South Country Health Alliance
General Info
Disclaimers
HEDIS 2013 (Reporting Year 2012)
Page
Data Last Refreshed: 11/15/2013
2
Effectiveness of Care Measures
Code
Effectiveness of Care Measures
Code
Prevention and Screening
Page
Medication Management
Page
26 MPM
Annual Monitoring for Patients on Persistent Medications
48
ABA
Adult BMI Assessment
3
27 MRP
Medication Reconciliation Post Discharge
53
WCC
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
4
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
54
CIS
Childhood Immunization Status
6
Use of High Risk Medications in the Elderly
56
IMA
Immunizations for Adolescents
10
28
29 DAE
Access / Availability of Care Measures
BCS
Breast Cancer Screening
12
0 Code
CCS
Cervical Cancer Screening
13
30 AAP
Adult's Access to Preventive/Ambulatory Health Services
58
COL
Colorectal Cancer Screening
14
31 CAP
Children's and Adolescents' Access to Primary Care Practitioners
63
CHL
Chlamydia Screening in Women
15
32
GSO
Glaucoma Screening in Older Adults
17
33 PPC
LSC
Lead Screening in Children
18
34
COA
Care for Older Adults
19
Respiratory Conditions
PCE
Pharmacotherapy Management of COPD Exacerbation
20
SPR
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
23
Use of Appropriate Medications for People with Asthma
24
ASM
Cardiovascular
IET
Page
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
65
Prenatal and Postpartum Care
70
Use of Services Measures
0 Code
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
74
Adolescent Well-Care Visits
75
36
AWC
72
Ambulatory Care
76
38
IPU
Inpatient Utilization - General Hospital/Acute Care
81
IAD
Identification of Alcohol and Other Drug Services
86
37 AMB
CMC
Cholesterol Management for Patients with Cardiovascular Conditions
26
39
CBP
Controlling High Blood Pressure
29
40 MPT
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services 91
Persistence of Beta Blocker Treatment After Heart Attack
30
41 PCR
Plan All-Cause Readmissions
PBH
Diabetes
CDC
Comprehensive Diabetes Care
31
Musculoskeletal
ART
OMW
0 Code
99
Enrollment by Product Line (Age & Sex)
101
43 ENP
Osteoporosis Management in Women Who had a Fracture
37
43
Behavioral Health
Antidepressant Medication Management
38
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
43
FUH
Follow-up After Hospitalization for Mental Illness
45
Page
Board Certification
36
AMM
Health Plan Descriptive Information Measures
42 BCR
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
HEDIS 2013 (Reporting Year 2012)
96
41
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2013 (Reporting Year 2012)
Page 2
Effectiveness of Care
South Country Health Alliance
Adult BMI Assessment
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
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
Number of Records Excluded Because of Valid
Data Errors
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
Medicare
Advantage
MHCP-MC
2012
H
1641
209
NR
NR
NR
NR
12.74%
411
5.00%
432
77
17.82%
0
Number of administrative data records excluded
0
Number of medical record data records excluded
0
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 2013 (Reporting Year 2012)
0
NR
NR
NR
NR
NR
NR
0
432
77
286
84.03%
80.46%
87.60%
Page 3
Effectiveness of Care
South Country Health Alliance
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
Counseling for Nutrition
BMI Percentile
Data Elements
General
Measure
Data
Ages 3-11 Ages 12-17
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 2013 (Reporting Year 2012)
Page 4
Effectiveness of Care
South Country Health Alliance
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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
Counseling for Nutrition
Total
2012
H
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2012
H
General
Measure
Data
Total
2409
1189
3598
2409
1189
3598
2409
1189
3598
24
1.00%
12
1.01%
36
1.00%
15
0.62%
18
1.51%
33
0.92%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
300
0
101
33.67%
28.15%
39.18%
132
0
76
57.58%
48.77%
66.39%
432
0
177
40.97%
36.22%
45.73%
411
5.00%
432
411
5.00%
432
3
0.69%
1
0.23%
4
0.93%
411
5.00%
432
4
0.93%
3
0.69%
7
1.62%
0
0
0
Number of administrative data records
excluded
0
0
0
Number of medical records excluded
0
0
0
Number of employee/dependent records
excluded
0
0
0
Records Added from the Oversample List
0
0
0
HEDIS 2013 (Reporting Year 2012)
Ages 1217
2012
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
300
3
107
36.67%
31.05%
42.29%
132
1
61
46.97%
38.08%
55.86%
432
4
168
39.81%
35.08%
44.55%
300
4
141
48.33%
42.51%
54.15%
132
3
57
45.45%
36.58%
54.33%
432
7
198
47.45%
42.63%
52.28%
Page 5
Effectiveness of Care
South Country Health Alliance
Childhood Immunization Status
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
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
Number of Records Excluded Because of
Valid Data Errors
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
NR
NR
NR
NR
NR
NR
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 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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Page 6
Effectiveness of Care
South Country Health Alliance
Childhood Immunization Status
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
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
Number of Records Excluded Because of
Valid Data Errors
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
NR
NR
NR
NR
NR
NR
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 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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Page 7
Effectiveness of Care
South Country Health Alliance
Childhood Immunization Status
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2013 (Reporting Year 2012)
HiB
Hepatitis B
VZV
Influenza
338
85.35%
371
93.69%
365
92.17%
375
94.70%
341
86.11%
358
90.40%
345
87.12%
298
75.25%
282
71.21%
223
56.31%
339
85.61%
372
93.94%
365
92.17%
376
94.95%
342
86.36%
358
90.40%
346
87.37%
298
75.25%
283
71.46%
224
56.57%
339
3
86.36%
82.86%
89.87%
372
4
94.95%
92.67%
97.23%
365
3
92.93%
90.28%
95.58%
376
1
95.20%
92.97%
97.43%
342
26
92.93%
90.28%
95.58%
358
2
90.91%
87.95%
93.87%
346
6
88.89%
85.67%
92.11%
298
3
76.01%
71.68%
80.34%
283
2
71.97%
67.42%
76.52%
224
3
57.32%
52.33%
62.32%
0
Number of medical data records excluded
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
MMR
396
0
396
0
Numerator Events by administrative Data
IPV
2012
H
396
Number of administrative data records
excluded
Denominator
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
396
Page 8
Effectiveness of Care
South Country Health Alliance
Childhood Immunization Status
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2013 (Reporting Year 2012)
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
338
85.35%
297
75.00%
293
73.99%
244
61.62%
233
58.84%
187
47.22%
202
51.01%
165
41.67%
155
39.14%
137
34.60%
339
85.61%
298
75.25%
294
74.24%
245
61.87%
234
59.09%
188
47.47%
203
51.26%
166
41.92%
156
39.39%
138
34.85%
339
3
86.36%
82.86%
89.87%
298
26
81.82%
77.89%
85.74%
294
25
80.56%
76.53%
84.58%
245
22
67.42%
62.68%
72.17%
234
22
64.65%
59.81%
69.48%
188
17
51.77%
46.72%
56.82%
203
20
56.31%
51.30%
61.32%
166
16
45.96%
40.92%
50.99%
156
15
43.18%
38.18%
48.19%
138
14
38.38%
33.47%
43.30%
0
Number of medical data records excluded
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Combo 3
396
0
396
0
Numerator Events by administrative Data
Combo 2
2012
H
396
Number of administrative data records
excluded
Denominator
DTaP
396
Page 9
Effectiveness of Care
South Country Health Alliance
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
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
HEDIS 2013 (Reporting Year 2012)
Page 10
Effectiveness of Care
South Country Health Alliance
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Immunizations for Adolescents
Commercial
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Data
Measurement Year
2012
Data Collection Methodology
A
Eligible Member Population
292
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
Meningococcal
Tdap
Combo 1
NR
NR
NR
NR
NR
NR
142
257
141
48.63%
42.73%
54.53%
88.01%
84.12%
91.91%
48.29%
42.38%
54.19%
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Page 11
Effectiveness of Care
South Country Health Alliance
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 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
NR
NR
NR
Medicare
Advantage
NR
NR
NR
MSHO
SNBC
MHCP-MC
2012
A
80
52
65.00%
53.92%
76.08%
2012
A
266
216
81.20%
76.32%
86.09%
2012
A
349
209
59.89%
54.60%
65.17%
Page 12
Effectiveness of Care
South Country Health Alliance
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
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
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 Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
MHCP-MC
2012
H
2151
1312
NR
NR
60.99%
411
5.00%
432
242
56.02%
0
0
13
0
NR
NR
NR
0
419
242
40
67.30%
62.69%
71.91%
Page 13
Effectiveness of Care
South Country Health Alliance
Colorectal Cancer Screening
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible 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 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
HEDIS 2013 (Reporting Year 2012)
Commercial
Medicare
Advantage
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
MSHO
SNBC
2012
H
346
2012
H
302
192
195
55.49%
343
0.00%
343
193
56.27%
0
0
0
0
0
343
193
16
60.93%
55.62%
66.24%
64.57%
302
0.00%
302
197
65.23%
0
1
0
0
0
301
197
16
70.76%
65.46%
76.07%
Page 14
Effectiveness of Care
South Country Health Alliance
Chlamydia Screening in Women
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure Data
Ages 16-20
NR
NR
NR
Ages 21-24
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 15
Effectiveness of Care
South Country Health Alliance
Chlamydia Screening in Women
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure Data
Ages 16-20
Ages 21-24
Total
250
111
44.40%
38.04%
50.76%
234
121
51.71%
45.09%
58.33%
484
232
47.93%
43.38%
52.49%
2012
A
Page 16
Effectiveness of Care
South Country Health Alliance
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 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Medicare
Advantage
NR
NR
NR
MSHO
2012
A
1178
857
72.75%
70.17%
75.34%
Page 17
Effectiveness of Care
South Country Health Alliance
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Lead Screening in Children
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
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
Records Excluded because of Valid Data
Errors
Commercial
MHCP-MC
2012
A
396
NR
NR
NR
NR
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 Admin Data
Numerator Events by Medical Record
Reported Rate
NR
89.65%
Lower 95% Confidence Interval
NR
86.52%
Upper 95% Confidence Interval
NR
92.77%
HEDIS 2013 (Reporting Year 2012)
355
Page 18
Effectiveness of Care
South Country Health Alliance
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Care for Older Adults
MSHO
Advance Care
Planning
Medication Review
Functional
Status
Assessment
Pain
Screening
356
0
0
0
24.07%
0.00%
0.00%
0.00%
104
24.07%
0
0.00%
0
0.00%
0
0.00%
104
167
62.73%
0
337
78.01%
0
180
41.67%
0
255
59.03%
Lower 95% Confidence Interval
58.06%
73.99%
36.90%
54.27%
Upper 95% Confidence Interval
67.41%
82.03%
46.43%
63.78%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population (before exclusions)
General Measure
Data
2012
H
1479
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
HEDIS 2013 (Reporting Year 2012)
411
5.00%
432
0
0
0
432
Page 19
Effectiveness of Care
South Country Health Alliance
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 20
Effectiveness of Care
South Country Health Alliance
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
34
73.91%
60.14%
87.69%
40
86.96%
76.14%
97.78%
2012
A
46
Page 21
Effectiveness of Care
South Country Health Alliance
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
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 2013 (Reporting Year 2012)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
13
NA
NA
NA
19
NA
NA
NA
2012
A
24
Page 22
Effectiveness of Care
South Country Health Alliance
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 2013 (Reporting Year 2012)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
SNBC
2012
A
28
4
NA
NA
NA
2012
A
3
1
NA
NA
NA
Page 23
Effectiveness of Care
South Country Health Alliance
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
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 24
Effectiveness of Care
South Country Health Alliance
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure Data
Ages 5-11
Ages 12-18
Ages 19-50
Ages 51-64
Total
47
44
5
93.62%
85.56%
100.00%
45
41
1
91.11%
81.69%
100.00%
51
38
13
74.51%
61.57%
87.45%
4
3
16
NA
NA
NA
147
126
35
85.71%
79.72%
91.71%
2012
A
Page 25
Effectiveness of Care
South Country Health Alliance
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 26
Effectiveness of Care
South Country Health Alliance
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 27
Effectiveness of Care
South Country Health Alliance
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
11
68.75%
0
0.00%
11
68.75%
0
0.00%
11
1
NA
NA
NA
0
9
NA
NA
NA
2011
H
16
49
0.00%
16
0
0
0
16
Page 28
Effectiveness of Care
South Country Health Alliance
Controlling High Blood Pressure
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Data Elements
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2012
H
325
2012
H
173
2012
H
327
0
0
0
0.00%
242
0.00%
242
0
0.00%
0.00%
149
0.00%
149
0
0.00%
0.00%
312
0.00%
312
0
0.00%
0
0
0
Number of records excluded because of
false positive diagnoses
0
0
0
Number of administrative data records
excluded
1
3
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
241
0
187
77.59%
72.12%
83.07%
0
146
0
120
82.19%
75.64%
88.74%
0
312
0
205
65.71%
60.28%
71.13%
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
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
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 2013 (Reporting Year 2012)
Commercial
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 29
Effectiveness of Care
South Country Health Alliance
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
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 2013 (Reporting Year 2012)
Commercial
NR
NR
NR
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Medicare
Advantage
NR
NR
NR
MSHO
SNBC
MHCP-MC
2012
A
20
2012
A
0
2012
A
6
20
0
4
NA
NA
NA
NR
NR
NR
NA
NA
NA
Page 30
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
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
Number of Records Excluded Because of
Valid Data Errors
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
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 2013 (Reporting Year 2012)
Page 31
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
Page 32
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
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
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2012
H
176
2012
H
176
155
88.07%
176
0%
176
159
90.34%
175
99.43%
176
0%
176
175
99.43%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
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
2012
H
176
2012
H
176
2012
H
176
2012
H
176
2012
H
176
2012
H
176
2012
H
176
1
0.57%
176
0%
176
1
0.57%
116
65.91%
176
0%
176
119
67.61%
145
82.39%
176
0%
176
149
84.66%
0
0.00%
176
0%
176
0
0.00%
154
87.50%
176
0%
176
155
88.07%
1
0.57%
176
0%
176
0
0.00%
1
0.57%
176
0%
176
0
0.00%
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
176
159
4
92.61%
88.47%
96.76%
0
176
56
6
35.23%
27.89%
42.57%
0
176
1
99
56.82%
49.22%
64.42%
0
176
119
16
76.70%
70.18%
83.23%
0
176
149
4
86.93%
81.67%
92.20%
0
176
0
100
56.82%
49.22%
64.42%
0
176
155
2
89.20%
84.34%
94.07%
0
176
0
135
76.70%
70.18%
83.23%
0
176
0
119
67.61%
60.42%
74.81%
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 2013 (Reporting Year 2012)
NR
NR
NR
Page 33
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
HbA1c
Testing
Poor HbA1c
Control
2012
H
195
2012
H
195
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
178
91.28%
194
0%
194
179
92.27%
195
100.00%
194
0%
194
194
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
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
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
2012
H
195
2012
H
195
2012
H
195
2012
H
195
2012
H
195
2012
H
195
2012
H
195
0
0.00%
194
0%
194
0
0.00%
125
64.10%
194
0%
194
130
67.01%
163
83.59%
194
0%
194
164
84.54%
0
0.00%
194
0%
194
0
0.00%
155
79.49%
194
0%
194
158
81.44%
0
0.00%
194
0%
194
0
0.00%
0
0.00%
194
0%
194
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
194
179
1
92.78%
88.88%
96.68%
0
194
53
10
32.47%
25.63%
39.32%
0
194
0
117
60.31%
53.17%
67.45%
0
194
130
17
75.77%
69.49%
82.06%
0
194
164
1
85.05%
79.78%
90.33%
0
194
0
106
54.64%
47.38%
61.90%
0
194
158
4
83.51%
78.02%
88.99%
0
194
0
166
85.57%
80.36%
90.77%
0
194
0
139
71.65%
65.05%
78.25%
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 2013 (Reporting Year 2012)
NR
NR
NR
Page 34
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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
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
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
2012
H
292
2012
H
292
2012
H
257
253
86.64%
274
0%
274
243
88.69%
292
100.00%
274
0%
274
274
100.00%
1
Eye Exam
2012
H
292
2012
H
292
2012
H
292
2012
H
292
2012
H
292
2012
H
292
2012
H
292
0
0.00%
274
0%
274
0
0.00%
0
0.00%
274
0%
274
0
0.00%
152
52.05%
274
0%
274
152
55.47%
216
73.97%
274
0%
274
218
79.56%
0
0.00%
274
0%
274
0
0.00%
219
75.00%
274
0%
274
221
80.66%
0
0.00%
274
0%
274
0
0.00%
0
0.00%
274
0%
274
0
0.00%
1
1
1
1
1
1
1
1
1
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
273
0
126
46.15%
40.06%
52.25%
0
273
152
34
68.13%
62.42%
73.84%
0
273
218
2
80.59%
75.71%
85.46%
0
273
0
108
39.56%
33.58%
45.54%
0
273
221
6
83.15%
78.53%
87.77%
0
273
0
223
81.68%
76.91%
86.46%
0
273
0
166
60.81%
54.83%
66.78%
35
Number of Hybrid required exclusions
HEDIS 2013 (Reporting Year 2012)
Blood
Pressure
<140/80
mm Hg
LDL-C Level
<100 mg/dL
Number of Administrative 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
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
LDL-C
Screening
4
0
273
243
2
89.74%
85.96%
93.53%
0
273
85
38
45.05%
38.97%
51.14%
0
234
0
68
29.06%
23.03%
35.09%
Page 35
Effectiveness of Care
South Country Health Alliance
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 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Medicare
Advantage
NR
NR
NR
Page 36
Effectiveness of Care
South Country Health Alliance
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 2013 (Reporting Year 2012)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
2012
A
65
5
7.69%
0.44%
14.94%
Page 37
Effectiveness of Care
South Country Health Alliance
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 38
Effectiveness of Care
South Country Health Alliance
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
NR
NR
NR
NR
NR
NR
Page 39
Effectiveness of Care
South Country Health Alliance
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2012
A
30
25
83.33%
68.33%
98.34%
21
70.00%
51.93%
88.07%
Page 40
Effectiveness of Care
South Country Health Alliance
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2012
A
13
8
NA
NA
NA
9
NA
NA
NA
Page 41
Effectiveness of Care
South Country Health Alliance
Antidepressant Medication Management
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2012
A
190
99
52.11%
44.74%
59.47%
72
37.89%
30.73%
45.06%
Page 42
Effectiveness of Care
South Country Health Alliance
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
NR
NR
NR
NR
NR
NR
Page 43
Effectiveness of Care
South Country Health Alliance
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
130
65
50.00%
41.02%
58.98%
39
23
58.97%
42.25%
75.69%
2012
A
Page 44
Effectiveness of Care
South Country Health Alliance
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 45
Effectiveness of Care
South Country Health Alliance
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure
Data
30 Days
7 Days
6
NA
NA
NA
2
NA
NA
NA
2012
A
11
Page 46
Effectiveness of Care
South Country Health Alliance
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
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 2013 (Reporting Year 2012)
General
Measure
Data
30 Days
7 Days
31
88.57%
76.60%
100.00%
21
60.00%
42.34%
77.66%
2012
A
35
Page 47
Effectiveness of Care
South Country Health Alliance
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
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 48
Effectiveness of Care
South Country Health Alliance
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
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 49
Effectiveness of Care
South Country Health Alliance
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
636
601
94.50%
92.65%
96.35%
66
63
95.45%
89.67%
100.00%
722
696
96.40%
94.97%
97.83%
63
56
88.89%
80.33%
97.44%
1487
1416
95.23%
94.11%
96.34%
2012
A
Page 50
Effectiveness of Care
South Country Health Alliance
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
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 2013 (Reporting Year 2012)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
174
157
90.23%
85.53%
94.93%
10
9
NA
NA
NA
119
110
92.44%
87.27%
97.61%
138
103
74.64%
67.02%
82.26%
441
379
85.94%
82.58%
89.30%
2012
A
Page 51
Effectiveness of Care
South Country Health Alliance
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
306
256
83.66%
79.35%
87.97%
10
9
NA
NA
NA
218
186
85.32%
80.39%
90.25%
36
22
61.11%
43.80%
78.42%
570
473
82.98%
79.81%
86.16%
2012
A
Page 52
Access/Availability of Care
South Country Health Alliance
Medication Reconciliation Post Discharge
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 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
2012
H
864
0
0.00%
373
0.00%
373
0
0.00%
11
0
0
362
0
21
5.80%
3.25%
8.35%
Page 53
Effectiveness of Care
South Country Health Alliance
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
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 54
Effectiveness of Care
South Country Health Alliance
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
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
17
0
NA
NA
NA
452
73
16.15%
12.65%
19.65%
2012
A
96
11
11.46%
4.57%
18.35%
339
62
18.29%
14.03%
22.55%
Page 55
Effectiveness of Care
South Country Health Alliance
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure
Data
At least 1
Prescription
At least 2
Prescriptions
NR
NR
NR
NR
NR
NR
Page 56
Effectiveness of Care
South Country Health Alliance
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General
Measure
Data
2012
A
1479
At least 1
Prescription
At least 2
Prescriptions
274
18.53%
16.51%
20.54%
80
5.41%
4.22%
6.60%
Page 57
Access/Availability of Care
South Country Health Alliance
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 58
Access/Availability of Care
South Country Health Alliance
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 59
Access/Availability of Care
South Country Health Alliance
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
1490
1490
0
NA
NA
NA
0
NA
NA
NA
1463
98.19%
97.48%
98.90%
1463
98.19%
97.48%
98.90%
2012
A
Page 60
Access/Availability of Care
South Country Health Alliance
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
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 2013 (Reporting Year 2012)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
310
547
33
890
296
95.48%
93.01%
97.96%
534
97.62%
96.26%
98.99%
32
96.97%
89.61%
100.00%
862
96.85%
95.65%
98.06%
2012
A
Page 61
Access/Availability of Care
South Country Health Alliance
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
2534
1073
6
3613
2293
90.49%
89.33%
91.65%
941
87.70%
85.69%
89.71%
5
NA
NA
NA
3239
89.65%
88.64%
90.66%
2012
A
Page 62
Access/Availability of Care
South Country Health Alliance
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
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 63
Access/Availability of Care
South Country Health Alliance
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
524
502
95.80%
93.99%
97.61%
1737
1481
85.26%
83.57%
86.96%
1182
1028
86.97%
85.01%
88.93%
1330
1187
89.25%
87.55%
90.95%
2012
A
Page 64
Access/Availability of Care
South Country Health Alliance
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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
Total
Engagement
of AOD
Treatment
Initiation of
AOD
Treatment
NR
NR
NR
NR
NR
NR
NR
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 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 65
Access/Availability of Care
South Country Health Alliance
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Medicare Advantage
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 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 66
Access/Availability of Care
South Country Health Alliance
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
18+ Year Olds
13-17 Year Olds
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 2013 (Reporting Year 2012)
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
2012
A
27
0
27
0
0
9
2
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
9
NA
NA
NA
2
NA
NA
NA
Page 67
Access/Availability of Care
South Country Health Alliance
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
13-17 Year Olds
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 2013 (Reporting Year 2012)
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
2012
A
0
81
81
0
0
32
12
NA
NA
NA
NA
NA
NA
39.51%
28.24%
50.77%
14.81%
6.46%
23.17%
32
39.51%
28.24%
50.77%
12
14.81%
6.46%
23.17%
Page 68
Access/Availability of Care
South Country Health Alliance
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
13-17 Year Olds
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 2013 (Reporting Year 2012)
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
2012
A
26
392
418
10
6
163
70
NA
NA
NA
NA
NA
NA
41.58%
36.57%
46.59%
17.86%
13.94%
21.78%
173
41.39%
36.55%
46.23%
76
18.18%
14.36%
22.00%
Page 69
Access/Availability of Care
South Country Health Alliance
Prenatal and Postpartum Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
Data Elements
Timeliness of
Prenatal Care
Postpartum
Care
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
NR
NR
NR
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
NR
NR
NR
NR
NR
NR
HEDIS 2013 (Reporting Year 2012)
Page 70
Access/Availability of Care
South Country Health Alliance
Prenatal and Postpartum Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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 2013 (Reporting Year 2012)
Timeliness of
Prenatal Care
2012
H
713
Postpartum
Care
2012
H
713
421
401
59.05%
411
5.00%
432
253
58.56%
56.24%
411
5.00%
432
236
54.63%
0
0
0
0
432
253
79
76.85%
72.76%
80.94%
0
0
432
236
75
71.99%
67.64%
76.34%
Page 71
Use of Services
South Country Health Alliance
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
Data Elements
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
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
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 2013 (Reporting Year 2012)
Page 72
Use of Services
South Country Health Alliance
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
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 2013 (Reporting Year 2012)
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
18
3.37%
12
2.25%
6
1.12%
29
5.43%
69
12.92%
126
23.60%
274
51.31%
2
0.49%
5
1.22%
2
0.49%
15
3.65%
21
5.11%
68
16.55%
212
51.58%
2
0
0.49%
0.00%
1.28%
5
2
1.70%
0.33%
3.08%
2
5
1.70%
0.33%
3.08%
15
3
4.38%
2.28%
6.48%
21
7
6.81%
4.26%
9.37%
68
22
21.90%
17.78%
26.02%
212
47
63.02%
58.23%
67.81%
2011
H
534
411
0.00%
411
0
0
0
411
Page 73
Use of Services
South Country Health Alliance
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
MHCP-MC
2012
A
1437
NR
NR
NR
NR
Numerator events by admin data in eligible
population
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
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 2013 (Reporting Year 2012)
821
NR
NR
NR
57.13%
54.54%
59.73%
Page 74
Use of Services
South Country Health Alliance
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
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
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 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
MHCP-MC
2012
H
2005
610
NR
NR
30.42%
411
5.00%
432
143
33.10%
0
0
NR
NR
NR
0
432
143
49
44.44%
39.64%
49.25%
Page 75
Use of Services
South Country Health Alliance
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
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 76
Use of Services
South Country Health Alliance
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
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 77
Use of Services
South Country Health Alliance
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
0
5591
6640
9292
0
21523
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
5939
6937
7770
0
20646
HEDIS 2013 (Reporting Year 2012)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
1062.24
1044.73
836.20
959.25
Emergency Room Visits
Visits
0
0
0
0
0
381
378
471
0
1230
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
68.15
56.93
50.69
57.15
Page 78
Use of Services
South Country Health Alliance
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
111
5299
7883
397
0
0
0
13690
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
35
3769
7722
385
0
0
0
11911
HEDIS 2013 (Reporting Year 2012)
Visits/ 1,000
Member
Months
NA
NA
315.32
711.27
979.58
969.77
NA
NA
870.05
Emergency Room Visits
Visits
0
0
5
391
605
27
0
0
0
1028
Visits/ 1,000
Member
Months
NA
NA
45.05
73.79
76.75
68.01
NA
NA
75.09
Page 79
Use of Services
South Country Health Alliance
Ambulatory Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
11249
71245
50453
70909
22674
43
3
0
0
226576
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
9365
25138
15085
39444
13623
23
3
0
0
102681
HEDIS 2013 (Reporting Year 2012)
Visits/ 1,000
Member
Months
832.52
352.84
298.99
556.26
600.82
534.88
1000.00
NA
453.19
Emergency Room Visits
Visits
1133
3573
1987
6048
1065
1
0
0
0
13807
Visits/ 1,000
Member
Months
100.72
50.15
39.38
85.29
46.97
23.26
0.00
NA
60.94
Page 80
Use of Services
South Country Health Alliance
Inpatient Utilization - General Hospital/Acute Care
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
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 81
Use of Services
South Country Health Alliance
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Medicare Advantage
Age
Member Months
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
NR
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 /
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 2013 (Reporting Year 2012)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 82
Use of Services
South Country Health Alliance
Inpatient Utilization - General Hospital/Acute Care
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
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Member Months
0
0
0
0
0
5591
6640
9292
0
21523
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
211
278
337
0
826
NA
NA
NA
NA
NA
37.74
41.87
36.27
0
0
0
0
0
166
220
285
0
671
NA
NA
NA
NA
NA
29.69
33.13
30.67
0
0
0
0
0
45
58
52
0
155
NA
NA
NA
NA
NA
8.05
8.73
5.60
0
0
0
0
0
HEDIS 2013 (Reporting Year 2012)
38.38
31.18
7.20
NA
NA
NA
NA
Days
Days / 1,000
Member
Months
0
0
0
0
0
861
1112
1349
0
3322
NA
NA
NA
NA
NA
154.00
167.47
145.18
0
0
0
0
0
631
810
1052
0
2493
NA
NA
NA
NA
NA
112.86
121.99
113.22
0
0
0
0
0
230
302
297
0
829
NA
NA
NA
NA
NA
41.14
45.48
31.96
0
0
0
0
0
154.35
115.83
38.52
NA
NA
NA
NA
Average
Length of Stay
NA
NA
NA
NA
NA
4.08
4.00
4.00
NA
4.02
NA
NA
NA
NA
NA
3.80
3.68
3.69
NA
3.72
NA
NA
NA
NA
NA
5.11
5.21
5.71
NA
5.35
NA
NA
NA
NA
NA
Page 83
Use of Services
South Country Health Alliance
Inpatient Utilization - General Hospital/Acute Care
SNBC
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
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Member Months
0
0
111
5299
7883
397
0
0
0
13690
Discharges
Discharges /
1,000 Member
Months
0
0
0
53
171
12
0
0
0
236
NA
NA
0.00
10.00
21.69
30.23
NA
NA
0
0
0
36
116
8
0
0
0
160
NA
NA
0.00
6.79
14.72
20.15
NA
NA
0
0
0
14
55
4
0
0
0
73
NA
NA
0.00
2.64
6.98
10.08
NA
NA
0
3
0
0
3
0.00
0.57
0.00
HEDIS 2013 (Reporting Year 2012)
17.24
11.69
5.33
0.23
Days
Days / 1,000
Member
Months
0
0
0
183
826
104
0
0
0
1113
NA
NA
0.00
34.53
104.78
261.96
NA
NA
0
0
0
132
555
50
0
0
0
737
NA
NA
0.00
24.91
70.40
125.94
NA
NA
0
0
0
43
271
54
0
0
0
368
NA
NA
0.00
8.11
34.38
136.02
NA
NA
0
8
0
0
8
0.00
1.51
0.00
81.30
53.83
26.88
0.60
Average
Length of Stay
NA
NA
NA
3.45
4.83
8.67
NA
NA
NA
4.72
NA
NA
NA
3.67
4.78
6.25
NA
NA
NA
4.61
NA
NA
NA
3.07
4.93
13.50
NA
NA
NA
5.04
NA
2.67
NA
NA
2.67
Page 84
Use of Services
South Country Health Alliance
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
11249
1-9
71245
10-19
50453
20-44
70909
45-64
22674
65-74
43
75-84
3
85+
0
Unknown
0
226576
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 /
1,000 Member
Months
82
96
171
1226
237
0
0
0
0
1812
7.29
1.35
3.39
17.29
10.45
0.00
0.00
NA
73
73
47
239
131
0
0
0
0
563
6.49
1.02
0.93
3.37
5.78
0.00
0.00
NA
9
23
32
172
105
0
0
0
0
341
0.80
0.32
0.63
2.43
4.63
0.00
0.00
NA
92
815
1
0
908
1.82
11.49
0.04
HEDIS 2013 (Reporting Year 2012)
8.00
2.48
1.51
6.30
Days
Days / 1,000
Member
Months
423
409
428
3058
873
0
0
0
0
5191
37.60
5.74
8.48
43.13
38.50
0.00
0.00
NA
381
214
110
627
504
0
0
0
0
1836
33.87
3.00
2.18
8.84
22.23
0.00
0.00
NA
42
195
83
458
365
0
0
0
0
1143
3.73
2.74
1.65
6.46
16.10
0.00
0.00
NA
235
1973
4
0
2212
4.66
27.82
0.18
22.91
8.10
5.04
15.36
Average
Length of Stay
5.16
4.26
2.50
2.49
3.68
NA
NA
NA
NA
2.86
5.22
2.93
2.34
2.62
3.85
NA
NA
NA
NA
3.26
4.67
8.48
2.59
2.66
3.48
NA
NA
NA
NA
3.35
2.55
2.42
4.00
NA
2.44
Page 85
Use of Services
South Country Health Alliance
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
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 2013 (Reporting Year 2012)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
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
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
Female
NR
NR
Total
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 86
Use of Services
South Country Health Alliance
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Medicare Advantage
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
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 2013 (Reporting Year 2012)
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
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
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
Female
NR
NR
Total
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 87
Use of Services
South Country Health Alliance
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
0
5478
0
5478
Female
0
0
0
0
0
16045
0
16045
Member Months
(Inpatient)
Total
0
0
0
0
0
21523
0
21523
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
0
0
0
0
0
0
0
0
0
0
0
0
22
25
47
0
0
0
22
25
47
HEDIS 2013 (Reporting Year 2012)
Male
0
0
0
0
0
5478
0
5478
Female
0
0
0
0
0
16045
0
16045
Total
0
0
0
0
0
21523
0
21523
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.82%
1.87%
2.62%
NA
NA
NA
4.82%
1.87%
2.62%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
13
8
21
0
0
0
13
8
21
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5478
16045
21523
0
0
0
5478
16045
21523
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.85%
0.60%
1.17%
NA
NA
NA
2.85%
0.60%
1.17%
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
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Member Months
(Outpatient/ED)
Male
0
0
0
0
0
5478
0
5478
Female
0
0
0
0
0
16045
0
16045
Total
0
0
0
0
0
21523
0
21523
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
18
20
38
0
0
0
18
20
38
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.94%
1.50%
2.12%
NA
NA
NA
3.94%
1.50%
2.12%
Page 88
Use of Services
South Country Health Alliance
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
595
1057
4023
148
0
5823
Female
0
0
492
1174
5952
249
0
7867
Member Months
(Inpatient)
Total
0
0
1087
2231
9975
397
0
13690
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
0
0
0
6
4
10
13
16
29
65
87
152
2
0
2
0
0
0
86
107
193
HEDIS 2013 (Reporting Year 2012)
Male
0
0
595
1057
4023
148
0
5823
Female
0
0
492
1174
5952
249
0
7867
Total
0
0
1087
2231
9975
397
0
13690
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
12.10%
9.76%
11.04%
14.76%
16.35%
15.60%
19.39%
17.54%
18.29%
16.22%
0.00%
6.05%
NA
NA
NA
17.72%
16.32%
16.92%
Number
0
0
0
0
0
0
1
0
1
7
3
10
16
15
31
0
0
0
0
0
0
24
18
42
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
0
0
0
0
0
0
595
492
1087
1057
1174
2231
4023
5952
9975
148
249
397
0
0
0
5823
7867
13690
Percent
NA
NA
NA
NA
NA
NA
2.02%
0.00%
1.10%
7.95%
3.07%
5.38%
4.77%
3.02%
3.73%
0.00%
0.00%
0.00%
NA
NA
NA
4.95%
2.75%
3.68%
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
NA
NA
NA
NA
NA
NA
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
(Outpatient/ED)
Male
0
0
595
1057
4023
148
0
5823
Female
0
0
492
1174
5952
249
0
7867
Total
0
0
1087
2231
9975
397
0
13690
Outpatient/ED
Number
0
0
0
0
0
0
6
4
10
12
16
28
58
80
138
2
0
2
0
0
0
78
100
178
Percent
NA
NA
NA
NA
NA
NA
12.10%
9.76%
11.04%
13.62%
16.35%
15.06%
17.30%
16.13%
16.60%
16.22%
0.00%
6.05%
NA
NA
NA
16.07%
15.25%
15.60%
Page 89
Use of Services
South Country Health Alliance
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
52640
12155
7965
10632
18674
5
0
102071
Female
48344
13018
14974
23360
24768
41
0
124505
Total
100984
25173
22939
33992
43442
46
0
226576
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
7
1
8
56
34
90
138
114
252
217
238
455
310
235
545
0
0
0
0
0
0
728
622
1350
HEDIS 2013 (Reporting Year 2012)
Total
100984
25173
22939
33992
43442
46
0
226576
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
52640
48344
100984
12155
13018
25173
7965
14974
22939
10632
23360
33992
18674
24768
43442
5
41
46
0
0
0
102071
124505
226576
Percent
0.00%
0.00%
0.00%
0.20%
0.55%
0.38%
2.11%
1.92%
1.99%
2.14%
2.31%
2.26%
3.41%
2.18%
2.71%
0.00%
0.00%
0.00%
NA
NA
NA
1.03%
1.16%
1.10%
Intensive Outpatient/Partial
Hospitalization
Percent
Number
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
1
0.11%
1
0.05%
2
0.07%
0
0.00%
1
0.05%
1
0.03%
0
0.00%
0
0.00%
0
0.00%
0
NA
0
NA
0
NA
1
0.01%
2
0.02%
3
0.02%
Member Months
(Inpatient)
Male
52640
12155
7965
10632
18674
5
0
102071
Female
48344
13018
14974
23360
24768
41
0
124505
Inpatient
Percent
0.16%
0.02%
0.10%
5.53%
3.13%
4.29%
20.79%
9.14%
13.18%
24.49%
12.23%
16.06%
19.92%
11.39%
15.05%
0.00%
0.00%
0.00%
NA
NA
NA
8.56%
5.99%
7.15%
Number
0
0
0
2
6
8
14
24
38
19
45
64
53
45
98
0
0
0
0
0
0
88
120
208
Member Months
(Outpatient/ED)
Male
52640
12155
7965
10632
18674
5
0
102071
Female
48344
13018
14974
23360
24768
41
0
124505
Total
100984
25173
22939
33992
43442
46
0
226576
Outpatient/ED
Number
7
1
8
56
33
89
137
102
239
214
228
442
299
225
524
0
0
0
0
0
0
713
589
1302
Percent
0.16%
0.02%
0.10%
5.53%
3.04%
4.24%
20.64%
8.17%
12.50%
24.15%
11.71%
15.60%
19.21%
10.90%
14.47%
0.00%
0.00%
0.00%
NA
NA
NA
8.38%
5.68%
6.90%
Page 90
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Commercial
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Total
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 2013 (Reporting Year 2012)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
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
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
Female
NR
NR
Total
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 91
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months
(Inpatient)
Total
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 2013 (Reporting Year 2012)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
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
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
Female
NR
NR
Total
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 92
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
5478
0
5478
Female
0
0
0
16045
0
16045
Member Months
(Inpatient)
Total
0
0
0
21523
0
21523
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
0
0
0
0
0
0
0
0
0
67
160
227
0
0
0
67
160
227
HEDIS 2013 (Reporting Year 2012)
Male
0
0
0
5478
0
5478
Female
0
0
0
16045
0
16045
Total
0
0
0
21523
0
21523
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
14.68%
11.97%
12.66%
NA
NA
NA
14.68%
11.97%
12.66%
Number
0
0
0
0
0
0
0
0
0
19
51
70
0
0
0
19
51
70
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
0
0
0
0
0
0
0
0
0
5478
16045
21523
0
0
0
5478
16045
21523
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.16%
3.81%
3.90%
NA
NA
NA
4.16%
3.81%
3.90%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Member Months
(Outpatient/ED)
Male
0
0
0
5478
0
5478
Total
0
0
0
21523
0
21523
Female
0
0
0
16045
0
16045
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
55
121
176
0
0
0
55
121
176
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
12.05%
9.05%
9.81%
NA
NA
NA
12.05%
9.05%
9.81%
Page 93
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
5675
148
0
5823
Female
0
0
7618
249
0
7867
Member Months
(Inpatient)
Total
0
0
13293
397
0
13690
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
0
0
0
0
0
0
237
366
603
3
5
8
0
0
0
240
371
611
HEDIS 2013 (Reporting Year 2012)
Male
0
0
5675
148
0
5823
Female
0
0
7618
249
0
7867
Total
0
0
13293
397
0
13690
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
50.11%
57.65%
54.43%
24.32%
24.10%
24.18%
NA
NA
NA
49.46%
56.59%
53.56%
Number
0
0
0
0
0
0
16
26
42
0
0
0
0
0
0
16
26
42
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
0
0
0
0
0
0
5675
7618
13293
148
249
397
0
0
0
5823
7867
13690
Percent
NA
NA
NA
NA
NA
NA
3.38%
4.10%
3.79%
0.00%
0.00%
0.00%
NA
NA
NA
3.30%
3.97%
3.68%
Number
0
0
0
0
0
0
4
4
8
0
0
0
0
0
0
4
4
8
Percent
NA
NA
NA
NA
NA
NA
0.85%
0.63%
0.72%
0.00%
0.00%
0.00%
NA
NA
NA
0.82%
0.61%
0.70%
Member Months
(Outpatient/ED)
Male
0
0
5675
148
0
5823
Female
0
0
7618
249
0
7867
Total
0
0
13293
397
0
13690
Outpatient/ED
Number
0
0
0
0
0
0
237
364
601
3
5
8
0
0
0
240
369
609
Percent
NA
NA
NA
NA
NA
NA
50.11%
57.34%
54.25%
24.32%
24.10%
24.18%
NA
NA
NA
49.46%
56.29%
53.38%
Page 94
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Inpatient)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
52640
12155
37271
5
0
102071
Female
48344
13018
63102
41
0
124505
Total
100984
25173
100373
46
0
226576
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
756
507
1263
249
309
558
773
1472
2245
0
1
1
0
0
0
1778
2289
4067
HEDIS 2013 (Reporting Year 2012)
Male
52640
12155
37271
5
0
102071
Female
48344
13018
63102
41
0
124505
Total
100984
25173
100373
46
0
226576
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
17.23%
12.58%
15.01%
24.58%
28.48%
26.60%
24.89%
27.99%
26.84%
0.00%
29.27%
26.09%
NA
NA
NA
20.90%
22.06%
21.54%
Number
4
8
12
13
18
31
51
74
125
0
0
0
0
0
0
68
100
168
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
52640
48344
100984
12155
13018
25173
37271
63102
100373
5
41
46
0
0
0
102071
124505
226576
Percent
0.09%
0.20%
0.14%
1.28%
1.66%
1.48%
1.64%
1.41%
1.49%
0.00%
0.00%
0.00%
NA
NA
NA
0.80%
0.96%
0.89%
Number
6
2
8
0
4
4
2
7
9
0
0
0
0
0
0
8
13
21
Percent
0.14%
0.05%
0.10%
0.00%
0.37%
0.19%
0.06%
0.13%
0.11%
0.00%
0.00%
0.00%
NA
NA
NA
0.09%
0.13%
0.11%
Member Months
(Outpatient/ED)
Male
52640
12155
37271
5
0
102071
Female
48344
13018
63102
41
0
124505
Total
100984
25173
100373
46
0
226576
Outpatient/ED
Number
756
506
1262
247
309
556
764
1463
2227
0
1
1
0
0
0
1767
2279
4046
Percent
17.23%
12.56%
15.00%
24.39%
28.48%
26.50%
24.60%
27.82%
26.62%
0.00%
29.27%
26.09%
NA
NA
NA
20.77%
21.97%
21.43%
Page 95
Use of Services
South Country Health Alliance
Plan All-Cause Readmissions
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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 2013 (Reporting Year 2012)
Page 96
Use of Services
South Country Health Alliance
Plan All-Cause Readmissions
Data Last Refreshed:
Nov 15, 2013 1:56 PM
MSHO
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 2013 (Reporting Year 2012)
Page 97
Use of Services
South Country Health Alliance
Plan All-Cause Readmissions
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
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 2013 (Reporting Year 2012)
Page 98
Health Plan Descriptive Information
South Country Health Alliance
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Board Certification
MSHO
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2013 (Reporting Year 2012)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 99
Health Plan Descriptive Information
South Country Health Alliance
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Board Certification
MSHO
SNBC
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2013 (Reporting Year 2012)
SNBC
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
NR
NR
NR
NR
Page 100
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2013 (Reporting Year 2012)
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
Page 101
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2013 (Reporting Year 2012)
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
Page 102
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
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
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
821
1046
1111
912
819
769
0
0.00%
1860
1864
2026
2591
3086
4618
5478
100.00%
0
5478
16045
100.00%
0
16045
HEDIS 2013 (Reporting Year 2012)
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
2681
2910
3137
3503
3905
5387
21523
100.00%
0
21523
Page 103
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
SNBC
<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
49
Member Months
Female
0
0
0
0
0
62
49
0.84%
546
554
503
353
507
62
0.79%
430
557
617
512
720
2463
42.30%
735
974
888
566
2836
36.05%
936
1197
1312
1275
3163
54.32%
148
0
0
0
0
0
4720
60.00%
249
0
0
0
0
0
148
2.54%
0
5823
249
3.17%
0
7867
HEDIS 2013 (Reporting Year 2012)
Total
0
0
0
0
0
111
111
0.81%
976
1111
1120
865
1227
5299
38.71%
1671
2171
2200
1841
7883
57.58%
397
0
0
0
0
0
397
2.90%
0
13690
Page 104
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
Male
Female
5933
5316
<1
17485
16001
1-4
19622
18137
5-9
14860
14532
10-14
6895
7376
15-17
3051
3739
18-19
0-19 Subtotal
67846
65101
0-19 Subtotal: %
66.47%
52.29%
4914
11235
20-24
5339
12932
25-29
5293
10428
30-34
3909
7317
35-39
3654
5888
40-44
20-44 Subtotal
23109
47800
20-44 Subtotal: %
22.64%
38.39%
3656
4247
45-49
3353
3567
50-54
2696
2240
55-59
1406
1509
60-64
45-64 Subtotal
11111
11563
45-64 Subtotal: %
10.89%
9.29%
5
25
65-69
0
13
70-74
0
0
75-79
0
3
80-84
0
0
85-89
0
0
>=90
>=65 Subtotal
5
41
>=65 Subtotal: %
0.00%
0.03%
0
0
Age Unknown
Total
102071
124505
HEDIS 2013 (Reporting Year 2012)
Data Last Refreshed:
Nov 15, 2013 1:56 PM
Total
11249
33486
37759
29392
14271
6790
132947
58.68%
16149
18271
15721
11226
9542
70909
31.30%
7903
6920
4936
2915
22674
10.01%
30
13
0
3
0
0
46
0.02%
0
226576
Page 105