PrimeWest Health System (CBP)
Plan Name
2007
Reporting Year
Submission #
General Info
Disclaimers
Code
CIS
Plan ID
1
Last Refreshed:
Page
Childhood Immunization Status
10/7/2009 1:35:48 PM
Use of Services Measures
Code
Page
21 W15
Well Child Visits in the First 15 Months of Life
39
22 W34
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
41
Page
23 AWC
Adolescent Well-Care Visits
42
3
24 FSP
2
Effectiveness of Care Measures
36
Frequency of Selected Procedures
43
Inpatient Utilization - General Hospital/Acute Care
47
URI
Appropriate Treatment for Children with Upper Respiratory Infection
5
25
COL
Colorectal Cancer Screening
6
26 AMB
Ambulatory Care
51
55
IPU
BCS
Breast Cancer Screening
7
27 NON
Inpatient Utilization - Nonacute Care
CCS
Cervical Cancer Screening
11
28
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
59
29 IAD
Identification of Alcohol and Other Drug Services
63
30 ORX
Outpatient Drug Utilization
67
MPT
CHL
Chlamydia Screening in Women
12
OMW
Osteoporosis Management in Women Who had a Fracture
13
CBP
Controlling High Blood Pressure
14
PBH
Persistence of Beta Blocker Treatment After Hearth Attack
15
CMC
Cholesterol Management for Patients with Cardiovascular Conditions
16
Code
CDC
Comprehensive Diabetes Care
20
31 AAP
Adult's Access to Preventive/Ambulatory Health Services
71
ASM
Use of Appropriate Medications for People with Asthma
24
32 CAP
Children's and Adolescents' Access to Primary Care Practitioners
75
AMM
Antidepressant Medication Management
26
33 PPC
ADD
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
30
GSO
Glaucoma Screening in Older Adults
31
34
Code
35
MPM
Annual Monitoring for Patients on Persistent Medications
32
DAE
Use of High Risk Medications in the Elderly
36
DDE
Potentially Harmful Drug-Disease Interactions in the Elderly
HEDIS 2008 (Reporting Year 2007)
37
IET
YIB
Code
36 ENP
Access / Availability of Care Measures
Page
Prenatal and Postpartum Care
77
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
79
Health Plan Stability Measures
Page
Years in Business / Total Membership
Health Plan Descriptive Information Measures
Enrollment by Product Line (Age & Sex)
83
Page
87
Page 1
DISCLAIMERS
-1
0. Disclaimer Query located below
1. In October 2009, it was discoverd that the formulas in the Inpatient Utilization: General
Hospital/Acute Care measure contained error. The formula was fixed and the data displayed now
correctly reflects the rest of the data on the sheet.
HEDIS 2008 (Reporting Year 2007)
Page 2
Effectiveness of Care
PrimeWest Health System (CBP)
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
General
Measure
Data
DTaP/DT
IPV
MMR
HiB
Hepatitis B
VZV
Pneumococcal
Conjugate
Combo 2
Combo 3
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
Records Added from the Oversample List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2008 (Reporting Year 2007)
Page 3
Effectiveness of Care
PrimeWest Health System (CBP)
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Pneumococcal
Conjugate
Combo 2
Combo 3
105
41.34%
132
51.97%
178
70.08%
135
53.15%
128
50.39%
149
58.66%
104
40.94%
63
24.80%
56
22.05%
205
80.71%
224
88.19%
238
93.70%
218
85.83%
220
86.61%
230
90.55%
203
79.92%
176
69.29%
158
62.20%
205
22
89.37%
85.38%
93.36%
224
20
96.06%
93.47%
98.65%
238
7
96.46%
93.99%
98.93%
218
27
96.46%
93.99%
98.93%
220
23
95.67%
92.97%
98.37%
230
9
94.09%
91.00%
97.19%
203
21
88.19%
84.02%
92.35%
176
46
87.40%
83.12%
91.68%
158
50
81.89%
76.96%
86.82%
254
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 2008 (Reporting Year 2007)
MMR
254
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
254
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/DT
254
Page 4
Effectiveness of Care
PrimeWest Health System (CBP)
Appropriate Treatment for Children with Upper
Respiratory Infection
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
Commercial
Measurement Year
Medicaid
2007
Data Collection Methodology
A
Eligible Member Population
566
Numerator Events by Admin Data
136
Reported Rate
NR
75.97%
Lower 95% Confidence Interval
NR
72.36%
Upper 95% Confidence Interval
NR
79.58%
HEDIS 2008 (Reporting Year 2007)
Page 5
Effectiveness of Care
PrimeWest Health System (CBP)
Colorectal Cancer Screening
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Medicare
Advantage
MSHO
2007
Measurement Year
H
Data collection methodology (administrative or hybrid)
Eligible population
541
Number of numerator events by administrative data in eligible
population (before exclusions)
138
Current year's administrative rate (before exclusions)
NR
NR
25.51%
Minimum required sample size (MRSS) or other sample size
411
Oversampling rate
0.05
Final sample size (FSS)
432
Number of numerator events by administrative data in FSS
111
Administrative rate on FSS
NR
NR
25.69%
Number of original sample records excluded because of valid data
errors
0
Number of administrative data records excluded
0
Number of medical record data records excluded
1
Number of employee/dependent medical records excluded
0
Records added from the oversample list
0
Denominator
431
Numerator events by administrative data
111
61
Numerator events by medical records
Reported rate
NR
NR
39.91%
Lower 95% confidence interval
NR
NR
35.17%
Upper 95% confidence interval
NR
NR
44.65%
HEDIS 2008 (Reporting Year 2007)
Page 6
Effectiveness of Care
PrimeWest Health System (CBP)
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
General Measure
Data
Ages 42-51
Ages 52-69
Total
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2008 (Reporting Year 2007)
NR
NR
NR
Page 7
Effectiveness of Care
PrimeWest Health System (CBP)
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General Measure
Data
Ages 42-51
NR
NR
NR
Ages 52-69
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 8
Effectiveness of Care
PrimeWest Health System (CBP)
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General Measure
Data
Ages 42-51
Ages 52-69
Total
0
0
NA
NA
NA
72
46
63.89%
52.10%
75.68%
72
46
63.89%
52.10%
75.68%
2007
A
Page 9
Effectiveness of Care
PrimeWest Health System (CBP)
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
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 2008 (Reporting Year 2007)
General Measure
Data
Ages 42-51
Ages 52-69
Total
85
45
52.94%
41.74%
64.14%
20
16
NA
NA
NA
105
61
58.10%
48.18%
68.01%
2007
A
Page 10
Effectiveness of Care
PrimeWest Health System (CBP)
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Eligible Member Population
2007
H
731
Numerator Events by Admin Data on Eligible
Population (before exclusions)
513
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
NR
NR
70.18%
411
5.00%
432
314
72.69%
0
Number of administrative data records excluded
0
Number of medical record data records excluded
6
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2008 (Reporting Year 2007)
NR
NR
NR
0
426
314
20
78.40%
74.38%
82.43%
Page 11
Effectiveness of Care
PrimeWest Health System (CBP)
Chlamydia Screening in Women
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure Ages 16-20 Ages 21-25
Data
Medicaid
Total
General
Measure Ages 16-20 Ages 21-25
Data
Total
2007
A
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
129
57
44.19%
35.23%
53.14%
171
66
38.60%
31.01%
46.19%
300
123
41.00%
35.27%
46.73%
Page 12
Effectiveness of Care
PrimeWest Health System (CBP)
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 Interva
HEDIS 2008 (Reporting Year 2007)
Medicare
Advantage
NR
NR
NR
MSHO
2007
A
90
12
13.33%
5.75%
20.91%
Page 13
Effectiveness of Care
PrimeWest Health System (CBP)
Controlling High Blood Pressure
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
Commercial
Medicare Advantage
Measurement Year
2007
Data Collection Methodology (Hybrid)
H
Eligible Member Population
338
Numerator Events by Admin Data on
Eligible Population (before exclusions)
Current Year's Admin Rate
0
NR
NR
Minimum Required Sample Size
0.00%
243
Oversampling Rate
5.00%
Final Sample Size (FSS)
243
Numerator events by admin data in FSS
Admin rate on FSS
MSHO
0
NR
NR
0.00%
Records Excluded because of Valid Data
Errors
0
Number of administrative data records
excluded
13
Number of medical record data records
excluded
1
Number of employee/dependent medical
records excluded
0
Records Added from the OverSample List
0
Denominator
220
Numerator Events by Admin Data
0
Numerator Events by Medical Record
115
Reported Rate
NR
NR
52.27%
Lower 95% Confidence Interval
NR
NR
45.45%
Upper 95% Confidence Interval
NR
NR
59.10%
HEDIS 2008 (Reporting Year 2007)
Page 14
Effectiveness of Care
PrimeWest Health System (CBP)
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Commercial
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
MSHO
Medicaid
2007
2007
Data Collection Methodology
A
A
Eligible Member Population
16
2
Numerator Events by Admin Data on
Eligible Population
12
2
Measurement Year
Reported Rate
NR
NR
NA
NA
Lower 95% Confidence Interval
NR
NR
NA
NA
Upper 95% Confidence Interval
NR
NR
NA
NA
HEDIS 2008 (Reporting Year 2007)
Page 15
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 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 Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2008 (Reporting Year 2007)
Page 16
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Data Elements
General
Measure
Data
LDL-C
screening
LDL-C Level of
<100 mg/dL
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 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 Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2008 (Reporting Year 2007)
Page 17
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of administrative data records excluded
0
Number of medical record data records excluded
0
Number of employee/dependent medical records
excluded
0
HEDIS 2008 (Reporting Year 2007)
16
0
76.19%
0.00%
17
0
80.95%
0.00%
17
0
0
9
NA
NA
NA
NA
NA
NA
21
5.00%
21
Records Excluded because of Valid Data Errors
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
LDL-C Level of
<100 mg/dL
2007
H
21
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
LDL-C
screening
0
21
Page 18
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of administrative data records excluded
0
Number of medical record data records excluded
0
Number of employee/dependent medical records
excluded
0
HEDIS 2008 (Reporting Year 2007)
4
0
66.67%
0.00%
5
0
83.33%
0.00%
5
0
0
1
NA
NA
NA
NA
NA
NA
6
5.00%
6
Records Excluded because of Valid Data Errors
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
LDL-C Level of
<100 mg/dL
2007
H
6
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
LDL-C
screening
0
6
Page 19
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
HbA1c
Testing
Poor HbA1c Good HbA1c
Control
Control
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 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 2008 (Reporting Year 2007)
Page 20
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Data Elements
HbA1c
Testing
Poor HbA1c Good HbA1c
Control
Control
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2008 (Reporting Year 2007)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 21
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
HbA1c
Testing
Poor HbA1c Good HbA1c
Control
Control
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
2007
H
146
2007
H
146
2007
H
146
2007
H
146
2007
H
146
2007
H
146
2007
H
146
2007
H
146
2007
H
146
134
93.84%
146
100.00%
0
0.00%
98
67.81%
101
73.97%
0
0.00%
125
85.62%
0
0.00%
0
0.00%
Number of Records Excluded Because of
Valid Data Errors
1
1
1
1
1
1
1
1
1
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
145
137
0
94.48%
90.42%
98.54%
0
145
28
4
22.07%
14.97%
29.16%
0
145
0
88
60.69%
52.39%
68.98%
0
145
99
14
77.93%
70.84%
85.03%
0
145
108
0
74.48%
67.04%
81.92%
0
145
0
55
37.93%
29.69%
46.17%
0
145
125
4
88.97%
83.52%
94.41%
0
145
0
101
69.66%
61.83%
77.48%
0
145
0
74
51.03%
42.55%
59.52%
Numerator events by admin data in eligible
population
Admin rate on FSS
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 2008 (Reporting Year 2007)
Page 22
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
HbA1c
Testing
Poor HbA1c Good HbA1c
Control
Control
Eye Exam
LDL-C
Screening
LDL-C Level
<100 mg/dL
Blood
Monitoring
Pressure
for Diabetic
<140/90 mm
Nephropathy
Hg
Blood
Pressure
<130/80 mm
Hg
2007
H
85
2007
H
85
2007
H
85
2007
H
85
2007
H
85
2007
H
85
2007
H
85
2007
H
85
2007
H
85
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
67
78.82%
84
5%
84
71
84.52%
85
100.00%
84
5%
84
84
100.00%
0
0.00%
84
5%
84
0
0.00%
36
42.35%
84
5%
84
38
45.24%
55
64.71%
84
5%
84
58
69.05%
0
0.00%
84
5%
84
0
0.00%
57
67.06%
84
5%
84
59
70.24%
0
0.00%
84
5%
84
0
0.00%
0
0.00%
84
5%
84
0
0.00%
Number of Records Excluded Because of
Valid Data Errors
2
2
2
2
2
2
2
2
2
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
82
71
1
87.80%
80.11%
95.50%
0
82
24
15
47.56%
36.14%
58.98%
0
82
0
31
37.80%
26.70%
48.91%
0
82
38
17
67.07%
56.29%
77.85%
0
82
58
0
70.73%
60.27%
81.19%
0
82
0
32
39.02%
27.86%
50.19%
0
82
59
1
73.17%
62.97%
83.37%
0
82
0
61
74.39%
64.33%
84.45%
0
82
0
38
46.34%
34.94%
57.74%
Numerator events by admin data in eligible
population
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 2008 (Reporting Year 2007)
Page 23
Effectiveness of Care
PrimeWest Health System (CBP)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure Data
Ages 5-9
NR
NR
NR
Ages 10-17
NR
NR
NR
Ages 18-56
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 24
Effectiveness of Care
PrimeWest Health System (CBP)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
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 2008 (Reporting Year 2007)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
24
24
NA
NA
NA
21
21
NA
NA
NA
30
24
80.00%
64.02%
95.98%
75
69
92.00%
85.19%
98.81%
2007
A
Page 25
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 26
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 27
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
1
NA
NA
NA
18
NA
NA
NA
16
NA
NA
NA
2007
A
24
Page 28
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
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 2008 (Reporting Year 2007)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
9
16.07%
5.56%
26.58%
24
42.86%
29.00%
56.71%
17
30.36%
17.42%
43.29%
2007
A
56
Page 29
Effectiveness of Care
PrimeWest Health System (CBP)
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure
Data
Initiation
Phase
Medicaid
Continuation
and
Maintenance
Phase
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
48
20
41.67%
26.68%
56.66%
23
6
NA
NA
NA
2007
A
NR
NR
NR
NR
NR
NR
Page 30
Effectiveness of Care PrimeWest Health System (CBP)
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2008 (Reporting Year 2007)
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare
Advantage
NR
NR
NR
MSHO
2007
A
1305
951
72.87%
70.42%
75.32%
Page 31
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
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 32
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
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 33
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
697
663
95.12%
93.45%
96.79%
151
149
98.68%
96.52%
100.00%
882
839
95.12%
93.65%
96.60%
83
75
90.36%
83.41%
97.31%
1813
1726
95.20%
94.19%
96.21%
2007
A
Page 34
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
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 2008 (Reporting Year 2007)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
67
55
82.09%
72.16%
92.02%
3
2
NA
NA
NA
42
37
88.10%
77.11%
99.08%
11
10
NA
NA
NA
123
104
84.55%
77.76%
91.35%
2007
A
Page 35
Effectiveness of Care
PrimeWest Health System (CBP)
Use of High Risk Medications in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure
Data
1 or More
Prescriptions
NR
NR
NR
MSHO
2 or More
Prescriptions
NR
NR
NR
General
Measure
Data
2007
A
1723
1 or More
Prescriptions
2 or More
Prescriptions
509
29.54%
27.36%
31.72%
98
5.69%
4.57%
6.81%
Page 36
Effectiveness of Care
PrimeWest Health System (CBP)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
General
Measure
Data
History of Falls +
Dementia +
Chronic Renal
Tricyclic
Tricyclic
Failure +
Antidepressants, Antidepressants or Nonaspirin NSAIDs
Antipsychotics or
Anticholinergic or Cox-2 Selective
Sleep Agents
Agents
NSAIDs
NR
NR
NR
NR
NR
NR
NR
NR
NR
Total
NR
NR
NR
Page 37
Effectiveness of Care
PrimeWest Health System (CBP)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
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
2007
A
49
16
32.65%
18.50%
46.80%
460
130
28.26%
24.04%
32.48%
20
3
NA
NA
NA
529
149
28.17%
24.24%
32.09%
Page 38
Use of Services
PrimeWest Health System (CBP)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of records excluded because of
contraindications identified through
administrative data
Number of records excluded because of
contraindications identified through medical
record review
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 2008 (Reporting Year 2007)
Page 39
Use of Services
PrimeWest Health System (CBP)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
0
Number of records excluded because of
contraindications identified through
administrative data
0
Number of records excluded because of
contraindications identified through medical
record review
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Oversample List
0
HEDIS 2008 (Reporting Year 2007)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
10
3.66%
7
2.56%
14
5.13%
15
5.49%
46
16.85%
66
24.18%
115
42.12%
10
3.66%
7
2.56%
14
5.13%
15
5.49%
46
16.85%
66
24.18%
115
42.12%
7
0
2.56%
0.51%
4.62%
4
0
1.47%
0.00%
3.07%
5
2
2.56%
0.51%
4.62%
9
3
4.40%
1.78%
7.01%
22
3
9.16%
5.55%
12.76%
44
11
20.15%
15.21%
25.09%
123
40
59.71%
53.71%
65.71%
273
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
273
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
273
Page 40
Use of Services
PrimeWest Health System (CBP)
Well Child Visits in the 3rd, 4th,
5th and 6th Years of Life
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Eligible Member Population
2007
H
679
Numerator events by admin data in eligible
population
356
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
NR
52.43%
411
5.00%
432
236
NR
54.63%
0
Records Excluded - Contraindications/Admin Data
0
Records Excluded - Contraindications/Medical
Record Review
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2008 (Reporting Year 2007)
NR
NR
NR
0
432
236
28
61.11%
56.40%
65.82%
Page 41
Use of Services
PrimeWest Health System (CBP)
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Eligible Member Population
2007
H
917
Numerator events by admin data in eligible
population
245
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
NR
26.72%
411
5.00%
432
131
NR
30.32%
0
Records Excluded because of Valid Data Errors
Records Excluded - Contraindications/Admin Data
0
Records Excluded - Contraindications/Medical
Record Review
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
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2008 (Reporting Year 2007)
NR
NR
NR
0
432
131
36
38.66%
33.95%
43.37%
Page 42
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Member Months
Total
Age
0-4
0-9
5-19
10-19
Total
Procedure
Myringotomy
Tonsillectomy
Age
15-44
20-44
30-64
45-64
65+
Age
0-4
5-19
0-9
10-19
Number of
Procedures
Procedures /
1,000 Member
Months
NR
NR
NR
NR
Member Months
Male
Female
Female
Male
Procedure
Dilation &
Curettage
Hysterectomy,
Abdominal
Age
15-44
45-64
15-44
45-64
65+
Hysterectomy,
15-44
Vaginal
45-64
65+
Cholecystectomy,
30-64
Open
15-44
45-64
65+
Cholecystectomy,
30-64
Closed
15-44
45-64
65+
20-44
Back Surgery
45-64
65+
Angioplasty (PTCA) 45-64
65+
45-64
Cardiac
Catheterization
65+
45-64
CABG
65+
Prostatectomy
45-64
65+
Mastectomy
15-44
45-64
65+
Lumpectomy
15-44
45-64
65+
HEDIS 2008 (Reporting Year 2007)
Number of
Procedures
Procedures /
1,000 Member
Months
Number of
Procedures
Procedures /
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 43
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Age
< 65
65-74
75-84
85+
Member Months
Male
Female
Male
Procedure
CABG
Angioplasty
(PTCA)
Cardiac
Catheterization
Carotid
Endarterectomy
Reduction of
Fracture of Femur
Total Hip
Replacement
Total Knee
Replacement
Partial Excision of
Large Inestine
Cholecystectomy,
Open
Cholecystectomy,
Closed
(laparoscopic)
Back Surgery
Hysterectomy
Abdominal
Hysterectomy,
Vaginal
Mastectomy
Lumpectomy
Age
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
HEDIS 2008 (Reporting Year 2007)
Number of
Procedures
Procedures /
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Female
Number of
Procedures
Procedures /
1,000 Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 44
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
Age
< 65
65-74
75-84
85+
Member Months
Male
Female
0
0
1712
3521
2330
5683
2113
9196
Male
Procedure
CABG
Angioplasty
(PTCA)
Cardiac
Catheterization
Carotid
Endarterectomy
Reduction of
Fracture of Femur
Total Hip
Replacement
Total Knee
Replacement
Partial Excision of
Large Inestine
Cholecystectomy,
Open
Cholecystectomy,
Closed
(laparoscopic)
Back Surgery
Hysterectomy
Abdominal
Hysterectomy,
Vaginal
Mastectomy
Lumpectomy
Age
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
<65
65-74
75-84
85+
HEDIS 2008 (Reporting Year 2007)
Number of
Procedures
0
0
0
0
0
2
0
0
0
0
0
0
0
2
0
0
0
2
4
4
0
0
1
0
0
0
2
0
0
2
0
0
0
0
1
0
0
2
3
0
0
2
0
0
Procedures /
1,000 Member
Months
NA
0.00
0.00
0.00
NA
1.17
0.00
0.00
NA
0.00
0.00
0.00
NA
1.17
0.00
0.00
NA
1.17
1.72
1.89
NA
0.00
0.43
0.00
NA
0.00
0.86
0.00
NA
1.17
0.00
0.00
NA
0.00
0.43
0.00
NA
1.17
1.29
0.00
NA
1.17
0.00
0.00
Female
Number of
Procedures
0
1
0
0
0
4
1
3
0
2
7
0
0
1
0
2
0
2
9
14
0
2
4
0
0
3
5
0
0
2
0
5
0
1
0
1
0
3
4
1
0
2
2
1
0
0
0
0
0
0
0
1
0
2
1
0
0
5
1
4
Procedures /
1,000 Member
Months
NA
0.28
0.00
0.00
NA
1.14
0.18
0.33
NA
0.57
1.23
0.00
NA
0.28
0.00
0.22
NA
0.57
1.58
1.52
NA
0.57
0.70
0.00
NA
0.85
0.88
0.00
NA
0.57
0.00
0.54
NA
0.28
0.00
0.11
NA
0.85
0.70
0.11
NA
0.57
0.35
0.11
NA
0.00
0.00
0.00
NA
0.00
0.00
0.11
NA
0.57
0.18
0.00
NA
1.42
0.18
0.43
Page 45
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Member Months
Total
25690
41265
37579
22004
Age
0-4
0-9
5-19
10-19
Total
Procedure
Myringotomy
Tonsillectomy
Age
15-44
20-44
30-64
45-64
Age
0-4
5-19
0-9
10-19
Number of
Procedures
194
20
58
20
Procedures /
1,000 Member
Months
7.55
0.53
1.41
0.91
Member Months
Male
Female
26068
7291
20644
6643
2677
2941
Male
Procedure
Dilation &
Curettage
Hysterectomy,
Abdominal
Hysterectomy,
Vaginal
Cholecystectomy,
Open
Cholecystectomy,
Closed
Back Surgery
Mastectomy
Lumpectomy
Age
15-44
45-64
15-44
45-64
15-44
45-64
30-64
15-44
45-64
30-64
15-44
45-64
20-44
45-64
15-44
45-64
15-44
45-64
HEDIS 2008 (Reporting Year 2007)
Female
Number of
Procedures
Procedures /
1,000 Member
Months
0
0.00
4
7
7
Number of
Procedures
4
4
13
4
3
2
Procedures /
1,000 Member
Months
0.15
1.36
0.50
1.36
0.12
0.68
0
1
0.00
0.34
29
6
15
7
0
0
2
2
1.11
2.04
0.73
2.38
0.00
0.00
0.08
0.68
0.60
0.96
2.61
Page 46
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - General Hospital/Acute Care
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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 2008 (Reporting Year 2007)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 47
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Age
Member Months
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
NR
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
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 2008 (Reporting Year 2007)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 48
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - General Hospital/Acute Care
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Member Months
0
0
0
0
0
5233
8013
11309
0
24555
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
131
181
302
0
614
NA
NA
NA
NA
NA
25.03
22.59
26.70
0
0
0
0
0
108
163
277
0
548
NA
NA
NA
NA
NA
20.64
20.34
24.49
0
0
0
0
0
22
18
25
0
65
NA
NA
NA
NA
NA
4.20
2.25
2.21
0
0
0
0
0
NA
NA
NA
HEDIS 2008 (Reporting Year 2007)
25.01
22.32
2.65
NA
Days
Days / 1,000
Member
Months
0
0
0
0
0
502
703
1298
0
2503
NA
NA
NA
NA
NA
95.93
87.73
114.78
0
0
0
0
0
353
618
1166
0
2137
NA
NA
NA
NA
NA
67.46
77.12
103.10
0
0
0
0
0
143
85
132
0
360
NA
NA
NA
NA
NA
27.33
10.61
11.67
0
0
0
0
0
NA
NA
NA
101.93
87.03
14.66
NA
Average
Length of Stay
NA
NA
NA
NA
NA
3.83
3.88
4.30
NA
4.08
NA
NA
NA
NA
NA
3.27
3.79
4.21
NA
3.90
NA
NA
NA
NA
NA
6.50
4.72
5.28
NA
5.54
NA
NA
NA
NA
NA
Page 49
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - General Hospital/Acute Care
Medicaid
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:
Oct 7, 2009 1:35 PM
Member Months
8125
33140
22004
27935
5618
490
454
508
0
98274
Discharges
95
93
127
702
98
15
11
13
0
1154
Discharges /
1,000 Member
Months
11.69
2.81
5.77
25.13
17.44
30.61
24.23
25.59
11.74
80
77
35
98
49
10
7
11
0
367
9.85
2.32
1.59
3.51
8.72
20.41
15.42
21.65
15
16
14
91
48
5
4
2
0
195
1.85
0.48
0.64
3.26
8.54
10.20
8.81
3.94
78
512
1
0
591
3.54
18.33
0.18
HEDIS 2008 (Reporting Year 2007)
3.73
1.98
10.64
Days
Days / 1,000
Member
Months
418
233
295
1835
308
45
50
51
0
3235
51.45
7.03
13.41
65.69
54.82
91.84
110.13
100.39
278
154
79
223
153
31
30
47
0
995
34.22
4.65
3.59
7.98
27.23
63.27
66.08
92.52
32.92
10.12
140
79
33
326
153
14
20
4
0
769
17.23
2.38
1.50
11.67
27.23
28.57
44.05
7.87
183
1284
2
0
1469
8.32
45.96
0.36
7.83
26.44
Average
Length of Stay
4.40
2.51
2.32
2.61
3.14
3.00
4.55
3.92
NA
2.80
3.48
2.00
2.26
2.28
3.12
3.10
4.29
4.27
NA
2.71
9.33
4.94
2.36
3.58
3.19
2.80
5.00
2.00
NA
3.94
2.35
2.51
2.00
NA
2.49
Page 50
Use of Services
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
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
Visits
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits/ 1,000
Member
Months
NR
NR
Emergency Room Visits
Visits
NR
NR
NR
NR
NR
NR
NR
HEDIS 2008 (Reporting Year 2007)
NR
Visits/ 1,000
Member
Months
NR
NR
Ambulatory
Surgery/Procedures
Procedures
NR
NR
NR
NR
NR
NR
NR
NR
Procedures/
1,000 Member
Months
NR
NR
Observation Room Stays
Resulting in Discharge
Stays
NR
NR
NR
NR
NR
NR
NR
NR
Stays/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 51
Use of Services
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Member
Months
NR
Total
Outpatient Visits
(Excludes MH/CD)
Age
Visits
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits/ 1,000
Member
Months
NR
NR
Emergency Room Visits
Visits
NR
NR
NR
NR
NR
NR
NR
HEDIS 2008 (Reporting Year 2007)
NR
Visits/ 1,000
Member
Months
NR
NR
Ambulatory
Surgery/Procedures
Procedures
NR
NR
NR
NR
NR
NR
NR
NR
Procedures/
1,000 Member
Months
NR
NR
Observation Room Stays
Resulting in Discharge
Stays
NR
NR
NR
NR
NR
NR
NR
NR
Stays/ 1,000
Member
Months
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 52
Use of Services
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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
5233
8013
11309
0
24555
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
Visits
0
0
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
0
0
0
3894
5346
5627
0
14867
HEDIS 2008 (Reporting Year 2007)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
744.12
667.17
497.57
605.46
Emergency Room Visits
Visits
0
0
0
0
0
231
296
316
0
843
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
44.14
36.94
27.94
34.33
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
165
226
161
0
552
Procedures/
1,000 Member
Months
NA
NA
NA
NA
NA
31.53
28.20
14.24
22.48
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
44
59
75
0
178
Stays/ 1,000
Member
Months
NA
NA
NA
NA
NA
8.41
7.36
6.63
7.25
Page 53
Use of Services
PrimeWest Health System (CBP)
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
8125
33140
22004
27935
5618
490
454
508
0
98274
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
Visits
6330
11991
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
6224
15253
3660
318
178
135
0
44089
HEDIS 2008 (Reporting Year 2007)
Visits/ 1,000
Member
Months
779.08
361.83
282.86
546.02
651.48
648.98
392.07
265.75
448.63
Emergency Room Visits
Visits
625
1590
646
1763
231
19
17
7
0
4898
Visits/ 1,000
Member
Months
76.92
47.98
29.36
63.11
41.12
38.78
37.44
13.78
49.84
Ambulatory
Surgery/Procedures
Procedures
37
173
67
359
188
8
3
5
0
840
Procedures/
1,000 Member
Months
4.55
5.22
3.04
12.85
33.46
16.33
6.61
9.84
8.55
Observation Room Stays
Resulting in Discharge
Stays
13
34
64
263
18
0
3
2
0
397
Stays/ 1,000
Member
Months
1.60
1.03
2.91
9.41
3.20
0.00
6.61
3.94
4.04
Page 54
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Age
Member
Months
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
NR
Discharges
Discharges /
1,000 Member
Months
Days
Days / 1,000
Member
Months
Average Length
of Stay
<1
NR
NR
NR
1-9
NR
NR
NR
10-19
NR
NR
NR
20-44
NR
NR
NR
45-64
NR
NR
NR
65-74
NR
NR
NR
75-84
NR
NR
NR
85+
NR
NR
NR
NR
NR
NR
Unknown
Total
NR
HEDIS 2008 (Reporting Year 2007)
NR
NR
Page 55
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Age
Member
Months
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
NR
Discharges
Discharges /
1,000 Member
Months
Days
Days / 1,000
Member
Months
Average Length
of Stay
<1
NR
NR
NR
1-9
NR
NR
NR
10-19
NR
NR
NR
20-44
NR
NR
NR
45-64
NR
NR
NR
65-74
NR
NR
NR
75-84
NR
NR
NR
85+
NR
NR
NR
NR
NR
NR
Unknown
Total
NR
HEDIS 2008 (Reporting Year 2007)
NR
NR
Page 56
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
Age
Member
Months
<1
0
1-9
0
10-19
0
20-44
0
45-64
0
65-74
5233
75-84
8013
85+
11309
Unknown
0
24555
Total
Discharges
Discharges /
1,000 Member
Months
Days
Days / 1,000
Member
Months
Average Length
of Stay
<1
0
NA
0
NA
NA
1-9
0
NA
0
NA
NA
10-19
0
NA
0
NA
NA
20-44
0
NA
0
NA
NA
45-64
0
NA
0
NA
NA
65-74
89
17.01
1896
362.32
21.30
75-84
269
33.57
5869
732.43
21.82
85+
561
49.61
14320
1266.25
25.53
Unknown
0
919
37.43
0
22085
899.41
NA
24.03
Age
Total
HEDIS 2008 (Reporting Year 2007)
Page 57
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Age
Member
Months
<1
8125
1-9
33140
10-19
22004
20-44
27935
45-64
5618
65-74
490
75-84
454
85+
508
Unknown
Total
0
98274
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
Days
Days / 1,000
Member
Months
Average Length
of Stay
0.00
0
0.00
NA
0
0.00
0
0.00
NA
10-19
0
0.00
0
0.00
NA
20-44
0
0.00
0
0.00
NA
45-64
0
0.00
0
0.00
NA
65-74
0
0.00
0
0.00
NA
75-84
4
8.81
264
581.50
66.00
85+
9
17.72
240
472.44
26.67
0.13
0
504
5.13
NA
38.77
Age
Unknown
Total
0
13
HEDIS 2008 (Reporting Year 2007)
Page 58
Use of Services
Health System (CBP)
Mental Health Utilization
% of Members Receiving Inpatient, Day/Night and Ambulato
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Member Months
(Any)
Age
Male
Female
0-12
13-17
18-64
65+
Unknown
Total
NR
NR
Member Months
(Inpatient)
Total
Sex
M
F
Total
M
F
NR
13-17
Total
M
F
NR
18-64
Total
M
F
NR
65+
Total
M
F
NR
Unknown
Total
NR
NR
NR
NR
Age
Total
M
F
Total
Number
HEDIS 2008 (Reporting Year 2007)
Female
Total
Member Months
(Outpatient/ED)
Male
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
Any Services
0-12
Male
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
NR
NR
Inpatient
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
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
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 59
Use of Services
Health System (CBP)
Mental Health Utilization
% of Members Receiving Inpatient, Day/Night and Ambulato
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Member Months
(Inpatient)
Member Months
(Any)
Male
Age
Female
0-12
13-17
18-64
65+
Unknown
Total
NR
NR
Total
Age
Sex
M
F
Total
Number
NR
13-17
M
F
Total
NR
18-64
M
F
Total
NR
65+
M
F
Unknown
Total
Total
M
F
NR
Total
M
F
Total
NR
NR
NR
NR
HEDIS 2008 (Reporting Year 2007)
Female
Total
Member Months
(Outpatient/ED)
Male
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
Any Services
0-12
Male
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
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
Intensive Outpatient/Partial
Hospitalization
Inpatient
Percent
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Number
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 60
Use of Services
Health System (CBP)
Mental Health Utilization
% of Members Receiving Inpatient, Day/Night and Ambulato
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Male
Female
Total
Male
Female
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6155
0
6155
0
18400
0
18400
0
24555
0
24555
0
6155
0
6155
0
18400
0
18400
0
24555
0
24555
0
6155
0
6155
0
18400
0
18400
Any Services
Age
0-12
Sex
M
F
Total
13-17
M
F
Total
18-64
M
F
Total
65+
M
F
Total
Unknown
M
F
Total
M
F
Total
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
Male
Female
Total
0
0
0
0
0
0
0
0
0
24555
0
24555
0
6155
0
6155
0
18400
0
18400
0
24555
0
24555
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
0
0
0
0
0
0
0
0
0
60
156
216
0
0
0
60
156
216
NA
NA
NA
NA
NA
NA
NA
NA
NA
11.70%
10.17%
10.56%
NA
NA
NA
11.70%
10.17%
10.56%
0
0
0
0
0
0
0
0
0
21
59
80
0
0
0
21
59
80
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.09%
3.85%
3.91%
NA
NA
NA
4.09%
3.85%
3.91%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
0
0
0
0
0
0
0
0
0
39
100
139
0
0
0
39
100
139
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.60%
6.52%
6.79%
NA
NA
NA
7.60%
6.52%
6.79%
HEDIS 2008 (Reporting Year 2007)
Page 61
Use of Services
Health System (CBP)
Mental Health Utilization
% of Members Receiving Inpatient, Day/Night and Ambulato
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Male
Female
Total
Male
Female
Total
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
24914
5419
23665
5859
48579
11278
25128
5419
23763
5859
48891
11278
25128
5419
23763
5859
48891
11278
25128
5419
23763
5859
48891
11278
11082
569
0
41984
25571
883
0
55978
36653
1452
0
97962
11082
569
0
42198
25571
883
0
56076
36653
1452
0
98274
11082
569
0
42198
25571
883
0
56076
36653
1452
0
98274
11082
569
0
42198
25571
883
0
56076
36653
1452
0
98274
Member Months
(Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months
(Inpatient)
Any Services
Age
0-12
Sex
M
F
Total
13-17
M
F
Total
18-64
M
F
Total
65+
M
F
Total
Unknown
M
F
Total
M
F
Total
Total
Intensive Outpatient/Partial
Hospitalization
Inpatient
Member Months
(Outpatient/ED)
Male
Female
Total
Outpatient/ED
Number
Percent
Number
Percent
Number
Percent
Number
Percent
255
169
424
105
119
224
218
552
770
8
6
14
0
0
0
586
846
1432
12.28%
8.57%
10.47%
23.25%
24.37%
23.83%
23.61%
25.90%
25.21%
16.87%
8.15%
11.57%
NA
NA
NA
16.75%
18.14%
17.54%
3
5
8
5
7
12
12
34
46
1
2
3
0
0
0
21
48
69
0.14%
0.25%
0.20%
1.11%
1.43%
1.28%
1.30%
1.60%
1.51%
2.11%
2.72%
2.48%
NA
NA
NA
0.60%
1.03%
0.84%
0
0
0
0
3
3
8
11
19
0
0
0
0
0
0
8
14
22
0.00%
0.00%
0.00%
0.00%
0.61%
0.32%
0.87%
0.52%
0.62%
0.00%
0.00%
0.00%
NA
NA
NA
0.23%
0.30%
0.27%
254
169
423
104
118
222
216
541
757
7
4
11
0
0
0
581
832
1413
12.13%
8.53%
10.38%
23.03%
24.17%
23.62%
23.39%
25.39%
24.78%
14.76%
5.44%
9.09%
NA
NA
NA
16.52%
17.80%
17.25%
HEDIS 2008 (Reporting Year 2007)
Page 62
Health System (CBP)
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months
(Inpatient)
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 2008 (Reporting Year 2007)
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
NR
NR
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 63
Health System (CBP)
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months
(Inpatient)
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 2008 (Reporting Year 2007)
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
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
NR
NR
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 64
Health System (CBP)
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
0
0
6155
0
6155
Female
0
0
0
0
0
18400
0
18400
Member Months
(Inpatient)
Total
0
0
0
0
0
24555
0
24555
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
13
16
29
0
0
0
13
16
29
HEDIS 2008 (Reporting Year 2007)
Male
0
0
0
0
0
6155
0
6155
Female
0
0
0
0
0
18400
0
18400
Total
0
0
0
0
0
24555
0
24555
Inpatient
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.53%
1.04%
1.42%
NA
NA
NA
2.53%
1.04%
1.42%
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
5
11
0
0
0
6
5
11
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.17%
0.33%
0.54%
NA
NA
NA
1.17%
0.33%
0.54%
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Male
Female
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6155
18400
24555
0
0
0
6155
18400
24555
Member Months
(Outpatient/ED)
Male
0
0
0
0
0
6155
0
6155
Female
0
0
0
0
0
18400
0
18400
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
9
11
20
0
0
0
9
11
20
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Total
0
0
0
0
0
24555
0
24555
Percent
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.75%
0.72%
0.98%
NA
NA
NA
1.75%
0.72%
0.98%
Page 65
Health System (CBP)
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Member Months
(Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
24914
5419
2656
3147
5279
569
0
41984
Female
23665
5859
8308
9025
8238
883
0
55978
Member Months
(Inpatient)
Total
48579
11278
10964
12172
13517
1452
0
97962
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
3
0
3
18
15
33
40
46
86
47
52
99
76
77
153
1
0
1
0
0
0
185
190
375
HEDIS 2008 (Reporting Year 2007)
Male
25128
5419
2656
3147
5279
569
0
42198
Female
23763
5859
8308
9025
8238
883
0
56076
Total
48891
11278
10964
12172
13517
1452
0
98274
Inpatient
Percent
0.14%
0.00%
0.07%
3.99%
3.07%
3.51%
18.07%
6.64%
9.41%
17.92%
6.91%
9.76%
17.28%
11.22%
13.58%
2.11%
0.00%
0.83%
NA
NA
NA
5.29%
4.07%
4.59%
Number
0
0
0
3
9
12
7
15
22
12
11
23
28
25
53
1
0
1
0
0
0
51
60
111
Percent
0.00%
0.00%
0.00%
0.66%
1.84%
1.28%
3.16%
2.17%
2.41%
4.58%
1.46%
2.27%
6.36%
3.64%
4.71%
2.11%
0.00%
0.83%
NA
NA
NA
1.45%
1.28%
1.36%
Member Months
(Intensive Outpatient/Partial
Hospitalization)
Total
Male
Female
25128
5419
2656
3147
5279
569
0
42198
23763
5859
8308
9025
8238
883
0
56076
48891
11278
10964
12172
13517
1452
0
98274
Member Months
(Outpatient/ED)
Male
25128
5419
2656
3147
5279
569
0
42198
Female
23763
5859
8308
9025
8238
883
0
56076
Intensive Outpatient/Partial
Hospitalization
Outpatient/ED
Number
0
0
0
0
0
0
0
0
0
0
1
1
0
0
0
0
0
0
0
0
0
0
1
1
Number
3
0
3
18
12
30
36
38
74
41
47
88
60
67
127
1
0
1
0
0
0
159
164
323
Percent
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.13%
0.10%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.02%
0.01%
Total
48891
11278
10964
12172
13517
1452
0
98274
Percent
0.14%
0.00%
0.07%
3.99%
2.46%
3.19%
16.27%
5.49%
8.10%
15.63%
6.25%
8.68%
13.64%
9.76%
11.27%
2.11%
0.00%
0.83%
NA
NA
NA
4.52%
3.51%
3.94%
Page 66
Use of Services
PrimeWest Health System (CBP)
Outpatient Drug Utilization
Commercial
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Member Months
NR
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
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
HEDIS 2008 (Reporting Year 2007)
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 67
Use of Services
PrimeWest Health System (CBP)
Outpatient Drug Utilization
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Age
Member Months
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
NR
Age
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
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
HEDIS 2008 (Reporting Year 2007)
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 68
Use of Services
PrimeWest Health System (CBP)
Outpatient Drug Utilization
MSHO
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Member Months
0
0
0
0
5233
8013
11309
0
24555
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
$0.00
$0.00
$0.00
$1,715.00
$2,021,899.00
$2,969,620.00
$3,635,503.00
$0.00
$8,628,737.00
HEDIS 2008 (Reporting Year 2007)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
NA
NA
$386.37
$370.60
$321.47
$351.40
Total Number of
Prescriptions
0
0
0
53
38964
71941
106936
0
217894
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
NA
NA
89.35
107.74
113.47
106.48
Page 69
Use of Services
PrimeWest Health System (CBP)
Outpatient Drug Utilization
Medicaid
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Member Months
41265
22004
27935
5618
490
454
508
0
98274
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
$1,004,948.00
$952,832.00
$3,227,636.00
$1,427,420.00
$15,267.00
$8,639.00
$9,348.00
$0.00
$6,646,090.00
HEDIS 2008 (Reporting Year 2007)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$24.35
$43.30
$115.54
$254.08
$31.16
$19.03
$18.40
$67.63
Total Number of
Prescriptions
21380
15265
54998
22446
744
487
789
0
116109
Avg. Num. Of
Prescriptions /
Per Member Per
Year
6.22
8.32
23.63
47.94
18.22
12.87
18.64
14.18
Page 70
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data collection methodology (Administrativ
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 2008 (Reporting Year 2007)
Page 71
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data collection methodology (Administrativ
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 2008 (Reporting Year 2007)
Page 72
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
Data Elements
General Measure
Data
Measurement Year
Data collection methodology (Administrativ
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 2008 (Reporting Year 2007)
Ages 20-44
Ages 45-64
Ages 65+
0
0
1723
2007
A
0
0
1704
NA
NA
NA
NA
NA
NA
98.90%
98.38%
99.42%
Page 73
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Data Elements
General Measure
Data
Measurement Year
Data collection methodology (Administrativ
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 2008 (Reporting Year 2007)
Ages 20-44
Ages 45-64
Ages 65+
944
229
58
2007
A
884
209
55
93.64%
92.03%
95.25%
91.27%
87.39%
95.14%
94.83%
88.27%
100.00%
Page 74
Access/Availability of Care
PrimeWest Health System (CBP)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Measurement Year
Data collection methodology (Administrativ
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 2008 (Reporting Year 2007)
Page 75
Access/Availability of Care
PrimeWest Health System (CBP)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Data Elements
Measurement Year
Data collection methodology (Administrativ
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 2008 (Reporting Year 2007)
General Measure
Data
12-24 months
25 months 6 yrs.
7-11 yrs.
12-19 yrs.
348
869
489
589
2007
A
336
777
435
509
96.55%
94.49%
98.61%
89.41%
87.31%
91.52%
88.96%
86.08%
91.84%
86.42%
83.57%
89.27%
Page 76
Access/Availability of Care
PrimeWest Health System (CBP)
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Data Elements
Timeliness of
Prenatal Care
Postpartum
Care
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Data collection methodology (Administrative or Hybrid)
Eligible member population (i.e. members who meet all
denominator criteria)
Number of numerator events by administrative data in
eligible population (before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
Number of administrative data records excluded
Number of medical records 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 record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2008 (Reporting Year 2007)
Page 77
Access/Availability of Care
PrimeWest Health System (CBP)
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Timeliness of
Prenatal Care
Postpartum
Care
Data collection methodology (Administrative or Hybrid)
H
H
Eligible member population (i.e. members who meet all
denominator criteria)
454
454
Number of numerator events by administrative data in
eligible population (before exclusions)
262
195
Current year's administrative rate (before exclusions)
57.71%
42.95%
Minimum required sample size (MRSS) or other sample size
411
411
Oversampling rate
Final sample size (FSS)
5%
432
5%
432
Number of numerator events by administrative data in FSS
259
205
59.95%
47.45%
Number of original sample records excluded because of
valid data errors
0
0
Number of administrative data records excluded
0
0
Number of medical records data records excluded
0
0
Number of employee/dependent medical records excluded
0
0
0
432
259
123
0
432
205
59
88.43%
85.29%
91.56%
61.11%
56.40%
65.82%
Data Elements
Administrative rate on FSS
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 2008 (Reporting Year 2007)
Page 78
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Overall Rate
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members who
meet all denominator criteria)
NR
Numerator events by administrative data
NR
NR
Reported rate
NR
NR
NR
NR
NR
NR
Lower 95% confidence interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Upper 95% confidence interval
HEDIS 2008 (Reporting Year 2007)
Page 79
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
18+ Year Olds
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Overall Rate
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members who
meet all denominator criteria)
NR
Numerator events by administrative data
NR
NR
Reported rate
NR
NR
NR
NR
NR
NR
Lower 95% confidence interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Upper 95% confidence interval
HEDIS 2008 (Reporting Year 2007)
Page 80
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
General
Measure
Data
Initiation of
AOD
Treatment
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Overall Rate
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
2007
A
Eligible member population (i.e. members who
meet all denominator criteria)
Numerator events by administrative data
Engagement
of AOD
Treatment
18+ Year Olds
0
23
23
0
0
15
0
15
0
Reported rate
NA
NA
NA
NA
NA
NA
Lower 95% confidence interval
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
Upper 95% confidence interval
HEDIS 2008 (Reporting Year 2007)
Page 81
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
General
Measure
Data
Initiation of
AOD
Treatment
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
Overall Rate
Initiation of
AOD
Treatment
Engagement
of AOD
Treatment
2007
A
Eligible member population (i.e. members who
meet all denominator criteria)
Numerator events by administrative data
Engagement
of AOD
Treatment
18+ Year Olds
16
142
158
9
5
72
28
81
33
Reported rate
NA
NA
50.70%
19.72%
51.27%
20.89%
Lower 95% confidence interval
NA
NA
NA
NA
42.13%
59.28%
12.82%
26.61%
43.16%
59.38%
14.23%
27.54%
Upper 95% confidence interval
HEDIS 2008 (Reporting Year 2007)
Page 82
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Product/Product Line
Years in Business
Members*
NR
NR
NR
NR
NR
NR
NR
HMO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total HMO:
PPO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total PPO:
POS
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2007
HEDIS 2008 (Reporting Year 2007)
Page 83
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Product/Product Line
Years in Business
Members*
NR
NR
NR
NR
NR
NR
NR
HMO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total HMO:
PPO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total PPO:
POS
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2007
HEDIS 2008 (Reporting Year 2007)
Page 84
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:35 PM
MSHO
Product/Product Line
Years in Business
Members*
0.00
0.00
2.33
0.00
0.00
2.33
0
0
2001
0
0
2001
0.00
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0
2001
HMO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total HMO:
PPO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total PPO:
POS
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2007
HEDIS 2008 (Reporting Year 2007)
Page 85
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
Product/Product Line
Years in Business
Members*
4.50
0.00
0.00
0.00
0.00
4.50
7937
0
0
0
0
7937
0.00
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0
7937
HMO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total HMO:
PPO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total PPO:
POS
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2007
HEDIS 2008 (Reporting Year 2007)
Page 86
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Commercial
Male
Member Months
Female
<1
1-4
5-9
10-14
15-17
18-19
Total
NR
NR
NR
NR
NR
NR
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
NR
NR
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
NR
NR
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
NR
NR
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
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
HEDIS 2008 (Reporting Year 2007)
NR
NR
NR
NR
NR
NR
NR
Page 87
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicare Advantage
Male
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
Member Months
Female
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
NR
NR
NR
NR
NR
NR
Age Unknown
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2008 (Reporting Year 2007)
Page 88
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:35 PM
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%
768
936
1200
1128
1092
1008
0
0.00%
1716
1788
2448
3216
4248
4932
0
0.00%
6132
100.00%
0
18348
100.00%
0
24480
100.00%
6132
18348
HEDIS 2008 (Reporting Year 2007)
0
0
0
0
0
0
0
0
0
2484
2724
3648
4344
5340
5940
0
24480
Page 89
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:35 PM
Medicaid
<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
4444
9106
7762
6168
3067
1114
Member Months
Female
3681
8459
7813
6231
3438
1986
Total
8125
17565
15575
12399
6505
3100
31661
75.03%
1542
1783
1364
1416
1186
31608
56.37%
6322
5769
3256
3230
2067
63269
64.38%
7291
17.28%
1113
955
403
206
20644
36.81%
1571
758
482
130
27935
28.43%
2677
6.34%
175
54
76
122
82
60
2941
5.24%
170
91
113
143
209
157
5618
5.72%
569
1.35%
0
883
1.57%
0
1452
1.48%
42198
56076
HEDIS 2008 (Reporting Year 2007)
7864
7552
4620
4646
3253
2684
1713
885
336
345
145
189
265
291
217
0
98274
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