Sanford Health Plan General Info Disclaimers HEDIS 2011 (Reporting Year 2010) Data Last Refreshed: 10/24/2011 Page 2 Effectiveness of Care Measures Code Code Effectiveness of Care Measures Prevention and Screening Medication Management Page ABA Adult BMI Assessment 3 WCC Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents 4 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 CIS Childhood Immunization Status 6 IMA Immunizations for Adolescents 10 BCS Breast Cancer Screening 12 0 Code CCS Cervical Cancer Screening 13 COL Colorectal Cancer Screening 14 30 AAP 31 CAP 29 DAE CHL Chlamydia Screening in Women 15 32 GSO Glaucoma Screening in Older Adults 17 33 PPC LSC Lead Screening in Children 18 34 COA Care for Older Adults 19 Respiratory Conditions PCE Pharmacotherapy Management of COPD Exacerbation 20 SPR Use of Spirometry Testing in the Assessment and Diagnosis of COPD 23 ASM Use of Appropriate Medications for People with Asthma 24 Page IET Access / Availability of Care Measures Page Adult's Access to Preventive/Ambulatory Health Services 58 Children's and Adolescents' Access to Primary Care Practitioners 63 Initiation/Engagement of Alcohol & Other Drug Dependence Treatment 65 Prenatal and Postpartum Care 70 Use of Services Measures 0 Code Page 34 W15 Well Child Visits in the First 15 Months of Life 72 35 W34 Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life 74 Adolescent Well-Care Visits 75 Ambulatory Care 76 36 AWC 37 AMB 38 IPU Inpatient Utilization - General Hospital/Acute Care 81 CMC Cholesterol Management for Patients with Cardiovascular Conditions 26 39 IAD 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 31 41 BCR Board Certification 96 42 ENP Enrollment by Product Line (Age & Sex) 98 Cardiovascular Diabetes CDC Comprehensive Diabetes Care 0 Code Musculoskeletal ART OMW Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis 36 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 43 Health Plan Descriptive Information Measures Page DISCLAIMERS -1 ( this page left blank intentionally ) 0. Disclaimer Query located below HEDIS 2011 (Reporting Year 2010) Page 2 Effectiveness of Care Sanford Health Plan Adult BMI Assessment Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data on Eligible Population (before exclusions) Current Year's Admin Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin Rate on FSS Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial NR NR NR NR NR NR NR NR NR NR 4 0.03% 411 10.00% 453 4 0.88% 0 Number of administrative data records excluded 25 Number of medical record data records excluded 0 Number of employee/dependent medical records excluded 2 HEDIS 2011 (Reporting Year 2010) MHCP-MC 2010 H 13006 Number of Records Excluded Because of Valid Data Errors Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval Medicare Advantage 27 411 4 244 60.34% 55.49% 65.19% Page 3 Effectiveness of Care Sanford Health Plan Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Counseling for Nutrition BMI Percentile Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator events by admin data in eligible population Current Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors General Measure Data Ages 3-11 Ages 12-17 Total 2010 H General Measure Data Ages 3-11 Ages 12-17 Total 2010 H Counseling for Physical Activity General Ages 12Measure Ages 3-11 Total 17 Data 2010 H 2422 1544 3966 2422 1544 3966 2422 1544 3966 1 0.04% 0 0.00% 1 0.03% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 0 0.00% 411 5.00% 411 5.00% 432 411 5.00% 432 1 0.23% 0 0.00% 1 0.23% 432 0 0.00% 0 0.00% 0 0.00% 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 1 1 1 Records Added from the Oversample List 2 2 2 Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2011 (Reporting Year 2010) 247 164 411 247 164 411 247 164 411 1 96 39.27% 32.98% 45.56% 0 66 40.24% 32.43% 48.05% 1 162 39.66% 34.81% 44.51% 0 83 33.60% 27.51% 39.70% 0 43 26.22% 19.18% 33.26% 0 126 30.66% 26.08% 35.24% 0 64 25.91% 20.24% 31.58% 0 70 42.68% 34.81% 50.56% 0 134 32.60% 27.95% 37.26% Page 4 Effectiveness of Care Sanford Health Plan Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) BMI Percentile Data Elements General Measure Data Ages 3-11 Ages 12-17 Counseling for Nutrition Total General Measure Data Ages 3-11 Ages 12-17 Total Counseling for Physical Activity General Ages 12Measure Ages 3-11 Total 17 Data 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 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Number of administrative data records excluded Number of medical records excluded Number of employee/dependent records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2011 (Reporting Year 2010) Page 5 Effectiveness of Care Sanford Health Plan Childhood Immunization Status Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Data Elements Measurement Year Data Collection Methodology Eligible Member Population General Measure Data Number of administrative data records excluded 1 Number of medical data records excluded 1 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 2011 (Reporting Year 2010) HiB Hepatitis B VZV Influenza 223 72.64% 251 81.76% 254 82.74% 253 82.41% 238 77.52% 254 82.74% 228 74.27% 66 21.50% 189 61.56% 183 59.61% 223 72.64% 251 81.76% 254 82.74% 253 82.41% 238 77.52% 254 82.74% 228 74.27% 66 21.50% 189 61.56% 183 59.61% 223 251 254 253 238 254 228 66 189 183 35 84.59% 80.37% 88.81% 42 96.07% 93.72% 98.41% 26 91.80% 88.56% 95.05% 39 95.74% 93.31% 98.17% 50 94.43% 91.69% 97.16% 26 91.80% 88.56% 95.05% 41 88.20% 84.41% 91.98% 2 22.30% 17.46% 27.13% 19 68.20% 62.81% 73.59% 16 65.25% 59.74% 70.75% 307 0 Numerator Events by administrative Data MMR 307 0.00% Number of Records Excluded Because of Valid Data Errors Denominator IPV 2010 H 307 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 305 Page 6 Effectiveness of Care Sanford Health Plan Childhood Immunization Status Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Data Elements Measurement Year Data Collection Methodology Eligible Member Population General Measure Data Number of administrative data records excluded 1 Number of medical data records excluded 1 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 2011 (Reporting Year 2010) Combo 4 Combo 5 Combo 6 Combo 7 Combo 8 Combo 9 Combo10 223 72.64% 197 64.17% 183 59.61% 52 16.94% 141 45.93% 143 46.58% 45 14.66% 38 12.38% 114 37.13% 36 11.73% 223 72.64% 197 64.17% 183 59.61% 52 16.94% 141 45.93% 143 46.58% 45 14.66% 38 12.38% 114 37.13% 36 11.73% 223 197 183 52 141 143 45 38 114 36 35 84.59% 80.37% 88.81% 44 79.02% 74.28% 83.75% 43 74.10% 69.02% 79.18% 13 21.31% 16.55% 26.07% 28 55.41% 49.67% 61.15% 27 55.74% 50.00% 61.48% 7 17.05% 12.66% 21.43% 9 15.41% 11.19% 19.63% 22 44.59% 38.85% 50.33% 7 14.10% 10.03% 18.17% 307 0 Numerator Events by administrative Data Combo 3 307 0.00% Number of Records Excluded Because of Valid Data Errors Denominator Combo 2 2010 H 307 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 305 Page 7 Effectiveness of Care Sanford Health Plan Childhood Immunization Status Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) Data Elements General Measure Data Pneumococcal Hepatitis A Rotavirus Conjugate DTaP IPV MMR HiB Hepatitis B VZV Influenza NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Eligible Member Population Numerator events by admin data in eligible population Current Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors Number of administrative data records excluded Number of medical data records excluded Number of employee/dependent records excluded Records Added from the Oversample List Denominator Numerator Events by administrative Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2011 (Reporting Year 2010) Page 8 Effectiveness of Care Sanford Health Plan Childhood Immunization Status Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) Data Elements General Measure Data DTaP Combo 2 Combo 3 Combo 4 Combo 5 Combo 6 Combo 7 Combo 8 Combo 9 Combo10 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Eligible Member Population Numerator events by admin data in eligible population Current Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors Number of administrative data records excluded Number of medical data records excluded Number of employee/dependent records excluded Records Added from the Oversample List Denominator Numerator Events by administrative Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2011 (Reporting Year 2010) Page 9 Effectiveness of Care Sanford Health Plan Immunizations for Adolescents Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Data Elements General Measure Data Meningococcal Tdap Combo 1 72 110 63 22.57% 34.48% 19.75% 72 22.57% 110 34.48% 63 19.75% 72 3 110 19 63 7 23.66% 40.69% 22.08% Lower 95% Confidence Interval 18.82% 35.13% 17.36% Upper 95% Confidence Interval 28.50% 46.26% 26.81% Measurement Year 2010 Data Collection Methodology H Eligible Member Population 319 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 319 0.00% 319 Records Excluded because of Valid Data Errors 0 Number of administrative data records excluded 1 Number of medical data records excluded 0 Number of employee/dependent medical records excluded 1 Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate HEDIS 2011 (Reporting Year 2010) 0 317 Page 10 Effectiveness of Care Sanford Health Plan Immunizations for Adolescents Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) General Data Elements Measure Data Measurement Year Data Collection Methodology Eligible Member Population Meningococcal Tdap Combo 1 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR 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 2011 (Reporting Year 2010) Page 11 Effectiveness of Care Sanford Health Plan 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 2011 (Reporting Year 2010) Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial 2010 A 4606 3456 75.03% 73.77% 76.29% Medicare Advantage MSHO SNBC MHCP-MC NR NR NR NR NR NR NR NR NR NR NR NR Page 12 Effectiveness of Care Sanford Health Plan Cervical Cancer Screening Data Elements Measurement Year Data Collection Methodology Eligible Member Population Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial MHCP-MC 2010 A 5863 Numerator Events by Admin Data on Eligible Population (before exclusions) Current Year's Admin Rate NR NR NR NR Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin Rate on FSS Records Excluded because of Valid Data Errors Number of administrative data records excluded Number of medical record data records excluded Number of employee/dependent medical records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2011 (Reporting Year 2010) 4569 77.93% NR 76.86% 79.00% NR NR Page 13 Effectiveness of Care Sanford Health Plan Colorectal Cancer Screening Data Last Refreshed: Oct 24, 2011 8:56 AM Data Elements Measurement Year Data collection methodology (administrative or hybrid) Eligible population Number of numerator events by administrative data in eligible population (before exclusions) Current year's administrative rate (before exclusions) Minimum required sample size (MRSS) or other sample size Oversampling rate Final sample size (FSS) Number of numerator events by administrative data in FSS Administrative rate on FSS Number of original sample records excluded because of valid data errors Number of administrative data records excluded Number of medical record data records excluded Number of employee/dependent medical records excluded Records added from the oversample list Denominator Numerator events by administrative data Numerator events by medical records Reported rate Lower 95% confidence interval Upper 95% confidence interval HEDIS 2011 (Reporting Year 2010) Commercial Medicare Advantage MSHO SNBC NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR 2010 H 5088 216 4.25% 409 0.05 430 216 50.23% 0 2 0 0 2 409 216 29 59.90% 55.03% 64.77% Page 14 Effectiveness of Care Sanford Health Plan Chlamydia Screening in Women Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Ages 16-20 Ages 21-24 Total 406 119 29.31% 24.76% 33.86% 513 146 28.46% 24.46% 32.46% 919 265 28.84% 25.85% 31.82% 2010 A Page 15 Effectiveness of Care Sanford Health Plan Chlamydia Screening in Women Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Ages 16-20 NR NR NR Ages 21-24 Total NR NR NR NR NR NR NR NR Page 16 Effectiveness of Care Sanford Health Plan 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 2011 (Reporting Year 2010) Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage MSHO NR NR NR NR NR NR Page 17 Effectiveness of Care Sanford Health Plan Data Last Refreshed: Oct 24, 2011 8:56 AM Lead Screening in Children Data Elements Measurement Year Data Collection Methodology Eligible Member Population Commercial MHCP-MC 2010 A 306 Numerator Events by Admin Data on Eligible Population (before exclusions) Current Year's Admin Rate NR NR Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin Rate on FSS NR NR Records Excluded because of Valid Data Errors Number of administrative data records excluded Number of medical record data records excluded Number of employee/dependent medical records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record 65 Reported Rate 21.24% NR Lower 95% Confidence Interval 16.50% NR Upper 95% Confidence Interval 25.99% NR HEDIS 2011 (Reporting Year 2010) Page 18 Effectiveness of Care Sanford Health Plan Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) Page 19 Effectiveness of Care Sanford Health Plan Pharmacotherapy Management of COPD Exacerbation Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Systemic corticosteroid Bronchodilator NR NR NR NR NR NR Page 20 Effectiveness of Care Sanford Health Plan Pharmacotherapy Management of COPD Exacerbation Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Systemic corticosteroid Bronchodilator NR NR NR NR NR NR Page 21 Effectiveness of Care Sanford Health Plan Pharmacotherapy Management of COPD Exacerbation Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Systemic corticosteroid Bronchodilator NR NR NR NR NR NR Page 22 Effectiveness of Care Sanford Health Plan 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 2011 (Reporting Year 2010) Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage MSHO SNBC NR NR NR NR NR NR NR NR NR Page 23 Effectiveness of Care Sanford Health Plan Use of Appropriate Medications for People with Asthma Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Ages 5-11 Ages 12-50 Total 40 39 97.50% 91.41% 100.00% 201 186 92.54% 88.66% 96.42% 241 225 93.36% 90.01% 96.71% 2010 A ` Page 24 Effectiveness of Care Sanford Health Plan Use of Appropriate Medications for People with Asthma Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Ages 5-11 NR NR NR Ages 12-50 Total NR NR NR NR NR NR NR NR Page 25 Effectiveness of Care Sanford Health Plan Cholesterol Management for Patients with Cardiovascular Conditions Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data LDL-C screening LDL-C Level of <100 mg/dL 160 47 76.19% 22.38% 160 47 76.19% 22.38% 160 24 47 85 90.20% 85.87% 94.52% 64.71% 57.90% 71.51% 2009 H 210 210 0.00% 210 6 0 0 204 Page 26 Effectiveness of Care Sanford Health Plan Cholesterol Management for Patients with Cardiovascular Conditions Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) 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 Sanford Health Plan Cholesterol Management for Patients with Cardiovascular Conditions Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) Data Elements General Measure Data LDL-C screening LDL-C Level of <100 mg/dL NR NR NR NR NR NR NR NR NR NR 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 2011 (Reporting Year 2010) Page 28 Effectiveness of Care Sanford Health Plan Controlling High Blood Pressure Data Elements Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Measurement Year Data Collection Methodology (Hybrid) Eligible Member Population 2010 H 1734 Numerator Events by Admin Data on Eligible Population (before exclusions) 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% 371 15.00% 427 0 0.00% Records Excluded because of Valid Data Errors 4 Number of records excluded because of false positive diagnoses 0 Number of administrative data records excluded 11 Number of medical record data records excluded 0 Number of employee/dependent medical records excluded 0 Records Added from the OverSample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2011 (Reporting Year 2010) 15 371 0 252 67.92% 63.04% 72.81% Medicare Advantage MSHO SNBC MHCP-MC NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 29 Effectiveness of Care Sanford Health Plan Persistence of Beta Blocker Treatment After Heart Attack Data Elements Measurement Year Data Collection Methodology Eligible Member Population Commercial Medicare Advantage MSHO SNBC MHCP-MC NR NR NR NR NR NR NR NR NR NR NR NR 2010 A 19 Numerator Events by Admin Data on Eligible Population 17 Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval NA NA NA HEDIS 2011 (Reporting Year 2010) Data Last Refreshed: Oct 24, 2011 8:56 AM Page 30 Effectiveness of Care Sanford Health Plan Comprehensive Diabetes Care Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator events by admin data in eligible population Current Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors HbA1c Testing Poor HbA1c Control (>9.0%) Good HbA1c Control (<7.0%) Adequate HbA1c Control (<8.0%) 2009 H 926 2009 H 926 2010 H 926 460 49.68% 548 10% 603 460 76.29% 926 100.00% 548 10% 603 603 100.00% Blood Monitoring Pressure for Diabetic <140/90 mm Nephropathy Hg Blood Pressure <130/80 mm Hg Eye Exam LDL-C Screening LDL-C Level <100 mg/dL 2009 H 926 2010 H 972 2010 H 972 2010 H 972 2009 H 926 2010 H 972 2010 H 972 49 5.29% 411 10% 484 49 10.12% 114 12.31% 548 10% 603 114 18.91% 267 27.47% 548 10% 603 267 44.28% 439 45.16% 548 10% 603 439 72.80% 109 11.21% 548 10% 603 109 18.08% 411 44.38% 548 10% 603 411 68.16% 0 0.00% 548 10% 603 0 0.00% 0 0.00% 548 10% 603 0 0.00% 10 10 3 10 2 2 2 10 2 2 Number of administrative data records excluded 0 0 0 0 2 2 2 0 2 2 Number of medical record data records excluded 15 15 12 15 23 23 23 15 23 23 Number of employee/dependent medical records excluded 0 0 0 0 0 0 0 0 0 0 25 548 114 274 70.80% 66.90% 74.70% 27 548 267 86 64.42% 60.32% 68.52% 27 548 439 19 83.58% 80.38% 86.77% 27 548 109 157 48.54% 44.26% 52.82% 25 548 411 61 86.13% 83.15% 89.12% 27 548 0 415 75.73% 72.05% 79.41% 27 548 0 299 54.56% 50.30% 58.82% Number of Administrative required exclusions 118 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 2011 (Reporting Year 2010) 20 25 548 460 50 93.07% 90.85% 95.28% 25 548 16 89 19.16% 15.77% 22.55% 35 411 49 140 45.99% 41.05% 50.93% Page 31 Effectiveness of Care Sanford Health Plan Comprehensive Diabetes Care Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage Data Elements HbA1c Testing Poor HbA1c Control Good HbA1c Control (<7.0%) Adequate HbA1c Control (<8.0%) Eye Exam LDL-C Screening LDL-C Level <100 mg/dL NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Blood Monitoring Pressure for Diabetic <140/90 mm Nephropathy Hg Blood Pressure <130/80 mm Hg 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 2011 (Reporting Year 2010) Page 32 Effectiveness of Care Sanford Health Plan Comprehensive Diabetes Care Data Last Refreshed: Oct 24, 2011 8:56 AM MSHO Data Elements HbA1c Testing Poor HbA1c Control Good HbA1c Control (<7.0%) Adequate HbA1c Control (<8.0%) Eye Exam LDL-C Screening LDL-C Level <100 mg/dL NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Blood Monitoring Pressure for Diabetic <140/90 mm Nephropathy Hg Blood Pressure <130/80 mm Hg 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 2011 (Reporting Year 2010) Page 33 Effectiveness of Care Sanford Health Plan Comprehensive Diabetes Care Data Last Refreshed: Oct 24, 2011 8:56 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 Pressure for Diabetic <140/90 mm Nephropathy Hg Blood Pressure <130/80 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 2011 (Reporting Year 2010) Page 34 Effectiveness of Care Sanford Health Plan Comprehensive Diabetes Care Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) Data Elements HbA1c Testing Poor HbA1c Control Good HbA1c Control (<7.0%) Adequate HbA1c Control (<8.0%) Eye Exam LDL-C Screening LDL-C Level <100 mg/dL NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Blood Monitoring Pressure for Diabetic <140/90 mm Nephropathy Hg Blood Pressure <130/80 mm Hg 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 2011 (Reporting Year 2010) Page 35 Effectiveness of Care Sanford Health Plan 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 2011 (Reporting Year 2010) Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage NR NR NR Page 36 Effectiveness of Care Sanford Health Plan 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 2011 (Reporting Year 2010) Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage MSHO NR NR NR NR NR NR Page 37 Effectiveness of Care Sanford Health Plan Antidepressant Medication Management Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Effective Acute Phase Treatment Effective Continuation Phase Treatment 106 59.55% 52.06% 67.04% 73 41.01% 33.50% 48.52% 2010 A 178 Page 38 Effectiveness of Care Sanford Health Plan Antidepressant Medication Management Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Effective Acute Phase Treatment Effective Continuation Phase Treatment NR NR NR NR NR NR Page 39 Effectiveness of Care Sanford Health Plan Antidepressant Medication Management Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Effective Acute Phase Treatment Effective Continuation Phase Treatment NR NR NR NR NR NR Page 40 Effectiveness of Care Sanford Health Plan Antidepressant Medication Management Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Effective Acute Phase Treatment Effective Continuation Phase Treatment NR NR NR NR NR NR Page 41 Effectiveness of Care Sanford Health Plan Antidepressant Medication Management Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Effective Acute Phase Treatment Effective Continuation Phase Treatment NR NR NR NR NR NR Page 42 Effectiveness of Care Sanford Health Plan Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Initiation Phase Continuation and Maintenance Phase 36 11 30.56% 14.12% 46.99% 17 5 NA NA NA 2010 A Page 43 Effectiveness of Care Sanford Health Plan Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder (ADHD) Medication Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Initiation Phase Continuation and Maintenance Phase NR NR NR NR NR NR Page 44 Effectiveness of Care Sanford Health Plan Follow-up After Hospitalization for Mental Illness Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data 30 Days 7 Days NR NR NR NR NR NR Page 45 Effectiveness of Care Sanford Health Plan Follow-up After Hospitalization for Mental Illness Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data 30 Days 7 Days NR NR NR NR NR NR Page 46 Effectiveness of Care Sanford Health Plan Follow-up After Hospitalization for Mental Illness Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data 30 Days 7 Days NR NR NR NR NR NR Page 47 Effectiveness of Care Sanford Health Plan Annual Monitoring for Patients on Persistent Medications Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Annual Monitoring for Members on ACE Inhibitors or ARBs Digoxin Diuretics Anticonvulsants Total 1836 1467 79.90% 78.04% 81.76% 34 31 91.18% 80.17% 100.00% 1358 1090 80.27% 78.11% 82.42% 65 45 69.23% 57.24% 81.22% 3293 2633 79.96% 78.57% 81.34% 2010 A Page 48 Effectiveness of Care Sanford Health Plan Annual Monitoring for Patients on Persistent Medications Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) 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 Sanford Health Plan Annual Monitoring for Patients on Persistent Medications Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) 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 50 Effectiveness of Care Sanford Health Plan Annual Monitoring for Patients on Persistent Medications Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) 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 Sanford Health Plan Annual Monitoring for Patients on Persistent Medications Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) 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 52 Access/Availability of Care Sanford Health Plan Medication Reconciliation Post Discharge Data Elements Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) NR NR NR Page 53 Effectiveness of Care Sanford Health Plan Potentially Harmful Drug-Disease Interactions in the Elderly Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data History of Falls + Tricyclic Antidepressants, Antipsychotics or Sleep Agents NR NR NR Chronic Renal Dementia + Failure + Tricyclic Antidepressants Nonaspirin NSAIDs or Anticholinergic or Cox-2 Selective NSAIDs Agents NR NR NR NR NR NR Total NR NR NR Page 54 Effectiveness of Care Sanford Health Plan Potentially Harmful Drug-Disease Interactions in the Elderly Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data History of Falls + Tricyclic Antidepressants, Antipsychotics or Sleep Agents NR NR NR Chronic Renal Dementia + Failure + Tricyclic Antidepressants Nonaspirin NSAIDs or Anticholinergic or Cox-2 Selective NSAIDs Agents NR NR NR NR NR NR Total NR NR NR Page 55 Effectiveness of Care Sanford Health Plan Use of High Risk Medications in the Elderly Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data At least 1 Prescription At least 2 Prescriptions NR NR NR NR NR NR Page 56 Effectiveness of Care Sanford Health Plan Use of High Risk Medications in the Elderly Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data At least 1 Prescription At least 2 Prescriptions NR NR NR NR NR NR Page 57 Access/Availability of Care Sanford Health Plan Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data Ages 20-44 Ages 45-64 Ages 65+ Total 5218 6188 388 11794 4957 5930 378 95.00% 94.40% 95.60% 95.83% 95.32% 96.34% 97.42% 95.72% 99.13% 11265 95.51% 95.14% 95.89% 2010 A Page 58 Access/Availability of Care Sanford Health Plan Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR Page 59 Access/Availability of Care Sanford Health Plan Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 24, 2011 8:56 AM MSHO 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 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR Page 60 Access/Availability of Care Sanford Health Plan Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR Page 61 Access/Availability of Care Sanford Health Plan Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) 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 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR Page 62 Access/Availability of Care Sanford Health Plan Children's and Adolescents' Access to Primary Care Practitioners Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data 12-24 months 25 months 6 yrs. 7-11 yrs. 12-19 yrs. 345 339 1739 1530 1413 1243 2385 2140 98.26% 96.74% 99.79% 87.98% 86.42% 89.54% 87.97% 86.24% 89.70% 89.73% 88.49% 90.97% 2010 A Page 63 Access/Availability of Care Sanford Health Plan Children's and Adolescents' Access to Primary Care Practitioners Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) General Measure Data 12-24 months 25 months 6 yrs. 7-11 yrs. 12-19 yrs. NR NR NR NR NR NR NR NR NR NR NR NR Page 64 Access/Availability of Care Sanford Health Plan Initiation/Engagement of Alcohol & Other Drug Dependence Treatment Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) 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 2010 A 13 89 102 8 6 30 27 38 33 NA NA NA NA NA NA 33.71% 23.33% 44.09% 30.34% 20.22% 40.45% 37.25% 27.38% 47.13% 32.35% 22.78% 41.92% Page 65 Access/Availability of Care Sanford Health Plan Initiation/Engagement of Alcohol & Other Drug Dependence Treatment Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage 13-17 Year Olds Data Elements General Measure Data Initiation of AOD Treatment Engagement of AOD Treatment 18+ Year Olds Initiation of AOD Treatment Engagement of AOD Treatment Total Initiation of AOD Treatment Engagement of AOD Treatment Measurement Year Data collection methodology (Administrative only) Eligible member population Numerator events by administrative data Reported rate Lower 95% confidence interval Upper 95% confidence interval HEDIS 2011 (Reporting Year 2010) 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 Sanford Health Plan Initiation/Engagement of Alcohol & Other Drug Dependence Treatment Data Last Refreshed: Oct 24, 2011 8:56 AM MSHO 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 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 67 Access/Availability of Care Sanford Health Plan Initiation/Engagement of Alcohol & Other Drug Dependence Treatment Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) 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 Sanford Health Plan Initiation/Engagement of Alcohol & Other Drug Dependence Treatment Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) 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 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 69 Access/Availability of Care Sanford Health Plan Prenatal and Postpartum Care Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Data Elements Measurement Year Data collection methodology (Administrative or Hybrid) Eligible member population Number of numerator events by administrative data in eligible population (before exclusions) Current year's administrative rate (before exclusions) Minimum required sample size (MRSS) or other sample size Oversampling rate Final sample size (FSS) Number of numerator events by administrative data in FSS Administrative rate on FSS Number of original sample records excluded because of valid data errors Number of employee/dependent medical records excluded Records added from the oversample list Denominator Numerator events by administrative data Numerator events by medical record Reported rate Lower 95% confidence interval Upper 95% confidence interval HEDIS 2011 (Reporting Year 2010) Timeliness of Prenatal Care Postpartum Care 2010 H 438 2010 H 438 30 175 6.85% 229 5% 241 30 39.95% 229 5% 241 175 12.45% 72.61% 0 0 0 0 229 30 192 0 0 229 175 27 96.94% 94.50% 99.39% 88.21% 83.81% 92.60% Page 70 Access/Availability of Care Sanford Health Plan Prenatal and Postpartum Care Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) Timeliness of Prenatal Care Postpartum Care Current year's administrative rate (before exclusions) NR NR Minimum required sample size (MRSS) or other sample size Oversampling rate Final sample size (FSS) Number of numerator events by administrative data in FSS Administrative rate on FSS NR NR NR NR NR NR NR NR Data Elements Measurement Year Data collection methodology (Administrative or Hybrid) Eligible member population Number of numerator events by administrative data in eligible population (before exclusions) Number of original sample records excluded because of valid data errors Number of employee/dependent medical records excluded Records added from the oversample list Denominator Numerator events by administrative data Numerator events by medical record Reported rate Lower 95% confidence interval Upper 95% confidence interval HEDIS 2011 (Reporting Year 2010) Page 71 Use of Services Sanford Health Plan Well Child Visits in the First 15 Months of Life Data Last Refreshed: Oct 24, 2011 8:56 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 3 4 6 15 20 63 174 1.05% 0.00% 2.41% 1.40% 0.00% 2.94% 2.11% 0.26% 3.95% 5.26% 2.50% 8.03% 7.02% 3.88% 10.16% 22.11% 17.11% 27.10% 61.05% 55.22% 66.89% 2010 A 285 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 2011 (Reporting Year 2010) Page 72 Use of Services Sanford Health Plan Well Child Visits in the First 15 Months of Life Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) Data Elements General Measure Data Zero Visits 1 visit 2 visits 3 visits 4 visits 5 visits 6 or more visits NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Eligible Member Population Numerator events by admin data in eligible population Currect Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final sample size (FSS) Numerator events by admin data in FSS Administrative rate on FSS Number of Records Excluded Because of Valid Data Errors Number of employee/dependent medical records excluded Additional Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2011 (Reporting Year 2010) Page 73 Use of Services Sanford Health Plan Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life Data Elements Measurement Year Data Collection Methodology Eligible Member Population Commercial Data Last Refreshed: Oct 24, 2011 8:56 AM MHCP-MC 2010 A 1433 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 NR NR 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 2011 (Reporting Year 2010) 736 51.36% 48.74% 53.98% NR NR NR Page 74 Use of Services Sanford Health Plan Adolescent Well-Care Visits Data Elements Measurement Year Data Collection Methodology Eligible Member Population Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial MHCP-MC 2010 A 3394 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 NR NR 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 2011 (Reporting Year 2010) 982 28.93% 27.39% 30.47% NR NR NR Page 75 Use of Services Sanford Health Plan Ambulatory Care Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Member Months 4528 43824 49397 130224 113932 5216 341 4 0 347466 Outpatient Visits (Excludes MH/CD) Age <1 1-9 Visits 4174 11985 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total 10371 30346 36600 2318 149 4 0 95947 HEDIS 2011 (Reporting Year 2010) Visits/ 1,000 Member Months 921.82 273.48 209.95 233.03 321.24 444.40 436.95 1000.00 276.13 Emergency Room Visits Visits 88 506 535 1385 978 55 3 0 0 3550 Visits/ 1,000 Member Months 19.43 11.55 10.83 10.64 8.58 10.54 8.80 0.00 10.22 Page 76 Use of Services Sanford Health Plan Ambulatory Care Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Member Months NR Total 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 2011 (Reporting Year 2010) 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 Sanford Health Plan Ambulatory Care Data Last Refreshed: Oct 24, 2011 8:56 AM MSHO 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 2011 (Reporting Year 2010) 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 78 Use of Services Sanford Health Plan Ambulatory Care Data Last Refreshed: Oct 24, 2011 8:56 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 2011 (Reporting Year 2010) 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 Sanford Health Plan Ambulatory Care Data Last Refreshed: Oct 24, 2011 8:56 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 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 2011 (Reporting Year 2010) 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 80 Use of Services Sanford Health Plan Inpatient Utilization - General Hospital/Acute Care Commercial Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Age Total Inpatient <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Medicine <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Surgery <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Maternity 10-19 20-44 45-64 Unknown Total Data Last Refreshed: Oct 24, 2011 8:56 AM Member Months 4528 43824 49397 130224 113932 5216 341 4 0 347466 Discharges Discharges / 1,000 Member Months 46 75 69 714 669 64 0 1 0 1638 10.16 1.71 1.40 5.48 5.87 12.27 0.00 250.00 40 54 25 101 264 24 0 1 0 509 8.83 1.23 0.51 0.78 2.32 4.60 0.00 250.00 6 21 25 139 405 40 0 0 0 636 1.33 0.48 0.51 1.07 3.55 7.67 0.00 0.00 19 474 0 0 493 0.38 3.64 0.00 HEDIS 2011 (Reporting Year 2010) 4.71 1.46 1.83 1.68 Days Days / 1,000 Member Months 183 235 204 2179 2329 211 0 3 0 5344 40.42 5.36 4.13 16.73 20.44 40.45 0.00 750.00 167 154 86 325 828 64 0 3 0 1627 36.88 3.51 1.74 2.50 7.27 12.27 0.00 750.00 16 81 72 603 1501 147 0 0 0 2420 3.53 1.85 1.46 4.63 13.17 28.18 0.00 0.00 46 1251 0 0 1297 0.93 9.61 0.00 15.38 4.68 6.96 4.42 Average Length of Stay 3.98 3.13 2.96 3.05 3.48 3.30 NA 3.00 NA 3.26 4.18 2.85 3.44 3.22 3.14 2.67 NA 3.00 NA 3.20 2.67 3.86 2.88 4.34 3.71 3.68 NA NA NA 3.81 2.42 2.64 NA NA 2.63 Page 81 Use of Services Sanford Health Plan Inpatient Utilization - General Hospital/Acute Care Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage Age Member Months <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total NR Age Total Inpatient <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Medicine <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Surgery <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Maternity 10-19 20-44 45-64 Unknown Total Discharges Discharges / 1,000 Member Months Days NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR 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 Sanford Health Plan Inpatient Utilization - General Hospital/Acute Care MSHO Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Age Total Inpatient <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Medicine <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Surgery <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Maternity 10-19 20-44 45-64 Unknown Total Data Last Refreshed: Oct 24, 2011 8:56 AM 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 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR 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 83 Use of Services Sanford Health Plan Inpatient Utilization - General Hospital/Acute Care SNBC Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Age Total Inpatient <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Medicine <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Surgery <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Maternity 10-19 20-44 45-64 Unknown Total Data Last Refreshed: Oct 24, 2011 8:56 AM 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 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR 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 Sanford Health Plan Inpatient Utilization - General Hospital/Acute Care Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) Age Member Months <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total NR Age Total Inpatient <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Medicine <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Surgery <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Maternity 10-19 20-44 45-64 Unknown Total Discharges Discharges / 1,000 Member Months Days NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) NR NR NR NR NR NR NR NR NR 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 85 Use of Services Sanford Health Plan Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Member Months (Any) Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male 32305 12781 15386 24338 74362 2651 0 161823 Female 30645 12051 19244 29898 90895 2910 0 185643 Total 62950 24832 34630 54236 165257 5561 0 347466 Any Services Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total Number 0 0 0 13 13 26 20 20 40 34 17 51 70 49 119 0 0 0 0 0 0 137 99 236 HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Male 32305 12781 15386 24338 74362 2651 0 161823 Female 30645 12051 19244 29898 90895 2910 0 185643 Total 62950 24832 34630 54236 165257 5561 0 347466 Inpatient Percent 0.00% 0.00% 0.00% 1.22% 1.29% 1.26% 1.56% 1.25% 1.39% 1.68% 0.68% 1.13% 1.13% 0.65% 0.86% 0.00% 0.00% 0.00% NA NA NA 1.02% 0.64% 0.82% Number 0 0 0 7 5 12 5 3 8 6 2 8 29 20 49 0 0 0 0 0 0 47 30 77 Percent 0.00% 0.00% 0.00% 0.66% 0.50% 0.58% 0.39% 0.19% 0.28% 0.30% 0.08% 0.18% 0.47% 0.26% 0.36% 0.00% 0.00% 0.00% NA NA NA 0.35% 0.19% 0.27% Male 32305 12781 15386 24338 74362 2651 0 161823 Female 30645 12051 19244 29898 90895 2910 0 185643 Total 62950 24832 34630 54236 165257 5561 0 347466 Member Months (Outpatient/ED) Male 32305 12781 15386 24338 74362 2651 0 161823 Female 30645 12051 19244 29898 90895 2910 0 185643 Intensive Outpatient/Partial Hospitalization Outpatient/ED Number 0 0 0 4 5 9 8 4 12 9 4 13 19 9 28 0 0 0 0 0 0 40 22 62 Number 0 0 0 9 10 19 17 17 34 30 14 44 45 36 81 0 0 0 0 0 0 101 77 178 Percent 0.00% 0.00% 0.00% 0.38% 0.50% 0.43% 0.62% 0.25% 0.42% 0.44% 0.16% 0.29% 0.31% 0.12% 0.20% 0.00% 0.00% 0.00% NA NA NA 0.30% 0.14% 0.21% Total 62950 24832 34630 54236 165257 5561 0 347466 Percent 0.00% 0.00% 0.00% 0.85% 1.00% 0.92% 1.33% 1.06% 1.18% 1.48% 0.56% 0.97% 0.73% 0.48% 0.59% 0.00% 0.00% 0.00% NA NA NA 0.75% 0.50% 0.61% Page 86 Use of Services Sanford Health Plan Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR NR NR Any Services Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Member Months (Any) Male Female NR NR Total 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 Female NR NR Total NR NR NR NR NR NR NR NR Member Months (Outpatient/ED) Male Female 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 Total 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 Sanford Health Plan Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 24, 2011 8:56 AM MSHO Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR NR NR Any Services Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Member Months (Any) Male Female NR NR Total NR NR NR NR NR NR NR NR Number NR NR NR NR NR NR NR NR NR NR Female NR NR Total NR NR NR NR NR NR NR NR Intensive Outpatient/Partial Hospitalization Inpatient Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Male Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Number NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Member Months (Outpatient/ED) Male Female NR NR Total NR NR NR NR NR NR NR NR Outpatient/ED Number NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 88 Use of Services Sanford Health Plan Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 24, 2011 8:56 AM SNBC Member Months (Any) Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR NR NR Any Services Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Male Female NR NR Total 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 Female NR NR Total NR NR NR NR NR NR NR NR Member Months (Outpatient/ED) Male Female 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 Total 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 Sanford Health Plan Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR NR NR Any Services Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Member Months (Any) Male Female NR NR Total 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 Female NR NR Total NR NR NR NR NR NR NR NR Member Months (Outpatient/ED) Male Female 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 Total 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 90 Use of Services Sanford Health Plan Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 24, 2011 8:56 AM Commercial Member Months (Any) Age 0-12 13-17 18-64 65+ Unknown Total Male 32305 12781 114086 2651 0 161823 Female 30645 12051 140037 2910 0 185643 Total 62950 24832 254123 5561 0 347466 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 107 58 165 105 90 195 376 794 1170 6 8 14 0 0 0 594 950 1544 HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Male 32305 12781 114086 2651 0 161823 Female 30645 12051 140037 2910 0 185643 Total 62950 24832 254123 5561 0 347466 Number 4 1 5 10 8 18 28 33 61 0 2 2 0 0 0 42 44 86 Female 30645 12051 140037 2910 0 185643 Total 62950 24832 254123 5561 0 347466 Intensive Outpatient/Partial Hospitalization Inpatient Percent 3.97% 2.27% 3.15% 9.86% 8.96% 9.42% 3.95% 6.80% 5.52% 2.72% 3.30% 3.02% NA NA NA 4.40% 6.14% 5.33% Male 32305 12781 114086 2651 0 161823 Percent 0.15% 0.04% 0.10% 0.94% 0.80% 0.87% 0.29% 0.28% 0.29% 0.00% 0.82% 0.43% NA NA NA 0.31% 0.28% 0.30% Number 0 0 0 2 1 3 2 12 14 0 0 0 0 0 0 4 13 17 Percent 0.00% 0.00% 0.00% 0.19% 0.10% 0.14% 0.02% 0.10% 0.07% 0.00% 0.00% 0.00% NA NA NA 0.03% 0.08% 0.06% Member Months (Outpatient/ED) Male 32305 12781 114086 2651 0 161823 Female 30645 12051 140037 2910 0 185643 Total 62950 24832 254123 5561 0 347466 Outpatient/ED Number 105 57 162 100 84 184 368 760 1128 6 7 13 0 0 0 579 908 1487 Percent 3.90% 2.23% 3.09% 9.39% 8.36% 8.89% 3.87% 6.51% 5.33% 2.72% 2.89% 2.81% NA NA NA 4.29% 5.87% 5.14% Page 91 Use of Services Sanford Health Plan Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 24, 2011 8:56 AM Medicare Advantage Member Months (Any) Age 0-12 13-17 18-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR Any Services Age 0-12 13-17 18-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Male Female NR NR Total NR NR NR NR NR NR Number NR NR NR NR NR NR NR NR Female NR NR Total NR NR NR NR NR NR Intensive Outpatient/Partial Hospitalization Inpatient Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Male Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Member Months (Outpatient/ED) Male Female NR NR Total NR NR NR NR NR NR Outpatient/ED Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 92 Use of Services Sanford Health Plan Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 24, 2011 8:56 AM MSHO Member Months (Any) Age 0-12 13-17 18-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR Any Services Age 0-12 13-17 18-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Male Female NR NR Total NR NR NR NR NR NR Number NR NR NR NR NR NR NR NR Female NR NR Total NR NR NR NR NR NR Intensive Outpatient/Partial Hospitalization Inpatient Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Male Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Member Months (Outpatient/ED) Male Female NR NR Total NR NR NR NR NR NR Outpatient/ED Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 93 Use of Services Sanford Health Plan Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 24, 2011 8:56 AM SNBC Member Months (Any) Age 0-12 13-17 18-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR Any Services Age 0-12 13-17 18-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Member Months (Intensive Outpatient/Partial Hospitalization) Member Months (Inpatient) Male Female NR NR Total NR NR NR NR NR NR Number NR NR NR NR NR NR NR NR Female NR NR Total NR NR NR NR NR NR Intensive Outpatient/Partial Hospitalization Inpatient Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Male Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Member Months (Outpatient/ED) Male Female NR NR Total NR NR NR NR NR NR Outpatient/ED Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 94 Use of Services Sanford Health Plan Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care(MHCP-MC) Member Months (Any) Age 0-12 13-17 18-64 65+ Unknown Total Male Female NR NR Total 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 2011 (Reporting Year 2010) Male Female NR NR Total 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 Male Female NR NR Total NR NR NR NR NR NR Intensive Outpatient/Partial Hospitalization 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 Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Member Months (Outpatient/ED) Male Female NR NR Total NR NR NR NR NR NR Outpatient/ED Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 95 Health Plan Descriptive Information Sanford Health Plan Data Last Refreshed: Oct 24, 2011 8:56 AM Board Certification MSHO Type of Physician Family Medicine Internal Medicine Geriatricians Other practitioner Specialists HEDIS 2011 (Reporting Year 2010) Number of Physicians in Active Board Certification Each Practice Area Percent Number 1164 548 37 1579 751 402 15 1148 64.52% 73.36% 40.54% 72.70% Page 96 Health Plan Descriptive Information Sanford Health Plan Data Last Refreshed: Oct 24, 2011 8:56 AM Board Certification SNBC Type of Physician Family Medicine Internal Medicine Geriatricians Other practitioner Specialists HEDIS 2011 (Reporting Year 2010) Number of Physicians in Active Board Certification Each Practice Area Percent Number 1164 548 37 1579 751 402 15 1148 64.52% 73.36% 40.54% 72.70% Page 97 Health Plan Descriptive Information Sanford Health Plan Enrollment by Product Line (Age & Sex) Data Last Refreshed: Oct 24, 2011 8:56 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 2192 10011 12314 12336 8233 4787 Member Months Female 2336 10262 11237 11398 7463 5180 Total 4528 20273 23551 23734 15696 9967 49873 30.82% 10599 12190 12148 11653 11789 47876 25.79% 14064 15278 14620 13812 14071 97749 28.13% 58379 36.08% 14713 14087 12661 9459 71845 38.70% 17963 17736 15751 11562 130224 37.48% 50920 31.47% 2056 444 127 20 4 0 63012 33.94% 2365 351 173 21 0 0 113932 32.79% 2651 1.64% 0 2910 1.57% 0 5561 1.60% 161823 185643 HEDIS 2011 (Reporting Year 2010) 24663 27468 26768 25465 25860 32676 31823 28412 21021 4421 795 300 41 4 0 0 347466 Page 98 Health Plan Descriptive Information Sanford Health Plan Enrollment by Product Line (Age & Sex) Data Last Refreshed: Oct 24, 2011 8:56 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: % 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 65-69 70-74 75-79 80-84 85-89 >=90 >=65 Subtotal >=65 Subtotal: % NR NR NR NR NR NR Age Unknown Total NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Page 99 Health Plan Descriptive Information Sanford Health Plan Enrollment by Product Line (Age & Sex) Data Last Refreshed: Oct 24, 2011 8:56 AM MSHO Male Member Months Female <1 1-4 5-9 10-14 15-17 18-19 Total NR NR NR NR NR NR 0-19 Subtotal 0-19 Subtotal: % 20-24 25-29 30-34 35-39 40-44 NR NR 20-44 Subtotal 20-44 Subtotal: % 45-49 50-54 55-59 60-64 NR NR 45-64 Subtotal 45-64 Subtotal: % 65-69 70-74 75-79 80-84 85-89 >=90 NR NR >=65 Subtotal >=65 Subtotal: % Age Unknown 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 HEDIS 2011 (Reporting Year 2010) Page 100 Health Plan Descriptive Information Sanford Health Plan Enrollment by Product Line (Age & Sex) Data Last Refreshed: Oct 24, 2011 8:56 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: % 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 65-69 70-74 75-79 80-84 85-89 >=90 >=65 Subtotal >=65 Subtotal: % NR NR NR NR NR NR Age Unknown Total NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Page 101 Health Plan Descriptive Information Sanford Health Plan Enrollment by Product Line (Age & Sex) Data Last Refreshed: Oct 24, 2011 8:56 AM Minnesota Health Care Programs - Managed Care (MHCP-MC) 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: % 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 65-69 70-74 75-79 80-84 85-89 >=90 >=65 Subtotal >=65 Subtotal: % NR NR NR NR NR NR Age Unknown Total NR NR NR NR NR NR NR NR NR NR HEDIS 2011 (Reporting Year 2010) Page 102
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