UCare (PDF: 181kb/ 98 pages)

UCare Minnesota
General Info
Disclaimers
Code
WCC
Effectiveness of Care Measures
Prevention and Screening
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed: 1/6/2011
Page
2
Page
28
Page
Adult's Access to Preventive/Ambulatory Health Services
54
CAP
Children's and Adolescents' Access to Primary Care Practitioners
59
IET
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
61
Prenatal and Postpartum Care
66
27 AAP
3
Access / Availability of Care Measures
0 Code
CIS
Childhood Immunization Status
5
29
BCS
Breast Cancer Screening
9
30 PPC
CCS
Cervical Cancer Screening
10
COL
Colorectal Cancer Screening
11
0 Code
CHL
Chlamydia Screening in Women
12
Well Child Visits in the First 15 Months of Life
68
GSO
Glaucoma Screening in Older Adults
14
31 W15
32 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
70
LSC
Lead Screening in Children
15
33 AWC
Adolescent Well-Care Visits
71
COA
Care for Older Adults
34 AMB
Ambulatory Care
72
16
Respiratory Conditions
IPU
Inpatient Utilization - General Hospital/Acute Care
77
IAD
Identification of Alcohol and Other Drug Services
82
Pharmacotherapy Management of COPD Exacerbation
17
36
SPR
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
20
37 MPT
ASM
Use of Appropriate Medications for People with Asthma
21
Cardiovascular
0 Code
Cholesterol Management for Patients with Cardiovascular Conditions
23
CBP
Controlling High Blood Pressure
26
Persistence of Beta Blocker Treatment After Hearth Attack
27
PBH
Diabetes
CDC
Comprehensive Diabetes Care
28
Musculoskeletal
OMW
Osteoporosis Management in Women Who had a Fracture
33
Behavioral Health
AMM
Antidepressant Medication Management
34
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
39
FUH
Follow-up After Hospitalization for Mental Illness
41
Medication Management
Annual Monitoring for Patients on Persistent Medications
44
MRP
Medication Reconciliation Post Discharge
49
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
50
DAE
Use of High Risk Medications in the Elderly
52
MPM
Page
35
PCE
CMC
Use of Services Measures
38 BCR
39 ENP
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services87
Health Plan Descriptive Information Measures
Page
Board Certification
92
Enrollment by Product Line (Age & Sex)
94
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2010 (Reporting Year 2009)
Page 2
Effectiveness of Care
UCare Minnesota
Weight Assessment and Counseling for Nutrition and Physical Activity
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
BMI Percentile
Data Elements
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Nutrition
Total
General
Measure
Data
Ages 3-11 Ages 12-17
Total
Counseling for Physical Activity
General
Ages 12Measure
Ages 3-11
Total
17
Data
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number of Records Excluded Because of
Valid Data Errors
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 2010 (Reporting Year 2009)
Page 3
Effectiveness of Care
UCare Minnesota
Weight Assessment and Counseling for Nutrition and Physical Activity
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Number of Records Excluded Because of
Valid Data Errors
Total
2009
H
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Ages 3-11 Ages 12-17
Counseling for Nutrition
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2009
H
Counseling for Physical Activity
General
Ages 12Measure
Ages 3-11
Total
17
Data
2009
H
12603
6843
19446
12603
6843
19446
12603
6843
19446
64
0.51%
61
0.89%
125
0.64%
163
1.29%
124
1.81%
287
1.48%
0
0.00%
6
0.09%
6
0.03%
0
0.00%
0
0.00%
0
0.00%
411
5.00%
411
5.00%
432
411
5.00%
432
0
0.00%
1
0.23%
1
0.23%
432
10
2.31%
0
0.00%
10
2.31%
0
0
0
125
125
125
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
Number of administrative data records
excluded
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
269
142
411
269
142
411
269
142
411
0
30
11.15%
7.20%
15.10%
1
31
22.54%
15.31%
29.76%
1
61
15.09%
11.50%
18.67%
4
126
48.33%
42.17%
54.48%
0
54
38.03%
29.69%
46.37%
4
180
44.77%
39.84%
49.70%
0
105
39.03%
33.02%
45.05%
0
54
38.03%
29.69%
46.37%
0
159
38.69%
33.86%
43.52%
Page 4
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Data Elements
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
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 2010 (Reporting Year 2009)
Page 5
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Data Elements
General
Measure
Data
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
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 2010 (Reporting Year 2009)
Page 6
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Influenza
1497
74.22%
1678
83.19%
1753
86.91%
1779
88.20%
1526
75.66%
1748
86.66%
1484
73.57%
523
25.93%
970
48.09%
970
48.09%
332
76.85%
366
84.72%
384
88.89%
389
90.05%
333
77.08%
383
88.66%
315
72.92%
112
25.93%
213
49.31%
215
49.77%
319
35
86.13%
82.67%
89.59%
347
37
93.43%
90.91%
95.95%
364
15
92.21%
89.50%
94.93%
369
25
95.86%
93.82%
97.91%
318
64
92.94%
90.35%
95.54%
364
15
92.21%
89.50%
94.93%
302
32
81.27%
77.37%
85.16%
107
17
30.17%
25.61%
34.73%
204
7
51.34%
46.38%
56.29%
205
14
53.28%
48.34%
58.23%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
4
Number of Records Excluded because of
Contraindications by Medical Record
Review
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2010 (Reporting Year 2009)
MMR
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
IPV
2009
H
2017
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
411
Page 7
Effectiveness of Care
UCare Minnesota
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
1218
60.39%
1142
56.62%
409
20.28%
745
36.94%
698
34.61%
306
15.17%
281
13.93%
490
24.29%
211
10.46%
278
64.35%
260
60.19%
95
21.99%
175
40.51%
164
37.96%
72
16.67%
71
16.44%
120
27.78%
54
12.50%
266
60
79.32%
75.28%
83.36%
249
55
73.97%
69.60%
78.33%
92
21
27.49%
23.06%
31.93%
167
23
46.23%
41.29%
51.17%
158
30
45.74%
40.80%
50.68%
69
13
19.95%
15.97%
23.94%
69
11
19.46%
15.52%
23.41%
115
14
31.39%
26.78%
36.00%
52
6
14.11%
10.62%
17.60%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
4
Number of Records Excluded because of
Contraindications by Medical Record
Review
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2010 (Reporting Year 2009)
Combo 4
411
0.05
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Combo 3
2009
H
2017
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
Combo 2
411
Page 8
Effectiveness of Care
UCare 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 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
NR
NR
NR
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2009
A
4643
3739
80.53%
79.38%
81.68%
2009
A
461
236
51.19%
46.52%
55.86%
2009
A
3
1
NA
NA
NA
2009
A
2620
1494
57.02%
55.11%
58.94%
Page 9
Effectiveness of Care
UCare Minnesota
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2009
H
10623
Numerator Events by Admin Data on Eligible
Population (before exclusions)
7128
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
NR
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Number of administrative data records excluded
NR
Number of medical record data records excluded
Number of employee/dependent medical records
excluded
67.10%
411
5.00%
432
297
68.75%
0
75
2
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
NR
2
411
283
16
72.75%
Lower 95% Confidence Interval
Upper 95% Confidence Interval
NR
NR
68.32%
77.18%
HEDIS 2010 (Reporting Year 2009)
Page 10
Effectiveness of Care
UCare Minnesota
Colorectal Cancer Screening
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Data Elements
Commercial
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Number of numerator events by administrative data in eligible population
(before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid data errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
NR
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
NR
Medicare
Advantage
2009
H
19112
MSHO
SNBC
2009
H
2139
2009
H
3
7372
637
0
38.57%
411
0.05
432
168
38.89%
0
55
0
0
0
411
160
78
57.91%
53.01%
62.80%
29.78%
411
5.00%
432
130
30.09%
0
8
1
0
1
411
122
41
39.66%
34.81%
44.51%
0.00%
3
0.00%
3
0
0.00%
0
0
0
0
0
3
0
0
NA
NA
NA
Page 11
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
Ages 1620
NR
NR
NR
Ages 2124
NR
NR
NR
Total
NR
NR
NR
NR
NR
Page 12
Effectiveness of Care
UCare Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure
Data
Measurement Year
2009
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Ages 1620
Ages 2124
Total
1539
817
53.09%
50.56%
55.61%
1380
799
57.90%
55.26%
60.54%
2919
1616
55.36%
53.54%
57.18%
Page 13
Effectiveness of Care
UCare 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 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare
Advantage
MSHO
2009
A
36104
28257
78.27%
77.84%
78.69%
2009
A
5820
4236
72.78%
71.63%
73.94%
Page 14
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Lead Screening in Children
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
MHCP-MC
2009
A
2017
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
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
1730
Reported Rate
85.77%
Lower 95% Confidence Interval
84.22%
Upper 95% Confidence Interval
87.32%
HEDIS 2010 (Reporting Year 2009)
Page 15
Effectiveness of Care
UCare Minnesota
Data Last Refreshed:
Jan 6, 2011 10:11 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
Data Elements
General Measure
Data
Advance Care
Planning
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
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 2010 (Reporting Year 2009)
Page 16
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure Data
Systemic
corticosteroid
Bronchodilator
171
74.03%
68.15%
79.90%
197
85.28%
80.50%
90.07%
2009
A
231
Exclusions based on direct transfers to
another facility
Exclusions based on readmissions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 17
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:11 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure Data
Systemic
corticosteroid
Bronchodilator
82
63.08%
54.40%
71.76%
118
90.77%
85.41%
96.13%
2009
A
130
Exclusions based on direct transfers to
another facility
Exclusions based on readmissions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 18
Effectiveness of Care
UCare Minnesota
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:11 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure Data
Systemic
corticosteroid
Bronchodilator
0
NA
NA
NA
1
NA
NA
NA
2009
A
1
Exclusions based on direct transfers to
another facility
Exclusions based on readmissions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 19
Effectiveness of Care
UCare 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 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare
Advantage
MSHO
SNBC
2009
A
916
299
32.64%
29.55%
35.73%
2009
A
240
41
17.08%
12.11%
22.05%
2009
A
0
0
NA
NA
NA
Page 20
Effectiveness of Care
UCare Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure Data
Ages 5-11
NR
NR
NR
Ages 12-50
Total
NR
NR
NR
NR
NR
NR
NR
NR
`
Page 21
Effectiveness of Care
UCare Minnesota
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure Data
Ages 5-11
Ages 12-50
Total
244
229
93.85%
90.63%
97.07%
510
437
85.69%
82.55%
88.82%
754
666
88.33%
85.97%
90.69%
2009
A
Page 22
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 23
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
1377
6
88.33%
0.38%
387
1
89.58%
0.23%
367
11
1
254
91.97%
89.22%
94.72%
62.04%
57.23%
66.86%
2009
H
1559
411
5.00%
432
0
1
1
411
Page 24
Effectiveness of Care
UCare Minnesota
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
87
0
77.68%
0.00%
86
0
77.48%
0.00%
86
3
0
53
80.91%
73.11%
88.71%
48.18%
38.39%
57.97%
2009
H
112
111
0.00%
111
1
0
0
110
Page 25
Effectiveness of Care
UCare Minnesota
Controlling High Blood Pressure
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2009
H
16931
2009
H
1917
2009
H
13
2009
H
1815
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
411
10.00%
453
0.00%
411
10.00%
453
0.00%
12
0.00%
12
0.00%
411
15.00%
473
0
0.00%
0
0.00%
0
0.00%
0
0.00%
Records Excluded because of Valid Data
Errors
11
10
0
28
Number of records excluded because of
false positive diagnoses
0
0
0
0
Number of administrative data records
excluded
947
216
2
68
Number of medical record data records
excluded
1
2
0
1
Number of employee/dependent medical
records excluded
0
0
0
0
Records Added from the OverSample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
12
411
0
267
64.96%
60.23%
69.70%
12
411
0
256
62.29%
57.48%
67.09%
0
12
0
11
NA
NA
NA
29
411
0
235
57.18%
52.27%
62.08%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
HEDIS 2010 (Reporting Year 2009)
Commercial
NR
NR
NR
NR
NR
Page 26
Effectiveness of Care
UCare Minnesota
Persistence of Beta Blocker Treatment After Hearth Attack
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2009
A
213
2009
A
37
2009
A
0
2009
A
33
Numerator Events by Admin Data on
Eligible Population
172
34
0
21
80.75%
75.22%
86.28%
91.89%
81.75%
100.00%
NR
NR
NR
63.64%
45.71%
81.56%
Data Elements
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Commercial
NR
NR
NR
Page 27
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c Good HbA1c
Control
Control
(>9.0%)
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number of administrative data records
excluded
Number of medical 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 2010 (Reporting Year 2009)
Page 28
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2009
H
5737
2009
H
5737
5371
93.62%
411
5%
432
403
93.29%
5686
99.11%
411
5%
432
429
99.31%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2009
H
5737
2009
H
5737
2009
H
5737
2009
H
5737
2009
H
5737
2009
H
5737
2009
H
5737
36
0.63%
411
5%
432
2
0.46%
4004
69.79%
411
5%
432
302
69.91%
5139
89.58%
411
5%
432
389
90.05%
46
0.80%
411
5%
432
2
0.46%
5028
87.64%
411
5%
432
381
88.19%
47
0.82%
411
5%
432
3
0.69%
39
0.68%
411
5%
432
3
0.69%
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
1
1
1
1
1
1
1
1
1
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
411
383
11
95.86%
93.82%
97.91%
0
411
107
0
26.03%
21.67%
30.40%
0
411
2
289
70.80%
66.29%
75.32%
0
411
124
180
73.97%
69.60%
78.33%
0
411
369
7
91.48%
88.66%
94.30%
0
411
2
212
52.07%
47.12%
57.02%
0
411
62
320
92.94%
90.35%
95.54%
0
411
3
297
72.99%
68.58%
77.41%
0
411
3
220
54.26%
49.32%
59.20%
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 2010 (Reporting Year 2009)
NR
NR
NR
Page 29
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:11 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
2009
H
938
2009
H
938
837
89.23%
411
5%
432
393
90.97%
920
98.08%
411
5%
432
420
97.22%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2009
H
938
2009
H
938
2009
H
938
2009
H
938
2009
H
938
2009
H
938
2009
H
938
12
1.28%
411
5%
432
7
1.62%
617
65.78%
411
5%
432
283
65.51%
767
81.77%
411
5%
432
346
80.09%
29
3.09%
411
5%
432
17
3.94%
831
88.59%
411
5%
432
385
89.12%
37
3.94%
411
5%
432
20
4.63%
30
3.20%
411
5%
432
15
3.47%
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
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
411
376
13
94.65%
92.35%
96.94%
0
411
129
0
31.39%
26.78%
36.00%
0
411
7
245
61.31%
56.48%
66.14%
0
411
132
157
70.32%
65.78%
74.85%
0
411
328
12
82.73%
78.95%
86.50%
0
411
17
180
47.93%
42.98%
52.88%
0
411
60
313
90.75%
87.83%
93.68%
0
411
20
269
70.32%
65.78%
74.85%
0
411
15
187
49.15%
44.19%
54.10%
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 2010 (Reporting Year 2009)
NR
NR
NR
Page 30
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2009
H
21
2009
H
21
14
66.67%
21
0%
21
14
66.67%
20
95.24%
21
0%
21
20
95.24%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2009
H
21
2009
H
21
2009
H
21
2009
H
21
2009
H
21
2009
H
21
2009
H
21
0
0.00%
21
0%
21
0
0.00%
13
61.90%
21
0%
21
13
61.90%
18
85.71%
21
0%
21
18
85.71%
0
0.00%
21
0%
21
0
0.00%
16
76.19%
21
0%
21
16
76.19%
0
0.00%
21
0%
21
0
0.00%
0
0.00%
21
0%
21
0
0.00%
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
21
14
2
NA
NA
NA
0
21
10
0
NA
NA
NA
0
21
0
10
NA
NA
NA
0
21
6
9
NA
NA
NA
0
21
18
0
NA
NA
NA
0
21
0
10
NA
NA
NA
0
21
2
16
NA
NA
NA
0
21
0
19
NA
NA
NA
0
21
0
13
NA
NA
NA
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
Page 31
Effectiveness of Care
UCare Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2009
H
1586
2009
H
1586
2009
H
1586
2009
H
1586
2009
H
1586
2009
H
1586
2009
H
1586
2009
H
1586
2009
H
1586
2009
H
1586
1339
84.43%
548
5%
576
494
85.76%
1537
96.91%
548
5%
576
570
98.96%
8
0.50%
548
5%
576
3
0.52%
8
0.50%
548
5%
576
3
0.52%
815
51.39%
548
5%
576
295
51.22%
1236
77.93%
548
5%
576
454
78.82%
7
0.44%
548
5%
576
4
0.69%
1232
77.68%
548
5%
576
459
79.69%
4
0.25%
548
5%
576
2
0.35%
2
0.13%
548
5%
576
1
0.17%
0
0
0
0
0
0
0
0
0
0
38
38
37
38
38
38
38
38
38
38
14
14
14
14
14
14
14
14
14
14
0
0
0
0
0
0
0
0
0
0
14
548
3
290
53.47%
49.20%
57.73%
14
548
144
180
59.12%
54.92%
63.33%
14
548
433
21
82.85%
79.60%
86.09%
14
548
4
214
39.78%
35.59%
43.97%
14
548
73
390
84.49%
81.37%
87.61%
14
548
2
402
73.72%
69.95%
77.50%
14
548
1
272
49.82%
45.54%
54.10%
Number of Administrative required exclusions
183
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 2010 (Reporting Year 2009)
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
43
14
548
470
30
91.24%
88.78%
93.70%
14
548
195
0
35.58%
31.48%
39.68%
14
462
3
175
38.53%
33.98%
43.07%
Page 32
Effectiveness of Care
UCare 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 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare
Advantage
MSHO
2009
A
770
139
18.05%
15.27%
20.83%
2009
A
257
38
14.79%
10.25%
19.32%
Page 33
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
NR
NR
NR
Effective
Continuation
Phase
Treatment
NR
NR
NR
Page 34
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
465
350
75.27%
71.24%
79.30%
288
61.94%
57.41%
66.46%
Page 35
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
99
66
66.67%
56.88%
76.46%
56
56.57%
46.30%
66.83%
Page 36
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
0
0
NA
NA
NA
0
NA
NA
NA
Page 37
Effectiveness of Care
UCare Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
647
319
49.30%
45.37%
53.23%
221
34.16%
30.43%
37.89%
Page 38
Effectiveness of Care
UCare Minnesota
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 6, 2011 10:11 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 Interva
HEDIS 2010 (Reporting Year 2009)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
NR
NR
NR
NR
NR
NR
Page 39
Effectiveness of Care
UCare Minnesota
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 6, 2011 10:11 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 Interva
HEDIS 2010 (Reporting Year 2009)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
370
135
36.49%
31.45%
41.53%
100
43
43.00%
32.80%
53.20%
2009
A
Page 40
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
30 Days
7 Days
85
75.22%
66.82%
83.62%
75
66.37%
57.22%
75.53%
2009
A
113
Page 41
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
30 Days
7 Days
19
59.38%
40.80%
77.95%
14
43.75%
25.00%
62.50%
2009
A
32
Page 42
Effectiveness of Care
UCare Minnesota
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
30 Days
7 Days
8
NA
NA
NA
6
NA
NA
NA
2009
A
10
Page 43
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
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 44
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
16712
14879
89.03%
88.56%
89.51%
1063
969
91.16%
89.40%
92.91%
16970
15203
89.59%
89.13%
90.05%
524
385
73.47%
69.60%
77.35%
35269
31436
89.13%
88.81%
89.46%
2009
A
Page 45
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
2736
2511
91.78%
90.73%
92.82%
303
292
96.37%
94.10%
98.64%
2879
2694
93.57%
92.66%
94.49%
355
298
83.94%
79.98%
87.90%
6273
5795
92.38%
91.72%
93.04%
2009
A
Page 46
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
10
10
NA
NA
NA
0
0
NA
NA
NA
10
9
NA
NA
NA
5
4
NA
NA
NA
25
23
NA
NA
NA
2009
A
Page 47
Effectiveness of Care
UCare Minnesota
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
1361
1134
83.32%
81.30%
85.34%
18
15
NA
NA
NA
1086
924
85.08%
82.92%
87.25%
168
121
72.02%
64.94%
79.11%
2633
2194
83.33%
81.88%
84.77%
2009
A
Page 48
Access/Availability of Care
UCare Minnesota
Medication Reconciliation Post Discharge
Data Elements
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
NR
NR
NR
Page 49
Effectiveness of Care
UCare Minnesota
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
History of Falls +
Dementia +
Chronic Renal
Tricyclic
Tricyclic
Failure +
Antidepressants, Antidepressants or Nonaspirin NSAIDs
Antipsychotics or
Anticholinergic or Cox-2 Selective
Sleep Agents
Agents
NSAIDs
Total
2009
A
1654
198
11.97%
10.38%
13.57%
2638
511
19.37%
17.84%
20.90%
252
14
5.56%
2.53%
8.58%
4544
723
15.91%
14.84%
16.99%
Page 50
Effectiveness of Care
UCare Minnesota
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
History of Falls +
Dementia +
Chronic Renal
Tricyclic
Tricyclic
Failure +
Antidepressants, Antidepressants or Nonaspirin NSAIDs
Antipsychotics or
Anticholinergic or Cox-2 Selective
Sleep Agents
Agents
NSAIDs
Total
2009
A
488
91
18.65%
15.09%
22.21%
1768
445
25.17%
23.12%
27.22%
106
14
13.21%
6.29%
20.12%
2362
550
23.29%
21.56%
25.01%
Page 51
Effectiveness of Care
UCare Minnesota
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
2009
A
51127
At least 1
Prescription
At least 2
Prescriptions
8078
15.80%
15.48%
16.12%
1307
2.56%
2.42%
2.69%
Page 52
Effectiveness of Care
UCare Minnesota
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General
Measure
Data
2009
A
7298
At least 1
Prescription
At least 2
Prescriptions
1720
23.57%
22.59%
24.55%
330
4.52%
4.04%
5.01%
Page 53
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 54
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
63
1438
54225
55726
60
1393
52198
95.24%
89.19%
100.00%
96.87%
95.94%
97.81%
96.26%
96.10%
96.42%
53651
96.28%
96.12%
96.43%
2009
A
Page 55
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
0
0
7298
7298
0
0
7153
NA
NA
NA
NA
NA
NA
98.01%
97.69%
98.34%
7153
98.01%
97.69%
98.34%
2009
A
Page 56
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
SNBC
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
32
45
1
78
31
45
1
96.88%
89.28%
100.00%
100.00%
98.89%
100.00%
NA
NA
NA
77
98.72%
95.58%
100.00%
2009
A
Page 57
Access/Availability of Care
UCare Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
12858
6211
17
19086
11386
5610
16
88.55%
88.00%
89.11%
90.32%
89.58%
91.07%
NA
NA
NA
17012
89.13%
88.69%
89.58%
2009
A
Page 58
Access/Availability of Care
UCare Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 59
Access/Availability of Care
UCare Minnesota
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
3267
3164
8891
7905
4974
4408
7565
6777
96.85%
96.23%
97.46%
88.91%
88.25%
89.57%
88.62%
87.73%
89.51%
89.58%
88.89%
90.28%
2009
A
Page 60
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 61
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
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
2009
A
0
433
433
0
0
195
24
195
24
NA
NA
NA
NA
NA
NA
45.03%
40.23%
49.84%
5.54%
3.27%
7.81%
45.03%
40.23%
49.84%
5.54%
3.27%
7.81%
Page 62
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
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
2009
A
110
0
110
0
0
38
6
38
6
NA
NA
NA
NA
NA
NA
34.55%
25.20%
43.89%
5.45%
0.76%
10.15%
34.55%
25.20%
43.89%
5.45%
0.76%
10.15%
Page 63
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:11 AM
SNBC
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
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
2009
A
0
12
12
0
0
4
0
4
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 64
Access/Availability of Care
UCare Minnesota
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
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
2009
A
186
2015
2201
71
44
726
336
797
380
38.17%
30.92%
45.42%
23.66%
17.28%
30.03%
36.03%
33.91%
38.15%
16.67%
15.02%
18.33%
36.21%
34.18%
38.24%
17.26%
15.66%
18.87%
Page 65
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Current year's administrative rate (before exclusions)
NR
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
Page 66
Access/Availability of Care
UCare Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 6, 2011 10:11 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
2009
H
3854
2009
H
3854
Number of numerator events by administrative data in eligible
population (before exclusions)
2011
2055
52.18%
411
5%
432
226
53.32%
411
5%
432
227
52.31%
52.55%
0
0
0
0
411
149
182
0
0
411
151
108
80.54%
76.59%
84.48%
63.02%
58.23%
67.81%
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 2010 (Reporting Year 2009)
Page 67
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 68
Use of Services
UCare Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2010 (Reporting Year 2009)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
63
2.27%
70
2.52%
106
3.82%
210
7.56%
355
12.78%
567
20.41%
1407
50.65%
10
2.31%
11
2.55%
15
3.47%
35
8.10%
49
11.34%
96
22.22%
216
50.00%
6
0
1.46%
0.18%
2.74%
4
1
1.22%
0.04%
2.40%
4
3
1.70%
0.33%
3.08%
16
7
5.60%
3.25%
7.94%
21
10
7.54%
4.87%
10.22%
60
21
19.71%
15.74%
23.68%
207
51
62.77%
57.98%
67.57%
411
5.00%
432
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2009
H
2778
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
411
Page 69
Use of Services
UCare Minnesota
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Commercial
Data Last Refreshed:
Jan 6, 2011 10:11 AM
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2009
H
7003
Numerator events by admin data in eligible
population
4397
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
NR
62.79%
411
5.00%
432
262
NR
60.65%
0
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
0
NR
NR
NR
0
411
250
11
63.50%
58.73%
68.28%
Page 70
Use of Services
UCare Minnesota
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2009
H
12193
Numerator events by admin data in eligible
population
4380
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
NR
35.92%
411
5.00%
432
170
NR
39.35%
0
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
0
NR
NR
NR
0
411
159
32
46.47%
41.53%
51.42%
Page 71
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
NR
Outpatient Visits (Excludes
MH/CD)
Age
Visits
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits/ 1,000
Member
Months
NR
NR
Emergency Room Visits
Visits
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
NR
Visits/ 1,000
Member
Months
NR
NR
Ambulatory
Surgery/Procedures
Procedures
NR
NR
NR
NR
NR
NR
NR
NR
Procedures/
1,000 Member
Months
NR
NR
Observation Room Stays
Resulting in Discharge
Stays
NR
NR
NR
NR
NR
NR
NR
NR
Stays/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 72
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
1394
21916
392344
218791
89731
0
724176
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
908
18006
213995
154184
64047
0
451140
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
NA
651.36
821.59
545.43
704.71
713.77
622.97
Emergency Room Visits
Visits
0
0
0
120
785
6104
4822
2790
0
14621
Visits/ 1,000
Member
Months
NA
NA
NA
86.08
35.82
15.56
22.04
31.09
20.19
Ambulatory
Surgery/Procedures
Procedures
0
0
0
68
1100
14451
8551
2090
0
26260
Procedures/
1,000 Member
Months
NA
NA
NA
48.78
50.19
36.83
39.08
23.29
36.26
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
6
51
446
472
284
0
1259
Stays/ 1,000
Member
Months
NA
NA
NA
4.30
2.33
1.14
2.16
3.17
1.74
Page 73
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
0
34043
34143
31532
0
99718
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
6
26794
25665
19340
0
71805
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
787.06
751.69
613.35
720.08
Emergency Room Visits
Visits
0
0
0
0
0
1418
1372
1114
0
3904
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
41.65
40.18
35.33
39.15
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
1159
999
476
0
2634
Procedures/
1,000 Member
Months
NA
NA
NA
NA
NA
34.05
29.26
15.10
26.41
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
81
104
60
0
245
Stays/ 1,000
Member
Months
NA
NA
NA
NA
NA
2.38
3.05
1.90
2.46
Page 74
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
14
778
1045
13
0
0
0
1850
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
12
467
981
20
0
0
0
1480
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
857.14
600.26
938.76
1538.46
NA
NA
800.00
Emergency Room Visits
Visits
0
0
3
147
97
2
0
0
0
249
Visits/ 1,000
Member
Months
NA
NA
214.29
188.95
92.82
153.85
NA
NA
134.59
Ambulatory
Surgery/Procedures
Procedures
0
0
0
14
42
1
0
0
0
57
Procedures/
1,000 Member
Months
NA
NA
0.00
17.99
40.19
76.92
NA
NA
30.81
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
4
2
0
0
0
0
6
Stays/ 1,000
Member
Months
NA
NA
0.00
5.14
1.91
0.00
NA
NA
3.24
Page 75
Use of Services
UCare Minnesota
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:11 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
65095
327845
261148
328504
122404
312
29
0
0
1105337
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
46308
97627
61281
146445
67816
163
23
0
0
419663
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
711.39
297.78
234.66
445.79
554.03
522.44
793.10
NA
379.67
Emergency Room Visits
Visits
6736
17690
8749
26175
6453
11
2
0
0
65816
Visits/ 1,000
Member
Months
103.48
53.96
33.50
79.68
52.72
35.26
68.97
NA
59.54
Ambulatory
Surgery/Procedures
Procedures
456
1729
1056
5348
3535
11
1
0
0
12136
Procedures/
1,000 Member
Months
7.01
5.27
4.04
16.28
28.88
35.26
34.48
NA
10.98
Observation Room Stays
Resulting in Discharge
Stays
129
270
180
761
235
0
0
0
0
1575
Stays/ 1,000
Member
Months
1.98
0.82
0.69
2.32
1.92
0.00
0.00
NA
1.42
Page 76
Use of Services
UCare 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:
Jan 6, 2011 10:11 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 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 77
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
Age
Member Months
<1
0
1-9
0
10-19
0
20-44
1394
45-64
21916
65-74
392344
75-84
218791
85+
89731
Unknown
0
Total
724176
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Discharges
0
0
0
28
668
5806
5480
3345
0
15327
Discharges /
1,000 Member
Months
NA
NA
NA
20.09
30.48
14.80
25.05
37.28
21.16
0
0
0
21
394
2972
3374
2548
0
9309
NA
NA
NA
15.06
17.98
7.57
15.42
28.40
0
0
0
7
274
2834
2106
797
0
6018
NA
NA
NA
5.02
12.50
7.22
9.63
8.88
0
0
0
0
0
NA
0.00
0.00
HEDIS 2010 (Reporting Year 2009)
12.85
8.31
0.00
Days
Days / 1,000
Member
Months
0
0
0
128
2949
23426
22708
13922
0
63133
NA
NA
NA
91.82
134.56
59.71
103.79
155.15
0
0
0
77
1508
10376
12412
9350
0
33723
NA
NA
NA
55.24
68.81
26.45
56.73
104.20
0
0
0
51
1441
13050
10296
4572
0
29410
NA
NA
NA
36.59
65.75
33.26
47.06
50.95
0
0
0
0
0
NA
0.00
0.00
87.18
46.57
40.61
0.00
Average
Length of Stay
NA
NA
NA
4.57
4.41
4.03
4.14
4.16
NA
4.12
NA
NA
NA
3.67
3.83
3.49
3.68
3.67
NA
3.62
NA
NA
NA
7.29
5.26
4.60
4.89
5.74
NA
4.89
NA
NA
NA
NA
NA
Page 78
Use of Services
UCare 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:
Jan 6, 2011 10:11 AM
Member Months
0
0
0
0
0
34043
34143
31532
0
99718
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
1273
1363
1136
0
3772
NA
NA
NA
NA
NA
37.39
39.92
36.03
0
0
0
0
0
918
1059
972
0
2949
NA
NA
NA
NA
NA
26.97
31.02
30.83
0
0
0
0
0
355
304
164
0
823
NA
NA
NA
NA
NA
10.43
8.90
5.20
0
0
0
0
0
NA
NA
NA
HEDIS 2010 (Reporting Year 2009)
37.83
29.57
8.25
NA
Days
0
0
0
0
0
5784
6805
4875
0
17464
0
0
0
0
0
3658
4648
3742
0
12048
Days / 1,000
Member
Months
NA
NA
NA
NA
NA
169.90
199.31
154.60
175.13
NA
NA
NA
NA
NA
107.45
136.13
118.67
120.82
0
0
0
0
0
2126
2157
1133
0
5416
NA
NA
NA
NA
NA
62.45
63.18
35.93
0
0
0
0
0
NA
NA
NA
54.31
NA
Average
Length of Stay
NA
NA
NA
NA
NA
4.54
4.99
4.29
NA
4.63
NA
NA
NA
NA
NA
3.98
4.39
3.85
NA
4.09
NA
NA
NA
NA
NA
5.99
7.10
6.91
NA
6.58
NA
NA
NA
NA
NA
Page 79
Use of Services
UCare 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:
Jan 6, 2011 10:11 AM
Member Months
0
0
14
778
1045
13
0
0
0
1850
Discharges
Discharges /
1,000 Member
Months
0
0
0
11
28
0
0
0
0
39
NA
NA
0.00
14.14
26.79
0.00
NA
NA
0
0
0
8
17
0
0
0
0
25
NA
NA
0.00
10.28
16.27
0.00
NA
NA
0
0
0
3
11
0
0
0
0
14
NA
NA
0.00
3.86
10.53
0.00
NA
NA
0
0
0
0
0
0.00
0.00
0.00
HEDIS 2010 (Reporting Year 2009)
21.08
13.51
7.57
0.00
Days
Days / 1,000
Member
Months
0
0
0
43
110
0
0
0
0
153
NA
NA
0.00
55.27
105.26
0.00
NA
NA
0
0
0
26
57
0
0
0
0
83
NA
NA
0.00
33.42
54.55
0.00
NA
NA
0
0
0
17
53
0
0
0
0
70
NA
NA
0.00
21.85
50.72
0.00
NA
NA
0
0
0
0
0
0.00
0.00
0.00
82.70
44.86
37.84
0.00
Average
Length of Stay
NA
NA
NA
3.91
3.93
NA
NA
NA
NA
3.92
NA
NA
NA
3.25
3.35
NA
NA
NA
NA
3.32
NA
NA
NA
5.67
4.82
NA
NA
NA
NA
5.00
NA
NA
NA
NA
NA
Page 80
Use of Services
UCare Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
65095
1-9
327845
10-19
261148
20-44
328504
45-64
122404
65-74
312
75-84
29
85+
0
Unknown
0
Total
1105337
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
805
723
1053
6024
1582
6
2
0
0
10195
12.37
2.21
4.03
18.34
12.92
19.23
68.97
NA
698
578
247
1114
941
3
2
0
0
3583
10.72
1.76
0.95
3.39
7.69
9.62
68.97
NA
107
145
184
752
629
3
0
0
0
1820
1.64
0.44
0.70
2.29
5.14
9.62
0.00
NA
622
4158
12
0
4792
HEDIS 2010 (Reporting Year 2009)
9.22
3.24
1.65
2.38
12.66
0.10
6.73
Days
Days / 1,000
Member
Months
4517
1979
2958
16262
5997
20
4
0
0
31737
69.39
6.04
11.33
49.50
48.99
64.10
137.93
NA
3174
1359
755
3454
3046
8
4
0
0
11800
48.76
4.15
2.89
10.51
24.88
25.64
137.93
NA
1343
620
706
2479
2924
12
0
0
0
8084
20.63
1.89
2.70
7.55
23.89
38.46
0.00
NA
1497
10329
27
0
11853
5.73
31.44
0.22
28.71
10.68
7.31
16.65
Average
Length of Stay
5.61
2.74
2.81
2.70
3.79
3.33
2.00
NA
NA
3.11
4.55
2.35
3.06
3.10
3.24
2.67
2.00
NA
NA
3.29
12.55
4.28
3.84
3.30
4.65
4.00
NA
NA
NA
4.44
2.41
2.48
2.25
NA
2.47
Page 81
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
Male
NR
Female
Total
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
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 82
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
41
143
10266
290027
0
300477
Female
0
0
19
149
12692
410839
0
423699
Total
0
0
60
292
22958
700866
0
724176
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
1
2
3
75
60
135
290
245
535
0
0
0
366
307
673
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
41
143
10266
290027
0
300477
Female
0
0
19
149
12692
410839
0
423699
Total
0
0
60
292
22958
700866
0
724176
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
8.39%
16.11%
12.33%
8.77%
5.67%
7.06%
1.20%
0.72%
0.92%
NA
NA
NA
1.46%
0.87%
1.12%
Number
0
0
0
0
0
0
0
0
0
1
0
1
24
27
51
149
139
288
0
0
0
174
166
340
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
8.39%
0.00%
4.11%
2.81%
2.55%
2.67%
0.62%
0.41%
0.49%
NA
NA
NA
0.69%
0.47%
0.56%
Male
0
0
41
143
10266
290027
0
300477
Female
0
0
19
149
12692
410839
0
423699
Total
0
0
60
292
22958
700866
0
724176
Member Months
(Outpatient/ED)
Male
0
0
41
143
10266
290027
0
300477
Female
0
0
19
149
12692
410839
0
423699
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
2
1
3
1
3
4
0
0
0
3
4
7
Number
0
0
0
0
0
0
0
0
0
0
2
2
58
47
105
182
126
308
0
0
0
240
175
415
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.23%
0.09%
0.16%
0.00%
0.01%
0.01%
NA
NA
NA
0.01%
0.01%
0.01%
Total
0
0
60
292
22958
700866
0
724176
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
16.11%
8.22%
6.78%
4.44%
5.49%
0.75%
0.37%
0.53%
NA
NA
NA
0.96%
0.50%
0.69%
Page 83
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
0
27646
0
27646
Female
0
0
0
0
0
72072
0
72072
Total
0
0
0
0
0
99718
0
99718
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
90
90
180
0
0
0
90
90
180
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
0
0
27646
0
27646
Female
0
0
0
0
0
72072
0
72072
Total
0
0
0
0
0
99718
0
99718
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.91%
1.50%
2.17%
NA
NA
NA
3.91%
1.50%
2.17%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
41
38
79
0
0
0
41
38
79
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.78%
0.63%
0.95%
NA
NA
NA
1.78%
0.63%
0.95%
Male
0
0
0
0
0
27646
0
27646
Female
0
0
0
0
0
72072
0
72072
Total
0
0
0
0
0
99718
0
99718
Member Months
(Outpatient/ED)
Male
0
0
0
0
0
27646
0
27646
Female
0
0
0
0
0
72072
0
72072
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
1
0
1
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
70
62
132
0
0
0
70
62
132
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.04%
0.00%
0.01%
NA
NA
NA
0.04%
0.00%
0.01%
Total
0
0
0
0
0
99718
0
99718
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.04%
1.03%
1.59%
NA
NA
NA
3.04%
1.03%
1.59%
Page 84
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
SNBC
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
45
138
516
5
0
704
Female
0
0
64
116
958
8
0
1146
Total
0
0
109
254
1474
13
0
1850
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
2
4
6
13
11
24
0
0
0
0
0
0
15
15
30
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
45
138
516
5
0
704
Female
0
0
64
116
958
8
0
1146
Total
0
0
109
254
1474
13
0
1850
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
17.39%
41.38%
28.35%
30.23%
13.78%
19.54%
0.00%
0.00%
0.00%
NA
NA
NA
25.57%
15.71%
19.46%
Number
0
0
0
0
0
0
0
0
0
2
1
3
2
3
5
0
0
0
0
0
0
4
4
8
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
17.39%
10.34%
14.17%
4.65%
3.76%
4.07%
0.00%
0.00%
0.00%
NA
NA
NA
6.82%
4.19%
5.19%
Male
0
0
45
138
516
5
0
704
Female
0
0
64
116
958
8
0
1146
Total
0
0
109
254
1474
13
0
1850
Member Months
(Outpatient/ED)
Male
0
0
45
138
516
5
0
704
Female
0
0
64
116
958
8
0
1146
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
1
0
1
Number
0
0
0
0
0
0
0
0
0
1
3
4
11
10
21
0
0
0
0
0
0
12
13
25
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
2.33%
0.00%
0.81%
0.00%
0.00%
0.00%
NA
NA
NA
1.70%
0.00%
0.65%
Total
0
0
109
254
1474
13
0
1850
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
8.70%
31.03%
18.90%
25.58%
12.53%
17.10%
0.00%
0.00%
0.00%
NA
NA
NA
20.45%
13.61%
16.22%
Page 85
Use of Services
UCare Minnesota
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
Member Months
(Any)
(Inpatient)
Age
Male
Female
Male
Female
Total
Total
0-12
239854
234620
474474
239854
234620
474474
13-17
66176
66053
132229
66176
66053
132229
18-24
48577
88293
136870
48577
88293
136870
25-34
45121
95358
140479
45121
95358
140479
35-64
98453
122491
220944
98453
122491
220944
65+
134
207
341
134
207
341
Unknown
0
0
0
0
0
0
Total
498315
607022
1105337
498315
607022
1105337
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
13
1
14
229
123
352
491
465
956
765
723
1488
1703
1127
2830
0
1
1
0
0
0
3201
2440
5641
HEDIS 2010 (Reporting Year 2009)
Inpatient
Percent
0.07%
0.01%
0.04%
4.15%
2.23%
3.19%
12.13%
6.32%
8.38%
20.35%
9.10%
12.71%
20.76%
11.04%
15.37%
0.00%
5.80%
3.52%
NA
NA
NA
7.71%
4.82%
6.12%
Number
5
0
5
21
17
38
76
86
162
142
144
286
387
246
633
0
0
0
0
0
0
631
493
1124
Percent
0.03%
0.00%
0.01%
0.38%
0.31%
0.34%
1.88%
1.17%
1.42%
3.78%
1.81%
2.44%
4.72%
2.41%
3.44%
0.00%
0.00%
0.00%
NA
NA
NA
1.52%
0.97%
1.22%
Member Months
(Intensive Outpatient/Partial
Male
Female
Total
239854
234620
474474
66176
66053
132229
48577
88293
136870
45121
95358
140479
98453
122491
220944
134
207
341
0
0
0
498315
607022
1105337
Male
239854
66176
48577
45121
98453
134
0
498315
Member Months
(Outpatient/ED)
Female
Total
234620
474474
66053
132229
88293
136870
95358
140479
122491
220944
207
341
0
0
607022
1105337
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
1
0
1
2
0
2
10
7
17
30
20
50
46
35
81
0
0
0
0
0
0
89
62
151
Number
9
1
10
221
115
336
457
418
875
720
660
1380
1572
1046
2618
0
1
1
0
0
0
2979
2241
5220
Percent
0.01%
0.00%
0.00%
0.04%
0.00%
0.02%
0.25%
0.10%
0.15%
0.80%
0.25%
0.43%
0.56%
0.34%
0.44%
0.00%
0.00%
0.00%
NA
NA
NA
0.21%
0.12%
0.16%
Percent
0.05%
0.01%
0.03%
4.01%
2.09%
3.05%
11.29%
5.68%
7.67%
19.15%
8.31%
11.79%
19.16%
10.25%
14.22%
0.00%
5.80%
3.52%
NA
NA
NA
7.17%
4.43%
5.67%
Page 86
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Member Months
(Any)
Age
Male
Female
0-12
13-17
18-64
65+
Unknown
Total
NR
NR
Total
NR
NR
NR
NR
NR
NR
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
Number
0-12
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
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 87
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
10450
290027
0
300477
Female
0
0
12860
410839
0
423699
Total
0
0
23310
700866
0
724176
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
Number
0
0
0
0
0
0
181
352
533
568
1229
1797
0
0
0
749
1581
2330
HEDIS 2010 (Reporting Year 2009)
Male
0
0
10450
290027
0
300477
Female
0
0
12860
410839
0
423699
Total
0
0
23310
700866
0
724176
Percent
NA
NA
NA
NA
NA
NA
20.78%
32.85%
27.44%
2.35%
3.59%
3.08%
NA
NA
NA
2.99%
4.48%
3.86%
Number
0
0
0
0
0
0
17
28
45
70
139
209
0
0
0
87
167
254
Male
0
0
10450
290027
0
300477
Female
0
0
12860
410839
0
423699
Total
0
0
23310
700866
0
724176
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
NA
NA
NA
NA
NA
NA
1.95%
2.61%
2.32%
0.29%
0.41%
0.36%
NA
NA
NA
0.35%
0.47%
0.42%
Number
0
0
0
0
0
0
22
40
62
22
51
73
0
0
0
44
91
135
Percent
NA
NA
NA
NA
NA
NA
2.53%
3.73%
3.19%
0.09%
0.15%
0.12%
NA
NA
NA
0.18%
0.26%
0.22%
Member Months
(Outpatient/ED)
Male
0
0
10450
290027
0
300477
Female
0
0
12860
410839
0
423699
Total
0
0
23310
700866
0
724176
Outpatient/ED
Number
0
0
0
0
0
0
170
337
507
518
1113
1631
0
0
0
688
1450
2138
Percent
NA
NA
NA
NA
NA
NA
19.52%
31.45%
26.10%
2.14%
3.25%
2.79%
NA
NA
NA
2.75%
4.11%
3.54%
Page 88
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
27646
0
27646
Female
0
0
0
72072
0
72072
Total
0
0
0
99718
0
99718
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
0-12
Number
0
0
0
0
0
0
0
0
0
221
596
817
0
0
0
221
596
817
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
27646
0
27646
Female
0
0
0
72072
0
72072
Total
0
0
0
99718
0
99718
Number
0
0
0
0
0
0
0
0
0
47
91
138
0
0
0
47
91
138
Female
0
0
0
72072
0
72072
Total
0
0
0
99718
0
99718
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.59%
9.92%
9.83%
NA
NA
NA
9.59%
9.92%
9.83%
Male
0
0
0
27646
0
27646
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.04%
1.52%
1.66%
NA
NA
NA
2.04%
1.52%
1.66%
Number
0
0
0
0
0
0
0
0
0
15
36
51
0
0
0
15
36
51
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.65%
0.60%
0.61%
NA
NA
NA
0.65%
0.60%
0.61%
Member Months
(Outpatient/ED)
Male
0
0
0
27646
0
27646
Female
0
0
0
72072
0
72072
Total
0
0
0
99718
0
99718
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
183
520
703
0
0
0
183
520
703
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.94%
8.66%
8.46%
NA
NA
NA
7.94%
8.66%
8.46%
Page 89
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
699
5
0
704
Female
0
0
1138
8
0
1146
Total
0
0
1837
13
0
1850
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
0-12
Number
0
0
0
0
0
0
50
68
118
0
0
0
0
0
0
50
68
118
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
699
5
0
704
Female
0
0
1138
8
0
1146
Total
0
0
1837
13
0
1850
Number
0
0
0
0
0
0
3
5
8
0
1
1
0
0
0
3
6
9
Female
0
0
1138
8
0
1146
Total
0
0
1837
13
0
1850
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
85.84%
71.70%
77.08%
0.00%
0.00%
0.00%
NA
NA
NA
85.23%
71.20%
76.54%
Male
0
0
699
5
0
704
Percent
NA
NA
NA
NA
NA
NA
5.15%
5.27%
5.23%
0.00%
150.00%
92.31%
NA
NA
NA
5.11%
6.28%
5.84%
Number
0
0
0
0
0
0
9
16
25
0
0
0
0
0
0
9
16
25
Percent
NA
NA
NA
NA
NA
NA
15.45%
16.87%
16.33%
0.00%
0.00%
0.00%
NA
NA
NA
15.34%
16.75%
16.22%
Member Months
(Outpatient/ED)
Male
0
0
699
5
0
704
Female
0
0
1138
8
0
1146
Total
0
0
1837
13
0
1850
Outpatient/ED
Number
0
0
0
0
0
0
47
63
110
0
0
0
0
0
0
47
63
110
Percent
NA
NA
NA
NA
NA
NA
80.69%
66.43%
71.86%
0.00%
0.00%
0.00%
NA
NA
NA
80.11%
65.97%
71.35%
Page 90
Use of Services
UCare Minnesota
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
239854
66176
192151
134
0
498315
Female
234620
66053
306142
207
0
607022
Total
474474
132229
498293
341
0
1105337
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
0-12
Number
1633
1157
2790
806
888
1694
3795
6434
10229
0
1
1
0
0
0
6234
8480
14714
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
239854
66176
192151
134
0
498315
Female
234620
66053
306142
207
0
607022
Total
474474
132229
498293
341
0
1105337
Number
30
23
53
30
70
100
339
352
691
0
0
0
0
0
0
399
445
844
Female
234620
66053
306142
207
0
607022
Total
474474
132229
498293
341
0
1105337
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
8.17%
5.92%
7.06%
14.62%
16.13%
15.37%
23.70%
25.22%
24.63%
0.00%
5.80%
3.52%
NA
NA
NA
15.01%
16.76%
15.97%
Male
239854
66176
192151
134
0
498315
Percent
0.15%
0.12%
0.13%
0.54%
1.27%
0.91%
2.12%
1.38%
1.66%
0.00%
0.00%
0.00%
NA
NA
NA
0.96%
0.88%
0.92%
Number
188
130
318
107
116
223
513
751
1264
0
0
0
0
0
0
808
997
1805
Percent
0.94%
0.66%
0.80%
1.94%
2.11%
2.02%
3.20%
2.94%
3.04%
0.00%
0.00%
0.00%
NA
NA
NA
1.95%
1.97%
1.96%
Member Months
(Outpatient/ED)
Male
239854
66176
192151
134
0
498315
Female
234620
66053
306142
207
0
607022
Total
474474
132229
498293
341
0
1105337
Outpatient/ED
Number
1590
1124
2714
783
845
1628
3582
6196
9778
0
1
1
0
0
0
5955
8166
14121
Percent
7.95%
5.75%
6.86%
14.20%
15.35%
14.77%
22.37%
24.29%
23.55%
0.00%
5.80%
3.52%
NA
NA
NA
14.34%
16.14%
15.33%
Page 91
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Board Certification
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2010 (Reporting Year 2009)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
3353
3146
148
6588
2921
2803
146
5877
87.12%
89.10%
98.65%
89.21%
Page 92
Health Plan Descriptive Information
UCare Minnesota
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Board Certification
SNBC
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2010 (Reporting Year 2009)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
3353
3146
148
6588
2921
2803
146
5877
87.12%
89.10%
98.65%
89.21%
Page 93
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
Page 94
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:11 AM
Medicare Advantage
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
41
47
96
187
302
0
0.00%
19
68
81
179
374
0
0.00%
673
0.22%
749
1532
2633
4863
721
0.17%
820
1759
3502
6058
1394
0.19%
9777
3.25%
94528
77611
53457
37189
19355
7887
12139
2.87%
126358
93847
70710
57435
37454
25035
21916
3.03%
290027
96.52%
0
410839
96.96%
0
300477
423699
HEDIS 2010 (Reporting Year 2009)
60
115
177
366
676
1569
3291
6135
10921
220886
171458
124167
94624
56809
32922
700866
96.78%
0
724176
Page 95
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:11 AM
MSHO
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
0
0.00%
5759
6408
5497
4280
3258
2444
0
0.00%
10502
11374
12241
12125
11931
13899
0
0.00%
27646
100.00%
0
72072
100.00%
0
99718
100.00%
27646
72072
HEDIS 2010 (Reporting Year 2009)
0
0
0
0
0
0
0
0
0
16261
17782
17738
16405
15189
16343
0
99718
Page 96
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:11 AM
SNBC
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
5
Member Months
Female
0
0
0
0
0
9
Total
0
0
0
0
0
14
5
0.71%
40
46
92
74
108
9
0.79%
55
64
52
136
111
14
0.76%
360
51.14%
95
87
106
46
418
36.47%
152
183
257
119
778
42.05%
334
47.44%
5
0
0
0
0
0
711
62.04%
8
0
0
0
0
0
1045
56.49%
5
0.71%
0
8
0.70%
0
13
0.70%
704
1146
HEDIS 2010 (Reporting Year 2009)
95
110
144
210
219
247
270
363
165
13
0
0
0
0
0
0
1850
Page 97
Health Plan Descriptive Information
UCare Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:11 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
32838
86168
80657
66503
39864
21343
Member Months
Female
32257
82897
78123
67333
40063
26042
Total
65095
169065
158780
133836
79927
47385
327373
65.70%
27234
24394
20727
19762
20676
326715
53.82%
62251
56491
38867
31527
26575
654088
59.18%
112793
22.63%
21568
17408
11671
7368
215711
35.54%
24140
17495
12812
9942
328504
29.72%
58015
11.64%
101
33
0
0
0
0
64389
10.61%
143
35
24
5
0
0
122404
11.07%
134
0.03%
0
207
0.03%
0
341
0.03%
498315
607022
HEDIS 2010 (Reporting Year 2009)
89485
80885
59594
51289
47251
45708
34903
24483
17310
244
68
24
5
0
0
0
1105337
Page 98