Blue Plus (HMO Minnesota)
General Info
Disclaimers
Code
WCC
Effectiveness of Care Measures
Prevention and Screening
Weight Assessment and Counseling for Nutrition and Physical Activity for
Children/Adolescents
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed: 1/6/2011
Page
2
Page
28
Page
Adult's Access to Preventive/Ambulatory Health Services
54
CAP
Children's and Adolescents' Access to Primary Care Practitioners
59
IET
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
61
Prenatal and Postpartum Care
66
27 AAP
3
Access / Availability of Care Measures
0 Code
CIS
Childhood Immunization Status
5
29
BCS
Breast Cancer Screening
9
30 PPC
CCS
Cervical Cancer Screening
10
COL
Colorectal Cancer Screening
11
0 Code
CHL
Chlamydia Screening in Women
12
Well Child Visits in the First 15 Months of Life
68
GSO
Glaucoma Screening in Older Adults
14
31 W15
32 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
70
LSC
Lead Screening in Children
15
33 AWC
Adolescent Well-Care Visits
71
COA
Care for Older Adults
34 AMB
Ambulatory Care
72
16
Respiratory Conditions
IPU
Inpatient Utilization - General Hospital/Acute Care
77
IAD
Identification of Alcohol and Other Drug Services
82
Pharmacotherapy Management of COPD Exacerbation
17
36
SPR
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
20
37 MPT
ASM
Use of Appropriate Medications for People with Asthma
21
Cardiovascular
0 Code
Cholesterol Management for Patients with Cardiovascular Conditions
23
CBP
Controlling High Blood Pressure
26
Persistence of Beta Blocker Treatment After Hearth Attack
27
PBH
Diabetes
CDC
Comprehensive Diabetes Care
28
Musculoskeletal
OMW
Osteoporosis Management in Women Who had a Fracture
33
Behavioral Health
AMM
Antidepressant Medication Management
34
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
39
FUH
Follow-up After Hospitalization for Mental Illness
41
Medication Management
Annual Monitoring for Patients on Persistent Medications
44
MRP
Medication Reconciliation Post Discharge
49
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
50
DAE
Use of High Risk Medications in the Elderly
52
MPM
Page
35
PCE
CMC
Use of Services Measures
38 BCR
39 ENP
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services87
Health Plan Descriptive Information Measures
Page
Board Certification
92
Enrollment by Product Line (Age & Sex)
94
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2010 (Reporting Year 2009)
Page 2
Effectiveness of Care
Blue Plus (HMO Minnesota)
Weight Assessment and Counseling for Nutrition and Physical Activity
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
BMI Percentile
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Ages 3-11 Ages 12-17
Counseling for Nutrition
Total
2009
A
General
Measure
Data
Ages 3-11 Ages 12-17
Total
2009
A
Counseling for Physical Activity
General
Ages 12Measure
Ages 3-11
Total
17
Data
2009
A
3155
2372
5527
3155
2372
5527
3155
2372
5527
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
20
4
24
25
18
43
0
0
0
0.63%
0.34%
0.93%
0.17%
0.00%
0.35%
0.43%
0.25%
0.62%
0.79%
0.47%
1.12%
0.76%
0.39%
1.13%
0.78%
0.54%
1.02%
0.00%
0.00%
0.02%
0.00%
0.00%
0.02%
0.00%
0.00%
0.01%
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 records excluded
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 3
Effectiveness of Care
Blue Plus (HMO Minnesota)
Weight Assessment and Counseling for Nutrition and Physical Activity
Data Last Refreshed:
Jan 6, 2011 10:08 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
14336
7978
22314
14336
7978
22314
14336
7978
22314
63
0.44%
37
0.46%
100
0.45%
129
0.90%
96
1.20%
225
1.01%
0
0.00%
3
0.04%
3
0.01%
0
0.00%
0
0.00%
0
0.00%
411
5.00%
411
5.00%
432
411
5.00%
432
3
0.69%
1
0.23%
4
0.93%
432
7
1.62%
0
0.00%
7
1.62%
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)
301
131
432
301
131
432
301
131
432
3
95
32.56%
27.10%
38.02%
1
47
36.64%
28.01%
45.27%
4
142
33.80%
29.22%
38.37%
7
105
37.21%
31.58%
42.84%
0
41
31.30%
22.98%
39.62%
7
146
35.42%
30.79%
40.04%
0
60
19.93%
15.25%
24.61%
0
42
32.06%
23.69%
40.43%
0
102
23.61%
19.49%
27.73%
Page 4
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Pneumococcal
Hepatitis A Rotavirus
Conjugate
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Influenza
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
344
373
369
387
362
364
355
122
261
283
83.09%
79.36%
86.82%
90.10%
87.10%
93.09%
89.13%
86.01%
92.25%
93.48%
90.98%
95.98%
87.44%
84.13%
90.75%
87.92%
84.66%
91.18%
85.75%
82.26%
89.24%
29.47%
24.96%
33.98%
63.04%
58.27%
67.81%
68.36%
63.76%
72.96%
2009
A
414
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 5
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Combo 2
Combo 3
Combo 4
Combo 5
Combo 6
Combo 7
Combo 8
Combo 9
Combo10
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
312
304
108
210
228
80
85
171
67
75.36%
71.09%
79.63%
73.43%
69.05%
77.81%
26.09%
21.74%
30.44%
50.72%
45.79%
55.66%
55.07%
50.16%
59.98%
19.32%
15.40%
23.25%
20.53%
16.52%
24.54%
41.30%
36.44%
46.17%
16.18%
12.52%
19.85%
2009
A
414
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 6
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:08 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
1749
79.43%
1923
87.33%
1966
89.28%
2015
91.51%
1936
87.92%
1920
87.19%
1747
79.34%
533
24.21%
1160
52.68%
1074
48.77%
341
78.94%
379
87.73%
381
88.19%
396
91.67%
379
87.73%
377
87.27%
345
79.86%
111
25.69%
232
53.70%
208
48.15%
341
30
85.88%
82.48%
89.28%
379
22
92.82%
90.27%
95.37%
381
5
89.35%
86.33%
92.38%
396
12
94.44%
92.17%
96.72%
379
23
93.06%
90.54%
95.57%
377
7
88.89%
85.81%
91.97%
345
24
85.42%
81.97%
88.86%
111
7
27.31%
23.00%
31.63%
232
23
59.03%
54.27%
63.78%
208
13
51.16%
46.33%
55.99%
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
2202
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
432
Page 7
Effectiveness of Care
Blue Plus (HMO Minnesota)
Childhood Immunization Status
Data Last Refreshed:
Jan 6, 2011 10:08 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
1603
72.80%
1533
69.62%
454
20.62%
996
45.23%
884
40.15%
342
15.53%
291
13.22%
641
29.11%
232
10.54%
314
72.69%
307
71.06%
91
21.06%
207
47.92%
178
41.20%
71
16.44%
60
13.89%
133
30.79%
50
11.57%
314
33
80.32%
76.46%
84.19%
307
31
78.24%
74.23%
82.25%
91
18
25.23%
21.02%
29.44%
207
27
54.17%
49.35%
58.98%
178
20
45.83%
41.02%
50.65%
71
17
20.37%
16.46%
24.28%
60
13
16.90%
13.25%
20.55%
133
17
34.72%
30.12%
39.33%
50
10
13.89%
10.51%
17.27%
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
2202
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
432
Page 8
Effectiveness of Care
Blue Plus (HMO Minnesota)
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
2009
A
6819
4931
72.31%
71.24%
73.38%
Medicare
Advantage
NR
NR
NR
MSHO
SNBC
MHCP-MC
2009
A
430
265
61.63%
56.92%
66.34%
2009
A
15
7
NA
NA
NA
2009
A
4950
3046
61.54%
60.17%
62.90%
Page 9
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cervical Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
MHCP-MC
2009
A
8271
2008
H
14147
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
10054
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
71.07%
411
10.00%
453
314
69.32%
0
0
9
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
74.77%
0
444
314
14
73.87%
Lower 95% Confidence Interval
Upper 95% Confidence Interval
73.83%
75.71%
69.67%
78.07%
HEDIS 2010 (Reporting Year 2009)
6184
Page 10
Effectiveness of Care
Blue Plus (HMO Minnesota)
Colorectal Cancer Screening
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
Commercial
Medicare
Advantage
2009
A
7647
Number of numerator events by administrative data in eligible population
(before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid data errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
MSHO
SNBC
2009
H
1940
2009
A
12
776
NR
NR
NR
NR
4450
58.19%
57.08%
59.30%
NR
NR
NR
40.00%
411
10.00%
453
194
42.83%
0
0
0
0
0
453
194
38
51.21%
46.50%
55.93%
NR
NR
5
NA
NA
NA
Page 11
Effectiveness of Care
Blue Plus (HMO Minnesota)
Chlamydia Screening in Women
Data Last Refreshed:
Jan 6, 2011 10:08 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
564
204
36.17%
32.12%
40.22%
581
260
44.75%
40.62%
48.88%
1145
464
40.52%
37.64%
43.41%
2009
A
Page 12
Effectiveness of Care
Blue Plus (HMO Minnesota)
Chlamydia Screening in Women
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure
Data
Measurement Year
2009
Data Collection Methodology
A
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Ages 1620
Ages 2124
Total
1959
917
46.81%
44.57%
49.04%
1824
901
49.40%
47.08%
51.72%
3783
1818
48.06%
46.45%
49.66%
Page 13
Effectiveness of Care
Blue Plus (HMO Minnesota)
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare
Advantage
NR
NR
NR
MSHO
2009
A
6443
4718
73.23%
72.14%
74.32%
Page 14
Effectiveness of Care
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Lead Screening in Children
Data Elements
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2009
H
2202
Numerator Events by Admin Data on Eligible
Population (before exclusions)
1857
Current Year's Admin Rate
84.33%
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
365
84.49%
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
432
365
0
Reported Rate
84.49%
Lower 95% Confidence Interval
80.96%
Upper 95% Confidence Interval
88.02%
HEDIS 2010 (Reporting Year 2009)
Page 15
Effectiveness of Care
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jan 6, 2011 10:08 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
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
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 17
Effectiveness of Care
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:08 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
156
57.14%
51.09%
63.20%
219
80.22%
75.31%
85.13%
2009
A
273
93
70
Page 18
Effectiveness of Care
Blue Plus (HMO Minnesota)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
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
13
NA
NA
NA
11
NA
NA
NA
2009
A
13
2
4
Page 19
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Jan 6, 2011 10:08 AM
MSHO
SNBC
2009
A
276
56
20.29%
15.36%
25.22%
2009
A
0
0
NA
NA
NA
Page 20
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 6, 2011 10:08 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
62
60
96.77%
91.57%
100.00%
288
262
90.97%
87.49%
94.46%
350
322
92.00%
89.01%
94.99%
2009
A
`
Page 21
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 6, 2011 10:08 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
275
259
94.18%
91.23%
97.13%
740
639
86.35%
83.81%
88.89%
1015
898
88.47%
86.46%
90.49%
2009
A
Page 22
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
201
0
87.01%
82.46%
91.56%
0.00%
0.00%
0.22%
2009
A
231
Page 23
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:08 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 24
Effectiveness of Care
Blue Plus (HMO Minnesota)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 6, 2011 10:08 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
180
1
87.38%
0.49%
179
1
86.89%
0.49%
179
4
1
112
89.27%
84.79%
93.75%
55.12%
48.07%
62.17%
2009
H
206
206
5.00%
206
1
0
0
205
Page 25
Effectiveness of Care
Blue Plus (HMO Minnesota)
Controlling High Blood Pressure
Data Elements
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
Medicare
Advantage
MSHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2008
H
3215
2009
H
1893
2009
H
253
2009
H
2504
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
411
15.00%
473
0.00%
228
5.00%
228
0.00%
411
15.00%
473
0
0.00%
0
0.00%
0
0.00%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
0.00%
411
10.00%
453
0
0.00%
NR
NR
Records Excluded because of Valid Data
Errors
0
1
0
1
Number of records excluded because of
false positive diagnoses
1
1
0
1
Number of administrative data records
excluded
0
0
0
0
Number of medical record data records
excluded
0
1
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
1
411
0
288
70.07%
65.52%
74.62%
0
471
0
319
67.73%
63.40%
72.06%
0
228
0
165
72.37%
66.34%
78.39%
0
472
0
317
67.16%
62.82%
71.50%
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
Page 26
Effectiveness of Care
Blue Plus (HMO Minnesota)
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Medicare
Advantage
MSHO
SNBC
MHCP-MC
2009
A
14
2009
A
60
2009
A
6
2009
A
24
Numerator Events by Admin Data on
Eligible Population
13
52
6
22
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
NA
NA
NA
86.67%
77.23%
96.10%
NA
NA
NA
NA
NA
NA
Measurement Year
Data Collection Methodology
Eligible Member Population
HEDIS 2010 (Reporting Year 2009)
Commercial
Data Last Refreshed:
Jan 6, 2011 10:08 AM
NR
NR
NR
Page 27
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:08 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%)
2009
A
1175
Eye Exam
LDL-C
Screening
2009
A
1175
2009
A
1175
LDL-C Level
<100 mg/dL
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
2009
A
1175
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
674
969
57.36%
54.49%
60.23%
82.47%
80.25%
84.68%
NR
NR
NR
NR
NR
NR
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
1010
85.96%
83.93%
87.99%
NR
NR
NR
NR
NR
NR
NR
NR
NR
954
NR
NR
NR
81.19%
78.91%
83.47%
Page 28
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
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 29
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:08 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
901
2009
H
901
812
90.12%
411
10%
453
418
92.27%
882
97.89%
411
10%
453
446
98.45%
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
901
2009
H
901
2009
H
901
2009
H
901
2009
H
901
2009
H
901
2009
H
901
14
1.55%
411
10%
453
6
1.32%
597
66.26%
411
10%
453
302
66.67%
713
79.13%
411
10%
453
368
81.24%
23
2.55%
411
10%
453
12
2.65%
780
86.57%
411
10%
453
392
86.53%
49
5.44%
411
10%
453
4
0.88%
42
4.66%
411
10%
453
3
0.66%
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
2
2
2
2
2
2
2
2
2
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
451
418
6
94.01%
91.71%
96.31%
0
451
104
24
28.38%
24.11%
32.65%
0
451
6
289
65.41%
60.91%
69.91%
0
451
302
40
75.83%
71.77%
79.89%
0
451
368
8
83.37%
79.82%
86.92%
0
451
12
232
54.10%
49.39%
58.81%
0
451
392
11
89.36%
86.40%
92.31%
0
451
4
333
74.72%
70.60%
78.84%
0
451
3
248
55.65%
50.96%
60.35%
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
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2009
H
259
2009
H
259
233
89.96%
258
5%
258
232
89.92%
257
99.23%
258
5%
258
254
98.45%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2009
H
259
2009
H
259
2009
H
259
2009
H
259
2009
H
259
2009
H
259
2009
H
259
2
0.77%
258
5%
258
3
1.16%
180
69.50%
258
5%
258
185
71.71%
212
81.85%
258
5%
258
215
83.33%
5
1.93%
258
5%
258
5
1.94%
206
79.54%
258
5%
258
206
79.84%
6
2.32%
258
5%
258
3
1.16%
5
1.93%
258
5%
258
3
1.16%
2
2
2
2
2
2
2
2
2
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
256
232
3
91.80%
88.24%
95.35%
0
256
50
25
29.30%
23.53%
35.07%
0
256
3
161
64.06%
57.99%
70.14%
0
256
185
20
80.08%
74.99%
85.17%
0
256
215
3
85.16%
80.61%
89.71%
0
256
5
116
47.27%
40.95%
53.58%
0
256
206
5
82.42%
77.56%
87.28%
0
256
3
206
81.64%
76.70%
86.58%
0
256
3
156
62.11%
55.97%
68.25%
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
Page 31
Effectiveness of Care
Blue Plus (HMO Minnesota)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2009
H
2006
2009
H
2006
2009
H
2006
2009
H
2006
2009
H
2006
2009
H
2006
2009
H
2006
10
0.50%
411
10%
453
2
0.44%
1147
57.18%
411
10%
453
263
58.06%
1546
77.07%
411
10%
453
353
77.92%
18
0.90%
411
10%
453
4
0.88%
1559
77.72%
411
10%
453
346
76.38%
15
0.75%
411
10%
453
1
0.22%
9
0.45%
411
10%
453
1
0.22%
5
5
5
5
5
5
5
5
0
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
447
400
8
91.28%
88.55%
94.00%
0
447
74
67
31.54%
27.12%
35.96%
0
447
2
260
58.61%
53.94%
63.29%
0
447
263
49
69.80%
65.43%
74.17%
0
447
353
12
81.66%
77.96%
85.36%
0
447
4
182
41.61%
36.93%
46.29%
0
447
346
18
81.43%
77.72%
85.15%
0
447
1
332
74.50%
70.34%
78.65%
0
447
1
232
52.13%
47.38%
56.87%
HbA1c
Testing
Poor HbA1c
Control
2009
H
2006
2009
H
2006
1729
86.19%
411
10%
453
400
88.30%
1991
99.25%
411
10%
453
449
99.12%
5
Good HbA1c
Control
(<7.0%)
NR
NR
Blood
Blood
Monitoring
Pressure
Pressure
for Diabetic
<140/90 mm <130/80
Nephropathy
Hg
mm Hg
Number of Administrative required exclusions
Number of Hybrid required exclusions
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
Page 32
Effectiveness of Care
Blue Plus (HMO Minnesota)
Osteoporosis Management in Women Who had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Jan 6, 2011 10:08 AM
MSHO
2009
A
350
41
11.71%
8.20%
15.23%
Page 33
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:08 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
363
268
73.83%
69.17%
78.49%
213
58.68%
53.47%
63.88%
Page 34
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:08 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
NR
NR
NR
Effective
Continuation
Phase
Treatment
NR
NR
NR
Page 35
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:08 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
107
83
77.57%
69.20%
85.94%
79
73.83%
65.04%
82.63%
Page 36
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2009
A
9
7
NA
NA
NA
4
NA
NA
NA
Page 37
Effectiveness of Care
Blue Plus (HMO Minnesota)
Antidepressant Medication Management
Data Last Refreshed:
Jan 6, 2011 10:08 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
861
481
55.87%
52.49%
59.24%
342
39.72%
36.39%
43.05%
Page 38
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 6, 2011 10:08 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
98
28
28.57%
19.12%
38.03%
26
8
NA
NA
NA
2009
A
Page 39
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 6, 2011 10:08 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
422
149
35.31%
30.63%
39.99%
107
45
42.06%
32.24%
51.88%
2009
A
Page 40
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:08 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
NR
NR
NR
NR
NR
NR
Page 41
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:08 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
24
42.11%
28.41%
55.80%
16
28.07%
15.53%
40.61%
2009
A
57
Page 42
Effectiveness of Care
Blue Plus (HMO Minnesota)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 6, 2011 10:08 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
69
79.31%
70.22%
88.40%
45
51.72%
40.65%
62.80%
2009
A
87
Page 43
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:08 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
2193
1724
78.61%
76.87%
80.35%
25
19
NA
NA
NA
1743
1366
78.37%
76.41%
80.33%
103
69
66.99%
57.42%
76.56%
4064
3178
78.20%
76.92%
79.48%
2009
A
Page 44
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:08 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 45
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:08 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
3297
3120
94.63%
93.85%
95.42%
442
429
97.06%
95.37%
98.75%
3792
3626
95.62%
94.96%
96.29%
432
388
89.81%
86.85%
92.78%
7963
7563
94.98%
94.49%
95.46%
2009
A
Page 46
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:08 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
227
216
95.15%
92.14%
98.17%
17
17
NA
NA
NA
193
185
95.85%
92.78%
98.93%
116
94
81.03%
73.47%
88.60%
553
512
92.59%
90.31%
94.86%
2009
A
Page 47
Effectiveness of Care
Blue Plus (HMO Minnesota)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 6, 2011 10:08 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
2127
1755
82.51%
80.87%
84.15%
47
39
82.98%
71.17%
94.79%
1738
1446
83.20%
81.41%
84.99%
254
188
74.02%
68.43%
79.61%
4166
3428
82.29%
81.11%
83.46%
2009
A
Page 48
Access/Availability of Care
Blue Plus (HMO Minnesota)
Medication Reconciliation Post Discharge
Data Elements
Data Last Refreshed:
Jan 6, 2011 10:08 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
Blue Plus (HMO Minnesota)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:08 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
Page 50
Effectiveness of Care
Blue Plus (HMO Minnesota)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:08 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
619
120
19.39%
16.19%
22.58%
2015
521
25.86%
23.92%
27.79%
104
9
8.65%
2.77%
14.54%
2738
650
23.74%
22.13%
25.35%
Page 51
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:08 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
At least 1
Prescription
At least 2
Prescriptions
NR
NR
NR
NR
NR
NR
Page 52
Effectiveness of Care
Blue Plus (HMO Minnesota)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 6, 2011 10:08 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
8116
At least 1
Prescription
At least 2
Prescriptions
2033
25.05%
24.10%
26.00%
366
4.51%
4.05%
4.97%
Page 53
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:08 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
6933
9562
340
16835
6571
9173
326
94.78%
94.25%
95.31%
95.93%
95.53%
96.33%
95.88%
93.62%
98.14%
16070
95.46%
95.14%
95.77%
2009
A
Page 54
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 55
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:08 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
8116
8116
0
0
7952
NA
NA
NA
NA
NA
NA
97.98%
97.67%
98.29%
7952
97.98%
97.67%
98.29%
2009
A
Page 56
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
Total
418
668
15
1101
407
657
14
97.37%
95.71%
99.02%
98.35%
97.31%
99.39%
NA
NA
NA
1078
97.91%
97.02%
98.80%
2009
A
Page 57
Access/Availability of Care
Blue Plus (HMO Minnesota)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 6, 2011 10:08 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
17693
10032
33
27758
15844
9083
30
89.55%
89.10%
90.00%
90.54%
89.96%
91.12%
90.91%
79.59%
100.00%
24957
89.91%
89.55%
90.27%
2009
A
Page 58
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 6, 2011 10:08 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.
392
374
2019
1810
1904
1698
3389
3108
95.41%
93.21%
97.61%
89.65%
88.29%
91.00%
89.18%
87.76%
90.60%
91.71%
90.77%
92.65%
2009
A
Page 59
Access/Availability of Care
Blue Plus (HMO Minnesota)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 6, 2011 10:08 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.
3156
3114
9512
8799
6011
5511
8668
8041
98.67%
98.25%
99.08%
92.50%
91.97%
93.04%
91.68%
90.98%
92.39%
92.77%
92.22%
93.32%
2009
A
Page 60
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:08 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
20
345
325
7
1
121
40
128
41
NA
NA
NA
NA
NA
NA
37.23%
31.82%
42.64%
12.31%
8.58%
16.03%
37.10%
31.86%
42.34%
11.88%
8.32%
15.44%
Page 61
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 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 62
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:08 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
125
0
125
0
0
66
3
66
3
NA
NA
NA
NA
NA
NA
52.80%
43.65%
61.95%
2.40%
0.00%
5.48%
52.80%
43.65%
61.95%
2.40%
0.00%
5.48%
Page 63
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2010 (Reporting Year 2009)
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
2009
A
0
132
132
0
0
60
21
60
21
NA
NA
NA
NA
NA
NA
45.45%
36.58%
54.33%
15.91%
9.29%
22.53%
45.45%
36.58%
54.33%
15.91%
9.29%
22.53%
Page 64
Access/Availability of Care
Blue Plus (HMO Minnesota)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 6, 2011 10:08 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
193
2051
2244
90
30
936
270
1026
300
46.63%
39.33%
53.93%
15.54%
10.17%
20.91%
45.64%
43.46%
47.82%
13.16%
11.68%
14.65%
45.72%
43.64%
47.81%
13.37%
11.94%
14.80%
Page 65
Access/Availability of Care
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2008
H
760
2008
H
760
Number of numerator events by administrative data in eligible
population (before exclusions)
563
450
74.08%
411
10%
453
352
59.21%
411
10%
453
275
77.70%
60.71%
1
1
0
1
411
319
66
0
1
411
250
87
93.67%
91.20%
96.15%
82.00%
78.16%
85.83%
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
Blue Plus (HMO Minnesota)
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 6, 2011 10:08 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
3707
2008
H
3707
Number of numerator events by administrative data in eligible
population (before exclusions)
2133
2202
57.54%
411
10%
453
290
59.40%
411
10%
453
301
64.02%
66.45%
3
3
0
0
450
290
119
0
0
450
301
45
90.89%
88.12%
93.66%
76.89%
72.88%
80.89%
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
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 6, 2011 10:08 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
29
5
3
4
16
44
246
8.36%
5.30%
11.41%
1.44%
0.04%
2.84%
0.86%
0.00%
1.98%
1.15%
0.00%
2.42%
4.61%
2.26%
6.96%
12.68%
9.03%
16.33%
70.89%
65.97%
75.82%
2009
A
347
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
Blue Plus (HMO Minnesota)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
49
58
58
115
312
583
1455
1.86%
1.33%
2.40%
2.21%
1.63%
2.79%
2.21%
1.63%
2.79%
4.37%
3.57%
5.17%
11.86%
10.61%
13.12%
22.17%
20.56%
23.77%
55.32%
53.40%
57.24%
2009
A
2630
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 69
Use of Services
Blue Plus (HMO Minnesota)
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
MHCP-MC
2009
A
1645
2009
A
7539
NR
NR
NR
NR
1094
4893
66.50%
64.19%
68.82%
64.90%
63.82%
65.99%
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 70
Use of Services
Blue Plus (HMO Minnesota)
Adolescent Well-Care Visits
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
MHCP-MC
2009
A
4819
2009
A
13432
NR
NR
NR
NR
1555
4545
32.27%
30.94%
33.60%
33.84%
33.03%
34.64%
Numerator events by admin data in eligible
population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2010 (Reporting Year 2009)
Page 71
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
5501
54407
70697
168491
168801
5011
207
8
0
473123
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
Visits
4647
15845
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
16796
44035
59087
2103
126
5
0
142644
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
844.76
291.23
237.58
261.35
350.04
419.68
608.70
625.00
301.49
Emergency Room Visits
Visits
193
1072
975
2167
1934
55
2
1
0
6399
Visits/ 1,000
Member
Months
35.08
19.70
13.79
12.86
11.46
10.98
9.66
125.00
13.53
Ambulatory
Surgery/Procedures
Procedures
48
299
274
1477
3533
118
8
0
0
5757
Procedures/
1,000 Member
Months
8.73
5.50
3.88
8.77
20.93
23.55
38.65
0.00
12.17
Observation Room Stays
Resulting in Discharge
Stays
2
13
14
120
87
3
0
1
0
240
Stays/ 1,000
Member
Months
0.36
0.24
0.20
0.71
0.52
0.60
0.00
125.00
0.51
Page 72
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Member Months
NR
Total
Outpatient Visits (Excludes
MH/CD)
Age
Visits
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
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 73
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:08 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
7
31481
37827
45558
0
114873
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
10
28179
33655
37090
0
98934
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
1428.57
895.11
889.71
814.13
861.25
Emergency Room Visits
Visits
0
0
0
0
0
1441
1601
1793
0
4835
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
45.77
42.32
39.36
42.09
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
2
1412
1456
998
0
3868
Procedures/
1,000 Member
Months
NA
NA
NA
NA
285.71
44.85
38.49
21.91
33.67
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
38
41
57
0
136
Stays/ 1,000
Member
Months
NA
NA
NA
NA
0.00
1.21
1.08
1.25
1.18
Page 74
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member Months
0
0
123
6303
9347
124
0
0
0
15897
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
77
4767
9991
92
0
0
0
14927
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
NA
NA
626.02
756.31
1068.90
741.94
NA
NA
938.98
Emergency Room Visits
Visits
0
0
4
639
740
2
0
0
0
1385
Visits/ 1,000
Member
Months
NA
NA
32.52
101.38
79.17
16.13
NA
NA
87.12
Ambulatory
Surgery/Procedures
Procedures
0
0
0
191
508
3
0
0
0
702
Procedures/
1,000 Member
Months
NA
NA
0.00
30.30
54.35
24.19
NA
NA
44.16
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
9
16
0
0
0
0
25
Stays/ 1,000
Member
Months
NA
NA
0.00
1.43
1.71
0.00
NA
NA
1.57
Page 75
Use of Services
Blue Plus (HMO Minnesota)
Ambulatory Care
Data Last Refreshed:
Jan 6, 2011 10:08 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
60380
333378
268978
397300
174107
376
130
89
0
1234738
Outpatient Visits (Excludes
MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
50326
115663
78025
181651
90225
250
71
39
0
516250
HEDIS 2010 (Reporting Year 2009)
Visits/ 1,000
Member
Months
833.49
346.94
290.08
457.21
518.22
664.89
546.15
438.20
418.10
Emergency Room Visits
Visits
5590
15501
8822
23053
5633
6
5
1
0
58611
Visits/ 1,000
Member
Months
92.58
46.50
32.80
58.02
32.35
15.96
38.46
11.24
47.47
Ambulatory
Surgery/Procedures
Procedures
456
2022
1378
7296
5461
13
6
2
0
16634
Procedures/
1,000 Member
Months
7.55
6.07
5.12
18.36
31.37
34.57
46.15
22.47
13.47
Observation Room Stays
Resulting in Discharge
Stays
74
100
277
1507
189
0
0
0
0
2147
Stays/ 1,000
Member
Months
1.23
0.30
1.03
3.79
1.09
0.00
0.00
0.00
1.74
Page 76
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Member Months
5501
54407
70697
168491
168801
5011
207
8
0
473123
Discharges
Discharges /
1,000 Member
Months
53
75
114
907
943
56
5
0
0
2153
9.63
1.38
1.61
5.38
5.59
11.18
24.15
0.00
40
61
58
146
400
19
2
0
0
726
7.27
1.12
0.82
0.87
2.37
3.79
9.66
0.00
13
14
44
213
542
37
3
0
0
866
2.36
0.26
0.62
1.26
3.21
7.38
14.49
0.00
12
548
1
0
561
0.17
3.25
0.01
HEDIS 2010 (Reporting Year 2009)
4.55
1.53
1.83
1.38
Days
277
210
328
2446
3238
237
8
0
0
6744
Days / 1,000
Member
Months
50.35
3.86
4.64
14.52
19.18
47.30
38.65
0.00
14.25
245
141
178
478
1456
58
3
0
0
2559
44.54
2.59
2.52
2.84
8.63
11.57
14.49
0.00
32
69
123
598
1780
179
5
0
0
2786
5.82
1.27
1.74
3.55
10.54
35.72
24.15
0.00
27
1370
2
0
1399
0.38
8.13
0.01
5.41
5.89
3.43
Average
Length of Stay
5.23
2.80
2.88
2.70
3.43
4.23
1.60
NA
NA
3.13
6.13
2.31
3.07
3.27
3.64
3.05
1.50
NA
NA
3.52
2.46
4.93
2.80
2.81
3.28
4.84
1.67
NA
NA
3.22
2.25
2.50
2.00
NA
2.49
Page 77
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
Age
Member Months
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
NR
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 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 78
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Member Months
0
0
0
0
7
31481
37827
45558
0
114873
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
1274
1719
1928
0
4921
NA
NA
NA
NA
0.00
40.47
45.44
42.32
0
0
0
0
0
975
1430
1671
0
4076
NA
NA
NA
NA
0.00
30.97
37.80
36.68
0
0
0
0
0
299
288
254
0
841
NA
NA
NA
NA
0.00
9.50
7.61
5.58
0
0
0
0
0
NA
NA
0.00
HEDIS 2010 (Reporting Year 2009)
42.84
35.48
7.32
0.00
Days
0
0
0
0
0
5981
8029
8119
0
22129
0
0
0
0
0
4359
6184
6634
0
17177
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
189.99
212.26
178.21
192.64
NA
NA
NA
NA
0.00
138.46
163.48
145.62
149.53
0
0
0
0
0
1622
1840
1474
0
4936
NA
NA
NA
NA
0.00
51.52
48.64
32.35
0
0
0
0
0
NA
NA
0.00
42.97
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.69
4.67
4.21
NA
4.50
NA
NA
NA
NA
NA
4.47
4.32
3.97
NA
4.21
NA
NA
NA
NA
NA
5.42
6.39
5.80
NA
5.87
NA
NA
NA
NA
NA
Page 79
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Member Months
0
0
123
6303
9347
124
0
0
0
15897
Discharges
Discharges /
1,000 Member
Months
0
0
1
95
301
3
0
0
0
400
NA
NA
8.13
15.07
32.20
24.19
NA
NA
0
0
1
72
224
3
0
0
0
300
NA
NA
8.13
11.42
23.96
24.19
NA
NA
0
0
0
19
77
0
0
0
0
96
NA
NA
0.00
3.01
8.24
0.00
NA
NA
0
4
0
0
4
0.00
0.63
0.00
HEDIS 2010 (Reporting Year 2009)
25.16
18.87
6.04
0.25
Days
Days / 1,000
Member
Months
0
0
1
293
1241
5
0
0
0
1540
NA
NA
8.13
46.49
132.77
40.32
NA
NA
0
0
1
200
844
5
0
0
0
1050
NA
NA
8.13
31.73
90.30
40.32
NA
NA
96.87
66.05
0
0
0
79
397
0
0
0
0
476
NA
NA
0.00
12.53
42.47
0.00
NA
NA
0
14
0
0
14
0.00
2.22
0.00
29.94
0.89
Average
Length of Stay
NA
NA
1.00
3.08
4.12
1.67
NA
NA
NA
3.85
NA
NA
1.00
2.78
3.77
1.67
NA
NA
NA
3.50
NA
NA
NA
4.16
5.16
NA
NA
NA
NA
4.96
NA
3.50
NA
NA
3.50
Page 80
Use of Services
Blue Plus (HMO Minnesota)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
60380
1-9
333378
10-19
268978
20-44
397300
45-64
174107
65-74
376
75-84
130
85+
89
Unknown
0
Total
1234738
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
664
747
997
6184
1914
5
8
4
0
10523
11.00
2.24
3.71
15.57
10.99
13.30
61.54
44.94
579
622
298
1131
1097
4
7
4
0
3742
9.59
1.87
1.11
2.85
6.30
10.64
53.85
44.94
82
125
185
845
806
1
1
0
0
2045
1.36
0.37
0.69
2.13
4.63
2.66
7.69
0.00
511
4204
9
0
4724
HEDIS 2010 (Reporting Year 2009)
8.52
3.03
1.66
1.90
10.58
0.05
5.62
Days
Days / 1,000
Member
Months
3223
1863
2675
16353
7022
18
36
16
0
31206
53.38
5.59
9.95
41.16
40.33
47.87
276.92
179.78
2461
1292
773
3097
3814
15
33
16
0
11501
40.76
3.88
2.87
7.80
21.91
39.89
253.85
179.78
756
571
559
2622
3156
3
3
0
0
7670
12.52
1.71
2.08
6.60
18.13
7.98
23.08
0.00
1337
10594
32
0
11963
4.97
26.66
0.18
25.27
9.31
6.21
14.24
Average
Length of Stay
4.85
2.49
2.68
2.64
3.67
3.60
4.50
4.00
NA
2.97
4.25
2.08
2.59
2.74
3.48
3.75
4.71
4.00
NA
3.07
9.22
4.57
3.02
3.10
3.92
3.00
3.00
NA
NA
3.75
2.62
2.52
3.56
NA
2.53
Page 81
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
42066
18268
22343
26795
110122
2825
0
222419
Female
38177
17303
24396
34934
133493
2401
0
250704
Total
80243
35571
46739
61729
243615
5226
0
473123
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
1
0
1
25
12
37
63
43
106
55
26
81
174
115
289
1
0
1
0
0
0
319
196
515
HEDIS 2010 (Reporting Year 2009)
Male
42066
18268
22343
26795
110122
2825
0
222419
Female
38177
17303
24396
34934
133493
2401
0
250704
Total
80243
35571
46739
61729
243615
5226
0
473123
Percent
0.03%
0.00%
0.01%
1.64%
0.83%
1.25%
3.38%
2.12%
2.72%
2.46%
0.89%
1.57%
1.90%
1.03%
1.42%
0.42%
0.00%
0.23%
NA
NA
NA
1.72%
0.94%
1.31%
Number
1
0
1
10
5
15
17
6
23
7
9
16
37
37
74
0
0
0
0
0
0
72
57
129
Male
42066
18268
22343
26795
110122
2825
0
222419
Female
38177
17303
24396
34934
133493
2401
0
250704
Total
80243
35571
46739
61729
243615
5226
0
473123
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
Age
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.03%
0.00%
0.01%
0.66%
0.35%
0.51%
0.91%
0.30%
0.59%
0.31%
0.31%
0.31%
0.40%
0.33%
0.36%
0.00%
0.00%
0.00%
NA
NA
NA
0.39%
0.27%
0.33%
Number
0
0
0
2
1
3
3
2
5
4
2
6
8
6
14
0
0
0
0
0
0
17
11
28
Percent
0.00%
0.00%
0.00%
0.13%
0.07%
0.10%
0.16%
0.10%
0.13%
0.18%
0.07%
0.12%
0.09%
0.05%
0.07%
0.00%
0.00%
0.00%
NA
NA
NA
0.09%
0.05%
0.07%
Member Months
(Outpatient/ED)
Male
42066
18268
22343
26795
110122
2825
0
222419
Female
38177
17303
24396
34934
133493
2401
0
250704
Total
80243
35571
46739
61729
243615
5226
0
473123
Outpatient/ED
Number
0
0
0
23
11
34
55
39
94
51
24
75
163
108
271
1
0
1
0
0
0
293
182
475
Percent
0.00%
0.00%
0.00%
1.51%
0.76%
1.15%
2.95%
1.92%
2.41%
2.28%
0.82%
1.46%
1.78%
0.97%
1.33%
0.42%
0.00%
0.23%
NA
NA
NA
1.58%
0.87%
1.20%
Page 82
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 83
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:08 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
30578
0
30579
Female
0
0
0
0
6
84288
0
84294
Total
0
0
0
0
7
114866
0
114873
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
85
110
195
0
0
0
86
110
196
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
0
1
30578
0
30579
Female
0
0
0
0
6
84288
0
84294
Total
0
0
0
0
7
114866
0
114873
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1200.00%
0.00%
171.43%
3.34%
1.57%
2.04%
NA
NA
NA
3.37%
1.57%
2.05%
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
38
55
93
0
0
0
39
55
94
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1200.00%
0.00%
171.43%
1.49%
0.78%
0.97%
NA
NA
NA
1.53%
0.78%
0.98%
Male
0
0
0
0
1
30578
0
30579
Female
0
0
0
0
6
84288
0
84294
Total
0
0
0
0
7
114866
0
114873
Member Months
(Outpatient/ED)
Male
0
0
0
0
1
30578
0
30579
Female
0
0
0
0
6
84288
0
84294
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
1
0
1
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
66
68
134
0
0
0
67
68
135
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.04%
0.00%
0.01%
NA
NA
NA
0.04%
0.00%
0.01%
Total
0
0
0
0
7
114866
0
114873
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1200.00%
0.00%
171.43%
2.59%
0.97%
1.40%
NA
NA
NA
2.63%
0.97%
1.41%
Page 84
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
466
1007
4908
59
0
6440
Female
0
0
627
1178
7587
65
0
9457
Total
0
0
1093
2185
12495
124
0
15897
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
6
7
13
13
17
30
105
98
203
0
0
0
0
0
0
124
122
246
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
466
1007
4908
59
0
6440
Female
0
0
627
1178
7587
65
0
9457
Total
0
0
1093
2185
12495
124
0
15897
Inpatient
Percent
NA
NA
NA
NA
NA
NA
15.45%
13.40%
14.27%
15.49%
17.32%
16.48%
25.67%
15.50%
19.50%
0.00%
0.00%
0.00%
NA
NA
NA
23.11%
15.48%
18.57%
Number
0
0
0
0
0
0
1
3
4
3
5
8
26
40
66
0
0
0
0
0
0
30
48
78
Percent
NA
NA
NA
NA
NA
NA
2.58%
5.74%
4.39%
3.57%
5.09%
4.39%
6.36%
6.33%
6.34%
0.00%
0.00%
0.00%
NA
NA
NA
5.59%
6.09%
5.89%
Male
0
0
466
1007
4908
59
0
6440
Female
0
0
627
1178
7587
65
0
9457
Total
0
0
1093
2185
12495
124
0
15897
Member Months
(Outpatient/ED)
Male
0
0
466
1007
4908
59
0
6440
Female
0
0
627
1178
7587
65
0
9457
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
1
0
1
2
7
9
0
0
0
0
0
0
3
7
10
Number
0
0
0
0
0
0
6
7
13
11
15
26
94
88
182
0
0
0
0
0
0
111
110
221
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
1.19%
0.00%
0.55%
0.49%
1.11%
0.86%
0.00%
0.00%
0.00%
NA
NA
NA
0.56%
0.89%
0.75%
Total
0
0
1093
2185
12495
124
0
15897
Percent
NA
NA
NA
NA
NA
NA
15.45%
13.40%
14.27%
13.11%
15.28%
14.28%
22.98%
13.92%
17.48%
0.00%
0.00%
0.00%
NA
NA
NA
20.68%
13.96%
16.68%
Page 85
Use of Services
Blue Plus (HMO Minnesota)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
Member Months
(Any)
(Inpatient)
Age
Male
Female
Male
Female
Total
Total
0-12
243678
236603
480281
243678
236603
480281
13-17
67463
68031
135494
67463
68031
135494
18-24
51585
95166
146751
51585
95166
146751
25-34
56114
115893
172007
56114
115893
172007
35-64
124090
175520
299610
124090
175520
299610
65+
214
381
595
214
381
595
Unknown
0
0
0
0
0
0
Total
543144
691594
1234738
543144
691594
1234738
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
11
10
21
282
234
516
660
562
1222
923
835
1758
1558
1128
2686
0
0
0
0
0
0
3434
2769
6203
HEDIS 2010 (Reporting Year 2009)
Inpatient
Percent
0.05%
0.05%
0.05%
5.02%
4.13%
4.57%
15.35%
7.09%
9.99%
19.74%
8.65%
12.26%
15.07%
7.71%
10.76%
0.00%
0.00%
0.00%
NA
NA
NA
7.59%
4.80%
6.03%
Number
2
4
6
102
82
184
188
150
338
265
227
492
526
352
878
0
0
0
0
0
0
1083
815
1898
Percent
0.01%
0.02%
0.01%
1.81%
1.45%
1.63%
4.37%
1.89%
2.76%
5.67%
2.35%
3.43%
5.09%
2.41%
3.52%
0.00%
0.00%
0.00%
NA
NA
NA
2.39%
1.41%
1.84%
Member Months
(Intensive Outpatient/Partial
Male
Female
Total
243678
236603
480281
67463
68031
135494
51585
95166
146751
56114
115893
172007
124090
175520
299610
214
381
595
0
0
0
543144
691594
1234738
Male
243678
67463
51585
56114
124090
214
0
543144
Member Months
(Outpatient/ED)
Female
Total
236603
480281
68031
135494
95166
146751
115893
172007
175520
299610
381
595
0
0
691594
1234738
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
1
1
27
21
48
22
35
57
44
40
84
63
47
110
0
0
0
0
0
0
156
144
300
Number
10
7
17
267
209
476
620
504
1124
874
777
1651
1441
1047
2488
0
0
0
0
0
0
3212
2544
5756
Percent
0.00%
0.01%
0.00%
0.48%
0.37%
0.43%
0.51%
0.44%
0.47%
0.94%
0.41%
0.59%
0.61%
0.32%
0.44%
0.00%
0.00%
0.00%
NA
NA
NA
0.34%
0.25%
0.29%
Percent
0.05%
0.04%
0.04%
4.75%
3.69%
4.22%
14.42%
6.36%
9.19%
18.69%
8.05%
11.52%
13.94%
7.16%
9.96%
0.00%
0.00%
0.00%
NA
NA
NA
7.10%
4.41%
5.59%
Page 86
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
42066
18268
159260
2825
0
222419
Female
38177
17303
192823
2401
0
250704
Total
80243
35571
352083
5226
0
473123
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
219
123
342
209
179
388
918
1747
2665
9
8
17
0
0
0
1355
2057
3412
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
42066
18268
159260
2825
0
222419
Female
38177
17303
192823
2401
0
250704
Total
80243
35571
352083
5226
0
473123
Number
4
1
5
16
12
28
33
49
82
0
0
0
0
0
0
53
62
115
Female
38177
17303
192823
2401
0
250704
Total
80243
35571
352083
5226
0
473123
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
6.25%
3.87%
5.11%
13.73%
12.41%
13.09%
6.92%
10.87%
9.08%
3.82%
4.00%
3.90%
NA
NA
NA
7.31%
9.85%
8.65%
Male
42066
18268
159260
2825
0
222419
Percent
0.11%
0.03%
0.07%
1.05%
0.83%
0.94%
0.25%
0.30%
0.28%
0.00%
0.00%
0.00%
NA
NA
NA
0.29%
0.30%
0.29%
Number
2
1
3
7
10
17
6
28
34
0
0
0
0
0
0
15
39
54
Percent
0.06%
0.03%
0.04%
0.46%
0.69%
0.57%
0.05%
0.17%
0.12%
0.00%
0.00%
0.00%
NA
NA
NA
0.08%
0.19%
0.14%
Member Months
(Outpatient/ED)
Male
42066
18268
159260
2825
0
222419
Female
38177
17303
192823
2401
0
250704
Total
80243
35571
352083
5226
0
473123
Outpatient/ED
Number
218
123
341
208
178
386
913
1739
2652
9
8
17
0
0
0
1348
2048
3396
Percent
6.22%
3.87%
5.10%
13.66%
12.34%
13.02%
6.88%
10.82%
9.04%
3.82%
4.00%
3.90%
NA
NA
NA
7.27%
9.80%
8.61%
Page 87
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
Member Months
(Any)
Age
Male
Female
0-12
13-17
18-64
65+
Unknown
Total
NR
NR
Total
NR
NR
NR
NR
NR
NR
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
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
Male
Female
NR
NR
Total
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
Number
NR
NR
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 88
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
1
30578
0
30579
Female
0
0
6
84288
0
84294
Total
0
0
7
114866
0
114873
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
356
865
1221
0
0
0
356
865
1221
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
1
30578
0
30579
Female
0
0
6
84288
0
84294
Total
0
0
7
114866
0
114873
Number
0
0
0
0
0
0
0
0
0
108
231
339
0
0
0
108
231
339
Female
0
0
6
84288
0
84294
Total
0
0
7
114866
0
114873
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
13.97%
12.31%
12.76%
NA
NA
NA
13.97%
12.31%
12.75%
Male
0
0
1
30578
0
30579
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
4.24%
3.29%
3.54%
NA
NA
NA
4.24%
3.29%
3.54%
Number
0
0
0
0
0
0
0
0
0
2
8
10
0
0
0
2
8
10
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.08%
0.11%
0.10%
NA
NA
NA
0.08%
0.11%
0.10%
Member Months
(Outpatient/ED)
Male
0
0
1
30578
0
30579
Female
0
0
6
84288
0
84294
Total
0
0
7
114866
0
114873
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
283
696
979
0
0
0
283
696
979
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
11.11%
9.91%
10.23%
NA
NA
NA
11.11%
9.91%
10.23%
Page 89
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
6381
59
0
6440
Female
0
0
9392
65
0
9457
Total
0
0
15773
124
0
15897
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
300
518
818
1
2
3
0
0
0
301
520
821
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
6381
59
0
6440
Female
0
0
9392
65
0
9457
Total
0
0
15773
124
0
15897
Number
0
0
0
0
0
0
32
61
93
0
0
0
0
0
0
32
61
93
Female
0
0
9392
65
0
9457
Total
0
0
15773
124
0
15897
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
56.42%
66.18%
62.23%
20.34%
36.92%
29.03%
NA
NA
NA
56.09%
65.98%
61.97%
Male
0
0
6381
59
0
6440
Percent
NA
NA
NA
NA
NA
NA
6.02%
7.79%
7.08%
0.00%
0.00%
0.00%
NA
NA
NA
5.96%
7.74%
7.02%
Number
0
0
0
0
0
0
20
39
59
0
0
0
0
0
0
20
39
59
Percent
NA
NA
NA
NA
NA
NA
3.76%
4.98%
4.49%
0.00%
0.00%
0.00%
NA
NA
NA
3.73%
4.95%
4.45%
Member Months
(Outpatient/ED)
Male
0
0
6381
59
0
6440
Female
0
0
9392
65
0
9457
Total
0
0
15773
124
0
15897
Outpatient/ED
Number
0
0
0
0
0
0
294
518
812
1
2
3
0
0
0
295
520
815
Percent
NA
NA
NA
NA
NA
NA
55.29%
66.18%
61.78%
20.34%
36.92%
29.03%
NA
NA
NA
54.97%
65.98%
61.52%
Page 90
Use of Services
Blue Plus (HMO Minnesota)
Mental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
243678
67463
231789
214
0
543144
Female
236603
68031
386579
381
0
691594
Total
480281
135494
618368
595
0
1234738
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
2425
1613
4038
1279
1360
2639
3858
7700
11558
0
5
5
0
0
0
7562
10678
18240
HEDIS 2010 (Reporting Year 2009)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
243678
67463
231789
214
0
543144
Female
236603
68031
386579
381
0
691594
Total
480281
135494
618368
595
0
1234738
Number
45
29
74
75
130
205
309
448
757
0
1
1
0
0
0
429
608
1037
Female
236603
68031
386579
381
0
691594
Total
480281
135494
618368
595
0
1234738
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
11.94%
8.18%
10.09%
22.75%
23.99%
23.37%
19.97%
23.90%
22.43%
0.00%
15.75%
10.08%
NA
NA
NA
16.71%
18.53%
17.73%
Male
243678
67463
231789
214
0
543144
Percent
0.22%
0.15%
0.18%
1.33%
2.29%
1.82%
1.60%
1.39%
1.47%
0.00%
3.15%
2.02%
NA
NA
NA
0.95%
1.05%
1.01%
Number
33
19
52
31
40
71
168
287
455
0
0
0
0
0
0
232
346
578
Percent
0.16%
0.10%
0.13%
0.55%
0.71%
0.63%
0.87%
0.89%
0.88%
0.00%
0.00%
0.00%
NA
NA
NA
0.51%
0.60%
0.56%
Member Months
(Outpatient/ED)
Male
243678
67463
231789
214
0
543144
Female
236603
68031
386579
381
0
691594
Total
480281
135494
618368
595
0
1234738
Outpatient/ED
Number
2424
1610
4034
1275
1349
2624
3810
7645
11455
0
4
4
0
0
0
7509
10608
18117
Percent
11.94%
8.17%
10.08%
22.68%
23.80%
23.24%
19.72%
23.73%
22.23%
0.00%
12.60%
8.07%
NA
NA
NA
16.59%
18.41%
17.61%
Page 91
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jan 6, 2011 10:08 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
Blue Plus (HMO Minnesota)
Data Last Refreshed:
Jan 6, 2011 10:08 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
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:08 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
2991
12461
15951
17846
11085
7461
Member Months
Female
2510
10966
15029
16434
10541
7330
Total
5501
23427
30980
34280
21626
14791
67795
30.48%
14882
12612
14183
15730
18184
62810
25.05%
17066
17312
17622
18532
22368
130605
27.60%
75591
33.99%
21296
21019
18910
14983
92900
37.06%
25464
25387
23896
17846
168491
35.61%
76208
34.26%
2249
448
75
48
0
5
92593
36.93%
1973
341
66
18
3
0
168801
35.68%
2825
1.27%
0
2401
0.96%
0
5226
1.10%
222419
250704
HEDIS 2010 (Reporting Year 2009)
31948
29924
31805
34262
40552
46760
46406
42806
32829
4222
789
141
66
3
5
0
473123
Page 94
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:08 AM
Medicare Advantage
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
NR
NR
NR
NR
NR
NR
Age Unknown
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2010 (Reporting Year 2009)
Page 95
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:08 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
6
0
0.00%
1
0.00%
5382
6248
5478
5392
4731
3347
6
0.01%
9513
10338
11977
14980
16791
20689
7
0.01%
30578
100.00%
0
84288
99.99%
0
114866
99.99%
30579
84294
HEDIS 2010 (Reporting Year 2009)
0
0
0
0
0
0
0
0
7
14895
16586
17455
20372
21522
24036
0
114873
Page 96
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:08 AM
SNBC
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
49
Member Months
Female
0
0
0
0
0
74
Total
0
0
0
0
0
123
49
0.76%
417
516
491
490
705
74
0.78%
553
477
701
888
1065
123
0.77%
2619
40.67%
1023
1266
801
623
3684
38.96%
1459
1510
1571
1094
6303
39.65%
3713
57.66%
59
0
0
0
0
0
5634
59.57%
65
0
0
0
0
0
9347
58.80%
59
0.92%
0
65
0.69%
0
124
0.78%
6440
9457
HEDIS 2010 (Reporting Year 2009)
970
993
1192
1378
1770
2482
2776
2372
1717
124
0
0
0
0
0
0
15897
Page 97
Health Plan Descriptive Information
Blue Plus (HMO Minnesota)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 6, 2011 10:08 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
30836
84452
84994
71157
39702
20584
Member Months
Female
29544
81250
82682
69601
41557
26377
Total
60380
165702
167676
140758
81259
46961
331725
61.07%
31001
30395
25719
24022
24645
331011
47.86%
68789
68228
47665
40096
36740
662736
53.67%
135782
25.00%
26711
22374
16335
10003
261518
37.81%
36154
27867
19341
15322
397300
32.18%
75423
13.89%
106
42
32
23
0
11
98684
14.27%
168
60
31
44
41
37
174107
14.10%
214
0.04%
0
381
0.06%
0
595
0.05%
543144
691594
HEDIS 2010 (Reporting Year 2009)
99790
98623
73384
64118
61385
62865
50241
35676
25325
274
102
63
67
41
48
0
1234738
Page 98