South Country Health Alliance
General Info
Disclaimers
HEDIS 2012 (Reporting Year 2011)
Page
Data Last Refreshed: 10/22/2012
2
Effectiveness of Care Measures
Code
Effectiveness of Care Measures
Code
Medication Management
Page
Prevention and Screening
ABA
Adult BMI Assessment
3
WCC
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
4
CIS
Childhood Immunization Status
6
IMA
Immunizations for Adolescents
10
Page
26 MPM
Annual Monitoring for Patients on Persistent Medications
48
27 MRP
Medication Reconciliation Post Discharge
53
Potentially Harmful Drug-Disease Interactions in the Elderly
54
Use of High Risk Medications in the Elderly
56
28
DDE
29 DAE
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
IET
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
65
GSO
Glaucoma Screening in Older Adults
17
33 PPC
Prenatal and Postpartum Care
70
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
ASM
Use of Appropriate Medications for People with Asthma
24
Cardiovascular
Access / Availability of Care Measures
Use of Services Measures
0 Code
Page
Page
34 W15
Well Child Visits in the First 15 Months of Life
72
35 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
74
Adolescent Well-Care Visits
75
36
AWC
Ambulatory Care
76
38
IPU
Inpatient Utilization - General Hospital/Acute Care
81
IAD
37 AMB
CMC
Cholesterol Management for Patients with Cardiovascular Conditions
26
39
Identification of Alcohol and Other Drug Services
86
CBP
Controlling High Blood Pressure
29
40 MPT
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
91
PBH
Persistence of Beta Blocker Treatment After Heart Attack
30
41 PCR
Plan All-Cause Readmissions
96
Diabetes
CDC
Comprehensive Diabetes Care
41
31
Musculoskeletal
ART
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
36
OMW
Osteoporosis Management in Women Who had a Fracture
37
Behavioral Health
AMM
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
HEDIS 2012 (Reporting Year 2011)
0 Code
Health Plan Descriptive Information Measures
Page
42 BCR
Board Certification
99
43 ENP
Enrollment by Product Line (Age & Sex)
101
43
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2012 (Reporting Year 2011)
Page 2
Effectiveness of Care
South Country Health Alliance
Adult BMI Assessment
Data Elements
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Medicare
Advantage
Measurement Year
Data Collection Methodology
Eligible Member Population
2011
H
1971
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
MHCP-MC
97
NR
NR
NR
NR
4.92%
411
5.00%
432
30
6.94%
Number of Records Excluded Because of Valid
Data Errors
0
Number of administrative data records excluded
0
Number of medical record data records excluded
0
Number of employee/dependent medical records
excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
NR
NR
NR
NR
NR
NR
0
432
30
291
74.31%
70.07%
78.54%
Page 3
Effectiveness of Care
South Country Health Alliance
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
BMI Percentile
Data Elements
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Nutrition
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
General
Measure
Data
Ages 3-11
Ages 1217
Total
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
Page 4
Effectiveness of Care
South Country Health Alliance
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Total
2011
H
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
Ages 3-11 Ages 12-17
Counseling for Nutrition
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Physical Activity
Total
2011
H
General
Measure
Data
Total
3087
1463
4550
3087
1463
4550
3087
1463
4550
9
0.29%
2
0.14%
11
0.24%
15
0.49%
14
0.96%
29
0.64%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
411
5.00%
411
5.00%
432
411
5.00%
432
2
0.46%
0
0.00%
2
0.46%
432
2
0.46%
4
0.93%
6
1.39%
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 2012 (Reporting Year 2011)
Ages 1217
2011
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
132
432
300
132
432
300
132
432
2
161
54.33%
48.53%
60.14%
0
71
53.79%
44.90%
62.67%
2
232
54.17%
49.35%
58.98%
2
173
58.33%
52.59%
64.08%
4
58
46.97%
38.08%
55.86%
6
231
54.86%
50.05%
59.67%
0
111
37.00%
31.37%
42.63%
0
60
45.45%
36.58%
54.33%
0
171
39.58%
34.86%
44.31%
Page 5
Effectiveness of Care
South Country Health Alliance
Childhood Immunization Status
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 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 2012 (Reporting Year 2011)
Page 6
Effectiveness of Care
South Country Health Alliance
Childhood Immunization Status
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 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 2012 (Reporting Year 2011)
Page 7
Effectiveness of Care
South Country Health Alliance
Childhood Immunization Status
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
HiB
Hepatitis B
VZV
Influenza
431
80.86%
492
92.31%
478
89.68%
495
92.87%
458
85.93%
473
88.74%
434
81.43%
228
42.78%
343
64.35%
284
53.28%
348
80.56%
396
91.67%
386
89.35%
399
92.36%
369
85.42%
381
88.19%
350
81.02%
181
41.90%
275
63.66%
227
52.55%
348
13
83.56%
79.95%
87.18%
396
8
93.52%
91.08%
95.96%
386
1
89.58%
86.59%
92.58%
399
3
93.06%
90.54%
95.57%
369
33
93.06%
90.54%
95.57%
381
2
88.66%
85.55%
91.76%
350
13
84.03%
80.46%
87.60%
181
1
42.13%
37.36%
46.90%
275
11
66.20%
61.63%
70.78%
227
11
55.09%
50.29%
59.90%
432
0
Numerator Events by administrative Data
MMR
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
IPV
2011
H
533
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
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
432
Page 8
Effectiveness of Care
South Country Health Alliance
Childhood Immunization Status
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
431
80.86%
385
72.23%
362
67.92%
190
35.65%
270
50.66%
234
43.90%
161
30.21%
138
25.89%
187
35.08%
122
22.89%
348
80.56%
307
71.06%
287
66.44%
150
34.72%
213
49.31%
183
42.36%
127
29.40%
108
25.00%
147
34.03%
96
22.22%
348
13
83.56%
79.95%
87.18%
307
38
79.86%
75.96%
83.76%
287
41
75.93%
71.78%
80.07%
150
22
39.81%
35.08%
44.55%
213
34
57.18%
52.39%
61.96%
183
25
48.15%
43.32%
52.98%
127
21
34.26%
29.67%
38.85%
108
16
28.70%
24.32%
33.09%
147
23
39.35%
34.63%
44.07%
96
16
25.93%
21.68%
30.17%
432
0
Numerator Events by administrative Data
Combo 3
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
Combo 2
2011
H
533
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
DTaP
432
Page 9
Effectiveness of Care
South Country Health Alliance
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Immunizations for Adolescents
Commercial
Data Elements
General
Measure Data
Meningococcal
Tdap
Combo 1
Current Year's Admin Rate
NR
NR
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
NR
NR
Reported Rate
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical data records excluded
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2012 (Reporting Year 2011)
Page 10
Effectiveness of Care
South Country Health Alliance
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Immunizations for Adolescents
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Data
Measurement Year
2011
Data Collection Methodology
H
Eligible Member Population
331
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
excluded
0
HEDIS 2012 (Reporting Year 2011)
Tdap
Combo 1
162
286
158
48.94%
86.40%
47.73%
163
49.24%
286
86.40%
159
48.04%
163
0
49.24%
43.71%
54.78%
286
1
86.71%
82.90%
90.52%
159
1
48.34%
42.80%
53.87%
331
0.00%
331
Records Excluded because of Valid Data Errors
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Meningococcal
0
331
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 2012 (Reporting Year 2011)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
NR
NR
NR
Medicare
Advantage
NR
NR
NR
MSHO
SNBC
MHCP-MC
2011
A
77
52
67.53%
56.42%
78.64%
2011
A
265
203
76.60%
71.32%
81.89%
2011
A
407
239
58.72%
53.82%
63.63%
Page 12
Effectiveness of Care
South Country Health Alliance
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
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
2064
NR
NR
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
MHCP-MC
2010
H
3100
66.58%
411
5.00%
432
295
68.29%
0
1
3
0
NR
NR
NR
0
428
295
29
75.70%
71.52%
79.88%
Page 13
Effectiveness of Care
South Country Health Alliance
Colorectal Cancer Screening
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Data Elements
Medicare
Advantage
MSHO
SNBC
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
2011
H
364
2011
H
298
Number of numerator events by administrative data in eligible population
(before exclusions)
179
175
49.18%
360
0.00%
360
179
49.72%
0
0
0
0
0
360
179
21
55.56%
50.28%
60.83%
58.72%
298
0.00%
298
175
58.72%
0
0
0
0
0
298
175
20
65.44%
59.87%
71.00%
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 2012 (Reporting Year 2011)
Commercial
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 14
Effectiveness of Care
South Country Health Alliance
Chlamydia Screening in Women
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure Data
Ages 16-20
Ages 21-24
Total
343
133
38.78%
33.47%
44.08%
303
160
52.81%
47.02%
58.59%
646
293
45.36%
41.44%
49.27%
2011
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 2012 (Reporting Year 2011)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare
Advantage
NR
NR
NR
MSHO
2011
A
1222
877
71.77%
69.20%
74.33%
Page 17
Effectiveness of Care
South Country Health Alliance
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Lead Screening in Children
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
MHCP-MC
2011
A
533
Current Year's Admin Rate
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
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 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
491
Reported Rate
NR
92.12%
Lower 95% Confidence Interval
NR
89.74%
Upper 95% Confidence Interval
NR
94.50%
HEDIS 2012 (Reporting Year 2011)
Page 18
Effectiveness of Care
South Country Health Alliance
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
293
0
0
0
19.65%
0.00%
0.00%
0.00%
83
20.19%
0
0.00%
0
0.00%
0
0.00%
83
198
0
363
0
259
0
310
Reported Rate
68.37%
88.32%
63.02%
75.43%
Lower 95% Confidence Interval
63.75%
85.09%
58.23%
71.14%
Upper 95% Confidence Interval
72.99%
91.55%
67.81%
79.71%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General Measure
Data
2011
H
1491
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
411
0.00%
411
Records Excluded because of Valid Data
Errors
0
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2012 (Reporting Year 2011)
Advance Care
Planning
0
411
Page 19
Effectiveness of Care
South Country Health Alliance
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
21
58.33%
40.84%
75.83%
30
83.33%
69.77%
96.90%
2011
A
36
Page 21
Effectiveness of Care
South Country Health Alliance
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
6
NA
NA
NA
5
NA
NA
NA
2011
A
6
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 2012 (Reporting Year 2011)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Oct 22, 2012 9:58 AM
MSHO
SNBC
2011
A
27
4
NA
NA
NA
2011
A
7
3
NA
NA
NA
Page 23
Effectiveness of Care
South Country Health Alliance
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Number of required exclusions
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure Data
Ages 5-11
Ages 12-18
Ages 19-50
Ages 51-64
Total
59
55
6
93.22%
85.96%
100.00%
46
39
1
84.78%
73.32%
96.25%
59
44
16
74.58%
62.62%
86.53%
12
9
12
NA
NA
NA
176
147
35
83.52%
77.76%
89.29%
2011
A
Page 25
Effectiveness of Care
South Country Health Alliance
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
11
0
68.75%
0.00%
11
0
68.75%
0.00%
11
1
0
9
NA
NA
NA
NA
NA
NA
2011
H
16
16
0.00%
16
0
0
0
16
Page 28
Effectiveness of Care
South Country Health Alliance
Controlling High Blood Pressure
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Data Elements
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2011
H
335
2011
H
114
2011
H
282
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0.00%
266
0.00%
266
0.00%
97
0.00%
97
0.00%
265
0.00%
265
0
0.00%
0
0.00%
0
0.00%
Records Excluded because of Valid Data
Errors
1
0
3
Number of records excluded because of
false positive diagnoses
1
0
3
Number of administrative data records
excluded
0
0
0
Number of medical record data records
excluded
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
Records Added from the OverSample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
0
265
0
195
73.58%
68.09%
79.08%
0
97
0
80
82.47%
74.39%
90.56%
0
262
0
174
66.41%
60.50%
72.32%
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
HEDIS 2012 (Reporting Year 2011)
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
Commercial
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare
Advantage
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
NR
NR
NR
NR
NR
NR
MSHO
SNBC
MHCP-MC
2011
A
12
2011
A
1
2011
A
7
11
1
7
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 30
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of HbA1c < 7 required administrative
data records excluded
Number of HbA1c < 7 required medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
Page 31
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare Advantage
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<140/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
Page 32
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
MSHO
LDL-C
Screening
LDL-C Level
<100 mg/dL
2011
H
162
2011
H
162
2011
H
162
2011
H
162
2011
H
162
2011
H
162
2011
H
162
0
0.00%
162
0%
162
0
0.00%
94
58.02%
162
0%
162
98
60.49%
136
83.95%
162
0%
162
138
85.19%
0
0.00%
162
0%
162
0
0.00%
137
84.57%
162
0%
162
137
84.57%
0
0.00%
162
0%
162
0
0.00%
0
0.00%
162
0%
162
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
162
150
2
93.83%
89.81%
97.84%
0
162
31
11
25.93%
18.87%
32.98%
0
162
0
111
68.52%
61.06%
75.98%
0
162
98
21
73.46%
66.35%
80.57%
0
162
138
5
88.27%
83.01%
93.54%
0
162
0
100
61.73%
53.93%
69.52%
0
162
137
6
88.27%
83.01%
93.54%
0
162
0
126
77.78%
71.07%
84.49%
0
162
0
112
69.14%
61.71%
76.56%
2011
H
162
2011
H
162
148
91.36%
162
0%
162
150
92.59%
162
100.00%
162
0%
162
162
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
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Blood
Pressure
<140/80
mm Hg
Eye Exam
Poor HbA1c
Control
Measurement Year
Data Collection Methodology
Eligible Member Population
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Adequate
HbA1c
Control
(<8.0%)
HbA1c
Testing
Data Elements
Good HbA1c
Control
(<7.0%)
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 2012 (Reporting Year 2011)
NR
NR
NR
Page 33
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
SNBC
2011
H
157
2011
H
157
2011
H
157
2011
H
157
2011
H
157
2011
H
157
0
0.00%
155
0%
155
0
0.00%
106
67.52%
155
0%
155
108
69.68%
127
80.89%
155
0%
155
130
83.87%
0
0.00%
155
0%
155
0
0.00%
124
78.98%
155
0%
155
123
79.35%
0
0.00%
155
0%
155
0
0.00%
0
0.00%
155
0%
155
0
0.00%
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
154
144
0
93.51%
89.29%
97.72%
0
154
24
13
24.03%
16.95%
31.10%
0
154
0
101
65.58%
57.76%
73.41%
0
154
108
17
81.17%
74.67%
87.67%
0
154
130
2
85.71%
79.86%
91.57%
0
154
0
91
59.09%
51.00%
67.18%
0
154
123
2
81.17%
74.67%
87.67%
0
154
0
141
91.56%
86.84%
96.27%
0
154
0
120
77.92%
71.05%
84.80%
144
91.72%
155
0%
155
144
92.90%
157
100.00%
155
0%
155
155
100.00%
Number of Records Excluded Because of
Valid Data Errors
1
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Blood
Pressure
<140/80
mm Hg
2011
H
157
2011
H
157
Numerator events by admin data in eligible
population
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
Eye Exam
2011
H
157
Measurement Year
Data Collection Methodology
Eligible Member Population
Adequate
HbA1c
Control
(<8.0%)
LDL-C Level
<100 mg/dL
Poor HbA1c
Control
Data Elements
Good HbA1c
Control
(<7.0%)
LDL-C
Screening
HbA1c
Testing
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 2012 (Reporting Year 2011)
NR
NR
NR
Page 34
Effectiveness of Care
South Country Health Alliance
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2011
H
256
2011
H
256
2011
H
225
2011
H
256
2011
H
256
2011
H
256
2011
H
256
2011
H
256
2011
H
256
2011
H
256
221
86.33%
244
0%
244
221
90.57%
256
100.00%
244
0%
244
244
100.00%
0
0.00%
244
0%
244
0
0.00%
0
0.00%
244
0%
244
0
0.00%
135
52.73%
244
0%
244
134
54.92%
187
73.05%
244
0%
244
188
77.05%
0
0.00%
244
0%
244
0
0.00%
197
76.95%
244
0%
244
199
81.56%
1
0.39%
244
0%
244
1
0.41%
1
0.39%
244
0%
244
1
0.41%
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
0
0
0
0
0
244
0
137
56.15%
49.72%
62.58%
0
244
134
24
64.75%
58.55%
70.95%
0
244
188
7
79.92%
74.69%
85.15%
0
244
0
109
44.67%
38.23%
51.12%
0
244
199
6
84.02%
79.21%
88.82%
0
244
1
200
82.38%
77.39%
87.36%
0
244
1
157
64.75%
58.55%
70.95%
31
Number of Hybrid required exclusions
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
Blood
Pressure
<140/80
mm Hg
Poor HbA1c
Control
Number of Administrative required exclusions
Additional Records Added from the
Oversample List
Blood
Monitoring for
Pressure
Diabetic
<140/90 mm
Nephropathy
Hg
HbA1c
Testing
4
0
244
221
6
93.03%
89.63%
96.43%
0
244
49
34
34.02%
27.87%
40.17%
0
209
0
76
36.36%
29.60%
43.12%
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 2012 (Reporting Year 2011)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Oct 22, 2012 9:58 AM
MSHO
2011
A
64
6
9.38%
1.45%
17.30%
Page 37
Effectiveness of Care
South Country Health Alliance
Antidepressant Medication Management
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2011
A
28
24
NA
NA
NA
21
NA
NA
NA
Page 40
Effectiveness of Care
South Country Health Alliance
Antidepressant Medication Management
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2011
A
5
4
NA
NA
NA
4
NA
NA
NA
Page 41
Effectiveness of Care
South Country Health Alliance
Antidepressant Medication Management
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure Data
Effective
Effective Acute
Continuation
Phase
Phase
Treatment
Treatment
2011
A
201
106
52.74%
45.59%
59.89%
75
37.31%
30.38%
44.25%
Page 42
Effectiveness of Care
South Country Health Alliance
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
163
86
52.76%
44.79%
60.73%
37
22
59.46%
42.29%
76.63%
2011
A
Page 44
Effectiveness of Care
South Country Health Alliance
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
General
Measure
Data
30 Days
7 Days
6
NA
NA
NA
5
NA
NA
NA
2011
A
11
Page 46
Effectiveness of Care
South Country Health Alliance
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure
Data
30 Days
7 Days
36
85.71%
73.94%
97.49%
30
71.43%
56.58%
86.28%
2011
A
42
Page 47
Effectiveness of Care
South Country Health Alliance
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
613
575
93.80%
91.81%
95.79%
79
75
94.94%
89.47%
100.00%
719
682
94.85%
93.17%
96.54%
77
67
87.01%
78.86%
95.17%
1488
1399
94.02%
92.78%
95.26%
2011
A
Page 50
Effectiveness of Care
South Country Health Alliance
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
128
117
91.41%
86.16%
96.65%
8
8
NA
NA
NA
99
92
92.93%
87.37%
98.48%
118
98
83.05%
75.86%
90.24%
353
315
89.24%
85.86%
92.61%
2011
A
Page 51
Effectiveness of Care
South Country Health Alliance
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
274
221
80.66%
75.80%
85.52%
7
7
NA
NA
NA
191
151
79.06%
73.03%
85.09%
37
26
70.27%
54.19%
86.35%
509
405
79.57%
75.97%
83.17%
2011
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 2012 (Reporting Year 2011)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
MSHO
2011
H
801
0
0.00%
411
5.00%
425
0
0.00%
7
0
0
425
0
160
37.65%
32.92%
42.37%
Page 53
Effectiveness of Care
South Country Health Alliance
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare Advantage
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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
19
1
NA
NA
NA
535
98
18.32%
14.95%
21.69%
2011
A
113
19
16.81%
9.48%
24.15%
403
78
19.35%
15.37%
23.34%
Page 55
Effectiveness of Care
South Country Health Alliance
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
General
Measure
Data
2011
A
1497
At least 1
Prescription
At least 2
Prescriptions
304
20.31%
18.24%
22.38%
42
2.81%
1.94%
3.68%
Page 57
Access/Availability of Care
South Country Health Alliance
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
Medicare Advantage
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2012 (Reporting Year 2011)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
1497
1497
0
0
1478
NA
NA
NA
NA
NA
NA
98.73%
98.13%
99.33%
1478
98.73%
98.13%
99.33%
2011
A
Page 60
Access/Availability of Care
South Country Health Alliance
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
227
437
28
692
223
426
26
98.24%
96.31%
100.00%
97.48%
95.90%
99.07%
NA
NA
NA
675
97.54%
96.32%
98.77%
2011
A
Page 61
Access/Availability of Care
South Country Health Alliance
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
2974
837
2
3813
2679
740
2
90.08%
88.99%
91.17%
88.41%
86.18%
90.64%
NA
NA
NA
3421
89.72%
88.74%
90.70%
2011
A
Page 62
Access/Availability of Care
South Country Health Alliance
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
678
653
2262
1984
1413
1227
1593
1429
96.31%
94.82%
97.80%
87.71%
86.33%
89.09%
86.84%
85.04%
88.63%
89.70%
88.18%
91.23%
2011
A
Page 64
Access/Availability of Care
South Country Health Alliance
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2012 (Reporting Year 2011)
NR
NR
NR
NR
NR
NR
NR
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:
Oct 22, 2012 9:58 AM
Medicare Advantage
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
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 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
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 2012 (Reporting Year 2011)
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
2011
A
29
0
29
0
0
12
1
12
1
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 67
Access/Availability of Care
South Country Health Alliance
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
2011
A
0
56
56
0
0
24
8
24
8
NA
NA
NA
NA
NA
NA
42.86%
29.00%
56.71%
14.29%
4.23%
24.34%
42.86%
29.00%
56.71%
14.29%
4.23%
24.34%
Page 68
Access/Availability of Care
South Country Health Alliance
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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 2012 (Reporting Year 2011)
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
2011
A
34
415
381
18
7
191
108
209
115
52.94%
34.69%
71.19%
20.59%
5.53%
35.65%
50.13%
44.98%
55.28%
28.35%
23.69%
33.00%
50.36%
45.43%
55.29%
27.71%
23.28%
32.14%
Page 69
Access/Availability of Care
South Country Health Alliance
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Current year's administrative rate (before exclusions)
NR
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2012 (Reporting Year 2011)
Page 70
Access/Availability of Care
South Country Health Alliance
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2010
H
1298
2010
H
1298
Number of numerator events by administrative data in eligible
population (before exclusions)
787
741
60.63%
411
5.00%
432
263
57.09%
411
5.00%
432
249
60.88%
57.64%
2
2
0
0
430
263
97
0
0
430
249
64
83.72%
80.12%
87.33%
72.79%
68.47%
77.11%
Data Elements
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 2012 (Reporting Year 2011)
Page 71
Use of Services
South Country Health Alliance
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
Page 72
Use of Services
South Country Health Alliance
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2012 (Reporting Year 2011)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
18
3.37%
12
2.25%
6
1.12%
32
5.99%
70
13.11%
131
24.53%
265
49.63%
14
3.41%
12
2.92%
5
1.22%
26
6.33%
51
12.41%
97
23.60%
206
50.12%
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%
411
0.00%
411
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2011
H
534
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
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:
Oct 22, 2012 9:58 AM
Commercial
MHCP-MC
2011
A
1860
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 2012 (Reporting Year 2011)
1140
NR
NR
NR
61.29%
59.05%
63.53%
Page 74
Use of Services
South Country Health Alliance
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
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
726
NR
30.00%
411
0.00%
411
148
NR
36.01%
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 2012 (Reporting Year 2011)
MHCP-MC
2011
H
2420
0
NR
NR
NR
0
411
148
44
46.72%
41.77%
51.66%
Page 75
Use of Services
South Country Health Alliance
Ambulatory Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2012 (Reporting Year 2011)
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:
Oct 22, 2012 9:58 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
3
5502
6591
9436
0
21532
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
5214
6480
7902
0
19596
HEDIS 2012 (Reporting Year 2011)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
947.66
983.16
837.43
910.09
Emergency Room Visits
Visits
0
0
0
0
0
350
373
470
0
1193
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
63.61
56.59
49.81
55.41
Page 78
Use of Services
South Country Health Alliance
Ambulatory Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
32
2968
5686
283
0
0
0
8969
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
12
2715
5493
188
0
0
0
8408
HEDIS 2012 (Reporting Year 2011)
Visits/ 1,000
Member
Months
NA
NA
375.00
914.76
966.06
664.31
NA
NA
937.45
Emergency Room Visits
Visits
0
0
2
245
386
15
0
0
0
648
Visits/ 1,000
Member
Months
NA
NA
62.50
82.55
67.89
53.00
NA
NA
72.25
Page 79
Use of Services
South Country Health Alliance
Ambulatory Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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
14003
86247
58571
81126
22260
16
0
0
0
262223
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
12208
33411
19108
49139
14514
4
0
0
0
128384
HEDIS 2012 (Reporting Year 2011)
Visits/ 1,000
Member
Months
871.81
387.39
326.24
605.71
652.02
250.00
NA
NA
489.60
Emergency Room Visits
Visits
1374
4354
2356
6786
1053
0
0
0
0
15923
Visits/ 1,000
Member
Months
98.12
50.48
40.22
83.65
47.30
0.00
NA
NA
60.72
Page 80
Use of Services
South Country Health Alliance
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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:
Oct 22, 2012 9:58 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
Data Last Refreshed:
Oct 22, 2012 9:58 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
0
0
0
0
3
5502
6591
9436
0
21532
Discharges
0
0
0
0
0
253
275
375
0
903
0
0
0
0
0
198
231
334
0
763
Discharges /
1,000 Member
Months
NA
NA
NA
NA
0.00
45.98
41.72
39.74
41.94
NA
NA
NA
NA
0.00
35.99
35.05
35.40
35.44
0
0
0
0
0
55
44
41
0
140
NA
NA
NA
NA
0.00
10.00
6.68
4.35
0
0
0
0
0
NA
NA
0.00
HEDIS 2012 (Reporting Year 2011)
6.50
0.00
Days
0
0
0
0
0
1217
1126
1315
0
3658
0
0
0
0
0
821
845
1111
0
2777
0
0
0
0
0
396
281
204
0
881
0
0
0
0
0
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
221.19
170.84
139.36
169.89
NA
NA
NA
NA
0.00
149.22
128.21
117.74
128.97
NA
NA
NA
NA
0.00
71.97
42.63
21.62
40.92
NA
NA
0.00
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.81
4.09
3.51
NA
4.05
NA
NA
NA
NA
NA
4.15
3.66
3.33
NA
3.64
NA
NA
NA
NA
NA
7.20
6.39
4.98
NA
6.29
NA
NA
NA
NA
NA
Page 83
Use of Services
South Country Health Alliance
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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
Member Months
0
0
32
2968
5686
283
0
0
0
8969
Discharges
0
0
0
26
135
3
0
0
0
164
0
0
0
13
103
3
0
0
0
119
0
0
0
10
32
0
0
0
0
42
0
3
0
0
3
HEDIS 2012 (Reporting Year 2011)
Discharges /
1,000 Member
Months
NA
NA
0.00
8.76
23.74
10.60
NA
NA
18.29
NA
NA
0.00
4.38
18.11
10.60
NA
NA
13.27
NA
NA
0.00
3.37
5.63
0.00
NA
NA
4.68
0.00
1.01
0.00
0.35
Days
Days / 1,000
Member
Months
0
0
0
78
603
6
0
0
0
687
NA
NA
0.00
26.28
106.05
21.20
NA
NA
0
0
0
37
394
6
0
0
0
437
NA
NA
0.00
12.47
69.29
21.20
NA
NA
0
0
0
34
209
0
0
0
0
243
0
7
0
0
7
76.60
48.72
NA
NA
0.00
11.46
36.76
0.00
NA
NA
27.09
0.00
2.36
0.00
0.81
Average
Length of Stay
NA
NA
NA
3.00
4.47
2.00
NA
NA
NA
4.19
NA
NA
NA
2.85
3.83
2.00
NA
NA
NA
3.67
NA
NA
NA
3.40
6.53
NA
NA
NA
NA
5.79
NA
2.33
NA
NA
2.33
Page 84
Use of Services
South Country Health Alliance
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
14003
86247
58571
81126
22260
16
0
0
0
262223
Discharges
Discharges /
1,000 Member
Months
128
142
211
1373
233
0
0
0
0
2087
9.14
1.65
3.60
16.92
10.47
0.00
NA
NA
104
103
59
212
139
0
0
0
0
617
7.43
1.19
1.01
2.61
6.24
0.00
NA
NA
24
39
34
178
93
0
0
0
0
368
118
983
1
0
1102
HEDIS 2012 (Reporting Year 2011)
7.96
2.35
1.71
0.45
0.58
2.19
4.18
0.00
NA
NA
1.40
2.01
12.12
0.04
6.80
Days
Days / 1,000
Member
Months
577
316
636
3399
905
0
0
0
0
5833
41.21
3.66
10.86
41.90
40.66
0.00
NA
NA
450
206
250
604
506
0
0
0
0
2016
32.14
2.39
4.27
7.45
22.73
0.00
NA
NA
127
110
98
495
396
0
0
0
0
1226
9.07
1.28
1.67
6.10
17.79
0.00
NA
NA
288
2300
3
0
2591
4.92
28.35
0.13
22.24
7.69
4.68
16.00
Average
Length of Stay
4.51
2.23
3.01
2.48
3.88
NA
NA
NA
NA
2.79
4.33
2.00
4.24
2.85
3.64
NA
NA
NA
NA
3.27
5.29
2.82
2.88
2.78
4.26
NA
NA
NA
NA
3.33
2.44
2.34
3.00
NA
2.35
Page 85
Use of Services
South Country Health Alliance
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
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
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
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
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:
Oct 22, 2012 9:58 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2012 (Reporting Year 2011)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(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
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
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
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
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:
Oct 22, 2012 9:58 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
0
0
0
5656
0
5656
0
0
0
0
3
15873
0
15876
0
0
0
0
3
21529
0
21532
0
0
0
0
0
5656
0
5656
0
0
0
0
3
15873
0
15876
0
0
0
0
3
21529
0
21532
0
0
0
0
0
5656
0
5656
0
0
0
0
3
15873
0
15876
0
0
0
0
3
21529
0
21532
0
0
0
0
0
5656
0
5656
0
0
0
0
3
15873
0
15876
0
0
0
0
3
21529
0
21532
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
21
20
41
0
0
0
21
20
41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
4.46%
1.51%
2.29%
NA
NA
NA
4.46%
1.51%
2.28%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
11
7
18
0
0
0
11
7
18
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
2.33%
0.53%
1.00%
NA
NA
NA
2.33%
0.53%
1.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
16
28
0
0
0
12
16
28
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
2.55%
1.21%
1.56%
NA
NA
NA
2.55%
1.21%
1.56%
HEDIS 2012 (Reporting Year 2011)
Page 88
Use of Services
South Country Health Alliance
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
0
0
188
518
3019
119
0
3844
0
0
107
603
4251
164
0
5125
0
0
295
1121
7270
283
0
8969
0
0
188
518
3019
119
0
3844
0
0
107
603
4251
164
0
5125
0
0
295
1121
7270
283
0
8969
0
0
188
518
3019
119
0
3844
0
0
107
603
4251
164
0
5125
0
0
295
1121
7270
283
0
8969
0
0
188
518
3019
119
0
3844
0
0
107
603
4251
164
0
5125
0
0
295
1121
7270
283
0
8969
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Inpatient
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
1
1
2
3
5
8
32
50
82
2
0
2
0
0
0
38
56
94
NA
NA
NA
NA
NA
NA
6.38%
11.21%
8.14%
6.95%
9.95%
8.56%
12.72%
14.11%
13.54%
20.17%
0.00%
8.48%
NA
NA
NA
11.86%
13.11%
12.58%
0
0
0
0
0
0
0
0
0
2
1
3
11
16
27
1
0
1
0
0
0
14
17
31
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
4.63%
1.99%
3.21%
4.37%
4.52%
4.46%
10.08%
0.00%
4.24%
NA
NA
NA
4.37%
3.98%
4.15%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NA
NA
NA
NA
NA
NA
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%
0
0
0
0
0
0
1
1
2
2
5
7
29
48
77
2
0
2
0
0
0
34
54
88
NA
NA
NA
NA
NA
NA
6.38%
11.21%
8.14%
4.63%
9.95%
7.49%
11.53%
13.55%
12.71%
20.17%
0.00%
8.48%
NA
NA
NA
10.61%
12.64%
11.77%
HEDIS 2012 (Reporting Year 2011)
Page 89
Use of Services
South Country Health Alliance
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
13-17
18-24
25-34
35-64
65+
Unknown
Total
Member Months
(Outpatient/ED)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
63570
14283
8965
11385
18918
4
0
117125
58225
14411
18923
27613
25914
12
0
145098
121795
28694
27888
38998
44832
16
0
262223
63570
14283
8965
11385
18918
4
0
117125
58225
14411
18923
27613
25914
12
0
145098
121795
28694
27888
38998
44832
16
0
262223
63570
14283
8965
11385
18918
4
0
117125
58225
14411
18923
27613
25914
12
0
145098
121795
28694
27888
38998
44832
16
0
262223
63570
14283
8965
11385
18918
4
0
117125
58225
14411
18923
27613
25914
12
0
145098
121795
28694
27888
38998
44832
16
0
262223
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
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
Inpatient
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
3
1
4
60
36
96
127
107
234
204
238
442
308
230
538
0
0
0
0
0
0
702
612
1314
0.06%
0.02%
0.04%
5.04%
3.00%
4.01%
17.00%
6.79%
10.07%
21.50%
10.34%
13.60%
19.54%
10.65%
14.40%
0.00%
0.00%
0.00%
NA
NA
NA
7.19%
5.06%
6.01%
2
0
2
6
8
14
9
17
26
17
41
58
55
51
106
0
0
0
0
0
0
89
117
206
0.04%
0.00%
0.02%
0.50%
0.67%
0.59%
1.20%
1.08%
1.12%
1.79%
1.78%
1.78%
3.49%
2.36%
2.84%
0.00%
0.00%
0.00%
NA
NA
NA
0.91%
0.97%
0.94%
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
1
1
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.05%
0.03%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.01%
0.00%
2
1
3
58
34
92
124
98
222
196
220
416
291
220
511
0
0
0
0
0
0
671
573
1244
0.04%
0.02%
0.03%
4.87%
2.83%
3.85%
16.60%
6.21%
9.55%
20.66%
9.56%
12.80%
18.46%
10.19%
13.68%
0.00%
0.00%
0.00%
NA
NA
NA
6.87%
4.74%
5.69%
HEDIS 2012 (Reporting Year 2011)
Page 90
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
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 2012 (Reporting Year 2011)
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Male
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 91
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Male
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 92
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
MSHO
Male
Female
Total
Male
Female
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
0
0
0
5656
0
5656
0
0
3
15873
0
15876
0
0
3
21529
0
21532
0
0
0
5656
0
5656
0
0
3
15873
0
15876
0
0
3
21529
0
21532
0
0
0
5656
0
5656
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
0
0
3
15873
0
15876
0
0
3
21529
0
21532
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
0
0
0
5656
0
5656
0
0
3
15873
0
15876
0
0
3
21529
0
21532
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
60
161
221
0
0
0
60
161
221
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
12.73%
12.17%
12.32%
NA
NA
NA
12.73%
12.17%
12.32%
0
0
0
0
0
0
0
0
0
22
58
80
0
0
0
22
58
80
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
4.67%
4.38%
4.46%
NA
NA
NA
4.67%
4.38%
4.46%
0
0
0
0
0
0
0
0
0
1
2
3
0
0
0
1
2
3
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.21%
0.15%
0.17%
NA
NA
NA
0.21%
0.15%
0.17%
0
0
0
0
0
0
0
0
0
46
112
158
0
0
0
46
112
158
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
9.76%
8.47%
8.81%
NA
NA
NA
9.76%
8.47%
8.81%
HEDIS 2012 (Reporting Year 2011)
Page 93
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
SNBC
Male
Female
Total
Male
Female
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
0
0
3725
119
0
3844
0
0
4961
164
0
5125
0
0
8686
283
0
8969
0
0
3725
119
0
3844
0
0
4961
164
0
5125
0
0
8686
283
0
8969
0
0
3725
119
0
3844
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
0
0
4961
164
0
5125
0
0
8686
283
0
8969
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
0
0
3725
119
0
3844
0
0
4961
164
0
5125
0
0
8686
283
0
8969
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
168
237
405
1
6
7
0
0
0
169
243
412
NA
NA
NA
NA
NA
NA
54.12%
57.33%
55.95%
10.08%
43.90%
29.68%
NA
NA
NA
52.76%
56.90%
55.12%
0
0
0
0
0
0
13
25
38
0
0
0
0
0
0
13
25
38
NA
NA
NA
NA
NA
NA
4.19%
6.05%
5.25%
0.00%
0.00%
0.00%
NA
NA
NA
4.06%
5.85%
5.08%
0
0
0
0
0
0
3
4
7
0
0
0
0
0
0
3
4
7
NA
NA
NA
NA
NA
NA
0.97%
0.97%
0.97%
0.00%
0.00%
0.00%
NA
NA
NA
0.94%
0.94%
0.94%
0
0
0
0
0
0
165
234
399
1
6
7
0
0
0
166
240
406
NA
NA
NA
NA
NA
NA
53.15%
56.60%
55.12%
10.08%
43.90%
29.68%
NA
NA
NA
51.82%
56.20%
54.32%
HEDIS 2012 (Reporting Year 2011)
Page 94
Use of Services
South Country Health Alliance
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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
Female
Total
Male
Female
Total
63570
14283
39268
4
0
117125
58225
14411
72450
12
0
145098
121795
28694
111718
16
0
262223
63570
14283
39268
4
0
117125
58225
14411
72450
12
0
145098
121795
28694
111718
16
0
262223
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
63570
14283
39268
4
0
117125
58225
14411
72450
12
0
145098
121795
28694
111718
16
0
262223
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
63570
14283
39268
4
0
117125
58225
14411
72450
12
0
145098
121795
28694
111718
16
0
262223
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
798
528
1326
293
335
628
723
1638
2361
0
0
0
0
0
0
1814
2501
4315
15.06%
10.88%
13.06%
24.62%
27.90%
26.26%
22.09%
27.13%
25.36%
0.00%
0.00%
0.00%
NA
NA
NA
18.59%
20.68%
19.75%
15
8
23
18
31
49
38
80
118
0
0
0
0
0
0
71
119
190
0.28%
0.16%
0.23%
1.51%
2.58%
2.05%
1.16%
1.33%
1.27%
0.00%
0.00%
0.00%
NA
NA
NA
0.73%
0.98%
0.87%
5
0
5
0
5
5
1
9
10
0
0
0
0
0
0
6
14
20
0.09%
0.00%
0.05%
0.00%
0.42%
0.21%
0.03%
0.15%
0.11%
0.00%
0.00%
0.00%
NA
NA
NA
0.06%
0.12%
0.09%
796
527
1323
290
333
623
713
1625
2338
0
0
0
0
0
0
1799
2485
4284
15.03%
10.86%
13.04%
24.36%
27.73%
26.05%
21.79%
26.92%
25.11%
0.00%
0.00%
0.00%
NA
NA
NA
18.43%
20.55%
19.60%
HEDIS 2012 (Reporting Year 2011)
Page 95
Use of Services
South Country Health Alliance
Plan All-Cause Readmissions
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare Advantage
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
85+
Total
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2012 (Reporting Year 2011)
Page 96
Use of Services
South Country Health Alliance
Plan All-Cause Readmissions
Data Last Refreshed:
Oct 22, 2012 9:58 AM
MSHO
Count of Index Stays
(Denominator)
Age
18-44
45-54
55-64
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
0
0
0
0
0
0
0
0
0
0
0
0
Count of Index Stays
(Denominator)
Age
65-74
75-84
85+
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2012 (Reporting Year 2011)
47
80
127
53
86
139
33
144
177
133
310
443
Count of 30-Day
Readmissions
(Numerator)
0
0
0
0
0
0
0
0
0
0
0
0
Observed
Readmission
(Num/Den)
Count of 30-Day
Readmissions
(Numerator)
5
19
24
6
19
25
5
14
19
16
52
68
Observed
Readmission
(Num/Den)
10.64%
23.75%
18.90%
11.32%
22.09%
17.99%
15.15%
9.72%
10.73%
12.03%
16.77%
15.35%
NA
NA
NA
NA
NA
NA
Average Adjusted
Probability
Total Variance
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
Average Adjusted
Probability
Total Variance
16.69%
16.60%
16.63%
20.12%
17.41%
18.44%
17.19%
15.14%
15.52%
18.18%
16.15%
16.76%
631.98%
1058.60%
1690.58%
807.50%
1184.86%
1992.36%
460.44%
1803.68%
2264.12%
1899.92%
4047.14%
5947.06%
Page 97
Use of Services
South Country Health Alliance
Plan All-Cause Readmissions
Data Last Refreshed:
Oct 22, 2012 9:58 AM
SNBC
Count of Index Stays
(Denominator)
Age
18-44
45-54
55-64
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
7
20
27
27
24
51
21
38
59
55
82
137
Count of Index Stays
(Denominator)
Age
65-74
75-84
85+
Sex
M
F
Total
M
F
Total
M
F
Total
M
Total
HEDIS 2012 (Reporting Year 2011)
1
1
2
0
0
0
0
0
0
1
1
2
Count of 30-Day
Readmissions
(Numerator)
2
3
5
6
1
7
0
9
9
8
13
21
Observed
Readmission
(Num/Den)
28.57%
15.00%
18.52%
22.22%
4.17%
13.73%
0.00%
23.68%
15.25%
14.55%
15.85%
15.33%
Average Adjusted
Probability
Total Variance
15.88%
13.98%
14.47%
15.64%
15.47%
15.56%
18.77%
15.38%
16.59%
16.86%
15.06%
15.79%
92.25%
237.64%
329.89%
342.64%
305.38%
648.02%
303.33%
467.45%
770.78%
738.22%
1010.47%
1748.69%
Count of 30-Day
Readmissions
(Numerator)
0
0
0
0
0
0
0
0
0
0
0
0
Observed
Readmission
(Num/Den)
0.00%
0.00%
0.00%
Average Adjusted
Probability
Total Variance
14.46%
8.80%
11.63%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
14.46%
8.80%
11.63%
12.37%
8.02%
20.39%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
12.37%
8.02%
20.39%
NA
NA
0.00%
0.00%
0.00%
Page 98
Health Plan Descriptive Information
South Country Health Alliance
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Board Certification
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2012 (Reporting Year 2011)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
1929
1073
16
4605
1480
1042
15
3997
76.72%
97.11%
93.75%
86.80%
Page 99
Health Plan Descriptive Information
South Country Health Alliance
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Board Certification
SNBC
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2012 (Reporting Year 2011)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
1929
1073
16
4605
1480
1042
15
3997
76.72%
97.11%
93.75%
86.80%
Page 100
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
Page 101
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Medicare Advantage
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
Page 102
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
MSHO
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
0
0
0.00%
0
0
0
3
0
0.00%
0
0.00%
809
1162
1038
960
840
847
3
0.02%
1651
1880
1947
2646
3154
4595
3
0.01%
5656
100.00%
0
15873
99.98%
0
21529
99.99%
5656
15876
HEDIS 2012 (Reporting Year 2011)
0
0
0
0
0
0
0
0
3
2460
3042
2985
3606
3994
5442
0
21532
Page 103
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
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
21
Member Months
Female
0
0
0
0
0
11
Total
0
0
0
0
0
32
21
0.55%
167
203
315
294
378
11
0.21%
96
311
292
441
471
32
0.36%
1357
35.30%
721
615
577
434
1611
31.43%
776
848
846
869
2968
33.09%
2347
61.06%
119
0
0
0
0
0
3339
65.15%
164
0
0
0
0
0
5686
63.40%
119
3.10%
0
164
3.20%
0
283
3.16%
3844
5125
HEDIS 2012 (Reporting Year 2011)
263
514
607
735
849
1497
1463
1423
1303
283
0
0
0
0
0
0
8969
Page 104
Health Plan Descriptive Information
South Country Health Alliance
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
<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
7385
22562
22323
17475
8108
3576
Member Months
Female
6618
20622
20740
16435
8221
4756
Total
14003
43184
43063
33910
16329
8332
81429
69.52%
5389
5688
5697
4386
3810
77392
53.34%
14167
16061
11552
8282
6094
158821
60.57%
24970
21.32%
3899
3145
2538
1140
56156
38.70%
4761
3324
2020
1433
81126
30.94%
10722
9.15%
4
0
0
0
0
0
11538
7.95%
12
0
0
0
0
0
22260
8.49%
4
0.00%
0
12
0.01%
0
16
0.01%
117125
145098
HEDIS 2012 (Reporting Year 2011)
19556
21749
17249
12668
9904
8660
6469
4558
2573
16
0
0
0
0
0
0
262223
Page 105