
433
7.15
1.49
3.22
15.50
10.85
0.00
NA
NA
13
19
11
62
42
0
0
0
0
147
5.47
1.18
0.91
3.36
6.80
0.00
NA
NA
7.84
2.66
4
5
8
41
25
0
0
0
0
83
1.68
0.31
0.66
2.22
4.05
0.00
NA
NA
20
183
0
0
203
1.65
9.92
0.00
HEDIS 2014 (Reporting Year 2013)
1.50
5.52
Days
Days / 1,000
Member
Months
94
51
638
782
308
0
0
0
0
1873
39.56
3.17
52.65
42.38
49.87
0.00
NA
NA
36
41
571
163
180
0
0
0
0
991
15.15
2.55
47.12
8.83
29.15
0.00
NA
NA
58
10
21
153
128
0
0
0
0
370
24.41
0.62
1.73
8.29
20.73
0.00
NA
NA
46
466
0
0
512
3.80
25.26
0.00
33.92
17.95
6.70
13.93
Average
Length of Stay
5.53
2.13
16.36
2.73
4.60
NA
NA
NA
NA
4.33
2.77
2.16
51.91
2.63
4.29
NA
NA
NA
NA
6.74
14.50
2.00
2.63
3.73
5.12
NA
NA
NA
NA
4.46
2.30
2.55
NA
NA
2.52
Page 111
Use of Services
Itasca Medical Care
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Age
Member Months
<1
130
1-9
2015
10-19
2701
20-44
4563
45-64
4841
65-74
24
75-84
0
85+
0
Unknown
0
14274
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Discharges
Discharges /
Days
Days / 1,000
Average
0
1
6
16
5
0
0
0
0
28
0.00
0.50
2.22
3.51
1.03
0.00
NA
NA
0
2
11
32
9
0
0
0
0
54
0.00
0.99
4.07
7.01
1.86
0.00
NA
NA
NA
2.00
1.83
2.00
1.80
NA
NA
NA
NA
1.93
0
1
1
3
1
0
0
0
0
6
0.00
0.50
0.37
0.66
0.21
0.00
NA
NA
0
2
2
5
1
0
0
0
0
10
0.00
0.99
0.74
1.10
0.21
0.00
NA
NA
0
0
0
1
4
0
0
0
0
5
0.00
0.00
0.00
0.22
0.83
0.00
NA
NA
0
0
0
2
8
0
0
0
0
10
0.00
0.00
0.00
0.44
1.65
0.00
NA
NA
5
12
0
0
17
1.85
2.63
0.00
9
25
0
0
34
3.33
5.48
0.00
HEDIS 2014 (Reporting Year 2013)
1.96
0.42
0.35
1.40
3.78
0.70
0.70
2.81
NA
2.00
2.00
1.67
1.00
NA
NA
NA
NA
1.67
NA
NA
NA
2.00
2.00
NA
NA
NA
NA
2.00
1.80
2.08
NA
NA
2.00
Page 112
Use of Services
Itasca Medical Care
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 113
Use of Services
Itasca Medical Care
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 114
Use of Services
Itasca Medical Care
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
0
0
1
1561
0
1562
0
0
0
0
1
3920
0
3921
0
0
0
0
2
5481
0
5483
0
0
0
0
1
1561
0
1562
0
0
0
0
1
3920
0
3921
0
0
0
0
2
5481
0
5483
0
0
0
0
1
1561
0
1562
0
0
0
0
1
3920
0
3921
0
0
0
0
2
5481
0
5483
0
0
0
0
1
1561
0
1562
0
0
0
0
1
3920
0
3921
0
0
0
0
2
5481
0
5483
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
8
14
0
0
0
6
8
14
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
4.61%
2.45%
3.07%
NA
NA
NA
4.61%
2.45%
3.06%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
4
8
0
0
0
4
4
8
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
3.07%
1.22%
1.75%
NA
NA
NA
3.07%
1.22%
1.75%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
6
9
0
0
0
3
6
9
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
2.31%
1.84%
1.97%
NA
NA
NA
2.30%
1.84%
1.97%
HEDIS 2014 (Reporting Year 2013)
Page 115
Use of Services
Itasca Medical Care
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 116
Use of Services
Itasca Medical Care
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 117
Use of Services
Itasca Medical Care
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
11566
3083
2176
3415
5447
0
25687
11213
3031
3632
5596
6060
2
29534
22779
6114
5808
9011
11507
2
55221
11566
3083
2176
3415
5447
0
25687
11213
3031
3632
5596
6060
2
29534
22779
6114
5808
9011
11507
2
55221
11566
3083
2176
3415
5447
0
25687
11213
3031
3632
5596
6060
2
29534
22779
6114
5808
9011
11507
2
55221
11566
3083
2176
3415
5447
0
25687
11213
3031
3632
5596
6060
2
29534
22779
6114
5808
9011
11507
2
55221
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
Total
M
Total
M
Total
M
Total
M
Total
M
Total
M
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
28
28
52
52
90
90
120
120
0
0
0
0
290
NR
290
0.00%
0.00%
10.90%
5.50%
28.68%
10.74%
31.63%
11.99%
26.44%
12.51%
NA
0.00%
NR
NR
13.55%
NR
6.30%
0
0
1
1
2
2
7
7
22
22
0
0
0
0
32
NR
32
0.00%
0.00%
0.39%
0.20%
1.10%
0.41%
2.46%
0.93%
4.85%
2.29%
NA
0.00%
NR
NR
1.49%
NR
0.70%
0
0
2
2
4
4
9
9
6
6
0
0
0
0
21
NR
21
0.00%
0.00%
0.78%
0.39%
2.21%
0.83%
3.16%
1.20%
1.32%
0.63%
NA
0.00%
NR
NR
0.98%
NR
0.46%
0
0
28
28
51
51
87
87
112
112
0
0
0
0
278
NR
278
0.00%
0.00%
10.90%
5.50%
28.13%
10.54%
30.57%
11.59%
24.67%
11.68%
NA
0.00%
NR
NR
12.99%
NR
6.04%
HEDIS 2014 (Reporting Year 2013)
Page 118
Use of Services
Itasca Medical Care
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
1613
601
559
754
2762
23
0
6312
Female
1291
787
792
943
4148
1
0
7962
Member Months
(Inpatient)
Total
2904
1388
1351
1697
6910
24
0
14274
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
2
0
2
2
1
3
1
2
3
26
10
36
0
0
0
0
0
0
31
13
44
HEDIS 2014 (Reporting Year 2013)
Male
1613
601
559
754
2762
23
0
6312
Female
1291
787
792
943
4148
1
0
7962
Total
2904
1388
1351
1697
6910
24
0
14274
Inpatient
Percent
0.00%
0.00%
0.00%
3.99%
0.00%
1.73%
4.29%
1.52%
2.66%
1.59%
2.55%
2.12%
11.30%
2.89%
6.25%
0.00%
0.00%
0.00%
NA
NA
NA
5.89%
1.96%
3.70%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Percent
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
1613
1291
2904
601
787
1388
559
792
1351
754
943
1697
2762
4148
6910
23
1
24
0
0
0
6312
7962
14274
Intensive Outpatient/Partial
Hospitalization
Number
Percent
0
0.00%
0
0.00%
0
0.00%
1
2.00%
0
0.00%
1
0.86%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
2
2.55%
2
1.41%
3
1.30%
0
0.00%
3
0.52%
0
0.00%
0
0.00%
0
0.00%
0
NA
0
NA
0
NA
4
0.76%
2
0.30%
6
0.50%
Member Months
(Outpatient/ED)
Male
1613
601
559
754
2762
23
0
6312
Female
1291
787
792
943
4148
1
0
7962
Total
2904
1388
1351
1697
6910
24
0
14274
Outpatient/ED
Number
0
0
0
2
0
2
2
1
3
1
2
3
26
10
36
0
0
0
0
0
0
31
13
44
Percent
0.00%
0.00%
0.00%
3.99%
0.00%
1.73%
4.29%
1.52%
2.66%
1.59%
2.55%
2.12%
11.30%
2.89%
6.25%
0.00%
0.00%
0.00%
NA
NA
NA
5.89%
1.96%
3.70%
Page 119
Use of Services
Itasca Medical Care
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 120
Use of Services
Itasca Medical Care
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Male
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 121
Use of Services
Itasca Medical Care
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Male
Female
Total
Male
Female
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
0
0
1
1561
0
1562
0
0
1
3920
0
3921
0
0
2
5481
0
5483
0
0
1
1591
0
1592
0
0
1
4109
0
4110
0
0
2
5700
0
5702
0
0
1
1591
0
1592
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
0
0
1
4109
0
4110
0
0
2
5700
0
5702
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
0
0
1
1591
0
1592
0
0
1
4109
0
4110
0
0
2
5700
0
5702
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
16
39
55
0
0
0
16
39
55
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
12.30%
11.94%
12.04%
NA
NA
NA
12.29%
11.94%
12.04%
0
0
0
0
0
0
0
0
0
5
6
11
0
0
0
5
6
11
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
3.77%
1.75%
2.32%
NA
NA
NA
3.77%
1.75%
2.31%
0
0
0
0
0
0
0
0
0
6
14
20
0
0
0
6
14
20
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
4.53%
4.09%
4.21%
NA
NA
NA
4.52%
4.09%
4.21%
0
0
0
0
0
0
0
0
0
12
33
45
0
0
0
12
33
45
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
9.05%
9.64%
9.47%
NA
NA
NA
9.05%
9.64%
9.47%
HEDIS 2014 (Reporting Year 2013)
Page 122
Use of Services
Itasca Medical Care
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 123
Use of Services
Itasca Medical Care
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 124
Use of Services
Itasca Medical Care
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care(MA Expand F&C)
Male
Female
Total
Male
Female
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
11566
3083
11038
0
0
25687
11213
3031
15288
2
0
29534
22779
6114
26326
2
0
55221
11566
3083
11038
0
0
25687
11213
3031
15288
2
0
29534
22779
6114
26326
2
0
55221
11566
3083
11038
0
0
25687
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
11213
3031
15288
2
0
29534
22779
6114
26326
2
0
55221
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
11566
3083
11038
0
0
25687
11213
3031
15288
2
0
29534
22779
6114
26326
2
0
55221
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
277
176
453
100
107
207
272
423
695
0
0
0
0
0
0
649
706
1355
28.74%
18.84%
23.86%
38.92%
42.36%
40.63%
29.57%
33.20%
31.68%
NA
0.00%
0.00%
NA
NA
NA
30.32%
28.69%
29.45%
2
1
3
1
1
2
8
13
21
0
0
0
0
0
0
11
15
26
0.21%
0.11%
0.16%
0.39%
0.40%
0.39%
0.87%
1.02%
0.96%
NA
0.00%
0.00%
NA
NA
NA
0.51%
0.61%
0.57%
30
19
49
21
28
49
159
230
389
0
0
0
0
0
0
210
277
487
3.11%
2.03%
2.58%
8.17%
11.09%
9.62%
17.29%
18.05%
17.73%
NA
0.00%
0.00%
NA
NA
NA
9.81%
11.25%
10.58%
267
170
437
97
98
195
221
354
575
0
0
0
0
0
0
585
622
1207
27.70%
18.19%
23.02%
37.76%
38.80%
38.27%
24.03%
27.79%
26.21%
NA
0.00%
0.00%
NA
NA
NA
27.33%
25.27%
26.23%
HEDIS 2014 (Reporting Year 2013)
Page 125
Use of Services
Itasca Medical Care
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care(MN Care)
Male
Female
Total
Male
Female
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
1613
601
4075
23
0
6312
1291
787
5883
1
0
7962
2904
1388
9958
24
0
14274
1613
601
4075
23
0
6312
1291
787
5883
1
0
7962
2904
1388
9958
24
0
14274
1613
601
4075
23
0
6312
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
1291
787
5883
1
0
7962
2904
1388
9958
24
0
14274
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
1613
601
4075
23
0
6312
1291
787
5883
1
0
7962
2904
1388
9958
24
0
14274
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
21
8
29
14
12
26
32
68
100
0
0
0
0
0
0
67
88
155
15.62%
7.44%
11.98%
27.95%
18.30%
22.48%
9.42%
13.87%
12.05%
0.00%
0.00%
0.00%
NA
NA
NA
12.74%
13.26%
13.03%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
1
2
3
1
4
5
18
30
48
0
0
0
0
0
0
20
36
56
0.74%
1.86%
1.24%
2.00%
6.10%
4.32%
5.30%
6.12%
5.78%
0.00%
0.00%
0.00%
NA
NA
NA
3.80%
5.43%
4.71%
21
8
29
14
11
25
30
57
87
0
0
0
0
0
0
65
76
141
15.62%
7.44%
11.98%
27.95%
16.77%
21.61%
8.83%
11.63%
10.48%
0.00%
0.00%
0.00%
NA
NA
NA
12.36%
11.45%
11.85%
HEDIS 2014 (Reporting Year 2013)
Page 126
Use of Services
Itasca Medical Care
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
85+
Total
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2014 (Reporting Year 2013)
Page 127
Use of Services
Itasca Medical Care
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
Count of Index Stays
(Denominator)
Age
18-44
45-54
55-64
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
0
0
0
0
0
0
0
0
0
0
0
0
Count of Index Stays
(Denominator)
Age
65-74
75-84
85+
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2014 (Reporting Year 2013)
0
0
0
0
0
0
0
0
0
0
0
0
Count of 30-Day
Readmissions
(Numerator)
0
0
0
0
0
0
0
0
0
0
0
0
Observed
Readmission
(Num/Den)
0.00%
0.00%
NA
0.00%
0.00%
NA
0.00%
0.00%
NA
0
0
0
Average Adjusted
Probability
Total Variance
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
Count of 30-Day
Readmissions
(Numerator)
0
0
0
0
0
0
0
0
0
0
0
0
Observed
Readmission
(Num/Den)
0.00%
0.00%
NA
0.00%
0.00%
NA
0.00%
0.00%
NA
NA
NA
NA
Average Adjusted
Probability
Total Variance
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
Page 128
Use of Services
Itasca Medical Care
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
85+
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
Total
HEDIS 2014 (Reporting Year 2013)
Page 129
Use of Services
Itasca Medical Care
Plan All-Cause Readmissions
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
Observed
Readmission
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
85+
Total
M
Total
HEDIS 2014 (Reporting Year 2013)
Page 130
Health Plan Descriptive Information
Itasca Medical Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Board Certification
MSHO
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
706
246
25
6170
691
237
23
5371
97.88%
96.34%
92.00%
87.05%
Page 131
Health Plan Descriptive Information
Itasca Medical Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Board Certification
MSHO
SNBC-SNP
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 132
Health Plan Descriptive Information
Itasca Medical Care
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Board Certification
MSHO
SNBC-Non SNP
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2014 (Reporting Year 2013)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 133
Health Plan Descriptive Information
Itasca Medical Care
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 134
Health Plan Descriptive Information
Itasca Medical Care
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Medicare Advantage
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 135
Health Plan Descriptive Information
Itasca Medical Care
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
MSHO
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
1
0
0.00%
0
0
0
1
0
0.00%
1
0.06%
383
265
371
240
233
69
1
0.03%
493
529
550
779
774
795
2
0.04%
1561
99.94%
0
3920
99.97%
0
5481
99.96%
1562
3921
HEDIS 2014 (Reporting Year 2013)
0
0
0
0
0
0
0
0
2
876
794
921
1019
1007
864
0
5483
Page 136
Health Plan Descriptive Information
Itasca Medical Care
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-SNP
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 137
Health Plan Descriptive Information
Itasca Medical Care
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
SNBC-Non SNP
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2014 (Reporting Year 2013)
Page 138
Health Plan Descriptive Information
Itasca Medical Care
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Minnesota Health Care Programs - Managed Care (MA Expand F&C)
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
1168
3664
4614
3471
1732
723
Member Months
Female
1208
3633
4188
3424
1791
976
Total
2376
7297
8802
6895
3523
1699
15372
59.84%
1453
1699
1716
1208
955
15220
51.53%
2656
2899
2697
1786
1382
30592
55.40%
7031
27.37%
1144
1120
717
303
11420
38.67%
926
951
566
449
18451
33.41%
3284
12.78%
0
0
0
0
0
0
2892
9.79%
2
0
0
0
0
0
6176
11.18%
0
0.00%
0
2
0.01%
0
2
0.00%
25687
29534
HEDIS 2014 (Reporting Year 2013)
4109
4598
4413
2994
2337
2070
2071
1283
752
2
0
0
0
0
0
0
55221
Page 139
Health Plan Descriptive Information
Itasca Medical Care
Enrollment by Product Line (Age & Sex)
Minnesota Health Care Programs - Managed Care (MN Care)
Member Months
Male
Female
68
62
<1
482
321
1-4
623
589
5-9
698
659
10-14
343
447
15-17
216
338
18-19
2430
2416
0-19 Subtotal
38.50%
30.34%
0-19 Subtotal: %
343
454
20-24
322
448
25-29
432
495
30-34
411
525
35-39
462
671
40-44
1970
2593
20-44 Subtotal
31.21%
32.57%
20-44 Subtotal: %
416
858
45-49
689
658
50-54
397
732
55-59
387
704
60-64
1889
2952
45-64 Subtotal
29.93%
37.08%
45-64 Subtotal: %
23
1
65-69
0
0
70-74
0
0
75-79
0
0
80-84
0
0
85-89
0
0
>=90
23
1
>=65 Subtotal
0.36%
0.01%
>=65 Subtotal: %
0
0
Age Unknown
6312
7962
Total
HEDIS 2014 (Reporting Year 2013)
Data Last Refreshed:
Jul 15, 2015 7:51 AM
Total
130
803
1212
1357
790
554
4846
33.95%
797
770
927
936
1133
4563
31.97%
1274
1347
1129
1091
4841
33.91%
24
0
0
0
0
0
24
0.17%
0
14274
Page 140