South Country Health Alliance (CBP)
General Info
Disclaimers
Data Last Refreshed: 1/10/2011
2
Effectiveness of Care Measures
Code
HEDIS 2009 (Reporting Year 2008)
Page
Page
Prevention and Screening
0 Code
Access / Availability of Care Measures
Page
25 AAP
Adult's Access to Preventive/Ambulatory Health Services
57
Children's and Adolescents' Access to Primary Care Practitioners
63
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
65
Prenatal and Postpartum Care
71
CIS
Childhood Immunization Status
3
26 CAP
BCS
Breast Cancer Screening
5
27
CCS
Cervical Cancer Screening
6
28 PPC
COL
Colorectal Cancer Screening
7
CHL
Chlamydia Screening in Women
8
GSO
Glaucoma Screening in Older Adults
10
29 W15
Well Child Visits in the First 15 Months of Life
73
LSC
Lead Screening in Children
11
30 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
75
31 AWC
Adolescent Well-Care Visits
76
Respiratory Conditions
IET
Use of Services Measures
0 Code
Page
URI
Appropriate Treatment for Children with Upper Respiratory Infection
12
32 FSP
Frequency of Selected Procedures
77
PCE
Pharmacotherapy Management of COPD Exacerbation
13
33 AMB
Ambulatory Care
83
SPR
Use of Spirometry Testing in the Assessment and Diagnosis of COPD
17
34
Inpatient Utilization - General Hospital/Acute Care
89
ASM
Use of Appropriate Medications for People with Asthma
18
35 NON
Inpatient Utilization - Nonacute Care
95
Identification of Alcohol and Other Drug Services
101
36 IAD
Cardiovascular
CMC
Cholesterol Management for Patients with Cardiovascular Conditions
20
CBP
Controlling High Blood Pressure
26
PBH
Persistence of Beta Blocker Treatment After Hearth Attack
27
Diabetes
CDC
Comprehensive Diabetes Care
Osteoporosis Management in Women Who had a Fracture
37
MPT
38 ORX
0 Code
28
Musculoskeletal
OMW
IPU
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Outpatient Drug Utilization
Health Plan Descriptive Information Measures
107
113
Page
39 BCR
Board Certification
119
40 ENP
Enrollment by Product Line (Age & Sex)
122
34
Behavioral Health
0 Code
AMM
Antidepressant Medication Management
35
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
41
FUH
Follow-up After Hospitalization for Mental Illness
43
Medication Management
MPM
Annual Monitoring for Patients on Persistent Medications
47
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
53
DAE
Use of High Risk Medications in the Elderly
55
41
YIB
Health Plan Stability Measures
Years in Business / Total Membership
Page
128
DISCLAIMERS
-1
0. Disclaimer Query located below
1. In January 2011, it was discovered that the Good HbA1c Control (<7.0%) was not displayed in
comprehensive diabetes care measure and Adequate HbA1c Control (<8.0%) data was displayed
under Good HbA1c Control. This issue was corrected on January 10,2011.
HEDIS 2009 (Reporting Year 2008)
Page 2
Effectiveness of Care
South Country Health Alliance (CBP)
Childhood Immunization Status
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
General
Measure
Data
DTaP
IPV
MMR
HiB
Hepatitis B
VZV
Pneumococcal
Conjugate
Combo 2
Combo 3
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
Page 3
Effectiveness of Care
South Country Health Alliance (CBP)
Childhood Immunization Status
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Pneumococcal
Conjugate
Combo 2
Combo 3
467
70.12%
516
77.48%
582
87.39%
589
88.44%
538
80.78%
556
83.48%
455
68.32%
414
62.16%
384
57.66%
299
69.21%
327
75.69%
376
87.04%
377
87.27%
349
80.79%
357
82.64%
296
68.52%
260
60.19%
244
56.48%
299
55
81.94%
78.20%
85.69%
327
66
90.97%
88.15%
93.79%
376
17
90.97%
88.15%
93.79%
377
38
96.06%
94.12%
98.01%
349
59
94.44%
92.17%
96.72%
357
15
86.11%
82.73%
89.49%
296
62
82.87%
79.20%
86.54%
260
70
76.39%
72.27%
80.51%
244
71
72.92%
68.61%
77.22%
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 2009 (Reporting Year 2008)
MMR
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
IPV
2008
H
666
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
DTaP
432
Page 4
Effectiveness of Care
South Country Health Alliance (CBP)
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 2009 (Reporting Year 2008)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
NR
NR
NR
Medicare
Advantage
NR
NR
NR
MSHO
2008
A
62
43
69.35%
57.07%
81.64%
MnDHO
SNBC
MHCP-MC
NR
NR
NR
2008
A
199
153
76.88%
70.78%
82.99%
2008
A
291
155
53.26%
47.36%
59.17%
Page 5
Effectiveness of Care
South Country Health Alliance (CBP)
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
2295
Numerator Events by Admin Data on Eligible
Population (before exclusions)
1462
Current Year's Admin Rate
NR
Records Excluded because of Valid Data Errors
63.70%
411
5.00%
432
287
66.44%
0
Number of administrative data records excluded
0
Number of medical record data records excluded
9
Number of employee/dependent medical records
excluded
0
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
NR
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 2009 (Reporting Year 2008)
NR
NR
NR
0
423
287
39
77.07%
72.94%
81.19%
Page 6
Effectiveness of Care
South Country Health Alliance (CBP)
Colorectal Cancer Screening
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
MnDHO
SNBC
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
2008
H
576
2008
H
222
Number of numerator events by administrative data in eligible population
(before exclusions)
133
66
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
NR
NR
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
NR
NR
NR
NR
NR
NR
NR
NR
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 2009 (Reporting Year 2008)
23.09%
411
0.05
432
103
23.84%
0
0
0
0
0
432
103
85
43.52%
38.73%
48.31%
NR
NR
NR
NR
NR
29.73%
221
0.05
221
66
29.86%
0
0
1
0
0
220
66
39
47.73%
40.90%
54.55%
Page 7
Effectiveness of Care
South Country Health Alliance (CBP)
Chlamydia Screening in Women
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
General
Measure Ages 16-20 Ages 21-24
Data
Total
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 8
Effectiveness of Care
South Country Health Alliance (CBP)
Chlamydia Screening in Women
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Data Elements
Measure Ages 16-20 Ages 21-24
Data
Measurement Year
2008
Data Collection Methodology
A
Eligible Member Population
341
409
Numerator Events by Admin Data
133
158
Reported Rate
39.00%
38.63%
Lower 95% Confidence Interval
33.68%
33.79%
Upper 95% Confidence Interval
44.33%
43.47%
HEDIS 2009 (Reporting Year 2008)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Total
750
291
38.80%
35.25%
42.35%
Page 9
Effectiveness of Care
South Country Health Alliance (CBP)
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 2009 (Reporting Year 2008)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare
Advantage
NR
NR
NR
MSHO
2008
A
1258
542
43.08%
40.31%
45.86%
Page 10
Effectiveness of Care
South Country Health Alliance (CBP)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Lead Screening in Children
Data Elements
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
666
Numerator Events by Admin Data on Eligible
Population (before exclusions)
554
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
NR
83.18%
NR
411
5.00%
432
362
83.80%
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
0
432
362
3
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
NR
84.49%
Lower 95% Confidence Interval
NR
80.96%
Upper 95% Confidence Interval
NR
88.02%
HEDIS 2009 (Reporting Year 2008)
Page 11
Effectiveness of Care
South Country Health Alliance (CBP)
Appropriate Treatment for Children with Upper Respiratory Infection
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 2009 (Reporting Year 2008)
Commercial
MHCP-MC
NR
NR
NR
2008
A
1639
288
82.43%
80.56%
84.30%
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Page 12
Effectiveness of Care
South Country Health Alliance (CBP)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 10:11 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 2009 (Reporting Year 2008)
Page 13
Effectiveness of Care
South Country Health Alliance (CBP)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 10:11 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 2009 (Reporting Year 2008)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
53
67.09%
56.09%
78.08%
61
77.22%
67.33%
87.10%
2008
A
79
44
14
Page 14
Effectiveness of Care
South Country Health Alliance (CBP)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
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 2009 (Reporting Year 2008)
Page 15
Effectiveness of Care
South Country Health Alliance (CBP)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 10:11 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 2009 (Reporting Year 2008)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
6
NA
NA
NA
9
NA
NA
NA
2008
A
12
1
5
Page 16
Effectiveness of Care
South Country Health Alliance (CBP)
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 2009 (Reporting Year 2008)
Medicare
Advantage
NR
NR
NR
MSHO
2008
A
40
9
22.50%
8.31%
36.69%
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
SNBC
NR
NR
NR
2008
A
0
0
NA
NA
NA
Page 17
Effectiveness of Care
South Country Health Alliance (CBP)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure Data
Ages 5-9
NR
NR
NR
Ages 10-17
NR
NR
NR
Ages 18-56
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 18
Effectiveness of Care
South Country Health Alliance (CBP)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
39
35
89.74%
78.94%
100.00%
32
30
93.75%
83.80%
100.00%
58
50
86.21%
76.47%
95.94%
129
115
89.15%
83.39%
94.90%
2008
A
Page 19
Effectiveness of Care
South Country Health Alliance (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 20
Effectiveness of Care
South Country Health Alliance (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on Eligible Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 21
Effectiveness of Care
South Country Health Alliance (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
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 2009 (Reporting Year 2008)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
15
1
57.69%
3.85%
15
1
57.69%
3.85%
15
8
1
16
NA
NA
NA
NA
NA
NA
2008
H
26
26
5.00%
26
0
0
0
26
Page 22
Effectiveness of Care
South Country Health Alliance (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
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 2009 (Reporting Year 2008)
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 23
Effectiveness of Care
South Country Health Alliance (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
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 2009 (Reporting Year 2008)
General
Measure
Data
2008
H
17
LDL-C
screening
LDL-C Level of
<100 mg/dL
11
0
64.71%
0.00%
17
5.00%
17
11
0
64.71%
0.00%
11
3
0
9
NA
NA
NA
NA
NA
NA
0
0
0
17
Page 24
Effectiveness of Care
South Country Health Alliance (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Measure
Data
2008
H
18
LDL-C
screening
LDL-C Level of
<100 mg/dL
10
0
55.56%
0.00%
10
0
55.56%
0.00%
10
3
0
10
NA
NA
Lower 95% Confidence Interval
NA
NA
Upper 95% Confidence Interval
NA
NA
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
18
5.00%
18
Records Excluded because of Valid Data Errors
0
Number of employee/dependent medical records excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
0
0
18
HEDIS 2009 (Reporting Year 2008)
Page 25
Effectiveness of Care
South Country Health Alliance (CBP)
Controlling High Blood Pressure
Data Elements
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Medicare
Advantage
MSHO
MnDHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2008
H
305
2008
H
84
2008
H
331
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0.00%
72
5.00%
72
0.00%
300
5.00%
300
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
NR
NR
NR
NR
0.00%
247
5.00%
247
0
0.00%
NR
NR
Records Excluded because of Valid Data
Errors
0
0
0
Number of records excluded because of
false positive diagnoses
3
0
4
Number of administrative data records
excluded
0
0
0
Number of medical record data records
excluded
0
0
0
Number of employee/dependent medical
records excluded
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
0
244
0
161
65.98%
59.83%
72.13%
0
72
0
48
66.67%
55.08%
78.25%
0
296
0
178
60.14%
54.39%
65.88%
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 26
Effectiveness of Care
South Country Health Alliance (CBP)
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Commercial
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare
Advantage
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
MSHO
SNBC
MHCP-MC
2008
A
7
2008
A
1
2008
A
9
7
0
6
NA
NA
NA
NA
NA
NA
NA
NA
NA
MnDHO
NR
NR
NR
Page 27
Effectiveness of Care
South Country Health Alliance (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
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 2009 (Reporting Year 2008)
Page 28
Effectiveness of Care
South Country Health Alliance (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
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 2009 (Reporting Year 2008)
Page 29
Effectiveness of Care
South Country Health Alliance (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2008
H
151
2008
H
151
68
45.03%
151
5%
151
68
45.03%
147
97.35%
151
5%
151
150
99.34%
Good HbA1c
Control
(<7.0%)
2008
H
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2008
H
151
2008
H
151
2008
H
151
2008
H
151
2008
H
151
2008
H
151
2008
H
151
2
1.32%
151
5%
151
1
0.66%
54
35.76%
151
5%
151
54
35.76%
58
38.41%
151
5%
151
58
38.41%
3
1.99%
151
5%
151
1
0.66%
130
86.09%
151
5%
151
130
86.09%
5
3.31%
151
5%
151
0
0.00%
5
3.31%
151
5%
151
0
0.00%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
0
0
0
0
0
0
0
0
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
151
68
66
88.74%
83.37%
94.11%
0
151
26
11
24.50%
17.31%
31.69%
0
151
1
103
68.87%
61.16%
76.59%
0
151
54
49
68.21%
60.45%
75.97%
0
151
58
62
79.47%
72.70%
86.24%
0
151
1
81
54.30%
46.03%
62.58%
0
151
130
6
90.07%
84.96%
95.17%
0
151
0
107
70.86%
63.28%
78.44%
0
151
0
78
51.66%
43.35%
59.96%
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 2009 (Reporting Year 2008)
NR
NR
NR
Page 30
Effectiveness of Care
South Country Health Alliance (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
Data Elements
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of administrative data records
excluded
Number of medical record data records
excluded
Number of employee/dependent medical
records excluded
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 2009 (Reporting Year 2008)
Page 31
Effectiveness of Care
South Country Health Alliance (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2008
H
120
2008
H
120
2008
H
86
2008
H
120
2008
H
120
2008
H
120
2008
H
120
2008
H
120
2008
H
120
2008
H
120
65
54.17%
120
5%
120
65
54.17%
119
99.17%
120
5%
120
119
99.17%
1
1.16%
120
5%
120
1
0.83%
1
0.83%
120
5%
120
1
0.83%
42
35.00%
120
5%
120
42
35.00%
62
51.67%
120
5%
120
62
51.67%
2
1.67%
120
5%
120
2
1.67%
87
72.50%
120
5%
120
87
72.50%
4
3.33%
120
5%
120
0
0.00%
3
2.50%
120
5%
120
0
0.00%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
0
0
42
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
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
0
120
65
44
90.83%
85.25%
96.41%
0
120
16
11
22.50%
14.61%
30.39%
0
78
1
45
58.97%
47.42%
70.53%
0
120
1
82
69.17%
60.49%
77.85%
0
120
42
37
65.83%
56.93%
74.74%
0
120
62
36
81.67%
74.33%
89.01%
0
120
2
61
52.50%
43.15%
61.85%
0
120
87
12
82.50%
75.28%
89.72%
0
120
0
102
85.00%
78.19%
91.81%
0
120
0
74
61.67%
52.55%
70.78%
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 2009 (Reporting Year 2008)
Page 32
Effectiveness of Care
South Country Health Alliance (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
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
2008
H
323
2008
H
323
2008
H
230
2008
H
323
2008
H
323
2008
H
323
2008
H
323
2008
H
323
2008
H
323
2008
H
323
210
65.02%
309
5%
309
209
67.64%
323
100.00%
309
5%
309
309
100.00%
0
0.00%
309
5%
309
0
0.00%
0
0.00%
309
5%
309
0
0.00%
160
49.54%
309
5%
309
152
49.19%
179
55.42%
309
5%
309
178
57.61%
3
0.93%
309
5%
309
1
0.32%
199
61.61%
309
5%
309
199
64.40%
2
0.62%
309
5%
309
1
0.32%
2
0.62%
309
5%
309
1
0.32%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
0
0
110
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
0
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
0
309
209
58
86.41%
82.42%
90.39%
0
309
64
45
35.28%
29.79%
40.76%
0
199
0
72
36.18%
29.25%
43.11%
0
309
0
172
55.66%
49.96%
61.36%
0
309
152
55
66.99%
61.59%
72.40%
0
309
178
54
75.08%
70.10%
80.07%
0
309
1
120
39.16%
33.55%
44.76%
0
309
199
34
75.40%
70.44%
80.37%
0
309
1
206
66.99%
61.59%
72.40%
0
309
1
131
42.72%
37.04%
48.40%
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 2009 (Reporting Year 2008)
Page 33
Effectiveness of Care
South Country Health Alliance (CBP)
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 2009 (Reporting Year 2008)
Medicare
Advantage
NR
NR
NR
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
2008
A
76
10
13.16%
4.90%
21.42%
Page 34
Effectiveness of Care
South Country Health Alliance (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General Effective Acute
Measure
Phase
Data
Treatment
NR
NR
NR
Effective
Continuation
Phase
Treatment
NR
NR
NR
Page 35
Effectiveness of Care
South Country Health Alliance (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General Effective Acute
Measure
Phase
Data
Treatment
NR
NR
NR
Effective
Continuation
Phase
Treatment
NR
NR
NR
Page 36
Effectiveness of Care
South Country Health Alliance (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2008
A
24
17
NA
NA
NA
17
NA
NA
NA
Page 37
Effectiveness of Care
South Country Health Alliance (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
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 2009 (Reporting Year 2008)
General Effective Acute
Measure
Phase
Data
Treatment
NR
NR
NR
Effective
Continuation
Phase
Treatment
NR
NR
NR
Page 38
Effectiveness of Care
South Country Health Alliance (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2008
A
7
4
NA
NA
NA
4
NA
NA
NA
Page 39
Effectiveness of Care
South Country Health Alliance (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General Effective Acute
Measure
Phase
Data
Treatment
Effective
Continuation
Phase
Treatment
2008
A
168
107
63.69%
56.12%
71.26%
70
41.67%
33.91%
49.42%
Page 40
Effectiveness of Care
South Country Health Alliance (CBP)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
NR
NR
NR
NR
NR
NR
Page 41
Effectiveness of Care
South Country Health Alliance (CBP)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
126
36
28.57%
20.29%
36.86%
45
13
28.89%
14.53%
43.24%
2008
A
Page 42
Effectiveness of Care
South Country Health Alliance (CBP)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 43
Effectiveness of Care
South Country Health Alliance (CBP)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
30 Days
7 Days
3
NA
NA
NA
0
NA
NA
NA
2008
A
12
Page 44
Effectiveness of Care
South Country Health Alliance (CBP)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
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 2009 (Reporting Year 2008)
General
Measure
Data
30 Days
7 Days
NR
NR
NR
NR
NR
NR
Page 45
Effectiveness of Care
South Country Health Alliance (CBP)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
30 Days
7 Days
23
76.67%
59.86%
93.47%
17
56.67%
37.27%
76.07%
2008
A
30
Page 46
Effectiveness of Care
South Country Health Alliance (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 47
Effectiveness of Care
South Country Health Alliance (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
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 48
Effectiveness of Care
South Country Health Alliance (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
457
279
61.05%
56.47%
65.63%
65
50
76.92%
65.91%
87.94%
505
317
62.77%
58.46%
67.09%
56
41
73.21%
60.72%
85.71%
1083
687
63.43%
60.52%
66.35%
2008
A
Page 49
Effectiveness of Care
South Country Health Alliance (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
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 2009 (Reporting Year 2008)
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 50
Effectiveness of Care
South Country Health Alliance (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
84
52
61.90%
50.92%
72.89%
2
2
NA
NA
NA
78
56
71.79%
61.17%
82.42%
108
56
51.85%
41.97%
61.74%
272
166
61.03%
55.05%
67.01%
2008
A
Page 51
Effectiveness of Care
South Country Health Alliance (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
176
138
78.41%
72.05%
84.77%
7
6
NA
NA
NA
136
101
74.26%
66.55%
81.98%
30
17
56.67%
37.27%
76.07%
349
262
75.07%
70.39%
79.75%
2008
A
Page 52
Effectiveness of Care
South Country Health Alliance (CBP)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
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 53
Effectiveness of Care
South Country Health Alliance (CBP)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Drug-Disease Interactions
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
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
2008
A
120
33
27.50%
19.09%
35.91%
417
87
20.86%
16.84%
24.88%
19
1
NA
NA
NA
556
121
21.76%
18.24%
25.28%
Page 54
Effectiveness of Care
South Country Health Alliance (CBP)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Data Elements
General
Measure
Data
At least 1
Prescription
At least 2
Prescriptions
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
Page 55
Effectiveness of Care
South Country Health Alliance (CBP)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure
Data
2008
A
1650
At least 1
Prescription
At least 2
Prescriptions
394
23.88%
21.79%
25.97%
76
4.61%
3.56%
5.65%
Page 56
Access/Availability of Care
South Country Health Alliance (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2009 (Reporting Year 2008)
Page 57
Access/Availability of Care
South Country Health Alliance (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2009 (Reporting Year 2008)
Page 58
Access/Availability of Care
South Country Health Alliance (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
0
0
1650
0
0
1615
NA
NA
NA
NA
NA
NA
97.88%
97.15%
98.60%
2008
A
Page 59
Access/Availability of Care
South Country Health Alliance (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2009 (Reporting Year 2008)
Page 60
Access/Availability of Care
South Country Health Alliance (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
220
387
11
210
376
10
95.45%
92.47%
98.43%
97.16%
95.37%
98.94%
NA
NA
NA
2008
A
Page 61
Access/Availability of Care
South Country Health Alliance (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
2954
803
590
2661
723
530
90.08%
88.99%
91.18%
90.04%
87.90%
92.17%
89.83%
87.31%
92.35%
2008
A
Page 62
Access/Availability of Care
South Country Health Alliance (CBP)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 2009 (Reporting Year 2008)
Page 63
Access/Availability of Care
South Country Health Alliance (CBP)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
947
915
2533
2231
1003
847
1198
1011
96.62%
95.42%
97.82%
88.08%
86.80%
89.36%
84.45%
82.15%
86.74%
84.39%
82.29%
86.49%
2008
A
Page 64
Access/Availability of Care
South Country Health Alliance (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 65
Access/Availability of Care
South Country Health Alliance (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:11 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 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 66
Access/Availability of Care
South Country Health Alliance (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
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
2008
A
0
23
23
0
0
14
1
14
1
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 67
Access/Availability of Care
South Country Health Alliance (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
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 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 68
Access/Availability of Care
South Country Health Alliance (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
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
2008
A
0
46
46
0
0
15
4
15
4
NA
NA
NA
NA
NA
NA
32.61%
17.97%
47.24%
8.70%
0.00%
17.93%
32.61%
17.97%
47.24%
8.70%
0.00%
17.93%
Page 69
Access/Availability of Care
South Country Health Alliance (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
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
2008
A
45
496
541
24
10
229
77
253
87
53.33%
37.65%
69.02%
22.22%
8.96%
35.48%
46.17%
41.68%
50.66%
15.52%
12.24%
18.81%
46.77%
42.47%
51.06%
16.08%
12.89%
19.27%
Page 70
Access/Availability of Care
South Country Health Alliance (CBP)
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Current year's administrative rate (before exclusions)
NR
NR
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
NR
NR
NR
NR
NR
NR
NR
NR
Data Elements
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
Number of numerator events by administrative data in eligible
population (before exclusions)
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
Page 71
Access/Availability of Care
South Country Health Alliance (CBP)
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2008
H
1314
2008
H
1314
Number of numerator events by administrative data in eligible
population (before exclusions)
826
740
62.86%
411
5%
432
272
56.32%
411
5%
432
249
62.96%
57.64%
3
3
0
0
429
272
116
0
0
429
249
61
90.44%
87.54%
93.34%
72.26%
67.91%
76.61%
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 2009 (Reporting Year 2008)
Page 72
Use of Services
South Country Health Alliance (CBP)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
records excluded
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
Page 73
Use of Services
South Country Health Alliance (CBP)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2009 (Reporting Year 2008)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
20
2.88%
18
2.59%
25
3.60%
43
6.19%
94
13.53%
159
22.88%
336
48.35%
14
3.24%
10
2.31%
17
3.94%
32
7.41%
58
13.43%
100
23.15%
201
46.53%
11
0
2.55%
0.95%
4.15%
3
1
0.93%
0.00%
1.94%
6
0
1.39%
0.17%
2.61%
19
7
6.02%
3.66%
8.38%
26
8
7.87%
5.22%
10.53%
56
29
19.68%
15.81%
23.54%
201
65
61.57%
56.87%
66.28%
411
5.00%
432
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2008
H
695
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Zero Visits
432
Page 74
Use of Services
South Country Health Alliance (CBP)
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Commercial
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
1956
Numerator events by admin data in eligible
population
1088
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
NR
55.62%
411
5.00%
432
250
NR
57.87%
0
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 2009 (Reporting Year 2008)
0
NR
NR
NR
0
432
250
23
63.19%
58.53%
67.86%
Page 75
Use of Services
South Country Health Alliance (CBP)
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
2532
Numerator events by admin data in eligible
population
704
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
NR
27.80%
411
5.00%
432
113
NR
26.16%
0
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
0
NR
NR
NR
0
432
113
15
29.63%
25.21%
34.05%
Page 76
Use of Services
South Country Health Alliance (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Member Months
Total
Age
0-4
0-9
5-19
10-19
Total
Number of
Procedures
Procedures /
1,000 Member
Months
Procedure
Myringotomy
Age
0-4
5-19
NR
NR
Tonsillectomy
0-9
10-19
NR
NR
Member Months
Age
Male
Female
15-44
20-44
30-64
45-64
65+
Female
Male
Procedure
Age
Dilation & Curettage 15-44
45-64
Hysterectomy,
15-44
Abdominal
45-64
Number of
Procedures
Procedures /
1,000 Member
Months
Number of
Procedures
Procedures /
1,000 Member
Months
NR
NR
65+
NR
NR
NR
Hysterectomy,
Vaginal
15-44
45-64
65+
NR
NR
NR
Cholecystectomy,
Open
30-64
15-44
45-64
65+
NR
30-64
15-44
45-64
65+
20-44
Back Surgery
45-64
65+
Angioplasty (PTCA) 45-64
65+
45-64
Cardiac
Catheterization
65+
45-64
CABG
65+
NR
Prostatectomy
45-64
65+
NR
NR
Mastectomy
15-44
45-64
65+
NR
NR
NR
Lumpectomy
15-44
45-64
65+
NR
NR
NR
Cholecystectomy,
Closed
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 77
Use of Services
South Country Health Alliance (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Member Months
Age
Male
Female
< 65
65-74
75-84
85+
Male
Number of
Procedures
Female
Procedures /
1,000 Member
Months
Number of
Procedures
Procedures /
1,000 Member
Months
Procedure
Age
CABG
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Angioplasty
(PTCA)
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Cardiac
Catheterization
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Carotid
Endarterectomy
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Reduction of
Fracture of Femur
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Total Hip
Replacement
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Total Knee
Replacement
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Partial Excision of
Large Inestine
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Cholecystectomy,
Open
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Cholecystectomy,
Closed
(laparoscopic)
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Back Surgery
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Hysterectomy
Abdominal
<65
65-74
75-84
85+
NR
NR
NR
NR
Hysterectomy,
Vaginal
<65
65-74
75-84
85+
NR
NR
NR
NR
Mastectomy
<65
65-74
75-84
85+
NR
NR
NR
NR
Lumpectomy
<65
65-74
75-84
85+
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
Page 78
Use of Services
South Country Health Alliance (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Member Months
Age
Male
1
2265
1965
1929
< 65
65-74
75-84
85+
Female
0
3543
5371
8238
Male
Procedure
Age
CABG
<65
65-74
75-84
85+
Angioplasty
(PTCA)
<65
65-74
75-84
85+
Cardiac
Catheterization
<65
65-74
75-84
85+
Carotid
Endarterectomy
<65
65-74
75-84
85+
Reduction of
Fracture of Femur
<65
65-74
75-84
85+
Total Hip
Replacement
<65
65-74
75-84
85+
Total Knee
Replacement
<65
65-74
75-84
85+
Partial Excision of
Large Inestine
<65
65-74
75-84
85+
Cholecystectomy,
Open
<65
65-74
75-84
85+
Cholecystectomy,
Closed
(laparoscopic)
<65
65-74
75-84
85+
Back Surgery
<65
65-74
75-84
85+
Hysterectomy
Abdominal
<65
65-74
75-84
85+
Hysterectomy,
Vaginal
<65
65-74
75-84
85+
Mastectomy
<65
65-74
75-84
85+
Lumpectomy
<65
65-74
75-84
85+
HEDIS 2009 (Reporting Year 2008)
Number of
Procedures
0
3
0
0
0
2
1
2
0
5
2
1
0
0
0
0
0
0
3
2
0
0
2
0
0
3
0
0
0
0
2
0
0
1
0
0
0
0
0
1
0
0
0
0
Female
Procedures /
1,000 Member
Months
0.00
1.32
0.00
0.00
0.00
0.88
0.51
1.04
0.00
2.21
1.02
0.52
0.00
0.00
0.00
0.00
0.00
0.00
1.53
1.04
0.00
0.00
1.02
0.00
0.00
1.32
0.00
0.00
0.00
0.00
1.02
0.00
0.00
0.44
0.00
0.00
0.00
0.00
0.00
0.52
0.00
0.00
0.00
0.00
Number of
Procedures
0
3
0
1
0
4
2
0
0
0
4
1
0
0
0
0
0
4
4
11
0
2
2
2
0
3
6
1
0
1
2
0
0
0
1
0
0
2
0
1
0
2
2
0
0
0
0
0
0
0
0
0
0
1
2
0
0
2
3
1
Procedures /
1,000 Member
Months
NA
0.85
0.00
0.12
NA
1.13
0.37
0.00
NA
0.00
0.74
0.12
NA
0.00
0.00
0.00
NA
1.13
0.74
1.34
NA
0.56
0.37
0.24
NA
0.85
1.12
0.12
NA
0.28
0.37
0.00
NA
0.00
0.19
0.00
NA
0.56
0.00
0.12
NA
0.56
0.37
0.00
NA
0.00
0.00
0.00
NA
0.00
0.00
0.00
NA
0.28
0.37
0.00
NA
0.56
0.56
0.12
Page 79
Use of Services
South Country Health Alliance (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
Member Months
Male
Female
Age
< 65
65-74
75-84
85+
Male
Number of
Procedures
Female
Procedures /
1,000 Member
Months
Number of
Procedures
Procedures /
1,000 Member
Months
Procedure
Age
CABG
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Angioplasty
(PTCA)
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Cardiac
Catheterization
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Carotid
Endarterectomy
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Reduction of
Fracture of Femur
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Total Hip
Replacement
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Total Knee
Replacement
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Partial Excision of
Large Inestine
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Cholecystectomy,
Open
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Cholecystectomy,
Closed
(laparoscopic)
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Back Surgery
<65
65-74
75-84
85+
NR
NR
NR
NR
NR
NR
NR
NR
Hysterectomy
Abdominal
<65
65-74
75-84
85+
NR
NR
NR
NR
Hysterectomy,
Vaginal
<65
65-74
75-84
85+
NR
NR
NR
NR
Mastectomy
<65
65-74
75-84
85+
NR
NR
NR
NR
Lumpectomy
<65
65-74
75-84
85+
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
Page 80
Use of Services
South Country Health Alliance (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Member Months
Age
Male
4027
23
0
0
< 65
65-74
75-84
85+
Female
4591
60
0
0
Male
Procedure
Age
CABG
<65
65-74
75-84
85+
Angioplasty
(PTCA)
<65
65-74
75-84
85+
Cardiac
Catheterization
<65
65-74
75-84
85+
Carotid
Endarterectomy
<65
65-74
75-84
85+
Reduction of
Fracture of Femur
<65
65-74
75-84
85+
Total Hip
Replacement
<65
65-74
75-84
85+
Total Knee
Replacement
<65
65-74
75-84
85+
Partial Excision of
Large Inestine
<65
65-74
75-84
85+
Cholecystectomy,
Open
<65
65-74
75-84
85+
Cholecystectomy,
Closed
(laparoscopic)
<65
65-74
75-84
85+
Back Surgery
<65
65-74
75-84
85+
Hysterectomy
Abdominal
<65
65-74
75-84
85+
Hysterectomy,
Vaginal
<65
65-74
75-84
85+
Mastectomy
<65
65-74
75-84
85+
Lumpectomy
<65
65-74
75-84
85+
HEDIS 2009 (Reporting Year 2008)
Number of
Procedures
0
0
0
0
1
0
0
0
3
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
Female
Procedures /
1,000 Member
Months
0.00
0.00
NA
NA
0.25
0.00
NA
NA
0.74
0.00
NA
NA
0.00
0.00
NA
NA
0.50
0.00
NA
NA
0.00
0.00
NA
NA
0.25
0.00
NA
NA
0.00
0.00
NA
NA
0.25
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
Number of
Procedures
0
0
0
0
3
0
0
0
7
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
1
0
0
0
1
0
0
0
0
0
0
0
3
0
0
0
2
0
0
0
Procedures /
1,000 Member
Months
0.00
0.00
NA
NA
0.65
0.00
NA
NA
1.52
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.44
0.00
NA
NA
0.44
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.44
0.00
NA
NA
0.22
0.00
NA
NA
0.22
0.00
NA
NA
0.00
0.00
NA
NA
0.65
0.00
NA
NA
0.44
0.00
NA
NA
Page 81
Use of Services
South Country Health Alliance (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC
Member Months
Total
Age
72381
0-4
117606
0-9
107885
5-19
62660
10-19
Total
Number of
Procedures
Procedure
Myringotomy
Age
Tonsillectomy
0-9
10-19
Procedures /
1,000 Member
Months
390
87
137
40
0-4
5-19
5.39
0.81
1.16
0.64
Member Months
Age
15-44
20-44
30-64
45-64
Male
22780
22002
9004
Female
76481
61234
9835
Male
Procedure
Age
Dilation & Curettage 15-44
45-64
Hysterectomy,
15-44
Abdominal
45-64
Number of
Procedures
Hysterectomy,
Vaginal
15-44
45-64
Cholecystectomy,
Open
30-64
15-44
45-64
0
Cholecystectomy,
Closed
30-64
15-44
45-64
20-44
45-64
11
Back Surgery
Mastectomy
15-44
45-64
Lumpectomy
15-44
45-64
HEDIS 2009 (Reporting Year 2008)
21
7
Female
Procedures /
1,000 Member
Months
Number of
Procedures
Procedures /
1,000 Member
Months
11
0
16
3
33
11
0.14
0.00
1
1
0.01
0.10
92
10
23
12
3
1
16
2
1.20
1.02
0.21
0.31
0.43
1.12
0.00
0.50
0.92
0.78
0.38
1.22
0.04
0.10
0.21
0.20
Page 82
Use of Services
South Country Health Alliance (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
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
Visits/ 1,000
Member
Months
NR
NR
Emergency Room Visits
Visits
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
NR
Visits/ 1,000
Member
Months
NR
NR
Ambulatory
Surgery/Procedures
Procedures
NR
NR
NR
NR
NR
NR
NR
NR
Procedures/
1,000 Member
Months
NR
NR
Observation Room Stays
Resulting in Discharge
Stays
NR
NR
NR
NR
NR
NR
NR
NR
Stays/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 83
Use of Services
South Country Health Alliance (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
NR
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2009 (Reporting Year 2008)
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 84
Use of Services
South Country Health Alliance (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
0
0
1
5808
7336
10167
0
23312
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
0
4582
6093
6776
0
17451
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
788.91
830.56
666.47
748.58
Emergency Room Visits
Visits
0
0
0
0
0
308
314
382
0
1004
Visits/ 1,000
Member
Months
NA
NA
NA
NA
0.00
53.03
42.80
37.57
43.07
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
208
286
161
0
655
Procedures/
1,000 Member
Months
NA
NA
NA
NA
0.00
35.81
38.99
15.84
28.10
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
6
6
10
0
22
Stays/ 1,000
Member
Months
NA
NA
NA
NA
0.00
1.03
0.82
0.98
0.94
Page 85
Use of Services
South Country Health Alliance (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
NR
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 2009 (Reporting Year 2008)
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 86
Use of Services
South Country Health Alliance (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
15
3138
5465
83
0
0
0
8701
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
6
1912
4101
21
0
0
0
6040
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
NA
NA
400.00
609.31
750.41
253.01
NA
NA
694.17
Emergency Room Visits
Visits
0
0
1
253
330
3
0
0
0
587
Visits/ 1,000
Member
Months
NA
NA
66.67
80.62
60.38
36.14
NA
NA
67.46
Ambulatory
Surgery/Procedures
Procedures
0
0
0
47
161
1
0
0
0
209
Procedures/
1,000 Member
Months
NA
NA
0.00
14.98
29.46
12.05
NA
NA
24.02
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
7
3
0
0
0
0
10
Stays/ 1,000
Member
Months
NA
NA
0.00
2.23
0.55
0.00
NA
NA
1.15
Page 87
Use of Services
South Country Health Alliance (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
21109
96497
62660
84014
18839
4140
2794
3192
0
293245
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
16646
33303
18507
47625
10843
2934
1703
1600
0
133161
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
788.57
345.12
295.36
566.87
575.56
708.70
609.52
501.25
454.09
Emergency Room Visits
Visits
1942
4863
2446
7067
980
242
154
122
0
17816
Visits/ 1,000
Member
Months
92.00
50.40
39.04
84.12
52.02
58.45
55.12
38.22
60.75
Ambulatory
Surgery/Procedures
Procedures
355
940
508
2363
662
166
66
51
0
5111
Procedures/
1,000 Member
Months
16.82
9.74
8.11
28.13
35.14
40.10
23.62
15.98
17.43
Observation Room Stays
Resulting in Discharge
Stays
80
70
181
711
23
7
6
2
0
1080
Stays/ 1,000
Member
Months
3.79
0.73
2.89
8.46
1.22
1.69
2.15
0.63
3.68
Page 88
Use of Services
South Country Health Alliance (CBP)
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 10, 2011 10:11 AM
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 89
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 10, 2011 10:11 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 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 90
Use of Services
South Country Health Alliance (CBP)
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 10, 2011 10:11 AM
Member Months
0
0
0
0
1
5808
7336
10167
0
23312
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
235
320
364
0
919
NA
NA
NA
NA
0.00
40.46
43.62
35.80
0
0
0
0
0
209
298
346
0
853
NA
NA
NA
NA
0.00
35.98
40.62
34.03
0
0
0
0
0
25
13
12
0
50
NA
NA
NA
NA
0.00
4.30
1.77
1.18
0
0
0
0
0
NA
NA
0.00
HEDIS 2009 (Reporting Year 2008)
39.42
36.59
2.14
0.00
Days
Days / 1,000
Member
Months
0
0
0
0
0
1066
1357
1423
0
3846
NA
NA
NA
NA
0.00
183.54
184.98
139.96
0
0
0
0
0
899
1218
1356
0
3473
NA
NA
NA
NA
0.00
154.79
166.03
133.37
0
0
0
0
0
156
95
47
0
298
NA
NA
NA
NA
0.00
26.86
12.95
4.62
0
0
0
0
0
NA
NA
0.00
164.98
148.98
12.78
0.00
Average
Length of Stay
NA
NA
NA
NA
NA
4.54
4.24
3.91
NA
4.18
NA
NA
NA
NA
NA
4.30
4.09
3.92
NA
4.07
NA
NA
NA
NA
NA
6.24
7.31
3.92
NA
5.96
NA
NA
NA
NA
NA
Page 91
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - General Hospital/Acute Care
MnDHO
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 10, 2011 10:11 AM
Member Months
NR
Discharges
Discharges /
1,000 Member
Months
Days
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 92
Use of Services
South Country Health Alliance (CBP)
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 10, 2011 10:11 AM
Member Months
0
0
15
3138
5465
83
0
0
0
8701
Discharges
Discharges /
1,000 Member
Months
0
0
0
45
143
1
0
0
0
189
NA
NA
0.00
14.34
26.17
12.05
NA
NA
0
0
0
37
128
1
0
0
0
166
NA
NA
0.00
11.79
23.42
12.05
NA
NA
0
0
0
3
14
0
0
0
0
17
NA
NA
0.00
0.96
2.56
0.00
NA
NA
0
5
0
0
5
0.00
1.59
0.00
HEDIS 2009 (Reporting Year 2008)
21.72
19.08
1.95
0.58
Days
Days / 1,000
Member
Months
0
0
0
186
676
4
0
0
0
866
NA
NA
0.00
59.27
123.70
48.19
NA
NA
0
0
0
167
602
4
0
0
0
773
NA
NA
0.00
53.22
110.16
48.19
NA
NA
0
0
0
3
73
0
0
0
0
76
NA
NA
0.00
0.96
13.36
0.00
NA
NA
0
16
0
0
16
0.00
5.10
0.00
99.53
88.84
8.73
1.86
Average
Length of Stay
NA
NA
NA
4.13
4.73
4.00
NA
NA
NA
4.58
NA
NA
NA
4.51
4.70
4.00
NA
NA
NA
4.66
NA
NA
NA
1.00
5.21
NA
NA
NA
NA
4.47
NA
3.20
NA
NA
3.20
Page 93
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
21109
1-9
96497
10-19
62660
20-44
84014
45-64
18839
65-74
4140
75-84
2794
85+
3192
Unknown
0
Total
293245
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
215
191
369
1995
270
145
112
89
0
3386
10.19
1.98
5.89
23.75
14.33
35.02
40.09
27.88
190
174
86
366
183
131
105
79
0
1314
9.00
1.80
1.37
4.36
9.71
31.64
37.58
24.75
11
17
36
165
85
12
7
5
0
338
0.52
0.18
0.57
1.96
4.51
2.90
2.51
1.57
247
1462
2
0
1711
3.94
17.40
0.11
HEDIS 2009 (Reporting Year 2008)
11.55
4.48
1.15
10.34
Days
Days / 1,000
Member
Months
1151
423
868
4674
965
687
476
337
0
9581
54.53
4.38
13.85
55.63
51.22
165.94
170.37
105.58
844
360
212
894
633
603
448
310
0
4304
39.98
3.73
3.38
10.64
33.60
145.65
160.34
97.12
221
63
71
462
318
77
28
8
0
1248
10.47
0.65
1.13
5.50
16.88
18.60
10.02
2.51
585
3312
14
0
3911
9.34
39.42
0.74
32.67
14.68
4.26
23.63
Average
Length of Stay
5.35
2.21
2.35
2.34
3.57
4.74
4.25
3.79
NA
2.83
4.44
2.07
2.47
2.44
3.46
4.60
4.27
3.92
NA
3.28
20.09
3.71
1.97
2.80
3.74
6.42
4.00
1.60
NA
3.69
2.37
2.27
7.00
NA
2.29
Page 94
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
NR
Discharges
NR
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Average Length
of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 95
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
NR
Discharges
NR
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Average Length
of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 96
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
0
0
1
5808
7336
10167
0
23312
Discharges
0
0
0
0
0
101
244
440
0
785
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NA
NA
NA
NA
0.00
17.39
33.26
43.28
33.67
Days
0
0
0
0
0
2156
6638
12171
0
20965
Days / 1,000
Member
Months
NA
NA
NA
NA
0.00
371.21
904.85
1197.11
899.32
Average Length
of Stay
NA
NA
NA
NA
NA
21.35
27.20
27.66
NA
26.71
Page 97
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
NR
Discharges
NR
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Days
NR
Days / 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
Average Length
of Stay
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 98
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
15
3138
5465
83
0
0
0
8701
Discharges
0
0
0
4
28
1
0
0
0
33
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NA
NA
0.00
1.27
5.12
12.05
NA
NA
3.79
Days
0
0
0
77
650
21
0
0
0
748
Days / 1,000
Member
Months
NA
NA
0.00
24.54
118.94
253.01
NA
NA
85.97
Average Length
of Stay
NA
NA
NA
19.25
23.21
21.00
NA
NA
NA
22.67
Page 99
Use of Services
South Country Health Alliance (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
21109
96497
62660
84014
18839
4140
2794
3192
0
293245
Discharges
0
0
1
2
2
23
30
24
0
82
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
0.00
0.00
0.02
0.02
0.11
5.56
10.74
7.52
0.28
Days
0
0
1
21
9
585
1290
1026
0
2932
Days / 1,000
Member
Months
0.00
0.00
0.02
0.25
0.48
141.30
461.70
321.43
10.00
Average Length
of Stay
NA
NA
1.00
10.50
4.50
25.43
43.00
42.75
NA
35.76
Page 100
Use of Services
South Country Health Alliance (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
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 2009 (Reporting Year 2008)
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 101
Use of Services
South Country Health Alliance (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 102
Use of Services
South Country Health Alliance (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
1
6159
0
6160
Female
0
0
0
0
0
17152
0
17152
Total
0
0
0
0
1
23311
0
23312
Any Services
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
10
17
27
0
0
0
10
17
27
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
0
1
6159
0
6160
Female
0
0
0
0
0
17152
0
17152
Total
0
0
0
0
1
23311
0
23312
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
1.95%
1.19%
1.39%
NA
NA
NA
1.95%
1.19%
1.39%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
13
18
0
0
0
5
13
18
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.97%
0.91%
0.93%
NA
NA
NA
0.97%
0.91%
0.93%
Male
0
0
0
0
1
6159
0
6160
Female
0
0
0
0
0
17152
0
17152
Total
0
0
0
0
1
23311
0
23312
Member Months
(Outpatient/ED)
Male
0
0
0
0
1
6159
0
6160
Female
0
0
0
0
0
17152
0
17152
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
6
12
0
0
0
6
6
12
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Total
0
0
0
0
1
23311
0
23312
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
1.17%
0.42%
0.62%
NA
NA
NA
1.17%
0.42%
0.62%
Page 103
Use of Services
South Country Health Alliance (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
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 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 104
Use of Services
South Country Health Alliance (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
151
487
3389
23
0
4050
Female
0
0
151
660
3780
60
0
4651
Total
0
0
302
1147
7169
83
0
8701
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
2
2
4
5
5
10
26
26
52
0
0
0
0
0
0
33
33
66
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
151
487
3389
23
0
4050
Female
0
0
151
660
3780
60
0
4651
Total
0
0
302
1147
7169
83
0
8701
Inpatient
Percent
NA
NA
NA
NA
NA
NA
15.89%
15.89%
15.89%
12.32%
9.09%
10.46%
9.21%
8.25%
8.70%
0.00%
0.00%
0.00%
NA
NA
NA
9.78%
8.51%
9.10%
Number
0
0
0
0
0
0
0
0
0
3
3
6
8
10
18
0
0
0
0
0
0
11
13
24
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
7.39%
5.45%
6.28%
2.83%
3.17%
3.01%
0.00%
0.00%
0.00%
NA
NA
NA
3.26%
3.35%
3.31%
Male
0
0
151
487
3389
23
0
4050
Female
0
0
151
660
3780
60
0
4651
Total
0
0
302
1147
7169
83
0
8701
Member Months
(Outpatient/ED)
Male
0
0
151
487
3389
23
0
4050
Female
0
0
151
660
3780
60
0
4651
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
2
2
0
0
0
0
0
0
0
0
0
0
2
2
Number
0
0
0
0
0
0
2
2
4
4
4
8
22
22
44
0
0
0
0
0
0
28
28
56
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
3.64%
2.09%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.52%
0.28%
Total
0
0
302
1147
7169
83
0
8701
Percent
NA
NA
NA
NA
NA
NA
15.89%
15.89%
15.89%
9.86%
7.27%
8.37%
7.79%
6.98%
7.37%
0.00%
0.00%
0.00%
NA
NA
NA
8.30%
7.22%
7.72%
Page 105
Use of Services
South Country Health Alliance (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
71333
15595
8299
9717
17460
3232
0
125636
Female
68255
15468
24486
28152
24354
6894
0
167609
Total
139588
31063
32785
37869
41814
10126
0
293245
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
1
0
1
74
43
117
133
157
290
174
226
400
289
231
520
16
10
26
0
0
0
687
667
1354
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
71333
15595
8299
9717
17460
3232
0
125636
Female
68255
15468
24486
28152
24354
6894
0
167609
Total
139588
31063
32785
37869
41814
10126
0
293245
Inpatient
Percent
0.02%
0.00%
0.01%
5.69%
3.34%
4.52%
19.23%
7.69%
10.61%
21.49%
9.63%
12.68%
19.86%
11.38%
14.92%
5.94%
1.74%
3.08%
NA
NA
NA
6.56%
4.78%
5.54%
Number
0
0
0
21
16
37
28
51
79
28
60
88
96
58
154
5
7
12
0
0
0
178
192
370
Percent
0.00%
0.00%
0.00%
1.62%
1.24%
1.43%
4.05%
2.50%
2.89%
3.46%
2.56%
2.79%
6.60%
2.86%
4.42%
1.86%
1.22%
1.42%
NA
NA
NA
1.70%
1.37%
1.51%
Male
71333
15595
8299
9717
17460
3232
0
125636
Female
68255
15468
24486
28152
24354
6894
0
167609
Total
139588
31063
32785
37869
41814
10126
0
293245
Member Months
(Outpatient/ED)
Male
71333
15595
8299
9717
17460
3232
0
125636
Female
68255
15468
24486
28152
24354
6894
0
167609
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
3
0
3
3
1
4
6
4
10
5
4
9
0
0
0
0
0
0
17
9
26
Number
1
0
1
66
39
105
120
131
251
167
206
373
252
215
467
11
4
15
0
0
0
617
595
1212
Percent
0.00%
0.00%
0.00%
0.23%
0.00%
0.12%
0.43%
0.05%
0.15%
0.74%
0.17%
0.32%
0.34%
0.20%
0.26%
0.00%
0.00%
0.00%
NA
NA
NA
0.16%
0.06%
0.11%
Total
139588
31063
32785
37869
41814
10126
0
293245
Percent
0.02%
0.00%
0.01%
5.08%
3.03%
4.06%
17.35%
6.42%
9.19%
20.62%
8.78%
11.82%
17.32%
10.59%
13.40%
4.08%
0.70%
1.78%
NA
NA
NA
5.89%
4.26%
4.96%
Page 106
Use of Services
South Country Health Alliance (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Member Months
(Any)
Age
Male
Female
0-12
13-17
18-64
65+
Unknown
Total
NR
NR
Total
NR
NR
NR
NR
NR
NR
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
M
Total
F
Total
Age
Number
0-12
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 107
Use of Services
South Country Health Alliance (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:11 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
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
Number
0-12
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 108
Use of Services
South Country Health Alliance (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
1
6159
0
6160
Female
0
0
0
17152
0
17152
Total
0
0
1
23311
0
23312
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
70
149
219
0
0
0
70
149
219
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
1
6159
0
6160
Female
0
0
0
17152
0
17152
Total
0
0
1
23311
0
23312
Number
0
0
0
0
0
0
0
0
0
27
63
90
0
0
0
27
63
90
Female
0
0
0
17152
0
17152
Total
0
0
1
23311
0
23312
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
13.64%
10.42%
11.27%
NA
NA
NA
13.64%
10.42%
11.27%
Male
0
0
1
6159
0
6160
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
5.26%
4.41%
4.63%
NA
NA
NA
5.26%
4.41%
4.63%
Number
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
1
1
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
0.00%
0.07%
0.05%
NA
NA
NA
0.00%
0.07%
0.05%
Member Months
(Outpatient/ED)
Male
0
0
1
6159
0
6160
Female
0
0
0
17152
0
17152
Total
0
0
1
23311
0
23312
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
56
99
155
0
0
0
56
99
155
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
10.91%
6.93%
7.98%
NA
NA
NA
10.91%
6.93%
7.98%
Page 109
Use of Services
South Country Health Alliance (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
Member Months
(Any)
Age
Male
Female
0-12
13-17
18-64
65+
Unknown
Total
NR
NR
Total
NR
NR
NR
NR
NR
NR
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
Number
0-12
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Member Months
(Outpatient/ED)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Outpatient/ED
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 110
Use of Services
South Country Health Alliance (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
4027
23
0
4050
Female
0
0
4591
60
0
4651
Total
0
0
8618
83
0
8701
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
179
234
413
0
1
1
0
0
0
179
235
414
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
4027
23
0
4050
Female
0
0
4591
60
0
4651
Total
0
0
8618
83
0
8701
Number
0
0
0
0
0
0
13
33
46
0
0
0
0
0
0
13
33
46
Female
0
0
4591
60
0
4651
Total
0
0
8618
83
0
8701
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
53.34%
61.16%
57.51%
0.00%
20.00%
14.46%
NA
NA
NA
53.04%
60.63%
57.10%
Male
0
0
4027
23
0
4050
Percent
NA
NA
NA
NA
NA
NA
3.87%
8.63%
6.41%
0.00%
0.00%
0.00%
NA
NA
NA
3.85%
8.51%
6.34%
Number
0
0
0
0
0
0
8
16
24
0
0
0
0
0
0
8
16
24
Percent
NA
NA
NA
NA
NA
NA
2.38%
4.18%
3.34%
0.00%
0.00%
0.00%
NA
NA
NA
2.37%
4.13%
3.31%
Member Months
(Outpatient/ED)
Male
0
0
4027
23
0
4050
Female
0
0
4591
60
0
4651
Total
0
0
8618
83
0
8701
Outpatient/ED
Number
0
0
0
0
0
0
177
234
411
0
1
1
0
0
0
177
235
412
Percent
NA
NA
NA
NA
NA
NA
52.74%
61.16%
57.23%
0.00%
20.00%
14.46%
NA
NA
NA
52.44%
60.63%
56.82%
Page 111
Use of Services
South Country Health Alliance (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
71333
15595
35476
3232
0
125636
Female
68255
15468
76992
6894
0
167609
Total
139588
31063
112468
10126
0
293245
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
791
506
1297
323
379
702
761
1750
2511
32
64
96
0
0
0
1907
2699
4606
HEDIS 2009 (Reporting Year 2008)
Male
71333
15595
35476
3232
0
125636
Female
68255
15468
76992
6894
0
167609
Total
139588
31063
112468
10126
0
293245
Percent
13.31%
8.90%
11.15%
24.85%
29.40%
27.12%
25.74%
27.28%
26.79%
11.88%
11.14%
11.38%
NA
NA
NA
18.21%
19.32%
18.85%
Number
18
6
24
13
20
33
68
104
172
4
9
13
0
0
0
103
139
242
Male
71333
15595
35476
3232
0
125636
Female
68255
15468
76992
6894
0
167609
Total
139588
31063
112468
10126
0
293245
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.30%
0.11%
0.21%
1.00%
1.55%
1.27%
2.30%
1.62%
1.84%
1.49%
1.57%
1.54%
NA
NA
NA
0.98%
1.00%
0.99%
Number
3
0
3
4
2
6
12
32
44
0
0
0
0
0
0
19
34
53
Percent
0.05%
0.00%
0.03%
0.31%
0.16%
0.23%
0.41%
0.50%
0.47%
0.00%
0.00%
0.00%
NA
NA
NA
0.18%
0.24%
0.22%
Member Months
(Outpatient/ED)
Male
71333
15595
35476
3232
0
125636
Female
68255
15468
76992
6894
0
167609
Total
139588
31063
112468
10126
0
293245
Outpatient/ED
Number
788
506
1294
320
377
697
746
1735
2481
29
59
88
0
0
0
1883
2677
4560
Percent
13.26%
8.90%
11.12%
24.62%
29.25%
26.93%
25.23%
27.04%
26.47%
10.77%
10.27%
10.43%
NA
NA
NA
17.99%
19.17%
18.66%
Page 112
Use of Services
South Country Health Alliance (CBP)
Outpatient Drug Utilization
Commercial
Age
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Member Months
NR
Age
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Avg. Cost of
Prescriptions /
Per Member Per
Month
Total Number of
Prescriptions
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 113
Use of Services
South Country Health Alliance (CBP)
Outpatient Drug Utilization
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Age
Member Months
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
NR
Age
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Avg. Cost of
Prescriptions /
Per Member Per
Month
Total Number of
Prescriptions
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 114
Use of Services
South Country Health Alliance (CBP)
Outpatient Drug Utilization
MSHO
Age
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Member Months
0
0
0
0
1
5808
7336
10167
0
23312
Age
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
$0.00
$0.00
$0.00
$0.00
$67.00
$1,782,154.00
$2,058,195.00
$2,287,453.00
$0.00
$6,127,869.00
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
NA
NA
$67.00
$306.84
$280.56
$224.99
$262.86
Total Number of
Prescriptions
0
0
0
0
1
44134
63323
91271
0
198729
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
NA
NA
12.00
91.19
103.58
107.73
102.30
Page 115
Use of Services
South Country Health Alliance (CBP)
Outpatient Drug Utilization
MnDHO
Age
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Member Months
NR
Age
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Avg. Cost of
Prescriptions /
Per Member Per
Month
Total Number of
Prescriptions
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 116
Use of Services
South Country Health Alliance (CBP)
Outpatient Drug Utilization
SNBC
Age
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Age
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Member Months
0
0
1449
3200
3969
83
0
0
0
8701
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
$0.00
$0.00
$488,472.00
$1,925,516.00
$1,758,159.00
$33,404.00
$0.00
$0.00
$0.00
$4,205,551.00
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
$337.11
$601.72
$442.97
$402.46
NA
NA
$483.34
Total Number of
Prescriptions
0
0
6043
20031
28833
597
0
0
0
55504
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
50.05
75.12
87.17
86.31
NA
NA
76.55
Page 117
Use of Services
South Country Health Alliance (CBP)
Outpatient Drug Utilization
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
0-9
117606
10-17
53045
18-34
70654
35-49
31750
50-64
10064
65-74
4140
75-84
2794
85+
3192
Unknown
0
Total
Age
293245
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
$2,022,566.00
$1,918,690.00
$4,329,711.00
$4,207,106.00
$1,591,248.00
$2,946.00
$399.00
$1,768.00
$0.00
$14,074,434.00
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$17.20
$36.17
$61.28
$132.51
$158.11
$0.71
$0.14
$0.55
$48.00
Total Number of
Prescriptions
42606
27534
90027
70473
33381
78
20
49
0
264168
Avg. Num. Of
Prescriptions /
Per Member Per
Year
4.35
6.23
15.29
26.64
39.80
0.23
0.09
0.18
10.81
Page 118
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Board Certification
MSHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2009 (Reporting Year 2008)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
2146
2413
156
4922
1819
2129
121
4337
84.76%
88.23%
77.56%
88.11%
Page 119
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Board Certification
MnDHO
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2009 (Reporting Year 2008)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
1578
1377
93
3164
1344
1226
73
2770
85.17%
89.03%
78.49%
87.55%
Page 120
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Board Certification
SNBC
Type of Physician
Family Medicine
Internal Medicine
Geriatricians
Other practitioner Specialists
HEDIS 2009 (Reporting Year 2008)
Number of Physicians in Active Board Certification
Each Practice Area
Percent
Number
2267
2424
160
4955
1928
2137
124
4369
85.05%
88.16%
77.50%
88.17%
Page 121
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
Page 122
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:11 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 2009 (Reporting Year 2008)
Page 123
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
1
0
0.00%
0
0
0
0
0
0.00%
1
0.02%
1010
1255
1071
894
1059
870
0
0.00%
1471
2072
2098
3273
3741
4497
1
0.00%
6159
99.98%
0
17152
100.00%
0
23311
100.00%
6160
17152
HEDIS 2009 (Reporting Year 2008)
0
0
0
0
0
0
0
0
1
2481
3327
3169
4167
4800
5367
0
23312
Page 124
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
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 2009 (Reporting Year 2008)
Page 125
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
15
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
15
15
0.37%
136
253
234
412
437
0
0.00%
151
308
352
307
548
15
0.17%
1472
36.35%
709
753
504
574
1666
35.82%
787
861
550
727
3138
36.06%
2540
62.72%
23
0
0
0
0
0
2925
62.89%
59
1
0
0
0
0
5465
62.81%
23
0.57%
0
60
1.29%
0
83
0.95%
4050
4651
HEDIS 2009 (Reporting Year 2008)
287
561
586
719
985
1496
1614
1054
1301
82
1
0
0
0
0
0
8701
Page 126
Health Plan Descriptive Information
South Country Health Alliance (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
10653
26572
23226
17592
8885
3692
Member Months
Female
10456
24700
21999
17244
9324
5923
Total
21109
51272
45225
34836
18209
9615
90620
72.13%
4607
5175
4542
4627
3829
89646
53.49%
18563
16510
11642
8395
6124
180266
61.47%
22780
18.13%
3980
2658
1673
693
61234
36.53%
4795
2577
1528
935
84014
28.65%
9004
7.17%
1188
526
395
549
375
199
9835
5.87%
1623
803
672
1178
1270
1348
18839
6.42%
3232
2.57%
0
6894
4.11%
0
10126
3.45%
125636
167609
HEDIS 2009 (Reporting Year 2008)
23170
21685
16184
13022
9953
8775
5235
3201
1628
2811
1329
1067
1727
1645
1547
0
293245
Page 127
Health Plan Stability
South Country Health Alliance (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Commercial
Product/Product Line
Years in Business
Members*
NR
NR
NR
NR
NR
NR
NR
HMO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total HMO:
PPO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total PPO:
POS
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 128
Health Plan Stability
South Country Health Alliance (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Medicare Advantage
Product/Product Line
Years in Business
Members*
NR
NR
NR
NR
NR
NR
NR
HMO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total HMO:
PPO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total PPO:
POS
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 129
Health Plan Stability
South Country Health Alliance (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MSHO
Product/Product Line
Years in Business
Members*
3.33
0.00
0.00
0.00
3.33
1929
0
0
0
1929
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
1929
HMO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total HMO:
PPO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total PPO:
POS
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 130
Health Plan Stability
South Country Health Alliance (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:11 AM
MnDHO
Product/Product Line
Years in Business
Members*
NR
NR
NR
NR
NR
NR
NR
HMO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total HMO:
PPO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total PPO:
POS
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 131
Health Plan Stability
South Country Health Alliance (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:11 AM
SNBC
Product/Product Line
Years in Business
Members*
3.00
0.00
0.00
3.00
757
0
0
0
757
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
HMO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total HMO:
PPO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total PPO:
POS
MHCP_MC
0.00
0
Commercial
0.00
0
Medicare (cost or risk)
0.00
0
Other
0.00
0
Total POS:
0.00
0
Total:
757
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 132
Health Plan Stability
South Country Health Alliance (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:11 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Product/Product Line
Years in Business
Members*
7.16
0.00
0.00
0.00
7.16
25163
0
0
0
25163
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
HMO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total HMO:
PPO
MHCP_MC
Commercial
Medicare (cost or risk)
Other
Total PPO:
POS
MHCP_MC
0.00
0
Commercial
0.00
0
Medicare (cost or risk)
0.00
0
Other
0.00
0
Total POS:
0.00
0
Total:
25163
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 133