PrimeWest Health System (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
PrimeWest Health System (CBP)
Childhood Immunization Status
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Childhood Immunization Status
Data Last Refreshed:
Jan 10, 2011 10:06 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
205
78.54%
228
87.36%
238
91.19%
245
93.87%
226
86.59%
236
90.42%
221
84.67%
183
70.11%
176
67.43%
205
78.54%
228
87.36%
238
91.19%
245
93.87%
226
86.59%
236
90.42%
221
84.67%
183
70.11%
176
67.43%
205
23
87.36%
83.13%
91.58%
228
20
95.02%
92.19%
97.85%
238
7
93.87%
90.77%
96.97%
245
12
98.47%
96.79%
100.00%
226
22
95.02%
92.19%
97.85%
236
7
93.10%
89.84%
96.37%
221
12
89.27%
85.33%
93.22%
183
40
85.44%
80.97%
89.91%
176
40
82.76%
77.98%
87.53%
261
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
261
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
261
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
261
Page 4
Effectiveness of Care
PrimeWest Health System (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 10:06 AM
Commercial
NR
NR
NR
Medicare
Advantage
NR
NR
NR
MSHO
2008
A
74
49
66.22%
54.76%
77.67%
MnDHO
SNBC
MHCP-MC
NR
NR
NR
2008
A
1
1
NA
NA
NA
2008
A
115
70
60.87%
51.51%
70.22%
Page 5
Effectiveness of Care
PrimeWest Health System (CBP)
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
942
Numerator Events by Admin Data on Eligible
Population (before exclusions)
679
Current Year's Admin Rate
NR
Records Excluded because of Valid Data Errors
72.08%
411
5.00%
432
317
73.38%
0
Number of administrative data records excluded
0
Number of medical record data records excluded
4
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
428
317
32
81.54%
77.75%
85.33%
Page 6
Effectiveness of Care
PrimeWest Health System (CBP)
Colorectal Cancer Screening
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
MnDHO
SNBC
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
2008
H
553
2008
H
3
Number of numerator events by administrative data in eligible population
(before exclusions)
163
2
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)
29.48%
411
0.05
432
135
31.25%
0
1
0
0
0
431
135
69
47.33%
42.50%
52.16%
NR
NR
NR
NR
NR
66.67%
3
0.05
3
2
66.67%
0
0
0
0
0
3
2
0
NA
NA
NA
Page 7
Effectiveness of Care
PrimeWest Health System (CBP)
Chlamydia Screening in Women
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Chlamydia Screening in Women
Data Last Refreshed:
Jan 10, 2011 10:06 AM
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
154
166
Numerator Events by Admin Data
59
80
Reported Rate
38.31%
48.19%
Lower 95% Confidence Interval
30.31%
40.29%
Upper 95% Confidence Interval
46.31%
56.10%
HEDIS 2009 (Reporting Year 2008)
Total
320
139
43.44%
37.85%
49.02%
Page 9
Effectiveness of Care
PrimeWest Health System (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 10:06 AM
Medicare
Advantage
NR
NR
NR
MSHO
2008
A
1403
1065
75.91%
73.64%
78.18%
Page 10
Effectiveness of Care
PrimeWest Health System (CBP)
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Lead Screening in Children
Data Elements
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
261
Numerator Events by Admin Data on Eligible
Population (before exclusions)
183
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
70.11%
NR
261
5.00%
261
183
70.11%
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
261
183
14
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
NR
75.48%
Lower 95% Confidence Interval
NR
70.07%
Upper 95% Confidence Interval
NR
80.89%
HEDIS 2009 (Reporting Year 2008)
Page 11
Effectiveness of Care
PrimeWest Health System (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
583
151
74.10%
70.46%
77.74%
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Page 12
Effectiveness of Care
PrimeWest Health System (CBP)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 10:06 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
23
54.76%
38.52%
71.01%
34
80.95%
67.89%
94.02%
2008
A
42
24
22
Page 14
Effectiveness of Care
PrimeWest Health System (CBP)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 10:06 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
1
NA
NA
NA
1
NA
NA
NA
2008
A
2
0
2
Page 16
Effectiveness of Care
PrimeWest Health System (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
52
3
5.77%
0.00%
13.07%
Data Last Refreshed:
Jan 10, 2011 10:06 AM
MnDHO
SNBC
NR
NR
NR
2008
A
0
0
NA
NA
NA
Page 17
Effectiveness of Care
PrimeWest Health System (CBP)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 10, 2011 10:06 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
22
22
NA
NA
NA
30
29
96.67%
88.58%
100.00%
30
26
86.67%
72.84%
100.00%
82
77
93.90%
88.11%
99.69%
2008
A
Page 19
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:06 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
25
0
83.33%
0.00%
24
0
80.00%
0.00%
24
0
0
12
NA
NA
NA
NA
NA
NA
2008
H
30
30
5.00%
30
1
0
0
29
Page 22
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:06 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
A
0
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
0
0
NA
NA
NA
NA
NA
NA
Page 24
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Measure
Data
2008
H
10
LDL-C
screening
LDL-C Level of
<100 mg/dL
8
0
80.00%
0.00%
8
0
80.00%
0.00%
8
0
0
6
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
10
5.00%
10
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
10
HEDIS 2009 (Reporting Year 2008)
Page 25
Effectiveness of Care
PrimeWest Health System (CBP)
Controlling High Blood Pressure
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Data Elements
Commercial
Medicare
Advantage
MSHO
MnDHO
SNBC
MHCP-MC
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2008
H
345
2008
H
5
2008
H
115
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0.00%
5
5.00%
5
0.00%
110
5.00%
110
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%
231
5.00%
231
0
0.00%
NR
NR
Records Excluded because of Valid Data
Errors
0
0
0
Number of records excluded because of
false positive diagnoses
2
0
1
Number of administrative data records
excluded
1
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
228
0
135
59.21%
52.61%
65.81%
0
5
0
3
NA
NA
NA
0
109
0
56
51.38%
41.53%
61.22%
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 26
Effectiveness of Care
PrimeWest Health System (CBP)
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Commercial
Data Last Refreshed:
Jan 10, 2011 10:06 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
10
2008
A
0
2008
A
2
10
0
1
NR
NR
NR
NA
NA
NA
NA
NA
NA
MnDHO
NR
NR
NR
Page 27
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
Good HbA1c
Control
(<7.0%)
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2008
H
148
2008
H
148
2008
H
0
2008
H
148
2008
H
148
2008
H
148
2008
H
148
2008
H
148
2008
H
148
2008
H
148
130
87.84%
148
5%
148
130
87.84%
144
97.30%
148
5%
148
144
97.30%
0
NR
148
5%
148
0
0.00%
4
2.70%
148
5%
148
4
2.70%
96
64.86%
148
5%
148
107
72.30%
110
74.32%
148
5%
148
113
76.35%
4
2.70%
148
5%
148
4
2.70%
130
87.84%
148
5%
148
131
88.51%
3
2.03%
148
5%
148
3
2.03%
3
2.03%
148
5%
148
3
2.03%
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
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
148
130
3
89.86%
84.66%
95.06%
0
148
38
3
27.70%
20.15%
35.25%
0
0
0
0
NA
NA
NA
0
148
4
96
67.57%
59.69%
75.45%
0
148
107
11
79.73%
72.92%
86.54%
0
148
113
1
77.03%
69.91%
84.14%
0
148
4
59
42.57%
34.26%
50.87%
0
148
131
3
90.54%
85.49%
95.59%
0
148
3
96
66.89%
58.97%
74.81%
0
148
3
64
45.27%
36.91%
53.63%
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 30
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
6
2008
H
6
2008
H
5
2008
H
6
2008
H
6
2008
H
6
2008
H
6
2008
H
6
2008
H
6
2008
H
6
6
100.00%
6
5%
6
6
100.00%
5
83.33%
6
5%
6
6
100.00%
1
20.00%
6
5%
6
0
0.00%
1
16.67%
6
5%
6
0
0.00%
6
100.00%
6
5%
6
6
100.00%
6
100.00%
6
5%
6
6
100.00%
1
16.67%
6
5%
6
1
16.67%
5
83.33%
6
5%
6
5
83.33%
1
16.67%
6
5%
6
0
0.00%
1
16.67%
6
5%
6
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
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
6
6
0
NA
NA
NA
0
6
1
0
NA
NA
NA
0
5
0
4
NA
NA
NA
0
6
0
5
NA
NA
NA
0
6
6
0
NA
NA
NA
0
6
6
0
NA
NA
NA
0
6
1
5
NA
NA
NA
0
6
5
0
NA
NA
NA
0
6
0
5
NA
NA
NA
0
6
0
5
NA
NA
NA
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
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
107
2008
H
107
2008
H
86
2008
H
107
2008
H
107
2008
H
107
2008
H
107
2008
H
107
2008
H
107
2008
H
107
85
79.44%
103
5%
103
85
82.52%
105
98.13%
103
5%
103
101
98.06%
1
1.16%
103
5%
103
1
0.97%
2
1.87%
103
5%
103
2
1.94%
55
51.40%
103
5%
103
56
54.37%
74
69.16%
103
5%
103
75
72.82%
2
1.87%
103
5%
103
2
1.94%
75
70.09%
103
5%
103
77
74.76%
2
1.87%
103
5%
103
1
0.97%
2
1.87%
103
5%
103
1
0.97%
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
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
103
85
7
89.32%
82.87%
95.77%
0
103
16
19
33.98%
24.35%
43.61%
0
77
1
27
36.36%
24.97%
47.76%
0
103
2
52
52.43%
42.30%
62.56%
0
103
56
8
62.14%
52.28%
71.99%
0
103
75
1
73.79%
64.81%
82.77%
0
103
2
39
39.81%
29.87%
49.74%
0
103
77
3
77.67%
69.14%
86.20%
0
103
1
66
65.05%
55.35%
74.74%
0
103
1
43
42.72%
32.68%
52.76%
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
PrimeWest Health System (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 10:06 AM
MSHO
2008
A
83
8
9.64%
2.69%
16.59%
Page 34
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:06 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
37
29
78.38%
63.76%
92.99%
24
64.86%
48.13%
81.60%
Page 37
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:06 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
0
0
NA
NA
NA
0
NA
NA
NA
Page 39
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 10:06 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
54
24
44.44%
30.26%
58.62%
16
29.63%
16.52%
42.73%
Page 40
Effectiveness of Care
PrimeWest Health System (CBP)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 10, 2011 10:06 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
53
15
28.30%
15.23%
41.37%
24
8
NA
NA
NA
2008
A
Page 42
Effectiveness of Care
PrimeWest Health System (CBP)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 10:06 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
4
NA
NA
NA
3
NA
NA
NA
2008
A
8
Page 44
Effectiveness of Care
PrimeWest Health System (CBP)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 10:06 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
7
NA
NA
NA
5
NA
NA
NA
2008
A
10
Page 46
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:06 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
738
718
97.29%
96.05%
98.53%
152
149
98.03%
95.49%
100.00%
859
840
97.79%
96.75%
98.83%
96
93
96.88%
92.87%
100.00%
1845
1800
97.56%
96.83%
98.29%
2008
A
Page 49
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:06 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
6
5
NA
NA
NA
1
1
NA
NA
NA
5
4
NA
NA
NA
1
1
NA
NA
NA
13
11
NA
NA
NA
2008
A
Page 51
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 10:06 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
77
57
74.03%
63.58%
84.47%
3
3
NA
NA
NA
57
45
78.95%
67.49%
90.41%
10
7
NA
NA
NA
147
112
76.19%
68.97%
83.42%
2008
A
Page 52
Effectiveness of Care
PrimeWest Health System (CBP)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 10, 2011 10:06 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
51
10
19.61%
7.73%
31.48%
488
141
28.89%
24.77%
33.02%
15
3
NA
NA
NA
554
154
27.80%
23.98%
31.62%
Page 54
Effectiveness of Care
PrimeWest Health System (CBP)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 10, 2011 10:06 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
1748
At least 1
Prescription
At least 2
Prescriptions
514
29.41%
27.24%
31.57%
103
5.89%
4.76%
7.02%
Page 56
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
1748
0
0
1726
NA
NA
NA
NA
NA
NA
98.74%
98.19%
99.29%
2008
A
Page 59
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:06 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+
8
13
0
8
13
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
2008
A
Page 61
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 10:06 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+
1193
286
67
1109
266
66
92.96%
91.47%
94.45%
93.01%
89.88%
96.14%
98.51%
94.86%
100.00%
2008
A
Page 62
Access/Availability of Care
PrimeWest Health System (CBP)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 10, 2011 10:06 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.
358
355
984
909
528
488
625
567
99.16%
98.08%
100.00%
92.38%
90.67%
94.09%
92.42%
90.07%
94.78%
90.72%
88.37%
93.07%
2008
A
Page 64
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:06 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
22
22
0
0
11
0
11
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 67
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:06 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
4
4
0
0
2
0
2
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 69
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 10:06 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
36
228
264
19
10
101
40
120
50
52.78%
35.08%
70.47%
27.78%
11.76%
43.80%
44.30%
37.63%
50.97%
17.54%
12.39%
22.70%
45.45%
39.26%
51.65%
18.94%
14.02%
23.86%
Page 70
Access/Availability of Care
PrimeWest Health System (CBP)
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
564
2008
H
564
Number of numerator events by administrative data in eligible
population (before exclusions)
323
266
57.27%
411
5%
432
253
47.16%
411
5%
432
215
58.56%
49.77%
2
2
0
0
430
253
145
0
0
430
215
60
92.56%
89.96%
95.16%
63.95%
59.30%
68.61%
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
PrimeWest Health System (CBP)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 10, 2011 10:06 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
8
2.59%
4
1.29%
12
3.88%
17
5.50%
40
12.94%
71
22.98%
157
50.81%
8
2.59%
4
1.29%
12
3.88%
17
5.50%
40
12.94%
71
22.98%
157
50.81%
3
0
0.97%
0.00%
2.23%
2
0
0.65%
0.00%
1.70%
8
0
2.59%
0.66%
4.52%
10
2
3.88%
1.57%
6.20%
24
3
8.74%
5.43%
12.05%
51
22
23.62%
18.73%
28.52%
157
27
59.55%
53.91%
65.18%
309
5.00%
309
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
309
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
309
Page 74
Use of Services
PrimeWest Health System (CBP)
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Commercial
Data Last Refreshed:
Jan 10, 2011 10:06 AM
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
760
Numerator events by admin data in eligible
population
393
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
51.71%
411
5.00%
432
245
NR
56.71%
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
245
14
59.95%
55.22%
64.69%
Page 75
Use of Services
PrimeWest Health System (CBP)
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
1033
Numerator events by admin data in eligible
population
358
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
34.66%
411
5.00%
432
143
NR
33.10%
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
143
24
38.66%
33.95%
43.37%
Page 76
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:06 AM
MSHO
Member Months
Age
Male
0
1843
2351
2130
< 65
65-74
75-84
85+
Female
0
3581
5816
9521
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
2
0
0
1
2
1
0
3
1
0
0
0
0
0
0
0
3
4
0
0
1
0
0
2
3
0
0
2
1
2
0
1
1
0
0
2
1
2
0
4
0
0
Female
Procedures /
1,000 Member
Months
NA
0.00
0.85
0.00
NA
0.54
0.85
0.47
NA
1.63
0.43
0.00
NA
0.00
0.00
0.00
NA
0.00
1.28
1.88
NA
0.00
0.43
0.00
NA
1.09
1.28
0.00
NA
1.09
0.43
0.94
NA
0.54
0.43
0.00
NA
1.09
0.43
0.94
NA
2.17
0.00
0.00
Number of
Procedures
0
0
0
0
0
2
6
2
0
4
2
3
0
1
0
0
0
2
4
16
0
3
5
0
0
4
1
2
0
2
3
2
0
1
1
1
0
3
2
2
0
1
0
1
0
1
2
1
0
1
0
0
0
1
1
3
0
4
2
0
Procedures /
1,000 Member
Months
NA
0.00
0.00
0.00
NA
0.56
1.03
0.21
NA
1.12
0.34
0.32
NA
0.28
0.00
0.00
NA
0.56
0.69
1.68
NA
0.84
0.86
0.00
NA
1.12
0.17
0.21
NA
0.56
0.52
0.21
NA
0.28
0.17
0.11
NA
0.84
0.34
0.21
NA
0.28
0.00
0.11
NA
0.28
0.34
0.11
NA
0.28
0.00
0.00
NA
0.28
0.17
0.32
NA
1.12
0.34
0.00
Page 79
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:06 AM
SNBC
Member Months
Age
Male
485
3
0
0
< 65
65-74
75-84
85+
Female
961
1
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
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
Female
Procedures /
1,000 Member
Months
0.00
0.00
NA
NA
0.00
0.00
NA
NA
2.06
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
2.06
0.00
NA
NA
0.00
0.00
NA
NA
Number of
Procedures
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
Procedures /
1,000 Member
Months
1.04
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
1.04
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
0.00
0.00
NA
NA
1.04
0.00
NA
NA
Page 81
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC
Member Months
Total
Age
37810
0-4
61979
0-9
58204
5-19
34035
10-19
Total
Number of
Procedures
Procedure
Myringotomy
Age
Tonsillectomy
0-9
10-19
Procedures /
1,000 Member
Months
228
52
55
24
0-4
5-19
6.03
0.89
0.89
0.71
Member Months
Age
15-44
20-44
30-64
45-64
Male
12844
11148
4341
Female
40511
32121
4997
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
1
Cholecystectomy,
Closed
30-64
15-44
45-64
20-44
45-64
10
Back Surgery
Mastectomy
15-44
45-64
Lumpectomy
15-44
45-64
HEDIS 2009 (Reporting Year 2008)
8
2
Female
Procedures /
1,000 Member
Months
Number of
Procedures
Procedures /
1,000 Member
Months
11
0
17
4
8
2
0.27
0.00
1
0
0.02
0.00
54
4
20
10
2
2
7
4
1.33
0.80
0.42
0.80
0.20
0.40
0.09
0.90
0.62
0.46
0.62
2.00
0.05
0.40
0.17
0.80
Page 82
Use of Services
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:06 AM
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
0
0
0
5424
8167
11651
0
25242
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
5253
8217
10083
0
23553
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
968.47
1006.12
865.42
933.09
Emergency Room Visits
Visits
0
0
0
0
0
248
312
352
0
912
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
45.72
38.20
30.21
36.13
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
232
322
209
0
763
Procedures/
1,000 Member
Months
NA
NA
NA
NA
NA
42.77
39.43
17.94
30.23
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
37
45
32
0
114
Stays/ 1,000
Member
Months
NA
NA
NA
NA
NA
6.82
5.51
2.75
4.52
Page 85
Use of Services
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:06 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
5
490
951
4
0
0
0
1450
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
5
567
1174
15
0
0
0
1761
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
NA
NA
1000.00
1157.14
1234.49
3750.00
NA
NA
1214.48
Emergency Room Visits
Visits
0
0
5
49
61
2
0
0
0
117
Visits/ 1,000
Member
Months
NA
NA
1000.00
100.00
64.14
500.00
NA
NA
80.69
Ambulatory
Surgery/Procedures
Procedures
0
0
0
18
47
1
0
0
0
66
Procedures/
1,000 Member
Months
NA
NA
0.00
36.73
49.42
250.00
NA
NA
45.52
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
0
0
0
0
0
Stays/ 1,000
Member
Months
NA
NA
0.00
0.00
0.00
0.00
NA
NA
0.00
Page 87
Use of Services
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
11092
50887
34035
44973
9338
3057
2619
2866
0
158867
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
9478
18371
10617
24162
5698
2229
2013
1811
0
74379
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
854.49
361.02
311.94
537.26
610.19
729.15
768.61
631.89
468.18
Emergency Room Visits
Visits
1007
2438
1193
3337
399
174
159
149
0
8856
Visits/ 1,000
Member
Months
90.79
47.91
35.05
74.20
42.73
56.92
60.71
51.99
55.74
Ambulatory
Surgery/Procedures
Procedures
67
287
195
881
296
144
64
50
0
1984
Procedures/
1,000 Member
Months
6.04
5.64
5.73
19.59
31.70
47.11
24.44
17.45
12.49
Observation Room Stays
Resulting in Discharge
Stays
33
24
96
418
14
13
14
19
0
631
Stays/ 1,000
Member
Months
2.98
0.47
2.82
9.29
1.50
4.25
5.35
6.63
3.97
Page 88
Use of Services
PrimeWest Health System (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 10:06 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
PrimeWest Health System (CBP)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (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 10:06 AM
Member Months
0
0
0
0
0
5424
8167
11651
0
25242
Discharges
0
0
0
0
0
256
365
511
0
1132
Discharges /
1,000 Member
Months
NA
NA
NA
NA
NA
47.20
44.69
43.86
44.85
0
0
0
0
0
198
302
453
0
953
NA
NA
NA
NA
NA
36.50
36.98
38.88
0
0
0
0
0
56
62
55
0
173
NA
NA
NA
NA
NA
10.32
7.59
4.72
0
0
0
0
0
NA
NA
NA
HEDIS 2009 (Reporting Year 2008)
37.75
6.85
NA
Days
0
0
0
0
0
1205
1601
2171
0
4977
Days / 1,000
Member
Months
NA
NA
NA
NA
NA
222.16
196.03
186.34
197.17
0
0
0
0
0
850
1229
1820
0
3899
NA
NA
NA
NA
NA
156.71
150.48
156.21
0
0
0
0
0
333
369
342
0
1044
NA
NA
NA
NA
NA
61.39
45.18
29.35
0
0
0
0
0
154.46
41.36
NA
NA
NA
NA
Average
Length of Stay
NA
NA
NA
NA
NA
4.71
4.39
4.25
NA
4.40
NA
NA
NA
NA
NA
4.29
4.07
4.02
NA
4.09
NA
NA
NA
NA
NA
5.95
5.95
6.22
NA
6.03
NA
NA
NA
NA
NA
Page 91
Use of Services
PrimeWest Health System (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 10:06 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
PrimeWest Health System (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 10:06 AM
Member Months
0
0
5
490
951
4
0
0
0
1450
Discharges
Discharges /
1,000 Member
Months
0
0
1
4
32
0
0
0
0
37
NA
NA
200.00
8.16
33.65
0.00
NA
NA
0
0
1
2
26
0
0
0
0
29
NA
NA
200.00
4.08
27.34
0.00
NA
NA
0
0
0
2
6
0
0
0
0
8
NA
NA
0.00
4.08
6.31
0.00
NA
NA
0
0
0
0
0
0.00
0.00
0.00
HEDIS 2009 (Reporting Year 2008)
25.52
20.00
5.52
0.00
Days
Days / 1,000
Member
Months
0
0
4
12
140
0
0
0
0
156
NA
NA
800.00
24.49
147.21
0.00
NA
NA
0
0
4
6
105
0
0
0
0
115
NA
NA
800.00
12.24
110.41
0.00
NA
NA
0
0
0
6
35
0
0
0
0
41
NA
NA
0.00
12.24
36.80
0.00
NA
NA
0
0
0
0
0
0.00
0.00
0.00
107.59
79.31
28.28
0.00
Average
Length of Stay
NA
NA
4.00
3.00
4.38
NA
NA
NA
NA
4.22
NA
NA
4.00
3.00
4.04
NA
NA
NA
NA
3.97
NA
NA
NA
3.00
5.83
NA
NA
NA
NA
5.13
NA
NA
NA
NA
NA
Page 93
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
11092
1-9
50887
10-19
34035
20-44
44973
45-64
9338
65-74
3057
75-84
2619
85+
2866
Unknown
0
Total
158867
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
131
115
177
986
151
91
93
84
0
1828
Discharges /
1,000 Member
Months
11.81
2.26
5.20
21.92
16.17
29.77
35.51
29.31
11.51
110
94
35
172
80
69
64
76
0
700
9.92
1.85
1.03
3.82
8.57
22.57
24.44
26.52
21
21
26
129
69
22
27
8
0
323
1.89
0.41
0.76
2.87
7.39
7.20
10.31
2.79
116
683
0
0
799
3.41
15.19
0.00
HEDIS 2009 (Reporting Year 2008)
4.41
2.03
9.04
Days
Days / 1,000
Member
Months
531
271
518
2602
496
381
455
373
0
5627
47.87
5.33
15.22
57.86
53.12
124.63
173.73
130.15
373
185
122
519
250
233
301
323
0
2306
33.63
3.64
3.58
11.54
26.77
76.22
114.93
112.70
158
86
83
410
225
148
137
50
0
1297
14.24
1.69
2.44
9.12
24.10
48.41
52.31
17.45
313
1664
0
0
1977
9.20
37.00
0.00
35.42
14.52
8.16
22.38
Average
Length of Stay
4.05
2.36
2.93
2.64
3.28
4.19
4.89
4.44
NA
3.08
3.39
1.97
3.49
3.02
3.13
3.38
4.70
4.25
NA
3.29
7.52
4.10
3.19
3.18
3.26
6.73
5.07
6.25
NA
4.02
2.70
2.44
NA
NA
2.47
Page 94
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
0
5424
8167
11651
0
25242
Discharges
0
0
0
0
0
67
151
283
0
501
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NA
NA
NA
NA
NA
12.35
18.49
24.29
19.85
Days
0
0
0
0
0
925
2960
4439
0
8324
Days / 1,000
Member
Months
NA
NA
NA
NA
NA
170.54
362.43
381.00
329.77
Average Length
of Stay
NA
NA
NA
NA
NA
13.81
19.60
15.69
NA
16.61
Page 97
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
5
490
951
4
0
0
0
1450
Discharges
0
0
0
1
5
0
0
0
0
6
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NA
NA
0.00
2.04
5.26
0.00
NA
NA
4.14
Days
0
0
0
8
58
0
0
0
0
66
Days / 1,000
Member
Months
NA
NA
0.00
16.33
60.99
0.00
NA
NA
45.52
Average Length
of Stay
NA
NA
NA
8.00
11.60
NA
NA
NA
NA
11.00
Page 99
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 10:06 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
11092
50887
34035
44973
9338
3057
2619
2866
0
158867
Discharges
0
0
1
2
3
10
24
25
0
65
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
0.00
0.00
0.03
0.04
0.32
3.27
9.16
8.72
0.41
Days
0
0
9
27
20
121
681
620
0
1478
Days / 1,000
Member
Months
0.00
0.00
0.26
0.60
2.14
39.58
260.02
216.33
9.30
Average Length
of Stay
NA
NA
9.00
13.50
6.67
12.10
28.38
24.80
NA
22.74
Page 100
Use of Services
PrimeWest Health System (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:06 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
0
6324
0
6324
Female
0
0
0
0
0
18918
0
18918
Total
0
0
0
0
0
25242
0
25242
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
18
18
36
0
0
0
18
18
36
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
0
0
6324
0
6324
Female
0
0
0
0
0
18918
0
18918
Total
0
0
0
0
0
25242
0
25242
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.42%
1.14%
1.71%
NA
NA
NA
3.42%
1.14%
1.71%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
9
11
20
0
0
0
9
11
20
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.71%
0.70%
0.95%
NA
NA
NA
1.71%
0.70%
0.95%
Male
0
0
0
0
0
6324
0
6324
Female
0
0
0
0
0
18918
0
18918
Total
0
0
0
0
0
25242
0
25242
Member Months
(Outpatient/ED)
Male
0
0
0
0
0
6324
0
6324
Female
0
0
0
0
0
18918
0
18918
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
11
9
20
0
0
0
11
9
20
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Total
0
0
0
0
0
25242
0
25242
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.09%
0.57%
0.95%
NA
NA
NA
2.09%
0.57%
0.95%
Page 103
Use of Services
PrimeWest Health System (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:06 AM
SNBC
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
26
51
408
3
0
488
Female
0
0
21
135
805
1
0
962
Total
0
0
47
186
1213
4
0
1450
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
1
0
1
0
1
1
1
2
3
0
0
0
0
0
0
2
3
5
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
26
51
408
3
0
488
Female
0
0
21
135
805
1
0
962
Total
0
0
47
186
1213
4
0
1450
Inpatient
Percent
NA
NA
NA
NA
NA
NA
46.15%
0.00%
25.53%
0.00%
8.89%
6.45%
2.94%
2.98%
2.97%
0.00%
0.00%
0.00%
NA
NA
NA
4.92%
3.74%
4.14%
Number
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
Percent
NA
NA
NA
NA
NA
NA
46.15%
0.00%
25.53%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
2.46%
0.00%
0.83%
Male
0
0
26
51
408
3
0
488
Female
0
0
21
135
805
1
0
962
Total
0
0
47
186
1213
4
0
1450
Member Months
(Outpatient/ED)
Male
0
0
26
51
408
3
0
488
Female
0
0
21
135
805
1
0
962
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
1
1
1
2
3
0
0
0
0
0
0
1
3
4
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Total
0
0
47
186
1213
4
0
1450
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
8.89%
6.45%
2.94%
2.98%
2.97%
0.00%
0.00%
0.00%
NA
NA
NA
2.46%
3.74%
3.31%
Page 105
Use of Services
PrimeWest Health System (CBP)
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
37427
8403
4775
5727
8622
2514
0
67468
Female
35930
8363
12709
14664
13082
6028
0
90776
Total
73357
16766
17484
20391
21704
8542
0
158244
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
4
4
8
43
43
86
71
101
172
117
158
275
152
155
307
12
10
22
0
0
0
399
471
870
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
37427
8403
4775
5727
8622
2514
0
67468
Female
35930
8363
12709
14664
13082
6028
0
90776
Total
73357
16766
17484
20391
21704
8542
0
158244
Inpatient
Percent
0.13%
0.13%
0.13%
6.14%
6.17%
6.16%
17.84%
9.54%
11.81%
24.52%
12.93%
16.18%
21.16%
14.22%
16.97%
5.73%
1.99%
3.09%
NA
NA
NA
7.10%
6.23%
6.60%
Number
0
0
0
17
11
28
20
24
44
23
33
56
37
39
76
6
2
8
0
0
0
103
109
212
Percent
0.00%
0.00%
0.00%
2.43%
1.58%
2.00%
5.03%
2.27%
3.02%
4.82%
2.70%
3.30%
5.15%
3.58%
4.20%
2.86%
0.40%
1.12%
NA
NA
NA
1.83%
1.44%
1.61%
Male
37427
8403
4775
5727
8622
2514
0
67468
Female
35930
8363
12709
14664
13082
6028
0
90776
Total
73357
16766
17484
20391
21704
8542
0
158244
Member Months
(Outpatient/ED)
Male
37427
8403
4775
5727
8622
2514
0
67468
Female
35930
8363
12709
14664
13082
6028
0
90776
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
Number
4
4
8
41
37
78
67
90
157
111
148
259
139
138
277
6
8
14
0
0
0
368
425
793
Percent
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.25%
0.00%
0.07%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.02%
0.00%
0.01%
Total
73357
16766
17484
20391
21704
8542
0
158244
Percent
0.13%
0.13%
0.13%
5.86%
5.31%
5.58%
16.84%
8.50%
10.78%
23.26%
12.11%
15.24%
19.35%
12.66%
15.32%
2.86%
1.59%
1.97%
NA
NA
NA
6.55%
5.62%
6.01%
Page 106
Use of Services
PrimeWest Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:06 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
6324
0
6324
Female
0
0
0
18918
0
18918
Total
0
0
0
25242
0
25242
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
63
153
216
0
0
0
63
153
216
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
6324
0
6324
Female
0
0
0
18918
0
18918
Total
0
0
0
25242
0
25242
Number
0
0
0
0
0
0
0
0
0
17
49
66
0
0
0
17
49
66
Female
0
0
0
18918
0
18918
Total
0
0
0
25242
0
25242
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
11.95%
9.71%
10.27%
NA
NA
NA
11.95%
9.71%
10.27%
Male
0
0
0
6324
0
6324
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.23%
3.11%
3.14%
NA
NA
NA
3.23%
3.11%
3.14%
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
NA
NA
NA
0.00%
0.06%
0.05%
NA
NA
NA
0.00%
0.06%
0.05%
Member Months
(Outpatient/ED)
Male
0
0
0
6324
0
6324
Female
0
0
0
18918
0
18918
Total
0
0
0
25242
0
25242
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
49
115
164
0
0
0
49
115
164
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.30%
7.29%
7.80%
NA
NA
NA
9.30%
7.29%
7.80%
Page 109
Use of Services
PrimeWest Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:06 AM
SNBC
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
485
3
0
488
Female
0
0
961
1
0
962
Total
0
0
1446
4
0
1450
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
5
18
23
0
1
1
0
0
0
5
19
24
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
485
3
0
488
Female
0
0
961
1
0
962
Total
0
0
1446
4
0
1450
Number
0
0
0
0
0
0
1
1
2
0
0
0
0
0
0
1
1
2
Female
0
0
960
1
0
961
Total
0
0
1445
4
0
1449
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
12.37%
22.48%
19.09%
0.00%
1200.00%
300.00%
NA
NA
NA
12.30%
23.70%
19.86%
Male
0
0
485
3
0
488
Percent
NA
NA
NA
NA
NA
NA
2.47%
1.25%
1.66%
0.00%
0.00%
0.00%
NA
NA
NA
2.46%
1.25%
1.66%
Number
0
0
0
0
0
0
0
3
3
0
0
0
0
0
0
0
3
3
Percent
NA
NA
NA
NA
NA
NA
0.00%
3.75%
2.49%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
3.75%
2.48%
Member Months
(Outpatient/ED)
Male
0
0
485
3
0
488
Female
0
0
961
1
0
962
Total
0
0
1446
4
0
1450
Outpatient/ED
Number
0
0
0
0
0
0
5
18
23
0
1
1
0
0
0
5
19
24
Percent
NA
NA
NA
NA
NA
NA
12.37%
22.48%
19.09%
0.00%
1200.00%
300.00%
NA
NA
NA
12.30%
23.70%
19.86%
Page 111
Use of Services
PrimeWest Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
37427
8403
19124
2514
0
67468
Female
35930
8363
40455
6028
0
90776
Total
73357
16766
59579
8542
0
158244
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
402
306
708
190
219
409
398
942
1340
23
43
66
0
0
0
1013
1510
2523
HEDIS 2009 (Reporting Year 2008)
Male
37427
8403
19124
2514
0
67468
Female
35930
8363
40455
6028
0
90776
Total
73357
16766
59579
8542
0
158244
Percent
12.89%
10.22%
11.58%
27.13%
31.42%
29.27%
24.97%
27.94%
26.99%
10.98%
8.56%
9.27%
NA
NA
NA
18.02%
19.96%
19.13%
Number
3
6
9
9
18
27
30
44
74
5
5
10
0
0
0
47
73
120
Male
37427
8403
19124
2514
0
67468
Female
35930
8363
40455
6028
0
90776
Total
73357
16766
59579
8542
0
158244
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.10%
0.20%
0.15%
1.29%
2.58%
1.93%
1.88%
1.31%
1.49%
2.39%
1.00%
1.40%
NA
NA
NA
0.84%
0.97%
0.91%
Number
0
2
2
2
0
2
10
16
26
0
0
0
0
0
0
12
18
30
Percent
0.00%
0.07%
0.03%
0.29%
0.00%
0.14%
0.63%
0.47%
0.52%
0.00%
0.00%
0.00%
NA
NA
NA
0.21%
0.24%
0.23%
Member Months
(Outpatient/ED)
Male
37427
8403
19124
2514
0
67468
Female
35930
8363
40455
6028
0
90776
Total
73357
16766
59579
8542
0
158244
Outpatient/ED
Number
402
303
705
189
218
407
391
934
1325
20
40
60
0
0
0
1002
1495
2497
Percent
12.89%
10.12%
11.53%
26.99%
31.28%
29.13%
24.53%
27.70%
26.69%
9.55%
7.96%
8.43%
NA
NA
NA
17.82%
19.76%
18.94%
Page 112
Use of Services
PrimeWest Health System (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 10:06 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
PrimeWest Health System (CBP)
Outpatient Drug Utilization
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (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 10:06 AM
Member Months
0
0
0
0
0
5424
8167
11651
0
25242
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
$0.00
$2,185,035.00
$3,294,968.00
$3,704,745.00
$0.00
$9,184,748.00
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
NA
NA
NA
$402.85
$403.45
$317.98
$363.87
Total Number of
Prescriptions
0
0
0
0
0
42502
76767
109833
0
229102
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
NA
NA
NA
94.03
112.80
113.12
108.91
Page 115
Use of Services
PrimeWest Health System (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 10:06 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
PrimeWest Health System (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 10:06 AM
Member Months
0
0
233
491
722
4
0
0
0
1450
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
$135,004.00
$368,791.00
$488,539.00
$8,715.00
$0.00
$0.00
$0.00
$1,001,049.00
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
$579.42
$751.10
$676.65
$2,178.75
NA
NA
$690.38
Total Number of
Prescriptions
0
0
1338
3952
7076
115
0
0
0
12481
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
68.91
96.59
117.61
345.00
NA
NA
103.29
Page 117
Use of Services
PrimeWest Health System (CBP)
Outpatient Drug Utilization
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
0-9
61979
10-17
28759
18-34
37881
35-49
16681
50-64
5025
65-74
3057
75-84
2619
85+
2866
Unknown
0
Total
Age
158867
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
$1,246,424.00
$1,116,329.00
$2,669,119.00
$2,346,117.00
$972,293.00
$31,420.00
$24,859.00
$31,990.00
$0.00
$8,438,551.00
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$20.11
$38.82
$70.46
$140.65
$193.49
$10.28
$9.49
$11.16
$53.12
Total Number of
Prescriptions
24818
15582
47148
37754
16307
3222
3305
4701
0
152837
Avg. Num. Of
Prescriptions /
Per Member Per
Year
4.81
6.50
14.94
27.16
38.94
12.65
15.14
19.68
11.54
Page 118
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:06 AM
MSHO
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0
0
0
0
0
0.00%
0
0.00%
0
0
0
0
0
0.00%
0
0
0
0
0
0.00%
0
0.00%
826
1017
1157
1194
1089
1041
0
0.00%
1745
1836
2460
3356
4269
5252
0
0.00%
6324
100.00%
0
18918
100.00%
0
25242
100.00%
6324
18918
HEDIS 2009 (Reporting Year 2008)
0
0
0
0
0
0
0
0
0
2571
2853
3617
4550
5358
6293
0
25242
Page 124
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:06 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
1
Member Months
Female
0
0
0
0
0
4
Total
0
0
0
0
0
5
1
0.20%
25
19
32
35
48
4
0.42%
17
53
82
51
128
5
0.34%
159
32.58%
84
110
90
41
331
34.41%
145
163
176
142
490
33.79%
325
66.60%
3
0
0
0
0
0
626
65.07%
1
0
0
0
0
0
951
65.59%
3
0.61%
0
1
0.10%
0
4
0.28%
488
962
HEDIS 2009 (Reporting Year 2008)
42
72
114
86
176
229
273
266
183
4
0
0
0
0
0
0
1450
Page 126
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 10:06 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
5668
13750
12141
9368
4903
1939
Member Months
Female
5053
12726
12028
9433
5053
3337
Total
10721
26476
24169
18801
9956
5276
47769
70.80%
2836
3201
2526
2464
1817
47630
52.47%
9372
8906
5758
4742
3343
95399
60.29%
12844
19.04%
1799
1423
752
367
32121
35.38%
2514
1372
768
343
44965
28.41%
4341
6.43%
659
532
454
333
249
287
4997
5.50%
1015
851
852
980
1274
1056
9338
5.90%
2514
3.73%
0
6028
6.64%
0
8542
5.40%
67468
90776
HEDIS 2009 (Reporting Year 2008)
12208
12107
8284
7206
5160
4313
2795
1520
710
1674
1383
1306
1313
1523
1343
0
158244
Page 127
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:06 AM
MSHO
Product/Product Line
Years in Business
Members*
0.00
0.00
3.33
0.00
3.33
0
0
2119
0
2119
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
2119
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
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:06 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
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:06 AM
SNBC
Product/Product Line
Years in Business
Members*
1.00
0.00
1.00
0.00
1.00
66
0
160
0
226
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:
226
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 132
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 10:06 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Product/Product Line
Years in Business
Members*
5.50
0.00
0.00
0.00
5.50
15560
0
0
0
15560
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:
15560
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 133