Blue Plus (HMO Minnesota)
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
Blue Plus (HMO Minnesota)
Adult BMI Assessment
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Medicare
Advantage
2010
A
14325
2010
H
18780
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
MHCP-MC
584
NR
NR
NR
NR
3.11%
411
5.00%
432
25
5.79%
Number of Records Excluded Because of Valid
Data Errors
0
Number of administrative data records excluded
0
Number of medical record data records excluded
0
Number of employee/dependent medical records
excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
264
1.84%
1.62%
2.07%
NR
NR
NR
0
432
25
253
64.35%
59.72%
68.98%
Page 3
Effectiveness of Care
Blue Plus (HMO Minnesota)
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 24, 2011 9:02 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
A
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2010
A
Counseling for Physical Activity
General
Ages 12Measure Ages 3-11
Total
17
Data
2010
A
2612
1909
4521
2612
1909
4521
2612
1909
4521
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
137
64
201
23
32
55
0
0
0
5.25%
4.37%
6.12%
3.35%
2.52%
4.19%
4.45%
3.83%
5.06%
0.88%
0.50%
1.26%
1.68%
1.07%
2.28%
1.22%
0.89%
1.55%
0.00%
0.00%
0.02%
0.00%
0.00%
0.03%
0.00%
0.00%
0.01%
Number of administrative data records
excluded
Number of medical records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 4
Effectiveness of Care
Blue Plus (HMO Minnesota)
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents
Data Last Refreshed:
Oct 24, 2011 9:02 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
15176
8287
23463
15176
8287
23463
15176
8287
23463
158
1.04%
75
0.91%
233
0.99%
101
0.67%
101
1.22%
202
0.86%
0
0.00%
1
0.01%
1
0.00%
0
0.00%
0
0.00%
0
0.00%
411
5.00%
411
5.00%
432
411
5.00%
432
2
0.46%
1
0.23%
3
0.69%
432
3
0.69%
0
0.00%
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)
292
140
432
292
140
432
292
140
432
2
113
39.38%
33.61%
45.16%
1
54
39.29%
30.84%
47.73%
3
167
39.35%
34.63%
44.07%
3
124
43.49%
37.64%
49.35%
0
42
30.00%
22.05%
37.95%
3
166
39.12%
34.40%
43.84%
0
82
28.08%
22.76%
33.41%
0
59
42.14%
33.61%
50.68%
0
141
32.64%
28.10%
37.18%
Page 5
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
257
273
278
280
263
271
258
102
230
225
84.54%
80.31%
88.77%
89.80%
86.24%
93.37%
91.45%
88.14%
94.76%
92.11%
88.91%
95.30%
86.51%
82.51%
90.52%
89.14%
85.48%
92.81%
84.87%
80.68%
89.06%
33.55%
28.08%
39.02%
75.66%
70.67%
80.65%
74.01%
68.92%
79.11%
2010
A
304
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 6
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
DTaP
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
257
226
220
87
193
185
78
76
165
70
84.54%
80.31%
88.77%
74.34%
69.27%
79.42%
72.37%
67.18%
77.56%
28.62%
23.37%
33.86%
63.49%
57.91%
69.06%
60.86%
55.20%
66.51%
25.66%
20.58%
30.73%
25.00%
19.97%
30.03%
54.28%
48.51%
60.04%
23.03%
18.13%
27.92%
2010
A
304
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical data records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by administrative Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 7
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
HiB
Hepatitis B
VZV
Influenza
1911
78.71%
2184
89.95%
2170
89.37%
2164
89.13%
2082
85.75%
2142
88.22%
1943
80.02%
633
26.07%
1482
61.04%
1366
56.26%
342
79.17%
388
89.81%
385
89.12%
384
88.89%
375
86.81%
383
88.66%
349
80.79%
106
24.54%
262
60.65%
238
55.09%
342
20
83.99%
80.41%
87.57%
388
13
93.04%
90.52%
95.56%
385
3
90.02%
87.08%
92.97%
384
11
91.65%
88.92%
94.38%
375
18
91.18%
88.39%
93.98%
383
3
89.56%
86.56%
92.56%
349
18
85.15%
81.68%
88.62%
106
3
25.29%
21.07%
29.51%
262
13
63.81%
59.15%
68.46%
238
7
56.84%
52.05%
61.64%
432
1
Numerator Events by administrative Data
MMR
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
IPV
2010
H
2428
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
431
Page 8
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of administrative data records
excluded
0
Number of medical data records excluded
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
1911
78.71%
1683
69.32%
1604
66.06%
522
21.50%
1181
48.64%
1071
44.11%
433
17.83%
372
15.32%
854
35.17%
323
13.30%
342
79.17%
308
71.30%
296
68.52%
87
20.14%
218
50.46%
197
45.60%
72
16.67%
66
15.28%
161
37.27%
59
13.66%
342
20
83.99%
80.41%
87.57%
308
29
78.19%
74.18%
82.20%
296
32
76.10%
71.96%
80.24%
87
15
23.67%
19.54%
27.79%
218
22
55.68%
50.88%
60.49%
197
21
50.58%
45.74%
55.42%
72
11
19.26%
15.42%
23.10%
66
10
17.63%
13.92%
21.35%
161
16
41.07%
36.31%
45.83%
59
8
15.55%
12.01%
19.08%
432
1
Numerator Events by administrative Data
Combo 3
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
Combo 2
2010
H
2428
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
431
Page 9
Effectiveness of Care
Blue Plus (HMO Minnesota)
Immunizations for Adolescents
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Data Elements
General
Measure Data
Meningococcal
Tdap
Combo 1
Current Year's Admin Rate
NR
NR
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
NR
NR
Measurement Year
2010
Data Collection Methodology
A
Eligible Member Population
384
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
Number of medical data records excluded
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
213
343
208
55.47%
89.32%
54.17%
Lower 95% Confidence Interval
50.37%
86.10%
49.05%
Upper 95% Confidence Interval
60.57%
92.54%
59.28%
HEDIS 2011 (Reporting Year 2010)
Page 10
Effectiveness of Care
Blue Plus (HMO Minnesota)
Immunizations for Adolescents
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Data
2010
Measurement Year
H
Data Collection Methodology
1678
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
740
1301
710
44.10%
77.53%
42.31%
188
43.52%
346
80.09%
179
41.44%
188
10
45.83%
41.02%
50.65%
346
27
86.34%
82.99%
89.70%
179
11
43.98%
39.18%
48.78%
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
432
Page 11
Effectiveness of Care
Blue Plus (HMO Minnesota)
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
2010
A
5822
4136
71.04%
69.87%
72.21%
Medicare
Advantage
NR
NR
NR
MSHO
2010
A
449
250
55.68%
50.97%
60.39%
SNBC
MHCP-MC
NR
NR
NR
2010
A
5711
3413
59.76%
58.48%
61.04%
Page 12
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
MHCP-MC
2010
A
7172
2010
H
18550
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
12383
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)
66.75%
328
5.00%
345
245
71.01%
0
0
7
0
73.15%
0
338
245
21
78.70%
72.11%
74.18%
74.19%
83.21%
5246
Page 13
Effectiveness of Care
Blue Plus (HMO Minnesota)
Colorectal Cancer Screening
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Commercial
Medicare
Advantage
2010
A
6569
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
SNBC
2010
H
2115
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
MSHO
842
NR
NR
NR
NR
3982
60.62%
59.43%
61.81%
NR
NR
NR
39.81%
411
10.00%
453
168
37.09%
0
0
0
0
0
453
168
60
50.33%
45.62%
55.05%
NR
NR
NR
NR
NR
Page 14
Effectiveness of Care
Blue Plus (HMO Minnesota)
Chlamydia Screening in Women
Data Last Refreshed:
Oct 24, 2011 9:02 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
429
152
35.43%
30.79%
40.07%
485
203
41.86%
37.36%
46.35%
914
355
38.84%
35.63%
42.05%
2010
A
Page 15
Effectiveness of Care
Blue Plus (HMO Minnesota)
Chlamydia Screening in Women
Data Last Refreshed:
Oct 24, 2011 9:02 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
2152
963
44.75%
42.62%
46.87%
1923
972
50.55%
48.29%
52.81%
4075
1935
47.48%
45.94%
49.03%
2010
A
Page 16
Effectiveness of Care
Blue Plus (HMO Minnesota)
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Medicare
Advantage
NR
NR
NR
MSHO
2010
A
6957
5050
72.59%
71.53%
73.64%
Page 17
Effectiveness of Care
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Lead Screening in Children
Data Elements
Commercial
MHCP-MC
2010
A
304
2010
A
2428
Current Year's Admin Rate
NR
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
NR
225
2018
Reported Rate
74.01%
83.11%
Lower 95% Confidence Interval
68.92%
81.60%
Upper 95% Confidence Interval
79.11%
84.62%
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Records Excluded because of Valid Data
Errors
Number of administrative data records
excluded
Number of medical 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
HEDIS 2011 (Reporting Year 2010)
Page 18
Effectiveness of Care
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:02 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
152
65.52%
59.19%
71.85%
208
89.66%
85.52%
93.79%
2010
A
232
Page 21
Effectiveness of Care
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
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 9:02 AM
MSHO
SNBC
2010
A
290
53
18.28%
13.66%
22.90%
NR
NR
NR
Page 23
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 24, 2011 9:02 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
50
47
94.00%
86.42%
100.00%
250
236
94.40%
91.35%
97.45%
300
283
94.33%
91.55%
97.12%
2010
A
`
Page 24
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 24, 2011 9:02 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
331
315
95.17%
92.70%
97.63%
770
651
84.55%
81.93%
87.16%
1101
966
87.74%
85.76%
89.72%
2010
A
Page 25
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
168
0
91.30%
86.96%
95.65%
0.00%
0.00%
0.27%
2010
A
184
Page 26
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Oct 24, 2011 9:02 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
180
1
87.38%
0.49%
179
1
86.89%
0.49%
179
4
1
112
89.27%
84.79%
93.75%
55.12%
48.07%
62.17%
2009
H
206
206
5.00%
206
1
0
0
205
Page 28
Effectiveness of Care
Blue Plus (HMO Minnesota)
Controlling High Blood Pressure
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2010
H
1898
2010
H
2053
2010
H
2993
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%
411
10.00%
453
0
0.00%
NR
NR
0.00%
411
10.00%
453
0
0.00%
NR
NR
0.00%
411
10.00%
453
0
0.00%
Records Excluded because of Valid Data
Errors
2
1
1
Number of records excluded because of
false positive diagnoses
2
1
1
Number of administrative data records
excluded
0
2
0
Number of medical record data records
excluded
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
451
0
313
69.40%
65.04%
73.77%
0
450
0
330
73.33%
69.14%
77.53%
0
452
0
307
67.92%
63.51%
72.33%
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
Blue Plus (HMO Minnesota)
Persistence of Beta Blocker Treatment After Heart Attack
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2010
A
19
2010
A
58
2010
A
35
Numerator Events by Admin Data on
Eligible Population
16
52
28
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
NA
NA
NA
HEDIS 2011 (Reporting Year 2010)
NR
NR
NR
89.66%
80.96%
98.35%
NR
NR
NR
80.00%
65.32%
94.68%
Page 30
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c
Control
(>9.0%)
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
2010
A
1038
2010
A
1038
LDL-C Level
<100 mg/dL
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
2010
A
1038
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
577
876
55.59%
52.52%
58.66%
84.39%
82.14%
86.65%
NR
NR
NR
NR
NR
NR
2010
A
1038
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)
917
88.34%
86.34%
90.34%
NR
NR
NR
NR
NR
NR
NR
NR
NR
859
NR
NR
NR
82.76%
80.41%
85.10%
Page 31
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
959
2010
H
959
876
91.35%
411
10%
453
426
94.04%
941
98.12%
411
10%
453
441
97.35%
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
959
2010
H
959
2010
H
959
2010
H
959
2010
H
959
2010
H
959
2010
H
959
12
1.25%
411
10%
453
8
1.77%
634
66.11%
411
10%
453
313
69.09%
756
78.83%
411
10%
453
372
82.12%
18
1.88%
411
10%
453
13
2.87%
808
84.25%
411
10%
453
391
86.31%
31
3.23%
411
10%
453
10
2.21%
30
3.13%
411
10%
453
10
2.21%
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
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
453
426
2
94.48%
92.27%
96.69%
0
453
114
22
30.02%
25.69%
34.35%
0
453
8
283
64.24%
59.71%
68.76%
0
453
313
36
77.04%
73.06%
81.03%
0
453
372
10
84.33%
80.87%
87.78%
0
453
13
218
50.99%
46.28%
55.71%
0
453
391
7
87.86%
84.74%
90.98%
0
453
10
321
73.07%
68.87%
77.26%
0
453
10
293
66.89%
62.44%
71.33%
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
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2010
H
2338
2010
H
2338
2010
H
2338
2010
H
2338
2010
H
2338
2010
H
2338
2010
H
2338
2
0.09%
411
10%
453
0
0.00%
1311
56.07%
411
10%
453
268
59.16%
1775
75.92%
411
10%
453
357
78.81%
1
0.04%
411
10%
453
0
0.00%
1814
77.59%
411
10%
453
362
79.91%
4
0.17%
411
10%
453
0
0.00%
3
0.13%
411
10%
453
0
0.00%
1
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
452
393
8
88.72%
85.69%
91.74%
0
452
91
69
35.40%
30.88%
39.92%
0
452
0
252
55.75%
51.06%
60.44%
0
452
268
39
67.92%
63.51%
72.33%
0
452
357
6
80.31%
76.53%
84.09%
0
452
0
204
45.13%
40.43%
49.83%
0
452
362
6
81.42%
77.72%
85.11%
0
452
0
342
75.66%
71.60%
79.73%
0
452
0
269
59.51%
54.88%
64.15%
HbA1c
Testing
Poor HbA1c
Control
2010
H
2338
2010
H
2338
2007
85.84%
411
10%
453
393
86.75%
2335
99.87%
411
10%
453
453
100.00%
1
Good HbA1c
Control
(<7.0%)
NR
NR
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80
mm Hg
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 35
Effectiveness of Care
Blue Plus (HMO Minnesota)
Disease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Medicare
Advantage
NR
NR
NR
Page 36
Effectiveness of Care
Blue Plus (HMO Minnesota)
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 9:02 AM
MSHO
2010
A
435
52
11.95%
8.79%
15.12%
Page 37
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:02 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
262
76.61%
71.98%
81.24%
211
61.70%
56.40%
66.99%
2010
A
342
Page 38
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:02 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
84
72.41%
63.85%
80.98%
77
66.38%
57.35%
75.41%
2010
A
116
Page 40
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Oct 24, 2011 9:02 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
628
56.32%
53.37%
59.28%
446
40.00%
37.08%
42.92%
2010
A
1115
Page 42
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 24, 2011 9:02 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
68
26
38.24%
25.95%
50.52%
15
6
NA
NA
NA
2010
A
Page 43
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 24, 2011 9:02 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
437
171
39.13%
34.44%
43.82%
135
56
41.48%
32.80%
50.16%
2010
A
Page 44
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:02 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
27
52.94%
38.26%
67.62%
13
25.49%
12.55%
38.43%
2010
A
51
Page 46
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:02 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
1962
1528
77.88%
76.02%
79.74%
18
17
NA
NA
NA
1485
1165
78.45%
76.33%
80.58%
77
57
74.03%
63.58%
84.47%
3542
2767
78.12%
76.74%
79.50%
2010
A
Page 48
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:02 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
3527
3351
95.01%
94.28%
95.74%
463
448
96.76%
95.04%
98.48%
3972
3801
95.69%
95.05%
96.34%
452
397
87.83%
84.71%
90.96%
8414
7997
95.04%
94.57%
95.51%
2010
A
Page 50
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Oct 24, 2011 9:02 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
2750
2296
83.49%
82.09%
84.90%
43
33
76.74%
62.95%
90.53%
2088
1728
82.76%
81.11%
84.40%
236
175
74.15%
68.36%
79.95%
5117
4232
82.70%
81.66%
83.75%
2010
A
Page 52
Access/Availability of Care
Blue Plus (HMO Minnesota)
Medication Reconciliation Post Discharge
Data Elements
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:02 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
653
119
18.22%
15.19%
21.26%
2399
568
23.68%
21.95%
25.40%
127
18
14.17%
7.71%
20.63%
3179
705
22.18%
20.72%
23.64%
Page 55
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 24, 2011 9:02 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
8690
At least 1
Prescription
At least 2
Prescriptions
1488
17.12%
16.33%
17.92%
213
2.45%
2.12%
2.78%
Page 57
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
5977
8208
279
14464
5648
7847
270
94.50%
93.91%
95.08%
95.60%
95.15%
96.05%
96.77%
94.52%
99.03%
13765
95.17%
94.81%
95.52%
2010
A
Page 58
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
8690
8690
0
0
8531
NA
NA
NA
NA
NA
NA
98.17%
97.88%
98.46%
8531
98.17%
97.88%
98.46%
2010
A
Page 60
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
20683
11960
28
32671
18503
10741
26
89.46%
89.04%
89.88%
89.81%
89.26%
90.35%
NA
NA
NA
29270
89.59%
89.26%
89.92%
2010
A
Page 62
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 24, 2011 9:02 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.
309
301
1623
1457
1582
1392
2773
2518
97.41%
95.48%
99.34%
89.77%
88.27%
91.28%
87.99%
86.36%
89.62%
90.80%
89.71%
91.90%
2010
A
Page 63
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 24, 2011 9:02 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.
3300
3253
10648
9782
6782
6192
9473
8764
98.58%
98.16%
99.00%
91.87%
91.34%
92.39%
91.30%
90.62%
91.98%
92.52%
91.98%
93.05%
2010
A
Page 64
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:02 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
20
259
279
11
3
92
27
103
30
NA
NA
NA
NA
NA
NA
35.52%
29.50%
41.54%
10.42%
6.51%
14.34%
36.92%
31.08%
42.76%
10.75%
6.94%
14.57%
Page 65
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:02 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
129
129
0
0
75
8
75
8
NA
NA
NA
NA
NA
NA
58.14%
49.24%
67.04%
6.20%
1.65%
10.75%
58.14%
49.24%
67.04%
6.20%
1.65%
10.75%
Page 67
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 24, 2011 9:02 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
219
2205
2424
100
42
919
291
1019
333
45.66%
38.84%
52.49%
19.18%
13.74%
24.62%
41.68%
39.60%
43.76%
13.20%
11.76%
14.63%
42.04%
40.05%
44.02%
13.74%
12.35%
15.13%
Page 69
Access/Availability of Care
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Timeliness of
Prenatal Care
Postpartum
Care
2010
A
384
2010
A
384
74.22%
55.99%
NR
NR
285
215
74.22%
69.71%
78.72%
55.99%
50.89%
61.08%
Number of numerator events by administrative data in eligible
population (before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2011 (Reporting Year 2010)
Page 70
Access/Availability of Care
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
3877
2010
H
3877
Number of numerator events by administrative data in eligible
population (before exclusions)
2197
2041
56.67%
411
10%
453
260
52.64%
411
10%
453
247
57.40%
54.53%
4
4
0
0
449
260
141
0
0
449
247
76
89.31%
86.34%
92.28%
71.94%
67.67%
76.20%
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
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 24, 2011 9:02 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
20
1
8
3
8
39
214
6.83%
3.77%
9.88%
0.34%
0.00%
1.18%
2.73%
0.69%
4.77%
1.02%
0.00%
2.35%
2.73%
0.69%
4.77%
13.31%
9.25%
17.37%
73.04%
67.79%
78.29%
2010
A
293
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
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
83
57
103
142
319
616
1552
2.89%
2.26%
3.52%
1.98%
1.46%
2.51%
3.59%
2.89%
4.28%
4.94%
4.13%
5.75%
11.11%
9.94%
12.27%
21.45%
19.93%
22.97%
54.04%
52.20%
55.88%
2010
A
2872
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 73
Use of Services
Blue Plus (HMO Minnesota)
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
MHCP-MC
2010
A
1354
2010
A
8614
NR
NR
NR
NR
948
5733
70.01%
67.54%
72.49%
66.55%
65.55%
67.56%
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 74
Use of Services
Blue Plus (HMO Minnesota)
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
MHCP-MC
2010
A
4139
2010
A
15002
NR
NR
NR
NR
1295
4900
31.29%
29.86%
32.71%
32.66%
31.91%
33.42%
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2011 (Reporting Year 2010)
Page 75
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
4215
44263
58387
135627
150913
4105
155
12
0
397677
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
Visits
3527
12638
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
12509
33796
49736
1958
114
0
0
114278
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
836.77
285.52
214.24
249.18
329.57
476.98
735.48
0.00
287.36
Emergency Room Visits
Visits
166
764
811
1711
1635
56
1
0
0
5144
Visits/ 1,000
Member
Months
39.38
17.26
13.89
12.62
10.83
13.64
6.45
0.00
12.94
Page 76
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:02 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
2
10
32602
39364
50111
0
122089
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
7
28473
34451
39883
0
102814
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
NA
NA
NA
0.00
700.00
873.35
875.19
795.89
842.12
Emergency Room Visits
Visits
0
0
0
0
0
1611
1890
2098
0
5599
Visits/ 1,000
Member
Months
NA
NA
NA
0.00
0.00
49.41
48.01
41.87
45.86
Page 78
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
63079
375326
300468
461620
206530
415
37
20
0
1407495
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
51153
123770
82666
196166
101821
303
10
3
0
555892
HEDIS 2011 (Reporting Year 2010)
Visits/ 1,000
Member
Months
810.94
329.77
275.12
424.95
493.01
730.12
270.27
150.00
394.95
Emergency Room Visits
Visits
5446
15990
9330
25452
6249
23
1
2
0
62493
Visits/ 1,000
Member
Months
86.34
42.60
31.05
55.14
30.26
55.42
27.03
100.00
44.40
Page 80
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Member Months
4215
44263
58387
135627
150913
4105
155
12
0
397677
Discharges
Discharges /
1,000 Member
Months
47
58
76
758
847
54
2
0
0
1842
11.15
1.31
1.30
5.59
5.61
13.15
12.90
0.00
32
37
40
99
303
24
0
0
0
535
7.59
0.84
0.69
0.73
2.01
5.85
0.00
0.00
15
21
34
180
536
30
2
0
0
818
3.56
0.47
0.58
1.33
3.55
7.31
12.90
0.00
2
479
8
0
489
0.03
3.53
0.05
HEDIS 2011 (Reporting Year 2010)
4.63
1.35
2.06
1.42
Days
329
129
224
1961
2835
183
9
0
0
5670
Days / 1,000
Member
Months
78.05
2.91
3.84
14.46
18.79
44.58
58.06
0.00
14.26
195
78
118
296
976
93
0
0
0
1756
46.26
1.76
2.02
2.18
6.47
22.66
0.00
0.00
134
51
101
439
1845
90
9
0
0
2669
31.79
1.15
1.73
3.24
12.23
21.92
58.06
0.00
5
1226
14
0
1245
0.09
9.04
0.09
4.42
6.71
3.61
Average
Length of Stay
7.00
2.22
2.95
2.59
3.35
3.39
4.50
NA
NA
3.08
6.09
2.11
2.95
2.99
3.22
3.88
NA
NA
NA
3.28
8.93
2.43
2.97
2.44
3.44
3.00
4.50
NA
NA
3.26
2.50
2.56
1.75
NA
2.55
Page 81
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Member Months
0
0
0
2
10
32602
39364
50111
0
122089
Discharges
0
0
0
0
0
1318
1701
2042
0
5061
Discharges /
1,000 Member
Months
NA
NA
NA
0.00
0.00
40.43
43.21
40.75
41.45
0
0
0
0
0
934
1289
1689
0
3912
NA
NA
NA
0.00
0.00
28.65
32.75
33.71
0
0
0
0
0
383
411
349
0
1143
NA
NA
NA
0.00
0.00
11.75
10.44
6.96
0
0
0
0
0
NA
0.00
0.00
HEDIS 2011 (Reporting Year 2010)
32.04
9.36
0.00
Days
0
0
0
0
0
5943
7485
8719
0
22147
0
0
0
0
0
3611
5088
6757
0
15456
0
0
0
0
0
2327
2393
1952
0
6672
0
0
0
0
0
Days / 1,000
Member
Months
NA
NA
NA
0.00
0.00
182.29
190.15
173.99
181.40
NA
NA
NA
0.00
0.00
110.76
129.26
134.84
126.60
NA
NA
NA
0.00
0.00
71.38
60.79
38.95
54.65
NA
0.00
0.00
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.51
4.40
4.27
NA
4.38
NA
NA
NA
NA
NA
3.87
3.95
4.00
NA
3.95
NA
NA
NA
NA
NA
6.08
5.82
5.59
NA
5.84
NA
NA
NA
NA
NA
Page 83
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
63079
1-9
375326
10-19
300468
20-44
461620
45-64
206530
65-74
415
75-84
37
85+
20
Unknown
0
Total
1407495
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
669
684
1077
6526
2028
13
0
1
0
10998
10.61
1.82
3.58
14.14
9.82
31.33
0.00
50.00
559
513
314
1107
1026
9
0
1
0
3529
8.86
1.37
1.05
2.40
4.97
21.69
0.00
50.00
110
171
224
1022
987
4
0
0
0
2518
1.74
0.46
0.75
2.21
4.78
9.64
0.00
0.00
539
4396
14
0
4949
HEDIS 2011 (Reporting Year 2010)
7.81
2.51
1.79
1.79
9.52
0.07
5.11
Days
Days / 1,000
Member
Months
3097
1692
2932
17015
6999
64
0
6
0
31805
49.10
4.51
9.76
36.86
33.89
154.22
0.00
300.00
2107
1022
748
3007
2887
30
0
6
0
9807
33.40
2.72
2.49
6.51
13.98
72.29
0.00
300.00
990
670
823
3207
4074
34
0
0
0
9798
15.69
1.79
2.74
6.95
19.73
81.93
0.00
0.00
1361
10800
34
0
12195
4.53
23.40
0.16
22.60
6.97
6.96
12.59
Average
Length of Stay
4.63
2.47
2.72
2.61
3.45
4.92
NA
6.00
NA
2.89
3.77
1.99
2.38
2.72
2.81
3.33
NA
6.00
NA
2.78
9.00
3.92
3.67
3.14
4.13
8.50
NA
NA
NA
3.89
2.53
2.46
2.43
NA
2.46
Page 85
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
33821
15408
18403
20653
93334
2288
0
183907
Female
31151
14320
20215
28134
117966
1984
0
213770
Total
64972
29728
38618
48787
211300
4272
0
397677
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
27
15
42
61
20
81
32
20
52
132
95
227
3
0
3
0
0
0
255
150
405
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
33821
15408
18403
20653
93334
2288
0
183907
Female
31151
14320
20215
28134
117966
1984
0
213770
Total
64972
29728
38618
48787
211300
4272
0
397677
Inpatient
Percent
0.00%
0.00%
0.00%
2.10%
1.26%
1.70%
3.98%
1.19%
2.52%
1.86%
0.85%
1.28%
1.70%
0.97%
1.29%
1.57%
0.00%
0.84%
NA
NA
NA
1.66%
0.84%
1.22%
Number
0
0
0
13
5
18
15
5
20
5
5
10
39
25
64
0
0
0
0
0
0
72
40
112
Percent
0.00%
0.00%
0.00%
1.01%
0.42%
0.73%
0.98%
0.30%
0.62%
0.29%
0.21%
0.25%
0.50%
0.25%
0.36%
0.00%
0.00%
0.00%
NA
NA
NA
0.47%
0.22%
0.34%
Male
33821
15408
18403
20653
93334
2288
0
183907
Female
31151
14320
20215
28134
117966
1984
0
213770
Total
64972
29728
38618
48787
211300
4272
0
397677
Member Months
(Outpatient/ED)
Male
33821
15408
18403
20653
93334
2288
0
183907
Female
31151
14320
20215
28134
117966
1984
0
213770
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
1
1
2
0
0
0
1
0
1
2
2
4
0
0
0
0
0
0
4
3
7
Number
0
0
0
26
14
40
56
19
75
30
19
49
122
91
213
3
0
3
0
0
0
237
143
380
Percent
0.00%
0.00%
0.00%
0.08%
0.08%
0.08%
0.00%
0.00%
0.00%
0.06%
0.00%
0.02%
0.03%
0.02%
0.02%
0.00%
0.00%
0.00%
NA
NA
NA
0.03%
0.02%
0.02%
Total
64972
29728
38618
48787
211300
4272
0
397677
Percent
0.00%
0.00%
0.00%
2.02%
1.17%
1.61%
3.65%
1.13%
2.33%
1.74%
0.81%
1.21%
1.57%
0.93%
1.21%
1.57%
0.00%
0.84%
NA
NA
NA
1.55%
0.80%
1.15%
Page 86
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:02 AM
MSHO
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
2
4
31451
0
31457
Female
0
0
0
0
6
90626
0
90632
Total
0
0
0
2
10
122077
0
122089
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
96
99
195
0
0
0
96
99
195
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
0
2
4
31451
0
31457
Female
0
0
0
0
6
90626
0
90632
Total
0
0
0
2
10
122077
0
122089
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
51
45
96
0
0
0
51
45
96
Female
0
0
0
0
6
90626
0
90632
Total
0
0
0
2
10
122077
0
122089
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
3.66%
1.31%
1.92%
NA
NA
NA
3.66%
1.31%
1.92%
Male
0
0
0
2
4
31451
0
31457
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
1.95%
0.60%
0.94%
NA
NA
NA
1.95%
0.60%
0.94%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
1
1
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.01%
0.01%
NA
NA
NA
0.00%
0.01%
0.01%
Member Months
(Outpatient/ED)
Male
0
0
0
2
4
31451
0
31457
Female
0
0
0
0
6
90626
0
90632
Total
0
0
0
2
10
122077
0
122089
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
66
71
137
0
0
0
66
71
137
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
2.52%
0.94%
1.35%
NA
NA
NA
2.52%
0.94%
1.35%
Page 88
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
272150
75060
61475
69671
143860
216
0
622432
Female
263022
74356
107365
135603
204461
256
0
785063
Total
535172
149416
168840
205274
348321
472
0
1407495
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
9
7
16
334
216
550
715
605
1320
1043
956
1999
1448
1141
2589
0
1
1
0
0
0
3549
2926
6475
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
272150
75060
61475
69671
143860
216
0
622432
Female
263022
74356
107365
135603
204461
256
0
785063
Total
535172
149416
168840
205274
348321
472
0
1407495
Inpatient
Percent
0.04%
0.03%
0.04%
5.34%
3.49%
4.42%
13.96%
6.76%
9.38%
17.96%
8.46%
11.69%
12.08%
6.70%
8.92%
0.00%
4.69%
2.54%
NA
NA
NA
6.84%
4.47%
5.52%
Number
3
0
3
125
80
205
224
196
420
256
252
508
390
318
708
0
0
0
0
0
0
998
846
1844
Percent
0.01%
0.00%
0.01%
2.00%
1.29%
1.65%
4.37%
2.19%
2.99%
4.41%
2.23%
2.97%
3.25%
1.87%
2.44%
0.00%
0.00%
0.00%
NA
NA
NA
1.92%
1.29%
1.57%
Male
272150
75060
61475
69671
143860
216
0
622432
Female
263022
74356
107365
135603
204461
256
0
785063
Total
535172
149416
168840
205274
348321
472
0
1407495
Member Months
(Outpatient/ED)
Male
272150
75060
61475
69671
143860
216
0
622432
Female
263022
74356
107365
135603
204461
256
0
785063
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
6
7
13
13
19
32
23
23
46
19
21
40
0
0
0
0
0
0
61
70
131
Number
8
7
15
315
204
519
668
548
1216
991
908
1899
1365
1060
2425
0
1
1
0
0
0
3347
2728
6075
Percent
0.00%
0.00%
0.00%
0.10%
0.11%
0.10%
0.25%
0.21%
0.23%
0.40%
0.20%
0.27%
0.16%
0.12%
0.14%
0.00%
0.00%
0.00%
NA
NA
NA
0.12%
0.11%
0.11%
Total
535172
149416
168840
205274
348321
472
0
1407495
Percent
0.04%
0.03%
0.03%
5.04%
3.29%
4.17%
13.04%
6.12%
8.64%
17.07%
8.04%
11.10%
11.39%
6.22%
8.35%
0.00%
4.69%
2.54%
NA
NA
NA
6.45%
4.17%
5.18%
Page 90
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
33821
15408
132390
2288
0
183907
Female
31151
14320
166315
1984
0
213770
Total
64972
29728
298705
4272
0
397677
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
180
122
302
174
156
330
722
1400
2122
11
7
18
0
0
0
1087
1685
2772
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
33821
15408
132390
2288
0
183907
Female
31151
14320
166315
1984
0
213770
Total
64972
29728
298705
4272
0
397677
Number
3
1
4
13
14
27
26
34
60
1
0
1
0
0
0
43
49
92
Female
31151
14320
166315
1984
0
213770
Total
64972
29728
298705
4272
0
397677
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
6.39%
4.70%
5.58%
13.55%
13.07%
13.32%
6.54%
10.10%
8.52%
5.77%
4.23%
5.06%
NA
NA
NA
7.09%
9.46%
8.36%
Male
33821
15408
132390
2288
0
183907
Percent
0.11%
0.04%
0.07%
1.01%
1.17%
1.09%
0.24%
0.25%
0.24%
0.52%
0.00%
0.28%
NA
NA
NA
0.28%
0.28%
0.28%
Number
2
3
5
8
9
17
9
22
31
0
0
0
0
0
0
19
34
53
Percent
0.07%
0.12%
0.09%
0.62%
0.75%
0.69%
0.08%
0.16%
0.12%
0.00%
0.00%
0.00%
NA
NA
NA
0.12%
0.19%
0.16%
Member Months
(Outpatient/ED)
Male
33821
15408
132390
2288
0
183907
Female
31151
14320
166315
1984
0
213770
Total
64972
29728
298705
4272
0
397677
Outpatient/ED
Number
179
121
300
173
155
328
719
1394
2113
10
7
17
0
0
0
1081
1677
2758
Percent
6.35%
4.66%
5.54%
13.47%
12.99%
13.24%
6.52%
10.06%
8.49%
5.24%
4.23%
4.78%
NA
NA
NA
7.05%
9.41%
8.32%
Page 91
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:02 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
6
31451
0
31457
Female
0
0
6
90626
0
90632
Total
0
0
12
122077
0
122089
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
363
1040
1403
0
0
0
363
1040
1403
HEDIS 2011 (Reporting Year 2010)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
6
31451
0
31457
Female
0
0
6
90626
0
90632
Total
0
0
12
122077
0
122089
Number
0
0
0
0
0
0
0
0
0
98
285
383
0
0
0
98
285
383
Female
0
0
6
90626
0
90632
Total
0
0
12
122077
0
122089
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
13.85%
13.77%
13.79%
NA
NA
NA
13.85%
13.77%
13.79%
Male
0
0
6
31451
0
31457
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
3.74%
3.77%
3.76%
NA
NA
NA
3.74%
3.77%
3.76%
Number
0
0
0
0
0
0
0
0
0
1
9
10
0
0
0
1
9
10
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.04%
0.12%
0.10%
NA
NA
NA
0.04%
0.12%
0.10%
Member Months
(Outpatient/ED)
Male
0
0
6
31451
0
31457
Female
0
0
6
90626
0
90632
Total
0
0
12
122077
0
122089
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
291
835
1126
0
0
0
291
835
1126
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
11.10%
11.06%
11.07%
NA
NA
NA
11.10%
11.06%
11.07%
Page 93
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 24, 2011 9:02 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
272150
75060
275006
216
0
622432
Female
263022
74356
447429
256
0
785063
Total
535172
149416
722435
472
0
1407495
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
2962
2017
4979
1395
1534
2929
4147
8965
13112
2
2
4
0
0
0
8506
12518
21024
HEDIS 2011 (Reporting Year 2010)
Male
272150
75060
275006
216
0
622432
Female
263022
74356
447429
256
0
785063
Total
535172
149416
722435
472
0
1407495
Percent
13.06%
9.20%
11.16%
22.30%
24.76%
23.52%
18.10%
24.04%
21.78%
11.11%
9.38%
10.17%
NA
NA
NA
16.40%
19.13%
17.92%
Number
50
34
84
83
142
225
276
455
731
0
0
0
0
0
0
409
631
1040
Male
272150
75060
275006
216
0
622432
Female
263022
74356
447429
256
0
785063
Total
535172
149416
722435
472
0
1407495
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.22%
0.16%
0.19%
1.33%
2.29%
1.81%
1.20%
1.22%
1.21%
0.00%
0.00%
0.00%
NA
NA
NA
0.79%
0.96%
0.89%
Number
47
21
68
43
49
92
112
291
403
0
0
0
0
0
0
202
361
563
Percent
0.21%
0.10%
0.15%
0.69%
0.79%
0.74%
0.49%
0.78%
0.67%
0.00%
0.00%
0.00%
NA
NA
NA
0.39%
0.55%
0.48%
Member Months
(Outpatient/ED)
Male
272150
75060
275006
216
0
622432
Female
263022
74356
447429
256
0
785063
Total
535172
149416
722435
472
0
1407495
Outpatient/ED
Number
2959
2016
4975
1392
1526
2918
4100
8920
13020
2
2
4
0
0
0
8453
12464
20917
Percent
13.05%
9.20%
11.16%
22.25%
24.63%
23.44%
17.89%
23.92%
21.63%
11.11%
9.38%
10.17%
NA
NA
NA
16.30%
19.05%
17.83%
Page 95
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:02 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
2221
9644
13445
14619
9300
6047
Member Months
Female
1994
8726
12448
13506
8797
6118
Total
4215
18370
25893
28125
18097
12165
55276
30.06%
12356
9521
11132
12473
14823
51589
24.13%
14097
13646
14488
14804
18287
106865
26.87%
60305
32.79%
17164
17932
17236
13706
75322
35.24%
21930
22346
22683
17916
135627
34.10%
66038
35.91%
1817
353
65
41
0
12
84875
39.70%
1657
278
37
12
0
0
150913
37.95%
2288
1.24%
0
1984
0.93%
0
4272
1.07%
183907
213770
HEDIS 2011 (Reporting Year 2010)
26453
23167
25620
27277
33110
39094
40278
39919
31622
3474
631
102
53
0
12
0
397677
Page 98
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:02 AM
MSHO
Male
Member Months
Female
<1
1-4
5-9
10-14
15-17
18-19
Total
NR
NR
NR
NR
NR
NR
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
NR
NR
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
NR
NR
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
NR
NR
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2011 (Reporting Year 2010)
Page 100
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:02 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
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 24, 2011 9:02 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
32482
95192
95607
79920
44009
24374
Member Months
Female
30597
90776
93751
77952
44302
29911
Total
63079
185968
189358
157872
88311
54285
371584
59.70%
37101
36950
32721
27393
27521
367289
46.78%
77454
77735
57868
46161
40716
738873
52.50%
161686
25.98%
30615
26925
18997
12409
299934
38.21%
41644
33743
23589
18608
461620
32.80%
88946
14.29%
141
44
19
9
3
0
117584
14.98%
209
21
9
0
15
2
206530
14.67%
216
0.03%
0
256
0.03%
0
472
0.03%
622432
785063
HEDIS 2011 (Reporting Year 2010)
114555
114685
90589
73554
68237
72259
60668
42586
31017
350
65
28
9
18
2
0
1407495
Page 102