HealthPartners / Group Health Plan, Inc.
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
HealthPartners / Group Health Plan, Inc.
Adult BMI Assessment
Data Elements
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
Medicare
Advantage
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2011
H
236179
2011
H
7413
Numerator Events by Admin Data on Eligible
Population (before exclusions)
66075
4568
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
27.98%
250
5.00%
263
70
26.62%
NR
NR
61.62%
240
5.00%
252
162
64.29%
Number of Records Excluded Because of Valid
Data Errors
0
0
Number of administrative data records excluded
0
0
Number of medical record data records excluded
0
0
Number of employee/dependent medical records
excluded
0
0
0
250
67
139
82.40%
77.48%
87.32%
0
240
156
52
86.67%
82.16%
91.18%
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 3
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
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
44886
30162
75048
44886
30162
75048
44886
30162
75048
9026
20.11%
6308
20.91%
15334
20.43%
168
0.37%
200
0.66%
368
0.49%
6
0.01%
3
0.01%
9
0.01%
0
0.00%
0
0.00%
0
0.00%
410
5.00%
410
5.00%
431
410
5.00%
431
49
11.37%
41
9.51%
90
20.88%
431
0
0.00%
0
0.00%
0
0.00%
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
236
174
410
236
174
410
236
174
410
45
127
72.88%
67.00%
78.77%
40
85
71.84%
64.87%
78.81%
85
212
72.44%
67.99%
76.89%
0
133
56.36%
49.82%
62.90%
0
85
48.85%
41.14%
56.57%
0
218
53.17%
48.22%
58.12%
0
116
49.15%
42.56%
55.74%
0
97
55.75%
48.08%
63.41%
0
213
51.95%
46.99%
56.91%
Page 4
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 22, 2012 9:24 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
7564
3859
11423
7564
3859
11423
7564
3859
11423
3715
49.11%
1931
50.04%
5646
49.43%
53
0.70%
91
2.36%
144
1.26%
0
0.00%
1
0.03%
1
0.01%
0
0.00%
0
0.00%
0
0.00%
392
5.00%
392
5.00%
412
392
5.00%
412
138
33.50%
72
17.48%
210
50.97%
412
2
0.49%
2
0.49%
4
0.97%
0
0
0
Number of administrative data records
excluded
1
1
1
Number of medical records excluded
0
0
0
Number of employee/dependent records
excluded
0
0
0
Records Added from the Oversample List
1
1
1
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
257
135
392
257
135
392
257
135
392
129
79
80.93%
75.94%
85.93%
70
37
79.26%
72.05%
86.47%
199
116
80.36%
76.30%
84.42%
2
164
64.59%
58.55%
70.63%
2
65
49.63%
40.82%
58.43%
4
229
59.44%
54.45%
64.43%
0
127
49.42%
43.11%
55.72%
0
71
52.59%
43.80%
61.39%
0
198
50.51%
45.43%
55.59%
Page 5
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
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
4254
83.10%
4610
90.06%
4717
92.15%
4741
92.62%
4166
81.38%
4570
89.28%
4378
85.52%
2092
40.87%
4010
78.34%
3714
72.55%
357
82.64%
379
87.73%
395
91.44%
389
90.05%
345
79.86%
384
88.89%
367
84.95%
158
36.57%
329
76.16%
309
71.53%
341
364
376
373
330
365
350
153
314
296
15
86.62%
83.20%
90.03%
19
93.19%
90.63%
95.74%
4
92.46%
89.78%
95.13%
14
94.16%
91.77%
96.55%
36
89.05%
85.91%
92.19%
3
89.54%
86.46%
92.62%
13
88.32%
85.09%
91.55%
4
38.20%
33.38%
43.02%
13
79.56%
75.54%
83.58%
8
73.97%
69.60%
78.33%
432
0
Numerator Events by administrative Data
MMR
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
IPV
2011
H
5119
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
411
Page 6
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
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
4254
83.10%
3641
71.13%
3565
69.64%
1758
34.34%
3182
62.16%
2933
57.30%
1607
31.39%
1505
29.40%
2670
52.16%
1387
27.10%
357
82.64%
302
69.91%
294
68.06%
134
31.02%
256
59.26%
249
57.64%
115
26.62%
117
27.08%
222
51.39%
102
23.61%
341
290
282
132
246
239
114
117
213
102
15
86.62%
83.20%
90.03%
40
80.29%
76.32%
84.26%
42
78.83%
74.76%
82.90%
15
35.77%
31.01%
40.52%
39
69.34%
64.76%
73.92%
37
67.15%
62.49%
71.82%
15
31.39%
26.78%
36.00%
14
31.87%
27.25%
36.50%
35
60.34%
55.49%
65.19%
13
27.98%
23.52%
32.44%
432
0
Numerator Events by administrative Data
Combo 3
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
Combo 2
2011
H
5119
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
411
Page 7
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Oct 22, 2012 9:24 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
1
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
1
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
872
80.82%
985
91.29%
993
92.03%
985
91.29%
944
87.49%
966
89.53%
864
80.07%
489
45.32%
771
71.46%
666
61.72%
351
81.25%
394
91.20%
398
92.13%
395
91.44%
380
87.96%
387
89.58%
352
81.48%
205
47.45%
321
74.31%
276
63.89%
335
19
86.13%
82.67%
89.59%
376
20
96.35%
94.42%
98.28%
381
1
92.94%
90.35%
95.54%
377
19
96.35%
94.42%
98.28%
363
25
94.40%
92.06%
96.75%
371
1
90.51%
87.56%
93.47%
338
19
86.86%
83.47%
90.25%
196
1
47.93%
42.98%
52.88%
304
21
79.08%
75.02%
83.13%
265
1
64.72%
59.98%
69.46%
432
0
Numerator Events by administrative Data
MMR
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
IPV
2011
H
1079
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
411
Page 8
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Oct 22, 2012 9:24 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
1
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
1
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
872
80.82%
791
73.31%
772
71.55%
433
40.13%
645
59.78%
562
52.09%
381
35.31%
346
32.07%
491
45.51%
312
28.92%
351
81.25%
327
75.69%
321
74.31%
183
42.36%
277
64.12%
245
56.71%
164
37.96%
151
34.95%
214
49.54%
136
31.48%
335
19
86.13%
82.67%
89.59%
313
26
82.48%
78.69%
86.28%
307
27
81.27%
77.37%
85.16%
174
13
45.50%
40.56%
50.43%
263
27
70.56%
66.03%
75.09%
236
14
60.83%
55.99%
65.67%
155
14
41.12%
36.24%
46.00%
144
8
36.98%
32.19%
41.77%
205
18
54.26%
49.32%
59.20%
129
10
33.82%
29.12%
38.52%
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
1079
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
411
Page 9
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Immunizations for Adolescents
Commercial
Data Elements
General
Measure Data
Meningococcal
Tdap
Combo 1
3666
5348
3604
60.35%
88.03%
59.33%
250
60.68%
361
87.62%
246
59.71%
237
6
342
13
233
8
Reported Rate
61.99%
90.56%
61.48%
Lower 95% Confidence Interval
57.06%
87.54%
56.53%
Upper 95% Confidence Interval
66.92%
93.58%
66.42%
Measurement Year
Data Collection Methodology
Eligible Member Population
2011
H
6075
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
392
5.00%
412
Records Excluded because of Valid Data Errors
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2012 (Reporting Year 2011)
0
392
Page 10
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Immunizations for Adolescents
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Data
Measurement Year
2011
Data Collection Methodology
A
Eligible Member Population
843
Meningococcal
Tdap
Combo 1
NR
NR
NR
NR
NR
NR
554
732
532
65.72%
62.45%
68.98%
86.83%
84.49%
89.17%
63.11%
59.79%
66.42%
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 data records excluded
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
Page 11
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 9:24 AM
Commercial
2011
A
83106
62887
75.67%
75.38%
75.96%
Medicare
Advantage
NR
NR
NR
MSHO
2011
A
184
124
67.39%
60.35%
74.44%
SNBC
MHCP-MC
NR
NR
NR
2011
A
1911
1232
64.47%
62.30%
66.64%
Page 12
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
2011
A
105469
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
5487
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
7198
76.23%
240
10.00%
264
206
78.03%
0
0
10
0
83813
79.47%
79.22%
79.71%
10
240
196
9
85.42%
80.74%
90.09%
Page 13
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Colorectal Cancer Screening
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
2011
H
99415
2011
H
928
Number of numerator events by administrative data in eligible population
(before exclusions)
57326
451
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
57.66%
354
0.05
372
193
51.88%
0
0
0
0
0
354
183
62
69.21%
64.26%
74.16%
HEDIS 2012 (Reporting Year 2011)
NR
NR
NR
NR
NR
48.60%
403
5.00%
424
174
41.04%
0
2
1
0
3
403
165
66
57.32%
52.37%
62.27%
SNBC
NR
NR
NR
NR
NR
Page 14
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Oct 22, 2012 9:24 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
Ages 21-24
Total
7489
3553
47.44%
46.31%
48.58%
8008
4709
58.80%
57.72%
59.89%
15497
8262
53.31%
52.52%
54.10%
2011
A
Page 15
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Oct 22, 2012 9:24 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
1045
744
71.20%
68.40%
73.99%
954
711
74.53%
71.71%
77.35%
1999
1455
72.79%
70.81%
74.76%
2011
A
Page 16
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 9:24 AM
Medicare
Advantage
NR
NR
NR
MSHO
2011
A
2043
1624
79.49%
77.72%
81.27%
Page 17
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Lead Screening in Children
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
2011
A
5119
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
2011
H
1079
996
NR
92.31%
NR
411
5.00%
432
401
92.82%
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
0
411
382
8
3581
Reported Rate
69.96%
94.89%
Lower 95% Confidence Interval
68.69%
92.64%
Upper 95% Confidence Interval
71.22%
97.14%
HEDIS 2012 (Reporting Year 2011)
Page 18
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
NR
NR
NR
NR
NR
NR
NR
NR
Reported Rate
NR
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
NR
Advance Care
Planning
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
Data Elements
General Measure
Data
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 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 19
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 22, 2012 9:24 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
29
70.73%
55.58%
85.88%
36
87.80%
76.57%
99.04%
2011
A
41
Page 21
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 22, 2012 9:24 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
NR
NR
NR
NR
NR
NR
Page 22
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 9:24 AM
MSHO
SNBC
2011
A
56
14
25.00%
12.77%
37.23%
NR
NR
NR
Page 23
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 22, 2012 9:24 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
Ages 12-18
Ages 19-50
Ages 51-64
Total
590
568
25
96.27%
94.66%
97.88%
447
427
26
95.53%
93.50%
97.55%
1831
1692
199
92.41%
91.17%
93.65%
1289
1238
551
96.04%
94.94%
97.15%
4157
3925
801
94.42%
93.71%
95.13%
2011
A
`
Page 24
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 22, 2012 9:24 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
180
167
11
92.78%
88.72%
96.84%
94
77
8
81.91%
73.60%
90.23%
188
153
54
81.38%
75.55%
87.21%
45
31
55
68.89%
54.25%
83.53%
507
428
128
84.42%
81.16%
87.67%
2011
A
Page 25
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 22, 2012 9:24 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
3142
964
87.35%
26.80%
2011
H
3597
328
5.00%
345
285
87
82.61%
25.22%
273
20
84
158
89.33%
85.84%
92.82%
73.78%
68.87%
78.69%
1
0
1
328
Page 26
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 22, 2012 9:24 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
64
29
81.01%
36.71%
62
29
78.48%
36.71%
62
7
29
16
87.34%
79.38%
95.31%
56.96%
45.41%
68.51%
2011
H
79
79
0.00%
79
0
0
0
79
Page 28
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Controlling High Blood Pressure
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2010
H
33326
2011
H
863
2010
H
1133
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
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
0.00%
296
5.00%
311
0
0.00%
NR
NR
0.00%
296
5.00%
311
0
0.00%
NR
NR
0.00%
342
5.00%
360
0
0.00%
Records Excluded because of Valid Data
Errors
0
0
0
Number of records excluded because of
false positive diagnoses
0
0
0
Number of administrative data records
excluded
6
15
8
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
6
296
0
237
80.07%
75.35%
84.79%
15
296
0
235
79.39%
74.61%
84.17%
8
342
0
255
74.56%
69.80%
79.32%
HEDIS 2012 (Reporting Year 2011)
NR
NR
NR
NR
NR
NR
Page 29
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Commercial
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2011
A
192
2011
A
10
2011
A
14
Numerator Events by Admin Data on
Eligible Population
157
8
12
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2012 (Reporting Year 2011)
81.77%
76.05%
87.49%
NR
NR
NR
NA
NA
NA
NR
NR
NR
NA
NA
NA
Page 30
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
2011
H
16828
2011
H
16828
2011
H
13130
15409
91.57%
548
10%
603
560
92.87%
12038
71.54%
548
10%
603
431
71.48%
Number of Records Excluded Because of
Valid Data Errors
7
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
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)
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
2011
H
16828
2011
H
16828
2011
H
16828
2011
H
16828
2011
H
16828
2011
H
16828
2011
H
16828
1949
14.84%
548
10%
466
73
15.67%
4090
24.30%
548
10%
603
143
23.71%
9281
55.15%
548
10%
603
329
54.56%
14504
86.19%
548
10%
603
523
86.73%
3593
21.35%
548
10%
603
129
21.39%
13472
80.06%
548
10%
603
480
79.60%
5034
29.91%
548
10%
603
187
31.01%
3916
23.27%
548
10%
603
139
23.05%
7
0
7
7
7
7
7
7
7
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
7
548
134
248
69.71%
65.77%
73.65%
7
548
303
58
65.88%
61.81%
69.94%
7
548
481
16
90.69%
88.17%
93.22%
7
548
118
218
61.31%
57.14%
65.48%
7
548
437
38
86.68%
83.74%
89.62%
7
548
163
278
80.47%
77.06%
83.88%
7
548
121
218
61.86%
57.70%
66.02%
137
20
7
548
514
9
95.44%
93.60%
97.28%
7
548
93
5
17.88%
14.58%
21.18%
157
447
72
138
46.98%
42.24%
51.72%
Page 31
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:24 AM
MSHO
LDL-C
Screening
LDL-C Level
<100 mg/dL
2011
H
458
2011
H
458
2011
H
458
2011
H
458
2011
H
458
2011
H
458
2011
H
458
181
39.52%
388
10%
427
165
38.64%
324
70.74%
388
10%
427
303
70.96%
391
85.37%
388
10%
427
362
84.78%
157
34.28%
388
10%
427
143
33.49%
410
89.52%
388
10%
427
381
89.23%
202
44.10%
388
10%
427
183
42.86%
184
40.17%
388
10%
427
166
38.88%
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
0
0
0
0
0
0
0
0
0
7
388
367
7
96.39%
94.41%
98.38%
7
388
62
0
15.98%
12.20%
19.75%
7
388
152
139
75.00%
70.56%
79.44%
7
388
273
30
78.09%
73.85%
82.34%
7
388
330
6
86.60%
83.08%
90.12%
7
388
133
124
66.24%
61.40%
71.07%
7
388
349
6
91.49%
88.59%
94.40%
7
388
162
141
78.09%
73.85%
82.34%
7
388
147
117
68.04%
63.27%
72.81%
2011
H
458
2011
H
458
430
93.89%
388
10%
427
399
93.44%
256
55.90%
388
10%
427
243
56.91%
Number of Records Excluded Because of
Valid Data Errors
7
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
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:24 AM
SNBC
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 34
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
1145
2011
H
1145
2011
H
1019
2011
H
1145
2011
H
1145
2011
H
1145
2011
H
1145
2011
H
1145
2011
H
1145
2011
H
1145
1053
91.97%
548
10%
603
553
91.71%
662
57.82%
548
10%
603
353
58.54%
210
20.61%
548
10%
533
106
19.89%
365
31.88%
548
10%
603
192
31.84%
650
56.77%
548
10%
603
337
55.89%
939
82.01%
548
10%
603
488
80.93%
312
27.25%
548
10%
603
150
24.88%
958
83.67%
548
10%
603
504
83.58%
582
50.83%
548
10%
603
305
50.58%
460
40.17%
548
10%
603
248
41.13%
22
22
0
22
22
22
22
22
22
22
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
22
548
173
150
58.94%
54.73%
63.15%
22
548
313
73
70.44%
66.53%
74.35%
22
548
453
16
85.58%
82.55%
88.62%
22
548
145
138
51.64%
47.37%
55.92%
22
548
469
11
87.59%
84.74%
90.44%
22
548
269
173
80.66%
77.26%
84.06%
22
548
221
126
63.32%
59.19%
67.45%
70
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
36
22
548
510
5
93.98%
91.90%
96.06%
22
548
137
6
26.09%
22.33%
29.86%
106
497
96
91
37.63%
33.27%
41.99%
Page 35
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 9:24 AM
Medicare
Advantage
NR
NR
NR
Page 36
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
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 9:24 AM
MSHO
2011
A
64
7
10.94%
2.51%
19.37%
Page 37
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 22, 2012 9:24 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
2011
A
3531
2732
77.37%
75.98%
78.77%
2176
61.63%
60.01%
63.24%
Page 38
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 22, 2012 9:24 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
29
22
NA
NA
NA
17
NA
NA
NA
Page 40
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 22, 2012 9:24 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
NR
NR
NR
NR
NR
NR
Page 41
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 22, 2012 9:24 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
499
271
54.31%
49.84%
58.78%
187
37.47%
33.13%
41.82%
Page 42
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 22, 2012 9:24 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
773
354
45.80%
42.22%
49.37%
235
113
48.09%
41.48%
54.69%
2011
A
Page 43
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 22, 2012 9:24 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
196
101
51.53%
44.28%
58.78%
41
26
63.41%
47.45%
79.38%
2011
A
Page 44
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 22, 2012 9:24 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
5
NA
NA
NA
4
NA
NA
NA
2011
A
6
Page 46
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 22, 2012 9:24 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
NR
NR
NR
NR
NR
NR
Page 47
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 22, 2012 9:24 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
20687
17393
84.08%
83.58%
84.58%
267
231
86.52%
82.23%
90.80%
17182
14503
84.41%
83.86%
84.95%
907
631
69.57%
66.52%
72.62%
39043
32758
83.90%
83.54%
84.27%
2011
A
Page 48
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 22, 2012 9:24 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
930
878
94.41%
92.88%
95.94%
63
61
96.83%
91.70%
100.00%
907
866
95.48%
94.07%
96.89%
153
138
90.20%
85.16%
95.23%
2053
1943
94.64%
93.64%
95.64%
2011
A
Page 50
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 22, 2012 9:24 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 51
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 22, 2012 9:24 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
881
782
88.76%
86.62%
90.91%
11
9
NA
NA
NA
848
733
86.44%
84.08%
88.80%
100
70
70.00%
60.52%
79.48%
1840
1594
86.63%
85.05%
88.21%
2011
A
Page 52
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Medication Reconciliation Post Discharge
Data Elements
Data Last Refreshed:
Oct 22, 2012 9:24 AM
MSHO
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2012 (Reporting Year 2011)
NR
NR
NR
Page 53
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 22, 2012 9:24 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
55
4
7.27%
0.00%
15.05%
803
153
19.05%
16.27%
21.83%
2011
A
154
22
14.29%
8.43%
20.14%
594
127
21.38%
18.00%
24.76%
Page 55
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 22, 2012 9:24 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
2598
At least 1
Prescription
At least 2
Prescriptions
446
17.17%
15.70%
18.64%
60
2.31%
1.71%
2.91%
Page 57
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
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
96794
121415
8984
227193
93023
117900
8841
96.10%
95.98%
96.23%
97.10%
97.01%
97.20%
98.41%
98.14%
98.67%
219764
96.73%
96.66%
96.80%
2011
A
Page 58
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 22, 2012 9:24 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
2599
2599
0
0
2562
NA
NA
NA
NA
NA
NA
98.58%
98.10%
99.05%
2562
98.58%
98.10%
99.05%
2011
A
Page 60
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 22, 2012 9:24 AM
SNBC
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 61
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 22, 2012 9:24 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
10263
4729
25
15017
9092
4300
22
88.59%
87.97%
89.21%
90.93%
90.10%
91.76%
NA
NA
NA
13414
89.33%
88.83%
89.82%
2011
A
Page 62
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 22, 2012 9:24 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.
5476
5436
28019
26320
26215
24317
46486
43011
99.27%
99.03%
99.50%
93.94%
93.66%
94.22%
92.76%
92.44%
93.08%
92.52%
92.28%
92.76%
2011
A
Page 63
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 22, 2012 9:24 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.
1651
1632
5242
4847
3124
2867
4131
3799
98.85%
98.30%
99.39%
92.46%
91.74%
93.19%
91.77%
90.79%
92.75%
91.96%
91.12%
92.80%
2011
A
Page 64
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
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
4490
342
4832
148
92
1636
736
1784
828
43.27%
37.88%
48.67%
26.90%
22.05%
31.75%
36.44%
35.02%
37.86%
16.39%
15.30%
17.49%
36.92%
35.55%
38.29%
17.14%
16.06%
18.21%
Page 65
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 22, 2012 9:24 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
46
0
46
0
0
22
2
22
2
NA
NA
NA
NA
NA
NA
47.83%
32.30%
63.35%
4.35%
0.00%
11.33%
47.83%
32.30%
63.35%
4.35%
0.00%
11.33%
Page 67
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 22, 2012 9:24 AM
SNBC
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 68
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 22, 2012 9:24 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
132
1844
1712
53
36
631
305
684
341
40.15%
31.41%
48.89%
27.27%
19.30%
35.25%
36.86%
34.54%
39.17%
17.82%
15.97%
19.66%
37.09%
34.86%
39.33%
18.49%
16.69%
20.29%
Page 69
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2011
H
5809
2010
H
6251
Number of numerator events by administrative data in eligible
population (before exclusions)
4591
3946
79.03%
229
5.00%
241
190
63.13%
229
5.00%
241
149
78.84%
61.83%
0
0
0
0
229
120
102
0
0
229
115
79
96.94%
94.50%
99.39%
84.72%
79.84%
89.60%
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 70
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
2011
H
2049
2011
H
2049
Number of numerator events by administrative data in eligible
population (before exclusions)
1526
1057
74.48%
360
5.00%
378
289
51.59%
360
5.00%
378
177
76.46%
46.83%
0
0
0
0
360
146
197
0
0
360
146
100
95.28%
92.95%
97.61%
68.33%
63.39%
73.28%
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
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
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
29
25
48
73
170
498
3851
0.62%
0.38%
0.85%
0.53%
0.31%
0.75%
1.02%
0.72%
1.32%
1.56%
1.19%
1.92%
3.62%
3.08%
4.17%
10.61%
9.72%
11.50%
82.04%
80.93%
83.15%
2011
A
4694
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
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 22, 2012 9:24 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
11
0.71%
26
1.68%
30
1.94%
82
5.30%
130
8.41%
272
17.59%
995
64.36%
3
0.85%
6
1.70%
11
3.13%
14
3.98%
25
7.10%
66
18.75%
227
64.49%
0
2
0.60%
0.00%
1.57%
0
4
1.19%
0.00%
2.51%
0
11
3.28%
1.23%
5.34%
0
9
2.69%
0.81%
4.57%
0
18
5.37%
2.81%
7.94%
0
49
14.63%
10.69%
18.56%
216
26
72.24%
67.29%
77.18%
335
5.00%
352
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
1546
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
335
Page 73
Use of Services
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
2011
A
23124
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
HEDIS 2012 (Reporting Year 2011)
MHCP-MC
2011
H
4288
3132
NR
73.04%
260
5.00%
273
202
NR
73.99%
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
Data Last Refreshed:
Oct 22, 2012 9:24 AM
0
17089
73.90%
73.33%
74.47%
0
260
192
15
79.62%
74.53%
84.70%
Page 74
Use of Services
HealthPartners / Group Health Plan, Inc.
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
2011
A
65411
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
2802
NR
39.43%
407
5.00%
428
167
NR
39.02%
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
7106
0
23189
35.45%
35.08%
35.82%
0
407
158
56
52.58%
47.61%
57.55%
Page 75
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
70590
696725
854353
2038844
1893739
96738
20007
7764
0
5678760
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
62399
221158
198808
528862
708056
62373
21330
7573
0
1810559
HEDIS 2012 (Reporting Year 2011)
Visits/ 1,000
Member
Months
883.96
317.43
232.70
259.39
373.89
644.76
1066.13
975.40
318.83
Emergency Room Visits
Visits
1845
10254
9906
24455
19988
1554
726
339
0
69067
Visits/ 1,000
Member
Months
26.14
14.72
11.59
11.99
10.55
16.06
36.29
43.66
12.16
Page 76
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 22, 2012 9:24 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
2
14843
12135
8577
0
35557
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
3
12367
10628
7397
0
30395
HEDIS 2012 (Reporting Year 2011)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
1500.00
833.19
875.81
862.42
854.82
Emergency Room Visits
Visits
0
0
0
0
0
499
431
256
0
1186
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
33.62
35.52
29.85
33.35
Page 78
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 22, 2012 9:24 AM
SNBC
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 79
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
34860
199159
161116
273226
103056
333
69
10
0
771829
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
24494
57962
37718
107241
50774
184
35
5
0
278413
HEDIS 2012 (Reporting Year 2011)
Visits/ 1,000
Member
Months
702.64
291.03
234.10
392.50
492.68
552.55
507.25
500.00
360.72
Emergency Room Visits
Visits
2862
8742
4510
15775
3715
9
0
0
0
35613
Visits/ 1,000
Member
Months
82.10
43.89
27.99
57.74
36.05
27.03
0.00
0.00
46.14
Page 80
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
70590
696725
854353
2038844
1893739
96738
20007
7764
0
5678760
Discharges
Discharges /
1,000 Member
Months
500
935
1226
10845
11366
1429
611
264
0
27176
7.08
1.34
1.44
5.32
6.00
14.77
30.54
34.00
419
697
606
2065
5072
684
382
210
0
10135
5.94
1.00
0.71
1.01
2.68
7.07
19.09
27.05
76
238
447
2287
6276
745
229
54
0
10352
1.08
0.34
0.52
1.12
3.31
7.70
11.45
6.96
172
6493
18
0
6683
0.20
3.18
0.01
HEDIS 2012 (Reporting Year 2011)
4.79
1.78
1.82
1.40
Days
Days / 1,000
Member
Months
3202
3039
3821
29674
40166
5506
2559
984
0
88951
45.36
4.36
4.47
14.55
21.21
56.92
127.91
126.74
1916
1951
1828
6331
18023
2660
1425
716
0
34850
27.14
2.80
2.14
3.11
9.52
27.50
71.23
92.22
1280
1088
1556
6431
22074
2846
1134
268
0
36677
18.13
1.56
1.82
3.15
11.66
29.42
56.68
34.52
435
16912
69
0
17416
0.51
8.29
0.04
15.66
6.14
6.46
3.64
Average
Length of Stay
6.40
3.25
3.12
2.74
3.53
3.85
4.19
3.73
NA
3.27
4.57
2.80
3.02
3.07
3.55
3.89
3.73
3.41
NA
3.44
16.84
4.57
3.48
2.81
3.52
3.82
4.95
4.96
NA
3.54
2.53
2.60
3.83
NA
2.61
Page 81
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 22, 2012 9:24 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Member Months
0
0
0
0
2
14843
12135
8577
0
35557
Discharges
0
0
0
0
0
510
457
304
0
1271
0
0
0
0
0
371
378
267
0
1016
0
0
0
0
0
139
79
37
0
255
0
0
0
0
0
HEDIS 2012 (Reporting Year 2011)
Discharges /
1,000 Member
Months
NA
NA
NA
NA
0.00
34.36
37.66
35.44
35.75
NA
NA
NA
NA
0.00
24.99
31.15
31.13
28.57
NA
NA
NA
NA
0.00
9.36
6.51
4.31
7.17
NA
NA
0.00
0.00
Days
0
0
0
0
0
2386
2087
1222
0
5695
0
0
0
0
0
1533
1544
1024
0
4101
0
0
0
0
0
853
543
198
0
1594
0
0
0
0
0
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
160.75
171.98
142.47
160.17
NA
NA
NA
NA
0.00
103.28
127.24
119.39
115.34
NA
NA
NA
NA
0.00
57.47
44.75
23.08
44.83
NA
NA
0.00
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.68
4.57
4.02
NA
4.48
NA
NA
NA
NA
NA
4.13
4.08
3.84
NA
4.04
NA
NA
NA
NA
NA
6.14
6.87
5.35
NA
6.25
NA
NA
NA
NA
NA
Page 83
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
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 84
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 22, 2012 9:24 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
34860
199159
161116
273226
103056
333
69
10
0
771829
Discharges
Discharges /
1,000 Member
Months
356
318
480
3752
984
6
1
0
0
5897
10.21
1.60
2.98
13.73
9.55
18.02
14.49
0.00
312
266
140
807
539
5
1
0
0
2070
8.95
1.34
0.87
2.95
5.23
15.02
14.49
0.00
41
52
84
515
439
1
0
0
0
1132
1.18
0.26
0.52
1.88
4.26
3.00
0.00
0.00
256
2430
6
0
2692
HEDIS 2012 (Reporting Year 2011)
7.64
2.68
1.47
1.59
8.89
0.06
5.01
Days
Days / 1,000
Member
Months
1882
938
1556
10479
3684
17
4
0
0
18560
53.99
4.71
9.66
38.35
35.75
51.05
57.97
0.00
1276
749
522
2696
1819
16
4
0
0
7082
36.60
3.76
3.24
9.87
17.65
48.05
57.97
0.00
603
189
381
1592
1843
1
0
0
0
4609
17.30
0.95
2.36
5.83
17.88
3.00
0.00
0.00
653
6191
22
0
6866
4.05
22.66
0.21
24.05
9.18
5.97
12.78
Average
Length of Stay
5.29
2.95
3.24
2.79
3.74
2.83
4.00
NA
NA
3.15
4.09
2.82
3.73
3.34
3.37
3.20
4.00
NA
NA
3.42
14.71
3.63
4.54
3.09
4.20
1.00
NA
NA
NA
4.07
2.55
2.55
3.67
NA
2.55
Page 85
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
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
519494
220207
291447
342457
1297354
65382
0
2736341
492653
210621
289488
423806
1466724
59127
0
2942419
1012147
430828
580935
766263
2764078
124509
0
5678760
519494
220207
291447
342457
1297354
65382
0
2736341
492653
210621
289488
423806
1466724
59127
0
2942419
1012147
430828
580935
766263
2764078
124509
0
5678760
519494
220207
291447
342457
1297354
65382
0
2736341
492653
210621
289488
423806
1466724
59127
0
2942419
1012147
430828
580935
766263
2764078
124509
0
5678760
519494
220207
291447
342457
1297354
65382
0
2736341
492653
210621
289488
423806
1466724
59127
0
2942419
1012147
430828
580935
766263
2764078
124509
0
5678760
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
24
10
34
428
208
636
1086
632
1718
649
456
1105
2471
1613
4084
125
54
179
0
0
0
4783
2973
7756
0.06%
0.02%
0.04%
2.33%
1.19%
1.77%
4.47%
2.62%
3.55%
2.27%
1.29%
1.73%
2.29%
1.32%
1.77%
2.29%
1.10%
1.73%
NA
NA
NA
2.10%
1.21%
1.64%
10
7
17
88
51
139
235
139
374
113
94
207
586
352
938
50
25
75
0
0
0
1082
668
1750
0.02%
0.02%
0.02%
0.48%
0.29%
0.39%
0.97%
0.58%
0.77%
0.40%
0.27%
0.32%
0.54%
0.29%
0.41%
0.92%
0.51%
0.72%
NA
NA
NA
0.47%
0.27%
0.37%
1
0
1
30
29
59
46
26
72
18
11
29
54
54
108
1
0
1
0
0
0
150
120
270
0.00%
0.00%
0.00%
0.16%
0.17%
0.16%
0.19%
0.11%
0.15%
0.06%
0.03%
0.05%
0.05%
0.04%
0.05%
0.02%
0.00%
0.01%
NA
NA
NA
0.07%
0.05%
0.06%
14
5
19
390
174
564
969
557
1526
597
411
1008
2127
1414
3541
89
35
124
0
0
0
4186
2596
6782
0.03%
0.01%
0.02%
2.13%
0.99%
1.57%
3.99%
2.31%
3.15%
2.09%
1.16%
1.58%
1.97%
1.16%
1.54%
1.63%
0.71%
1.20%
NA
NA
NA
1.84%
1.06%
1.43%
HEDIS 2012 (Reporting Year 2011)
Page 86
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 22, 2012 9:24 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
10576
0
10576
0
0
0
0
2
24979
0
24981
0
0
0
0
2
35555
0
35557
0
0
0
0
0
10576
0
10576
0
0
0
0
2
24979
0
24981
0
0
0
0
2
35555
0
35557
0
0
0
0
0
10576
0
10576
0
0
0
0
2
24979
0
24981
0
0
0
0
2
35555
0
35557
0
0
0
0
0
10576
0
10576
0
0
0
0
2
24979
0
24981
0
0
0
0
2
35555
0
35557
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
81
51
132
0
0
0
81
51
132
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
9.19%
2.45%
4.46%
NA
NA
NA
9.19%
2.45%
4.45%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
56
35
91
0
0
0
56
35
91
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
6.35%
1.68%
3.07%
NA
NA
NA
6.35%
1.68%
3.07%
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
38
20
58
0
0
0
38
20
58
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
4.31%
0.96%
1.96%
NA
NA
NA
4.31%
0.96%
1.96%
HEDIS 2012 (Reporting Year 2011)
Page 88
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 22, 2012 9:24 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
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 89
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 22, 2012 9:24 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
144671
39903
34102
45837
86098
196
0
350807
142595
39779
57059
82357
99016
216
0
421022
287266
79682
91161
128194
185114
412
0
771829
144671
39903
34102
45837
86098
196
0
350807
142595
39779
57059
82357
99016
216
0
421022
287266
79682
91161
128194
185114
412
0
771829
144671
39903
34102
45837
86098
196
0
350807
142595
39779
57059
82357
99016
216
0
421022
287266
79682
91161
128194
185114
412
0
771829
144671
39903
34102
45837
86098
196
0
350807
142595
39779
57059
82357
99016
216
0
421022
287266
79682
91161
128194
185114
412
0
771829
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
11
5
16
209
114
323
469
354
823
920
816
1736
1556
982
2538
1
0
1
0
0
0
3166
2271
5437
0.09%
0.04%
0.07%
6.29%
3.44%
4.86%
16.50%
7.44%
10.83%
24.09%
11.89%
16.25%
21.69%
11.90%
16.45%
6.12%
0.00%
2.91%
NA
NA
NA
10.83%
6.47%
8.45%
3
5
8
35
37
72
93
88
181
168
166
334
302
208
510
0
0
0
0
0
0
601
504
1105
0.02%
0.04%
0.03%
1.05%
1.12%
1.08%
3.27%
1.85%
2.38%
4.40%
2.42%
3.13%
4.21%
2.52%
3.31%
0.00%
0.00%
0.00%
NA
NA
NA
2.06%
1.44%
1.72%
0
0
0
23
15
38
0
4
4
8
5
13
12
10
22
0
0
0
0
0
0
43
34
77
0.00%
0.00%
0.00%
0.69%
0.45%
0.57%
0.00%
0.08%
0.05%
0.21%
0.07%
0.12%
0.17%
0.12%
0.14%
0.00%
0.00%
0.00%
NA
NA
NA
0.15%
0.10%
0.12%
10
0
10
195
92
287
426
305
731
858
733
1591
1428
915
2343
1
0
1
0
0
0
2918
2045
4963
0.08%
0.00%
0.04%
5.86%
2.78%
4.32%
14.99%
6.41%
9.62%
22.46%
10.68%
14.89%
19.90%
11.09%
15.19%
6.12%
0.00%
2.91%
NA
NA
NA
9.98%
5.83%
7.72%
HEDIS 2012 (Reporting Year 2011)
Page 90
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
519494
220207
1931258
65382
0
2736341
492653
210621
2180018
59127
0
2942419
1012147
430828
4111276
124509
0
5678760
519494
220207
1931258
65382
0
2736341
492653
210621
2180018
59127
0
2942419
1012147
430828
4111276
124509
0
5678760
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
519494
220207
1931258
65382
0
2736341
492653
210621
2180018
59127
0
2942419
1012147
430828
4111276
124509
0
5678760
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
Member Months
(Outpatient/ED)
Male
Female
Total
519494
220207
1931258
65382
0
2736341
492653
210621
2180018
59127
0
2942419
1012147
430828
4111276
124509
0
5678760
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
3135
1975
5110
2477
2630
5107
11900
21824
33724
274
330
604
0
0
0
17786
26759
44545
7.24%
4.81%
6.06%
13.50%
14.98%
14.22%
7.39%
12.01%
9.84%
5.03%
6.70%
5.82%
NA
NA
NA
7.80%
10.91%
9.41%
46
24
70
210
166
376
362
541
903
15
14
29
0
0
0
633
745
1378
0.11%
0.06%
0.08%
1.14%
0.95%
1.05%
0.22%
0.30%
0.26%
0.28%
0.28%
0.28%
NA
NA
NA
0.28%
0.30%
0.29%
181
118
299
199
255
454
339
743
1082
4
9
13
0
0
0
723
1125
1848
0.42%
0.29%
0.35%
1.08%
1.45%
1.26%
0.21%
0.41%
0.32%
0.07%
0.18%
0.13%
NA
NA
NA
0.32%
0.46%
0.39%
3075
1932
5007
2416
2530
4946
11699
21473
33172
268
319
587
0
0
0
17458
26254
43712
7.10%
4.71%
5.94%
13.17%
14.41%
13.78%
7.27%
11.82%
9.68%
4.92%
6.47%
5.66%
NA
NA
NA
7.66%
10.71%
9.24%
HEDIS 2012 (Reporting Year 2011)
Page 91
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:24 AM
MSHO
Male
Female
Total
Male
Female
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
0
0
0
10576
0
10576
0
0
2
24979
0
24981
0
0
2
35555
0
35557
0
0
0
10576
0
10576
0
0
2
24979
0
24981
0
0
2
35555
0
35557
0
0
0
10576
0
10576
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
2
24979
0
24981
0
0
2
35555
0
35557
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
0
0
0
10576
0
10576
0
0
2
24979
0
24981
0
0
2
35555
0
35557
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
106
280
386
0
0
0
106
280
386
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
12.03%
13.45%
13.03%
NA
NA
NA
12.03%
13.45%
13.03%
0
0
0
0
0
0
0
0
0
23
55
78
0
0
0
23
55
78
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
2.61%
2.64%
2.63%
NA
NA
NA
2.61%
2.64%
2.63%
0
0
0
0
0
0
0
0
0
3
11
14
0
0
0
3
11
14
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.34%
0.53%
0.47%
NA
NA
NA
0.34%
0.53%
0.47%
0
0
0
0
0
0
0
0
0
90
243
333
0
0
0
90
243
333
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
10.21%
11.67%
11.24%
NA
NA
NA
10.21%
11.67%
11.24%
HEDIS 2012 (Reporting Year 2011)
Page 93
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:24 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Member Months
(Inpatient)
Female
Total
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2012 (Reporting Year 2011)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
Member Months
(Intensive Outpatient/Partial
Hospitalization)
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 94
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 22, 2012 9:24 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
144671
39903
166037
196
0
350807
142595
39779
238432
216
0
421022
287266
79682
404469
412
0
771829
144671
39903
166037
196
0
350807
142595
39779
238432
216
0
421022
287266
79682
404469
412
0
771829
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
144671
39903
166037
196
0
350807
142595
39779
238432
216
0
421022
287266
79682
404469
412
0
771829
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
144671
39903
166037
196
0
350807
142595
39779
238432
216
0
421022
287266
79682
404469
412
0
771829
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
1218
801
2019
600
740
1340
2973
5090
8063
3
2
5
0
0
0
4794
6633
11427
10.10%
6.74%
8.43%
18.04%
22.32%
20.18%
21.49%
25.62%
23.92%
18.37%
11.11%
14.56%
NA
NA
NA
16.40%
18.91%
17.77%
9
10
19
41
78
119
174
203
377
0
0
0
0
0
0
224
291
515
0.07%
0.08%
0.08%
1.23%
2.35%
1.79%
1.26%
1.02%
1.12%
0.00%
0.00%
0.00%
NA
NA
NA
0.77%
0.83%
0.80%
88
53
141
82
80
162
204
311
515
0
0
0
0
0
0
374
444
818
0.73%
0.45%
0.59%
2.47%
2.41%
2.44%
1.47%
1.57%
1.53%
0.00%
0.00%
0.00%
NA
NA
NA
1.28%
1.27%
1.27%
1195
786
1981
574
720
1294
2862
4938
7800
3
2
5
0
0
0
4634
6446
11080
9.91%
6.61%
8.28%
17.26%
21.72%
19.49%
20.68%
24.85%
23.14%
18.37%
11.11%
14.56%
NA
NA
NA
15.85%
18.37%
17.23%
HEDIS 2012 (Reporting Year 2011)
Page 95
Use of Services
HealthPartners / Group Health Plan, Inc.
Plan All-Cause Readmissions
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Plan All-Cause Readmissions
Data Last Refreshed:
Oct 22, 2012 9:24 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)
93
170
263
92
157
249
29
113
142
214
440
654
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)
16
26
42
13
18
31
6
7
13
35
51
86
Observed
Readmission
(Num/Den)
17.20%
15.29%
15.97%
14.13%
11.46%
12.45%
20.69%
6.19%
9.15%
16.36%
11.59%
13.15%
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
18.84%
18.02%
18.31%
17.69%
18.71%
18.34%
17.72%
16.28%
16.58%
18.19%
17.82%
17.94%
1338.83%
2261.81%
3600.64%
1287.54%
2226.72%
3514.27%
408.92%
1508.35%
1917.28%
3035.30%
5996.88%
9032.18%
Page 97
Use of Services
HealthPartners / Group Health Plan, Inc.
Plan All-Cause Readmissions
Data Last Refreshed:
Oct 22, 2012 9:24 AM
SNBC
Age
18-44
45-54
55-64
Total
Age
65-74
75-84
85+
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Count of Index Stays
(Denominator)
Count of 30-Day
Readmissions
(Numerator)
Observed
Readmission
(Num/Den)
Average Adjusted
Probability
Total Variance
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
Total
HEDIS 2012 (Reporting Year 2011)
Page 98
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 22, 2012 9:24 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
711
256
23
6249
690
243
23
5418
97.05%
94.92%
100.00%
86.70%
Page 99
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 22, 2012 9:24 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
NR
NR
NR
NR
Page 100
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:24 AM
Commercial
<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
36638
153713
202741
213346
133263
91320
Member Months
Female
33952
147150
193121
200588
128463
87373
Total
70590
300863
395862
413934
261726
178693
831021
30.37%
200127
154950
187507
192925
221239
790647
26.87%
202115
197990
225816
213004
243171
1621668
28.56%
956748
34.96%
240723
252496
220553
169418
1082096
36.78%
270147
289694
258875
191833
2038844
35.90%
883190
32.28%
40437
12895
5888
3398
1953
811
1010549
34.34%
33119
10287
5999
4722
3347
1653
1893739
33.35%
65382
2.39%
0
59127
2.01%
0
124509
2.19%
2736341
2942419
HEDIS 2012 (Reporting Year 2011)
402242
352940
413323
405929
464410
510870
542190
479428
361251
73556
23182
11887
8120
5300
2464
0
5678760
Page 101
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:24 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
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:24 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
2
0
0.00%
0
0.00%
2586
2654
2252
1585
870
629
2
0.01%
4332
5271
4320
3978
3701
3377
2
0.01%
10576
100.00%
0
24979
99.99%
0
35555
99.99%
10576
24981
HEDIS 2012 (Reporting Year 2011)
0
0
0
0
0
0
0
0
2
6918
7925
6572
5563
4571
4006
0
35557
Page 103
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:24 AM
SNBC
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 104
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 22, 2012 9:24 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
17140
49072
51413
43548
23401
12829
Member Months
Female
17720
48331
50343
42565
23415
15358
Total
34860
97403
101756
86113
46816
28187
197403
56.27%
21273
24276
21561
17956
18057
197732
46.96%
41701
46237
36120
24749
21296
395135
51.19%
103123
29.40%
17185
15618
11369
5913
170103
40.40%
18322
15255
11246
8148
273226
35.40%
50085
14.28%
142
25
19
0
10
0
52971
12.58%
126
40
26
24
0
0
103056
13.35%
196
0.06%
0
216
0.05%
0
412
0.05%
350807
421022
HEDIS 2012 (Reporting Year 2011)
62974
70513
57681
42705
39353
35507
30873
22615
14061
268
65
45
24
10
0
0
771829
Page 105