Metropolitan 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
Metropolitan Health Plan
Adult BMI Assessment
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Medicare
Advantage
2010
H
26
MHCP-MC
2010
H
839
3
35
11.54%
26
0.00%
26
3
11.54%
4.17%
411
5.00%
432
14
3.24%
Number of Records Excluded Because of Valid
Data Errors
0
0
Number of administrative data records excluded
0
141
Number of medical record data records excluded
0
0
Number of employee/dependent medical records
excluded
0
0
0
26
3
18
NA
NA
NA
0
411
13
307
77.86%
73.72%
81.99%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
Page 3
Effectiveness of Care
Metropolitan Health Plan
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Counseling for Nutrition
BMI Percentile
Data Elements
General
Measure
Data
Ages 3-11 Ages 12-17
Total
General
Measure
Data
Ages 3-11 Ages 12-17
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 4
Effectiveness of Care
Metropolitan Health Plan
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Nutrition
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
2504
1066
3570
2504
1066
3570
2504
1066
3570
116
4.63%
60
5.63%
176
4.93%
179
7.15%
49
4.60%
228
6.39%
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
12
2.78%
6
1.39%
18
4.17%
432
22
5.09%
3
0.69%
25
5.79%
0
0
0
Number of administrative data records
excluded
27
27
27
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
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)
298
113
411
298
113
411
298
113
411
12
246
86.58%
82.54%
90.62%
6
89
84.07%
76.88%
91.26%
18
335
85.89%
82.40%
89.38%
22
210
77.85%
72.97%
82.73%
3
74
68.14%
59.11%
77.17%
25
284
75.18%
70.88%
79.48%
0
221
74.16%
69.02%
79.30%
0
78
69.03%
60.06%
77.99%
0
299
72.75%
68.32%
77.18%
Page 5
Effectiveness of Care
Metropolitan Health Plan
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 6
Effectiveness of Care
Metropolitan Health Plan
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Data Elements
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 7
Effectiveness of Care
Metropolitan Health Plan
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
HiB
Hepatitis B
VZV
Influenza
282
70.85%
315
79.15%
355
89.20%
311
78.14%
259
65.08%
358
89.95%
277
69.60%
104
26.13%
233
58.54%
263
66.08%
282
70.85%
315
79.15%
355
89.20%
311
78.14%
259
65.08%
358
89.95%
277
69.60%
104
26.13%
233
58.54%
263
66.08%
282
65
87.19%
83.78%
90.60%
315
63
94.97%
92.70%
97.25%
355
22
94.72%
92.40%
97.05%
311
59
92.96%
90.33%
95.60%
259
119
94.97%
92.70%
97.25%
358
21
95.23%
93.01%
97.45%
277
70
87.19%
83.78%
90.60%
104
23
31.91%
27.20%
36.61%
233
51
71.36%
66.79%
75.92%
263
15
69.85%
65.21%
74.48%
398
0
Numerator Events by administrative Data
MMR
398
0
Number of Records Excluded Because of
Valid Data Errors
Denominator
IPV
2010
H
398
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
398
Page 8
Effectiveness of Care
Metropolitan Health Plan
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
282
70.85%
204
51.26%
193
48.49%
65
16.33%
157
39.45%
159
39.95%
52
13.07%
59
14.82%
132
33.17%
47
11.81%
282
70.85%
204
51.26%
193
48.49%
65
16.33%
157
39.45%
159
39.95%
52
13.07%
59
14.82%
132
33.17%
47
11.81%
282
65
87.19%
83.78%
90.60%
204
117
80.65%
76.65%
84.66%
193
117
77.89%
73.69%
82.09%
65
51
29.15%
24.56%
33.74%
157
88
61.56%
56.65%
66.46%
159
79
59.80%
54.86%
64.74%
52
39
22.86%
18.61%
27.12%
59
34
23.37%
19.08%
27.65%
132
62
48.74%
43.71%
53.78%
47
27
18.59%
14.65%
22.54%
398
0
Numerator Events by administrative Data
Combo 3
398
0
Number of Records Excluded Because of
Valid Data Errors
Denominator
Combo 2
2010
H
398
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
398
Page 9
Effectiveness of Care
Metropolitan Health Plan
Immunizations for Adolescents
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Data Elements
General
Measure Data
Meningococcal
Tdap
Combo 1
Current Year's Admin Rate
NR
NR
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
NR
NR
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical data records excluded
Number of employee/dependent medical records
excluded
HEDIS 2011 (Reporting Year 2010)
Page 10
Effectiveness of Care
Metropolitan Health Plan
Immunizations for Adolescents
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Data
2010
Measurement Year
H
Data Collection Methodology
224
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
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
excluded
0
HEDIS 2011 (Reporting Year 2010)
Tdap
Combo 1
136
158
118
60.71%
70.54%
52.68%
136
60.71%
158
70.54%
118
52.68%
136
23
70.98%
64.82%
77.15%
158
35
86.16%
81.42%
90.91%
118
33
67.41%
61.05%
73.77%
224
0.00%
224
Records Excluded because of Valid Data Errors
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Meningococcal
0
224
Page 11
Effectiveness of Care
Metropolitan 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 9:01 AM
Commercial
NR
NR
NR
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2010
A
11
9
NA
NA
NA
2010
A
34
18
52.94%
34.69%
71.19%
2010
A
26
15
NA
NA
NA
2010
A
237
144
60.76%
54.33%
67.19%
Page 12
Effectiveness of Care
Metropolitan Health Plan
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
2010
H
1200
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
807
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
MHCP-MC
67.25%
411
10.00%
453
304
67.11%
4
11
5
0
NR
9
411
287
27
76.40%
NR
NR
72.17%
80.63%
Page 13
Effectiveness of Care
Metropolitan Health Plan
Colorectal Cancer Screening
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Data Elements
Commercial
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)
NR
NR
NR
NR
NR
Medicare
Advantage
2010
H
25
MSHO
SNBC
2010
H
245
2010
H
24
5
56
2
20.00%
25
0
25
5
20.00%
0
0
0
0
0
25
5
8
NA
NA
NA
22.86%
245
0.00%
245
56
22.86%
0
0
0
0
0
245
56
63
48.57%
42.11%
55.03%
8.33%
24
0.00%
24
2
8.33%
0
0
0
0
0
24
2
3
NA
NA
NA
Page 14
Effectiveness of Care
Metropolitan Health Plan
Chlamydia Screening in Women
Data Last Refreshed:
Oct 24, 2011 9:01 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
NR
NR
NR
Ages 21-24
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 15
Effectiveness of Care
Metropolitan Health Plan
Chlamydia Screening in Women
Data Last Refreshed:
Oct 24, 2011 9:01 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
Ages 21-24
Total
279
180
64.52%
58.72%
70.31%
153
121
79.08%
72.31%
85.86%
432
301
69.68%
65.23%
74.13%
2010
A
Page 16
Effectiveness of Care
Metropolitan 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 9:01 AM
Medicare
Advantage
MSHO
2010
A
24
19
NA
NA
NA
2010
A
585
455
77.78%
74.32%
81.23%
Page 17
Effectiveness of Care
Metropolitan Health Plan
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Lead Screening in Children
Data Elements
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
MHCP-MC
2010
A
398
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
357
Reported Rate
NR
89.70%
Lower 95% Confidence Interval
NR
86.59%
Upper 95% Confidence Interval
NR
92.81%
HEDIS 2011 (Reporting Year 2010)
Page 18
Effectiveness of Care
Metropolitan Health Plan
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
0
0
0
0
0.00%
0.00%
0.00%
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
181
0
387
0
281
0
257
Reported Rate
44.04%
94.16%
68.37%
62.53%
Lower 95% Confidence Interval
39.12%
91.77%
63.75%
57.73%
Upper 95% Confidence Interval
48.96%
96.55%
72.99%
67.33%
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General Measure
Data
2010
H
646
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
411
5.00%
432
Records Excluded because of Valid Data
Errors
0
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2011 (Reporting Year 2010)
Advance Care
Planning
0
411
Page 19
Effectiveness of Care
Metropolitan Health Plan
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:01 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
0
NR
NR
NR
0
NR
NR
NR
2010
A
0
Page 20
Effectiveness of Care
Metropolitan Health Plan
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:01 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
17
NA
NA
NA
18
NA
NA
NA
2010
A
19
Page 21
Effectiveness of Care
Metropolitan Health Plan
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:01 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
1
NA
NA
NA
2
NA
NA
NA
2010
A
2
Page 22
Effectiveness of Care
Metropolitan 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 9:01 AM
Medicare
Advantage
MSHO
SNBC
2010
A
0
0
NA
NA
NA
2010
A
21
4
NA
NA
NA
2010
A
0
0
NA
NA
NA
Page 23
Effectiveness of Care
Metropolitan Health Plan
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 24, 2011 9:01 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
NR
NR
NR
Ages 12-50
Total
NR
NR
NR
NR
NR
NR
NR
NR
`
Page 24
Effectiveness of Care
Metropolitan Health Plan
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 24, 2011 9:01 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
Ages 12-50
Total
62
62
100.00%
99.19%
100.00%
94
88
93.62%
88.14%
99.09%
156
150
96.15%
92.82%
99.49%
2010
A
Page 25
Effectiveness of Care
Metropolitan Health Plan
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 9:01 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 26
Effectiveness of Care
Metropolitan Health Plan
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 9:01 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
2
0
66.67%
0.00%
2
0
66.67%
0.00%
2
0
0
1
NA
NA
NA
NA
NA
NA
2010
H
3
3
0.00%
3
0
0
0
3
Page 27
Effectiveness of Care
Metropolitan Health Plan
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 9:01 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 2011 (Reporting Year 2010)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
10
0
58.82%
0.00%
10
0
58.82%
0.00%
10
4
0
10
NA
NA
NA
NA
NA
NA
2010
H
17
17
0.00%
17
0
0
0
17
Page 28
Effectiveness of Care
Metropolitan Health Plan
Controlling High Blood Pressure
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2010
H
18
2010
H
319
2010
H
73
2010
H
246
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
17
0.00%
17
0.00%
290
0.00%
290
0.00%
70
0.00%
70
0.00%
231
0.00%
231
0
0.00%
0
0.00%
0
0.00%
0
0.00%
Records Excluded because of Valid Data
Errors
1
3
1
0
Number of records excluded because of
false positive diagnoses
0
0
0
0
Number of administrative data records
excluded
1
29
3
15
Number of medical record data records
excluded
1
2
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
15
0
13
NA
NA
NA
0
285
0
194
68.07%
62.48%
73.66%
0
69
0
44
63.77%
51.70%
75.83%
0
231
0
151
65.37%
59.02%
71.72%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records 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)
Commercial
NR
NR
NR
NR
NR
Page 29
Effectiveness of Care
Metropolitan Health Plan
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2010
A
0
2010
A
4
2010
A
0
2010
A
5
0
4
0
4
NR
NR
NR
NA
NA
NA
NR
NR
NR
NA
NA
NA
Page 30
Effectiveness of Care
Metropolitan Health Plan
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring
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 31
Effectiveness of Care
Metropolitan Health Plan
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare Advantage
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
2010
H
11
2010
H
11
10
90.91%
11
0%
11
8
72.73%
11
100.00%
11
0%
11
11
100.00%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2010
H
11
2010
H
11
2010
H
11
2010
H
11
2010
H
11
2010
H
11
2010
H
11
0
0.00%
11
0%
11
0
0.00%
7
63.64%
11
0%
11
7
63.64%
9
81.82%
11
0%
11
9
81.82%
0
0.00%
11
0%
11
0
0.00%
11
100.00%
11
0%
11
11
100.00%
0
0.00%
11
0%
11
0
0.00%
0
0.00%
11
0%
11
0
0.00%
1
1
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
1
1
1
1
1
1
1
Number of administrative data records
excluded
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
10
8
2
NA
NA
NA
0
10
2
2
NA
NA
NA
0
10
0
6
NA
NA
NA
0
10
7
0
NA
NA
NA
0
10
8
1
NA
NA
NA
0
10
0
4
NA
NA
NA
0
10
10
0
NA
NA
NA
0
10
0
9
NA
NA
NA
0
10
0
8
NA
NA
NA
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)
NR
NR
NR
Page 32
Effectiveness of Care
Metropolitan Health Plan
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2010
H
102
2010
H
102
90
88.24%
101
0%
101
89
88.12%
102
100.00%
101
0%
101
101
100.00%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2010
H
102
2010
H
102
2010
H
102
2010
H
102
2010
H
102
2010
H
102
2010
H
102
0
0.00%
101
0%
101
0
0.00%
68
66.67%
101
0%
101
68
67.33%
79
77.45%
101
0%
101
76
75.25%
0
0.00%
101
0%
101
0
0.00%
92
90.20%
101
0%
101
92
91.09%
0
0.00%
101
0%
101
0
0.00%
0
0.00%
101
0%
101
0
0.00%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
6
6
6
6
6
6
6
6
6
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
95
87
3
94.74%
89.72%
99.75%
0
95
7
3
10.53%
3.83%
17.22%
0
95
0
68
71.58%
61.98%
81.18%
0
95
62
10
75.79%
66.65%
84.93%
0
95
70
7
81.05%
72.65%
89.46%
0
95
0
60
63.16%
52.93%
73.38%
0
95
90
1
95.79%
91.22%
100.00%
0
95
0
70
73.68%
64.30%
83.07%
0
95
0
62
65.26%
55.16%
75.36%
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)
NR
NR
NR
Page 33
Effectiveness of Care
Metropolitan Health Plan
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
SNBC
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
2010
H
46
2010
H
46
40
86.96%
46
0%
46
37
80.43%
46
100.00%
46
0%
46
46
100.00%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
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
2010
H
46
2010
H
46
2010
H
46
2010
H
46
2010
H
46
2010
H
46
2010
H
46
0
0.00%
46
0%
46
0
0.00%
31
67.39%
46
0%
46
31
67.39%
35
76.09%
46
0%
46
34
73.91%
0
0.00%
46
0%
46
0
0.00%
41
89.13%
46
0%
46
41
89.13%
0
0.00%
46
0%
46
0
0.00%
0
0.00%
46
0%
46
0
0.00%
4
4
4
4
4
4
4
4
4
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
42
37
3
95.24%
87.61%
100.00%
0
42
3
7
23.81%
9.74%
37.88%
0
42
0
26
61.90%
46.03%
77.78%
0
42
28
5
78.57%
64.97%
92.17%
0
42
31
1
76.19%
62.12%
90.26%
0
42
0
21
50.00%
33.69%
66.31%
0
42
39
0
92.86%
83.88%
100.00%
0
42
0
25
59.52%
43.49%
75.56%
0
42
0
21
50.00%
33.69%
66.31%
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)
NR
NR
NR
Page 34
Effectiveness of Care
Metropolitan Health Plan
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:01 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
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
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
2010
H
188
161
85.64%
183
0%
183
155
84.70%
188
100.00%
183
0%
183
183
100.00%
0
0.00%
157
0%
157
0
0.00%
0
0.00%
183
0%
183
0
0.00%
103
54.79%
183
0%
183
102
55.74%
135
71.81%
183
0%
183
134
73.22%
0
0.00%
183
0%
183
0
0.00%
145
77.13%
183
0%
183
143
78.14%
0
0.00%
183
0%
183
0
0.00%
0
0.00%
183
0%
183
0
0.00%
15
15
15
15
15
15
15
15
15
15
5
5
5
5
5
5
5
5
5
5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
168
0
96
57.14%
49.36%
64.92%
0
168
101
25
75.00%
68.15%
81.85%
0
168
131
3
79.76%
73.39%
86.14%
0
168
0
74
44.05%
36.24%
51.85%
0
168
139
1
83.33%
77.40%
89.27%
0
168
0
129
76.79%
70.10%
83.47%
0
168
0
94
55.95%
48.15%
63.76%
Number of Administrative required exclusions
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)
Blood
Pressure
<130/80
mm Hg
18
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
9
0
168
152
5
93.45%
89.41%
97.49%
0
168
11
28
23.21%
16.53%
29.90%
0
142
0
63
44.37%
35.84%
52.89%
Page 35
Effectiveness of Care
Metropolitan 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 9:01 AM
Medicare
Advantage
2010
A
0
0
NA
NA
NA
Page 36
Effectiveness of Care
Metropolitan 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 9:01 AM
Medicare
Advantage
MSHO
2010
A
0
0
NA
NA
NA
2010
A
19
3
NA
NA
NA
Page 37
Effectiveness of Care
Metropolitan Health Plan
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:01 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
NR
NR
NR
NR
NR
NR
Page 38
Effectiveness of Care
Metropolitan Health Plan
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:01 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
0
NA
NA
NA
0
NA
NA
NA
2010
A
1
Page 39
Effectiveness of Care
Metropolitan Health Plan
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:01 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
4
NA
NA
NA
4
NA
NA
NA
2010
A
7
Page 40
Effectiveness of Care
Metropolitan Health Plan
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:01 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
1
NA
NA
NA
1
NA
NA
NA
2010
A
3
Page 41
Effectiveness of Care
Metropolitan Health Plan
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:01 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
35
47.30%
35.25%
59.35%
21
28.38%
17.43%
39.33%
2010
A
74
Page 42
Effectiveness of Care
Metropolitan Health Plan
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 24, 2011 9:01 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
NR
NR
NR
NR
NR
NR
Page 43
Effectiveness of Care
Metropolitan Health Plan
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 24, 2011 9:01 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
54
21
38.89%
24.96%
52.82%
10
6
NA
NA
NA
2010
A
Page 44
Effectiveness of Care
Metropolitan Health Plan
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:01 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
0
NA
NA
NA
0
NA
NA
NA
2010
A
0
Page 45
Effectiveness of Care
Metropolitan Health Plan
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:01 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
9
NA
NA
NA
5
NA
NA
NA
2010
A
12
Page 46
Effectiveness of Care
Metropolitan Health Plan
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:01 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
28
58.33%
43.34%
73.32%
16
33.33%
18.96%
47.71%
2010
A
48
Page 47
Effectiveness of Care
Metropolitan Health Plan
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:01 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 48
Effectiveness of Care
Metropolitan Health Plan
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:01 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
17
15
NA
NA
NA
1
1
NA
NA
NA
13
12
NA
NA
NA
1
1
NA
NA
NA
32
29
90.63%
78.96%
100.00%
2010
A
Page 49
Effectiveness of Care
Metropolitan Health Plan
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:01 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
318
293
92.14%
89.02%
95.25%
9
8
NA
NA
NA
267
250
93.63%
90.52%
96.75%
32
25
78.13%
62.24%
94.01%
626
576
92.01%
89.81%
94.22%
2010
A
Page 50
Effectiveness of Care
Metropolitan Health Plan
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:01 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
50
43
86.00%
75.38%
96.62%
3
3
NA
NA
NA
56
52
92.86%
85.22%
100.00%
10
8
NA
NA
NA
119
106
89.08%
83.05%
95.10%
2010
A
Page 51
Effectiveness of Care
Metropolitan Health Plan
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:01 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
142
119
83.80%
77.39%
90.21%
0
0
NA
NA
NA
131
107
81.68%
74.67%
88.69%
12
9
NA
NA
NA
285
235
82.46%
77.86%
87.05%
2010
A
Page 52
Access/Availability of Care
Metropolitan Health Plan
Medication Reconciliation Post Discharge
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:01 AM
MSHO
2010
H
396
0
0.00%
239
0%
239
0
0.00%
13
0
0
226
0
163
72.12%
66.06%
78.19%
Page 53
Effectiveness of Care
Metropolitan Health Plan
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:01 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
Chronic Renal
Dementia +
Failure +
Tricyclic
Antidepressants Nonaspirin NSAIDs
or Anticholinergic or Cox-2 Selective
NSAIDs
Agents
Total
2010
A
0
0
NA
NA
NA
1
1
NA
NA
NA
1
0
NA
NA
NA
2
1
NA
NA
NA
Page 54
Effectiveness of Care
Metropolitan Health Plan
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:01 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
Chronic Renal
Dementia +
Failure +
Tricyclic
Antidepressants Nonaspirin NSAIDs
or Anticholinergic or Cox-2 Selective
NSAIDs
Agents
Total
2010
A
10
3
NA
NA
NA
149
41
27.52%
20.01%
35.02%
18
1
NA
NA
NA
177
45
25.42%
18.73%
32.12%
Page 55
Effectiveness of Care
Metropolitan Health Plan
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:01 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
2010
A
35
At least 1
Prescription
At least 2
Prescriptions
2
5.71%
0.00%
14.83%
0
0.00%
0.00%
1.43%
Page 56
Effectiveness of Care
Metropolitan Health Plan
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:01 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
2010
A
648
At least 1
Prescription
At least 2
Prescriptions
119
18.36%
15.31%
21.42%
19
2.93%
1.56%
4.31%
Page 57
Access/Availability of Care
Metropolitan Health Plan
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Data Elements
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 58
Access/Availability of Care
Metropolitan Health Plan
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare Advantage
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
2
9
35
46
2
9
33
NA
NA
NA
NA
NA
NA
94.29%
85.17%
100.00%
44
95.65%
88.67%
100.00%
2010
A
Page 59
Access/Availability of Care
Metropolitan Health Plan
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:01 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 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
648
648
0
0
628
NA
NA
NA
NA
NA
NA
96.91%
95.50%
98.32%
628
96.91%
95.50%
98.32%
2010
A
Page 60
Access/Availability of Care
Metropolitan Health Plan
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
SNBC
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
72
155
3
230
69
152
3
95.83%
90.52%
100.00%
98.06%
95.57%
100.00%
NA
NA
NA
224
97.39%
95.11%
99.67%
2010
A
Page 61
Access/Availability of Care
Metropolitan Health Plan
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:01 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 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
1426
573
1
2000
1227
518
1
86.04%
84.21%
87.88%
90.40%
87.90%
92.90%
NA
NA
NA
1746
87.30%
85.82%
88.78%
2010
A
Page 62
Access/Availability of Care
Metropolitan Health Plan
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 24, 2011 9:01 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.
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 63
Access/Availability of Care
Metropolitan Health Plan
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 24, 2011 9:01 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.
673
661
1758
1596
930
868
1045
950
98.22%
97.14%
99.29%
90.78%
89.40%
92.17%
93.33%
91.68%
94.99%
90.91%
89.12%
92.70%
2010
A
Page 64
Access/Availability of Care
Metropolitan Health Plan
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 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 65
Access/Availability of Care
Metropolitan Health Plan
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare Advantage
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
0
1
1
0
0
1
0
1
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 66
Access/Availability of Care
Metropolitan Health Plan
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:01 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 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
0
20
20
0
0
5
0
5
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 67
Access/Availability of Care
Metropolitan Health Plan
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:01 AM
SNBC
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 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
0
90
90
0
0
26
4
26
4
NA
NA
NA
NA
NA
NA
28.89%
18.97%
38.81%
4.44%
0.00%
9.26%
28.89%
18.97%
38.81%
4.44%
0.00%
9.26%
Page 68
Access/Availability of Care
Metropolitan Health Plan
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:01 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 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
34
251
285
9
4
59
16
68
20
26.47%
10.17%
42.77%
11.76%
0.00%
24.07%
23.51%
18.06%
28.95%
6.37%
3.15%
9.60%
23.86%
18.74%
28.98%
7.02%
3.88%
10.16%
Page 69
Access/Availability of Care
Metropolitan Health Plan
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Current year's administrative rate (before exclusions)
NR
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
Page 70
Access/Availability of Care
Metropolitan Health Plan
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Timeliness of
Prenatal Care
Postpartum
Care
2010
A
899
2010
A
899
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
762
641
84.76%
82.36%
87.17%
71.30%
68.29%
74.31%
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
Metropolitan Health Plan
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 72
Use of Services
Metropolitan Health Plan
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
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
7
7
11
24
37
119
395
1.17%
0.22%
2.11%
1.17%
0.22%
2.11%
1.83%
0.68%
2.99%
4.00%
2.35%
5.65%
6.17%
4.16%
8.17%
19.83%
16.56%
23.11%
65.83%
61.96%
69.71%
2010
A
600
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
Metropolitan Health Plan
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Commercial
Measurement Year
Data Collection Methodology
Data Last Refreshed:
Oct 24, 2011 9:01 AM
MHCP-MC
2010
A
1425
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
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)
1095
NR
NR
NR
76.84%
74.62%
79.07%
Page 74
Use of Services
Metropolitan Health Plan
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
MHCP-MC
2010
A
1847
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)
816
NR
NR
NR
44.18%
41.89%
46.47%
Page 75
Use of Services
Metropolitan Health Plan
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
Visits
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits/ 1,000
Member
Months
NR
NR
Emergency Room Visits
Visits
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 76
Use of Services
Metropolitan Health Plan
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
46
121
286
98
36
0
587
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
18
104
168
56
16
0
362
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NA
NA
NA
391.30
859.50
587.41
571.43
444.44
616.70
Emergency Room Visits
Visits
0
0
0
1
11
1
8
1
0
22
Visits/ 1,000
Member
Months
NA
NA
NA
21.74
90.91
3.50
81.63
27.78
37.48
Page 77
Use of Services
Metropolitan Health Plan
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:01 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
1
3499
3804
1334
0
8638
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
0
0
0
0
3260
3214
945
0
7419
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
931.69
844.90
708.40
858.88
Emergency Room Visits
Visits
0
0
0
0
0
229
180
52
0
461
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
65.45
47.32
38.98
53.37
Page 78
Use of Services
Metropolitan Health Plan
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
19
1523
2694
19
0
0
0
4255
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
3
1167
2808
14
0
0
0
3992
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NA
NA
157.89
766.25
1042.32
736.84
NA
NA
938.19
Emergency Room Visits
Visits
0
0
3
353
528
2
0
0
0
886
Visits/ 1,000
Member
Months
NA
NA
157.89
231.78
195.99
105.26
NA
NA
208.23
Page 79
Use of Services
Metropolitan Health Plan
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:01 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
14299
70925
46661
45499
13061
36
0
0
0
190481
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
29695
10983
24146
6577
36
0
0
0
71437
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
0.00
418.68
235.38
530.69
503.56
1000.00
NA
NA
375.03
Emergency Room Visits
Visits
0
5999
1983
4222
748
2
0
0
0
12954
Visits/ 1,000
Member
Months
0.00
84.58
42.50
92.79
57.27
55.56
NA
NA
68.01
Page 80
Use of Services
Metropolitan 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 9:01 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 81
Use of Services
Metropolitan Health Plan
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare Advantage
Age
Member Months
<1
0
1-9
0
10-19
0
20-44
46
45-64
121
65-74
286
75-84
98
85+
36
Unknown
0
Total
587
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
0
0
0
1
6
7
1
0
0
15
Discharges /
1,000 Member
Months
NA
NA
NA
21.74
49.59
24.48
10.20
0.00
25.55
0
0
0
1
5
2
0
0
0
8
NA
NA
NA
21.74
41.32
6.99
0.00
0.00
0
0
0
0
1
5
1
0
0
7
NA
NA
NA
0.00
8.26
17.48
10.20
0.00
0
0
0
0
0
NA
0.00
0.00
HEDIS 2011 (Reporting Year 2010)
13.63
11.93
0.00
Days
0
0
0
3
42
25
3
0
0
73
Days / 1,000
Member
Months
NA
NA
NA
65.22
347.11
87.41
30.61
0.00
124.36
0
0
0
3
14
6
0
0
0
23
NA
NA
NA
65.22
115.70
20.98
0.00
0.00
0
0
0
0
28
19
3
0
0
50
NA
NA
NA
0.00
231.40
66.43
30.61
0.00
0
0
0
0
0
NA
0.00
0.00
39.18
85.18
0.00
Average
Length of Stay
NA
NA
NA
3.00
7.00
3.57
3.00
NA
NA
4.87
NA
NA
NA
3.00
2.80
3.00
NA
NA
NA
2.88
NA
NA
NA
NA
28.00
3.80
3.00
NA
NA
7.14
NA
NA
NA
NA
NA
Page 82
Use of Services
Metropolitan 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 9:01 AM
Member Months
0
0
0
0
1
3499
3804
1334
0
8638
Discharges
0
0
0
0
0
122
133
59
0
314
0
0
0
0
0
106
112
54
0
272
Discharges /
1,000 Member
Months
NA
NA
NA
NA
0.00
34.87
34.96
44.23
36.35
NA
NA
NA
NA
0.00
30.29
29.44
40.48
31.49
0
0
0
0
0
16
21
5
0
42
NA
NA
NA
NA
0.00
4.57
5.52
3.75
0
0
0
0
0
NA
NA
0.00
HEDIS 2011 (Reporting Year 2010)
4.86
0.00
Days
0
0
0
0
0
578
724
243
0
1545
0
0
0
0
0
502
576
221
0
1299
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
165.19
190.33
182.16
178.86
NA
NA
NA
NA
0.00
143.47
151.42
165.67
150.38
0
0
0
0
0
76
148
22
0
246
NA
NA
NA
NA
0.00
21.72
38.91
16.49
0
0
0
0
0
NA
NA
0.00
28.48
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.74
5.44
4.12
NA
4.92
NA
NA
NA
NA
NA
4.74
5.14
4.09
NA
4.78
NA
NA
NA
NA
NA
4.75
7.05
4.40
NA
5.86
NA
NA
NA
NA
NA
Page 83
Use of Services
Metropolitan 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 9:01 AM
Member Months
0
0
19
1523
2694
19
0
0
0
4255
Discharges
0
0
0
36
81
0
0
0
0
117
Discharges /
1,000 Member
Months
NA
NA
0.00
23.64
30.07
0.00
NA
NA
27.50
0
0
0
19
58
0
0
0
0
77
NA
NA
0.00
12.48
21.53
0.00
NA
NA
0
0
0
13
23
0
0
0
0
36
NA
NA
0.00
8.54
8.54
0.00
NA
NA
0
4
0
0
4
0.00
2.63
0.00
HEDIS 2011 (Reporting Year 2010)
18.10
8.46
0.94
Days
0
0
0
104
427
0
0
0
0
531
Days / 1,000
Member
Months
NA
NA
0.00
68.29
158.50
0.00
NA
NA
124.79
0
0
0
50
312
0
0
0
0
362
NA
NA
0.00
32.83
115.81
0.00
NA
NA
0
0
0
46
115
0
0
0
0
161
NA
NA
0.00
30.20
42.69
0.00
NA
NA
0
8
0
0
8
0.00
5.25
0.00
85.08
37.84
1.89
Average
Length of Stay
NA
NA
NA
2.89
5.27
NA
NA
NA
NA
4.54
NA
NA
NA
2.63
5.38
NA
NA
NA
NA
4.70
NA
NA
NA
3.54
5.00
NA
NA
NA
NA
4.47
NA
2.00
NA
NA
2.00
Page 84
Use of Services
Metropolitan Health Plan
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
14299
1-9
70925
10-19
46661
20-44
45499
45-64
13061
65-74
36
75-84
0
85+
0
Unknown
0
Total
190481
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
144
116
226
1121
128
0
0
0
0
1735
10.07
1.64
4.84
24.64
9.80
0.00
NA
NA
132
84
43
93
82
0
0
0
0
434
9.23
1.18
0.92
2.04
6.28
0.00
NA
NA
12
31
27
83
43
0
0
0
0
196
0.84
0.44
0.58
1.82
3.29
0.00
NA
NA
156
945
3
0
1104
HEDIS 2011 (Reporting Year 2010)
9.11
2.28
1.03
3.34
20.77
0.23
10.49
Days
Days / 1,000
Member
Months
697
316
657
3098
494
0
0
0
0
5262
48.74
4.46
14.08
68.09
37.82
0.00
NA
NA
427
222
88
291
258
0
0
0
0
1286
29.86
3.13
1.89
6.40
19.75
0.00
NA
NA
270
92
128
343
230
0
0
0
0
1063
18.88
1.30
2.74
7.54
17.61
0.00
NA
NA
441
2464
6
0
2911
9.45
54.16
0.46
27.62
6.75
5.58
27.67
Average
Length of Stay
4.84
2.72
2.91
2.76
3.86
NA
NA
NA
NA
3.03
3.23
2.64
2.05
3.13
3.15
NA
NA
NA
NA
2.96
22.50
2.97
4.74
4.13
5.35
NA
NA
NA
NA
5.42
2.83
2.61
2.00
NA
2.64
Page 85
Use of Services
Metropolitan Health Plan
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
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 86
Use of Services
Metropolitan Health Plan
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare Advantage
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
3
7
44
169
0
223
Female
0
0
0
0
113
251
0
364
Total
0
0
3
7
157
420
0
587
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
1
2
0
0
0
0
0
0
1
1
2
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
3
7
44
169
0
223
Female
0
0
0
0
113
251
0
364
Total
0
0
3
7
157
420
0
587
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
NA
0.00%
27.27%
10.62%
15.29%
0.00%
0.00%
0.00%
NA
NA
NA
5.38%
3.30%
4.09%
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
1
2
0
0
0
0
0
0
1
1
2
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
NA
0.00%
27.27%
10.62%
15.29%
0.00%
0.00%
0.00%
NA
NA
NA
5.38%
3.30%
4.09%
Male
0
0
3
7
44
169
0
223
Female
0
0
0
0
113
251
0
364
Total
0
0
3
7
157
420
0
587
Member Months
(Outpatient/ED)
Male
0
0
3
7
44
169
0
223
Female
0
0
0
0
113
251
0
364
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
1
2
0
0
0
0
0
0
1
1
2
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Total
0
0
3
7
157
420
0
587
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
NA
0.00%
27.27%
10.62%
15.29%
0.00%
0.00%
0.00%
NA
NA
NA
5.38%
3.30%
4.09%
Page 87
Use of Services
Metropolitan Health Plan
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
MSHO
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
1
3212
0
3213
Female
0
0
0
0
0
5425
0
5425
Total
0
0
0
0
1
8637
0
8638
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
26
15
41
0
0
0
26
15
41
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
0
0
1
3212
0
3213
Female
0
0
0
0
0
5425
0
5425
Total
0
0
0
0
1
8637
0
8638
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12
5
17
0
0
0
12
5
17
Female
0
0
0
0
0
5425
0
5425
Total
0
0
0
0
1
8637
0
8638
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
9.71%
3.32%
5.70%
NA
NA
NA
9.71%
3.32%
5.70%
Male
0
0
0
0
1
3212
0
3213
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
4.48%
1.11%
2.36%
NA
NA
NA
4.48%
1.11%
2.36%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Member Months
(Outpatient/ED)
Male
0
0
0
0
1
3212
0
3213
Female
0
0
0
0
0
5425
0
5425
Total
0
0
0
0
1
8637
0
8638
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25
15
40
0
0
0
25
15
40
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
9.34%
3.32%
5.56%
NA
NA
NA
9.34%
3.32%
5.56%
Page 88
Use of Services
Metropolitan Health Plan
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
116
199
2012
1
0
2328
Female
0
0
91
176
1642
18
0
1927
Total
0
0
207
375
3654
19
0
4255
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
0
0
0
4
1
5
14
7
21
116
72
188
0
1
1
0
0
0
134
81
215
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
116
199
2012
1
0
2328
Female
0
0
91
176
1642
18
0
1927
Total
0
0
207
375
3654
19
0
4255
Inpatient
Percent
NA
NA
NA
NA
NA
NA
41.38%
13.19%
28.99%
84.42%
47.73%
67.20%
69.18%
52.62%
61.74%
0.00%
66.67%
63.16%
NA
NA
NA
69.07%
50.44%
60.63%
Number
0
0
0
0
0
0
1
0
1
7
2
9
33
19
52
0
0
0
0
0
0
41
21
62
Percent
NA
NA
NA
NA
NA
NA
10.34%
0.00%
5.80%
42.21%
13.64%
28.80%
19.68%
13.89%
17.08%
0.00%
0.00%
0.00%
NA
NA
NA
21.13%
13.08%
17.49%
Male
0
0
116
199
2012
1
0
2328
Female
0
0
91
176
1642
18
0
1927
Total
0
0
207
375
3654
19
0
4255
Member Months
(Outpatient/ED)
Male
0
0
116
199
2012
1
0
2328
Female
0
0
91
176
1642
18
0
1927
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
1
1
1
2
3
6
6
12
0
0
0
0
0
0
7
9
16
Number
0
0
0
0
0
0
4
1
5
13
7
20
115
69
184
0
1
1
0
0
0
132
78
210
Percent
NA
NA
NA
NA
NA
NA
0.00%
13.19%
5.80%
6.03%
13.64%
9.60%
3.58%
4.38%
3.94%
0.00%
0.00%
0.00%
NA
NA
NA
3.61%
5.60%
4.51%
Total
0
0
207
375
3654
19
0
4255
Percent
NA
NA
NA
NA
NA
NA
41.38%
13.19%
28.99%
78.39%
47.73%
64.00%
68.59%
50.43%
60.43%
0.00%
66.67%
63.16%
NA
NA
NA
68.04%
48.57%
59.22%
Page 89
Use of Services
Metropolitan Health Plan
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
51116
10724
7029
5465
10111
16
0
84461
Female
50964
11358
13511
14430
15737
20
0
106020
Total
102080
22082
20540
19895
25848
36
0
190481
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
3
3
6
40
32
72
94
79
173
107
105
212
198
157
355
0
0
0
0
0
0
442
376
818
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
51116
10724
7029
5465
10111
16
0
84461
Female
50964
11358
13511
14430
15737
20
0
106020
Total
102080
22082
20540
19895
25848
36
0
190481
Inpatient
Percent
0.07%
0.07%
0.07%
4.48%
3.38%
3.91%
16.05%
7.02%
10.11%
23.49%
8.73%
12.79%
23.50%
11.97%
16.48%
0.00%
0.00%
0.00%
NA
NA
NA
6.28%
4.26%
5.15%
Number
0
1
1
7
7
14
11
13
24
10
22
32
27
30
57
0
0
0
0
0
0
55
73
128
Percent
0.00%
0.02%
0.01%
0.78%
0.74%
0.76%
1.88%
1.15%
1.40%
2.20%
1.83%
1.93%
3.20%
2.29%
2.65%
0.00%
0.00%
0.00%
NA
NA
NA
0.78%
0.83%
0.81%
Male
51116
10724
7029
5465
10111
16
0
84461
Female
50964
11358
13511
14430
15737
20
0
106020
Total
102080
22082
20540
19895
25848
36
0
190481
Member Months
(Outpatient/ED)
Male
51116
10724
7029
5465
10111
16
0
84461
Female
50964
11358
13511
14430
15737
20
0
106020
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
2
1
3
2
1
3
1
2
3
2
7
9
0
0
0
0
0
0
7
11
18
Number
3
3
6
40
32
72
93
76
169
104
101
205
196
153
349
0
0
0
0
0
0
436
365
801
Percent
0.00%
0.00%
0.00%
0.22%
0.11%
0.16%
0.34%
0.09%
0.18%
0.22%
0.17%
0.18%
0.24%
0.53%
0.42%
0.00%
0.00%
0.00%
NA
NA
NA
0.10%
0.12%
0.11%
Total
102080
22082
20540
19895
25848
36
0
190481
Percent
0.07%
0.07%
0.07%
4.48%
3.38%
3.91%
15.88%
6.75%
9.87%
22.84%
8.40%
12.36%
23.26%
11.67%
16.20%
0.00%
0.00%
0.00%
NA
NA
NA
6.19%
4.13%
5.05%
Page 90
Use of Services
Metropolitan Health Plan
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
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 91
Use of Services
Metropolitan Health Plan
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
54
169
0
223
Female
0
0
113
251
0
364
Total
0
0
167
420
0
587
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
0
0
0
3
3
6
1
1
2
0
0
0
4
4
8
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
54
169
0
223
Female
0
0
113
251
0
364
Total
0
0
167
420
0
587
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Female
0
0
113
251
0
364
Total
0
0
167
420
0
587
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
66.67%
31.86%
43.11%
7.10%
4.78%
5.71%
NA
NA
NA
21.52%
13.19%
16.35%
Male
0
0
54
169
0
223
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Member Months
(Outpatient/ED)
Male
0
0
54
169
0
223
Female
0
0
113
251
0
364
Total
0
0
167
420
0
587
Outpatient/ED
Number
0
0
0
0
0
0
3
3
6
1
1
2
0
0
0
4
4
8
Percent
NA
NA
NA
NA
NA
NA
66.67%
31.86%
43.11%
7.10%
4.78%
5.71%
NA
NA
NA
21.52%
13.19%
16.35%
Page 92
Use of Services
Metropolitan Health Plan
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
1
3212
0
3213
Female
0
0
0
5425
0
5425
Total
0
0
1
8637
0
8638
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
0
0
0
0
0
0
48
79
127
0
0
0
48
79
127
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
1
3212
0
3213
Female
0
0
0
5425
0
5425
Total
0
0
1
8637
0
8638
Number
0
0
0
0
0
0
0
0
0
4
5
9
0
0
0
4
5
9
Female
0
0
0
5425
0
5425
Total
0
0
1
8637
0
8638
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
17.93%
17.47%
17.65%
NA
NA
NA
17.93%
17.47%
17.64%
Male
0
0
1
3212
0
3213
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
1.49%
1.11%
1.25%
NA
NA
NA
1.49%
1.11%
1.25%
Number
0
0
0
0
0
0
0
0
0
0
5
5
0
0
0
0
5
5
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
1.11%
0.69%
NA
NA
NA
0.00%
1.11%
0.69%
Member Months
(Outpatient/ED)
Male
0
0
1
3212
0
3213
Female
0
0
0
5425
0
5425
Total
0
0
1
8637
0
8638
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
48
78
126
0
0
0
48
78
126
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
17.93%
17.25%
17.51%
NA
NA
NA
17.93%
17.25%
17.50%
Page 93
Use of Services
Metropolitan Health Plan
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
2327
1
0
2328
Female
0
0
1909
18
0
1927
Total
0
0
4236
19
0
4255
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
0
0
0
173
137
310
0
1
1
0
0
0
173
138
311
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
2327
1
0
2328
Female
0
0
1909
18
0
1927
Total
0
0
4236
19
0
4255
Number
0
0
0
0
0
0
23
16
39
0
0
0
0
0
0
23
16
39
Female
0
0
1909
18
0
1927
Total
0
0
4236
19
0
4255
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
89.21%
86.12%
87.82%
0.00%
66.67%
63.16%
NA
NA
NA
89.18%
85.94%
87.71%
Male
0
0
2327
1
0
2328
Percent
NA
NA
NA
NA
NA
NA
11.86%
10.06%
11.05%
0.00%
0.00%
0.00%
NA
NA
NA
11.86%
9.96%
11.00%
Number
0
0
0
0
0
0
12
17
29
0
0
0
0
0
0
12
17
29
Percent
NA
NA
NA
NA
NA
NA
6.19%
10.69%
8.22%
0.00%
0.00%
0.00%
NA
NA
NA
6.19%
10.59%
8.18%
Member Months
(Outpatient/ED)
Male
0
0
2327
1
0
2328
Female
0
0
1909
18
0
1927
Total
0
0
4236
19
0
4255
Outpatient/ED
Number
0
0
0
0
0
0
172
137
309
0
1
1
0
0
0
172
138
310
Percent
NA
NA
NA
NA
NA
NA
88.70%
86.12%
87.54%
0.00%
66.67%
63.16%
NA
NA
NA
88.66%
85.94%
87.43%
Page 94
Use of Services
Metropolitan Health Plan
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
51116
10724
22605
16
0
84461
Female
50964
11358
43678
20
0
106020
Total
102080
22082
66283
36
0
190481
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
337
240
577
147
171
318
401
837
1238
1
0
1
0
0
0
886
1248
2134
HEDIS 2011 (Reporting Year 2010)
Male
51116
10724
22605
16
0
84461
Female
50964
11358
43678
20
0
106020
Total
102080
22082
66283
36
0
190481
Percent
7.91%
5.65%
6.78%
16.45%
18.07%
17.28%
21.29%
23.00%
22.41%
75.00%
0.00%
33.33%
NA
NA
NA
12.59%
14.13%
13.44%
Number
6
2
8
9
12
21
23
39
62
0
0
0
0
0
0
38
53
91
Male
51116
10724
22605
16
0
84461
Female
50964
11358
43678
20
0
106020
Total
102080
22082
66283
36
0
190481
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.14%
0.05%
0.09%
1.01%
1.27%
1.14%
1.22%
1.07%
1.12%
0.00%
0.00%
0.00%
NA
NA
NA
0.54%
0.60%
0.57%
Number
14
8
22
8
16
24
18
45
63
0
0
0
0
0
0
40
69
109
Percent
0.33%
0.19%
0.26%
0.90%
1.69%
1.30%
0.96%
1.24%
1.14%
0.00%
0.00%
0.00%
NA
NA
NA
0.57%
0.78%
0.69%
Member Months
(Outpatient/ED)
Male
51116
10724
22605
16
0
84461
Female
50964
11358
43678
20
0
106020
Total
102080
22082
66283
36
0
190481
Outpatient/ED
Number
337
240
577
147
170
317
399
836
1235
1
0
1
0
0
0
884
1246
2130
Percent
7.91%
5.65%
6.78%
16.45%
17.96%
17.23%
21.18%
22.97%
22.36%
75.00%
0.00%
33.33%
NA
NA
NA
12.56%
14.10%
13.42%
Page 95
Health Plan Descriptive Information
Metropolitan Health Plan
Data Last Refreshed:
Oct 24, 2011 9:01 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
Metropolitan Health Plan
Data Last Refreshed:
Oct 24, 2011 9:01 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
Metropolitan Health Plan
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
Page 98
Health Plan Descriptive Information
Metropolitan Health Plan
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:01 AM
Medicare Advantage
<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%
3
7
0
24
0
0
0.00%
0
0
0
0
12
0
0.00%
34
15.25%
12
0
1
7
12
3.30%
12
12
33
44
46
7.84%
20
8.97%
59
60
26
12
12
0
101
27.75%
104
63
26
34
24
0
121
20.61%
169
75.78%
0
251
68.96%
0
420
71.55%
223
364
HEDIS 2011 (Reporting Year 2010)
3
7
0
24
12
24
12
34
51
163
123
52
46
36
0
0
587
Page 99
Health Plan Descriptive Information
Metropolitan Health Plan
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:01 AM
MSHO
Member Months
Female
0
0
0
0
0
0
<1
1-4
5-9
10-14
15-17
18-19
Male
0
0
0
0
0
0
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
0
0.00%
0
0
0
1
0
0.00%
0
0
0
0
0
0.00%
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
1
0.03%
493
1082
772
555
244
66
0
0.00%
682
1242
1284
1193
562
462
1
0.01%
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
3212
99.97%
0
5425
100.00%
0
8637
99.99%
3213
5425
HEDIS 2011 (Reporting Year 2010)
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1175
2324
2056
1748
806
528
0
8638
Page 100
Health Plan Descriptive Information
Metropolitan Health Plan
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:01 AM
SNBC
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
14
Member Months
Female
0
0
0
0
0
5
Total
0
0
0
0
0
19
14
0.60%
102
65
134
156
268
5
0.26%
86
87
89
196
340
19
0.45%
725
31.14%
490
439
416
243
798
41.41%
333
441
255
77
1523
35.79%
1588
68.21%
1
0
0
0
0
0
1106
57.39%
18
0
0
0
0
0
2694
63.31%
1
0.04%
0
18
0.93%
0
19
0.45%
2328
1927
HEDIS 2011 (Reporting Year 2010)
188
152
223
352
608
823
880
671
320
19
0
0
0
0
0
0
4255
Page 101
Health Plan Descriptive Information
Metropolitan Health Plan
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:01 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
7060
18808
17108
12716
6148
3172
Member Months
Female
7239
18120
16889
13481
6593
4551
Total
14299
36928
33997
26197
12741
7723
65012
76.97%
3857
3176
2289
2036
2378
66873
63.08%
8960
8144
6286
4722
3651
131885
69.24%
13736
16.26%
1990
1801
1142
764
31763
29.96%
2813
2268
1384
899
45499
23.89%
5697
6.75%
15
1
0
0
0
0
7364
6.95%
5
15
0
0
0
0
13061
6.86%
16
0.02%
0
20
0.02%
0
36
0.02%
84461
106020
HEDIS 2011 (Reporting Year 2010)
12817
11320
8575
6758
6029
4803
4069
2526
1663
20
16
0
0
0
0
0
190481
Page 102