HealthPartners / Group Health Plan, Inc.
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
HealthPartners / Group Health Plan, Inc.
Adult BMI Assessment
Data Elements
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Medicare
Advantage
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2010
H
258993
2010
H
6478
Numerator Events by Admin Data on Eligible
Population (before exclusions)
71523
3819
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
27.62%
328
5.00%
345
93
26.96%
NR
NR
58.95%
411
5.00%
432
246
56.94%
Number of Records Excluded Because of Valid
Data Errors
0
0
Number of administrative data records excluded
0
0
Number of medical record data records excluded
0
0
Number of employee/dependent medical records
excluded
0
0
0
328
87
182
82.01%
77.70%
86.32%
0
411
230
115
83.94%
80.27%
87.61%
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 3
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Counseling for Nutrition
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2010
H
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2010
H
Counseling for Physical Activity
General
Ages 12Measure Ages 3-11
Total
17
Data
2010
H
47683
32666
80349
47683
32666
80349
47683
32666
80349
9517
19.96%
7062
21.62%
16579
20.63%
269
0.56%
288
0.88%
557
0.69%
3
0.01%
1
0.00%
4
0.00%
0
0.00%
0
0.00%
0
0.00%
411
5.00%
411
5.00%
432
411
5.00%
432
39
9.03%
33
7.64%
72
16.67%
432
0
0.00%
3
0.69%
3
0.69%
0
0
0
Number of administrative data records
excluded
0
0
0
Number of medical records excluded
0
0
0
Number of employee/dependent records
excluded
0
0
0
Records Added from the Oversample List
0
0
0
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)
240
171
411
240
171
411
240
171
411
35
113
61.67%
55.31%
68.03%
31
65
56.14%
48.41%
63.87%
66
178
59.37%
54.50%
64.24%
0
138
57.50%
51.04%
63.96%
2
80
47.95%
40.17%
55.73%
2
218
53.53%
48.58%
58.47%
0
136
56.67%
50.19%
63.14%
0
101
59.06%
51.40%
66.73%
0
237
57.66%
52.77%
62.56%
Page 4
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 24, 2011 8:58 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
6769
3498
10267
6769
3498
10267
6769
3498
10267
3419
50.51%
1733
49.54%
5152
50.18%
64
0.95%
87
2.49%
151
1.47%
2
0.03%
3
0.09%
5
0.05%
0
0.00%
0
0.00%
0
0.00%
376
5.00%
376
5.00%
395
376
5.00%
395
143
36.20%
66
16.71%
209
52.91%
395
2
0.51%
0
0.00%
2
0.51%
0
0
0
Number of administrative data records
excluded
0
0
0
Number of medical records excluded
2
2
2
Number of employee/dependent records
excluded
0
0
0
Records Added from the Oversample List
2
2
2
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
251
125
376
251
125
376
251
125
376
136
60
78.09%
72.77%
83.40%
65
23
70.40%
62.00%
78.80%
201
83
75.53%
71.05%
80.01%
2
171
68.92%
63.00%
74.85%
0
71
56.80%
47.72%
65.88%
2
242
64.89%
59.94%
69.85%
0
156
62.15%
55.95%
68.35%
0
77
61.60%
52.67%
70.53%
0
233
61.97%
56.93%
67.01%
Page 5
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
1
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
1
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
HiB
Hepatitis B
VZV
Influenza
4827
81.74%
5197
88.01%
5275
89.33%
5214
88.30%
4842
82.00%
5195
87.98%
4846
82.07%
1956
33.12%
4419
74.83%
4216
71.40%
360
83.33%
388
89.81%
387
89.58%
386
89.35%
366
84.72%
385
89.12%
363
84.03%
133
30.79%
326
75.46%
309
71.53%
346
371
371
368
349
368
348
130
311
299
23
89.78%
86.73%
92.83%
22
95.62%
93.52%
97.72%
11
92.94%
90.35%
95.54%
25
95.62%
93.52%
97.72%
38
94.16%
91.77%
96.55%
10
91.97%
89.22%
94.72%
20
89.54%
86.46%
92.62%
6
33.09%
28.42%
37.76%
21
80.78%
76.85%
84.71%
14
76.16%
71.91%
80.40%
432
0
Numerator Events by administrative Data
MMR
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
IPV
2010
H
5905
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
411
Page 6
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
1
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
1
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
4827
81.74%
4110
69.60%
4000
67.74%
1616
27.37%
3505
59.36%
3256
55.14%
1479
25.05%
1376
23.30%
2943
49.84%
1281
21.69%
360
83.33%
308
71.30%
299
69.21%
112
25.93%
263
60.88%
241
55.79%
101
23.38%
97
22.45%
215
49.77%
87
20.14%
346
297
288
109
252
233
98
95
207
85
23
89.78%
86.73%
92.83%
49
84.18%
80.54%
87.83%
47
81.51%
77.63%
85.38%
19
31.14%
26.54%
35.74%
45
72.26%
67.81%
76.71%
42
66.91%
62.24%
71.58%
20
28.71%
24.21%
33.21%
19
27.74%
23.29%
32.19%
41
60.34%
55.49%
65.19%
20
25.55%
21.21%
29.89%
432
0
Numerator Events by administrative Data
Combo 3
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
Combo 2
2010
H
5905
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
DTaP
411
Page 7
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
1
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
1
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
HiB
Hepatitis B
VZV
Influenza
863
81.19%
960
90.31%
950
89.37%
924
86.92%
954
89.75%
965
90.78%
865
81.37%
467
43.93%
722
67.92%
682
64.16%
354
81.94%
390
90.28%
388
89.81%
381
88.19%
391
90.51%
397
91.90%
357
82.64%
200
46.30%
297
68.75%
287
66.44%
338
22
87.59%
84.28%
90.90%
371
18
94.65%
92.35%
96.94%
370
12
92.94%
90.35%
95.54%
364
22
93.92%
91.48%
96.35%
372
21
95.62%
93.52%
97.72%
379
2
92.70%
90.06%
95.34%
341
14
86.37%
82.94%
89.81%
187
11
48.18%
43.22%
53.13%
285
13
72.51%
68.07%
76.94%
271
7
67.64%
63.00%
72.28%
432
0
Numerator Events by administrative Data
MMR
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
IPV
2010
H
1063
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
411
Page 8
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
1
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
1
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
863
81.19%
781
73.47%
762
71.68%
415
39.04%
621
58.42%
584
54.94%
361
33.96%
342
32.17%
496
46.66%
307
28.88%
354
81.94%
323
74.77%
315
72.92%
178
41.20%
262
60.65%
246
56.94%
155
35.88%
143
33.10%
212
49.07%
128
29.63%
338
22
87.59%
84.28%
90.90%
308
34
83.21%
79.48%
86.95%
301
30
80.54%
76.59%
84.48%
167
19
45.26%
40.32%
50.19%
251
23
66.67%
61.99%
71.35%
234
19
61.56%
56.73%
66.38%
146
15
39.17%
34.33%
44.01%
134
11
35.28%
30.54%
40.02%
202
17
53.28%
48.34%
58.23%
120
10
31.63%
27.01%
36.25%
432
0
Numerator Events by administrative Data
Combo 3
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
Combo 2
2010
H
1063
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
DTaP
411
Page 9
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Immunizations for Adolescents
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
General
Measure Data
Meningococcal
Tdap
Combo 1
3892
5928
3810
57.84%
88.10%
56.62%
261
61.27%
379
88.97%
253
59.39%
247
4
361
16
240
10
61.98%
93.09%
61.73%
Lower 95% Confidence Interval
57.12%
90.49%
56.87%
Upper 95% Confidence Interval
66.83%
95.68%
66.59%
Measurement Year
2010
Data Collection Methodology
H
Eligible Member Population
6729
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
405
5.00%
426
Records Excluded because of Valid Data Errors
0
Number of administrative data records excluded
0
Number of medical data records excluded
0
Number of employee/dependent medical records
excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
HEDIS 2011 (Reporting Year 2010)
0
405
Page 10
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Immunizations for Adolescents
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Data
2010
Measurement Year
H
Data Collection Methodology
710
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
434
600
417
61.13%
84.51%
58.73%
263
60.88%
368
85.19%
255
59.03%
253
7
63.26%
58.48%
68.04%
352
14
89.05%
85.91%
92.19%
246
8
61.80%
56.98%
66.62%
411
5.00%
432
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
411
Page 11
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
2010
A
93349
71286
76.37%
76.09%
76.64%
Medicare
Advantage
NR
NR
NR
MSHO
2010
A
188
131
69.68%
62.84%
76.52%
SNBC
MHCP-MC
NR
NR
NR
2010
A
1628
1077
66.15%
63.83%
68.48%
Page 12
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
MHCP-MC
2010
A
99911
2010
H
7198
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
5487
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)
76.23%
240
10.00%
264
206
78.03%
0
0
10
0
80.12%
10
240
196
9
85.42%
79.87%
80.36%
80.74%
90.09%
80045
Page 13
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Colorectal Cancer Screening
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Number of numerator events by administrative data in eligible population
(before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid data errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
Commercial
Medicare
Advantage
MSHO
2010
H
109912
2010
H
959
64318
455
58.52%
360
0.05
378
212
56.08%
0
0
1
0
1
360
201
50
69.72%
64.84%
74.61%
NR
NR
NR
NR
NR
47.45%
411
5.00%
432
210
48.61%
0
0
4
0
4
411
205
31
57.42%
52.52%
62.32%
SNBC
NR
NR
NR
NR
NR
Page 14
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 16-20
Ages 21-24
Total
8243
3929
47.66%
46.58%
48.75%
7256
4103
56.55%
55.40%
57.69%
15499
8032
51.82%
51.03%
52.61%
2010
A
Page 15
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 16-20
Ages 21-24
Total
971
682
70.24%
67.31%
73.16%
888
641
72.18%
69.18%
75.19%
1859
1323
71.17%
69.08%
73.25%
2010
A
Page 16
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare
Advantage
NR
NR
NR
MSHO
2010
A
2023
1597
78.94%
77.14%
80.74%
Page 17
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Lead Screening in Children
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
MHCP-MC
2010
A
5905
2009
H
934
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
893
NR
95.61%
NR
411
5.00%
432
419
96.99%
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
0
Number of administrative data records
excluded
0
Number of medical record data records
excluded
0
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
0
411
399
0
3966
Reported Rate
67.16%
97.08%
Lower 95% Confidence Interval
65.96%
95.33%
Upper 95% Confidence Interval
68.37%
98.83%
HEDIS 2011 (Reporting Year 2010)
Page 18
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Care for Older Adults
MSHO
Medication Review
Functional
Status
Assessment
Pain
Screening
NR
NR
NR
NR
NR
NR
NR
NR
Reported Rate
NR
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
NR
Advance Care
Planning
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Data Elements
General Measure
Data
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Records Excluded because of Valid Data
Errors
Number of employee/dependent medical
records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
HEDIS 2011 (Reporting Year 2010)
Page 19
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 20
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
38
67.86%
54.73%
80.98%
50
89.29%
80.29%
98.28%
2010
A
56
Page 21
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Page 22
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
SNBC
2010
A
45
18
40.00%
24.58%
55.42%
NR
NR
NR
Page 23
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 5-11
Ages 12-50
Total
735
716
97.41%
96.20%
98.63%
2923
2724
93.19%
92.26%
94.12%
3658
3440
94.04%
93.26%
94.82%
2010
A
`
Page 24
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 5-11
Ages 12-50
Total
155
146
94.19%
90.19%
98.20%
301
268
89.04%
85.34%
92.73%
456
414
90.79%
88.03%
93.55%
2010
A
Page 25
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
3439
1084
87.55%
27.60%
388
129
89.81%
29.86%
369
12
121
181
92.70%
90.06%
95.34%
73.48%
69.09%
77.87%
2009
H
3928
411
5.00%
432
0
0
0
411
Page 26
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 27
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
61
30
83.56%
41.10%
61
30
83.56%
41.10%
61
4
30
16
89.04%
81.19%
96.89%
63.01%
51.25%
74.77%
2009
H
73
73
0.00%
73
0
0
0
73
Page 28
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Controlling High Blood Pressure
Data Elements
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2010
H
33326
2010
H
860
2010
H
1133
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
0.00%
296
5.00%
311
0
0.00%
NR
NR
0.00%
305
5.00%
321
0
0.00%
NR
NR
0.00%
342
5.00%
360
0
0.00%
Records Excluded because of Valid Data
Errors
0
0
0
Number of records excluded because of
false positive diagnoses
0
0
0
Number of administrative data records
excluded
6
7
8
Number of medical record data records
excluded
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
6
296
0
237
80.07%
75.35%
84.79%
7
305
0
235
77.05%
72.17%
81.93%
8
342
0
255
74.56%
69.80%
79.32%
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
NR
Page 29
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Commercial
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2010
A
237
2010
A
9
2010
A
14
201
8
11
84.81%
80.03%
89.59%
NR
NR
NR
NA
NA
NA
NR
NR
NR
NA
NA
NA
Page 30
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
2010
H
18388
2010
H
18388
2010
H
14774
17058
92.77%
548
10%
603
556
92.21%
13959
75.91%
548
10%
603
445
73.80%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2010
H
18388
2009
H
19515
2010
H
18388
2010
H
18388
2009
H
19515
2009
H
19515
1862
12.60%
548
10%
603
61
10.12%
3800
20.67%
548
10%
603
133
22.06%
10921
55.96%
548
10%
603
342
56.72%
16037
87.21%
548
10%
603
509
84.41%
3300
17.95%
548
10%
603
123
20.40%
16312
83.59%
548
10%
603
503
83.42%
5361
27.47%
548
10%
603
158
26.20%
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
1
1
0
1
12
1
1
12
12
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
1
548
121
262
69.89%
65.96%
73.82%
12
548
312
82
71.90%
68.04%
75.75%
1
548
469
19
89.05%
86.35%
91.76%
1
548
114
206
58.39%
54.18%
62.61%
12
548
465
20
88.50%
85.74%
91.27%
12
548
136
298
79.20%
75.71%
82.69%
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)
NR
NR
137
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Blood
Pressure
<130/80
mm Hg
25
1
548
507
11
94.53%
92.53%
96.52%
1
548
101
7
19.71%
16.29%
23.13%
0
441
59
150
47.39%
42.62%
52.17%
NR
NR
NR
Page 31
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 32
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 8:58 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
460
2010
H
460
436
94.78%
398
10%
438
415
94.75%
256
55.65%
398
10%
438
241
55.02%
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
460
2010
H
460
2010
H
460
2010
H
460
2010
H
460
2010
H
460
2010
H
460
180
39.13%
398
10%
438
173
39.50%
351
76.30%
398
10%
438
334
76.26%
394
85.65%
398
10%
438
375
85.62%
154
33.48%
398
10%
438
147
33.56%
399
86.74%
398
10%
438
382
87.21%
204
44.35%
398
10%
438
197
44.98%
186
40.43%
398
10%
438
179
40.87%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
1
1
1
1
1
1
1
1
1
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
1
398
378
3
95.73%
93.62%
97.84%
1
398
59
1
15.08%
11.43%
18.72%
1
398
157
143
75.38%
71.02%
79.74%
1
398
288
25
78.64%
74.49%
82.80%
1
398
343
4
87.19%
83.78%
90.60%
1
398
137
111
62.31%
57.42%
67.20%
1
398
345
12
89.70%
86.59%
92.81%
1
398
176
138
78.89%
74.76%
83.03%
1
398
122
147
67.59%
62.86%
72.31%
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 33
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 34
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
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
916
2010
H
916
2010
H
816
2010
H
916
2010
H
916
2010
H
916
2010
H
916
2010
H
916
2010
H
916
2010
H
916
853
93.12%
548
10%
603
562
93.20%
506
55.24%
548
10%
603
325
53.90%
191
23.41%
548
10%
603
122
20.23%
326
35.59%
548
10%
603
220
36.48%
578
63.10%
548
10%
603
379
62.85%
779
85.04%
548
10%
603
512
84.91%
277
30.24%
548
10%
603
191
31.67%
775
84.61%
548
10%
603
508
84.25%
472
51.53%
548
10%
603
315
52.24%
385
42.03%
548
10%
603
258
42.79%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
8
0
8
8
8
8
8
8
8
0
0
0
0
0
0
0
0
0
0
8
548
205
137
62.41%
58.26%
66.56%
8
548
334
62
72.26%
68.42%
76.10%
8
548
470
12
87.96%
85.14%
90.77%
8
548
178
116
53.65%
49.38%
57.92%
8
548
468
26
90.15%
87.56%
92.73%
8
548
283
159
80.66%
77.26%
84.06%
8
548
211
154
66.61%
62.57%
70.65%
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
69
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
25
8
548
516
9
95.80%
94.03%
97.57%
8
548
114
5
21.72%
18.17%
25.26%
0
509
119
90
41.06%
36.69%
45.43%
Page 35
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare
Advantage
NR
NR
NR
Page 36
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Osteoporosis Management in Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
2010
A
88
11
12.50%
5.02%
19.98%
Page 37
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
2827
75.93%
74.55%
77.32%
2242
60.22%
58.63%
61.81%
2010
A
3723
Page 38
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
NR
NR
NR
NR
NR
NR
Page 39
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
25
78.13%
62.24%
94.01%
21
65.63%
47.61%
83.64%
2010
A
32
Page 40
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
NR
NR
NR
NR
NR
NR
Page 41
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Effective
Acute Phase
Treatment
Effective
Continuation
Phase
Treatment
200
46.30%
41.48%
51.11%
129
29.86%
25.43%
34.29%
2010
A
432
Page 42
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
869
353
40.62%
37.30%
43.94%
276
135
48.91%
42.83%
54.99%
2010
A
Page 43
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
159
76
47.80%
39.72%
55.88%
37
23
62.16%
45.18%
79.14%
2010
A
Page 44
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 45
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
30 Days
7 Days
4
NA
NA
NA
3
NA
NA
NA
2010
A
5
Page 46
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 47
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
24420
20574
84.25%
83.79%
84.71%
316
267
84.49%
80.34%
88.64%
20802
17649
84.84%
84.35%
85.33%
1179
844
71.59%
68.97%
74.20%
46717
39334
84.20%
83.86%
84.53%
2010
A
Page 48
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 49
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
905
863
95.36%
93.93%
96.78%
65
63
96.92%
91.96%
100.00%
897
862
96.10%
94.78%
97.42%
154
136
88.31%
82.91%
93.71%
2021
1924
95.20%
94.24%
96.16%
2010
A
Page 50
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 51
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
747
666
89.16%
86.86%
91.45%
12
9
NA
NA
NA
668
583
87.28%
84.67%
89.88%
84
62
73.81%
63.81%
83.81%
1511
1320
87.36%
85.65%
89.07%
2010
A
Page 52
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Medication Reconciliation Post Discharge
Data Elements
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
Page 53
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
History of Falls +
Tricyclic
Antidepressants,
Antipsychotics or
Sleep Agents
NR
NR
NR
Chronic Renal
Dementia +
Failure +
Tricyclic
Antidepressants Nonaspirin NSAIDs
or Anticholinergic or Cox-2 Selective
NSAIDs
Agents
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
Page 54
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 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
166
39
23.49%
16.74%
30.24%
591
155
26.23%
22.60%
29.86%
54
5
9.26%
0.60%
17.92%
811
199
24.54%
21.51%
27.56%
Page 55
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
At least 1
Prescription
At least 2
Prescriptions
NR
NR
NR
NR
NR
NR
Page 56
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
2010
A
2458
At least 1
Prescription
At least 2
Prescriptions
453
18.43%
16.88%
19.98%
76
3.09%
2.39%
3.80%
Page 57
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
87807
116991
8067
212865
84413
113810
7939
96.13%
96.01%
96.26%
97.28%
97.19%
97.37%
98.41%
98.13%
98.69%
206162
96.85%
96.78%
96.93%
2010
A
Page 58
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Data Elements
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 59
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
2460
2460
0
0
2413
NA
NA
NA
NA
NA
NA
98.09%
97.53%
98.65%
2413
98.09%
97.53%
98.65%
2010
A
Page 60
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Data Elements
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 61
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
General
Measure Data
Ages 20-44
Ages 45-64
Ages 65+
Total
8962
3703
23
12688
7922
3379
23
88.40%
87.73%
89.06%
91.25%
90.33%
92.17%
NA
NA
NA
11324
89.25%
88.71%
89.79%
2010
A
Page 62
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
6041
5993
30763
28608
28428
26276
50850
47003
99.21%
98.97%
99.44%
92.99%
92.71%
93.28%
92.43%
92.12%
92.74%
92.43%
92.20%
92.67%
2010
A
Page 63
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
1670
1649
4926
4536
2848
2601
3848
3525
98.74%
98.18%
99.31%
92.08%
91.32%
92.85%
91.33%
90.28%
92.38%
91.61%
90.72%
92.50%
2010
A
Page 64
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
2010
A
431
4527
4958
161
76
1644
713
1805
789
37.35%
32.67%
42.04%
17.63%
13.92%
21.35%
36.32%
34.90%
37.73%
15.75%
14.68%
16.82%
36.41%
35.06%
37.76%
15.91%
14.89%
16.94%
Page 65
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 66
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 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
37
37
0
0
18
1
18
1
NA
NA
NA
NA
NA
NA
48.65%
31.19%
66.11%
2.70%
0.00%
9.28%
48.65%
31.19%
66.11%
2.70%
0.00%
9.28%
Page 67
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 68
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 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
114
1279
1393
29
21
468
212
497
233
25.44%
17.01%
33.87%
18.42%
10.87%
25.98%
36.59%
33.91%
39.27%
16.58%
14.50%
18.65%
35.68%
33.13%
38.23%
16.73%
14.73%
18.72%
Page 69
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2010
H
6251
2010
H
6251
Number of numerator events by administrative data in eligible
population (before exclusions)
5036
3946
80.56%
229
5%
241
188
63.13%
229
5%
241
149
78.01%
61.83%
0
0
0
0
229
115
98
0
0
229
115
79
93.01%
89.49%
96.53%
84.72%
79.84%
89.60%
Data Elements
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
Page 70
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2010
H
2015
2010
H
2015
Number of numerator events by administrative data in eligible
population (before exclusions)
1448
1100
71.86%
366
5%
385
275
54.59%
366
5%
385
203
71.43%
52.73%
1
1
0
1
366
145
181
0
1
366
145
105
89.07%
85.74%
92.40%
68.31%
63.40%
73.21%
Data Elements
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
Page 71
Use of Services
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
25
32
54
80
224
647
4110
0.48%
0.28%
0.68%
0.62%
0.40%
0.84%
1.04%
0.76%
1.33%
1.55%
1.20%
1.89%
4.33%
3.77%
4.90%
12.51%
11.60%
13.42%
79.47%
78.36%
80.58%
2010
A
5172
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
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2011 (Reporting Year 2010)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
15
1.08%
25
1.79%
45
3.23%
84
6.03%
143
10.26%
234
16.79%
848
60.83%
8
1.85%
10
2.31%
12
2.78%
25
5.79%
45
10.42%
59
13.66%
273
63.19%
0
4
0.97%
0.00%
2.04%
0
7
1.70%
0.33%
3.08%
0
5
1.22%
0.04%
2.40%
0
13
3.16%
1.35%
4.98%
0
29
7.06%
4.46%
9.65%
0
54
13.14%
9.75%
16.53%
265
34
72.75%
68.32%
77.18%
411
5.00%
432
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2009
H
1394
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
411
Page 73
Use of Services
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
MHCP-MC
2010
A
25119
2009
H
3463
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
2662
NR
76.87%
411
5.00%
432
328
NR
75.93%
0
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 8:58 AM
0
18052
71.87%
71.31%
72.42%
0
411
311
22
81.02%
77.11%
84.93%
Page 74
Use of Services
HealthPartners / Group Health Plan, Inc.
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
MHCP-MC
2010
A
69598
2009
H
6066
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
2522
NR
41.58%
411
5.00%
432
182
NR
42.13%
0
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
0
24910
35.79%
35.43%
36.15%
0
411
175
53
55.47%
50.55%
60.40%
Page 75
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
77345
764145
936497
2137392
2083982
96749
18995
6397
0
6121502
Outpatient Visits (Excludes
MH/CD)
Age
Visits
68493
231120
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
213247
569159
784512
62010
20389
6789
0
1955719
<1
1-9
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
885.55
302.46
227.71
266.29
376.45
640.94
1073.39
1061.28
319.48
Emergency Room Visits
Visits
2148
11493
11035
25898
22142
1611
667
291
0
75285
Visits/ 1,000
Member
Months
27.77
15.04
11.78
12.12
10.62
16.65
35.11
45.49
12.30
Page 76
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Member Months
NR
Total
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 77
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
1
14414
11431
8190
0
34036
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
1
11562
9835
7331
0
28729
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
1000.00
802.14
860.38
895.12
844.08
Emergency Room Visits
Visits
0
0
0
0
0
472
384
204
0
1060
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
32.75
33.59
24.91
31.14
Page 78
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Emergency Room Visits
Visits
NR
Visits/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 79
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
34435
189397
148888
233357
76943
281
54
12
0
683367
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
24486
54073
34865
95379
39285
525
499
283
0
249395
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
711.08
285.50
234.17
408.73
510.57
1868.33
9240.74
23583.33
364.95
Emergency Room Visits
Visits
2867
7966
4335
13539
2637
13
17
10
0
31384
Visits/ 1,000
Member
Months
83.26
42.06
29.12
58.02
34.27
46.26
314.81
833.33
45.93
Page 80
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Member Months
77345
764145
936497
2137392
2083982
96749
18995
6397
0
6121502
Discharges
Discharges /
1,000 Member
Months
635
1057
1277
11895
13211
1507
559
232
0
30373
8.21
1.38
1.36
5.57
6.34
15.58
29.43
36.27
544
798
622
2197
5934
755
347
173
0
11370
7.03
1.04
0.66
1.03
2.85
7.80
18.27
27.04
91
259
474
2644
7249
751
212
59
0
11739
1.18
0.34
0.51
1.24
3.48
7.76
11.16
9.22
181
7053
15
0
7249
0.19
3.30
0.01
HEDIS 2011 (Reporting Year 2010)
4.96
1.86
1.92
1.41
Days
Days / 1,000
Member
Months
3982
3320
3853
33051
47306
5721
2290
969
0
100492
51.48
4.34
4.11
15.46
22.70
59.13
120.56
151.48
3037
2390
1790
7021
21291
2882
1178
657
0
40246
39.27
3.13
1.91
3.28
10.22
29.79
62.02
102.70
945
930
1633
7457
25901
2836
1112
312
0
41126
12.22
1.22
1.74
3.49
12.43
29.31
58.54
48.77
430
18571
49
0
19050
0.46
8.69
0.02
16.42
6.57
6.72
3.69
Average
Length of Stay
6.27
3.14
3.02
2.78
3.58
3.80
4.10
4.18
NA
3.31
5.58
2.99
2.88
3.20
3.59
3.82
3.39
3.80
NA
3.54
10.38
3.59
3.45
2.82
3.57
3.78
5.25
5.29
NA
3.50
2.38
2.63
3.27
NA
2.63
Page 81
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Age
Member Months
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
NR
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 82
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Member Months
0
0
0
0
1
14414
11431
8190
0
34036
Discharges
0
0
0
0
0
439
475
290
0
1204
Discharges /
1,000 Member
Months
NA
NA
NA
NA
0.00
30.46
41.55
35.41
35.37
0
0
0
0
0
330
385
250
0
965
NA
NA
NA
NA
0.00
22.89
33.68
30.53
0
0
0
0
0
108
90
40
0
238
NA
NA
NA
NA
0.00
7.49
7.87
4.88
0
0
0
0
0
NA
NA
0.00
HEDIS 2011 (Reporting Year 2010)
28.35
6.99
0.00
Days
0
0
0
0
0
2230
2242
1284
0
5756
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
154.71
196.13
156.78
169.12
0
0
0
0
0
1475
1693
1006
0
4174
NA
NA
NA
NA
0.00
102.33
148.11
122.83
0
0
0
0
0
754
549
278
0
1581
NA
NA
NA
NA
0.00
52.31
48.03
33.94
0
0
0
0
0
122.63
46.45
NA
NA
0.00
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
5.08
4.72
4.43
NA
4.78
NA
NA
NA
NA
NA
4.47
4.40
4.02
NA
4.33
NA
NA
NA
NA
NA
6.98
6.10
6.95
NA
6.64
NA
NA
NA
NA
NA
Page 83
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
Average
Length of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 84
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
34435
1-9
189397
10-19
148888
20-44
233357
45-64
76943
65-74
281
75-84
54
85+
12
Unknown
0
Total
683367
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
323
326
490
3549
874
17
26
15
0
5620
9.38
1.72
3.29
15.21
11.36
60.50
481.48
1250.00
278
276
148
653
520
13
22
13
0
1923
8.07
1.46
0.99
2.80
6.76
46.26
407.41
1083.33
45
50
70
462
353
4
4
2
0
990
1.31
0.26
0.47
1.98
4.59
14.23
74.07
166.67
272
2434
1
0
2707
1.83
10.43
0.01
HEDIS 2011 (Reporting Year 2010)
8.22
2.81
1.45
5.90
Days
Days / 1,000
Member
Months
2005
888
1301
9259
3521
69
90
79
0
17212
58.23
4.69
8.74
39.68
45.76
245.55
1666.67
6583.33
1659
669
371
1821
1967
50
72
74
0
6683
48.18
3.53
2.49
7.80
25.56
177.94
1333.33
6166.67
346
219
250
1253
1552
19
18
5
0
3662
10.05
1.16
1.68
5.37
20.17
67.62
333.33
416.67
680
6185
2
0
6867
4.57
26.50
0.03
25.19
9.78
5.36
14.95
Average
Length of Stay
6.21
2.72
2.66
2.61
4.03
4.06
3.46
5.27
NA
3.06
5.97
2.42
2.51
2.79
3.78
3.85
3.27
5.69
NA
3.48
7.69
4.38
3.57
2.71
4.40
4.75
4.50
2.50
NA
3.70
2.50
2.54
2.00
NA
2.54
Page 85
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
570224
245151
268365
358292
1423802
64158
0
2929992
Female
539795
233849
282315
452789
1624779
57983
0
3191510
Total
1110019
479000
550680
811081
3048581
122141
0
6121502
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
13
15
28
521
288
809
927
541
1468
681
473
1154
2703
1807
4510
124
48
172
0
0
0
4969
3172
8141
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
570224
245151
268365
358292
1423802
64158
0
2929992
Female
539795
233849
282315
452789
1624779
57983
0
3191510
Total
1110019
479000
550680
811081
3048581
122141
0
6121502
Inpatient
Percent
0.03%
0.03%
0.03%
2.55%
1.48%
2.03%
4.15%
2.30%
3.20%
2.28%
1.25%
1.71%
2.28%
1.33%
1.78%
2.32%
0.99%
1.69%
NA
NA
NA
2.04%
1.19%
1.60%
Number
8
9
17
91
66
157
158
121
279
123
89
212
685
503
1188
63
21
84
0
0
0
1128
809
1937
Percent
0.02%
0.02%
0.02%
0.45%
0.34%
0.39%
0.71%
0.51%
0.61%
0.41%
0.24%
0.31%
0.58%
0.37%
0.47%
1.18%
0.43%
0.83%
NA
NA
NA
0.46%
0.30%
0.38%
Male
570224
245151
268365
358292
1423802
64158
0
2929992
Female
539795
233849
282315
452789
1624779
57983
0
3191510
Total
1110019
479000
550680
811081
3048581
122141
0
6121502
Member Months
(Outpatient/ED)
Male
570224
245151
268365
358292
1423802
64158
0
2929992
Female
539795
233849
282315
452789
1624779
57983
0
3191510
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
25
10
35
33
18
51
11
9
20
36
43
79
0
0
0
0
0
0
105
80
185
Number
7
6
13
481
252
733
848
479
1327
615
432
1047
2291
1510
3801
78
31
109
0
0
0
4320
2710
7030
Percent
0.00%
0.00%
0.00%
0.12%
0.05%
0.09%
0.15%
0.08%
0.11%
0.04%
0.02%
0.03%
0.03%
0.03%
0.03%
0.00%
0.00%
0.00%
NA
NA
NA
0.04%
0.03%
0.04%
Total
1110019
479000
550680
811081
3048581
122141
0
6121502
Percent
0.01%
0.01%
0.01%
2.35%
1.29%
1.84%
3.79%
2.04%
2.89%
2.06%
1.14%
1.55%
1.93%
1.12%
1.50%
1.46%
0.64%
1.07%
NA
NA
NA
1.77%
1.02%
1.38%
Page 86
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 87
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
0
10012
0
10012
Female
0
0
0
0
1
24023
0
24024
Total
0
0
0
0
1
34035
0
34036
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
72
47
119
0
0
0
72
47
119
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
0
0
0
10012
0
10012
Female
0
0
0
0
1
24023
0
24024
Total
0
0
0
0
1
34035
0
34036
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
44
32
76
0
0
0
44
32
76
Female
0
0
0
0
1
24023
0
24024
Total
0
0
0
0
1
34035
0
34036
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
8.63%
2.35%
4.20%
NA
NA
NA
8.63%
2.35%
4.20%
Male
0
0
0
0
0
10012
0
10012
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
5.27%
1.60%
2.68%
NA
NA
NA
5.27%
1.60%
2.68%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Member Months
(Outpatient/ED)
Male
0
0
0
0
0
10012
0
10012
Female
0
0
0
0
1
24023
0
24024
Total
0
0
0
0
1
34035
0
34036
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
37
20
57
0
0
0
37
20
57
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
4.43%
1.00%
2.01%
NA
NA
NA
4.43%
1.00%
2.01%
Page 88
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 89
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
138379
36773
29613
35445
64699
173
0
305082
Female
134122
37289
54364
71479
80857
174
0
378285
Total
272501
74062
83977
106924
145556
347
0
683367
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
10
6
16
177
100
277
396
349
745
715
718
1433
1339
849
2188
1
1
2
0
0
0
2638
2023
4661
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
138379
36773
29613
35445
64699
173
0
305082
Female
134122
37289
54364
71479
80857
174
0
378285
Total
272501
74062
83977
106924
145556
347
0
683367
Inpatient
Percent
0.09%
0.05%
0.07%
5.78%
3.22%
4.49%
16.05%
7.70%
10.65%
24.21%
12.05%
16.08%
24.84%
12.60%
18.04%
6.94%
6.90%
6.92%
NA
NA
NA
10.38%
6.42%
8.18%
Number
4
3
7
23
22
45
73
107
180
141
170
311
305
198
503
1
1
2
0
0
0
547
501
1048
Percent
0.03%
0.03%
0.03%
0.75%
0.71%
0.73%
2.96%
2.36%
2.57%
4.77%
2.85%
3.49%
5.66%
2.94%
4.15%
6.94%
6.90%
6.92%
NA
NA
NA
2.15%
1.59%
1.84%
Male
138379
36773
29613
35445
64699
173
0
305082
Female
134122
37289
54364
71479
80857
174
0
378285
Total
272501
74062
83977
106924
145556
347
0
683367
Member Months
(Outpatient/ED)
Male
138379
36773
29613
35445
64699
173
0
305082
Female
134122
37289
54364
71479
80857
174
0
378285
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
1
0
1
9
11
20
4
1
5
4
12
16
17
12
29
0
0
0
0
0
0
35
36
71
Number
8
3
11
171
87
258
372
281
653
664
646
1310
1222
787
2009
0
0
0
0
0
0
2437
1804
4241
Percent
0.01%
0.00%
0.00%
0.29%
0.35%
0.32%
0.16%
0.02%
0.07%
0.14%
0.20%
0.18%
0.32%
0.18%
0.24%
0.00%
0.00%
0.00%
NA
NA
NA
0.14%
0.11%
0.12%
Total
272501
74062
83977
106924
145556
347
0
683367
Percent
0.07%
0.03%
0.05%
5.58%
2.80%
4.18%
15.07%
6.20%
9.33%
22.48%
10.85%
14.70%
22.66%
11.68%
16.56%
0.00%
0.00%
0.00%
NA
NA
NA
9.59%
5.72%
7.45%
Page 90
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
570224
245151
2050459
64158
0
2929992
Female
539795
233849
2359883
57983
0
3191510
Total
1110019
479000
4410342
122141
0
6121502
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
3164
1877
5041
2655
2755
5410
12445
23224
35669
257
325
582
0
0
0
18521
28181
46702
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
570224
245151
2050459
64158
0
2929992
Female
539795
233849
2359883
57983
0
3191510
Total
1110019
479000
4410342
122141
0
6121502
Number
33
26
59
164
199
363
398
543
941
17
18
35
0
0
0
612
786
1398
Female
539795
233849
2359883
57983
0
3191510
Total
1110019
479000
4410342
122141
0
6121502
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
6.66%
4.17%
5.45%
13.00%
14.14%
13.55%
7.28%
11.81%
9.71%
4.81%
6.73%
5.72%
NA
NA
NA
7.59%
10.60%
9.16%
Male
570224
245151
2050459
64158
0
2929992
Percent
0.07%
0.06%
0.06%
0.80%
1.02%
0.91%
0.23%
0.28%
0.26%
0.32%
0.37%
0.34%
NA
NA
NA
0.25%
0.30%
0.27%
Number
170
100
270
208
267
475
398
827
1225
5
9
14
0
0
0
781
1203
1984
Percent
0.36%
0.22%
0.29%
1.02%
1.37%
1.19%
0.23%
0.42%
0.33%
0.09%
0.19%
0.14%
NA
NA
NA
0.32%
0.45%
0.39%
Member Months
(Outpatient/ED)
Male
570224
245151
2050459
64158
0
2929992
Female
539795
233849
2359883
57983
0
3191510
Total
1110019
479000
4410342
122141
0
6121502
Outpatient/ED
Number
3108
1828
4936
2582
2664
5246
12207
22846
35053
243
311
554
0
0
0
18140
27649
45789
Percent
6.54%
4.06%
5.34%
12.64%
13.67%
13.14%
7.14%
11.62%
9.54%
4.55%
6.44%
5.44%
NA
NA
NA
7.43%
10.40%
8.98%
Page 91
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 92
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
10012
0
10012
Female
0
0
1
24023
0
24024
Total
0
0
1
34035
0
34036
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
117
282
399
0
0
0
117
282
399
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
10012
0
10012
Female
0
0
1
24023
0
24024
Total
0
0
1
34035
0
34036
Number
0
0
0
0
0
0
0
0
0
32
91
123
0
0
0
32
91
123
Female
0
0
1
24023
0
24024
Total
0
0
1
34035
0
34036
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
14.02%
14.09%
14.07%
NA
NA
NA
14.02%
14.09%
14.07%
Male
0
0
0
10012
0
10012
Percent
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
3.84%
4.55%
4.34%
NA
NA
NA
3.84%
4.55%
4.34%
Number
0
0
0
0
0
0
0
0
0
3
7
10
0
0
0
3
7
10
Percent
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.36%
0.35%
0.35%
NA
NA
NA
0.36%
0.35%
0.35%
Member Months
(Outpatient/ED)
Male
0
0
0
10012
0
10012
Female
0
0
1
24023
0
24024
Total
0
0
1
34035
0
34036
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
87
202
289
0
0
0
87
202
289
Percent
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
10.43%
10.09%
10.19%
NA
NA
NA
10.43%
10.09%
10.19%
Page 93
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 94
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
138379
36773
129757
173
0
305082
Female
134122
37289
206700
174
0
378285
Total
272501
74062
336457
347
0
683367
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
1057
717
1774
520
618
1138
2492
4409
6901
0
1
1
0
0
0
4069
5745
9814
HEDIS 2011 (Reporting Year 2010)
Male
138379
36773
129757
173
0
305082
Female
134122
37289
206700
174
0
378285
Total
272501
74062
336457
347
0
683367
Percent
9.17%
6.42%
7.81%
16.97%
19.89%
18.44%
23.05%
25.60%
24.61%
0.00%
6.90%
3.46%
NA
NA
NA
16.00%
18.22%
17.23%
Number
11
7
18
35
71
106
135
205
340
0
1
1
0
0
0
181
284
465
Male
138379
36773
129757
173
0
305082
Female
134122
37289
206700
174
0
378285
Total
272501
74062
336457
347
0
683367
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.10%
0.06%
0.08%
1.14%
2.28%
1.72%
1.25%
1.19%
1.21%
0.00%
6.90%
3.46%
NA
NA
NA
0.71%
0.90%
0.82%
Number
80
57
137
49
76
125
191
315
506
0
0
0
0
0
0
320
448
768
Percent
0.69%
0.51%
0.60%
1.60%
2.45%
2.03%
1.77%
1.83%
1.80%
0.00%
0.00%
0.00%
NA
NA
NA
1.26%
1.42%
1.35%
Member Months
(Outpatient/ED)
Male
138379
36773
129757
173
0
305082
Female
134122
37289
206700
174
0
378285
Total
272501
74062
336457
347
0
683367
Outpatient/ED
Number
1030
699
1729
499
593
1092
2378
4250
6628
0
0
0
0
0
0
3907
5542
9449
Percent
8.93%
6.25%
7.61%
16.28%
19.08%
17.69%
21.99%
24.67%
23.64%
0.00%
0.00%
0.00%
NA
NA
NA
15.37%
17.58%
16.59%
Page 95
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 24, 2011 8:58 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
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Oct 24, 2011 8:58 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
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Commercial
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
39489
171669
220809
232923
150485
95240
Member Months
Female
37856
161580
210087
221257
142864
93728
Total
77345
333249
430896
454180
293349
188968
910615
31.08%
173125
158506
199786
214552
241433
867372
27.18%
188587
211239
241550
239210
269404
1777987
29.04%
987402
33.70%
271817
274686
240719
180595
1149990
36.03%
307763
319502
284402
204498
2137392
34.92%
967817
33.03%
40515
12554
5588
3175
1741
585
1116165
34.97%
33714
9966
5794
4438
2821
1250
2083982
34.04%
64158
2.19%
0
57983
1.82%
0
122141
2.00%
2929992
3191510
HEDIS 2011 (Reporting Year 2010)
361712
369745
441336
453762
510837
579580
594188
525121
385093
74229
22520
11382
7613
4562
1835
0
6121502
Page 98
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Medicare Advantage
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
NR
NR
NR
NR
NR
NR
Age Unknown
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
Page 99
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 8:58 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
0
0
0.00%
0
0
0
1
0
0.00%
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
0
0.00%
2428
2590
2098
1421
880
595
1
0.00%
4288
5108
4004
3908
3478
3237
1
0.00%
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
10012
100.00%
0
24023
100.00%
0
34035
100.00%
10012
24024
HEDIS 2011 (Reporting Year 2010)
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
6716
7698
6102
5329
4358
3832
0
34036
Page 100
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 8:58 AM
SNBC
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
NR
NR
NR
NR
NR
NR
Age Unknown
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
Page 101
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 8:58 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
17810
47425
48366
39756
21795
11666
Member Months
Female
16625
46756
46850
39031
22149
14491
Total
34435
94181
95216
78787
43944
26157
186818
61.24%
17947
18998
16447
14452
13948
185902
49.14%
39873
41350
30129
22070
18143
372720
54.54%
81792
26.81%
13590
11282
7546
3881
151565
40.07%
14869
11736
8052
5987
233357
34.15%
36299
11.90%
134
13
14
0
12
0
40644
10.74%
90
44
16
24
0
0
76943
11.26%
173
0.06%
0
174
0.05%
0
347
0.05%
305082
378285
HEDIS 2011 (Reporting Year 2010)
57820
60348
46576
36522
32091
28459
23018
15598
9868
224
57
30
24
12
0
0
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