HealthPartners / Group Health Plan, Inc.
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
HealthPartners / Group Health Plan, Inc.
Weight Assessment and Counseling for Nutrition and Physical Activity
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
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
51619
35976
87595
51619
35976
87595
51619
35976
87595
8138
15.77%
6484
18.02%
14622
16.69%
379
0.73%
287
0.80%
666
0.76%
0
0.00%
1
0.00%
1
0.00%
0
0.00%
0
0.00%
0
0.00%
411
5.00%
411
5.00%
432
411
5.00%
432
43
9.95%
31
7.18%
74
17.13%
432
1
0.23%
0
0.00%
1
0.23%
Number of Records Excluded Because of
Valid Data Errors
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 2010 (Reporting Year 2009)
241
170
411
241
170
411
241
170
411
41
94
56.02%
49.54%
62.49%
29
65
55.29%
47.53%
63.06%
70
159
55.72%
50.79%
60.64%
1
120
50.21%
43.69%
56.73%
0
88
51.76%
43.96%
59.57%
1
208
50.85%
45.90%
55.81%
0
122
50.62%
44.10%
57.14%
0
103
60.59%
52.95%
68.23%
0
225
54.74%
49.81%
59.68%
Page 3
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Weight Assessment and Counseling for Nutrition and Physical Activity
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
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
6806
3632
10438
6806
3632
10438
6806
3632
10438
3334
48.99%
1708
47.03%
5042
48.30%
106
1.56%
61
1.68%
167
1.60%
1
0.01%
10
0.28%
11
0.11%
0
0.00%
0
0.00%
0
0.00%
411
5.00%
411
5.00%
432
411
5.00%
432
152
35.19%
76
17.59%
228
52.78%
432
6
1.39%
5
1.16%
11
2.55%
Number of Records Excluded Because of
Valid Data Errors
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 2010 (Reporting Year 2009)
267
144
411
267
144
411
267
144
411
146
52
74.16%
68.72%
79.60%
74
28
70.83%
63.06%
78.60%
220
80
72.99%
68.58%
77.41%
5
177
68.16%
62.39%
73.94%
5
84
61.81%
53.52%
70.09%
10
261
65.94%
61.23%
70.64%
0
180
67.42%
61.61%
73.22%
0
90
62.50%
54.25%
70.75%
0
270
65.69%
60.98%
70.40%
Page 4
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Influenza
4371
80.07%
4636
84.92%
4869
89.19%
4806
88.04%
4381
80.25%
4771
87.40%
4360
79.87%
1685
30.87%
3708
67.92%
3765
68.97%
334
77.31%
355
82.18%
392
90.74%
381
88.19%
344
79.63%
384
88.89%
337
78.01%
133
30.79%
282
65.28%
293
67.82%
319
45
88.56%
85.37%
91.76%
338
51
94.65%
92.35%
96.94%
375
11
93.92%
91.48%
96.35%
364
34
96.84%
95.02%
98.65%
328
59
94.16%
91.77%
96.55%
367
12
92.21%
89.50%
94.93%
321
46
89.29%
86.18%
92.41%
131
14
35.28%
30.54%
40.02%
269
32
73.24%
68.83%
77.64%
281
11
71.05%
66.54%
75.55%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
1
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
1
HEDIS 2010 (Reporting Year 2009)
MMR
411
5.00%
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
5459
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 5
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
3775
69.15%
3675
67.32%
1372
25.13%
3022
55.36%
2944
53.93%
1196
21.91%
1159
21.23%
2475
45.34%
1023
18.74%
293
67.82%
280
64.81%
102
23.61%
222
51.39%
223
51.62%
83
19.21%
83
19.21%
185
42.82%
69
15.97%
280
56
81.75%
77.90%
85.61%
267
57
78.83%
74.76%
82.90%
100
29
31.39%
26.78%
36.00%
211
44
62.04%
57.23%
66.86%
213
43
62.29%
57.48%
67.09%
82
27
26.52%
22.13%
30.91%
81
27
26.28%
21.90%
30.65%
177
38
52.31%
47.36%
57.26%
68
26
22.87%
18.69%
27.05%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
1
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
1
HEDIS 2010 (Reporting Year 2009)
Combo 4
411
5.00%
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
5459
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 6
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:24 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
770
82.44%
850
91.01%
852
91.22%
861
92.18%
845
90.47%
819
87.69%
750
80.30%
387
41.43%
627
67.13%
598
64.03%
356
82.41%
398
92.13%
391
90.51%
401
92.82%
395
91.44%
378
87.50%
344
79.63%
179
41.44%
299
69.21%
276
63.89%
341
17
87.10%
83.74%
90.47%
380
18
96.84%
95.02%
98.65%
376
12
94.40%
92.06%
96.75%
383
21
98.30%
96.92%
99.67%
378
23
97.57%
95.96%
99.18%
363
10
90.75%
87.83%
93.68%
331
13
83.70%
80.01%
87.39%
174
5
43.55%
38.64%
48.47%
289
7
72.02%
67.56%
76.48%
266
8
66.67%
61.99%
71.35%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
0
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
934
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
HealthPartners / Group Health Plan, Inc.
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:24 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
718
76.87%
691
73.98%
359
38.44%
556
59.53%
527
56.42%
306
32.76%
303
32.44%
453
48.50%
267
28.59%
330
76.39%
318
73.61%
165
38.19%
261
60.42%
239
55.32%
145
33.56%
142
32.87%
206
47.69%
127
29.40%
316
27
83.45%
79.74%
87.17%
306
24
80.29%
76.32%
84.26%
160
14
42.34%
37.44%
47.23%
253
16
65.45%
60.73%
70.17%
230
18
60.34%
55.49%
65.19%
141
10
36.74%
31.96%
41.52%
138
11
36.25%
31.48%
41.02%
201
15
52.55%
47.61%
57.50%
124
8
32.12%
27.48%
36.75%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
0
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
934
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
HealthPartners / Group Health Plan, Inc.
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Medicare
Advantage
MSHO
2009
A
85638
66462
77.61%
77.33%
77.89%
2009
A
165
119
72.12%
64.98%
79.27%
2009
A
165
119
72.12%
64.98%
79.27%
SNBC
MHCP-MC
NR
NR
NR
2009
A
1591
1079
67.82%
65.49%
70.15%
Page 9
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
MHCP-MC
2009
A
102144
2009
H
6497
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
4768
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
73.39%
411
10.00%
453
341
75.28%
0
0
16
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
80.63%
16
411
324
20
83.70%
Lower 95% Confidence Interval
Upper 95% Confidence Interval
80.38%
80.87%
80.01%
87.39%
HEDIS 2010 (Reporting Year 2009)
82356
Page 10
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Colorectal Cancer Screening
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
2009
H
101464
Medicare
Advantage
2009
H
888
Number of numerator events by administrative data in eligible population
(before exclusions)
62485
396
396
61.58%
411
0.05
432
266
61.57%
0
0
0
0
0
411
250
33
68.86%
64.26%
73.46%
44.59%
411
0.05
432
183
42.36%
0
3
1
0
4
411
177
30
50.36%
45.41%
55.32%
44.59%
411
5.00%
432
183
42.36%
0
3
1
0
4
411
177
30
50.36%
45.41%
55.32%
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 administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
Commercial
MSHO
SNBC
2009
H
888
NR
NR
NR
NR
NR
Page 11
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Jan 6, 2011 10:24 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
Ages 2124
Total
8993
4230
47.04%
46.00%
48.07%
7712
4401
57.07%
55.96%
58.18%
16705
8631
51.67%
50.91%
52.43%
2009
A
Page 12
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Chlamydia Screening in Women
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)
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Ages 1620
Ages 2124
Total
922
609
66.05%
62.94%
69.16%
845
620
73.37%
70.33%
76.41%
1767
1229
69.55%
67.38%
71.73%
Page 13
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Medicare
Advantage
MSHO
2009
A
1844
1442
78.20%
76.29%
80.11%
2009
A
1844
1442
78.20%
76.29%
80.11%
Page 14
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Lead Screening in Children
Data Elements
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2009
H
934
Numerator Events by Admin Data on Eligible
Population (before exclusions)
893
Current Year's Admin Rate
95.61%
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
411
5.00%
432
419
96.99%
Records Excluded because of Valid Data
Errors
0
Number of administrative data records
excluded
0
Number of medical record data records
excluded
0
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
0
411
399
0
Reported Rate
97.08%
Lower 95% Confidence Interval
95.33%
Upper 95% Confidence Interval
98.83%
HEDIS 2010 (Reporting Year 2009)
Page 15
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jan 6, 2011 10:24 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
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
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)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
28
56.00%
41.24%
70.76%
44
88.00%
77.99%
98.01%
2009
A
50
10
0
Page 17
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:24 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
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)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
28
56.00%
41.24%
70.76%
44
88.00%
77.99%
98.01%
2009
A
50
10
0
Page 18
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:24 AM
SNBC
Data Elements
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
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
HealthPartners / Group Health Plan, Inc.
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Medicare
Advantage
MSHO
SNBC
2009
A
59
11
18.64%
7.86%
29.43%
2009
A
59
11
18.64%
7.86%
29.43%
NR
NR
NR
Page 20
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 6, 2011 10:24 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
Ages 12-50
Total
754
738
97.88%
96.78%
98.97%
2989
2745
91.84%
90.84%
92.84%
3743
3483
93.05%
92.23%
93.88%
2009
A
`
Page 21
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 6, 2011 10:24 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
138
126
91.30%
86.24%
96.37%
297
264
88.89%
85.15%
92.63%
435
390
89.66%
86.68%
92.63%
2009
A
Page 22
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:24 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
3439
1084
87.55%
27.60%
388
129
89.81%
29.86%
369
12
121
181
92.70%
90.06%
95.34%
73.48%
69.09%
77.87%
2009
H
3928
411
5.00%
432
0
0
0
411
Page 23
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:24 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
93
58
91.18%
56.86%
93
58
91.18%
56.86%
91
3
58
17
92.16%
86.45%
97.86%
73.53%
64.48%
82.58%
2009
H
102
102
0.00%
102
0
0
0
102
Page 24
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:24 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
61
30
83.56%
41.10%
61
30
83.56%
41.10%
61
4
30
16
89.04%
81.19%
96.89%
63.01%
51.25%
74.77%
2009
H
73
73
0.00%
73
0
0
0
73
Page 25
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Controlling High Blood Pressure
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Medicare
Advantage
MSHO
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2009
H
35222
2009
H
819
2009
H
819
2009
H
1242
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
411
5.00%
432
0.00%
411
5.00%
432
0.00%
411
5.00%
432
0
0.00%
0
0.00%
0
0.00%
Records Excluded because of Valid Data
Errors
0
0
0
0
Number of records excluded because of
false positive diagnoses
3
0
0
4
Number of administrative data records
excluded
6
14
14
7
Number of medical record data records
excluded
0
0
0
0
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
9
411
0
317
77.13%
72.95%
81.31%
14
411
0
316
76.89%
72.69%
81.08%
14
411
0
316
76.89%
72.69%
81.08%
11
411
0
294
71.53%
67.05%
76.02%
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)
SNBC
NR
NR
NR
NR
NR
MHCP-MC
0.00%
411
5.00%
432
0
0.00%
Page 26
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Persistence of Beta Blocker Treatment After Hearth Attack
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Medicare
Advantage
MSHO
Measurement Year
Data Collection Methodology
Eligible Member Population
2009
A
281
2009
A
13
2009
A
13
2009
A
17
Numerator Events by Admin Data on
Eligible Population
226
11
11
12
80.43%
75.61%
85.24%
NA
NA
NA
NA
NA
NA
Data Elements
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
SNBC
NR
NR
NR
MHCP-MC
NA
NA
NA
Page 27
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c 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
2009
H
19515
2009
H
19515
2009
H
19515
2009
H
19515
2009
H
19515
2009
H
19515
2009
H
19515
2009
H
19515
2009
H
19515
2009
H
19515
17674
90.57%
548
10%
603
540
89.55%
14659
75.12%
548
10%
603
454
75.29%
2070
10.61%
548
10%
603
73
12.11%
4257
21.81%
548
10%
603
132
21.89%
10921
55.96%
548
10%
603
342
56.72%
16770
85.93%
548
10%
603
505
83.75%
3898
19.97%
548
10%
603
119
19.73%
16312
83.59%
548
10%
603
503
83.42%
5361
27.47%
548
10%
603
158
26.20%
4201
21.53%
548
10%
603
122
20.23%
0
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
12
12
0
12
12
12
12
12
12
12
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
12
548
122
258
69.34%
65.39%
73.29%
12
548
312
82
71.90%
68.04%
75.75%
12
548
466
16
87.96%
85.14%
90.77%
12
548
111
215
59.49%
55.29%
63.69%
12
548
465
20
88.50%
85.74%
91.27%
12
548
136
298
79.20%
75.71%
82.69%
12
548
107
212
58.21%
53.99%
62.43%
Number of Administrative required exclusions
147
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)
27
12
548
498
16
93.80%
91.68%
95.91%
12
548
108
3
20.26%
16.80%
23.71%
0
429
72
144
50.35%
45.50%
55.20%
Page 28
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:24 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
430
2009
H
430
402
93.49%
411
10%
430
402
93.49%
246
57.21%
411
10%
430
246
57.21%
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
430
2009
H
430
2009
H
430
2009
H
430
2009
H
430
2009
H
430
2009
H
430
167
38.84%
411
10%
430
167
38.84%
317
73.72%
411
10%
430
317
73.72%
373
86.74%
411
10%
430
373
86.74%
165
38.37%
411
10%
430
165
38.37%
381
88.60%
411
10%
430
381
88.60%
197
45.81%
411
10%
430
197
45.81%
149
34.65%
411
10%
430
149
34.65%
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
8
8
8
8
8
8
8
8
8
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
8
411
391
5
96.35%
94.42%
98.28%
8
411
59
3
15.09%
11.50%
18.67%
8
411
164
154
77.37%
73.21%
81.54%
8
411
303
29
80.78%
76.85%
84.71%
8
411
360
6
89.05%
85.91%
92.19%
8
411
161
125
69.59%
65.02%
74.16%
8
411
367
5
90.51%
87.56%
93.47%
8
411
188
155
83.45%
79.74%
87.17%
8
411
143
118
63.50%
58.73%
68.28%
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
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:24 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
430
2009
H
430
402
93.49%
411
10%
430
402
93.49%
246
57.21%
411
10%
430
246
57.21%
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
430
2009
H
430
2009
H
430
2009
H
430
2009
H
430
2009
H
430
2009
H
430
167
38.84%
411
10%
430
167
38.84%
317
73.72%
411
10%
430
317
73.72%
373
86.74%
411
10%
430
373
86.74%
165
38.37%
411
10%
430
165
38.37%
381
88.60%
411
10%
430
381
88.60%
197
45.81%
411
10%
430
197
45.81%
149
34.65%
411
10%
430
149
34.65%
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
8
8
8
8
8
8
8
8
8
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
8
411
391
5
96.35%
94.42%
98.28%
8
411
59
3
15.09%
11.50%
18.67%
8
411
164
154
77.37%
73.21%
81.54%
8
411
303
29
80.78%
76.85%
84.71%
8
411
360
6
89.05%
85.91%
92.19%
8
411
161
125
69.59%
65.02%
74.16%
8
411
367
5
90.51%
87.56%
93.47%
8
411
188
155
83.45%
79.74%
87.17%
8
411
143
118
63.50%
58.73%
68.28%
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
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:24 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
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2010 (Reporting Year 2009)
Page 31
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:24 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
997
2009
H
997
2009
H
997
2009
H
997
2009
H
997
2009
H
997
2009
H
997
2009
H
997
2009
H
997
2009
H
997
894
89.67%
548
10%
603
539
89.39%
580
58.17%
548
10%
603
370
61.36%
195
19.56%
548
10%
603
109
18.08%
346
34.70%
548
10%
603
198
32.84%
572
57.37%
548
10%
603
346
57.38%
827
82.95%
548
10%
603
498
82.59%
307
30.79%
548
10%
603
171
28.36%
832
83.45%
548
10%
603
500
82.92%
494
49.55%
548
10%
603
286
47.43%
393
39.42%
548
10%
603
221
36.65%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
20
0
20
20
20
20
20
20
20
0
0
0
0
0
0
0
0
0
0
20
548
184
147
60.40%
56.22%
64.59%
20
548
323
67
71.17%
67.28%
75.05%
20
548
460
7
85.22%
82.16%
88.28%
20
548
160
103
47.99%
43.72%
52.27%
20
548
465
16
87.77%
84.94%
90.61%
20
548
254
187
80.47%
77.06%
83.88%
20
548
201
136
61.50%
57.33%
65.66%
Number of Administrative required exclusions
95
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
25
20
548
501
9
93.07%
90.85%
95.28%
20
548
145
8
27.92%
24.07%
31.77%
0
483
107
87
40.17%
35.69%
44.64%
Page 32
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Osteoporosis Management in Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Medicare
Advantage
MSHO
2009
A
80
8
10.00%
2.80%
17.20%
2009
A
80
8
10.00%
2.80%
17.20%
Page 33
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:24 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
Effective
Continuation
Phase
Treatment
2009
A
3709
2726
73.50%
72.06%
74.93%
2147
57.89%
56.28%
59.49%
Page 34
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:24 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
22
16
NA
NA
NA
12
NA
NA
NA
Page 35
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:24 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
22
16
NA
NA
NA
12
NA
NA
NA
Page 36
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:24 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
NR
NR
NR
Effective
Continuation
Phase
Treatment
NR
NR
NR
Page 37
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:24 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
387
186
48.06%
42.95%
53.17%
119
30.75%
26.02%
35.48%
Page 38
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 6, 2011 10:24 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
773
324
41.91%
38.37%
45.46%
265
118
44.53%
38.36%
50.70%
2009
A
Page 39
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 6, 2011 10:24 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
163
67
41.10%
33.24%
48.96%
44
21
47.73%
31.83%
63.62%
2009
A
Page 40
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:24 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
9
NA
NA
NA
6
NA
NA
NA
2009
A
11
Page 41
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:24 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
9
NA
NA
NA
6
NA
NA
NA
2009
A
11
Page 42
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:24 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
NR
NR
NR
NR
NR
NR
Page 43
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:24 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
26853
22104
82.31%
81.86%
82.77%
424
365
86.08%
82.67%
89.50%
23924
19880
83.10%
82.62%
83.57%
1426
980
68.72%
66.28%
71.17%
52627
43329
82.33%
82.01%
82.66%
2009
A
Page 44
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:24 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
799
754
94.37%
92.71%
96.03%
67
64
95.52%
89.82%
100.00%
821
781
95.13%
93.59%
96.66%
125
105
84.00%
77.17%
90.83%
1812
1704
94.04%
92.92%
95.16%
2009
A
Page 45
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:24 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
799
754
94.37%
92.71%
96.03%
67
64
95.52%
89.82%
100.00%
821
781
95.13%
93.59%
96.66%
125
105
84.00%
77.17%
90.83%
1812
1704
94.04%
92.92%
95.16%
2009
A
Page 46
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:24 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 47
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:24 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
755
647
85.70%
83.13%
88.26%
15
13
NA
NA
NA
709
626
88.29%
85.86%
90.73%
112
90
80.36%
72.55%
88.16%
1591
1376
86.49%
84.78%
88.20%
2009
A
Page 48
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Medication Reconciliation Post Discharge
Data Elements
Data Last Refreshed:
Jan 6, 2011 10:24 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
HealthPartners / Group Health Plan, Inc.
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:24 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
157
27
17.20%
10.98%
23.42%
546
113
20.70%
17.21%
24.19%
48
6
12.50%
2.10%
22.90%
751
146
19.44%
16.54%
22.34%
Page 50
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:24 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
157
27
17.20%
10.98%
23.42%
546
113
20.70%
17.21%
24.19%
48
6
12.50%
2.10%
22.90%
751
146
19.44%
16.54%
22.34%
Page 51
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:24 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
2330
At least 1
Prescription
At least 2
Prescriptions
425
18.24%
16.65%
19.83%
76
3.26%
2.52%
4.00%
Page 52
Effectiveness of Care
HealthPartners / Group Health Plan, Inc.
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:24 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
2330
At least 1
Prescription
At least 2
Prescriptions
425
18.24%
16.65%
19.83%
76
3.26%
2.52%
4.00%
Page 53
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:24 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 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
86976
120753
8816
216545
83857
117528
8681
96.41%
96.29%
96.54%
97.33%
97.24%
97.42%
98.47%
98.21%
98.73%
210066
97.01%
96.94%
97.08%
2009
A
Page 54
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:24 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
0
0
2331
2331
0
0
2277
NA
NA
NA
NA
NA
NA
97.68%
97.05%
98.32%
2277
97.68%
97.05%
98.32%
2009
A
Page 55
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:24 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
2331
2331
0
0
2277
NA
NA
NA
NA
NA
NA
97.68%
97.05%
98.32%
2277
97.68%
97.05%
98.32%
2009
A
Page 56
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:24 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 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 57
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:24 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
7959
3848
37
11844
7154
3497
37
89.89%
89.22%
90.55%
90.88%
89.96%
91.80%
100.00%
98.65%
100.00%
10688
90.24%
89.70%
90.78%
2009
A
Page 58
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 6, 2011 10:24 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.
6788
6721
32921
30643
25728
23684
47118
43482
99.01%
98.77%
99.26%
93.08%
92.80%
93.36%
92.06%
91.72%
92.39%
92.28%
92.04%
92.53%
2009
A
Page 59
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 6, 2011 10:24 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.
1562
1536
4346
4060
2524
2327
3568
3276
98.34%
97.67%
99.00%
93.42%
92.67%
94.17%
92.19%
91.13%
93.26%
91.82%
90.90%
92.73%
2009
A
Page 60
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:24 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 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
420
5191
4771
186
111
1790
762
1976
873
44.29%
39.42%
49.16%
26.43%
22.09%
30.76%
37.52%
36.13%
38.90%
15.97%
14.92%
17.02%
38.07%
36.74%
39.40%
16.82%
15.79%
17.84%
Page 61
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:24 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
42
42
0
0
16
1
16
1
NA
NA
NA
NA
NA
NA
38.10%
22.22%
53.97%
2.38%
0.00%
8.18%
38.10%
22.22%
53.97%
2.38%
0.00%
8.18%
Page 62
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:24 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
42
0
42
0
0
16
1
16
1
NA
NA
NA
NA
NA
NA
38.10%
22.22%
53.97%
2.38%
0.00%
8.18%
38.10%
22.22%
53.97%
2.38%
0.00%
8.18%
Page 63
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:24 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 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 64
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:24 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
105
1551
1656
42
27
567
251
609
278
40.00%
30.15%
49.85%
25.71%
16.88%
34.55%
36.56%
34.13%
38.99%
16.18%
14.32%
18.05%
36.78%
34.42%
39.13%
16.79%
14.96%
18.62%
Page 65
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2008
H
6282
2008
H
6282
Number of numerator events by administrative data in eligible
population (before exclusions)
4408
3497
70.17%
219
5%
230
166
55.67%
219
5%
230
132
72.17%
57.39%
0
0
0
0
219
99
111
0
0
219
99
85
95.89%
93.03%
98.75%
84.02%
78.94%
89.10%
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 66
Access/Availability of Care
HealthPartners / Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 6, 2011 10:24 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
2008
H
1929
2009
H
1847
Number of numerator events by administrative data in eligible
population (before exclusions)
1088
764
56.40%
411
5%
432
249
41.36%
411
5%
432
180
57.64%
41.67%
0
0
0
0
411
110
275
0
0
411
102
175
93.67%
91.20%
96.15%
67.40%
62.74%
72.05%
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
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 6, 2011 10:24 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
43
42
55
88
199
631
3936
0.86%
0.59%
1.13%
0.84%
0.58%
1.10%
1.10%
0.80%
1.40%
1.76%
1.39%
2.14%
3.98%
3.43%
4.54%
12.64%
11.70%
13.57%
78.81%
77.67%
79.96%
2009
A
4994
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
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 6, 2011 10:24 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
15
1.08%
25
1.79%
45
3.23%
84
6.03%
143
10.26%
234
16.79%
848
60.83%
8
1.85%
10
2.31%
12
2.78%
25
5.79%
45
10.42%
59
13.66%
273
63.19%
0
4
0.97%
0.00%
2.04%
0
7
1.70%
0.33%
3.08%
0
5
1.22%
0.04%
2.40%
0
13
3.16%
1.35%
4.98%
0
29
7.06%
4.46%
9.65%
0
54
13.14%
9.75%
16.53%
265
34
72.75%
68.32%
77.18%
411
5.00%
432
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2009
H
1394
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
411
Page 69
Use of Services
HealthPartners / Group Health Plan, Inc.
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
MHCP-MC
2009
A
26877
2009
H
3463
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
2662
NR
76.87%
411
5.00%
432
328
NR
75.93%
0
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:24 AM
0
19036
70.83%
70.28%
71.37%
0
411
311
22
81.02%
77.11%
84.93%
Page 70
Use of Services
HealthPartners / Group Health Plan, Inc.
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
MHCP-MC
2009
A
74227
2009
H
6066
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
2522
NR
41.58%
411
5.00%
432
182
NR
42.13%
0
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
0
26586
35.82%
35.47%
36.16%
0
411
175
53
55.47%
50.55%
60.40%
Page 71
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
83172
806020
999534
2240604
2215427
107318
25952
7610
0
6485637
Outpatient Visits (Excludes
MH/CD)
Age
Visits
73420
247601
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
235241
612541
815078
57977
19150
5852
0
2066860
<1
1-9
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
882.75
307.19
235.35
273.38
367.91
540.24
737.90
768.99
318.68
Emergency Room Visits
Visits
2299
12841
11920
27438
21906
1489
646
221
0
78760
Visits/ 1,000
Member
Months
27.64
15.93
11.93
12.25
9.89
13.87
24.89
29.04
12.14
Ambulatory
Surgery/Procedures
Procedures
641
3687
3387
19648
45718
3264
864
170
0
77379
Procedures/
1,000 Member
Months
7.71
4.57
3.39
8.77
20.64
30.41
33.29
22.34
11.93
Observation Room Stays
Resulting in Discharge
Stays
25
64
79
893
129
15
6
3
0
1214
Stays/ 1,000
Member
Months
0.30
0.08
0.08
0.40
0.06
0.14
0.23
0.39
0.19
Page 72
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:24 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
0
1
13723
10704
7956
0
32384
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
0
0
0
1
11193
9199
7195
0
27588
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
1000.00
815.64
859.40
904.35
851.90
Emergency Room Visits
Visits
0
0
0
0
0
438
361
189
0
988
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
31.92
33.73
23.76
30.51
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
405
244
106
0
755
Procedures/
1,000 Member
Months
NA
NA
NA
NA
0.00
29.51
22.80
13.32
23.31
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
4
0
1
0
5
Stays/ 1,000
Member
Months
NA
NA
NA
NA
0.00
0.29
0.00
0.13
0.15
Page 73
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:24 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
0
0
1
13723
10704
7956
0
32384
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
0
0
0
1
11193
9199
7195
0
27588
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
1000.00
815.64
859.40
904.35
851.90
Emergency Room Visits
Visits
0
0
0
0
0
438
361
189
0
988
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
31.92
33.73
23.76
30.51
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
405
244
106
0
755
Procedures/
1,000 Member
Months
NA
NA
NA
NA
0.00
29.51
22.80
13.32
23.31
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
4
0
1
0
5
Stays/ 1,000
Member
Months
NA
NA
NA
NA
0.00
0.29
0.00
0.13
0.15
Page 74
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:24 AM
SNBC
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 2010 (Reporting Year 2009)
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
Ambulatory
Surgery/Procedures
Procedures
NR
Procedures/
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Observation Room Stays
Resulting in Discharge
Stays
NR
Stays/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 75
Use of Services
HealthPartners / Group Health Plan, Inc.
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:24 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
33469
170670
135851
210853
77042
578
324
540
0
629327
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
24390
53028
33446
89920
41466
6525
2881
1676
0
253332
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
728.73
310.70
246.20
426.46
538.23
11288.93
8891.98
3103.70
402.54
Emergency Room Visits
Visits
3081
8433
4399
13827
3805
335
161
56
0
34097
Visits/ 1,000
Member
Months
92.06
49.41
32.38
65.58
49.39
579.58
496.91
103.70
54.18
Ambulatory
Surgery/Procedures
Procedures
148
621
493
2947
1996
277
89
30
0
6601
Procedures/
1,000 Member
Months
4.42
3.64
3.63
13.98
25.91
479.24
274.69
55.56
10.49
Observation Room Stays
Resulting in Discharge
Stays
11
8
96
487
8
1
1
0
0
612
Stays/ 1,000
Member
Months
0.33
0.05
0.71
2.31
0.10
1.73
3.09
0.00
0.97
Page 76
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Member Months
83172
806020
999534
2240604
2215427
107318
25952
7610
0
6485637
Discharges
Discharges /
1,000 Member
Months
682
1171
1596
12955
14232
1327
597
243
0
32803
8.20
1.45
1.60
5.78
6.42
12.37
23.00
31.93
581
910
770
2500
6410
637
385
183
0
12376
6.99
1.13
0.77
1.12
2.89
5.94
14.84
24.05
95
259
609
2940
7797
688
210
60
0
12658
1.14
0.32
0.61
1.31
3.52
6.41
8.09
7.88
209
7506
15
0
7730
HEDIS 2010 (Reporting Year 2009)
5.06
1.91
1.95
0.21
3.35
0.01
1.42
Days
Days / 1,000
Member
Months
3674
3268
5279
35137
50880
5467
2561
967
0
107233
44.17
4.05
5.28
15.68
22.97
50.94
98.68
127.07
2923
2247
2506
7610
22830
2418
1586
667
0
42787
35.14
2.79
2.51
3.40
10.31
22.53
61.11
87.65
667
1019
2211
7716
27951
3044
972
300
0
43880
8.02
1.26
2.21
3.44
12.62
28.36
37.45
39.42
526
19770
55
0
20351
0.53
8.82
0.02
16.53
6.60
6.77
3.73
Average
Length of Stay
5.39
2.79
3.31
2.71
3.58
4.12
4.29
3.98
NA
3.27
5.03
2.47
3.25
3.04
3.56
3.80
4.12
3.64
NA
3.46
7.02
3.93
3.63
2.62
3.58
4.42
4.63
5.00
NA
3.47
2.52
2.63
3.67
NA
2.63
Page 77
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Medicare Advantage
Age
Member Months
<1
0
1-9
0
10-19
0
20-44
0
45-64
1
65-74
13723
75-84
10704
85+
7956
Unknown
0
Total
32384
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
0
0
510
420
306
0
1236
0
0
0
0
0
394
344
266
0
1004
Discharges /
1,000 Member
Months
NA
NA
NA
NA
0.00
37.16
39.24
38.46
38.17
NA
NA
NA
NA
0.00
28.71
32.14
33.43
31.00
0
0
0
0
0
114
75
40
0
229
NA
NA
NA
NA
0.00
8.31
7.01
5.03
0
0
0
0
0
NA
NA
0.00
HEDIS 2010 (Reporting Year 2009)
7.07
0.00
Days
0
0
0
0
0
2273
1816
1250
0
5339
0
0
0
0
0
1540
1365
1024
0
3929
0
0
0
0
0
721
445
226
0
1392
0
0
0
0
0
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
165.63
169.66
157.11
164.87
NA
NA
NA
NA
0.00
112.22
127.52
128.71
121.33
NA
NA
NA
NA
0.00
52.54
41.57
28.41
42.98
NA
NA
0.00
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.46
4.32
4.08
NA
4.32
NA
NA
NA
NA
NA
3.91
3.97
3.85
NA
3.91
NA
NA
NA
NA
NA
6.32
5.93
5.65
NA
6.08
NA
NA
NA
NA
NA
Page 78
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Member Months
0
0
0
0
1
13723
10704
7956
0
32384
Discharges
0
0
0
0
0
510
420
306
0
1236
0
0
0
0
0
394
344
266
0
1004
Discharges /
1,000 Member
Months
NA
NA
NA
NA
0.00
37.16
39.24
38.46
38.17
NA
NA
NA
NA
0.00
28.71
32.14
33.43
31.00
0
0
0
0
0
114
75
40
0
229
NA
NA
NA
NA
0.00
8.31
7.01
5.03
0
0
0
0
0
NA
NA
0.00
HEDIS 2010 (Reporting Year 2009)
7.07
0.00
Days
0
0
0
0
0
2273
1816
1250
0
5339
0
0
0
0
0
1540
1365
1024
0
3929
0
0
0
0
0
721
445
226
0
1392
0
0
0
0
0
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
165.63
169.66
157.11
164.87
NA
NA
NA
NA
0.00
112.22
127.52
128.71
121.33
NA
NA
NA
NA
0.00
52.54
41.57
28.41
42.98
NA
NA
0.00
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.46
4.32
4.08
NA
4.32
NA
NA
NA
NA
NA
3.91
3.97
3.85
NA
3.91
NA
NA
NA
NA
NA
6.32
5.93
5.65
NA
6.08
NA
NA
NA
NA
NA
Page 79
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Jan 6, 2011 10:24 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 80
Use of Services
HealthPartners / Group Health Plan, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
33469
1-9
170670
10-19
135851
20-44
210853
45-64
77042
65-74
578
75-84
324
85+
540
Unknown
0
Total
629327
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
373
407
543
3356
1136
224
123
68
0
6230
11.14
2.38
4.00
15.92
14.75
387.54
379.63
125.93
325
327
148
706
698
164
108
58
0
2534
9.71
1.92
1.09
3.35
9.06
283.74
333.33
107.41
44
79
70
485
436
60
14
10
0
1198
1.31
0.46
0.52
2.30
5.66
103.81
43.21
18.52
324
2163
1
0
2488
2.38
10.26
0.01
HEDIS 2010 (Reporting Year 2009)
9.90
4.03
1.90
5.87
Days
Days / 1,000
Member
Months
1935
1095
1573
9558
4622
954
449
266
0
20452
57.81
6.42
11.58
45.33
59.99
1650.52
1385.80
492.59
1502
847
484
2290
2678
612
368
223
0
9004
44.88
4.96
3.56
10.86
34.76
1058.82
1135.80
412.96
401
247
248
1717
1942
342
77
43
0
5017
11.98
1.45
1.83
8.14
25.21
591.70
237.65
79.63
839
5543
1
0
6383
6.18
26.29
0.01
32.50
14.31
7.97
15.06
Average
Length of Stay
5.19
2.69
2.90
2.85
4.07
4.26
3.65
3.91
NA
3.28
4.62
2.59
3.27
3.24
3.84
3.73
3.41
3.84
NA
3.55
9.11
3.13
3.54
3.54
4.45
5.70
5.50
4.30
NA
4.19
2.59
2.56
1.00
NA
2.57
Page 81
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
603398
262773
278240
366626
1520175
74103
0
3105315
Female
569205
251241
299663
466535
1726901
66777
0
3380322
Total
1172603
514014
577903
833161
3247076
140880
0
6485637
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
15
10
25
523
326
849
921
575
1496
721
473
1194
2793
1887
4680
101
58
159
0
0
0
5074
3329
8403
HEDIS 2010 (Reporting Year 2009)
Male
603398
262773
278240
366626
1520175
74103
0
3105315
Female
569205
251241
299663
466535
1726901
66777
0
3380322
Total
1172603
514014
577903
833161
3247076
140880
0
6485637
Percent
0.03%
0.02%
0.03%
2.39%
1.56%
1.98%
3.97%
2.30%
3.11%
2.36%
1.22%
1.72%
2.20%
1.31%
1.73%
1.64%
1.04%
1.35%
NA
NA
NA
1.96%
1.18%
1.55%
Number
3
7
10
103
69
172
175
124
299
125
106
231
745
503
1248
47
28
75
0
0
0
1198
837
2035
Male
603398
262773
278240
366626
1520175
74103
0
3105315
Female
569205
251241
299663
466535
1726901
66777
0
3380322
Total
1172603
514014
577903
833161
3247076
140880
0
6485637
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.01%
0.01%
0.01%
0.47%
0.33%
0.40%
0.75%
0.50%
0.62%
0.41%
0.27%
0.33%
0.59%
0.35%
0.46%
0.76%
0.50%
0.64%
NA
NA
NA
0.46%
0.30%
0.38%
Number
0
0
0
72
39
111
51
23
74
34
24
58
132
85
217
1
0
1
0
0
0
290
171
461
Percent
0.00%
0.00%
0.00%
0.33%
0.19%
0.26%
0.22%
0.09%
0.15%
0.11%
0.06%
0.08%
0.10%
0.06%
0.08%
0.02%
0.00%
0.01%
NA
NA
NA
0.11%
0.06%
0.09%
Member Months
(Outpatient/ED)
Male
603398
262773
278240
366626
1520175
74103
0
3105315
Female
569205
251241
299663
466535
1726901
66777
0
3380322
Total
1172603
514014
577903
833161
3247076
140880
0
6485637
Outpatient/ED
Number
14
4
18
477
288
765
828
493
1321
651
408
1059
2325
1586
3911
64
37
101
0
0
0
4359
2816
7175
Percent
0.03%
0.01%
0.02%
2.18%
1.38%
1.79%
3.57%
1.97%
2.74%
2.13%
1.05%
1.53%
1.84%
1.10%
1.45%
1.04%
0.66%
0.86%
NA
NA
NA
1.68%
1.00%
1.33%
Page 82
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
1
9522
0
9523
Female
0
0
0
0
0
22861
0
22861
Total
0
0
0
0
1
32383
0
32384
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
65
49
114
0
0
0
65
49
114
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
0
1
9522
0
9523
Female
0
0
0
0
0
22861
0
22861
Total
0
0
0
0
1
32383
0
32384
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
8.19%
2.57%
4.22%
NA
NA
NA
8.19%
2.57%
4.22%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
44
34
78
0
0
0
44
34
78
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
5.55%
1.78%
2.89%
NA
NA
NA
5.54%
1.78%
2.89%
Male
0
0
0
0
1
9522
0
9523
Female
0
0
0
0
0
22861
0
22861
Total
0
0
0
0
1
32383
0
32384
Member Months
(Outpatient/ED)
Male
0
0
0
0
1
9522
0
9523
Female
0
0
0
0
0
22861
0
22861
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
31
22
53
0
0
0
31
22
53
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Total
0
0
0
0
1
32383
0
32384
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
3.91%
1.15%
1.96%
NA
NA
NA
3.91%
1.15%
1.96%
Page 83
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
1
9522
0
9523
Female
0
0
0
0
0
22861
0
22861
Total
0
0
0
0
1
32383
0
32384
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
65
49
114
0
0
0
65
49
114
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
0
1
9522
0
9523
Female
0
0
0
0
0
22861
0
22861
Total
0
0
0
0
1
32383
0
32384
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
8.19%
2.57%
4.22%
NA
NA
NA
8.19%
2.57%
4.22%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
44
34
78
0
0
0
44
34
78
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
5.55%
1.78%
2.89%
NA
NA
NA
5.54%
1.78%
2.89%
Male
0
0
0
0
1
9522
0
9523
Female
0
0
0
0
0
22861
0
22861
Total
0
0
0
0
1
32383
0
32384
Member Months
(Outpatient/ED)
Male
0
0
0
0
1
9522
0
9523
Female
0
0
0
0
0
22861
0
22861
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
31
22
53
0
0
0
31
22
53
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Total
0
0
0
0
1
32383
0
32384
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
3.91%
1.15%
1.96%
NA
NA
NA
3.91%
1.15%
1.96%
Page 84
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
SNBC
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
NR
Female
Total
NR
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 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
NR
Female
Total
NR
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
NR
Female
Total
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
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
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 85
Use of Services
HealthPartners / Group Health Plan, Inc.
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
Member Months
(Any)
(Inpatient)
Age
Male
Female
Male
Female
Total
0-12
126553
121062
247615
126553
121062
13-17
33826
34733
68559
33826
34733
18-24
26927
49468
76395
26927
49468
25-34
31921
61393
93314
31921
61393
35-64
67609
74393
142002
67609
74393
65+
499
943
1442
499
943
Unknown
0
0
0
0
0
Total
287335
341992
629327
287335
341992
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
8
10
18
166
110
276
423
379
802
787
678
1465
1676
961
2637
29
23
52
0
0
0
3089
2161
5250
HEDIS 2010 (Reporting Year 2009)
Total
247615
68559
76395
93314
142002
1442
0
629327
Inpatient
Percent
0.08%
0.10%
0.09%
5.89%
3.80%
4.83%
18.85%
9.19%
12.60%
29.59%
13.25%
18.84%
29.75%
15.50%
22.28%
69.74%
29.27%
43.27%
NA
NA
NA
12.90%
7.58%
10.01%
Number
2
7
9
37
29
66
67
116
183
123
145
268
380
211
591
11
14
25
0
0
0
620
522
1142
Percent
0.02%
0.07%
0.04%
1.31%
1.00%
1.16%
2.99%
2.81%
2.87%
4.62%
2.83%
3.45%
6.74%
3.40%
4.99%
26.45%
17.82%
20.80%
NA
NA
NA
2.59%
1.83%
2.18%
Member Months
(Intensive Outpatient/Partial
Male
Female
Total
126553
121062
247615
33826
34733
68559
26927
49468
76395
31921
61393
93314
67609
74393
142002
499
943
1442
0
0
0
287335
341992
629327
Male
126553
33826
26927
31921
67609
499
0
287335
Member Months
(Outpatient/ED)
Female
121062
34733
49468
61393
74393
943
0
341992
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
1
0
1
19
13
32
24
15
39
49
32
81
69
34
103
1
0
1
0
0
0
163
94
257
Number
7
3
10
142
96
238
391
305
696
738
607
1345
1522
875
2397
21
14
35
0
0
0
2821
1900
4721
Percent
0.01%
0.00%
0.00%
0.67%
0.45%
0.56%
1.07%
0.36%
0.61%
1.84%
0.63%
1.04%
1.22%
0.55%
0.87%
2.40%
0.00%
0.83%
NA
NA
NA
0.68%
0.33%
0.49%
Total
247615
68559
76395
93314
142002
1442
0
629327
Percent
0.07%
0.03%
0.05%
5.04%
3.32%
4.17%
17.42%
7.40%
10.93%
27.74%
11.86%
17.30%
27.01%
14.11%
20.26%
50.50%
17.82%
29.13%
NA
NA
NA
11.78%
6.67%
9.00%
Page 86
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
603398
262773
2165041
74103
0
3105315
Female
569205
251241
2493099
66777
0
3380322
Total
1172603
514014
4658140
140880
0
6485637
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
3273
1941
5214
2785
2786
5571
12784
24025
36809
228
327
555
0
0
0
19070
29079
48149
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
603398
262773
2165041
74103
0
3105315
Female
569205
251241
2493099
66777
0
3380322
Total
1172603
514014
4658140
140880
0
6485637
Number
35
21
56
179
169
348
374
584
958
14
29
43
0
0
0
602
803
1405
Female
569205
251241
2493099
66777
0
3380322
Total
1172603
514014
4658140
140880
0
6485637
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
6.51%
4.09%
5.34%
12.72%
13.31%
13.01%
7.09%
11.56%
9.48%
3.69%
5.88%
4.73%
NA
NA
NA
7.37%
10.32%
8.91%
Male
603398
262773
2165041
74103
0
3105315
Percent
0.07%
0.04%
0.06%
0.82%
0.81%
0.81%
0.21%
0.28%
0.25%
0.23%
0.52%
0.37%
NA
NA
NA
0.23%
0.29%
0.26%
Number
205
98
303
233
283
516
427
926
1353
3
7
10
0
0
0
868
1314
2182
Percent
0.41%
0.21%
0.31%
1.06%
1.35%
1.20%
0.24%
0.45%
0.35%
0.05%
0.13%
0.09%
NA
NA
NA
0.34%
0.47%
0.40%
Member Months
(Outpatient/ED)
Male
603398
262773
2165041
74103
0
3105315
Female
569205
251241
2493099
66777
0
3380322
Total
1172603
514014
4658140
140880
0
6485637
Outpatient/ED
Number
3195
1887
5082
2702
2682
5384
12509
23610
36119
218
304
522
0
0
0
18624
28483
47107
Percent
6.35%
3.98%
5.20%
12.34%
12.81%
12.57%
6.93%
11.36%
9.30%
3.53%
5.46%
4.45%
NA
NA
NA
7.20%
10.11%
8.72%
Page 87
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
1
9522
0
9523
Female
0
0
0
22861
0
22861
Total
0
0
1
32383
0
32384
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
0
0
0
119
275
394
0
0
0
119
275
394
HEDIS 2010 (Reporting Year 2009)
Male
0
0
1
9522
0
9523
Female
0
0
0
22861
0
22861
Total
0
0
1
32383
0
32384
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
15.00%
14.44%
14.60%
NA
NA
NA
15.00%
14.44%
14.60%
Number
0
0
0
0
0
0
0
0
0
46
98
144
0
0
0
46
98
144
Male
0
0
1
9522
0
9523
Female
0
0
0
22861
0
22861
Total
0
0
1
32383
0
32384
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
0.00%
NA
0.00%
5.80%
5.14%
5.34%
NA
NA
NA
5.80%
5.14%
5.34%
Number
0
0
0
0
0
0
0
0
0
4
7
11
0
0
0
4
7
11
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.50%
0.37%
0.41%
NA
NA
NA
0.50%
0.37%
0.41%
Member Months
(Outpatient/ED)
Male
0
0
1
9522
0
9523
Female
0
0
0
22861
0
22861
Total
0
0
1
32383
0
32384
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
75
189
264
0
0
0
75
189
264
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
9.45%
9.92%
9.78%
NA
NA
NA
9.45%
9.92%
9.78%
Page 88
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
1
9522
0
9523
Female
0
0
0
22861
0
22861
Total
0
0
1
32383
0
32384
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
119
275
394
0
0
0
119
275
394
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
1
9522
0
9523
Female
0
0
0
22861
0
22861
Total
0
0
1
32383
0
32384
Number
0
0
0
0
0
0
0
0
0
46
98
144
0
0
0
46
98
144
Female
0
0
0
22861
0
22861
Total
0
0
1
32383
0
32384
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
15.00%
14.44%
14.60%
NA
NA
NA
15.00%
14.44%
14.60%
Male
0
0
1
9522
0
9523
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
5.80%
5.14%
5.34%
NA
NA
NA
5.80%
5.14%
5.34%
Number
0
0
0
0
0
0
0
0
0
4
7
11
0
0
0
4
7
11
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.50%
0.37%
0.41%
NA
NA
NA
0.50%
0.37%
0.41%
Member Months
(Outpatient/ED)
Male
0
0
1
9522
0
9523
Female
0
0
0
22861
0
22861
Total
0
0
1
32383
0
32384
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
75
189
264
0
0
0
75
189
264
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
9.45%
9.92%
9.78%
NA
NA
NA
9.45%
9.92%
9.78%
Page 89
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
SNBC
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 90
Use of Services
HealthPartners / Group Health Plan, Inc.
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:24 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
126553
33826
126457
499
0
287335
Female
121062
34733
185254
943
0
341992
Total
247615
68559
311711
1442
0
629327
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
964
640
1604
460
540
1000
2652
4058
6710
73
120
193
0
0
0
4149
5358
9507
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
126553
33826
126457
499
0
287335
Female
121062
34733
185254
943
0
341992
Total
247615
68559
311711
1442
0
629327
Number
11
11
22
34
57
91
209
214
423
17
22
39
0
0
0
271
304
575
Female
121062
34733
185254
943
0
341992
Total
247615
68559
311711
1442
0
629327
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
9.14%
6.34%
7.77%
16.32%
18.66%
17.50%
25.17%
26.29%
25.83%
175.55%
152.70%
160.61%
NA
NA
NA
17.33%
18.80%
18.13%
Male
126553
33826
126457
499
0
287335
Percent
0.10%
0.11%
0.11%
1.21%
1.97%
1.59%
1.98%
1.39%
1.63%
40.88%
28.00%
32.45%
NA
NA
NA
1.13%
1.07%
1.10%
Number
82
50
132
58
70
128
265
342
607
3
5
8
0
0
0
408
467
875
Percent
0.78%
0.50%
0.64%
2.06%
2.42%
2.24%
2.51%
2.22%
2.34%
7.21%
6.36%
6.66%
NA
NA
NA
1.70%
1.64%
1.67%
Member Months
(Outpatient/ED)
Male
126553
33826
126457
499
0
287335
Female
121062
34733
185254
943
0
341992
Total
247615
68559
311711
1442
0
629327
Outpatient/ED
Number
933
615
1548
435
514
949
2481
3878
6359
55
102
157
0
0
0
3904
5109
9013
Percent
8.85%
6.10%
7.50%
15.43%
17.76%
16.61%
23.54%
25.12%
24.48%
132.26%
129.80%
130.65%
NA
NA
NA
16.30%
17.93%
17.19%
Page 91
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jan 6, 2011 10:24 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
HealthPartners / Group Health Plan, Inc.
Data Last Refreshed:
Jan 6, 2011 10:24 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
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:24 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
42886
182767
231277
247601
161640
102443
Member Months
Female
40286
170607
221369
233753
154431
99666
Total
83172
353374
452646
481354
316071
202109
968614
31.19%
175797
162249
204377
232242
255312
920112
27.22%
199997
219543
246992
259265
284830
1888726
29.12%
1029977
33.17%
292627
290528
261028
188438
1210627
35.81%
334999
340195
298742
208870
2240604
34.55%
1032621
33.25%
43597
15124
7596
4771
2353
662
1182806
34.99%
35818
12779
7753
5832
3205
1390
2215427
34.16%
74103
2.39%
0
66777
1.98%
0
140880
2.17%
3105315
3380322
HEDIS 2010 (Reporting Year 2009)
375794
381792
451369
491507
540142
627626
630723
559770
397308
79415
27903
15349
10603
5558
2052
0
6485637
Page 94
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:24 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%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
1
0
0.00%
0
0
0
0
0
0.00%
1
0.01%
2387
2464
2025
1309
857
480
0
0.00%
3949
4923
3717
3653
3313
3306
1
0.00%
9522
99.99%
0
22861
100.00%
0
32383
100.00%
9523
22861
HEDIS 2010 (Reporting Year 2009)
0
0
0
0
0
0
0
0
1
6336
7387
5742
4962
4170
3786
0
32384
Page 95
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:24 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
1
0
0.00%
0
0
0
0
0
0.00%
1
0.01%
2387
2464
2025
1309
857
480
0
0.00%
3949
4923
3717
3653
3313
3306
1
0.00%
9522
99.99%
0
22861
100.00%
0
32383
100.00%
9523
22861
HEDIS 2010 (Reporting Year 2009)
0
0
0
0
0
0
0
0
1
6336
7387
5742
4962
4170
3786
0
32384
Page 96
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:24 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 2010 (Reporting Year 2009)
Page 97
Health Plan Descriptive Information
HealthPartners / Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:24 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
17028
43417
44136
35602
20196
10479
Member Months
Female
16441
41481
41636
35603
20634
13337
Total
33469
84898
85772
71205
40830
23816
170858
59.46%
16448
17167
14754
14214
14124
169132
49.45%
36131
36027
25366
20154
16468
339990
54.02%
76707
26.70%
15024
12024
8222
4001
134146
39.22%
14091
10595
7584
5501
210853
33.50%
39271
13.67%
153
136
23
93
63
31
37771
11.04%
164
125
95
113
163
283
77042
12.24%
499
0.17%
0
943
0.28%
0
1442
0.23%
287335
341992
HEDIS 2010 (Reporting Year 2009)
52579
53194
40120
34368
30592
29115
22619
15806
9502
317
261
118
206
226
314
0
629327
Page 98