HealthPartners and Group Health
Plan Name
2006
Reporting Year
General Info
Disclaimers
Submission #
Plan ID
1
37
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 1:14:37 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
HealthPartners and Group Health
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Pneumococcal
Conjugate
Combo 2
Combo 3
4152
79.06%
4433
84.41%
4875
92.82%
4407
83.91%
4349
82.81%
4678
89.07%
3995
76.07%
3698
70.41%
3435
65.40%
353
81.71%
371
85.88%
401
92.82%
365
84.49%
371
85.88%
384
88.89%
338
78.24%
317
73.38%
296
68.52%
334
39
90.75%
87.83%
93.68%
352
38
94.89%
92.64%
97.14%
380
12
95.38%
93.23%
97.53%
347
33
92.46%
89.78%
95.13%
353
43
96.35%
94.42%
98.28%
366
14
92.46%
89.78%
95.13%
320
31
85.40%
81.87%
88.94%
302
51
85.89%
82.40%
89.38%
282
48
80.29%
76.32%
84.26%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
0
Number of Records Excluded because of
Contraindications by Medical Record
Review
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2007 (Reporting Year 2006)
MMR
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
IPV
2006
H
5252
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
411
Page 3
Effectiveness of Care
HealthPartners and Group Health
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:14 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
763
78.42%
855
87.87%
891
91.57%
801
82.32%
827
84.99%
850
87.36%
740
76.05%
702
72.15%
672
69.06%
334
77.31%
379
87.73%
387
89.58%
347
80.32%
360
83.33%
376
87.04%
323
74.77%
306
70.83%
292
67.59%
319
23
83.21%
79.48%
86.95%
362
28
94.89%
92.64%
97.14%
370
15
93.67%
91.20%
96.15%
332
41
90.75%
87.83%
93.68%
345
34
92.21%
89.50%
94.93%
359
12
90.27%
87.28%
93.25%
310
14
78.83%
74.76%
82.90%
291
36
79.56%
75.54%
83.58%
279
27
74.45%
70.11%
78.79%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
0
Number of Records Excluded because of
Contraindications by Medical Record
Review
1
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
1
HEDIS 2007 (Reporting Year 2006)
MMR
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
IPV
2006
H
973
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
411
Page 4
Effectiveness of Care
HealthPartners and Group Health
Adolescent Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Combo 2
4228
65.39%
2695
41.68%
2695
41.68%
1842
28.49%
278
64.50%
180
41.76%
178
41.30%
118
27.38%
263
113
91.71%
88.92%
94.50%
174
165
82.68%
78.90%
86.47%
172
150
78.54%
74.44%
82.63%
115
166
68.54%
63.92%
73.15%
431
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
410
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
6466
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
410
Page 5
Effectiveness of Care
HealthPartners and Group Health
Adolescent Immunization Status
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
General
Measure
Data
Combo 2
592
81.88%
452
62.52%
447
61.83%
341
47.16%
359
83.10%
265
61.34%
276
63.89%
207
47.92%
344
32
91.48%
88.66%
94.30%
258
85
83.45%
79.74%
87.17%
267
65
80.78%
76.85%
84.71%
203
90
71.29%
66.79%
75.79%
432
0
Number of Records Excluded because of
Contraindications by Admin Data
0
Number of Records Excluded because of
Contraindications by Medical Record Review
0
Number of employee/dependent records
excluded
0
Records Added from the Oversample List
0
HEDIS 2007 (Reporting Year 2006)
VZV
411
5.00%
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Hepatitis B
2006
H
723
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
411
Page 6
Effectiveness of Care
HealthPartners and Group Health
Appropriate Treatment for Children with Upper
Respiratory Infection
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
2006
A
Eligible Member Population
8985
Numerator Events by Admin Data
1252
Reported Rate
86.07%
Lower 95% Confidence Interval
85.34%
Upper 95% Confidence Interval
86.79%
HEDIS 2007 (Reporting Year 2006)
Page 7
Effectiveness of Care
HealthPartners and Group Health
Colorectal Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Medicare
Advantage
MSHO
2006
2006
2006
H
H
H
Eligible population
93754
1447
1071
Number of numerator events by administrative data in eligible
population (before exclusions)
53155
837
390
56.70%
57.84%
36.41%
Minimum required sample size (MRSS) or other sample size
388
321
411
Oversampling rate
0.05
0.05
0.05
Final sample size (FSS)
408
338
432
Number of numerator events by administrative data in FSS
223
203
176
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Current year's administrative rate (before exclusions)
54.66%
60.06%
40.74%
Number of original sample records excluded because of valid data
errors
0
0
0
Number of administrative data records excluded
0
0
0
Number of medical record data records excluded
0
2
2
Number of employee/dependent medical records excluded
0
0
0
Records added from the oversample list
0
2
2
Denominator
388
321
411
Numerator events by administrative data
214
194
174
Numerator events by medical records
29
9
24
Reported rate
62.63%
63.24%
48.18%
Lower 95% confidence interval
57.69%
57.81%
43.22%
Upper 95% confidence interval
67.57%
68.67%
53.13%
Administrative rate on FSS
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
ners and Group Health
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:14 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 42-51
Ages 52-69
Total
39449
27392
69.44%
68.98%
69.89%
43183
33783
78.23%
77.84%
78.62%
82632
61175
74.03%
73.73%
74.33%
2006
A
Page 9
Effectiveness of Care
ners and Group Health
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:14 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
Ages 52-69
Total
11
10
NA
NA
NA
132
90
68.18%
59.86%
76.51%
143
100
69.93%
62.06%
77.80%
2006
A
Page 10
Effectiveness of Care
ners and Group Health
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:14 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
200
117
58.50%
51.42%
65.58%
200
117
58.50%
51.42%
65.58%
2006
A
Page 11
Effectiveness of Care
ners and Group Health
Breast Cancer Screening
Data Last Refreshed:
Oct 7, 2009 1:14 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
876
472
53.88%
50.52%
57.24%
774
472
60.98%
57.48%
64.48%
1650
944
57.21%
54.79%
59.63%
2006
A
Page 12
Effectiveness of Care HealthPartners and Group Health
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Eligible Member Population
2006
H
105401
2006
H
5664
Numerator Events by Admin Data on Eligible
Population (before exclusions)
81896
4085
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
77.70%
411
10.00%
453
360
79.47%
0
72.12%
411
10.00%
453
337
74.39%
0
Number of administrative data records excluded
0
0
Number of medical record data records excluded
22
17
Number of employee/dependent medical records
excluded
0
0
22
411
347
4
85.40%
81.87%
88.94%
17
411
319
16
81.51%
77.63%
85.38%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
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 13
Effectiveness of Care
rs and Group Health
Chlamydia Screening in Women
Data Last Refreshed:
Oct 7, 2009 1:14 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
2006
A
General
Measure Ages 16-20 Ages 21-25
Data
Total
2006
A
8135
3073
37.78%
36.72%
38.83%
7986
3641
45.59%
44.49%
46.69%
16121
6714
41.65%
40.88%
42.41%
930
554
59.57%
56.36%
62.78%
1165
744
63.86%
61.06%
66.66%
2095
1298
61.96%
59.85%
64.06%
Page 14
Effectiveness of Care
HealthPartners and Group Health
Osteoporosis Management in Women Who
had a Fracture
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2007 (Reporting Year 2006)
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare
Advantage
MSHO
2006
A
69
14
20.29%
10.08%
30.50%
2006
A
33
3
9.09%
0.00%
20.41%
Page 15
Effectiveness of Care
rtners and Group Health
Controlling High Blood Pressure
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Data Elements
General Measure
Data
Ages 18-45
Ages 46-85
Total
Eligible Member Population
4289
23238
27527
Numerator Events by Admin Data on
Eligible Population (before exclusions)
786
5165
5951
18.33%
22.23%
21.62%
18
81
99
3.97%
17.88%
21.85%
Denominator
67
344
411
Numerator Events by Admin Data
15
74
89
Numerator Events by Medical Record
33
155
188
Reported Rate
71.64%
66.57%
67.40%
Lower 95% Confidence Interval
60.10%
61.44%
62.74%
Upper 95% Confidence Interval
83.18%
71.70%
72.05%
Measurement Year
Data Collection Methodology (Hybrid)
2006
H
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
411
10.00%
453
Numerator events by admin data in FSS
Admin rate on FSS
Records Excluded because of Valid Data
Errors
0
Number of administrative data records
excluded
3
Number of medical record data records
excluded
0
Number of employee/dependent medical
records excluded
0
Records Added from the OverSample List
6
HEDIS 2007 (Reporting Year 2006)
Page 16
Effectiveness of Care
HealthPartners and Group Health
Beta Blocker Treatment after Heart Attack
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Medicare Advantage
MSHO
2006
2006
2006
H
H
H
Eligible Member Population
331
17
7
Numerator Events by Admin Data on
Eligible Population
285
16
7
86.10%
94.12%
100.00%
100
17
7
5.00%
0.00%
0.00%
Final Sample Size (FSS)
105
17
7
Numerator events by admin data in FSS
96
16
7
Measurement Year
Data Collection Methodology
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Admin rate on FSS
91.43%
94.12%
100.00%
Records Excluded because of Valid Data
Errors
0
0
0
Number of administrative data records
excluded
0
0
0
Number of medical record data records
excluded
4
1
0
Number of employee/dependent medical
records excluded
0
0
0
Records Added from the Oversample List
4
0
0
Denominator
100
16
7
Numerator Events by Admin Data
96
16
7
Numerator Events by Medical Record
4
0
0
Reported Rate
100.00%
NA
NA
Lower 95% Confidence Interval
99.50%
NA
NA
Upper 95% Confidence Interval
100.00%
NA
NA
HEDIS 2007 (Reporting Year 2006)
Page 17
Effectiveness of Care
HealthPartners and Group Health
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Medicare Advantage
MSHO
2006
2006
2006
A
A
A
Eligible Member Population
292
14
14
Numerator Events by Admin Data on
Eligible Population
240
12
12
Reported Rate
82.19%
NA
NA
Lower 95% Confidence Interval
77.63%
NA
NA
Upper 95% Confidence Interval
86.75%
NA
NA
Measurement Year
Data Collection Methodology
HEDIS 2007 (Reporting Year 2006)
Page 18
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
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
1
Number of employee/dependent medical records
excluded
0
HEDIS 2007 (Reporting Year 2006)
3087
1000
86.45%
28.00%
375
121
82.78%
26.71%
339
36
112
172
91.24%
88.39%
94.10%
69.10%
64.51%
73.69%
411
10.00%
453
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
2006
H
3571
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
1
411
Page 19
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
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
2
Number of employee/dependent medical records
excluded
0
HEDIS 2007 (Reporting Year 2006)
75
57
90.36%
68.67%
83
0.00%
83
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
2006
H
83
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
75
57
90.36%
68.67%
74
1
57
1
92.59%
86.27%
98.91%
71.60%
61.17%
82.04%
0
81
Page 20
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for Patients with Cardiovascular
Conditions
Data Last Refreshed:
Oct 7, 2009 1:14 PM
MSHO
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
26
84.29%
37.14%
59
26
84.29%
37.14%
58
3
26
11
88.41%
80.13%
96.68%
53.62%
41.13%
66.11%
70
0.00%
70
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
Denominator
0
69
HEDIS 2007 (Reporting Year 2006)
59
70
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
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
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
15417
2006
H
15417
2006
H
15417
2006
H
15417
2006
H
15417
2006
H
15417
2006
H
15417
2006
H
15417
2006
H
15417
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
13559
87.95%
411
10%
453
399
88.08%
11293
73.25%
411
10%
453
333
73.51%
2450
15.89%
411
10%
453
72
15.89%
8352
54.17%
411
10%
453
235
51.88%
12513
81.16%
411
10%
453
372
82.12%
2815
18.26%
411
10%
453
76
16.78%
12452
80.77%
411
10%
453
370
81.68%
4360
28.28%
411
10%
453
122
26.93%
2825
18.32%
411
10%
453
74
16.34%
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
4
4
4
4
4
4
4
4
4
0
0
0
0
0
0
0
0
0
4
411
365
11
91.48%
88.66%
94.30%
4
411
83
2
20.68%
16.64%
24.72%
4
411
68
129
47.93%
42.98%
52.88%
4
411
215
49
64.23%
59.48%
68.99%
4
411
337
13
85.16%
81.60%
88.72%
4
411
68
133
48.91%
43.95%
53.86%
4
411
339
18
86.86%
83.47%
90.25%
4
411
107
208
76.64%
72.43%
80.85%
4
411
66
124
46.23%
41.29%
51.17%
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 22
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
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
210
2006
H
210
2006
H
210
2006
H
210
2006
H
210
2006
H
210
2006
H
210
2006
H
210
2006
H
210
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
184
87.62%
210
0%
210
184
87.62%
56
26.67%
210
0%
210
56
26.67%
99
47.14%
210
0%
210
99
47.14%
134
63.81%
210
0%
210
134
63.81%
169
80.48%
210
0%
210
169
80.48%
103
49.05%
210
0%
210
103
49.05%
186
88.57%
210
0%
210
186
88.57%
136
64.76%
210
0%
210
136
64.76%
98
46.67%
210
0%
210
98
46.67%
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
6
6
6
6
6
6
6
6
6
0
0
0
0
0
0
0
0
0
0
204
184
0
90.20%
85.87%
94.52%
0
204
42
0
20.59%
14.79%
26.38%
0
204
99
4
50.49%
43.38%
57.60%
0
204
131
12
70.10%
63.57%
76.63%
0
204
166
1
81.86%
76.33%
87.40%
0
204
102
2
50.98%
43.88%
58.09%
0
204
183
3
91.18%
87.04%
95.31%
0
204
132
7
68.14%
61.50%
74.78%
0
204
94
4
48.04%
40.94%
55.14%
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 23
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:14 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
329
2006
H
329
2006
H
329
2006
H
329
2006
H
329
2006
H
329
2006
H
329
2006
H
329
2006
H
329
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
298
90.58%
329
0%
329
298
90.58%
203
61.70%
329
0%
329
203
61.70%
74
22.49%
329
0%
329
74
22.49%
217
65.96%
329
0%
329
217
65.96%
254
77.20%
329
0%
329
254
77.20%
80
24.32%
329
0%
329
80
24.32%
300
91.19%
329
0%
329
300
91.19%
128
38.91%
329
0%
329
128
38.91%
88
26.75%
329
0%
329
88
26.75%
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
4
4
4
4
4
4
4
4
4
0
0
0
0
0
0
0
0
0
0
325
297
9
94.15%
91.45%
96.86%
0
325
69
6
23.08%
18.34%
27.81%
0
325
74
75
45.85%
40.28%
51.42%
0
325
216
25
74.15%
69.24%
79.07%
0
325
252
16
82.46%
78.17%
86.75%
0
325
80
78
48.62%
43.03%
54.20%
0
325
297
12
95.08%
92.57%
97.58%
0
325
127
105
71.38%
66.32%
76.45%
0
325
87
69
48.00%
42.41%
53.59%
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
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 1:14 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
774
2006
H
774
2006
H
774
2006
H
774
2006
H
774
2006
H
774
2006
H
774
2006
H
774
2006
H
774
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
659
85.14%
411
10%
453
386
85.21%
468
60.47%
411
10%
453
280
61.81%
184
23.77%
411
10%
453
101
22.30%
405
52.33%
411
10%
453
231
50.99%
568
73.39%
411
10%
453
334
73.73%
187
24.16%
411
10%
453
101
22.30%
614
79.33%
411
10%
453
361
79.69%
357
46.12%
411
10%
453
201
44.37%
244
31.52%
411
10%
453
139
30.68%
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
5
5
5
5
5
5
5
5
5
0
0
0
0
0
0
0
0
0
5
411
354
10
88.56%
85.37%
91.76%
5
411
118
5
29.93%
25.38%
34.48%
5
411
92
75
40.63%
35.76%
45.50%
5
411
207
57
64.23%
59.48%
68.99%
5
411
307
10
77.13%
72.95%
81.31%
5
411
92
69
39.17%
34.33%
44.01%
5
411
329
13
83.21%
79.48%
86.95%
5
411
181
132
76.16%
71.91%
80.40%
5
411
125
80
49.88%
44.92%
54.83%
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
HealthPartners and Group Health
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 1:14 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
Ages 10-17
Ages 18-56
Total
501
488
97.41%
95.91%
98.90%
835
795
95.21%
93.70%
96.72%
3569
3241
90.81%
89.85%
91.77%
4905
4524
92.23%
91.47%
92.99%
2006
A
Page 26
Effectiveness of Care
HealthPartners and Group Health
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 1:14 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
87
81
93.10%
87.20%
99.00%
121
107
88.43%
82.32%
94.54%
207
177
85.51%
80.47%
90.54%
415
365
87.95%
84.70%
91.20%
2006
A
Page 27
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:14 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
599
16.20%
15.00%
17.40%
2633
71.20%
69.73%
72.67%
2061
55.73%
54.12%
57.35%
2006
A
3698
Page 28
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:14 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
4
7.55%
0.00%
15.60%
36
67.92%
54.41%
81.43%
28
52.83%
38.45%
67.21%
2006
A
53
Page 29
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:14 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
2
NA
NA
NA
10
NA
NA
NA
8
NA
NA
NA
2006
A
24
Page 30
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 1:14 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
83
20.49%
16.44%
24.55%
207
51.11%
46.12%
56.10%
131
32.35%
27.67%
37.03%
2006
A
405
Page 31
Effectiveness of Care
HealthPartners and Group Health
Follow-Up Care for Children Prescribed
Attention-Deficit/Hyperactivity Disorder (ADHD) Medication
Data Last Refreshed:
Oct 7, 2009 1:14 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
2006
A
General
Measure
Data
Initiation
Phase
Continuation
and
Maintenance
Phase
167
0
77
46.11%
38.25%
53.97%
40
0
18
45.00%
28.33%
61.67%
2006
A
786
0
292
37.15%
33.71%
40.59%
242
0
95
39.26%
32.90%
45.62%
Page 32
Effectiveness of Care HealthPartners and Group Health
Glaucoma Screening in Older Adults
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interva
HEDIS 2007 (Reporting Year 2006)
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare
Advantage
MSHO
2006
A
2619
2032
77.59%
75.97%
79.20%
2006
A
1559
1123
72.03%
69.77%
74.29%
Page 33
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:14 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 Interval
HEDIS 2007 (Reporting Year 2006)
General
Measure
Data
Annual Monitoring for Members on
ACE Inhibitors
or ARBs
Digoxin
Diuretics
Anticonvulsants
Total
22981
412
17490
76.11%
75.55%
76.66%
494
32
389
78.74%
75.04%
82.45%
20188
301
15504
76.80%
76.21%
77.38%
1587
55
1096
69.06%
66.76%
71.37%
45250
800
34479
76.20%
75.80%
76.59%
2006
A
Page 34
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
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
900
10
817
90.78%
88.83%
92.72%
113
3
106
93.81%
88.92%
98.69%
1080
13
970
89.81%
87.96%
91.66%
81
8
70
86.42%
78.34%
94.50%
2174
34
1963
90.29%
89.03%
91.56%
2006
A
Page 35
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:14 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
668
11
609
91.17%
88.94%
93.39%
75
2
71
94.67%
88.91%
100.00%
674
17
617
91.54%
89.37%
93.72%
116
12
106
91.38%
85.84%
96.92%
1533
42
1403
91.52%
90.09%
92.95%
2006
A
Page 36
Effectiveness of Care
HealthPartners and Group Health
Annual Monitoring for Patients on Persisten
Medications
Data Last Refreshed:
Oct 7, 2009 1:14 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
637
13
539
84.62%
81.73%
87.50%
18
0
15
NA
NA
NA
583
15
482
82.68%
79.52%
85.83%
106
8
84
79.25%
71.05%
87.44%
1344
36
1120
83.33%
81.30%
85.36%
2006
A
Page 37
Effectiveness of Care
HealthPartners and Group Health
Drugs to Be Avoided in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:14 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
2006
A
2791
MSHO
1 or More
Prescriptions
2 or More
Prescriptions
396
14.19%
12.88%
15.50%
46
1.65%
1.16%
2.14%
General
Measure
Data
2006
A
2016
1 or More
Prescriptions
2 or More
Prescriptions
406
20.14%
18.36%
21.91%
68
3.37%
2.56%
4.19%
Page 38
Effectiveness of Care
HealthPartners and Group Health
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:14 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
Total
2006
A
4
0
NA
NA
NA
7
1
NA
NA
NA
9
0
NA
NA
NA
20
1
NA
NA
NA
Page 39
Effectiveness of Care
HealthPartners and Group Health
Potentially Harmful Drug-Disease Interactions in the Elderly
Data Last Refreshed:
Oct 7, 2009 1:14 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
55
6
10.91%
1.76%
20.06%
269
67
24.91%
19.55%
30.26%
21
2
NA
NA
NA
345
75
21.74%
17.24%
26.24%
Page 40
Use of Services
HealthPartners and Group Health
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
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
24
0.50%
27
0.56%
33
0.68%
77
1.60%
216
4.47%
668
13.84%
3782
78.35%
4
1.47%
2
0.73%
0
0.00%
3
1.10%
14
5.13%
46
16.85%
204
74.73%
0
2
0.77%
0.00%
2.02%
0
1
0.38%
0.00%
1.33%
0
0
0.00%
0.00%
0.19%
0
1
0.38%
0.00%
1.33%
0
9
3.46%
1.05%
5.88%
0
35
13.46%
9.12%
17.80%
193
19
81.54%
76.63%
86.45%
260
5.00%
273
Number of Records Excluded Because of
Valid Data Errors
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
1 visit
2006
H
4827
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
260
Page 41
Use of Services
HealthPartners and Group Health
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 1:14 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
13
1.05%
12
0.97%
33
2.66%
61
4.92%
120
9.69%
248
20.02%
752
60.69%
4
1.03%
2
0.51%
12
3.08%
25
6.41%
44
11.28%
62
15.90%
241
61.79%
0
0
0.00%
0.00%
0.13%
0
0
0.00%
0.00%
0.13%
0
8
2.16%
0.54%
3.77%
0
18
4.85%
2.53%
7.17%
0
30
8.09%
5.18%
11.00%
0
54
14.56%
10.83%
18.28%
227
34
70.35%
65.57%
75.13%
371
5.00%
390
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
1239
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
371
Page 42
Use of Services
HealthPartners and Group Health
Well Child Visits in the 3rd, 4th,
5th and 6th Years of Life
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Eligible Member Population
2005
H
24281
2006
H
3103
Numerator events by admin data in eligible
population
14788
1983
60.90%
395
5.00%
415
256
8.17%
360
5.00%
378
241
61.69%
0
63.76%
0
Records Excluded - Contraindications/Admin Data
0
0
Records Excluded - Contraindications/Medical
Record Review
0
0
Number of employee/dependent medical records
excluded
0
0
0
395
241
6
62.53%
57.63%
67.43%
0
360
230
26
71.11%
66.29%
75.93%
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
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 43
Use of Services
HealthPartners and Group Health
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Eligible Member Population
2005
H
68322
2006
H
5773
Numerator events by admin data in eligible
population
22116
2214
32.37%
411
5.00%
432
135
3.24%
411
5.00%
432
171
31.25%
0
39.58%
0
Records Excluded - Contraindications/Admin Data
0
0
Records Excluded - Contraindications/Medical
Record Review
0
0
Number of employee/dependent medical records
excluded
0
0
0
411
123
17
34.06%
29.36%
38.77%
0
411
164
40
49.64%
44.68%
54.59%
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Records Excluded because of Valid Data Errors
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 44
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Member Months
Total
401116
808609
1319097
911604
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
2137
591
791
327
Procedures /
1,000 Member
Months
5.33
0.45
0.98
0.36
Member Months
Male
Female
1365735
1004475
1137478
1598006
919757
1020021
58087
51247
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+
Back Surgery
20-44
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
40
0.03
6
264
25
406
780
75
201
23
578
99
122
34
246
55
0.10
0.17
0.43
0.40
0.85
1.29
0.22
0.40
0.63
1.70
0.13
0.59
0.27
0.95
Number of
Procedures
149
296
254
357
3
222
243
11
Procedures /
1,000 Member
Months
0.11
0.29
0.19
0.35
0.06
0.16
0.24
0.21
25
49
0
0.02
0.05
0.00
521
493
18
504
898
87
51
11
398
43
27
9
0.38
0.48
0.35
0.44
0.88
1.70
0.05
0.21
0.39
0.84
0.03
0.18
35
129
13
219
417
27
0.03
0.13
0.25
0.16
0.41
0.53
Page 45
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
Age
< 65
65-74
75-84
85+
Member Months
Male
Female
705
756
3469
6487
6141
13446
3077
7501
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
1
3
4
1
0
1
3
0
1
7
6
4
0
3
2
1
0
1
3
5
0
2
2
1
1
4
7
0
0
2
0
3
2
0
2
0
0
1
4
1
1
2
7
1
Procedures /
1,000 Member
Months
1.42
0.86
0.65
0.32
0.00
0.29
0.49
0.00
1.42
2.02
0.98
1.30
0.00
0.86
0.33
0.32
0.00
0.29
0.49
1.62
0.00
0.58
0.33
0.32
1.42
1.15
1.14
0.00
0.00
0.58
0.00
0.97
2.84
0.00
0.33
0.00
0.00
0.29
0.65
0.32
1.42
0.58
1.14
0.32
Female
Number of
Procedures
0
1
1
0
0
1
8
2
0
9
6
3
0
1
1
0
0
1
7
10
0
4
6
4
0
7
8
1
1
2
5
1
1
1
0
1
1
4
3
1
1
6
18
3
0
0
0
1
0
1
0
0
0
4
2
2
0
2
8
2
Procedures /
1,000 Member
Months
0.00
0.15
0.07
0.00
0.00
0.15
0.59
0.27
0.00
1.39
0.45
0.40
0.00
0.15
0.07
0.00
0.00
0.15
0.52
1.33
0.00
0.62
0.45
0.53
0.00
1.08
0.59
0.13
1.32
0.31
0.37
0.13
1.32
0.15
0.00
0.13
1.32
0.62
0.22
0.13
1.32
0.92
1.34
0.40
0.00
0.00
0.00
0.13
0.00
0.15
0.00
0.00
0.00
0.62
0.15
0.27
0.00
0.31
0.59
0.27
Page 46
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 1:14 PM
MSHO
Age
< 65
65-74
75-84
85+
Member Months
Male
Female
0
0
3659
6992
2390
6624
1024
5360
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
1
0
0
0
0
0
0
7
1
1
0
0
0
0
0
1
1
0
0
0
0
0
0
1
0
0
0
0
1
0
0
1
1
0
0
3
1
0
0
4
2
1
Procedures /
1,000 Member
Months
NA
0.00
0.42
0.00
NA
0.00
0.00
0.00
NA
1.91
0.42
0.98
NA
0.00
0.00
0.00
NA
0.27
0.42
0.00
NA
0.00
0.00
0.00
NA
0.27
0.00
0.00
NA
0.00
0.42
0.00
NA
0.27
0.42
0.00
NA
0.82
0.42
0.00
NA
1.09
0.84
0.98
Female
Number of
Procedures
0
2
2
1
0
1
1
0
0
6
8
0
0
1
0
0
0
1
3
5
0
1
1
0
0
9
2
0
0
2
1
0
0
0
2
1
0
4
0
2
0
9
6
3
0
0
1
0
0
0
0
0
0
2
0
1
0
1
0
0
Procedures /
1,000 Member
Months
NA
0.29
0.30
0.19
NA
0.14
0.15
0.00
NA
0.86
1.21
0.00
NA
0.14
0.00
0.00
NA
0.14
0.45
0.93
NA
0.14
0.15
0.00
NA
1.29
0.30
0.00
NA
0.29
0.15
0.00
NA
0.00
0.30
0.19
NA
0.57
0.00
0.37
NA
1.29
0.91
0.56
NA
0.00
0.15
0.00
NA
0.00
0.00
0.00
NA
0.29
0.00
0.19
NA
0.14
0.00
0.00
Page 47
Use of Services
and Group Health
Inpatient Utilization - General Hospital/Acute Care
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Member Months
79095
729514
911604
2141953
1939778
83750
21536
4048
0
5911278
Discharges
Discharges /
1,000 Member
Months
487
1159
1505
12749
13218
1185
496
140
0
30939
6.16
1.59
1.65
5.95
6.81
14.15
23.03
34.58
386
857
774
2551
6110
589
328
110
0
11705
4.88
1.17
0.85
1.19
3.15
7.03
15.23
27.17
101
301
553
2940
7072
595
168
30
0
11760
1.28
0.41
0.61
1.37
3.65
7.10
7.80
7.41
176
7246
23
0
7445
HEDIS 2007 (Reporting Year 2006)
5.23
1.98
1.99
0.19
3.38
0.01
1.49
Days
Days / 1,000
Member
Months
2121
3074
4717
36304
46325
5000
2004
538
0
100083
26.82
4.21
5.17
16.95
23.88
59.70
93.05
132.91
1184
2031
2163
7802
20456
2413
1234
389
0
37672
14.97
2.78
2.37
3.64
10.55
28.81
57.30
96.10
937
1039
2089
8944
25747
2584
770
149
0
42259
11.85
1.42
2.29
4.18
13.27
30.85
35.75
36.81
460
19532
83
0
20075
0.50
9.12
0.04
16.93
6.37
7.15
4.02
Average
Length of Stay
4.36
2.65
3.13
2.85
3.50
4.22
4.04
3.84
NA
3.23
3.07
2.37
2.79
3.06
3.35
4.10
3.76
3.54
NA
3.22
9.28
3.45
3.78
3.04
3.64
4.34
4.58
4.97
NA
3.59
2.61
2.70
3.61
NA
2.70
Page 48
Use of Services
and Group Health
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
Age
Member Months
<1
0
1-9
0
10-19
0
20-44
220
45-64
1241
65-74
9956
75-84
19587
85+
10578
Unknown
0
41582
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
0
0
0
13
29
243
693
461
0
1439
0
0
0
8
19
150
490
368
0
1035
Discharges /
1,000 Member
Months
NA
NA
NA
59.09
23.37
24.41
35.38
43.58
34.61
NA
NA
NA
36.36
15.31
15.07
25.02
34.79
24.89
0
0
0
5
10
93
203
93
0
404
NA
NA
NA
22.73
8.06
9.34
10.36
8.79
0
0
0
0
0
NA
0.00
0.00
HEDIS 2007 (Reporting Year 2006)
9.72
0.00
Days
0
0
0
80
135
1135
2979
1814
0
6143
Days / 1,000
Member
Months
NA
NA
NA
363.64
108.78
114.00
152.09
171.49
147.73
0
0
0
37
72
570
2014
1329
0
4022
NA
NA
NA
168.18
58.02
57.25
102.82
125.64
0
0
0
43
63
565
965
485
0
2121
NA
NA
NA
195.45
50.77
56.75
49.27
45.85
0
0
0
0
0
NA
0.00
0.00
96.72
51.01
0.00
Average
Length of Stay
NA
NA
NA
6.15
4.66
4.67
4.30
3.93
NA
4.27
NA
NA
NA
4.63
3.79
3.80
4.11
3.61
NA
3.89
NA
NA
NA
8.60
6.30
6.08
4.75
5.22
NA
5.25
NA
NA
NA
NA
NA
Page 49
Use of Services
and Group Health
Inpatient Utilization - General Hospital/Acute Care
MSHO
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
10-19
20-44
45-64
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Member Months
0
0
0
0
0
10651
9014
6384
0
26049
Discharges
Discharges /
1,000 Member
Months
0
0
0
0
0
286
367
221
0
874
NA
NA
NA
NA
NA
26.85
40.71
34.62
0
0
0
0
0
200
306
185
0
691
NA
NA
NA
NA
NA
18.78
33.95
28.98
0
0
0
0
0
86
61
36
0
183
NA
NA
NA
NA
NA
8.07
6.77
5.64
0
0
0
0
0
HEDIS 2007 (Reporting Year 2006)
33.55
26.53
7.03
NA
NA
NA
NA
Days
Days / 1,000
Member
Months
0
0
0
0
0
1458
1757
889
0
4104
NA
NA
NA
NA
NA
136.89
194.92
139.25
0
0
0
0
0
855
1375
684
0
2914
NA
NA
NA
NA
NA
80.27
152.54
107.14
0
0
0
0
0
603
382
205
0
1190
NA
NA
NA
NA
NA
56.61
42.38
32.11
0
0
0
0
0
157.55
111.87
45.68
NA
NA
NA
NA
Average
Length of Stay
NA
NA
NA
NA
NA
5.10
4.79
4.02
NA
4.70
NA
NA
NA
NA
NA
4.28
4.49
3.70
NA
4.22
NA
NA
NA
NA
NA
7.01
6.26
5.69
NA
6.50
NA
NA
NA
NA
NA
Page 50
Use of Services
and Group Health
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
79095
729514
911604
2141953
1939778
83750
21536
4048
0
5911278
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
Visits
71001
225190
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
204284
558448
686831
42153
13257
2243
0
1803407
HEDIS 2007 (Reporting Year 2006)
Visits/ 1,000
Member
Months
897.67
308.68
224.09
260.72
354.08
503.32
615.57
554.10
305.08
Emergency Room Visits
Visits
2239
10819
9932
24608
17932
1026
438
132
0
67126
Visits/ 1,000
Member
Months
28.31
14.83
10.90
11.49
9.24
12.25
20.34
32.61
11.36
Ambulatory
Surgery/Procedures
Procedures
502
3236
2506
13303
34936
2258
669
97
0
57507
Procedures/
1,000 Member
Months
6.35
4.44
2.75
6.21
18.01
26.96
31.06
23.96
9.73
Observation Room Stays
Resulting in Discharge
Stays
26
43
93
1298
66
7
2
0
0
1535
Stays/ 1,000
Member
Months
0.33
0.06
0.10
0.61
0.03
0.08
0.09
0.00
0.26
Page 51
Use of Services
and Group Health
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
0
0
0
220
1241
9956
19587
10578
0
41582
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
159
801
5339
11660
5455
0
23414
HEDIS 2007 (Reporting Year 2006)
Visits/ 1,000
Member
Months
NA
NA
NA
722.73
645.45
536.26
595.29
515.69
563.08
Emergency Room Visits
Visits
0
0
0
50
26
97
321
239
0
733
Visits/ 1,000
Member
Months
NA
NA
NA
227.27
20.95
9.74
16.39
22.59
17.63
Ambulatory
Surgery/Procedures
Procedures
0
0
0
11
23
168
397
178
0
777
Procedures/
1,000 Member
Months
NA
NA
NA
50.00
18.53
16.87
20.27
16.83
18.69
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
0
1
0
0
1
Stays/ 1,000
Member
Months
NA
NA
NA
0.00
0.00
0.00
0.05
0.00
0.02
Page 52
Use of Services
and Group Health
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 1:14 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
10651
9014
6384
0
26049
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
5950
4544
1668
0
12162
HEDIS 2007 (Reporting Year 2006)
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
558.63
504.10
261.28
466.89
Emergency Room Visits
Visits
0
0
0
0
0
293
292
147
0
732
Visits/ 1,000
Member
Months
NA
NA
NA
NA
NA
27.51
32.39
23.03
28.10
Ambulatory
Surgery/Procedures
Procedures
0
0
0
0
0
274
193
71
0
538
Procedures/
1,000 Member
Months
NA
NA
NA
NA
NA
25.73
21.41
11.12
20.65
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
1
0
2
0
3
Stays/ 1,000
Member
Months
NA
NA
NA
NA
NA
0.09
0.00
0.31
0.12
Page 53
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Age
Member
Months
<1
79095
1-9
729514
10-19
911604
20-44
2141953
45-64
1939778
65-74
83750
75-84
21536
85+
4048
Unknown
Total
0
5911278
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
4
0.01
51
0.07
12.75
10-19
9
0.01
295
0.32
32.78
20-44
71
0.03
1232
0.58
17.35
45-64
639
0.33
8802
4.54
13.77
65-74
123
1.47
2105
25.13
17.11
75-84
81
3.76
1937
89.94
23.91
85+
36
8.89
816
201.58
22.67
Unknown
0
963
0.16
0
15238
2.58
NA
15.82
Age
Total
HEDIS 2007 (Reporting Year 2006)
Page 54
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
Age
Member
Months
<1
0
1-9
0
10-19
0
20-44
220
45-64
1241
65-74
9956
75-84
19587
85+
10578
Unknown
0
41582
Total
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
Days
Days / 1,000
Member
Months
Average Length
of Stay
NA
0
NA
NA
0
NA
0
NA
NA
10-19
0
NA
0
NA
NA
20-44
0
0.00
0
0.00
NA
45-64
6
4.83
116
93.47
19.33
65-74
52
5.22
640
64.28
12.31
75-84
257
13.12
4784
244.24
18.61
85+
236
22.31
4418
417.66
18.72
Unknown
0
551
13.25
0
9958
239.48
NA
18.07
Age
Total
HEDIS 2007 (Reporting Year 2006)
Page 55
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
MSHO
Age
Member
Months
<1
0
1-9
0
10-19
0
20-44
0
45-64
0
65-74
10651
75-84
9014
85+
6384
Unknown
0
26049
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
85
7.98
2491
233.87
29.31
75-84
180
19.97
4563
506.21
25.35
85+
131
20.52
4613
722.59
35.21
Unknown
0
396
15.20
0
11667
447.89
NA
29.46
Age
Total
HEDIS 2007 (Reporting Year 2006)
Page 56
Use of Services
HealthPartners and Group Health
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Member Months
Male
Female
Total
548976
519354
1068330
245214
2012813
58087
0
2865090
232097
2243490
51247
0
3046188
477311
4256303
109334
0
5911278
Discharges
Discharges /
1,000 Member
Months
Days*
Average Length
of Stay
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Gender
M
F
Total
78
31
109
0.14
0.06
0.10
2165
642
2807
27.76
20.71
25.75
13-17
M
F
Total
219
268
487
0.89
1.15
1.02
5986
5516
11502
27.33
20.58
23.62
18-64
M
F
Total
M
F
Total
M
F
Total
M
F
TOTAL
491
851
1342
0.24
0.38
0.32
3721
7593
11314
7.58
8.92
8.43
13
14
27
0.22
0.27
0.25
297
163
460
22.85
11.64
17.04
0
0
0
NA
NA
NA
12169
13914
26083
15.19
11.95
13.27
65+
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
0
0
0
801
1164
1965
0.28
0.38
0.33
Page 57
Use of Services
HealthPartners and Group Health
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
Member Months
Age
Male
Female
Total
0-12
13-17
18-64
65+
Unknown
Total
0
0
705
12687
0
13392
0
0
756
27434
0
28190
0
0
1461
40121
0
41582
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
3
2
5
4.26
2.65
3.42
6
13
19
2.00
6.50
3.80
13
43
56
1.02
1.57
1.40
179
790
969
13.77
18.37
17.30
0
0
0
NA
NA
NA
185
803
988
11.56
17.84
16.20
65+
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
0
0
0
16
45
61
1.19
1.60
1.47
Page 58
Use of Services
HealthPartners and Group Health
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Oct 7, 2009 1:14 PM
MSHO
Member Months
Age
Male
Female
Total
0-12
13-17
18-64
65+
Unknown
Total
0
0
0
7073
0
7073
0
0
0
18976
0
18976
0
0
0
26049
0
26049
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
13
50
63
1.84
2.63
2.42
324
969
1293
24.92
19.38
20.52
0
0
0
NA
NA
NA
324
969
1293
24.92
19.38
20.52
65+
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
0
0
0
13
50
63
1.84
2.63
2.42
Page 59
Use of Services
ers and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
13-17
18-64
65+
Unknown
Total
Member Months (Day/Night)
Member Months (Ambulatory)
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
548976
245214
519354
232097
1068330
477311
548976
245214
519354
232097
1068330
477311
548976
245214
519354
232097
1068330
477311
548976
245214
519354
232097
1068330
477311
2012813
58087
0
2865090
2243490
51247
0
3046188
4256303
109334
0
5911278
2012813
58087
0
2865090
2243490
51247
0
3046188
4256303
109334
0
5911278
2012813
58087
0
2865090
2243490
51247
0
3046188
4256303
109334
0
5911278
2012813
58087
0
2865090
2243490
51247
0
3046188
4256303
109334
0
5911278
Any Mental Health Services
0-12
Member Months (Inpatient)
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
Inpatient Mental Health Services
Number
Percent
Number
Percent
Day/Night Mental Health Services
Percent
Number
2717
1542
4259
2462
2582
5044
10941
21239
32180
178
229
407
0
0
0
16298
25592
41890
5.94%
3.56%
4.78%
12.05%
13.35%
12.68%
6.52%
11.36%
9.07%
3.68%
5.36%
4.47%
NA
NA
NA
6.83%
10.08%
8.50%
42
21
63
139
173
312
381
632
1013
10
13
23
0
0
0
572
839
1411
0.09%
0.05%
0.07%
0.68%
0.89%
0.78%
0.23%
0.34%
0.29%
0.21%
0.30%
0.25%
NA
NA
NA
0.24%
0.33%
0.29%
20
5
25
34
71
105
71
181
252
0
0
0
0
0
0
125
257
382
HEDIS 2007 (Reporting Year 2006)
0.04%
0.01%
0.03%
0.17%
0.37%
0.26%
0.04%
0.10%
0.07%
0.00%
0.00%
0.00%
NA
NA
NA
0.05%
0.10%
0.08%
Ambulatory Mental Health Services
Percent
Number
2706
1540
4246
2439
2554
4993
10858
21143
32001
173
220
393
0
0
0
16176
25457
41633
5.92%
3.56%
4.77%
11.94%
13.20%
12.55%
6.47%
11.31%
9.02%
3.57%
5.15%
4.31%
NA
NA
NA
6.78%
10.03%
8.45%
Page 60
Use of Services
ers and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
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
705
12687
0
13392
756
27434
0
28190
1461
40121
0
41582
705
12687
0
13392
756
27434
0
28190
1461
40121
0
41582
705
12687
0
13392
756
27434
0
28190
1461
40121
0
41582
705
12687
0
13392
756
27434
0
28190
1461
40121
0
41582
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
26
37
63
34
86
120
0
0
0
60
123
183
NA
NA
NA
NA
NA
NA
44.26%
58.73%
51.75%
3.22%
3.76%
3.59%
NA
NA
NA
5.38%
5.24%
5.28%
0
0
0
0
0
0
2
2
4
9
18
27
0
0
0
11
20
31
NA
NA
NA
NA
NA
NA
3.40%
3.17%
3.29%
0.85%
0.79%
0.81%
NA
NA
NA
0.99%
0.85%
0.89%
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
0
0
0
0
0
0
26
37
63
28
72
100
0
0
0
54
109
163
HEDIS 2007 (Reporting Year 2006)
NA
NA
NA
NA
NA
NA
44.26%
58.73%
51.75%
2.65%
3.15%
2.99%
NA
NA
NA
4.84%
4.64%
4.70%
Page 61
Use of Services
ers and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory
Data Last Refreshed:
Oct 7, 2009 1:14 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
7073
0
7073
0
18976
0
18976
0
26049
0
26049
0
7073
0
7073
0
18976
0
18976
0
26049
0
26049
0
7073
0
7073
0
18976
0
18976
0
26049
0
26049
0
7073
0
7073
0
18976
0
18976
0
26049
0
26049
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
55
150
205
0
0
0
55
150
205
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.33%
9.49%
9.44%
NA
NA
NA
9.33%
9.49%
9.44%
0
0
0
0
0
0
0
0
0
7
33
40
0
0
0
7
33
40
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.19%
2.09%
1.84%
NA
NA
NA
1.19%
2.09%
1.84%
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
123
172
0
0
0
49
123
172
HEDIS 2007 (Reporting Year 2006)
NA
NA
NA
NA
NA
NA
NA
NA
NA
8.31%
7.78%
7.92%
NA
NA
NA
8.31%
7.78%
7.92%
Page 62
Use of Services
ers and Group Health
Mental Health Utilization % of Members Receiving Inpatient, Day/Night and Ambulatory
Data Last Refreshed:
Oct 7, 2009 1:14 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
116297
34550
112072
34291
228369
68841
116297
34550
112072
34291
228369
68841
116297
34550
112072
34291
228369
68841
116297
34550
112072
34291
228369
68841
101632
8883
0
261362
172423
17309
0
336095
274055
26192
0
597457
101632
8883
0
261362
172423
17309
0
336095
274055
26192
0
597457
101632
8883
0
261362
172423
17309
0
336095
274055
26192
0
597457
101632
8883
0
261362
172423
17309
0
336095
274055
26192
0
597457
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
730
474
1204
406
445
851
1584
3117
4701
77
172
249
0
0
0
2797
4208
7005
7.53%
5.08%
6.33%
14.10%
15.57%
14.83%
18.70%
21.69%
20.58%
10.40%
11.92%
11.41%
NA
NA
NA
12.84%
15.02%
14.07%
16
6
22
28
40
68
186
222
408
3
30
33
0
0
0
233
298
531
0.17%
0.06%
0.12%
0.97%
1.40%
1.19%
2.20%
1.55%
1.79%
0.41%
2.08%
1.51%
NA
NA
NA
1.07%
1.06%
1.07%
4
2
6
5
13
18
11
26
37
0
0
0
0
0
0
20
41
61
HEDIS 2007 (Reporting Year 2006)
0.04%
0.02%
0.03%
0.17%
0.45%
0.31%
0.13%
0.18%
0.16%
0.00%
0.00%
0.00%
NA
NA
NA
0.09%
0.15%
0.12%
Ambulatory Mental Health Services
Percent
Number
729
471
1200
400
434
834
1533
3065
4598
75
150
225
0
0
0
2737
4120
6857
7.52%
5.04%
6.31%
13.89%
15.19%
14.54%
18.10%
21.33%
20.13%
10.13%
10.40%
10.31%
NA
NA
NA
12.57%
14.71%
13.77%
Page 63
Use of Services
HealthPartners and Group Health
Chemical Dependency Utilization Inpatient Discharges and Average Length of
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Member Months
Male
Female
Total
548976
245214
2012813
58087
0
2865090
519354
232097
2243490
51247
0
3046188
1068330
477311
4256303
109334
0
5911278
Discharges
Discharges /
1,000 Member
Months
Days
Average Length
of Stay
M
F
Total
1
0
1
0.00
0.00
0.00
2
0
2
2.00
NA
2.00
13-17
M
F
Total
156
82
238
0.64
0.35
0.50
3171
983
4154
20.33
11.99
17.45
18-64
M
F
Total
M
F
Total
M
F
Total
M
F
TOTAL
550
405
955
0.27
0.18
0.22
4212
3649
7861
7.66
9.01
8.23
4
1
5
0.07
0.02
0.05
10
19
29
2.50
19.00
5.80
0
0
0
NA
NA
NA
7395
4651
12046
10.40
9.53
10.05
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
65+
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
0
0
0
711
488
1199
0.25
0.16
0.20
Page 64
Use of Services
HealthPartners and Group Health
Chemical Dependency Utilization Inpatient Discharges and Average Length of
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
Member Months
Age
Male
Female
Total
0-12
13-17
18-64
65+
Unknown
Total
0
0
705
12687
0
13392
0
0
756
27434
0
28190
0
0
1461
40121
0
41582
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
1
0
1
1.42
0.00
0.68
2
0
2
2.00
NA
2.00
65+
M
F
Total
M
F
Total
M
F
TOTAL
4
4
8
0.32
0.15
0.20
17
10
27
4.25
2.50
3.38
0
0
0
NA
NA
NA
19
10
29
3.80
2.50
3.22
Age
0-12
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
0
0
0
5
4
9
0.37
0.14
0.22
Page 65
Use of Services
HealthPartners and Group Health
Chemical Dependency Utilization Inpatient Discharges and Average Length of
Data Last Refreshed:
Oct 7, 2009 1:14 PM
MSHO
Member Months
Age
Male
Female
Total
0-12
13-17
18-64
65+
Unknown
Total
0
0
0
7073
0
7073
0
0
0
18976
0
18976
0
0
0
26049
0
26049
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
7
1
8
0.99
0.05
0.31
368
2
370
52.57
2.00
46.25
0
0
0
NA
NA
NA
368
2
370
52.57
2.00
46.25
Age
0-12
65+
Unknown
Total
HEDIS 2007 (Reporting Year 2006)
0
0
0
7
1
8
0.99
0.05
0.31
Page 66
rs and Group Health
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
548976
245214
248439
355469
1408905
58087
0
2865090
Female
519354
232097
268540
418778
1556172
51247
0
3046188
Total
1068330
477311
516979
774247
2965077
109334
0
5911278
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
8
8
16
531
305
836
692
393
1085
629
379
1008
2409
1442
3851
57
47
104
0
0
0
4326
2574
6900
HEDIS 2007 (Reporting Year 2006)
Percent
0.02%
0.02%
0.02%
2.60%
1.58%
2.10%
NR
NR
NA
1.37%
0.88%
1.13%
2.05%
1.11%
1.56%
1.18%
1.10%
1.14%
NA
NA
NA
1.81%
1.01%
1.40%
Member Months (Inpatient)
Male
548976
245214
248439
355469
1408905
58087
0
2865090
Female
519354
232097
268540
418778
1556172
51247
0
3046188
Total
1068330
477311
516979
774247
2965077
109334
0
5911278
Member Months (Day/Night)
Male
548976
245214
248439
355469
1408905
58087
0
2865090
Female
519354
232097
268540
418778
1556172
51247
0
3046188
Total
1068330
477311
516979
774247
2965077
109334
0
5911278
Member Months (Ambulatory)
Male
548976
245214
248439
355469
1408905
58087
0
2865090
Female
519354
232097
268540
418778
1556172
51247
0
3046188
Total
1068330
477311
516979
774247
2965077
109334
0
5911278
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
3
0
3
137
90
227
141
95
236
103
89
192
701
430
1131
29
22
51
0
0
0
1114
726
1840
Number
2
0
2
146
74
220
103
24
127
87
28
115
274
111
385
1
1
2
0
0
0
613
238
851
Number
6
8
14
461
258
719
593
345
938
548
325
873
2029
1250
3279
37
28
65
0
0
0
3674
2214
5888
Percent
0.01%
0.00%
0.00%
0.67%
0.47%
0.57%
NR
NR
NA
0.23%
0.21%
0.22%
0.60%
0.33%
0.46%
0.60%
0.52%
0.56%
NA
NA
NA
0.47%
0.29%
0.37%
Percent
0.00%
0.00%
0.00%
0.71%
0.38%
0.55%
NR
NR
NA
0.19%
0.06%
0.13%
0.23%
0.09%
0.16%
0.02%
0.02%
0.02%
NA
NA
NA
0.26%
0.09%
0.17%
Percent
0.01%
0.02%
0.02%
2.26%
1.33%
1.81%
NR
NR
NA
1.20%
0.75%
0.98%
1.73%
0.96%
1.33%
0.76%
0.66%
0.71%
NA
NA
NA
1.54%
0.87%
1.20%
Page 67
rs and Group Health
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
17
688
12687
0
13392
Female
0
0
4
12
740
27434
0
28190
Total
0
0
4
29
1428
40121
0
41582
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
6
4
10
24
20
44
0
0
0
30
24
54
HEDIS 2007 (Reporting Year 2006)
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
10.47%
6.49%
8.40%
2.27%
0.87%
1.32%
NA
NA
NA
2.69%
1.02%
1.56%
Member Months (Inpatient)
Male
0
0
0
17
688
12687
0
13392
Female
0
0
4
12
740
27434
0
28190
Total
0
0
4
29
1428
40121
0
41582
Inpatient Chemical Dependency
Services
Number
0
0
0
0
0
0
0
0
0
0
0
0
2
1
3
15
17
32
0
0
0
17
18
35
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
3.49%
1.62%
2.52%
1.42%
0.74%
0.96%
NA
NA
NA
1.52%
0.77%
1.01%
Member Months (Day/Night)
Male
0
0
0
17
688
12687
0
13392
Female
0
0
4
12
740
27434
0
28190
Total
0
0
4
29
1428
40121
0
41582
Day/Night Chemical Dependency
Services
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
2
0
0
0
2
0
2
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.19%
0.00%
0.06%
NA
NA
NA
0.18%
0.00%
0.06%
Member Months (Ambulatory)
Male
0
0
0
17
688
12687
0
13392
Female
0
0
4
12
740
27434
0
28190
Total
0
0
4
29
1428
40121
0
41582
Ambulatory Chemical Dependency
Services
Number
0
0
0
0
0
0
0
0
0
0
0
0
5
4
9
12
6
18
0
0
0
17
10
27
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
8.72%
6.49%
7.56%
1.14%
0.26%
0.54%
NA
NA
NA
1.52%
0.43%
0.78%
Page 68
rs and Group Health
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:14 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
7073
0
7073
Female
0
0
0
0
0
18976
0
18976
Total
0
0
0
0
0
26049
0
26049
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
34
26
60
0
0
0
34
26
60
HEDIS 2007 (Reporting Year 2006)
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
5.77%
1.64%
2.76%
NA
NA
NA
5.77%
1.64%
2.76%
Member Months (Inpatient)
Male
0
0
0
0
0
7073
0
7073
Female
0
0
0
0
0
18976
0
18976
Total
0
0
0
0
0
26049
0
26049
Member Months (Day/Night)
Male
0
0
0
0
0
7073
0
7073
Female
0
0
0
0
0
18976
0
18976
Total
0
0
0
0
0
26049
0
26049
Member Months (Ambulatory)
Male
0
0
0
0
0
7073
0
7073
Female
0
0
0
0
0
18976
0
18976
Total
0
0
0
0
0
26049
0
26049
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
21
14
35
0
0
0
21
14
35
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
1
0
0
0
1
0
1
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
19
14
33
0
0
0
19
14
33
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
3.56%
0.89%
1.61%
NA
NA
NA
3.56%
0.89%
1.61%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
0.17%
0.00%
0.05%
NA
NA
NA
0.17%
0.00%
0.05%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
NA
NA
NA
3.22%
0.89%
1.52%
NA
NA
NA
3.22%
0.89%
1.52%
Page 69
rs and Group Health
Use of Services
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicaid
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
116297
34550
23603
24957
53072
8883
0
261362
Female
112072
34291
49866
53317
69240
17309
0
336095
Total
228369
68841
73469
78274
122312
26192
0
597457
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
7
5
12
123
85
208
181
252
433
368
427
795
976
678
1654
25
9
34
0
0
0
1680
1456
3136
HEDIS 2007 (Reporting Year 2006)
Percent
0.07%
0.05%
0.06%
4.27%
2.97%
3.63%
NR
NR
NA
3.80%
4.57%
4.18%
22.07%
11.75%
16.23%
3.38%
0.62%
1.56%
NA
NA
NA
7.71%
5.20%
6.30%
Member Months (Inpatient)
Male
116297
34550
23603
24957
53072
8883
0
261362
Female
112072
34291
49866
53317
69240
17309
0
336095
Total
228369
68841
73469
78274
122312
26192
0
597457
Member Months (Day/Night)
Male
116297
34550
23603
24957
53072
8883
0
261362
Female
112072
34291
49866
53317
69240
17309
0
336095
Total
228369
68841
73469
78274
122312
26192
0
597457
Member Months (Ambulatory)
Male
116297
34550
23603
24957
53072
8883
0
261362
Female
112072
34291
49866
53317
69240
17309
0
336095
Total
228369
68841
73469
78274
122312
26192
0
597457
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
1
1
2
33
32
65
38
89
127
91
118
209
325
230
555
14
9
23
0
0
0
502
479
981
Number
0
0
0
58
16
74
27
24
51
47
45
92
97
62
159
2
0
2
0
0
0
231
147
378
Number
6
4
10
91
66
157
155
190
345
313
374
687
849
598
1447
15
3
18
0
0
0
1429
1235
2664
Percent
0.01%
0.01%
0.01%
1.15%
1.12%
1.13%
NR
NR
NA
0.94%
1.26%
1.10%
7.35%
3.99%
5.45%
1.89%
0.62%
1.05%
NA
NA
NA
2.30%
1.71%
1.97%
Percent
0.00%
0.00%
0.00%
2.01%
0.56%
1.29%
NR
NR
NA
0.48%
0.48%
0.48%
2.19%
1.07%
1.56%
0.27%
0.00%
0.09%
NA
NA
NA
1.06%
0.52%
0.76%
Percent
0.06%
0.04%
0.05%
3.16%
2.31%
2.74%
NR
NR
NA
3.23%
4.00%
3.61%
19.20%
10.36%
14.20%
2.03%
0.21%
0.82%
NA
NA
NA
6.56%
4.41%
5.35%
Page 70
Use of Services
HealthPartners and Group Health
Outpatient Drug Utilization
Commercial
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Member Months
690959
783840
1847997
1689779
73191
19155
3586
0
5108507
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 1:14 PM
$9,066,135.13
$21,092,744.02
$78,465,061.77
$160,613,864.65
$11,381,130.06
$3,902,703.24
$734,350.47
$0.00
$285,255,989.34
HEDIS 2007 (Reporting Year 2006)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$13.12
$26.91
$42.46
$95.05
$155.50
$203.74
$204.78
$55.84
Total Number of
Prescriptions
188074
311927
1386742
2980224
248892
95088
20579
0
5231526
Avg. Num. Of
Prescriptions /
Per Member Per
Year
3.27
4.78
9.00
21.16
40.81
59.57
68.86
12.29
Page 71
Use of Services
HealthPartners and Group Health
Outpatient Drug Utilization
Medicare Advantage
Age
Member Months
0-9
0
10-19
0
20-44
220
45-64
1241
65-74
9956
75-84
19587
85+
10578
Unknown
0
Total
41582
Age
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
$0.00
$0.00
$109,236.69
$302,724.21
$1,421,260.18
$2,512,859.15
$1,310,161.84
$0.00
$5,656,242.07
HEDIS 2007 (Reporting Year 2006)
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
$496.53
$243.94
$142.75
$128.29
$123.86
$136.03
Total Number of
Prescriptions
0
0
888
5247
35757
75291
41056
0
158239
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
48.44
50.74
43.10
46.13
46.58
45.67
Page 72
Use of Services
HealthPartners and Group Health
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 1:14 PM
Member Months
0
0
0
0
10651
9014
6384
0
26049
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
$2,605,677.85
$2,218,028.39
$1,442,503.46
$0.00
$6,266,209.70
HEDIS 2007 (Reporting Year 2006)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
NA
NA
$244.64
$246.06
$225.96
$240.55
Total Number of
Prescriptions
0
0
0
0
62117
60690
47238
0
170045
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
NA
NA
69.98
80.79
88.79
78.33
Page 73
Use of Services
HealthPartners and Group Health
Outpatient Drug Utilization
Medicaid
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Member Months
186458
133512
189358
61937
13807
7792
4593
0
597457
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 1:14 PM
$1,900,641.71
$2,729,665.22
$10,187,474.62
$6,667,301.77
$792,793.46
$268,044.33
$91,904.14
$0.00
$22,637,825.25
HEDIS 2007 (Reporting Year 2006)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$10.19
$20.45
$53.80
$107.65
$57.42
$34.40
$20.01
$37.89
Total Number of
Prescriptions
71014
53005
213201
138559
24982
12694
7490
0
520945
Avg. Num. Of
Prescriptions /
Per Member Per
Year
4.57
4.76
13.51
26.85
21.71
19.55
19.57
10.46
Page 74
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
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+
91410
117896
7207
87658
114142
7070
95.90%
95.77%
96.02%
96.82%
96.72%
96.92%
98.10%
97.78%
98.42%
2006
A
Page 75
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
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+
16
93
2791
2006
A
16
85
2675
NA
NA
NA
91.40%
85.16%
97.63%
95.84%
95.09%
96.60%
Page 76
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:14 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
2019
2006
A
0
0
1947
NA
NA
NA
NA
NA
NA
96.43%
95.60%
97.27%
Page 77
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 1:14 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+
6964
3015
1503
2006
A
6126
2637
1408
87.97%
87.20%
88.74%
87.46%
86.26%
88.66%
93.68%
92.42%
94.94%
Page 78
Access/Availability of Care
HealthPartners and Group Health
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
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.
5746
28331
25284
47035
5640
24840
22126
41362
98.16%
97.80%
98.51%
87.68%
87.29%
88.06%
87.51%
87.10%
87.92%
87.94%
87.64%
88.23%
2006
A
Page 79
Access/Availability of Care
HealthPartners and Group Health
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 1:14 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.
1412
3862
2453
3726
2006
A
1351
3297
2088
3125
95.68%
94.58%
96.78%
85.37%
84.24%
86.50%
85.12%
83.69%
86.55%
83.87%
82.68%
85.06%
Page 80
Access/Availability of Care
HealthPartners and Group Health
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
General
Measure Data
Data collection methodology (Administrative or Hybrid)
H
Eligible member population (i.e. members who meet all
denominator criteria)
6356
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
207
Oversampling rate
Final sample size (FSS)
5%
218
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
0
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
4427
3515
69.65%
55.30%
156
123
71.56%
56.42%
85
116
85
89
97.10%
94.57%
99.63%
84.06%
78.83%
89.29%
0
207
Page 81
Access/Availability of Care
HealthPartners and Group Health
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicaid
General
Measure Data
Data collection methodology (Administrative or Hybrid)
H
Eligible member population (i.e. members who meet all
denominator criteria)
1901
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
411
Oversampling rate
Final sample size (FSS)
5%
432
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
0
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
1103
749
58.02%
39.40%
251
168
58.10%
38.89%
105
270
105
181
91.24%
88.39%
94.10%
69.59%
65.02%
74.16%
0
411
Page 82
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
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
519
1031
605
2614
91
4860
201
99
276
102
175
83
1002
319
43
1
1697
604
Reported rate
38.73%
19.08%
26.77%
9.89%
28.93%
13.72%
38.33%
12.20%
47.25%
1.10%
34.92%
12.43%
Lower 95% confidence interval
34.44%
15.60%
24.02%
8.02%
25.23%
10.89%
36.45%
10.93%
36.45%
0.00%
33.57%
11.49%
Upper 95% confidence interval
43.02%
22.55%
29.52%
11.76%
32.62%
16.54%
40.22%
13.48%
58.06%
3.79%
36.27%
13.37%
HEDIS 2007 (Reporting Year 2006)
Page 83
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
13-17 Year Olds
Data Elements
Measurement Year
Data collection methodology
(Administrative only)
General
Measure
Data
Initiation of
AOD
Treatment
18-25 Year Olds
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
4
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)
32
36
0
0
0
0
0
0
1
0
25
1
26
1
Reported rate
NA
NA
NA
NA
NA
NA
NA
NA
78.13%
3.13%
72.22%
2.78%
Lower 95% confidence interval
Upper 95% confidence interval
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
62.24%
94.01%
0.00%
10.72%
56.20%
88.24%
0.00%
9.53%
Numerator events by administrative data
HEDIS 2007 (Reporting Year 2006)
Page 84
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:14 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
35
35
0
0
0
0
0
0
0
0
19
0
19
0
Reported rate
NA
NA
NA
NA
NA
NA
NA
NA
54.29%
0.00%
54.29%
0.00%
Lower 95% confidence interval
Upper 95% confidence interval
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
36.35%
72.22%
0.00%
1.43%
36.35%
72.22%
0.00%
1.43%
HEDIS 2007 (Reporting Year 2006)
Page 85
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 1:14 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
114
226
298
710
31
1379
51
34
82
29
109
37
279
74
17
2
538
176
Reported rate
44.74%
29.82%
36.28%
12.83%
36.58%
12.42%
39.30%
10.42%
54.84%
6.45%
39.01%
12.76%
Lower 95% confidence interval
35.17%
20.99%
29.79%
8.25%
30.94%
8.50%
35.63%
8.10%
35.71%
0.00%
36.40%
10.97%
Upper 95% confidence interval
54.30%
38.66%
42.77%
17.41%
42.21%
16.33%
42.96%
12.74%
73.97%
16.71%
41.62%
14.56%
HEDIS 2007 (Reporting Year 2006)
Page 86
Health Plan Stability
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Product/Product Line
Years in Business
Members*
21.00
51.00
22.00
19.00
51.00
51.00
48516
54645
37447
233204
1596
375408
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
23.00
0.00
0.00
0.00
23.00
231539
0
0
0
231539
606947
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
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
Product/Product Line
Years in Business
Members*
21.00
51.00
22.00
19.00
51.00
51.00
48516
54645
37447
233204
1596
375408
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
23.00
0.00
0.00
0.00
23.00
231539
0
0
0
231539
606947
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
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:14 PM
MSHO
Product/Product Line
Years in Business
Members*
21.00
51.00
22.00
19.00
51.00
51.00
48516
54645
37447
233204
1596
375408
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
23.00
0.00
0.00
0.00
23.00
231539
0
0
0
231539
606947
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
HealthPartners and Group Health
Years in Business / Total Membership
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicaid
Product/Product Line
Years in Business
Members*
21.00
51.00
22.00
19.00
51.00
51.00
48516
54645
37447
233204
1596
375408
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
23.00
0.00
0.00
0.00
23.00
231539
0
0
0
231539
606947
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
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Commercial
Member Months
Female
37884
156888
198528
215880
142272
85992
<1
1-4
5-9
10-14
15-17
18-19
Male
41208
165132
208968
228864
150024
88584
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
882780
30.81%
159864
166368
189096
230208
258936
837444
27.49%
182544
203652
215136
250812
285336
1720224
29.10%
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
1004472
35.06%
274704
258108
235920
151032
1137480
37.34%
311628
294672
254436
159288
2141952
36.23%
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
919764
32.10%
33012
12780
6384
3912
1620
384
1020024
33.49%
27072
10896
6840
4392
1440
612
1939788
32.81%
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
58092
2.03%
0
51252
1.68%
0
109344
1.85%
2865108
3046200
HEDIS 2007 (Reporting Year 2006)
Total
79092
322020
407496
444744
292296
174576
342408
370020
404232
481020
544272
586332
552780
490356
310320
60084
23676
13224
8304
3060
996
0
5911308
Page 91
Health Plan Descriptive Information
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:14 PM
Medicare Advantage
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
12
36
60
0
0.00%
0
12
0
48
48
0
0.00%
108
0.81%
108
84
240
168
108
0.38%
120
168
144
228
216
0.52%
600
4.48%
1320
2160
3192
2952
2304
768
660
2.34%
1956
4536
6000
7440
4824
2676
1260
3.03%
12696
94.72%
0
27432
97.28%
0
40128
96.45%
13404
28200
HEDIS 2007 (Reporting Year 2006)
0
12
12
84
108
228
252
384
396
3276
6696
9192
10392
7128
3444
0
41604
Page 92
Health Plan Descriptive Information
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:14 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%
1740
1920
1392
996
576
456
0
0.00%
3444
3552
3504
3120
2568
2796
0
0.00%
7080
100.00%
0
18984
100.00%
0
26064
100.00%
7080
18984
HEDIS 2007 (Reporting Year 2006)
0
0
0
0
0
0
0
0
0
5184
5472
4896
4116
3144
3252
0
26064
Page 93
Health Plan Descriptive Information
HealthPartners and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 1:14 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
16141
40083
39478
34931
20214
9995
Member Months
Female
15509
37211
38036
34602
21005
12765
Total
31650
77294
77514
69533
41219
22760
160842
61.54%
13608
13261
11696
12134
12113
159128
47.35%
37101
31624
21693
19553
16575
319970
53.56%
62812
24.03%
11241
8837
5429
3318
126546
37.65%
12821
8879
6835
4577
189358
31.69%
28825
11.03%
3089
2277
1469
1013
687
348
33112
9.85%
4814
3627
2868
2442
1822
1736
61937
10.37%
8883
3.40%
0
17309
5.15%
0
26192
4.38%
261362
336095
HEDIS 2007 (Reporting Year 2006)
50709
44885
33389
31687
28688
24062
17716
12264
7895
7903
5904
4337
3455
2509
2084
0
597457
Page 94