PrimeWest Health System (CBP)
Plan Name
2006
Reporting Year
General Info
Disclaimers
Submission #
Plan ID
1
36
Last Refreshed:
23
Use of Services Measures
Well Child Visits in the First 15 Months of Life
24
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
43
44
Page
2
10/7/2009 1:20:36 PM
Page
41
Page
25
Adolescent Well-Care Visits
Childhood Immunization Status
3
26
Frequency of Selected Procedures
45
Adolescent Immunization Status
5
27
Inpatient Utilization - General Hospital/Acute Care
48
Appropriate Treatment for Children with Upper Respiratory Infection
7
28
Ambulatory Care
51
Colorectal Cancer Screening
8
29
Inpatient Utilization - Nonacute Care
54
Breast Cancer Screening
9
30
13
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
57
Cervical Cancer Screening
Chlamydia Screening in Women
14
31
15
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory Services
60
Osteoporosis Management in Women Who had a Fracture
Controlling High Blood Pressure
16
32
17
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
64
Beta Blocker Treatment after Heart Attack
33
Identification of Alcohol and Other Drug Services
67
34
Outpatient Drug Utilization
71
35
Adult's Access to Preventive/Ambulatory Health Services
75
36
Children's and Adolescents' Access to Primary Care Practitioners
79
37
Prenatal and Postpartum Care
81
38
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
83
Health Plan Stability Measures
Years in Business / Total Membership
Page
39
Health Plan Descriptive Information Measures
Enrollment by Product Line (Age & Sex)
Page
40
Effectiveness of Care Measures
Persistence of Beta Blocker Treatment After Hearth Attack
18
Cholesterol Management for Patients with Cardiovascular Conditions
19
Comprehensive Diabetes Care
22
Use of Appropriate Medications for People with Asthma
26
Antidepressant Medication Management
28
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
32
Glaucoma Screening in Older Adults
33
Annual Monitoring for Patients on Persistent Medications
34
Drugs to Be Avoided in the Elderly
38
Potentially Harmful Drug-Disease Interactions in the Elderly
39
HEDIS 2007 (Reporting Year 2006)
Access / Availability of Care Measures
Page
87
91
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 2007 (Reporting Year 2006)
Page 2
Effectiveness of Care
PrimeWest Health System (CBP)
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 3
Effectiveness of Care
PrimeWest Health System (CBP)
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:20 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
191
83.41%
191
83.41%
213
93.01%
204
89.08%
193
84.28%
204
89.08%
165
72.05%
165
72.05%
137
59.83%
191
83.41%
190
82.97%
212
92.58%
203
88.65%
192
83.84%
203
88.65%
165
72.05%
165
72.05%
137
59.83%
191
16
90.79%
86.82%
94.76%
190
25
94.30%
91.07%
97.53%
212
5
95.18%
92.17%
98.18%
203
12
94.30%
91.07%
97.53%
192
23
94.30%
91.07%
97.53%
203
9
92.98%
89.45%
96.52%
165
19
80.70%
75.36%
86.04%
165
36
88.16%
83.74%
92.57%
137
37
76.32%
70.58%
82.05%
229
1
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 2007 (Reporting Year 2006)
MMR
229
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
2006
H
229
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
228
Page 4
Effectiveness of Care
PrimeWest Health System (CBP)
Adolescent Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Data Elements
General
Measure
Data
MMR
Hepatitis B
VZV
Combo 2
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
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 2007 (Reporting Year 2006)
Page 5
Effectiveness of Care
PrimeWest Health System (CBP)
Adolescent Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Combo 2
68
53.97%
30
23.81%
26
20.63%
7
5.56%
68
53.97%
30
23.81%
26
20.63%
7
5.56%
68
27
75.40%
67.48%
83.31%
30
46
60.32%
51.38%
69.26%
26
32
46.03%
36.93%
55.13%
7
37
34.92%
26.20%
43.64%
126
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 2007 (Reporting Year 2006)
VZV
126
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
Hepatitis B
2006
H
126
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
Admin rate on FSS
MMR
126
Page 6
Effectiveness of Care
PrimeWest Health System (CBP)
Appropriate Treatment for Children with Upper
Respiratory Infection
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Data Elements
General
Measure
Data
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
NR
Lower 95% Confidence Interval
NR
Upper 95% Confidence Interval
NR
HEDIS 2007 (Reporting Year 2006)
Page 7
Effectiveness of Care
PrimeWest Health System (CBP)
Colorectal Cancer Screening
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Medicare
Advantage
Measurement Year
MSHO
2006
Data collection methodology (administrative or hybrid)
H
Eligible population
475
Number of numerator events by administrative data in eligible
population (before exclusions)
130
Current year's administrative rate (before exclusions)
NR
NR
27.37%
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
117
Administrative rate on FSS
NR
NR
27.08%
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
117
Numerator events by medical records
58
Reported rate
NR
NR
40.60%
Lower 95% confidence interval
NR
NR
35.85%
Upper 95% confidence interval
NR
NR
45.36%
Data Elements with an Asterisk(*) are OPTIONAL and are not used in any calculation or total
HEDIS 2007 (Reporting Year 2006)
Page 8
Effectiveness of Care
st Health System (CBP)
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
NR
NR
NR
Page 9
Effectiveness of Care
st Health System (CBP)
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General Measure
Data
Ages 42-51
NR
NR
NR
Ages 52-69
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 10
Effectiveness of Care
st Health System (CBP)
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General Measure
Data
Ages 42-51
Ages 52-69
Total
0
0
NA
NA
NA
59
29
49.15%
35.55%
62.76%
59
29
49.15%
35.55%
62.76%
2006
A
Page 11
Effectiveness of Care
st Health System (CBP)
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General Measure
Data
Ages 42-51
Ages 52-69
Total
92
47
51.09%
40.33%
61.85%
26
14
NA
NA
NA
118
61
51.69%
42.25%
61.14%
2006
A
Page 12
Effectiveness of Care
PrimeWest Health System (CBP)
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Measurement Year
Data Collection Methodology
Eligible Member Population
Medicaid
2006
A
707
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
NR
70.86%
NR
NR
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 2007 (Reporting Year 2006)
501
NR
NR
NR
70.86%
67.44%
74.28%
Page 13
Effectiveness of Care
ealth System (CBP)
Chlamydia Screening in Women
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General
Measure Ages 16-20 Ages 21-25
Data
Medicaid
Total
General
Measure Ages 16-20 Ages 21-25
Data
Total
2006
A
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
115
39
33.91%
24.83%
43.00%
166
80
48.19%
40.29%
56.10%
281
119
42.35%
36.39%
48.30%
Page 14
Effectiveness of Care
PrimeWest Health System (CBP)
Osteoporosis Management in Women Who
had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2007 (Reporting Year 2006)
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicare
Advantage
NR
NR
NR
MSHO
2006
A
71
9
12.68%
4.23%
21.12%
Page 15
Effectiveness of Care
est Health System (CBP)
Controlling High Blood Pressure
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Data Elements
General Measure
Data
Ages 18-45
Ages 46-85
Total
Measurement Year
Data Collection Methodology (Hybrid)
Eligible Member Population
NR
Numerator Events by Admin Data on
Eligible Population (before exclusions)
NR
Current Year's Admin Rate
NR
NR
NR
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
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
NR
Numerator Events by Admin Data
NR
Numerator Events by Medical Record
NR
Reported Rate
NR
NR
#VALUE!
Lower 95% Confidence Interval
NR
NR
#VALUE!
Upper 95% Confidence Interval
NR
NR
#VALUE!
HEDIS 2007 (Reporting Year 2006)
Page 16
Effectiveness of Care
PrimeWest Health System (CBP)
Beta Blocker Treatment after Heart Attack
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Medicare Advantage
Measurement Year
MSHO
2006
Data Collection Methodology
A
Eligible Member Population
15
Numerator Events by Admin Data on
Eligible Population
Current Year's Admin Rate
NR
NR
NR
NR
NR
NR
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
13
Numerator Events by Medical Record
Reported Rate
NR
NR
NA
Lower 95% Confidence Interval
NR
NR
NA
Upper 95% Confidence Interval
NR
NR
NA
HEDIS 2007 (Reporting Year 2006)
Page 17
Effectiveness of Care
PrimeWest Health System (CBP)
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Medicare Advantage
MSHO
Reported Rate
NR
NR
NR
Lower 95% Confidence Interval
NR
NR
NR
Upper 95% Confidence Interval
NR
NR
NR
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
HEDIS 2007 (Reporting Year 2006)
Page 18
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 19
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 20
Effectiveness of Care
PrimeWest Health System (CBP)
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
0
81.25%
0.00%
13
0
81.25%
0.00%
13
0
0
8
NA
NA
NA
NA
NA
NA
16
5.00%
16
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
0
16
HEDIS 2007 (Reporting Year 2006)
13
16
Records Excluded because of Valid Data Errors
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
2006
H
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
Page 21
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 22
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:20 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
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 2007 (Reporting Year 2006)
Page 23
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:20 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
2006
H
148
2006
H
148
2006
H
148
2006
H
148
2006
H
148
2006
H
148
2006
H
148
2006
H
148
2006
H
148
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
136
91.89%
148
5%
148
136
91.89%
148
100.00%
148
5%
148
148
100.00%
0
0.00%
148
5%
148
0
0.00%
19
12.84%
148
5%
148
90
60.81%
102
68.92%
148
5%
148
102
68.92%
0
0.00%
148
5%
148
0
0.00%
128
86.49%
148
5%
148
128
86.49%
0
0.00%
148
5%
148
0
0.00%
0
0.00%
148
5%
148
0
0.00%
Number of Records Excluded Because of
Valid Data Errors
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
148
136
1
92.57%
88.00%
97.13%
0
148
37
3
27.03%
19.53%
34.52%
0
148
0
79
53.38%
45.00%
61.75%
0
148
90
15
70.95%
63.29%
78.60%
0
148
102
1
69.59%
61.85%
77.34%
0
148
0
55
37.16%
29.04%
45.29%
0
148
128
5
89.86%
84.66%
95.06%
0
148
0
100
67.57%
59.69%
75.45%
0
148
0
63
42.57%
34.26%
50.87%
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 2007 (Reporting Year 2006)
Page 24
Effectiveness of Care
PrimeWest Health System (CBP)
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:20 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
2006
H
87
2006
H
87
2006
H
87
2006
H
87
2006
H
87
2006
H
87
2006
H
87
2006
H
87
2006
H
87
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
72
82.76%
84
5%
84
72
85.71%
87
100.00%
84
5%
84
84
100.00%
0
0.00%
84
5%
84
0
0.00%
3
3.45%
84
5%
84
40
47.62%
54
62.07%
84
5%
84
54
64.29%
0
0.00%
84
5%
84
0
0.00%
54
62.07%
84
5%
84
54
64.29%
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
0
0
0
0
0
0
0
0
0
Number of administrative data records
excluded
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
84
72
3
89.29%
82.08%
96.50%
0
84
15
12
32.14%
21.56%
42.73%
0
84
0
36
42.86%
31.68%
54.04%
0
84
40
13
63.10%
52.18%
74.01%
0
84
54
3
67.86%
57.27%
78.44%
0
84
0
32
38.10%
27.11%
49.08%
0
84
54
4
69.05%
58.57%
79.53%
0
84
0
61
72.62%
62.49%
82.75%
0
84
0
37
44.05%
32.84%
55.26%
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 2007 (Reporting Year 2006)
Page 25
Effectiveness of Care
PrimeWest Health System (CBP)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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 26
Effectiveness of Care
PrimeWest Health System (CBP)
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
24
24
NA
NA
NA
25
24
NA
NA
NA
30
28
93.33%
82.74%
100.00%
79
76
96.20%
91.35%
100.00%
2006
A
Page 27
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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 28
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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 29
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
0
NA
NA
NA
7
NA
NA
NA
5
NA
NA
NA
2006
A
10
Page 30
Effectiveness of Care
PrimeWest Health System (CBP)
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
6
12.77%
2.16%
23.37%
21
44.68%
29.40%
59.96%
9
19.15%
6.84%
31.46%
2006
A
47
Page 31
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 1:20 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Total Exclusions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2007 (Reporting Year 2006)
General
Measure
Data
Initiation
Phase
Medicaid
Continuation
and
Maintenance
Phase
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
39
0
17
43.59%
26.74%
60.43%
15
0
6
NA
NA
NA
2006
A
NR
NR
NR
NR
NR
NR
Page 32
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 2007 (Reporting Year 2006)
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicare
Advantage
NR
NR
NR
MSHO
2006
A
1211
849
70.11%
67.49%
72.73%
Page 33
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Data Elements
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
Measurement Year
Data Collection Methodology
Eligible Member Population
Total Exclusions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2007 (Reporting Year 2006)
Page 34
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicare Advantage
Data Elements
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
Measurement Year
Data Collection Methodology
Eligible Member Population
Total Exclusions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2007 (Reporting Year 2006)
Page 35
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Total Exclusions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2007 (Reporting Year 2006)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
644
22
583
90.53%
88.19%
92.87%
181
5
164
90.61%
86.08%
95.13%
896
25
811
90.51%
88.54%
92.49%
81
7
68
83.95%
75.34%
92.56%
1802
59
1626
90.23%
88.83%
91.63%
2006
A
Page 36
Effectiveness of Care
PrimeWest Health System (CBP)
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Total Exclusions
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2007 (Reporting Year 2006)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
58
3
42
72.41%
60.05%
84.78%
2
0
2
NA
NA
NA
40
1
31
77.50%
63.31%
91.69%
18
1
12
NA
NA
NA
118
5
87
73.73%
65.36%
82.09%
2006
A
Page 37
Effectiveness of Care
PrimeWest Health System (CBP)
Drugs to Be Avoided in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General
Measure
Data
1 or More
Prescriptions
NR
NR
NR
MSHO
2 or More
Prescriptions
NR
NR
NR
General
Measure
Data
2006
A
1718
1 or More
Prescriptions
2 or More
Prescriptions
512
29.80%
27.61%
31.99%
108
6.29%
5.11%
7.46%
Page 38
Effectiveness of Care
PrimeWest Health System (CBP)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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 39
Effectiveness of Care
PrimeWest Health System (CBP)
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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
2006
A
81
21
25.93%
15.77%
36.09%
432
127
29.40%
24.99%
33.81%
86
20
23.26%
13.75%
32.77%
599
168
28.05%
24.37%
31.73%
Page 40
Use of Services
PrimeWest Health System (CBP)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 41
Use of Services
PrimeWest Health System (CBP)
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
6
1.99%
9
2.98%
10
3.31%
18
5.96%
29
9.60%
71
23.51%
159
52.65%
6
1.99%
9
2.98%
10
3.31%
18
5.96%
29
9.60%
71
23.51%
159
52.65%
2
0
0.66%
0.00%
1.74%
2
0
0.66%
0.00%
1.74%
1
0
0.33%
0.00%
1.14%
6
4
3.31%
1.13%
5.49%
8
7
4.97%
2.35%
7.58%
35
15
16.56%
12.20%
20.91%
161
61
73.51%
68.37%
78.65%
302
5.00%
302
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
2006
H
302
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
302
Page 42
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 1:20 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Eligible Member Population
2006
H
624
Numerator events by admin data in eligible
population
326
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
NR
411
5.00%
432
221
NR
51.16%
1
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 2007 (Reporting Year 2006)
NR
NR
NR
0
431
221
57
64.50%
59.87%
69.13%
Page 43
Use of Services
PrimeWest Health System (CBP)
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Eligible Member Population
2006
H
881
Numerator events by admin data in eligible
population
251
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
NR
411
5.00%
432
130
NR
30.09%
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 2007 (Reporting Year 2006)
NR
NR
NR
0
432
130
77
47.92%
43.09%
52.74%
Page 44
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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 45
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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 46
Use of Services
PrimeWest Health System (CBP)
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
Age
< 65
65-74
75-84
85+
Member Months
Male
Female
0
0
1672
3509
2491
5749
2251
9106
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 2007 (Reporting Year 2006)
Number of
Procedures
0
0
0
0
0
1
0
0
0
1
0
1
0
0
0
0
0
1
2
9
0
0
0
0
0
1
1
0
0
1
1
0
0
0
1
0
0
1
1
1
0
5
4
3
Procedures /
1,000 Member
Months
NA
0.00
0.00
0.00
NA
0.60
0.00
0.00
NA
0.60
0.00
0.44
NA
0.00
0.00
0.00
NA
0.60
0.80
4.00
NA
0.00
0.00
0.00
NA
0.60
0.40
0.00
NA
0.60
0.40
0.00
NA
0.00
0.40
0.00
NA
0.60
0.40
0.44
NA
2.99
1.61
1.33
Female
Number of
Procedures
0
0
2
0
0
2
2
5
0
2
7
2
0
1
1
0
0
2
10
13
0
6
2
0
0
2
4
2
0
3
1
0
0
2
0
1
0
3
4
1
0
18
13
18
0
0
1
0
0
0
0
0
0
2
0
4
0
1
1
3
Procedures /
1,000 Member
Months
NA
0.00
0.35
0.00
NA
0.57
0.35
0.55
NA
0.57
1.22
0.22
NA
0.28
0.17
0.00
NA
0.57
1.74
1.43
NA
1.71
0.35
0.00
NA
0.57
0.70
0.22
NA
0.85
0.17
0.00
NA
0.57
0.00
0.11
NA
0.85
0.70
0.11
NA
5.13
2.26
1.98
NA
0.00
0.17
0.00
NA
0.00
0.00
0.00
NA
0.57
0.00
0.44
NA
0.28
0.17
0.33
Page 47
Use of Services
alth 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 1:20 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 2007 (Reporting Year 2006)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
alth System (CBP)
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 49
Use of Services
alth 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 1:20 PM
Member Months
0
0
0
0
0
5181
8240
11357
0
24778
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
147
275
404
0
826
NA
NA
NA
NA
NA
28.37
33.37
35.57
0
0
0
0
0
108
226
360
0
694
NA
NA
NA
NA
NA
20.85
27.43
31.70
0
0
0
0
0
39
49
44
0
132
NA
NA
NA
NA
NA
7.53
5.95
3.87
0
0
0
0
0
HEDIS 2007 (Reporting Year 2006)
33.34
28.01
5.33
NA
NA
NA
NA
Days
Days / 1,000
Member
Months
0
0
0
0
0
648
1166
1667
0
3481
NA
NA
NA
NA
NA
125.07
141.50
146.78
0
0
0
0
0
408
865
1341
0
2614
NA
NA
NA
NA
NA
78.75
104.98
118.08
0
0
0
0
0
240
301
326
0
867
NA
NA
NA
NA
NA
46.32
36.53
28.70
0
0
0
0
0
140.49
105.50
34.99
NA
NA
NA
NA
Average
Length of Stay
NA
NA
NA
NA
NA
4.41
4.24
4.13
NA
4.21
NA
NA
NA
NA
NA
3.78
3.83
3.73
NA
3.77
NA
NA
NA
NA
NA
6.15
6.14
7.41
NA
6.57
NA
NA
NA
NA
NA
Page 50
Use of Services
lth System (CBP)
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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
lth System (CBP)
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
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
lth System (CBP)
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:20 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
5181
8240
11357
0
24778
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
3633
5526
5529
0
14688
HEDIS 2007 (Reporting Year 2006)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
701.22
670.63
486.84
592.78
Emergency Room Visits
Visits
0
0
0
0
0
152
266
288
0
706
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
29.34
32.28
25.36
28.49
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
169
252
175
0
596
Procedures/
1,000 Member
Months
NA
NA
NA
NA
NA
32.62
30.58
15.41
24.05
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
13
55
64
0
132
Stays/ 1,000
Member
Months
NA
NA
NA
NA
NA
2.51
6.67
5.64
5.33
Page 53
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
NR
NR
Page 54
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
NR
NR
Page 55
Use of Services
PrimeWest Health System (CBP)
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
Age
Member
Months
<1
0
1-9
0
10-19
0
20-44
0
45-64
0
65-74
5181
75-84
8240
85+
11357
Unknown
0
24778
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
80
15.44
2204
425.40
27.55
75-84
249
30.22
6163
747.94
24.75
85+
492
43.32
12096
1065.07
24.59
Unknown
0
821
33.13
0
20463
825.85
NA
24.92
Age
Total
HEDIS 2007 (Reporting Year 2006)
Page 56
Use of Services
PrimeWest Health System (CBP)
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Member Months
Age
Male
0-12
13-17
18-64
65+
Unknown
Total
Female
NR
NR
NR
Discharges
Age
0-12
Gender
M
F
Total
13-17
M
F
Total
18-64
M
F
Total
M
F
Total
M
F
Total
M
F
TOTAL
65+
Unknown
Total
Total
HEDIS 2007 (Reporting Year 2006)
NR
NR
NR
NR
NR
Discharges /
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
Days*
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
Page 57
Use of Services
PrimeWest Health System (CBP)
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicare Advantage
Member Months
Age
Male
0-12
13-17
18-64
65+
Unknown
Total
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Discharges
Age
0-12
Gender
M
F
Total
13-17
M
F
Total
18-64
65+
Unknown
Total
M
F
Total
M
F
Total
M
F
Total
M
F
TOTAL
HEDIS 2007 (Reporting Year 2006)
Discharges /
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
Days*
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
Page 58
Use of Services
PrimeWest Health System (CBP)
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
Member Months
Age
Male
Female
Total
0-12
13-17
18-64
65+
Unknown
Total
0
0
0
6414
0
6414
0
0
0
18364
0
18364
0
0
0
24778
0
24778
Discharges
Discharges /
1,000 Member
Months
Days*
Average Length
of Stay
Age
0-12
Gender
M
F
Total
0
0
0
NA
NA
NA
0
0
0
NA
NA
NA
13-17
M
F
Total
0
0
0
NA
NA
NA
0
0
0
NA
NA
NA
18-64
M
F
Total
M
F
Total
M
F
Total
M
F
TOTAL
0
0
0
NA
NA
NA
0
0
0
NA
NA
NA
38
96
134
5.92
5.23
5.41
851
2841
3692
22.39
29.59
27.55
0
0
0
NA
NA
NA
851
2841
3692
22.39
29.59
27.55
65+
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
0
0
0
38
96
134
5.92
5.23
5.41
Page 59
Use of Services
Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
NR
Member Months (Inpatient)
Total
Age
13-17
18-64
65+
Unknown
Total
Sex
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
HEDIS 2007 (Reporting Year 2006)
Female
Total
Male
Female
Total
Member Months (Ambulatory)
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 Mental Health Services
0-12
Male
Member Months (Day/Night)
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient Mental Health Services
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
Day/Night Mental Health Services
Percent
Number
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Ambulatory Mental Health Services
Percent
Number
NR
NR
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 60
Use of Services
Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicare Advantage
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
NR
Member Months (Inpatient)
Total
Age
Sex
M
F
Total
Number
NR
13-17
M
F
Total
NR
18-64
M
F
Total
NR
65+
M
F
Total
NR
Unknown
M
F
Total
M
F
Total
NR
NR
NR
NR
Total
HEDIS 2007 (Reporting Year 2006)
Female
Total
Member Months (Day/Night)
Male
Female
Total
Member Months (Ambulatory)
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 Mental Health Services
0-12
Male
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient Mental Health Services
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
Day/Night Mental Health Services
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
Ambulatory Mental Health Services
Percent
Number
NR
NR
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 61
Use of Services
Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months (Inpatient)
Age
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
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
6414
0
6414
0
18364
0
18364
0
24778
0
24778
0
6414
0
6414
0
18364
0
18364
0
24778
0
24778
0
6414
0
6414
0
18364
0
18364
0
24778
0
24778
0
6414
0
6414
0
18364
0
18364
0
24778
0
24778
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 (Ambulatory)
Female
Any Mental Health Services
0-12
Member Months (Day/Night)
Male
Inpatient Mental Health Services
Day/Night Mental Health Services
Number
Percent
Number
Percent
Number
Percent
Ambulatory Mental Health Services
Percent
Number
0
0
0
0
0
0
0
0
0
68
158
226
0
0
0
68
158
226
NA
NA
NA
NA
NA
NA
NA
NA
NA
12.72%
10.32%
10.95%
NA
NA
NA
12.72%
10.32%
10.95%
0
0
0
0
0
0
0
0
0
25
72
97
0
0
0
25
72
97
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.68%
4.70%
4.70%
NA
NA
NA
4.68%
4.70%
4.70%
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
49
97
146
0
0
0
49
97
146
HEDIS 2007 (Reporting Year 2006)
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.17%
6.34%
7.07%
NA
NA
NA
9.17%
6.34%
7.07%
Page 62
Use of Services
Health System (CBP)
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicaid
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
Member Months (Ambulatory)
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
24628
5646
23765
5857
48393
11503
24628
5646
23765
5857
48393
11503
24628
5646
23765
5857
48393
11503
24628
5646
23765
5857
48393
11503
10827
334
0
41435
25037
850
0
55509
35864
1184
0
96944
10827
334
0
41435
25037
850
0
55509
35864
1184
0
96944
10827
334
0
41435
25037
850
0
55509
35864
1184
0
96944
10827
334
0
41435
25037
850
0
55509
35864
1184
0
96944
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 (Day/Night)
Female
Any Mental Health Services
0-12
Member Months (Inpatient)
Male
Inpatient Mental Health Services
Number
Percent
Number
Percent
Day/Night Mental Health Services
Percent
Number
251
178
429
105
125
230
208
517
725
6
9
15
0
0
0
570
829
1399
12.23%
8.99%
10.64%
22.32%
25.61%
23.99%
23.05%
24.78%
24.26%
21.56%
12.71%
15.20%
NA
NA
NA
16.51%
17.92%
17.32%
2
1
3
6
6
12
13
29
42
0
3
3
0
0
0
21
39
60
0.10%
0.05%
0.07%
1.28%
1.23%
1.25%
1.44%
1.39%
1.41%
0.00%
4.24%
3.04%
NA
NA
NA
0.61%
0.84%
0.74%
0
0
0
0
1
1
1
7
8
0
1
1
0
0
0
1
9
10
HEDIS 2007 (Reporting Year 2006)
0.00%
0.00%
0.00%
0.00%
0.20%
0.10%
0.11%
0.34%
0.27%
0.00%
1.41%
1.01%
NA
NA
NA
0.03%
0.19%
0.12%
Ambulatory Mental Health Services
Percent
Number
251
178
429
105
124
229
206
511
717
6
7
13
0
0
0
568
820
1388
12.23%
8.99%
10.64%
22.32%
25.41%
23.89%
22.83%
24.49%
23.99%
21.56%
9.88%
13.18%
NA
NA
NA
16.45%
17.73%
17.18%
Page 63
Use of Services
PrimeWest Health System (CBP)
Chemical Dependency Utilization Inpatient Discharges and Average Length of
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Member Months
Age
Male
0-12
13-17
18-64
65+
Unknown
Total
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Discharges
Age
0-12
M
F
Total
13-17
M
F
Total
18-64
M
F
Total
M
F
Total
M
F
Total
M
F
TOTAL
65+
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
Discharges /
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
Days
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
Page 64
Use of Services
PrimeWest Health System (CBP)
Chemical Dependency Utilization Inpatient Discharges and Average Length of
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicare Advantage
Member Months
Age
Male
0-12
13-17
18-64
65+
Unknown
Total
NR
Female
Total
NR
NR
NR
NR
NR
NR
NR
Discharges
Age
0-12
13-17
18-64
65+
Unknown
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
TOTAL
HEDIS 2007 (Reporting Year 2006)
Discharges /
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
Days
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
Page 65
Use of Services
PrimeWest Health System (CBP)
Chemical Dependency Utilization Inpatient Discharges and Average Length of
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
Member Months
Age
Male
Female
Total
0-12
13-17
18-64
65+
Unknown
Total
0
0
0
6414
0
6414
0
0
0
18364
0
18364
0
0
0
24778
0
24778
Discharges
Discharges /
1,000 Member
Months
Days
Average Length
of Stay
M
F
Total
0
0
0
NA
NA
NA
0
0
0
NA
NA
NA
13-17
M
F
Total
0
0
0
NA
NA
NA
0
0
0
NA
NA
NA
18-64
M
F
Total
M
F
Total
M
F
Total
M
F
TOTAL
0
0
0
NA
NA
NA
0
0
0
NA
NA
NA
2
1
3
0.31
0.05
0.12
36
7
43
18.00
7.00
14.33
0
0
0
NA
NA
NA
36
7
43
18.00
7.00
14.33
Age
0-12
65+
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
0
0
0
2
1
3
0.31
0.05
0.12
Page 66
Health System (CBP)
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Any Chemical Dependency 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 2007 (Reporting Year 2006)
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 (Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months (Day/Night)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Member Months (Ambulatory)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
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
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
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 67
Health System (CBP)
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicare Advantage
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Any Chemical Dependency 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 2007 (Reporting Year 2006)
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 (Inpatient)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Inpatient Chemical Dependency
Services
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 (Day/Night)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Day/Night Chemical Dependency
Services
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 (Ambulatory)
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
NR
NR
Ambulatory Chemical Dependency
Services
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
Page 68
Health System (CBP)
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:20 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
6414
0
6414
Female
0
0
0
0
0
18364
0
18364
Total
0
0
0
0
0
24778
0
24778
Any Chemical Dependency 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
21
39
60
0
0
0
21
39
60
HEDIS 2007 (Reporting Year 2006)
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
3.93%
2.55%
2.91%
NA
NA
NA
3.93%
2.55%
2.91%
Member Months (Inpatient)
Male
0
0
0
0
0
6414
0
6414
Female
0
0
0
0
0
18364
0
18364
Total
0
0
0
0
0
24778
0
24778
Member Months (Day/Night)
Male
0
0
0
0
0
6414
0
6414
Female
0
0
0
0
0
18364
0
18364
Total
0
0
0
0
0
24778
0
24778
Member Months (Ambulatory)
Male
0
0
0
0
0
6414
0
6414
Female
0
0
0
0
0
18364
0
18364
Total
0
0
0
0
0
24778
0
24778
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
4
12
0
0
0
8
4
12
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
15
35
50
0
0
0
15
35
50
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
1.50%
0.26%
0.58%
NA
NA
NA
1.50%
0.26%
0.58%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
2.81%
2.29%
2.42%
NA
NA
NA
2.81%
2.29%
2.42%
Page 69
Health System (CBP)
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicaid
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
24628
5646
2808
2852
5167
334
0
41435
Female
23765
5857
8586
8539
7912
850
0
55509
Total
48393
11503
11394
11391
13079
1184
0
96944
Any Chemical Dependency 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
2
2
17
18
35
49
111
160
62
117
179
120
140
260
0
1
1
0
0
0
248
389
637
HEDIS 2007 (Reporting Year 2006)
Percent
0.00%
0.10%
0.05%
3.61%
3.69%
3.65%
NR
NR
NA
3.02%
5.91%
4.44%
27.87%
21.23%
23.86%
0.00%
1.41%
1.01%
NA
NA
NA
7.18%
8.41%
7.88%
Member Months (Inpatient)
Male
24628
5646
2808
2852
5167
334
0
41435
Female
23765
5857
8586
8539
7912
850
0
55509
Total
48393
11503
11394
11391
13079
1184
0
96944
Member Months (Day/Night)
Male
24628
5646
2808
2852
5167
334
0
41435
Female
23765
5857
8586
8539
7912
850
0
55509
Total
48393
11503
11394
11391
13079
1184
0
96944
Member Months (Ambulatory)
Male
24628
5646
2808
2852
5167
334
0
41435
Female
23765
5857
8586
8539
7912
850
0
55509
Total
48393
11503
11394
11391
13079
1184
0
96944
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
4
2
6
13
11
24
9
11
20
17
20
37
0
0
0
0
0
0
43
44
87
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
2
2
16
18
34
43
105
148
58
114
172
113
130
243
0
1
1
0
0
0
230
370
600
Percent
0.00%
0.00%
0.00%
0.85%
0.41%
0.63%
NR
NR
NA
0.44%
0.56%
0.50%
3.95%
3.03%
3.39%
0.00%
0.00%
0.00%
NA
NA
NA
1.25%
0.95%
1.08%
Percent
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NR
NR
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Percent
0.00%
0.10%
0.05%
3.40%
3.69%
3.55%
NR
NR
NA
2.83%
5.76%
4.27%
26.24%
19.72%
22.30%
0.00%
1.41%
1.01%
NA
NA
NA
6.66%
8.00%
7.43%
Page 70
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 1:20 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 2007 (Reporting Year 2006)
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 71
Use of Services
PrimeWest Health System (CBP)
Outpatient Drug Utilization
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 72
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 1:20 PM
Member Months
0
0
0
0
5181
8240
11357
0
24778
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
$0.00
$1,808,675.00
$2,829,114.00
$3,434,735.00
$0.00
$8,072,524.00
HEDIS 2007 (Reporting Year 2006)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
NA
NA
$349.10
$343.34
$302.43
$325.79
Total Number of
Prescriptions
0
0
0
0
33931
67801
94674
0
196406
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
NA
NA
78.59
98.74
100.03
95.12
Page 73
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 1:20 PM
Member Months
40917
22154
27633
5215
399
346
439
0
97103
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
$751,174.00
$751,350.00
$3,009,908.00
$986,600.00
$51,456.00
$20,043.00
$18,449.00
$0.00
$5,588,980.00
HEDIS 2007 (Reporting Year 2006)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$18.36
$33.91
$108.92
$189.19
$128.96
$57.93
$42.03
$57.56
Total Number of
Prescriptions
18611
12804
41595
16383
1152
691
870
0
92106
Avg. Num. Of
Prescriptions /
Per Member Per
Year
5.46
6.94
18.06
37.70
34.65
23.97
23.78
11.38
Page 74
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 75
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 76
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Ages 20-44
Ages 45-64
Ages 65+
0
0
1718
2006
A
0
0
1699
NA
NA
NA
NA
NA
NA
98.89%
98.37%
99.42%
Page 77
Access/Availability of Care
PrimeWest Health System (CBP)
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Ages 20-44
Ages 45-64
Ages 65+
900
228
29
2006
A
836
207
27
92.89%
91.15%
94.62%
90.79%
86.82%
94.76%
NA
NA
NA
Page 78
Access/Availability of Care
PrimeWest Health System (CBP)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 79
Access/Availability of Care
PrimeWest Health System (CBP)
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
12-19 yrs.
335
796
486
589
2006
A
322
702
441
522
96.12%
93.90%
98.34%
88.19%
85.89%
90.50%
90.74%
88.06%
93.42%
88.62%
85.98%
91.27%
Page 80
Access/Availability of Care
PrimeWest Health System (CBP)
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
General
Measure Data
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 2007 (Reporting Year 2006)
Page 81
Access/Availability of Care
PrimeWest Health System (CBP)
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicaid
General
Measure Data
Data collection methodology (Administrative or Hybrid)
H
Eligible member population (i.e. members who meet all
denominator criteria)
342
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
342
Oversampling rate
Final sample size (FSS)
5%
342
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
5
Number of administrative data records excluded
0
Number of medical records data records excluded
0
Number of employee/dependent medical records excluded
0
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 2007 (Reporting Year 2006)
Timeliness of
Prenatal Care
Postpartum
Care
191
154
55.85%
45.03%
191
157
55.85%
45.91%
191
109
157
39
89.02%
85.53%
92.51%
58.16%
52.75%
63.58%
0
337
Page 82
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Commercial
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
18-25 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
26-34 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
35-64 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
65+ Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Overall Rate
Engagement Initiation of
of AOD
AOD
Treatment
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
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
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2007 (Reporting Year 2006)
Page 83
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicare Advantage
13-17 Year Olds
Data Elements
General
Measure
Data
Initiation of
AOD
Treatment
18-25 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
26-34 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
35-64 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
65+ Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Overall Rate
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement
of AOD
Treatment
Measurement Year
Data collection methodology
(Administrative only)
Eligible member population (i.e. members
who meet all denominator criteria)
NR
NR
NR
Reported rate
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Lower 95% confidence interval
Upper 95% confidence interval
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Numerator events by administrative data
HEDIS 2007 (Reporting Year 2006)
Page 84
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
General
Measure
Data
Initiation of
AOD
Treatment
26-34 Year Olds
35-64 Year Olds
65+ Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
0
0
0
0
Overall Rate
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement
of AOD
Treatment
2006
A
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
18-25 Year Olds
33
33
0
0
0
0
0
0
0
0
12
1
12
1
Reported rate
NA
NA
NA
NA
NA
NA
NA
NA
36.36%
3.03%
36.36%
3.03%
Lower 95% confidence interval
Upper 95% confidence interval
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
18.44%
54.29%
0.00%
10.39%
18.44%
54.29%
0.00%
10.39%
HEDIS 2007 (Reporting Year 2006)
Page 85
Access/Availability of Care
PrimeWest Health System (CBP)
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicaid
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
General
Measure
Data
Initiation of
AOD
Treatment
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
26-34 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
35-64 Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
65+ Year Olds
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Overall Rate
Engagement Initiation of
of AOD
AOD
Treatment
Treatment
Engagement
of AOD
Treatment
2006
A
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
18-25 Year Olds
15
61
55
94
2
227
4
2
20
8
15
5
31
8
0
0
70
23
Reported rate
NA
NA
32.79%
13.11%
27.27%
9.09%
32.98%
8.51%
NA
NA
30.84%
10.13%
Lower 95% confidence interval
NA
NA
20.19%
3.82%
14.59%
0.58%
22.94%
2.34%
NA
NA
24.61%
5.99%
Upper 95% confidence interval
NA
NA
45.39%
22.41%
39.95%
17.60%
43.01%
14.68%
NA
NA
37.07%
14.28%
HEDIS 2007 (Reporting Year 2006)
Page 86
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:20 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
Commercial
Medicare (cost or risk)
Self-insured
Other
Total PPO:
POS
Commercial
Medicare (cost or risk)
Self-insured
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2006
HEDIS 2007 (Reporting Year 2006)
Page 87
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:20 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
Commercial
Medicare (cost or risk)
Self-insured
Other
Total PPO:
POS
Commercial
Medicare (cost or risk)
Self-insured
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2006
HEDIS 2007 (Reporting Year 2006)
Page 88
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:20 PM
MSHO
Product/Product Line
Years in Business
Members*
0.00
0.00
1.33
0.00
0.00
1.33
0
0
2055
0
0
2055
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
2055
HMO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total HMO:
PPO
Commercial
Medicare (cost or risk)
Self-insured
Other
Total PPO:
POS
Commercial
Medicare (cost or risk)
Self-insured
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2006
HEDIS 2007 (Reporting Year 2006)
Page 89
Health Plan Stability
PrimeWest Health System (CBP)
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:20 PM
Medicaid
Product/Product Line
Years in Business
Members*
3.50
0.00
0.00
0.00
0.00
3.50
7973
0
0
0
0
7973
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
7973
HMO
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other
Total HMO:
PPO
Commercial
Medicare (cost or risk)
Self-insured
Other
Total PPO:
POS
Commercial
Medicare (cost or risk)
Self-insured
Other
Total POS:
Total:
* Total number of members in each category as of December 31, 2006
HEDIS 2007 (Reporting Year 2006)
Page 90
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
NR
NR
NR
NR
NR
NR
NR
Page 91
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:20 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 2007 (Reporting Year 2006)
Page 92
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:20 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%
720
948
1116
1356
1272
960
0
0.00%
1644
1860
2376
3360
4212
4884
0
0.00%
6372
100.00%
0
18336
100.00%
0
24708
100.00%
6372
18336
HEDIS 2007 (Reporting Year 2006)
0
0
0
0
0
0
0
0
0
2364
2808
3492
4716
5484
5844
0
24708
Page 93
Health Plan Descriptive Information
PrimeWest Health System (CBP)
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:20 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
4186
8645
7998
6401
3044
1100
Member Months
Female
3779
8391
7759
6260
3433
1916
Total
7965
17036
15757
12661
6477
3016
31374
75.72%
1708
1532
1320
1386
1209
31538
56.82%
6670
5520
3019
3000
2269
62912
64.90%
7155
17.27%
1140
869
341
222
20478
36.89%
1424
674
403
142
27633
28.50%
2572
6.21%
93
33
71
42
63
32
2643
4.76%
166
107
114
119
240
104
5215
5.38%
334
0.81%
0
850
1.53%
0
1184
1.22%
41435
55509
HEDIS 2007 (Reporting Year 2006)
8378
7052
4339
4386
3478
2564
1543
744
364
259
140
185
161
303
136
0
96944
Page 94