Itasca Medical Care Plan Name 2005 Reporting Year Submission # Title General Info Plan ID Last Refreshed: 10/7/2009 11:31:45 AM Page Disclaimers Effectiveness of Care Measures 1 22 2 Measure Page Use of Services Measures Page Measure Childhood Immunization Status 3 Well-Child Visits In The First 15 Months of Life 28 Adolescent Immunization Status 5 Well-Child Visits In The Third, Fourth, Fifth And Sixth Year of Life 30 Appropriate Treatment of Children w/ Upper Respiratory Infection 7 Adolescent Well-Care Visits 31 Colorectal Cancer Screening 9 Frequency of Selected Procedures 32 Breast Cancer Screening 10 Inpatient Utilization - General Hospital/Acute Care 34 Cervical Cancer Screening 11 Ambulatory Care 37 Chlamydia Screening in Women 12 Inpatient Utilization - Nonacute Care 39 Controlling High Blood Pressure 13 Mental Health Utilization - Inpatient Discharges and Average Length of Stay 42 Beta Blocker Treatment after a Heart Attack 14 Mental Health Utilization - % of Members Receiving Inpatient and Ambulatory Services 45 Persistence of Beta Blocker Treatment after a Heart Attack 14 Chemical Dependency Utilization - Inpatient Discharges and Average Length of Stay 49 Cholesterol Management for Patients with Cardiovascular Conditions 15 Identification of Alcohol and Other Drug Services 52 Comprehensive Diabetes Care 16 Outpatient Drug Utilization 56 Use of Appropriate Medications for People with Asthma 20 Antidepressant Medication Management 26 Osteoporosis Management in Women who had a Fracture 27 Glaucoma Screening in Older Adults 27 Access / Availability of Care Measure Measure Page Practitioner Turnover 69 Years in Business / Total Membership 70 Page Adults' Access to Preventive/Ambulatory Health Services 58 Children's Access to Primary Care Practitioners 62 Prenatal and Postpartum Care 64 Initiation/Engagement of Alcohol & Other Drug Dependence Treatment 66 HEDIS 2006 (Reporting Year 2005) Health Plan Stability Health Plan Descriptive Information Measure Enrollment by Product Line (Age & Sex) Page 71 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 2006 (Reporting Year 2005) Page 2 Effectiveness of Care Itasca Medical Care Childhood Immunization Status Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements General Measure Data Pneumococcal Combo 2 Conjugate DTaP/DT IPV MMR HiB Hepatitis B VZV Combo 3 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator events by admin data in eligible population Current Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors Number of Records Excluded because of Contraindications by Admin Data Number of Records Excluded because of Contraindications by Medical Record Review Number of employee/dependent records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Page 3 Effectiveness of Care Itasca Medical Care Childhood Immunization Status Data Last Refreshed: Oct 7, 2009 11:31 AM Medicaid Data Elements Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population General Measure Data MMR HiB Hepatitis B VZV Combo 3 37 37.76% 45 45.92% 77 78.57% 44 44.90% 44 44.90% 74 75.51% 7 7.14% 23 23.47% 4 4.08% 37 37.76% 45 45.92% 77 78.57% 44 44.90% 44 44.90% 74 75.51% 7 7.14% 23 23.47% 4 4.08% 37 50 88.78% 82.02% 95.54% 45 43 89.80% 83.29% 96.30% 77 12 90.82% 84.59% 97.04% 44 46 91.84% 85.91% 97.77% 44 43 88.78% 82.02% 95.54% 74 13 88.78% 82.02% 95.54% 7 19 26.53% 17.28% 35.78% 23 56 80.61% 72.27% 88.95% 4 22 26.53% 17.28% 35.78% 98 10.00% 98 Number of Records Excluded Because of Valid Data Errors 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 Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval 98 HEDIS 2006 (Reporting Year 2005) IPV 2005 HO N 98 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 Pneumococcal Combo 2 Conjugate DTaP/DT Page 4 Effectiveness of Care Itasca Medical Care Adolescent Immunization Status Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements General Measure Data MMR Hepatitis B VZV Combo 2 NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator events by admin data in eligible population Currect Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors Number of Records Excluded because of Contraindications by Admin Data Number of Records Excluded because of Contraindications by Medical Record Review Number of employee/dependent records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Page 5 Effectiveness of Care Itasca Medical Care Adolescent Immunization Status Data Last Refreshed: Oct 7, 2009 11:31 AM Medicaid Data Elements Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population General Measure Data VZV Combo 2 35 49.30% 11 15.49% 3 4.23% 1 1.41% 35 49.30% 11 15.49% 3 4.23% 1 1.41% 35 25 84.51% 75.39% 93.63% 11 41 73.24% 62.24% 84.24% 3 25 39.44% 27.36% 51.51% 1 26 38.03% 26.03% 50.02% 71 10.00% 71 Number of Records Excluded Because of Valid Data Errors 71 Number of Records Excluded because of Contraindications by Admin Data 71 Number of Records Excluded because of Contraindications by Medical Record Review 71 Number of employee/dependent records excluded 71 Records Added from the Oversample List 71 Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval 71 HEDIS 2006 (Reporting Year 2005) Hepatitis B 2005 HO N 71 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 Page 6 Effectiveness of Care Itasca Medical Care Appropriate Treatment for Children with Upper Respiratory Infection Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements General Measure Data Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data Reported Rate NR Lower 95% Confidence Interval NR Upper 95% Confidence Interval NR HEDIS 2006 (Reporting Year 2005) Page 7 Effectiveness of Care Itasca Medical Care Colorectal Cancer Screening Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Medicare Advantage MSHO NR NR NR NR NR NR Reported rate NR NR NR Lower 95% confidence interval NR NR NR Upper 95% confidence interval NR NR NR Data Elements Measurement Year Data collection methodology (administrative or hybrid) Sampling method used (see User's Guide for entry descriptions) Eligible population Number of numerator events by administrative data in eligible population (before exclusions) Current year's administrative rate (before exclusions) Minimum required sample size (MRSS) or other sample size Oversampling rate Final sample size (FSS) Number of numerator events by administrative data in FSS Administrative rate on FSS Number of original sample records excluded because of valid data errors Records Excluded because of contraindications through Admin Data Records Excluded because of contraindications through Medical Record Review Number of employee/dependent medical records excluded Records added from the oversample list Denominator Numerator events by administrative data FOBT by administrative data* DCBE by administrative data* Numerator events by medical records Flexible sigmoidoscopy by medical records* DCBE by medical records* Colonoscopy by medical records* Data Elements with an Asterisk(*) are OPTIONAL and are not used in any calculation or total HEDIS 2006 (Reporting Year 2005) Page 8 Effectiveness of Care Itasca Medical Care Breast Cancer Screening Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial NR NR NR Medicare Advantage NR NR NR Medicaid 2005 A 112 60 53.57% 43.89% 63.25% Page 9 Effectiveness of Care Itasca Medical Care Cervical Cancer Screening Data Elements Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Medicaid Measurement Year Data Collection Methodology Sampling Method Used 2005 A Eligible Member Population 804 Numerator Events by Admin Data on Eligible Population (before exclusions) Current Year's Admin Rate Minimum Required Sample Size Oversampling Rate NR 46.14% NR NR Final Sample Size (FSS) Numerator events by admin data in FSS Admin Rate on FSS Records Excluded because of Valid Data Errors Records Excluded because of contraindications through Admin Data Records Excluded because of contraindications through Medical Record Review Number of employee/dependent medical records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) 371 NR NR NR #VALUE! #VALUE! #VALUE! Page 10 Effectiveness of Care Itasca Medical Care Chlamydia Screening in Women Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) General Measure Ages 16-20 Ages 21-25 Data Medicaid Total General Measure Ages 16-20 Ages 21-25 Data Total 2005 A NR NR NR NR NR NR NR NR NR NR NR 106 39 36.79% 27.14% 46.44% 121 48 39.67% 30.54% 48.80% 227 87 38.33% 31.78% 44.87% Page 11 Effectiveness of Care Itasca Medical Care Controlling High Blood Pressure Data Last Refreshed: Oct 7, 2009 11:31 AM Data Elements Commercial Medicare Advantage NR NR NR NR Reported Rate NR NR Lower 95% Confidence Interval NR NR Upper 95% Confidence Interval NR NR Measurement Year Data Collection Methodology (Hybrid) Sampling Method Used Eligible Member Population Numerator Events by Admin Data on Eligible Population (before exclusions) Current Year's Admin Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Records Excluded because of Valid Data Errors Records Excluded because of contraindications through Admin Data Records Excluded because of contraindications through Medical Record Review Number of employee/dependent medical records excluded Records Added from the OverSample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record HEDIS 2006 (Reporting Year 2005) Page 12 Effectiveness of Care Itasca Medical Care Beta Blocker Treatment after Heart Attack Data Elements Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Medicare Advantage MSHO NR NR NR NR NR NR Reported Rate NR NR NR Lower 95% Confidence Interval NR NR NR Upper 95% Confidence Interval NR NR NR Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator Events by Admin Data on Eligible Population Current Year's Admin Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Records Excluded because of Valid Data Errors Records Excluded because of contraindications through Admin Data Records Excluded because of contraindications through Medical Record Review Number of employee/dependent medical records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record HEDIS 2006 (Reporting Year 2005) Page 13 Effectiveness of Care Itasca Medical Care Persistence of Beta Blocker Treatment After Hearth Attack Data Elements Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Medicare Advantage MSHO Reported Rate NR NR NR Lower 95% Confidence Interval NR NR NR Upper 95% Confidence Interval NR NR NR Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data on Eligible Population HEDIS 2006 (Reporting Year 2005) Page 14 Effectiveness of Care Itasca Medical Care Cholesterol Management for Patients with Cardiovascular Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements General Measure Data LDL-C screening Medicare Advantage General LDL-C Level of LDL-C Level of Measure <100 mg/dL <130 mg/dL Data LDL-C screening LDL-C Level of LDL-C Level of <100 mg/dL <130 mg/dL Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator Events by Admin Data on Eligible Population Current Year's Admin Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Records Excluded because of Valid Data Errors Records Excluded because of contraindications through Admin Data Records Excluded because of contraindications through Medical Record Review Number of employee/dependent medical records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Page 15 Effectiveness of Care Itasca Medical Care Comprehensive Diabetes Care Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements HbA1c Testing Poor HbA1c Control Eye Exam LDL-C Screening LDL-C Level <130 mg/dL LDL-C Level <100 mg/dL Monitoring for Diabetic Nephropathy NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator events by admin data in eligible population Current Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors Records Excluded because of contraindications through Admin Data Records Excluded because of contraindications through Medical Record Review Number of employee/dependent medical records excluded Additional Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Page 16 Effectiveness of Care Itasca Medical Care Comprehensive Diabetes Care Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Data Elements HbA1c Testing Poor HbA1c Control Eye Exam LDL-C Screening LDL-C Level <130 mg/dL LDL-C Level <100 mg/dL Monitoring for Diabetic Nephropathy NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator events by admin data in eligible population Current Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors Records Excluded because of contraindications through Admin Data Records Excluded because of contraindications through Medical Record Review Number of employee/dependent medical records excluded Additional Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Page 17 Effectiveness of Care Itasca Medical Care Comprehensive Diabetes Care Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Data Elements HbA1c Testing Poor HbA1c Control Eye Exam LDL-C Screening LDL-C Level <130 mg/dL LDL-C Level <100 mg/dL Monitoring for Diabetic Nephropathy NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator events by admin data in eligible population Current Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final Sample Size (FSS) Numerator events by admin data in FSS Admin rate on FSS Number of Records Excluded Because of Valid Data Errors Records Excluded because of contraindications through Admin Data Records Excluded because of contraindications through Medical Record Review Number of employee/dependent medical records excluded Additional Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Page 18 Effectiveness of Care Itasca Medical Care Comprehensive Diabetes Care Data Last Refreshed: Oct 7, 2009 11:31 AM Medicaid HbA1c Testing Poor HbA1c Control Eye Exam LDL-C Screening LDL-C Level <130 mg/dL LDL-C Level <100 mg/dL Monitoring for Diabetic Nephropathy 2005 HO N 99 2005 HO N 99 2005 HO N 99 2005 HO N 99 2005 HO N 99 2005 HO N 99 2005 HO N 99 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 43 43.43% 99 10% 99 43 43.43% 0 0.00% 99 10% 99 0 0.00% 58 58.59% 99 10% 99 58 58.59% 4 4.04% 99 10% 99 4 4.04% 0 0.00% 99 10% 99 0 0.00% 0 0.00% 99 10% 99 0 0.00% 0 0.00% 99 10% 99 0 0.00% Number of Records Excluded Because of Valid Data Errors 0 0 0 0 0 0 0 Records Excluded because of contraindications through Admin Data 0 0 0 0 0 0 0 Records Excluded because of contraindications through Medical Record Review 0 0 0 0 0 0 0 Number of employee/dependent medical records excluded 0 0 0 0 0 0 0 0 99 43 47 90.91% 84.74% 97.08% 0 99 0 9 9.09% 2.92% 15.26% 0 99 58 4 62.63% 52.59% 72.66% 0 99 4 70 74.75% 65.68% 83.81% 0 99 0 65 65.66% 55.80% 75.52% 0 99 0 42 42.42% 32.18% 52.66% 0 99 0 47 47.47% 37.13% 57.82% Data Elements Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator events by admin data in eligible population 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 2006 (Reporting Year 2005) Page 19 Effectiveness of Care Itasca Medical Care Use of Appropriate Medications for People with Asthma Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) General Measure Data Ages 5-9 NR NR NR Ages 10-17 NR NR NR Ages 18-56 Total NR NR NR NR NR NR NR NR Page 20 Effectiveness of Care Itasca Medical Care Use of Appropriate Medications for People with Asthma Data Last Refreshed: Oct 7, 2009 11:31 AM 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 2006 (Reporting Year 2005) General Measure Data Ages 5-9 Ages 10-17 Ages 18-56 Total 0 0 NR NR NR 0 0 NR NR NR 0 0 NR NR NR 0 0 NR NR NR 2005 A Page 21 Effectiveness of Care Itasca Medical Care Antidepressant Medication Management Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) General Measure Data Optimal Practitioner Contacts for Medication Management Effective Acute Phase Treatment Effective Continuation Phase Treatment NR NR NR NR NR NR NR NR NR Page 22 Effectiveness of Care Itasca Medical Care Antidepressant Medication Management Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) General Measure Data Optimal Practitioner Contacts for Medication Management Effective Acute Phase Treatment Effective Continuation Phase Treatment NR NR NR NR NR NR NR NR NR Page 23 Effectiveness of Care Itasca Medical Care Antidepressant Medication Management Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Data Elements Measurement Year Data Collection Methodology Eligible Member Population Numerator Events by Admin Data Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) General Measure Data Optimal Practitioner Contacts for Medication Management Effective Acute Phase Treatment Effective Continuation Phase Treatment NR NR NR NR NR NR NR NR NR Page 24 Effectiveness of Care Itasca Medical Care Antidepressant Medication Management Data Last Refreshed: Oct 7, 2009 11:31 AM 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 2006 (Reporting Year 2005) General Measure Data Optimal Practitioner Contacts for Medication Management Effective Acute Phase Treatment Effective Continuation Phase Treatment 14 32.56% 17.39% 47.73% 33 76.74% 62.95% 90.53% 22 51.16% 35.06% 67.27% 2005 A 43 Page 25 Effectiveness of Care Itasca Medical Care 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 2006 (Reporting Year 2005) Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage MSHO NR NR NR NR NR NR Page 26 Effectiveness of Care Itasca Medical Care Glaucoma Screening in Older Adults 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 2006 (Reporting Year 2005) Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage MSHO NR NR NR NR NR NR Page 27 Use of Services Itasca Medical Care Well Child Visits in the First 15 Months of Life Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements General Measure Data Zero Visits 1 visit 2 visits 3 visits 4 visits 5 visits 6 or more visits NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Numerator events by admin data in eligible population Currect Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final sample size (FSS) Numerator events by admin data in FSS Administrative rate on FSS Number of Records Excluded Because of Valid Data Errors Number of records excluded because of contraindications identified through administrative data Number of records excluded because of contraindications identified through medical record review Number of employee/dependent medical records excluded Additional Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Page 28 Use of Services Itasca Medical Care Well Child Visits in the First 15 Months of Life Data Last Refreshed: Oct 7, 2009 11:31 AM Medicaid Data Elements Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population General Measure Data Zero Visits 1 visit 2 visits 3 visits 4 visits 5 visits 6 or more visits NR NR NR NR NR NR NR NR NR NR NR NR NR NR 22 23 24 15 7 1 0 23.91% 14.65% 33.17% 25.00% 15.61% 34.39% 26.09% 16.57% 35.60% 16.30% 8.21% 24.40% 7.61% 1.65% 13.57% 1.09% 0.00% 3.75% 0.00% 0.00% 0.54% 2005 A 92 Numerator events by admin data in eligible population Currect Year's Administrative Rate Minimum Required Sample Size Oversampling Rate Final sample size (FSS) Numerator events by admin data in FSS Administrative rate on FSS Number of Records Excluded Because of Valid Data Errors Number of records excluded because of contraindications identified through administrative data Number of records excluded because of contraindications identified through medical record review Number of employee/dependent medical records excluded Additional Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) Page 29 Use of Services Itasca Medical Care Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life Data Elements Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Medicaid 2005 A 329 Numerator events by admin data in eligible population Current Year's Admin Rate Minimum Required Sample Size Oversampling Rate Final sample size (FSS) Numerator events by admin data in FSS Administrative rate on FSS Records Excluded because of Valid Data Errors NR NR NR NR Records Excluded - Contraindications/Admin Data Records Excluded - Contraindications/Medical Record Review Number of employee/dependent medical records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) 221 NR NR NR 67.17% 61.95% 72.40% Page 30 Use of Services Itasca Medical Care Adolescent Well-Care Visits Data Elements Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Data Collection Methodology Sampling Method Used Eligible Member Population Medicaid 2005 A 707 Numerator events by admin data in eligible population Current Year's Admin Rate NR NR NR NR 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 Excluded - Contraindications/Admin Data Records Excluded - Contraindications/Medical Record Review Number of employee/dependent medical records excluded Records Added from the Oversample List Denominator Numerator Events by Admin Data Numerator Events by Medical Record Reported Rate Lower 95% Confidence Interval Upper 95% Confidence Interval HEDIS 2006 (Reporting Year 2005) 232 NR NR NR 32.81% 29.28% 36.35% Page 31 Use of Services Itasca Medical Care Frequency of Selected Procedures Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Member Months Total Age 0-4 0-9 5-19 10-19 Total Procedure Myringotomy Tonsillectomy Age 15-44 20-44 30-64 45-64 65+ Age 0-4 5-19 0-9 10-19 Number of Procedures Procedures / 1,000 Member Months NR NR NR NR Member Months Male Female Male Procedure Age Dilation & Curettage 15-44 45-64 Hysterectomy, 15-44 Abdominal 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 Angioplasty (PTCA) 45-64 65+ Cardiac 45-64 Catheterization 65+ CABG 45-64 65+ Prostatectomy 45-64 65+ Mastectomy 15-44 45-64 65+ Lumpectomy 15-44 45-64 65+ HEDIS 2006 (Reporting Year 2005) Number of Procedures Female Procedures / 1,000 Member Months Number of Procedures Procedures / 1,000 Member Months NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 32 Use of Services Itasca Medical Care Frequency of Selected Procedures Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Age < 65 65-74 75-84 85+ Member Months Male Female Male Procedure CABG Angioplasty (PTCA) Cardiac Catheterization Carotid Endarterectomy Reduction of Fracture of Femur Total Hip Replacement Total Knee Replacement Partial Excision of Large Inestine Cholecystectomy, Open Cholecystectomy, Closed (laparoscopic) Hysterectomy Abdominal Hysterectomy, Vaginal Prostatectomy 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 2006 (Reporting Year 2005) Number of Procedures Female Procedures / 1,000 Member Months NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Number of Procedures Procedures / 1,000 Member Months NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 33 Use of Services Itasca Medical Care Inpatient Utilization - General Hospital/Acute Care Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year 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 65-74 Unknown Total Member Months NR Discharges Discharges / 1,000 Member Months Days NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Days / 1,000 Member Months NR NR NR NR NR NR NR Average Length of Stay NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 34 Use of Services Itasca Medical Care Inpatient Utilization - General Hospital/Acute Care Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year 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 65-74 Unknown Total Member Months NR Discharges Discharges / 1,000 Member Months Days NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Days / 1,000 Member Months NR NR NR NR NR NR NR Average Length of Stay NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 35 Use of Services Itasca Medical Care Inpatient Utilization - General Hospital/Acute Care Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Measurement Year 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 65-74 Unknown Total Member Months NR Discharges Discharges / 1,000 Member Months Days NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Days / 1,000 Member Months NR NR NR NR NR NR NR Average Length of Stay NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 36 Use of Services Itasca Medical Care Ambulatory Care Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Member Months NR Outpatient Visits (Excludes MH/CD) Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Visits NR HEDIS 2006 (Reporting Year 2005) Visits/ 1,000 Member Months NR NR NR NR NR NR NR NR NR Emergency Room Visits Visits NR Visits/ 1,000 Member Months NR NR NR NR NR NR NR NR NR Ambulatory Surgery/Procedures Procedures NR Procedures/ 1,000 Member Months NR NR NR NR NR NR NR NR NR Observation Room Stays Resulting in Discharge Stays NR Stays/ 1,000 Member Months NR NR NR NR NR NR NR NR NR Page 37 Use of Services Itasca Medical Care Ambulatory Care Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Member Months NR Outpatient Visits (Excludes MH/CD) Age <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Visits NR HEDIS 2006 (Reporting Year 2005) Visits/ 1,000 Member Months NR NR NR NR NR NR NR NR NR Emergency Room Visits Visits NR Visits/ 1,000 Member Months NR NR NR NR NR NR NR NR NR Ambulatory Surgery/Procedures Procedures NR Procedures/ 1,000 Member Months NR NR NR NR NR NR NR NR NR Observation Room Stays Resulting in Discharge Stays NR Stays/ 1,000 Member Months NR NR NR NR NR NR NR NR NR Page 38 Use of Services Itasca Medical Care Inpatient Utilization - Nonacute Care Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Age Member Months <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Age NR Discharges Discharges / 1,000 Member Months Days Days / 1,000 Member Months Average Length of Stay <1 NR NR NR 1-9 NR NR NR 10-19 NR NR NR 20-44 NR NR NR 45-64 NR NR NR 65-74 NR NR NR 75-84 NR NR NR 85+ NR NR NR NR NR NR Unknown Total NR HEDIS 2006 (Reporting Year 2005) NR NR Page 39 Use of Services Itasca Medical Care Inpatient Utilization - Nonacute Care Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Age Member Months <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Age NR Discharges Discharges / 1,000 Member Months Days Days / 1,000 Member Months Average Length of Stay <1 NR NR NR 1-9 NR NR NR 10-19 NR NR NR 20-44 NR NR NR 45-64 NR NR NR 65-74 NR NR NR 75-84 NR NR NR 85+ NR NR NR NR NR NR Unknown Total NR HEDIS 2006 (Reporting Year 2005) NR NR Page 40 Use of Services Itasca Medical Care Inpatient Utilization - Nonacute Care Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Measurement Year Age Member Months <1 1-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Age NR Discharges Discharges / 1,000 Member Months Days Days / 1,000 Member Months Average Length of Stay <1 NR NR NR 1-9 NR NR NR 10-19 NR NR NR 20-44 NR NR NR 45-64 NR NR NR 65-74 NR NR NR 75-84 NR NR NR 85+ NR NR NR NR NR NR Unknown Total NR HEDIS 2006 (Reporting Year 2005) NR NR Page 41 Use of Services Itasca Medical Care Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Age 0-12 13-17 18-64 65+ Unknown Total Male Member Months Female Total NR NR NR NR NR NR NR NR Discharges Age 0-12 Discharges / 1,000 Member Months Days* Average Length of Stay Gender M NR NR F NR NR Total NR NR NR NR M 13-17 NR NR F NR NR Total NR NR NR NR M 18-64 NR NR F NR NR Total NR NR NR NR 65+ M NR NR F NR NR Total NR NR NR NR Unknown M NR F NR Total NR NR NR Total M NR NR NR NR F NR NR NR NR TOTAL NR NR NR NR * This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table. HEDIS 2006 (Reporting Year 2005) Page 42 Use of Services Itasca Medical Care Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Age 0-12 13-17 18-64 65+ Unknown Total Male Member Months Female Total NR NR NR NR NR NR NR NR Discharges Age 0-12 Discharges / 1,000 Member Months Days* Average Length of Stay Gender M NR NR F NR NR Total NR NR NR NR M 13-17 NR NR F NR NR Total NR NR NR NR M 18-64 NR NR F NR NR Total NR NR NR NR M 65+ NR NR F NR NR Total NR NR NR NR M Unknown NR F NR Total NR NR NR Total M NR NR NR NR F NR NR NR NR TOTAL NR NR NR NR * This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table. HEDIS 2006 (Reporting Year 2005) Page 43 Use of Services Itasca Medical Care Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Measurement Year Age 0-12 13-17 18-64 65+ Unknown Total Male Member Months Female Total NR NR NR NR NR NR NR NR Discharges Age 0-12 Discharges / 1,000 Member Months Days* Average Length of Stay Gender M NR NR F NR NR Total NR NR NR NR M 13-17 NR NR F NR NR Total NR NR NR NR M 18-64 NR NR F NR NR Total NR NR NR NR M 65+ NR NR F NR NR Total NR NR NR NR Unknown M NR F NR Total NR NR NR Total M NR NR NR NR F NR NR NR NR TOTAL NR NR NR NR * This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table. HEDIS 2006 (Reporting Year 2005) Page 44 Use of Services Itasca Medical Care Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Member Months (Any) Age 0-12 13-17 18-64 65+ Unknown Total Male NR Female NR Member Months (Inpatient) Total 0-12 Sex M F Total Number NR 13-17 M F Total NR 18-64 M F Total NR 65+ M F Total NR Unknown M F Total M F Total NR NR NR NR Total HEDIS 2006 (Reporting Year 2005) Female Total Member Months (Day/Night) Male Female Total Member Months (Ambulatory) Male Female Total NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Any Mental Health Services Age Male Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Inpatient Mental Health Services Percent Number NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Day/Night Mental Health Services Percent Number NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Ambulatory Mental Health Services Percent Number NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 45 Use of Services Itasca Medical Care Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Member Months (Any) Age 0-12 13-17 18-64 65+ Unknown Total Male NR Female NR Member Months (Inpatient) Total 0-12 Sex M F Total Number NR 13-17 M F Total NR 18-64 M F Total NR 65+ M F Total NR Unknown M F Total M F Total NR NR NR NR Total HEDIS 2006 (Reporting Year 2005) Female Total Male Female Total Member Months (Ambulatory) Male Female Total NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Any Mental Health Services Age Male Member Months (Day/Night) Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Inpatient Mental Health Services Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Day/Night Mental Health Services Number NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Ambulatory Mental Health Services Percent Number NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 46 Use of Services Itasca Medical Care Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Measurement Year Member Months (Any) Age Male Female 0-12 13-17 18-64 65+ Unknown Total NR NR Member Months (Inpatient) Total 0-12 Sex M F Total Number NR 13-17 M F Total NR 18-64 M F Total NR 65+ M F Total NR Unknown M F Total M F Total NR NR NR NR Total HEDIS 2006 (Reporting Year 2005) Female Total Male Female Total Member Months (Ambulatory) Male Female Total NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Any Mental Health Services Age Male Member Months (Day/Night) Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Inpatient Mental Health Services Percent Number NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Day/Night Mental Health Services Percent Number NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Ambulatory Mental Health Services Percent Number NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 47 Use of Services Itasca Medical Care Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services Data Last Refreshed: Oct 7, 2009 11:31 AM Medicaid Measurement Year 2005 Member Months (Any) Age 0-12 13-17 18-64 65+ Unknown Total 0-12 Member Months (Ambulatory) Male Female Total Male Female Total Male Female Total Male Female Total 11056 3775 22341 7622 11285 3847 11056 3775 22341 7622 11285 3847 11056 3775 22341 7622 11285 3847 11056 3775 22341 7622 11393 1529 1 28055 18481 4378 0 37690 29874 5907 1 65745 11393 1529 1 28055 18481 4378 0 37690 29874 5907 1 65745 11393 1529 1 28055 18481 4378 0 37690 29874 5907 1 65745 11393 1529 1 28055 18481 4378 0 37690 29874 5907 1 65745 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) 11285 3847 Any Mental Health Services Age Member Months (Inpatient) Number Percent Inpatient Mental Health Services Percent Number Day/Night Mental Health Services Percent Number Ambulatory Mental Health Services Percent Number 124 91 215 80 106 186 146 310 456 11 29 40 0 0 0 361 536 897 13.19% 9.88% 11.55% 24.95% 33.70% 29.28% 15.38% 20.13% 18.32% 8.63% 7.95% 8.13% 0.00% NA 0.00% 15.44% 17.07% 16.37% 1 0 1 3 4 7 8 10 18 6 2 8 0 0 0 18 16 34 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 2 2 123 91 214 80 106 186 144 309 453 7 28 35 0 0 0 354 534 888 HEDIS 2006 (Reporting Year 2005) 0.11% 0.00% 0.05% 0.94% 1.27% 1.10% 0.84% 0.65% 0.72% 4.71% 0.55% 1.63% 0.00% NA 0.00% 0.77% 0.51% 0.62% 0.00% 0.11% 0.05% 0.00% 0.00% 0.00% 0.00% 0.06% 0.04% 0.00% 0.00% 0.00% 0.00% NA 0.00% 0.00% 0.06% 0.04% 13.08% 9.88% 11.49% 24.95% 33.70% 29.28% 15.17% 20.06% 18.20% 5.49% 7.67% 7.11% 0.00% NA 0.00% 15.14% 17.00% 16.21% Page 48 Use of Services Itasca Medical Care Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Age 0-12 13-17 18-64 65+ Unknown Total Male Member Months Female Total NR NR NR NR NR NR NR NR Discharges Age 0-12 Discharges / 1,000 Member Months Days Average Length of Stay M NR NR F NR NR Total NR NR NR NR 13-17 M NR NR F NR NR Total NR NR NR NR 18-64 M NR NR F NR NR Total NR NR NR NR 65+ M NR NR F NR NR Total NR NR NR NR Unknown M NR F NR Total NR NR NR M Total NR NR NR NR F NR NR NR NR TOTAL NR NR NR NR * This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table. HEDIS 2006 (Reporting Year 2005) Page 49 Use of Services Itasca Medical Care Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Age 0-12 13-17 18-64 65+ Unknown Total Male Member Months Female Total NR NR NR NR NR NR NR NR Discharges Age 0-12 Discharges / 1,000 Member Months Days Average Length of Stay M NR NR F NR NR Total NR NR NR NR M 13-17 NR NR F NR NR Total NR NR NR NR M 18-64 NR NR F NR NR Total NR NR NR NR M 65+ NR NR F NR NR Total NR NR NR NR M Unknown NR F NR Total NR NR NR Total M NR NR NR NR F NR NR NR NR TOTAL NR NR NR NR * This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table. HEDIS 2006 (Reporting Year 2005) Page 50 Use of Services Itasca Medical Care Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Measurement Year Age 0-12 13-17 18-64 65+ Unknown Total Male Member Months Female Total NR NR NR NR NR NR NR NR Discharges Age 0-12 Discharges / 1,000 Member Months Days Average Length of Stay M NR NR F NR NR Total NR NR NR NR M 13-17 NR NR F NR NR Total NR NR NR NR M 18-64 NR NR F NR NR Total NR NR NR NR M 65+ NR NR F NR NR Total NR NR NR NR Unknown M NR F NR Total NR NR NR Total M NR NR NR NR F NR NR NR NR TOTAL NR NR NR NR * This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table. HEDIS 2006 (Reporting Year 2005) Page 51 Use of Services Itasca Medical Care Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Member Months (Any) Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR NR NR Any Chemical Dependency Services Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Member Months (Inpatient) Male Female NR NR Total NR NR NR NR NR NR NR NR Member Months (Day/Night) Member Months (Ambulatory) Male Female Male Female NR NR NR NR Total NR NR NR NR NR NR NR NR Total NR NR NR NR NR NR NR NR Inpatient Chemical Dependency Services Day/Night Chemical Dependency Services Ambulatory Chemical Dependency Services Number Number Number NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 52 Use of Services Itasca Medical Care Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Member Months (Any) Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR NR NR Any Chemical Dependency Services Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Member Months (Inpatient) Male Female NR NR Total NR NR NR NR NR NR NR NR Member Months (Day/Night) Member Months (Ambulatory) Male Female Male Female NR NR NR NR Total NR NR NR NR NR NR NR NR Total NR NR NR NR NR NR NR NR Inpatient Chemical Dependency Services Day/Night Chemical Dependency Services Ambulatory Chemical Dependency Services Number Number Number NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 53 Use of Services Itasca Medical Care Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Measurement Year Member Months (Any) Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male Female NR NR Total NR NR NR NR NR NR NR NR Any Chemical Dependency Services Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Sex M F Total M F Total M F Total M F Total M F Total M F Total M F Total M F Total Number NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Member Months (Inpatient) Male Female NR NR Total NR NR NR NR NR NR NR NR Member Months (Day/Night) Member Months (Ambulatory) Male Female Male Female NR NR NR NR Total NR NR NR NR NR NR NR NR Total NR NR NR NR NR NR NR NR Inpatient Chemical Dependency Services Day/Night Chemical Dependency Services Ambulatory Chemical Dependency Services Number Number Number NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Percent NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 54 Use of Services Itasca Medical Care Identification of Alcohol and Other Drug Services Data Last Refreshed: Oct 7, 2009 11:31 AM Medicaid Measurement Year 2005 Member Months (Any) Age 0-12 13-17 18-24 25-34 35-64 65+ Unknown Total Male 11285 3847 2600 2725 6068 1529 1 28055 Female 11056 3775 4875 4995 8611 4378 0 37690 Total 22341 7622 7475 7720 14679 5907 1 65745 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 1 1 18 14 32 15 20 35 14 24 38 25 37 62 4 1 5 0 0 0 76 97 173 HEDIS 2006 (Reporting Year 2005) Percent 0.00% 0.11% 0.05% 5.61% 4.45% 5.04% NR NR NA 1.49% 2.60% 2.04% 4.94% 5.16% 5.07% 3.14% 0.27% 1.02% 0.00% NA 0.00% 3.25% 3.09% 3.16% Member Months (Inpatient) Male 11285 3847 2600 2725 6068 1529 1 28055 Female 11056 3775 4875 4995 8611 4378 0 37690 Total 22341 7622 7475 7720 14679 5907 1 65745 Member Months (Day/Night) Male 11285 3847 2600 2725 6068 1529 1 28055 Female 11056 3775 4875 4995 8611 4378 0 37690 Total 22341 7622 7475 7720 14679 5907 1 65745 Member Months (Ambulatory) Male 11285 3847 2600 2725 6068 1529 1 28055 Female 11056 3775 4875 4995 8611 4378 0 37690 Total 22341 7622 7475 7720 14679 5907 1 65745 Inpatient Chemical Dependency Services Day/Night Chemical Dependency Services Ambulatory Chemical Dependency Services Number 0 0 0 5 4 9 6 7 13 3 7 10 7 6 13 4 1 5 0 0 0 25 25 50 Number 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Number 0 1 1 15 10 25 11 16 27 11 19 30 22 33 55 1 0 1 0 0 0 60 79 139 Percent 0.00% 0.00% 0.00% 1.56% 1.27% 1.42% NR NR NA 0.32% 0.76% 0.54% 1.38% 0.84% 1.06% 3.14% 0.27% 1.02% 0.00% NA 0.00% 1.07% 0.80% 0.91% Percent 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% NR NR NA 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% NA 0.00% 0.00% 0.00% 0.00% Percent 0.00% 0.11% 0.05% 4.68% 3.18% 3.94% NR NR NA 1.17% 2.06% 1.61% 4.35% 4.60% 4.50% 0.78% 0.00% 0.20% 0.00% NA 0.00% 2.57% 2.52% 2.54% Page 55 Use of Services Itasca Medical Care Outpatient Drug Utilization Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Age 0-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Age Member Months NR Total Cost of Prescriptions 0-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Avg. Cost of Prescriptions / Per Member Per Month Total Number of Prescriptions NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) NR Avg. Num. Of Prescriptions / Per Member Per Year NR NR NR NR NR NR NR NR NR Page 56 Use of Services Itasca Medical Care Outpatient Drug Utilization Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Age 0-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Age Member Months NR Total Cost of Prescriptions 0-9 10-19 20-44 45-64 65-74 75-84 85+ Unknown Total Avg. Cost of Prescriptions / Per Member Per Month Total Number of Prescriptions NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) NR Avg. Num. Of Prescriptions / Per Member Per Year NR NR NR NR NR NR NR NR NR Page 57 Access/Availability of Care Itasca Medical Care Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements General Measure Data Ages 20-44 Ages 45-64 Ages 65+ NR NR NR NR NR NR NR NR NR Measurement Year Data collection methodology (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 2006 (Reporting Year 2005) Page 58 Access/Availability of Care Itasca Medical Care Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Data Elements General Measure Data Ages 20-44 Ages 45-64 Ages 65+ NR NR NR NR NR NR NR NR NR Measurement Year Data collection methodology (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 2006 (Reporting Year 2005) Page 59 Access/Availability of Care Itasca Medical Care Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Data Elements General Measure Data Ages 20-44 Ages 45-64 Ages 65+ NR NR NR NR NR NR NR NR NR Measurement Year Data collection methodology (Administrativ only) Eligible member population (i.e. members who meet all denominator criteria) Numerator events by administrative data Reported rate Lower 95% confidence interval Upper 95% confidence interval HEDIS 2006 (Reporting Year 2005) Page 60 Access/Availability of Care Itasca Medical Care Adult's Access to Preventive/Ambulatory Health Services Data Last Refreshed: Oct 7, 2009 11:31 AM 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 2006 (Reporting Year 2005) Ages 20-44 Ages 45-64 Ages 65+ 863 436 373 2005 A 755 389 347 87.49% 85.22% 89.75% 89.22% 86.19% 92.25% 93.03% 90.31% 95.75% Page 61 Access/Availability of Care Itasca Medical Care Children's and Adolescents' Access to Primary Care Practitioners Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Data Elements General Measure Data 12-24 months 25 months - 6 yrs. 7-11 yrs. 12-19 yrs. NR NR NR NR NR NR NR NR NR NR NR NR Measurement Year Data collection methodology (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 2006 (Reporting Year 2005) Page 62 Access/Availability of Care Itasca Medical Care Children's and Adolescents' Access to Primary Care Practitioners Data Last Refreshed: Oct 7, 2009 11:31 AM 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 2006 (Reporting Year 2005) General Measure Data 12-24 months 25 months - 6 yrs. 7-11 yrs. 12-19 yrs. 143 415 224 384 2005 A 142 379 174 307 99.30% 97.59% 100.00% 91.33% 88.50% 94.15% 77.68% 72.00% 83.35% 79.95% 75.81% 84.08% Page 63 Access/Availability of Care Itasca Medical Care Prenatal and Postpartum Care Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Timeliness of Prenatal Care Postpartum Care NR NR NR NR NR NR NR NR NR NR Measurement Year Data collection methodology (Administrative or Hybrid) Sampling method used (see User's Guide for entry descriptions) Eligible member population (i.e. members who meet all denominator criteria) Number of numerator events by administrative data in eligible population (before exclusions) Current year's administrative rate (before exclusions) Minimum required sample size (MRSS) or other sample size Oversampling rate Final sample size (FSS) Number of numerator events by administrative data in FSS Administrative rate on FSS Number of original sample records excluded because of valid data errors Number of employee/dependent medical records excluded Records added from the oversample list Denominator Numerator events by administrative data Numerator events by medical record Reported rate Lower 95% confidence interval Upper 95% confidence interval HEDIS 2006 (Reporting Year 2005) Page 64 Access/Availability of Care Itasca Medical Care Prenatal and Postpartum Care Data Last Refreshed: Oct 7, 2009 11:31 AM Medicaid Measurement Year Data collection methodology (Administrative or Hybrid) Timeliness of Prenatal Care Postpartum Care 2005 A 2005 A 141 141 NR NR NR NR 34 59 NR NR NR NR NR NR Sampling method used (see User's Guide for entry descriptions) Eligible member population (i.e. members who meet all denominator criteria) Number of numerator events by administrative data in eligible population (before exclusions) Current year's administrative rate (before exclusions) Minimum required sample size (MRSS) or other sample size Oversampling rate Final sample size (FSS) Number of numerator events by administrative data in FSS Administrative rate on FSS Number of original sample records excluded because of valid data errors Number of employee/dependent medical records excluded Records added from the oversample list Denominator Numerator events by administrative data Numerator events by medical record Reported rate Lower 95% confidence interval Upper 95% confidence interval HEDIS 2006 (Reporting Year 2005) Page 65 Access/Availability of Care Itasca Medical Care Initiation/Engagement of Alcohol & Other Drug Dependence Treatment Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial 13-17 Year Olds Data Elements General Measure Data Initiation of AOD Treatment 18-25 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 26-34 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 35-64 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 65+ Year Olds Engagement Initiation of of AOD AOD Treatment Treatment Overall Rate Engagement Initiation of of AOD AOD Treatment Treatment Engagement of AOD Treatment Measurement Year Data collection methodology (Administrative only) Eligible member population (i.e. members who meet all denominator criteria) NR Numerator events by administrative data NR NR Reported rate NR NR NR NR NR NR NR NR NR NR NR NR Lower 95% confidence interval NR NR NR NR NR NR NR NR NR NR NR NR Upper 95% confidence interval NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) Page 66 Access/Availability of Care Itasca Medical Care Initiation/Engagement of Alcohol & Other Drug Dependence Treatment Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage 13-17 Year Olds Data Elements General Measure Data Initiation of AOD Treatment 18-25 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 26-34 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 35-64 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 65+ Year Olds Engagement Initiation of of AOD AOD Treatment Treatment Overall Rate Engagement Initiation of of AOD AOD Treatment Treatment Engagement of AOD Treatment Measurement Year Data collection methodology (Administrative only) Eligible member population (i.e. members who meet all denominator criteria) NR NR NR Reported rate NR NR NR NR NR NR NR NR NR NR NR NR Lower 95% confidence interval Upper 95% confidence interval NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Numerator events by administrative data HEDIS 2006 (Reporting Year 2005) Page 67 Access/Availability of Care Itasca Medical Care Initiation/Engagement of Alcohol & Other Drug Dependence Treatment Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO 13-17 Year Olds Data Elements General Measure Data Initiation of AOD Treatment 18-25 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 26-34 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 35-64 Year Olds Engagement Initiation of of AOD AOD Treatment Treatment 65+ Year Olds Engagement Initiation of of AOD AOD Treatment Treatment Overall Rate Engagement Initiation of of AOD AOD Treatment Treatment Engagement of AOD Treatment Measurement Year Data collection methodology (Administrative only) Eligible member population (i.e. members who meet all denominator criteria) NR Numerator events by administrative data NR NR Reported rate NR NR NR NR NR NR NR NR NR NR NR NR Lower 95% confidence interval Upper 95% confidence interval NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) Page 68 Health Plan Stability Itasca Medical Care Practitioner Turnover Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Practitioner Types Number of Practitioners as of 12/31/2004 Number of Practitioners who were not affiliated with the plan as of 12/31/2005 Practitioner Turnover Rate Practitioner Retention Rate Primary Care Physicians NR NR Non-Physician Primary Care Practitioners NR NR HEDIS 2006 (Reporting Year 2005) Page 69 Health Plan Stability Itasca Medical Care Years in Business / Total Membership Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Product/Product Line Years in Business Members* NR NR NR NR NR NR HMO (Total) Medicaid Commercial Medicare (cost or risk) Self-insured Other PPO (Total) Commercial Medicare (cost or risk) Self-insured Other POS (Total) Commercial Medicare (cost or risk) Self-insured Other NR Total * Total number of members in each category as of December 31, 2005 HEDIS 2006 (Reporting Year 2005) Page 70 Health Plan Descriptive InformationItasca Medical Care Enrollment by Product Line (Age & Sex) Data Last Refreshed: Oct 7, 2009 11:31 AM Commercial Measurement Year Male <1 1-4 5-9 10-14 15-17 18-19 0-19 Subtotal 0-19 Subtotal: % 20-24 25-29 30-34 35-39 40-44 20-44 Subtotal 20-44 Subtotal: % 45-49 50-54 55-59 60-64 45-64 Subtotal 45-64 Subtotal: % 65-69 70-74 75-79 80-84 85-89 >=90 >=65 Subtotal >=65 Subtotal: % Age Unknown Total Member Months Female NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) Total NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 71 Health Plan Descriptive InformationItasca Medical Care Enrollment by Product Line (Age & Sex) Data Last Refreshed: Oct 7, 2009 11:31 AM Medicare Advantage Measurement Year Male <1 1-4 5-9 10-14 15-17 18-19 0-19 Subtotal 0-19 Subtotal: % 20-24 25-29 30-34 35-39 40-44 20-44 Subtotal 20-44 Subtotal: % 45-49 50-54 55-59 60-64 45-64 Subtotal 45-64 Subtotal: % 65-69 70-74 75-79 80-84 85-89 >=90 >=65 Subtotal >=65 Subtotal: % Age Unknown Total Member Months Female NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) Total NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 72 Health Plan Descriptive InformationItasca Medical Care Enrollment by Product Line (Age & Sex) Data Last Refreshed: Oct 7, 2009 11:31 AM MSHO Measurement Year Male <1 1-4 5-9 10-14 15-17 18-19 0-19 Subtotal 0-19 Subtotal: % 20-24 25-29 30-34 35-39 40-44 20-44 Subtotal 20-44 Subtotal: % 45-49 50-54 55-59 60-64 45-64 Subtotal 45-64 Subtotal: % 65-69 70-74 75-79 80-84 85-89 >=90 >=65 Subtotal >=65 Subtotal: % Age Unknown Total Member Months Female NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR HEDIS 2006 (Reporting Year 2005) Total NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR NR Page 73 Health Plan Descriptive InformationItasca Medical Care Enrollment by Product Line (Age & Sex) Medicaid Measurement Year <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 Data Last Refreshed: Oct 7, 2009 11:31 AM 2005 Male 1436 4139 3838 3503 2216 1100 Member Months Female 1233 3560 3968 3715 2355 1275 16232 57.86% 1500 1541 1184 1296 1679 16106 42.73% 3600 2785 2210 2294 2179 7200 25.66% 1257 835 671 330 13068 34.67% 1530 1183 795 630 3093 11.02% 341 388 314 160 132 194 4138 10.98% 628 684 683 784 796 803 1529 5.45% 1 4378 11.62% 0 28055 37690 HEDIS 2006 (Reporting Year 2005) Total 2669 7699 7806 7218 4571 2375 32338 49.19% 5100 4326 3394 3590 3858 20268 30.83% 2787 2018 1466 960 7231 11.00% 969 1072 997 944 928 997 5907 8.98% 1 65745 Page 74
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