HealthPartners/Group Health Plan Combined (PDF: 242kb/ 133 pages)

HealthPartners and Group Health
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
HealthPartners and Group Health
Childhood Immunization Status
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Pneumococcal
Conjugate
Combo 2
Combo 3
3891
79.51%
4179
85.39%
4510
92.15%
4095
83.67%
4081
83.39%
4379
89.48%
3889
79.46%
3483
71.17%
3381
69.08%
343
79.40%
371
85.88%
405
93.75%
369
85.42%
363
84.03%
395
91.44%
347
80.32%
318
73.61%
310
71.76%
326
43
89.78%
86.73%
92.83%
352
43
96.11%
94.12%
98.10%
387
10
96.59%
94.72%
98.47%
352
41
95.62%
93.52%
97.72%
344
47
95.13%
92.93%
97.34%
377
8
93.67%
91.20%
96.15%
330
38
89.54%
86.46%
92.62%
301
49
85.16%
81.60%
88.72%
293
48
82.97%
79.21%
86.72%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
0
Number of Records Excluded because of
Contraindications by Medical Record
Review
1
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
1
HEDIS 2009 (Reporting Year 2008)
MMR
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
IPV
2007
H
4894
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
411
Page 3
Effectiveness of Care
HealthPartners and Group Health
Childhood Immunization Status
Data Last Refreshed:
Jan 10, 2011 9:51 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
706
80.05%
787
89.23%
817
92.63%
817
92.63%
786
89.12%
784
88.89%
698
79.14%
675
76.53%
654
74.15%
230
78.50%
255
87.03%
268
91.47%
266
90.78%
253
86.35%
256
87.37%
225
76.79%
217
74.06%
209
71.33%
222
20
86.74%
82.58%
90.90%
246
23
96.42%
94.06%
98.78%
256
9
94.98%
92.24%
97.72%
253
17
96.77%
94.52%
99.03%
243
23
95.34%
92.69%
97.99%
245
11
91.76%
88.35%
95.16%
218
17
84.23%
79.77%
88.69%
209
22
82.80%
78.19%
87.40%
202
19
79.21%
74.27%
84.15%
293
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
279
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
882
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
279
Page 4
Effectiveness of Care
HealthPartners and Group Health
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 9:51 AM
Commercial
Medicare
Advantage
MSHO
2008
A
85793
66176
77.13%
76.85%
77.42%
2008
A
70
49
70.00%
58.55%
81.45%
2008
A
174
124
71.26%
64.25%
78.28%
MnDHO
NR
NR
NR
SNBC
MHCP-MC
NR
NR
NR
2008
A
1523
955
62.71%
60.24%
65.17%
Page 5
Effectiveness of Care
HealthPartners and Group Health
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2008
H
101199
2008
H
5763
Numerator Events by Admin Data on Eligible
Population (before exclusions)
78220
4219
Records Excluded because of Valid Data Errors
77.29%
196
10.00%
216
168
77.78%
0
73.21%
250
10.00%
275
212
77.09%
0
Number of administrative data records excluded
0
0
Number of medical record data records excluded
6
7
Number of employee/dependent medical records
excluded
0
0
6
196
158
2
81.63%
75.96%
87.31%
7
250
199
11
84.00%
79.26%
88.74%
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 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 6
Effectiveness of Care
HealthPartners and Group Health
Colorectal Cancer Screening
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Measurement Year
Data collection methodology (administrative or hybrid)
Eligible population
2008
H
103442
Medicare
Advantage
2008
H
638
Number of numerator events by administrative data in eligible population
(before exclusions)
62650
390
536
60.57%
360
0.05
378
227
60.05%
0
0
0
0
0
360
216
34
69.44%
64.55%
74.34%
61.13%
376
0.05
395
232
58.73%
0
0
1
0
1
376
221
17
63.30%
58.29%
68.30%
42.64%
411
0.05
432
178
41.20%
0
0
3
0
3
411
172
24
47.69%
42.74%
52.64%
Data Elements
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid data errors
Number of administrative data records excluded
Number of medical record data records excluded
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical records
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
Commercial
MSHO
MnDHO
SNBC
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
2008
H
1257
Page 7
Effectiveness of Care
HealthPartners and Group Health
Chlamydia Screening in Women
Data Last Refreshed:
Jan 10, 2011 9:51 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 Ages 16-20 Ages 21-24
Data
Total
2008
A
8240
3787
45.96%
44.88%
47.04%
6694
3776
56.41%
55.21%
57.60%
14934
7563
50.64%
49.84%
51.45%
Page 8
Effectiveness of Care
HealthPartners and Group Health
Chlamydia Screening in Women
Data Last Refreshed:
Jan 10, 2011 9:51 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
888
786
Numerator Events by Admin Data
578
563
Reported Rate
65.09%
71.63%
Lower 95% Confidence Interval
61.90%
68.41%
Upper 95% Confidence Interval
68.28%
74.84%
HEDIS 2009 (Reporting Year 2008)
Total
1674
1141
68.16%
65.90%
70.42%
Page 9
Effectiveness of Care
HealthPartners and Group Health
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 9:51 AM
Medicare
Advantage
MSHO
2008
A
1312
1049
79.95%
77.75%
82.16%
2008
A
1910
1495
78.27%
76.40%
80.15%
Page 10
Effectiveness of Care
HealthPartners and Group Health
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Lead Screening in Children
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Commercial
MHCP-MC
2008
A
5174
2008
H
882
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
834
NR
94.56%
NR
279
5.00%
293
288
98.29%
Records Excluded because of Valid Data
Errors
0
Number of administrative data records
excluded
0
Number of medical record data records
excluded
0
Number of employee/dependent medical
records excluded
0
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
3064
0
279
274
1
Reported Rate
59.22%
98.57%
Lower 95% Confidence Interval
57.87%
96.99%
Upper 95% Confidence Interval
60.57%
100.00%
HEDIS 2009 (Reporting Year 2008)
Page 11
Effectiveness of Care
HealthPartners and Group Health
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
2008
A
7436
840
88.70%
87.98%
89.43%
2008
A
1851
95
94.87%
93.84%
95.90%
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Page 12
Effectiveness of Care
HealthPartners and Group Health
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Exclusions based on direct transfers to
another facility
Exclusions based on readmissions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
General
Measure Data
Systemic
corticosteroid
Bronchodilator
21
65.63%
47.61%
83.64%
24
75.00%
58.43%
91.57%
2008
A
32
32
0
Page 13
Effectiveness of Care
HealthPartners and Group Health
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 9:51 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
38
80.85%
68.54%
93.16%
41
87.23%
76.63%
97.84%
2008
A
47
6
0
Page 14
Effectiveness of Care
HealthPartners and Group Health
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Pharmacotherapy Management of COPD Exacerbation
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
Data Elements
General
Measure Data
Systemic
corticosteroid
Bronchodilator
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Exclusions based on direct transfers to
another facility
Exclusions based on readmissions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
Page 16
Effectiveness of Care
HealthPartners and Group Health
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)
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare
Advantage
MSHO
MnDHO
SNBC
2008
A
53
10
18.87%
7.39%
30.34%
2008
A
60
15
25.00%
13.21%
36.79%
NR
NR
NR
NR
NR
NR
Page 17
Effectiveness of Care
HealthPartners and Group Health
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 10, 2011 9:51 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
Ages 10-17
Ages 18-56
Total
537
524
97.58%
96.19%
98.97%
742
696
93.80%
92.00%
95.60%
3364
3104
92.27%
91.35%
93.19%
4643
4324
93.13%
92.39%
93.87%
2008
A
Page 18
Effectiveness of Care
HealthPartners and Group Health
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Jan 10, 2011 9:51 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
94
89
94.68%
89.61%
99.75%
112
100
89.29%
83.11%
95.46%
184
164
89.13%
84.36%
93.90%
390
353
90.51%
87.48%
93.55%
2008
A
Page 19
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 9:51 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
3219
1163
86.18%
31.14%
334
129
85.64%
33.08%
303
22
120
148
91.81%
88.81%
94.81%
75.71%
71.10%
80.31%
2007
H
3735
354
10.00%
390
0
0
0
354
Page 20
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 9:51 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
34
27
89.47%
71.05%
34
27
89.47%
71.05%
32
2
25
6
89.47%
78.40%
100.00%
81.58%
67.94%
95.22%
2008
H
38
38
0.00%
38
0
0
0
38
Page 21
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 9:51 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
73
42
85.88%
49.41%
73
42
85.88%
49.41%
68
5
39
20
85.88%
77.89%
93.87%
69.41%
59.03%
79.80%
2008
H
85
85
0.00%
85
0
0
0
85
Page 22
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 9:51 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
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 24
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular Conditions
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
General
Measure
Data
2007
H
80
LDL-C
screening
LDL-C Level of
<100 mg/dL
63
27
78.75%
33.75%
63
27
78.75%
33.75%
60
9
26
23
86.25%
61.25%
Lower 95% Confidence Interval
78.08%
49.95%
Upper 95% Confidence Interval
94.42%
72.55%
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
80
0.00%
80
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
80
HEDIS 2009 (Reporting Year 2008)
Page 25
Effectiveness of Care
HealthPartners and Group Health
Controlling High Blood Pressure
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Medicare
Advantage
MSHO
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
2008
H
31711
2008
H
431
2008
H
734
2008
H
1255
Numerator Events by Admin Data on
Eligible Population (before exclusions)
0
0
0
0
0.00%
342
5.00%
360
0.00%
313
5.00%
329
0.00%
328
5.00%
345
0
0.00%
0
0.00%
0
0.00%
Records Excluded because of Valid Data
Errors
0
0
0
0
Number of records excluded because of
false positive diagnoses
0
0
0
0
Number of administrative data records
excluded
5
14
9
7
Number of medical record data records
excluded
2
1
1
3
Number of employee/dependent medical
records excluded
0
0
0
0
Records Added from the OverSample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
7
342
0
242
70.76%
65.79%
75.73%
15
313
0
248
79.23%
74.58%
83.89%
10
328
0
231
70.43%
65.34%
75.52%
10
380
0
265
69.74%
64.99%
74.49%
Data Elements
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
HEDIS 2009 (Reporting Year 2008)
MnDHO
NR
NR
NR
NR
NR
SNBC
NR
NR
NR
NR
NR
MHCP-MC
0.00%
380
5.00%
399
0
0.00%
Page 26
Effectiveness of Care
HealthPartners and Group Health
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
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)
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Medicare
Advantage
MSHO
2008
A
296
2008
A
7
2008
A
5
2008
A
16
252
6
4
8
85.14%
80.91%
89.36%
NA
NA
NA
NA
NA
NA
MnDHO
NR
NR
NR
SNBC
NR
NR
NR
MHCP-MC
NA
NA
NA
Page 27
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2008
H
17833
2008
H
17833
15976
89.59%
411
10%
453
402
88.74%
13197
74.00%
411
10%
453
344
75.94%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
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
2008
H
17833
2007
H
16355
2008
H
17833
2008
H
17833
2008
H
17833
2007
H
16355
2007
H
16355
4080
22.88%
411
10%
453
92
20.31%
9117
55.74%
411
10%
453
259
57.17%
14969
83.94%
411
10%
453
381
84.11%
3259
18.28%
411
10%
453
81
17.88%
14770
82.82%
411
10%
453
372
82.12%
4754
29.07%
411
10%
453
146
32.23%
3353
20.50%
411
10%
453
99
21.85%
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
10
10
10
15
10
10
10
15
15
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
10
411
370
11
92.70%
90.06%
95.34%
10
411
78
2
19.46%
15.52%
23.41%
10
411
83
211
71.53%
67.05%
76.02%
15
411
238
34
66.18%
61.48%
70.88%
10
411
352
14
89.05%
85.91%
92.19%
10
411
73
162
57.18%
52.27%
62.08%
10
411
344
23
89.29%
86.18%
92.41%
15
411
132
193
79.08%
75.02%
83.13%
15
411
89
131
53.53%
48.58%
58.47%
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
Page 28
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2008
H
124
2008
H
124
116
93.55%
124
0%
124
116
93.55%
23
18.55%
124
0%
124
23
18.55%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
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
2008
H
124
2008
H
124
2008
H
124
2008
H
124
2008
H
124
2008
H
124
2008
H
124
90
72.58%
124
0%
124
90
72.58%
82
66.13%
124
0%
124
82
66.13%
112
90.32%
124
0%
124
112
90.32%
69
55.65%
124
0%
124
69
55.65%
115
92.74%
124
0%
124
115
92.74%
95
76.61%
124
0%
124
95
76.61%
66
53.23%
124
0%
124
66
53.23%
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
1
1
1
1
1
1
1
1
1
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
123
116
0
94.31%
89.81%
98.81%
0
123
15
0
12.20%
6.01%
18.38%
0
123
90
7
78.86%
71.24%
86.48%
0
123
82
9
73.98%
65.82%
82.14%
0
123
112
0
91.06%
85.61%
96.51%
0
123
69
19
71.54%
63.16%
79.93%
0
123
115
0
93.50%
88.73%
98.26%
0
123
95
5
81.30%
74.00%
88.60%
0
123
66
2
55.28%
46.09%
64.48%
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
Page 29
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
HbA1c
Testing
Poor HbA1c
Control
2008
H
398
2008
H
398
372
93.47%
398
0%
398
372
93.47%
218
54.77%
398
0%
398
218
54.77%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2008
H
398
2008
H
398
2008
H
398
2008
H
398
2008
H
398
2008
H
398
2008
H
398
167
41.96%
398
0%
398
167
41.96%
272
68.34%
398
0%
398
272
68.34%
326
81.91%
398
0%
398
326
81.91%
131
32.91%
398
0%
398
131
32.91%
342
85.93%
398
0%
398
342
85.93%
179
44.97%
398
0%
398
179
44.97%
137
34.42%
398
0%
398
137
34.42%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
8
8
8
8
8
8
8
8
8
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
0
390
372
5
96.67%
94.76%
98.58%
0
390
42
4
11.79%
8.47%
15.12%
0
390
165
146
79.74%
75.63%
83.86%
0
390
268
33
77.18%
72.89%
81.47%
0
390
321
8
84.36%
80.63%
88.09%
0
390
127
124
64.36%
59.48%
69.24%
0
390
337
9
88.72%
85.45%
91.99%
0
390
174
126
76.92%
72.61%
81.23%
0
390
136
91
58.21%
53.18%
63.23%
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
Page 30
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
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 32
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
2008
H
1012
2008
H
1012
863
85.28%
411
10%
453
385
84.99%
613
60.57%
411
10%
453
268
59.16%
Good HbA1c
Control
(<7.0%)
NR
NR
Adequate
HbA1c
Control
(<8.0%)
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
2008
H
1012
2008
H
1012
2008
H
1012
2008
H
1012
2008
H
1012
2008
H
1012
2008
H
1012
342
33.79%
411
10%
453
157
34.66%
577
57.02%
411
10%
453
262
57.84%
781
77.17%
411
10%
453
355
78.37%
258
25.49%
411
10%
453
121
26.71%
797
78.75%
411
10%
453
354
78.15%
473
46.74%
411
10%
453
224
49.45%
348
34.39%
411
10%
453
166
36.64%
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
Number of medical record data records
excluded
19
19
19
19
19
19
19
19
19
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
0
0
19
411
361
14
91.24%
88.39%
94.10%
19
411
100
1
24.57%
20.29%
28.86%
19
411
148
114
63.75%
58.98%
68.52%
19
411
245
45
70.56%
66.03%
75.09%
19
411
329
18
84.43%
80.80%
88.06%
19
411
115
94
50.85%
45.90%
55.81%
19
411
333
25
87.10%
83.74%
90.47%
19
411
201
118
77.62%
73.46%
81.77%
19
411
150
77
55.23%
50.30%
60.16%
Additional Records Added from the
Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
NR
NR
NR
Page 33
Effectiveness of Care
HealthPartners and Group Health
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)
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare
Advantage
MSHO
2008
A
61
8
13.11%
3.82%
22.41%
2008
A
89
11
12.36%
4.96%
19.76%
Page 34
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 9:51 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
Effective
Continuation
Phase
Treatment
2008
A
3865
2805
72.57%
71.15%
73.99%
2173
56.22%
54.65%
57.80%
Page 35
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 9:51 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
Effective
Continuation
Phase
Treatment
2008
A
21
17
NA
NA
NA
17
NA
NA
NA
Page 36
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 9:51 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
30
17
56.67%
37.27%
76.07%
17
56.67%
37.27%
76.07%
Page 37
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 9:51 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
NR
NR
NR
Effective
Continuation
Phase
Treatment
NR
NR
NR
Page 39
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Jan 10, 2011 9:51 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
397
207
52.14%
47.10%
57.18%
140
35.26%
30.44%
40.09%
Page 40
Effectiveness of Care
HealthPartners and Group Health
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 10, 2011 9:51 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
776
281
36.21%
32.77%
39.66%
282
121
42.91%
36.95%
48.86%
2008
A
Page 41
Effectiveness of Care
HealthPartners and Group Health
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Jan 10, 2011 9:51 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
145
57
39.31%
31.02%
47.61%
34
17
50.00%
31.72%
68.28%
2008
A
Page 42
Effectiveness of Care
HealthPartners and Group Health
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 9:51 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
3
NA
NA
NA
1
NA
NA
NA
2008
A
6
Page 43
Effectiveness of Care
HealthPartners and Group Health
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 9:51 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
7
NA
NA
NA
3
NA
NA
NA
2008
A
9
Page 44
Effectiveness of Care
HealthPartners and Group Health
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Follow-up After Hospitalization for Mental Illness
Data Last Refreshed:
Jan 10, 2011 9:51 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
NR
NR
NR
NR
NR
NR
Page 46
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 9:51 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
29159
23114
79.27%
78.80%
79.74%
943
737
78.15%
75.46%
80.85%
21655
17441
80.54%
80.01%
81.07%
1336
919
68.79%
66.27%
71.31%
53093
42211
79.50%
79.16%
79.85%
2008
A
Page 47
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 9:51 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
653
606
92.80%
90.74%
94.86%
54
52
96.30%
90.33%
100.00%
617
577
93.52%
91.49%
95.54%
47
34
72.34%
58.49%
86.19%
1371
1269
92.56%
91.13%
93.99%
2008
A
Page 48
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 9:51 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
955
892
93.40%
91.78%
95.03%
86
79
91.86%
85.50%
98.22%
794
753
94.84%
93.23%
96.44%
121
103
85.12%
78.37%
91.88%
1956
1827
93.40%
92.28%
94.53%
2008
A
Page 49
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 9:51 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 51
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persistent Medications
Data Last Refreshed:
Jan 10, 2011 9:51 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
815
710
87.12%
84.76%
89.48%
34
29
85.29%
71.92%
98.67%
589
515
87.44%
84.67%
90.20%
99
85
85.86%
78.49%
93.23%
1537
1339
87.12%
85.41%
88.83%
2008
A
Page 52
Effectiveness of Care
HealthPartners and Group Health
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 10, 2011 9:51 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
Total
2008
A
153
22
14.38%
8.49%
20.27%
266
40
15.04%
10.55%
19.52%
31
1
3.23%
0.00%
11.06%
450
63
14.00%
10.68%
17.32%
Page 53
Effectiveness of Care
HealthPartners and Group Health
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Jan 10, 2011 9:51 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
164
31
18.90%
12.61%
25.20%
599
104
17.36%
14.25%
20.48%
49
3
6.12%
0.00%
13.86%
812
138
17.00%
14.35%
19.64%
Page 54
Effectiveness of Care
HealthPartners and Group Health
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 10, 2011 9:51 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
2008
A
1402
At least 1
Prescription
At least 2
Prescriptions
177
12.62%
10.85%
14.40%
23
1.64%
0.94%
2.34%
Page 55
Effectiveness of Care
HealthPartners and Group Health
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Jan 10, 2011 9:51 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
2307
At least 1
Prescription
At least 2
Prescriptions
407
17.64%
16.06%
19.22%
66
2.86%
2.16%
3.56%
Page 56
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
82226
117391
9330
79157
114037
9191
96.27%
96.14%
96.40%
97.14%
97.05%
97.24%
98.51%
98.26%
98.76%
2008
A
Page 57
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
17
86
1402
16
82
1355
NA
NA
NA
95.35%
90.32%
100.00%
96.65%
95.67%
97.63%
2008
A
Page 58
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 9:51 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
2309
0
0
2264
NA
NA
NA
NA
NA
NA
98.05%
97.47%
98.64%
2008
A
Page 59
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
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 61
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Jan 10, 2011 9:51 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+
6940
3325
1117
6174
2986
1031
88.96%
88.22%
89.71%
89.80%
88.76%
90.85%
92.30%
90.69%
93.91%
2008
A
Page 62
Access/Availability of Care
HealthPartners and Group Health
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Data Elements
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
5992
5925
29366
26815
25148
22886
46916
42722
98.88%
98.61%
99.16%
91.31%
90.99%
91.64%
91.01%
90.65%
91.36%
91.06%
90.80%
91.32%
2008
A
Page 63
Access/Availability of Care
HealthPartners and Group Health
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Jan 10, 2011 9:51 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.
1464
1442
3799
3499
2293
2068
3268
2937
98.50%
97.84%
99.15%
92.10%
91.23%
92.97%
90.19%
88.95%
91.43%
89.87%
88.82%
90.92%
2008
A
Page 64
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 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
362
3538
3900
116
63
1143
564
1259
627
32.04%
27.10%
36.99%
17.40%
13.36%
21.45%
32.31%
30.75%
33.86%
15.94%
14.72%
17.16%
32.28%
30.80%
33.76%
16.08%
14.91%
17.24%
Page 65
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 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
21
21
0
0
10
0
10
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Page 66
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 9:51 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
26
26
0
0
12
0
12
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
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Total
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology (Administrative
only)
Eligible member population
Numerator events by administrative data
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 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 69
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Jan 10, 2011 9:51 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
79
1045
1124
24
10
344
159
368
169
30.38%
19.61%
41.15%
12.66%
4.69%
20.62%
32.92%
30.02%
35.82%
15.22%
12.99%
17.44%
32.74%
29.95%
35.53%
15.04%
12.90%
17.17%
Page 70
Access/Availability of Care
HealthPartners and Group Health
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2008
H
6282
2008
H
6282
Number of numerator events by administrative data in eligible
population (before exclusions)
4408
3497
70.17%
219
5%
230
166
55.67%
219
5%
230
132
72.17%
57.39%
0
0
0
0
219
99
111
0
0
219
99
85
95.89%
93.03%
98.75%
84.02%
78.94%
89.10%
Data Elements
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of valid
data errors
Number of employee/dependent medical records excluded
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2009 (Reporting Year 2008)
Page 71
Access/Availability of Care
HealthPartners and Group Health
Prenatal and Postpartum Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Timeliness of
Prenatal Care
Postpartum
Care
Measurement Year
Data collection methodology (Administrative or Hybrid)
Eligible member population
2008
H
1929
2008
H
1929
Number of numerator events by administrative data in eligible
population (before exclusions)
1088
801
56.40%
411
5%
432
249
41.52%
411
5%
432
183
57.64%
42.36%
0
0
0
0
411
110
275
0
0
411
110
158
93.67%
91.20%
96.15%
65.21%
60.48%
69.93%
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
HealthPartners and Group Health
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
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
26
0.57%
25
0.54%
31
0.67%
79
1.72%
184
4.00%
686
14.92%
3566
77.57%
5
1.83%
0
0.00%
3
1.10%
3
1.10%
11
4.03%
37
13.55%
214
78.39%
0
1
0.38%
0.00%
1.33%
0
0
0.00%
0.00%
0.19%
0
1
0.38%
0.00%
1.33%
0
0
0.00%
0.00%
0.19%
0
9
3.46%
1.05%
5.88%
0
29
11.15%
7.14%
15.17%
203
17
84.62%
80.04%
89.19%
260
5.00%
273
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
2007
H
4597
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Zero Visits
260
Page 73
Use of Services
HealthPartners and Group Health
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Jan 10, 2011 9:51 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
25
1.83%
34
2.48%
38
2.78%
71
5.19%
141
10.30%
265
19.36%
795
58.07%
7
1.91%
8
2.19%
12
3.28%
26
7.10%
38
10.38%
67
18.31%
208
56.83%
0
2
0.57%
0.00%
1.51%
0
3
0.86%
0.00%
1.98%
0
3
0.86%
0.00%
1.98%
0
12
3.45%
1.39%
5.51%
0
26
7.47%
4.57%
10.38%
0
48
13.79%
10.03%
17.56%
205
49
72.99%
68.18%
77.80%
348
5.00%
366
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
2007
H
1369
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
348
Page 74
Use of Services
HealthPartners and Group Health
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2007
H
22855
2007
H
2846
Numerator events by admin data in eligible
population
14547
1948
63.65%
388
5.00%
408
268
68.45%
342
5.00%
360
252
65.69%
0
70.00%
0
0
0
0
388
258
15
70.36%
65.69%
75.03%
0
342
237
12
72.81%
67.94%
77.67%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
Page 75
Use of Services
HealthPartners and Group Health
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
MHCP-MC
Measurement Year
Data Collection Methodology
Eligible Member Population
2007
H
64324
2007
H
5447
Numerator events by admin data in eligible
population
21829
2032
33.94%
411
5.00%
432
139
37.30%
411
5.00%
432
163
32.18%
0
37.73%
0
0
0
0
411
134
32
40.39%
35.52%
45.25%
0
411
159
45
49.64%
44.68%
54.59%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
Number of employee/dependent medical records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2009 (Reporting Year 2008)
Page 76
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Member Months
Total
408871
829625
1359849
939095
Age
0-4
0-9
5-19
10-19
Total
Number of
Procedures
Procedure
Myringotomy
Age
Tonsillectomy
0-9
10-19
Procedures /
1,000 Member
Months
2391
569
854
321
0-4
5-19
5.85
0.42
1.03
0.34
Member Months
Age
15-44
20-44
30-64
45-64
65+
Male
992144
1657159
988093
74673
Female
1365791
1126747
1087386
70119
Female
Male
Procedure
Age
Dilation & Curettage 15-44
45-64
Hysterectomy,
15-44
Abdominal
45-64
Number of
Procedures
Procedures /
1,000 Member
Months
65+
Hysterectomy,
Vaginal
15-44
45-64
65+
Cholecystectomy,
Open
30-64
15-44
45-64
65+
Cholecystectomy,
Closed
30-64
15-44
45-64
65+
Back Surgery
20-44
45-64
65+
Angioplasty (PTCA) 45-64
65+
45-64
Cardiac
Catheterization
65+
CABG
45-64
65+
Prostatectomy
45-64
65+
Mastectomy
15-44
45-64
65+
Lumpectomy
15-44
45-64
65+
HEDIS 2009 (Reporting Year 2008)
31
4
0.05
0.20
91
122
26
293
72
Procedures /
1,000 Member
Months
67
105
299
451
9
209
293
9
0.05
0.10
18
45
2
0.01
0.04
0.03
557
475
24
197
479
49
141
32
401
0.41
0.44
0.34
0.22
0.41
0.13
0.15
0.27
0.13
0.02
331
26
194
470
44
563
87
611
Number of
Procedures
0.35
0.20
0.48
0.59
0.57
1.17
0.62
1.22
0.12
0.35
56
29
2
0.17
0.44
0.70
0.13
0.46
0.37
0.80
0.03
0.03
0.30
0.96
60
202
16
220
470
40
0.04
0.19
0.23
0.16
0.43
0.57
Page 77
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Member Months
Age
Male
616
1231
2518
1728
< 65
65-74
75-84
85+
Female
759
2428
6031
4619
Male
Procedure
Age
CABG
<65
65-74
75-84
85+
Angioplasty
(PTCA)
<65
65-74
75-84
85+
Cardiac
Catheterization
<65
65-74
75-84
85+
Carotid
Endarterectomy
<65
65-74
75-84
85+
Reduction of
Fracture of Femur
<65
65-74
75-84
85+
Total Hip
Replacement
<65
65-74
75-84
85+
Total Knee
Replacement
<65
65-74
75-84
85+
Partial Excision of
Large Inestine
<65
65-74
75-84
85+
Cholecystectomy,
Open
<65
65-74
75-84
85+
Cholecystectomy,
Closed
(laparoscopic)
<65
65-74
75-84
85+
Back Surgery
<65
65-74
75-84
85+
Hysterectomy
Abdominal
<65
65-74
75-84
85+
Hysterectomy,
Vaginal
<65
65-74
75-84
85+
Mastectomy
<65
65-74
75-84
85+
Lumpectomy
<65
65-74
75-84
85+
HEDIS 2009 (Reporting Year 2008)
Number of
Procedures
0
0
0
0
1
9
7
1
0
3
3
1
0
0
2
0
0
0
1
1
0
0
0
0
0
0
5
2
1
0
0
0
0
1
0
0
0
0
0
1
0
1
2
1
Female
Procedures /
1,000 Member
Months
0.00
0.00
0.00
0.00
1.62
7.31
2.78
0.58
0.00
2.44
1.19
0.58
0.00
0.00
0.79
0.00
0.00
0.00
0.40
0.58
0.00
0.00
0.00
0.00
0.00
0.00
1.99
1.16
1.62
0.00
0.00
0.00
0.00
0.81
0.00
0.00
0.00
0.00
0.00
0.58
0.00
0.81
0.79
0.58
Number of
Procedures
0
0
0
0
0
0
5
4
2
5
8
2
1
1
1
1
0
0
3
14
0
0
0
0
0
2
5
0
0
2
4
2
0
0
1
0
1
0
3
3
1
2
7
1
0
0
1
0
0
0
0
0
0
2
1
0
0
0
4
1
Procedures /
1,000 Member
Months
0.00
0.00
0.00
0.00
0.00
0.00
0.83
0.87
2.64
2.06
1.33
0.43
1.32
0.41
0.17
0.22
0.00
0.00
0.50
3.03
0.00
0.00
0.00
0.00
0.00
0.82
0.83
0.00
0.00
0.82
0.66
0.43
0.00
0.00
0.17
0.00
1.32
0.00
0.50
0.65
1.32
0.82
1.16
0.22
0.00
0.00
0.17
0.00
0.00
0.00
0.00
0.00
0.00
0.82
0.17
0.00
0.00
0.00
0.66
0.22
Page 78
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 9:51 AM
MSHO
Member Months
Age
Male
0
4582
3209
1383
< 65
65-74
75-84
85+
Female
0
8430
7327
6409
Male
Procedure
Age
CABG
<65
65-74
75-84
85+
Angioplasty
(PTCA)
<65
65-74
75-84
85+
Cardiac
Catheterization
<65
65-74
75-84
85+
Carotid
Endarterectomy
<65
65-74
75-84
85+
Reduction of
Fracture of Femur
<65
65-74
75-84
85+
Total Hip
Replacement
<65
65-74
75-84
85+
Total Knee
Replacement
<65
65-74
75-84
85+
Partial Excision of
Large Inestine
<65
65-74
75-84
85+
Cholecystectomy,
Open
<65
65-74
75-84
85+
Cholecystectomy,
Closed
(laparoscopic)
<65
65-74
75-84
85+
Back Surgery
<65
65-74
75-84
85+
Hysterectomy
Abdominal
<65
65-74
75-84
85+
Hysterectomy,
Vaginal
<65
65-74
75-84
85+
Mastectomy
<65
65-74
75-84
85+
Lumpectomy
<65
65-74
75-84
85+
HEDIS 2009 (Reporting Year 2008)
Number of
Procedures
0
3
0
0
0
3
3
0
0
4
4
0
0
0
1
0
0
1
1
0
0
3
0
0
0
2
1
0
0
0
1
1
0
0
0
0
0
2
1
1
0
4
0
0
Female
Procedures /
1,000 Member
Months
NA
0.65
0.00
0.00
NA
0.65
0.93
0.00
NA
0.87
1.25
0.00
NA
0.00
0.31
0.00
NA
0.22
0.31
0.00
NA
0.65
0.00
0.00
NA
0.44
0.31
0.00
NA
0.00
0.31
0.72
NA
0.00
0.00
0.00
NA
0.44
0.31
0.72
NA
0.87
0.00
0.00
Number of
Procedures
0
0
0
0
0
9
7
0
0
9
8
3
0
0
0
1
0
6
6
9
0
2
3
1
0
9
7
1
0
0
3
0
0
1
0
0
0
4
3
1
0
2
1
1
0
1
0
0
0
0
1
0
0
3
1
0
0
4
3
1
Procedures /
1,000 Member
Months
NA
0.00
0.00
0.00
NA
1.07
0.96
0.00
NA
1.07
1.09
0.47
NA
0.00
0.00
0.16
NA
0.71
0.82
1.40
NA
0.24
0.41
0.16
NA
1.07
0.96
0.16
NA
0.00
0.41
0.00
NA
0.12
0.00
0.00
NA
0.47
0.41
0.16
NA
0.24
0.14
0.16
NA
0.12
0.00
0.00
NA
0.00
0.14
0.00
NA
0.36
0.14
0.00
NA
0.47
0.41
0.16
Page 79
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
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 81
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC
Member Months
Total
Age
111673
0-4
190263
0-9
208379
5-19
129789
10-19
Total
Number of
Procedures
Procedure
Myringotomy
Age
Tonsillectomy
0-9
10-19
Procedures /
1,000 Member
Months
344
115
137
44
0-4
5-19
3.08
0.55
0.72
0.34
Member Months
Age
15-44
20-44
30-64
45-64
Male
64244
69758
32941
Female
155456
122919
34282
Male
Procedure
Age
Dilation & Curettage 15-44
45-64
Hysterectomy,
15-44
Abdominal
45-64
Number of
Procedures
Hysterectomy,
Vaginal
15-44
45-64
Cholecystectomy,
Open
30-64
15-44
45-64
0
Cholecystectomy,
Closed
30-64
15-44
45-64
20-44
45-64
18
Back Surgery
Mastectomy
15-44
45-64
Lumpectomy
15-44
45-64
HEDIS 2009 (Reporting Year 2008)
32
32
Female
Procedures /
1,000 Member
Months
Number of
Procedures
Procedures /
1,000 Member
Months
6
4
32
16
22
3
0.21
0.47
6
0
0.04
0.00
99
31
38
24
7
3
15
15
0.64
0.90
0.04
0.12
0.14
0.09
0.00
0.26
0.50
0.97
0.31
0.70
0.05
0.09
0.10
0.44
Page 82
Use of Services
HealthPartners and Group Health
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
79316
750309
939095
2118891
2075479
105172
31512
8108
0
6107882
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
71445
227456
212909
566018
758844
57981
23569
6350
0
1924572
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
900.76
303.15
226.72
267.13
365.62
551.30
747.94
783.18
315.10
Emergency Room Visits
Visits
2140
10920
10446
25389
20221
1508
695
268
0
71587
Visits/ 1,000
Member
Months
26.98
14.55
11.12
11.98
9.74
14.34
22.06
33.05
11.72
Ambulatory
Surgery/Procedures
Procedures
606
3582
3103
17716
44266
3350
1056
187
0
73866
Procedures/
1,000 Member
Months
7.64
4.77
3.30
8.36
21.33
31.85
33.51
23.06
12.09
Observation Room Stays
Resulting in Discharge
Stays
29
27
88
845
94
16
6
3
0
1108
Stays/ 1,000
Member
Months
0.37
0.04
0.09
0.40
0.05
0.15
0.19
0.37
0.18
Page 83
Use of Services
HealthPartners and Group Health
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
0
228
1147
3659
8549
6347
0
19930
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
104
838
2438
6585
5063
0
15028
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
NA
NA
NA
456.14
730.60
666.30
770.27
797.70
754.04
Emergency Room Visits
Visits
0
0
0
10
39
87
197
157
0
490
Visits/ 1,000
Member
Months
NA
NA
NA
43.86
34.00
23.78
23.04
24.74
24.59
Ambulatory
Surgery/Procedures
Procedures
0
0
0
4
32
136
235
100
0
507
Procedures/
1,000 Member
Months
NA
NA
NA
17.54
27.90
37.17
27.49
15.76
25.44
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
0
0
0
0
0
Stays/ 1,000
Member
Months
NA
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
Page 84
Use of Services
HealthPartners and Group Health
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
13012
10536
7792
0
31340
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
10582
9509
7544
0
27635
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
813.25
902.52
968.17
881.78
Emergency Room Visits
Visits
0
0
0
0
0
407
332
193
0
932
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
31.28
31.51
24.77
29.74
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
361
238
84
0
683
Procedures/
1,000 Member
Months
NA
NA
NA
NA
NA
27.74
22.59
10.78
21.79
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
1
0
0
0
1
Stays/ 1,000
Member
Months
NA
NA
NA
NA
NA
0.08
0.00
0.00
0.03
Page 85
Use of Services
HealthPartners and Group Health
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Member
Months
NR
Total
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
NR
HEDIS 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 87
Use of Services
HealthPartners and Group Health
Ambulatory Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
33681
156582
129789
187163
67223
10406
5571
3253
0
593668
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
24310
46535
30874
78878
35355
6674
3528
1897
0
228051
HEDIS 2009 (Reporting Year 2008)
Visits/ 1,000
Member
Months
721.77
297.19
237.88
421.44
525.94
641.36
633.28
583.15
384.14
Emergency Room Visits
Visits
3008
6546
3551
11881
3156
362
151
68
0
28723
Visits/ 1,000
Member
Months
89.31
41.81
27.36
63.48
46.95
34.79
27.10
20.90
48.38
Ambulatory
Surgery/Procedures
Procedures
172
600
527
2734
1608
293
143
13
0
6090
Procedures/
1,000 Member
Months
5.11
3.83
4.06
14.61
23.92
28.16
25.67
4.00
10.26
Observation Room Stays
Resulting in Discharge
Stays
6
5
101
519
7
0
0
0
0
638
Stays/ 1,000
Member
Months
0.18
0.03
0.78
2.77
0.10
0.00
0.00
0.00
1.07
Page 88
Use of Services
HealthPartners and Group Health
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 9:51 AM
Member Months
79316
750309
939095
2118891
2075479
105172
31512
8108
0
6107882
Discharges
Discharges /
1,000 Member
Months
1196
1132
1514
12314
14132
1449
741
256
0
32734
15.08
1.51
1.61
5.81
6.81
13.78
23.51
31.57
1059
853
766
2507
6527
707
465
202
0
13086
13.35
1.14
0.82
1.18
3.14
6.72
14.76
24.91
136
277
543
2755
7581
742
276
54
0
12364
1.71
0.37
0.58
1.30
3.65
7.06
8.76
6.66
204
7052
24
0
7280
HEDIS 2009 (Reporting Year 2008)
5.36
2.14
2.02
0.22
3.33
0.01
1.42
Days
Days / 1,000
Member
Months
4135
3317
4807
34579
50149
5766
3378
1005
0
107136
52.13
4.42
5.12
16.32
24.16
54.82
107.20
123.95
3123
2245
2495
8032
23067
2572
2027
768
0
44329
39.37
2.99
2.66
3.79
11.11
24.46
64.32
94.72
1010
1070
1802
7714
27006
3194
1351
237
0
43384
12.73
1.43
1.92
3.64
13.01
30.37
42.87
29.23
509
18833
76
0
19418
0.54
8.89
0.04
17.54
7.26
7.10
3.78
Average
Length of Stay
3.46
2.93
3.18
2.81
3.55
3.98
4.56
3.93
NA
3.27
2.95
2.63
3.26
3.20
3.53
3.64
4.36
3.80
NA
3.39
7.43
3.86
3.32
2.80
3.56
4.30
4.89
4.39
NA
3.51
2.50
2.67
3.17
NA
2.67
Page 89
Use of Services
HealthPartners and Group Health
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Age
Member Months
<1
0
1-9
0
10-19
0
20-44
228
45-64
1147
65-74
3659
75-84
8549
85+
6347
Unknown
0
Total
19930
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
0
0
0
4
39
138
301
250
0
732
NA
NA
NA
17.54
34.00
37.72
35.21
39.39
0
0
0
2
31
92
208
208
0
541
NA
NA
NA
8.77
27.03
25.14
24.33
32.77
0
0
0
2
8
46
93
42
0
191
NA
NA
NA
8.77
6.97
12.57
10.88
6.62
0
0
0
0
0
NA
0.00
0.00
HEDIS 2009 (Reporting Year 2008)
36.73
27.15
9.58
0.00
Days
Days / 1,000
Member
Months
0
0
0
45
225
725
1441
1127
0
3563
NA
NA
NA
197.37
196.16
198.14
168.56
177.56
0
0
0
15
154
479
899
818
0
2365
NA
NA
NA
65.79
134.26
130.91
105.16
128.88
178.78
118.67
0
0
0
30
71
246
542
309
0
1198
NA
NA
NA
131.58
61.90
67.23
63.40
48.68
0
0
0
0
0
NA
0.00
0.00
60.11
0.00
Average
Length of Stay
NA
NA
NA
11.25
5.77
5.25
4.79
4.51
NA
4.87
NA
NA
NA
7.50
4.97
5.21
4.32
3.93
NA
4.37
NA
NA
NA
15.00
8.88
5.35
5.83
7.36
NA
6.27
NA
NA
NA
NA
NA
Page 90
Use of Services
HealthPartners and Group Health
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 9:51 AM
Member Months
0
0
0
0
0
13012
10536
7792
0
31340
Discharges
0
0
0
0
0
461
450
319
0
1230
Discharges /
1,000 Member
Months
NA
NA
NA
NA
NA
35.43
42.71
40.94
39.25
0
0
0
0
0
351
361
278
0
990
NA
NA
NA
NA
NA
26.98
34.26
35.68
0
0
0
0
0
110
89
41
0
240
NA
NA
NA
NA
NA
8.45
8.45
5.26
0
0
0
0
0
NA
NA
NA
HEDIS 2009 (Reporting Year 2008)
31.59
7.66
NA
Days
0
0
0
0
0
2079
2010
1394
0
5483
Days / 1,000
Member
Months
NA
NA
NA
NA
NA
159.78
190.77
178.90
174.95
0
0
0
0
0
1355
1493
1182
0
4030
NA
NA
NA
NA
NA
104.13
141.70
151.69
0
0
0
0
0
724
517
212
0
1453
NA
NA
NA
NA
NA
55.64
49.07
27.21
0
0
0
0
0
128.59
46.36
NA
NA
NA
NA
Average
Length of Stay
NA
NA
NA
NA
NA
4.51
4.47
4.37
NA
4.46
NA
NA
NA
NA
NA
3.86
4.14
4.25
NA
4.07
NA
NA
NA
NA
NA
6.58
5.81
5.17
NA
6.05
NA
NA
NA
NA
NA
Page 91
Use of Services
HealthPartners and Group Health
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 9:51 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
HealthPartners and Group Health
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 9:51 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 93
Use of Services
HealthPartners and Group Health
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
<1
33681
1-9
156582
10-19
129789
20-44
187163
45-64
67223
65-74
10406
75-84
5571
85+
3253
Unknown
0
Total
593668
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
534
346
537
3523
1051
279
151
91
0
6512
15.85
2.21
4.14
18.82
15.63
26.81
27.10
27.97
482
289
146
752
643
209
119
82
0
2722
14.31
1.85
1.12
4.02
9.57
20.08
21.36
25.21
52
57
72
481
403
70
32
9
0
1176
1.54
0.36
0.55
2.57
5.99
6.73
5.74
2.77
318
2290
5
0
2613
HEDIS 2009 (Reporting Year 2008)
10.97
4.59
1.98
2.45
12.24
0.07
6.80
Days
Days / 1,000
Member
Months
1826
1037
1451
9784
4413
1396
800
382
0
21089
54.21
6.62
11.18
52.28
65.65
134.15
143.60
117.43
1387
744
442
2303
2387
955
588
309
0
9115
41.18
4.75
3.41
12.30
35.51
91.77
105.55
94.99
439
293
191
1852
2016
441
212
73
0
5517
13.03
1.87
1.47
9.90
29.99
42.38
38.05
22.44
816
5629
10
0
6455
6.29
30.08
0.15
35.52
15.35
9.29
16.80
Average
Length of Stay
3.42
3.00
2.70
2.78
4.20
5.00
5.30
4.20
NA
3.24
2.88
2.57
3.03
3.06
3.71
4.57
4.94
3.77
NA
3.35
8.44
5.14
2.65
3.85
5.00
6.30
6.63
8.11
NA
4.69
2.57
2.46
2.00
NA
2.47
Page 94
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
79316
750309
939095
2118891
2075479
105172
31512
8108
0
6107882
Discharges
0
0
4
86
695
159
161
84
0
1189
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
0.00
0.00
0.00
0.04
0.33
1.51
5.11
10.36
0.19
Days
0
0
195
1490
10165
2360
3869
2466
0
20545
Days / 1,000
Member
Months
0.00
0.00
0.21
0.70
4.90
22.44
122.78
304.14
3.36
Average Length
of Stay
NA
NA
48.75
17.33
14.63
14.84
24.03
29.36
NA
17.28
Page 95
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
0
0
0
228
1147
3659
8549
6347
0
19930
Discharges
0
0
0
0
5
28
118
129
0
280
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NA
NA
NA
0.00
4.36
7.65
13.80
20.32
14.05
Days
0
0
0
0
74
487
2194
3069
0
5824
Days / 1,000
Member
Months
NA
NA
NA
0.00
64.52
133.10
256.64
483.54
292.22
Average Length
of Stay
NA
NA
NA
NA
14.80
17.39
18.59
23.79
NA
20.80
Page 96
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
13012
10536
7792
0
31340
Discharges
0
0
0
0
0
141
236
248
0
625
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
NA
NA
NA
NA
NA
10.84
22.40
31.83
19.94
Days
0
0
0
0
0
2964
6304
9844
0
19112
Days / 1,000
Member
Months
NA
NA
NA
NA
NA
227.79
598.33
1263.35
609.83
Average Length
of Stay
NA
NA
NA
NA
NA
21.02
26.71
39.69
NA
30.58
Page 97
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
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 99
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Jan 10, 2011 9:51 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
33681
156582
129789
187163
67223
10406
5571
3253
0
593668
Discharges
0
0
0
5
12
43
52
33
0
145
HEDIS 2009 (Reporting Year 2008)
Discharges /
1,000 Member
Months
0.00
0.00
0.00
0.03
0.18
4.13
9.33
10.14
0.24
Days
0
0
0
67
159
1150
1603
1181
0
4160
Days / 1,000
Member
Months
0.00
0.00
0.00
0.36
2.37
110.51
287.74
363.05
7.01
Average Length
of Stay
NA
NA
NA
13.40
13.25
26.74
30.83
35.79
NA
28.69
Page 100
Use of Services
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
561123
248659
259186
352107
1464172
74673
0
2959920
Female
533994
236952
278607
424074
1604216
70119
0
3147962
Total
1095117
485611
537793
776181
3068388
144792
0
6107882
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
10
8
18
555
337
892
937
518
1455
715
455
1170
2697
1726
4423
113
47
160
0
0
0
5027
3091
8118
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
561123
248659
259186
352107
1464172
74673
0
2959920
Female
533994
236952
278607
424074
1604216
70119
0
3147962
Total
1095117
485611
537793
776181
3068388
144792
0
6107882
Inpatient
Percent
0.02%
0.02%
0.02%
2.68%
1.71%
2.20%
4.34%
2.23%
3.25%
2.44%
1.29%
1.81%
2.21%
1.29%
1.73%
1.82%
0.80%
1.33%
NA
NA
NA
2.04%
1.18%
1.59%
Number
5
3
8
127
88
215
200
126
326
112
88
200
674
461
1135
56
25
81
0
0
0
1174
791
1965
Percent
0.01%
0.01%
0.01%
0.61%
0.45%
0.53%
0.93%
0.54%
0.73%
0.38%
0.25%
0.31%
0.55%
0.34%
0.44%
0.90%
0.43%
0.67%
NA
NA
NA
0.48%
0.30%
0.39%
Male
561123
248659
259186
352107
1464172
74673
0
2959920
Female
533994
236952
278607
424074
1604216
70119
0
3147962
Total
1095117
485611
537793
776181
3068388
144792
0
6107882
Member Months
(Outpatient/ED)
Male
561123
248659
259186
352107
1464172
74673
0
2959920
Female
533994
236952
278607
424074
1604216
70119
0
3147962
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
1
1
161
58
219
101
36
137
79
27
106
265
147
412
1
0
1
0
0
0
607
269
876
Number
6
6
12
485
295
780
818
448
1266
630
407
1037
2260
1437
3697
68
27
95
0
0
0
4267
2620
6887
Percent
0.00%
0.00%
0.00%
0.78%
0.29%
0.54%
0.47%
0.16%
0.31%
0.27%
0.08%
0.16%
0.22%
0.11%
0.16%
0.02%
0.00%
0.01%
NA
NA
NA
0.25%
0.10%
0.17%
Total
1095117
485611
537793
776181
3068388
144792
0
6107882
Percent
0.01%
0.01%
0.01%
2.34%
1.49%
1.93%
3.79%
1.93%
2.82%
2.15%
1.15%
1.60%
1.85%
1.07%
1.45%
1.09%
0.46%
0.79%
NA
NA
NA
1.73%
1.00%
1.35%
Page 101
Use of Services
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
12
0
604
5477
0
6093
Female
0
0
0
25
734
13078
0
13837
Total
0
0
12
25
1338
18555
0
19930
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
5
10
15
18
19
37
0
0
0
23
29
52
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Member Months
(Any)
Male
0
0
12
0
604
5477
0
6093
Female
0
0
0
25
734
13078
0
13837
Total
0
0
12
25
1338
18555
0
19930
Inpatient
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
NA
0.00%
0.00%
9.93%
16.35%
13.45%
3.94%
1.74%
2.39%
NA
NA
NA
4.53%
2.51%
3.13%
Number
0
0
0
0
0
0
0
0
0
0
0
0
1
3
4
13
14
27
0
0
0
14
17
31
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
NA
0.00%
0.00%
1.99%
4.90%
3.59%
2.85%
1.28%
1.75%
NA
NA
NA
2.76%
1.47%
1.87%
Male
0
0
12
0
604
5477
0
6093
Female
0
0
0
25
734
13078
0
13837
Total
0
0
12
25
1338
18555
0
19930
Member Months
(Outpatient/ED)
Male
0
0
12
0
604
5477
0
6093
Female
0
0
0
25
734
13078
0
13837
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
4
8
12
6
5
11
0
0
0
10
13
23
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
NA
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
12
25
1338
18555
0
19930
Percent
NA
NA
NA
NA
NA
NA
0.00%
NA
0.00%
NA
0.00%
0.00%
7.95%
13.08%
10.76%
1.31%
0.46%
0.71%
NA
NA
NA
1.97%
1.13%
1.38%
Page 102
Use of Services
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 9:51 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
9174
0
9174
Female
0
0
0
0
0
22166
0
22166
Total
0
0
0
0
0
31340
0
31340
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
59
46
105
0
0
0
59
46
105
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
0
0
9174
0
9174
Female
0
0
0
0
0
22166
0
22166
Total
0
0
0
0
0
31340
0
31340
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.72%
2.49%
4.02%
NA
NA
NA
7.72%
2.49%
4.02%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
41
34
75
0
0
0
41
34
75
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.36%
1.84%
2.87%
NA
NA
NA
5.36%
1.84%
2.87%
Male
0
0
0
0
0
9174
0
9174
Female
0
0
0
0
0
22166
0
22166
Total
0
0
0
0
0
31340
0
31340
Member Months
(Outpatient/ED)
Male
0
0
0
0
0
9174
0
9174
Female
0
0
0
0
0
22166
0
22166
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
32
16
48
0
0
0
32
16
48
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
31340
0
31340
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.19%
0.87%
1.84%
NA
NA
NA
4.19%
0.87%
1.84%
Page 103
Use of Services
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
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 105
Use of Services
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Jan 10, 2011 9:51 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
118063
32813
22946
26263
57523
6341
0
263949
Female
113463
33621
45592
55514
68640
12889
0
329719
Total
231526
66434
68538
81777
126163
19230
0
593668
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
9
5
14
138
87
225
312
346
658
614
555
1169
1437
870
2307
36
22
58
0
0
0
2546
1885
4431
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
118063
32813
22946
26263
57523
6341
0
263949
Female
113463
33621
45592
55514
68640
12889
0
329719
Total
231526
66434
68538
81777
126163
19230
0
593668
Inpatient
Percent
0.09%
0.05%
0.07%
5.05%
3.11%
4.06%
16.32%
9.11%
11.52%
28.05%
12.00%
17.15%
29.98%
15.21%
21.94%
6.81%
2.05%
3.62%
NA
NA
NA
11.57%
6.86%
8.96%
Number
2
3
5
29
26
55
60
94
154
97
128
225
336
185
521
20
10
30
0
0
0
544
446
990
Percent
0.02%
0.03%
0.03%
1.06%
0.93%
0.99%
3.14%
2.47%
2.70%
4.43%
2.77%
3.30%
7.01%
3.23%
4.96%
3.78%
0.93%
1.87%
NA
NA
NA
2.47%
1.62%
2.00%
Male
118063
32813
22946
26263
57523
6341
0
263949
Female
113463
33621
45592
55514
68640
12889
0
329719
Total
231526
66434
68538
81777
126163
19230
0
593668
Member Months
(Outpatient/ED)
Male
118063
32813
22946
26263
57523
6341
0
263949
Female
113463
33621
45592
55514
68640
12889
0
329719
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
32
13
45
34
36
70
81
62
143
119
70
189
0
0
0
0
0
0
266
181
447
Number
7
2
9
121
71
192
279
276
555
563
483
1046
1280
791
2071
19
13
32
0
0
0
2269
1636
3905
Percent
0.00%
0.00%
0.00%
1.17%
0.46%
0.81%
1.78%
0.95%
1.23%
3.70%
1.34%
2.10%
2.48%
1.22%
1.80%
0.00%
0.00%
0.00%
NA
NA
NA
1.21%
0.66%
0.90%
Total
231526
66434
68538
81777
126163
19230
0
593668
Percent
0.07%
0.02%
0.05%
4.43%
2.53%
3.47%
14.59%
7.26%
9.72%
25.72%
10.44%
15.35%
26.70%
13.83%
19.70%
3.60%
1.21%
2.00%
NA
NA
NA
10.32%
5.95%
7.89%
Page 106
Use of Services
HealthPartners and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
561123
248659
2075465
74673
0
2959920
Female
533994
236952
2306897
70119
0
3147962
Total
1095117
485611
4382362
144792
0
6107882
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
0-12
Number
2999
1754
4753
2543
2743
5286
11969
22193
34162
220
317
537
0
0
0
17731
27007
44738
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
561123
248659
2075465
74673
0
2959920
Female
533994
236952
2306897
70119
0
3147962
Total
1095117
485611
4382362
144792
0
6107882
Number
30
12
42
172
209
381
362
572
934
15
19
34
0
0
0
579
812
1391
Female
533994
236952
2306897
70119
0
3147962
Total
1095117
485611
4382362
144792
0
6107882
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
6.41%
3.94%
5.21%
12.27%
13.89%
13.06%
6.92%
11.54%
9.35%
3.54%
5.43%
4.45%
NA
NA
NA
7.19%
10.30%
8.79%
Male
561123
248659
2075465
74673
0
2959920
Percent
0.06%
0.03%
0.05%
0.83%
1.06%
0.94%
0.21%
0.30%
0.26%
0.24%
0.33%
0.28%
NA
NA
NA
0.23%
0.31%
0.27%
Number
182
92
274
220
249
469
442
814
1256
2
9
11
0
0
0
846
1164
2010
Percent
0.39%
0.21%
0.30%
1.06%
1.26%
1.16%
0.26%
0.42%
0.34%
0.03%
0.15%
0.09%
NA
NA
NA
0.34%
0.44%
0.39%
Member Months
(Outpatient/ED)
Male
561123
248659
2075465
74673
0
2959920
Female
533994
236952
2306897
70119
0
3147962
Total
1095117
485611
4382362
144792
0
6107882
Outpatient/ED
Number
2908
1704
4612
2459
2667
5126
11667
21809
33476
210
297
507
0
0
0
17244
26477
43721
Percent
6.22%
3.83%
5.05%
11.87%
13.51%
12.67%
6.75%
11.34%
9.17%
3.37%
5.08%
4.20%
NA
NA
NA
6.99%
10.09%
8.59%
Page 107
Use of Services
HealthPartners and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
616
5477
0
6093
Female
0
0
759
13078
0
13837
Total
0
0
1375
18555
0
19930
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
22
29
51
32
95
127
0
0
0
54
124
178
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
616
5477
0
6093
Female
0
0
759
13078
0
13837
Total
0
0
1375
18555
0
19930
Number
0
0
0
0
0
0
1
3
4
7
28
35
0
0
0
8
31
39
Female
0
0
759
13078
0
13837
Total
0
0
1375
18555
0
19930
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
42.86%
45.85%
44.51%
7.01%
8.72%
8.21%
NA
NA
NA
10.64%
10.75%
10.72%
Male
0
0
616
5477
0
6093
Percent
NA
NA
NA
NA
NA
NA
1.95%
4.74%
3.49%
1.53%
2.57%
2.26%
NA
NA
NA
1.58%
2.69%
2.35%
Number
0
0
0
0
0
0
1
1
2
0
1
1
0
0
0
1
2
3
Percent
NA
NA
NA
NA
NA
NA
1.95%
1.58%
1.75%
0.00%
0.09%
0.06%
NA
NA
NA
0.20%
0.17%
0.18%
Member Months
(Outpatient/ED)
Male
0
0
616
5477
0
6093
Female
0
0
759
13078
0
13837
Total
0
0
1375
18555
0
19930
Outpatient/ED
Number
0
0
0
0
0
0
21
28
49
26
72
98
0
0
0
47
100
147
Percent
NA
NA
NA
NA
NA
NA
40.91%
44.27%
42.76%
5.70%
6.61%
6.34%
NA
NA
NA
9.26%
8.67%
8.85%
Page 108
Use of Services
HealthPartners and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
0
0
0
9174
0
9174
Female
0
0
0
22166
0
22166
Total
0
0
0
31340
0
31340
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
128
287
415
0
0
0
128
287
415
HEDIS 2009 (Reporting Year 2008)
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Male
0
0
0
9174
0
9174
Female
0
0
0
22166
0
22166
Total
0
0
0
31340
0
31340
Number
0
0
0
0
0
0
0
0
0
48
94
142
0
0
0
48
94
142
Female
0
0
0
22166
0
22166
Total
0
0
0
31340
0
31340
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
16.74%
15.54%
15.89%
NA
NA
NA
16.74%
15.54%
15.89%
Male
0
0
0
9174
0
9174
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
6.28%
5.09%
5.44%
NA
NA
NA
6.28%
5.09%
5.44%
Number
0
0
0
0
0
0
0
0
0
2
8
10
0
0
0
2
8
10
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.26%
0.43%
0.38%
NA
NA
NA
0.26%
0.43%
0.38%
Member Months
(Outpatient/ED)
Male
0
0
0
9174
0
9174
Female
0
0
0
22166
0
22166
Total
0
0
0
31340
0
31340
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
88
209
297
0
0
0
88
209
297
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
11.51%
11.31%
11.37%
NA
NA
NA
11.51%
11.31%
11.37%
Page 109
Use of Services
HealthPartners and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
Member Months
(Any)
Age
Male
Female
0-12
13-17
18-64
65+
Unknown
Total
NR
NR
Total
NR
NR
NR
NR
NR
NR
Any Services
Sex
M
F
Total
M
13-17
F
Total
M
18-64
F
Total
M
65+
F
Total
Unknown M
F
Total
Total
M
F
Total
Age
Number
0-12
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 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 111
Use of Services
HealthPartners and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Minnesota Health Care Programs - Managed Care(MHCP-MC)
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
118063
32813
106732
6341
0
263949
Female
113463
33621
169746
12889
0
329719
Total
231526
66434
276478
19230
0
593668
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
830
535
1365
386
459
845
2144
3517
5661
64
146
210
0
0
0
3424
4657
8081
HEDIS 2009 (Reporting Year 2008)
Male
118063
32813
106732
6341
0
263949
Female
113463
33621
169746
12889
0
329719
Total
231526
66434
276478
19230
0
593668
Percent
8.44%
5.66%
7.07%
14.12%
16.38%
15.26%
24.11%
24.86%
24.57%
12.11%
13.59%
13.10%
NA
NA
NA
15.57%
16.95%
16.33%
Number
13
9
22
29
40
69
179
216
395
9
28
37
0
0
0
230
293
523
Male
118063
32813
106732
6341
0
263949
Female
113463
33621
169746
12889
0
329719
Total
231526
66434
276478
19230
0
593668
Intensive Outpatient/Partial
Hospitalization
Inpatient
Any Services
0-12
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Member Months
(Inpatient)
Percent
0.13%
0.10%
0.11%
1.06%
1.43%
1.25%
2.01%
1.53%
1.71%
1.70%
2.61%
2.31%
NA
NA
NA
1.05%
1.07%
1.06%
Number
73
47
120
48
55
103
218
345
563
1
8
9
0
0
0
340
455
795
Percent
0.74%
0.50%
0.62%
1.76%
1.96%
1.86%
2.45%
2.44%
2.44%
0.19%
0.74%
0.56%
NA
NA
NA
1.55%
1.66%
1.61%
Member Months
(Outpatient/ED)
Male
118063
32813
106732
6341
0
263949
Female
113463
33621
169746
12889
0
329719
Total
231526
66434
276478
19230
0
593668
Outpatient/ED
Number
793
509
1302
363
445
808
1986
3322
5308
54
121
175
0
0
0
3196
4397
7593
Percent
8.06%
5.38%
6.75%
13.28%
15.88%
14.59%
22.33%
23.48%
23.04%
10.22%
11.27%
10.92%
NA
NA
NA
14.53%
16.00%
15.35%
Page 112
Use of Services
HealthPartners and Group Health
Outpatient Drug Utilization
Commercial
Age
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Member Months
685558
617682
1106005
1329416
1208130
89104
29122
7613
0
5072630
Age
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
Data Last Refreshed:
Jan 10, 2011 9:51 AM
$10,035,419.88
$18,681,806.60
$39,560,026.09
$82,886,993.81
$125,423,192.05
$12,842,571.03
$4,544,228.14
$1,145,181.26
$0.00
$295,119,418.86
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$14.64
$30.25
$35.77
$62.35
$103.82
$144.13
$156.04
$150.42
$58.18
Total Number of
Prescriptions
174679
221096
746920
1389963
2532047
301802
131717
37522
0
5535746
Avg. Num. Of
Prescriptions /
Per Member Per
Year
3.06
4.30
8.10
12.55
25.15
40.64
54.28
59.14
13.10
Page 113
Use of Services
HealthPartners and Group Health
Outpatient Drug Utilization
Medicare Advantage
Age
Member Months
0-9
0
10-17
0
18-34
37
35-49
356
50-64
982
65-74
3659
75-84
8549
85+
6347
Unknown
0
Total
19930
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
$12,920.43
$189,438.65
$348,210.92
$652,651.04
$1,176,527.08
$766,551.26
$0.00
$3,146,299.38
HEDIS 2009 (Reporting Year 2008)
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
$349.20
$532.13
$354.59
$178.37
$137.62
$120.77
$157.87
Total Number of
Prescriptions
0
0
137
1163
5456
17638
40803
29140
0
94337
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
44.43
39.20
66.67
57.85
57.27
55.09
56.80
Page 114
Use of Services
HealthPartners and Group Health
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 9:51 AM
Member Months
0
0
0
0
0
13012
10536
7792
0
31340
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
$3,773,280.14
$2,850,294.15
$2,001,558.33
$0.00
$8,625,132.62
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
NA
NA
NA
$289.98
$270.53
$256.87
$275.21
Total Number of
Prescriptions
0
0
0
0
0
86465
76359
61998
0
224822
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
NA
NA
NA
79.74
86.97
95.48
86.08
Page 115
Use of Services
HealthPartners and Group Health
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 9:51 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
HealthPartners and Group Health
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 9:51 AM
Member Months
NR
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 117
Use of Services
HealthPartners and Group Health
Outpatient Drug Utilization
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Age
Member Months
0-9
190263
10-17
107697
18-34
150315
35-49
84958
50-64
41205
65-74
10406
75-84
5571
85+
3253
Unknown
0
Total
Age
593668
Total Cost of
Prescriptions
0-9
10-17
18-34
35-49
50-64
65-74
75-84
85+
Unknown
Total
$2,068,691.24
$2,528,145.04
$7,211,262.80
$8,518,311.49
$4,684,994.66
$575,714.41
$184,208.26
$41,542.53
$0.00
$25,812,870.43
HEDIS 2009 (Reporting Year 2008)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$10.87
$23.47
$47.97
$100.26
$113.70
$55.33
$33.07
$12.77
$43.48
Total Number of
Prescriptions
70188
38133
148489
146623
100880
18907
9246
5124
0
537590
Avg. Num. Of
Prescriptions /
Per Member Per
Year
4.43
4.25
11.85
20.71
29.38
21.80
19.92
18.90
10.87
Page 118
Health Plan Descriptive Information
HealthPartners and Group Health
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
40224
169455
214967
232279
152857
95228
Member Months
Female
39092
160100
205787
219687
146280
92764
Total
79316
329555
420754
451966
299137
187992
905010
30.58%
163958
159120
192987
228340
247739
863710
27.44%
185843
203370
220704
246401
270429
1768720
28.96%
992144
33.52%
283541
275305
248981
180266
1126747
35.79%
316581
308799
273951
188055
2118891
34.69%
988093
33.38%
40537
16122
9026
5649
2725
614
1087386
34.54%
33969
14544
9655
7182
3437
1332
2075479
33.98%
74673
2.52%
0
70119
2.23%
0
144792
2.37%
2959920
3147962
HEDIS 2009 (Reporting Year 2008)
349801
362490
413691
474741
518168
600122
584104
522932
368321
74506
30666
18681
12831
6162
1946
0
6107882
Page 122
Health Plan Descriptive Information
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
12
0
0
48
44
0
0.00%
0
6
19
36
63
0
0.00%
104
1.71%
68
143
182
119
124
0.90%
97
151
132
255
228
1.14%
512
8.40%
462
769
1120
1398
1290
438
635
4.59%
570
1858
2581
3450
2855
1764
1147
5.76%
5477
89.89%
0
13078
94.51%
0
18555
93.10%
6093
13837
HEDIS 2009 (Reporting Year 2008)
12
6
19
84
107
165
294
314
374
1032
2627
3701
4848
4145
2202
0
19930
Page 123
Health Plan Descriptive Information
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 9:51 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%
2175
2407
2089
1120
868
515
0
0.00%
3856
4574
3566
3761
3123
3286
0
0.00%
9174
100.00%
0
22166
100.00%
0
31340
100.00%
9174
22166
HEDIS 2009 (Reporting Year 2008)
0
0
0
0
0
0
0
0
0
6031
6981
5655
4881
3991
3801
0
31340
Page 124
Health Plan Descriptive Information
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
NR
NR
NR
NR
NR
NR
Age Unknown
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2009 (Reporting Year 2008)
Page 126
Health Plan Descriptive Information
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Jan 10, 2011 9:51 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
16821
40297
40278
33482
19998
9547
Member Months
Female
16860
37695
38312
34225
19992
12545
Total
33681
77992
78590
67707
39990
22092
160423
60.78%
13399
14028
12235
12315
12267
159629
48.41%
33047
33695
21819
19029
15329
320052
53.91%
64244
24.34%
12844
10227
6541
3329
122919
37.28%
13174
9186
6986
4936
187163
31.53%
32941
12.48%
2290
1475
1136
738
457
245
34282
10.40%
3978
2663
1973
1724
1225
1326
67223
11.32%
6341
2.40%
0
12889
3.91%
0
19230
3.24%
263949
329719
HEDIS 2009 (Reporting Year 2008)
46446
47723
34054
31344
27596
26018
19413
13527
8265
6268
4138
3109
2462
1682
1571
0
593668
Page 127
Health Plan Stability
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Commercial
Product/Product Line
Years in Business
Members*
23.00
53.00
24.00
0.00
53.00
49862
70269
38818
0
158949
0.00
8.00
0.00
0.00
8.00
0
403183
0
0
403183
0.00
25.00
0.00
0.00
25.00
0
39462
0
0
39462
601594
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
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Medicare Advantage
Product/Product Line
Years in Business
Members*
23.00
53.00
24.00
0.00
53.00
49862
70269
38818
0
158949
0.00
8.00
0.00
0.00
8.00
0
403183
0
0
403183
0.00
25.00
0.00
0.00
25.00
0
39462
0
0
39462
601594
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
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 9:51 AM
MSHO
Product/Product Line
Years in Business
Members*
23.00
53.00
24.00
0.00
53.00
49862
70269
38818
0
158949
0.00
8.00
0.00
0.00
8.00
0
403183
0
0
403183
0.00
25.00
0.00
0.00
25.00
0
39462
0
0
39462
601594
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
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 9:51 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
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 9:51 AM
SNBC
Product/Product Line
Years in Business
Members*
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:
NR
NR
Total:
NR
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 132
Health Plan Stability
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Jan 10, 2011 9:51 AM
Minnesota Health Care Programs - Managed Care (MHCP-MC)
Product/Product Line
Years in Business
Members*
23.00
53.00
24.00
0.00
53.00
49862
70269
38818
0
158949
0.00
8.00
0.00
0.00
8.00
0
403183
0
0
403183
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
25.00
39462
Medicare (cost or risk)
0.00
0
Other
0.00
0
Total POS:
25.00
39462
Total:
601594
* Total number of members in each category as of December 31, 2008
HEDIS 2009 (Reporting Year 2008)
Page 133

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