Plan Name
HealthPartners and Group Health
Reporting Year
2005
Submission #
Title
General Info
1
Last Refreshed:
37
10/7/2009 11:29:36 AM
Page
Disclaimers
Effectiveness of
Care Measures
Plan ID
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
HealthPartners and Group Health
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 3
4445
77.85%
4671
81.80%
5346
93.63%
4655
81.52%
4565
79.95%
5053
88.49%
2770
48.51%
3879
67.93%
2407
42.15%
339
78.47%
349
80.79%
404
93.52%
348
80.56%
340
78.70%
382
88.43%
212
49.07%
295
68.29%
192
44.44%
322
56
91.97%
89.22%
94.72%
331
58
94.65%
92.35%
96.94%
384
7
95.13%
92.93%
97.34%
332
57
94.65%
92.35%
96.94%
324
63
94.16%
91.77%
96.55%
363
14
91.73%
88.94%
94.51%
202
9
51.34%
46.38%
56.29%
282
70
85.64%
82.13%
89.16%
183
20
49.39%
44.44%
54.35%
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 2006 (Reporting Year 2005)
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
2005
HO
S
5710
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
411
Page 3
Effectiveness of Care
HealthPartners and Group Health
Childhood Immunization Status
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 3
822
79.34%
921
88.90%
961
92.76%
885
85.42%
890
85.91%
901
86.97%
566
54.63%
745
71.91%
515
49.71%
343
79.40%
383
88.66%
406
93.98%
377
87.27%
377
87.27%
373
86.34%
247
57.18%
313
72.45%
219
50.69%
328
22
85.16%
81.60%
88.72%
363
18
92.70%
90.06%
95.34%
386
1
94.16%
91.77%
96.55%
357
16
90.75%
87.83%
93.68%
358
20
91.97%
89.22%
94.72%
357
7
88.56%
85.37%
91.76%
234
6
58.39%
53.51%
63.28%
300
30
80.29%
76.32%
84.26%
208
17
54.74%
49.81%
59.68%
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 2006 (Reporting Year 2005)
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
2005
HO
S
1036
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
411
Page 4
Effectiveness of Care
HealthPartners and Group Health
Adolescent Immunization Status
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 2
4858
72.28%
2996
44.58%
2495
37.12%
1720
25.59%
328
76.10%
199
46.17%
174
40.37%
114
26.45%
311
68
92.44%
89.76%
95.12%
190
141
80.73%
76.79%
84.67%
169
137
74.63%
70.30%
78.97%
110
152
63.90%
59.13%
68.67%
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 2006 (Reporting Year 2005)
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
2005
HO
S
6721
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 11:29 AM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 2
602
80.16%
447
59.52%
379
50.47%
281
37.42%
350
81.02%
258
59.72%
220
50.93%
167
38.66%
337
38
91.24%
88.39%
94.10%
250
76
79.32%
75.28%
83.36%
211
78
70.32%
65.78%
74.85%
162
87
60.58%
55.74%
65.43%
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 2006 (Reporting Year 2005)
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
2005
HO
S
751
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 11:29 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
General
Measure
Data
2005
A
Eligible Member Population
10468
Numerator Events by Admin Data
1274
Reported Rate
87.83%
Lower 95% Confidence Interval
87.20%
Upper 95% Confidence Interval
88.46%
HEDIS 2006 (Reporting Year 2005)
Page 7
Effectiveness of Care
HealthPartners and Group Health
Colorectal Cancer Screening
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Medicare
Advantage
2005
2005
HO
HO
S
S
Eligible population
91824
5870
Number of numerator events by administrative data in eligible
population (before exclusions)
52190
4046
56.84%
68.93%
Minimum required sample size (MRSS) or other sample size
401
342
Oversampling rate
0.05
0.05
Final sample size (FSS)
422
360
Number of numerator events by administrative data in FSS
242
259
57.35%
71.94%
0
0
0
0
2
2
Number of employee/dependent medical records excluded
0
0
Records added from the oversample list
2
2
Denominator
401
342
Numerator events by administrative data
233
248
FOBT by administrative data*
4
6
DCBE by administrative data*
0
0
Numerator events by medical records
18
5
Flexible sigmoidoscopy by medical records*
6
1
DCBE by medical records*
1
0
Colonoscopy by medical records*
9
4
Reported rate
62.59%
73.98%
NR
Lower 95% confidence interval
57.73%
69.18%
NR
Upper 95% confidence interval
67.45%
78.77%
NR
Data Elements
Measurement Year
Data collection methodology (administrative or hybrid)
Sampling method used (see User's Guide for entry descriptions)
Current year's administrative rate (before exclusions)
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
MSHO
NR
NR
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
HealthPartners and Group Health
Breast Cancer Screening
Data Elements
Measurement Year
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2006 (Reporting Year 2005)
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Medicare
Advantage
Medicaid
2005
A
41429
31358
75.69%
75.28%
76.11%
2005
A
640
515
80.47%
77.32%
83.62%
2005
A
940
523
55.64%
52.41%
58.87%
Page 9
Effectiveness of Care HealthPartners and Group Health
Cervical Cancer Screening
Data Elements
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Medicaid
2004
HO
S
109586
2005
HO
S
7126
86334
5242
78.78%
219
5.00%
230
185
80.43%
0
73.56%
411
10.00%
453
332
73.29%
0
Records Excluded because of contraindications
through Admin Data
0
0
Records Excluded because of contraindications
through Medical Record Review
10
11
Number of employee/dependent medical records
excluded
0
0
10
219
184
3
85.39%
80.48%
90.29%
11
411
308
16
78.83%
74.76%
82.90%
Measurement Year
Data Collection Methodology
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 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 10
Effectiveness of Care
HealthPartners and Group Health
Chlamydia Screening in Women
Data Last Refreshed:
Oct 7, 2009 11:29 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
2005
A
General
Measure Ages 16-20 Ages 21-25
Data
Total
2005
A
7420
2824
38.06%
36.95%
39.17%
8502
3411
40.12%
39.07%
41.17%
15922
6235
39.16%
38.40%
39.92%
980
606
61.84%
58.74%
64.93%
1382
846
61.22%
58.61%
63.82%
2362
1452
61.47%
59.49%
63.46%
Page 11
Effectiveness of Care
HealthPartners and Group Health
Controlling High Blood Pressure
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Data Elements
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
Commercial
Medicare Advantage
2005
2005
HO
HO
S
S
19410
2720
0
0
0.00%
0.00%
342
354
10.00%
10.00%
377
390
0
0
0.00%
0.00%
Records Excluded because of Valid Data
Errors
0
0
Records Excluded because of
contraindications through Admin Data
0
0
Records Excluded because of
contraindications through Medical Record
Review
2
8
Number of employee/dependent medical
records excluded
0
0
Records Added from the OverSample List
2
8
342
354
0
0
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
258
264
Reported Rate
75.44%
74.58%
Lower 95% Confidence Interval
70.73%
69.90%
Upper 95% Confidence Interval
80.15%
79.25%
HEDIS 2006 (Reporting Year 2005)
Page 12
Effectiveness of Care
HealthPartners and Group Health
Beta Blocker Treatment after Heart Attack
Data Elements
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Medicare Advantage
2005
2005
HO
HO
S
S
Eligible Member Population
304
54
Numerator Events by Admin Data on
Eligible Population
270
47
88.82%
87.04%
100
54
Measurement Year
Data Collection Methodology
Sampling Method Used
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
5.00%
0.00%
Final Sample Size (FSS)
105
54
Numerator events by admin data in FSS
97
47
Admin rate on FSS
MSHO
NR
92.38%
87.04%
Records Excluded because of Valid Data
Errors
0
0
Records Excluded because of
contraindications through Admin Data
0
0
Records Excluded because of
contraindications through Medical Record
Review
0
1
Number of employee/dependent medical
records excluded
0
0
Records Added from the Oversample List
0
0
Denominator
100
53
Numerator Events by Admin Data
92
47
Numerator Events by Medical Record
7
5
Reported Rate
99.00%
98.11%
NR
Lower 95% Confidence Interval
96.55%
93.51%
NR
Upper 95% Confidence Interval
100.00%
100.00%
NR
HEDIS 2006 (Reporting Year 2005)
NR
Page 13
Effectiveness of Care
HealthPartners and Group Health
Persistence of Beta Blocker Treatment After Hearth Attack
Data Elements
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Medicare Advantage
MSHO
2005
2005
2005
A
A
A
Eligible Member Population
295
11
11
Numerator Events by Admin Data on
Eligible Population
230
11
11
Reported Rate
77.97%
NA
NA
Lower 95% Confidence Interval
73.07%
NA
NA
Upper 95% Confidence Interval
82.87%
NA
NA
Measurement Year
Data Collection Methodology
HEDIS 2006 (Reporting Year 2005)
Page 14
Effectiveness of Care
HealthPartners and Group Health
Cholesterol Management for
Patients with Cardiovascular
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
General
LDL-C Level of LDL-C Level of
Measure
<100 mg/dL
<130 mg/dL
Data
2005
HO
S
5498
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
Medicare Advantage
4061
1259
1495
73.86%
22.90%
27.19%
411
15.00%
473
450
342
390
81.52%
61.96%
70.65%
411
15.00%
473
347
117
138
383
293
331
73.36%
24.74%
29.18%
80.97%
61.95%
69.98%
0
0
Records Excluded because of contraindications
through Admin Data
0
0
Records Excluded because of contraindications
through Medical Record Review
12
5
Number of employee/dependent medical
records excluded
0
0
12
411
5
411
HEDIS 2006 (Reporting Year 2005)
LDL-C Level of LDL-C Level of
<100 mg/dL
<130 mg/dL
2005
HO
S
552
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
screening
308
25
105
117
123
159
337
1
257
8
291
7
81.02%
77.11%
84.93%
54.01%
49.07%
58.95%
68.61%
64.00%
73.22%
82.24%
78.42%
86.06%
64.48%
59.73%
69.23%
72.51%
68.07%
76.94%
Page 15
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
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
S
14853
2005
HO
S
14853
2005
HO
S
14853
2005
HO
S
14853
2005
HO
S
14853
2005
HO
S
14853
2005
HO
S
14853
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
12888
86.77%
411
10%
453
395
87.20%
10872
73.20%
411
10%
453
339
74.83%
7889
53.11%
411
10%
453
261
57.62%
13419
90.35%
411
10%
453
404
89.18%
4012
27.01%
411
10%
453
117
25.83%
2936
19.77%
411
10%
453
82
18.10%
9466
63.73%
411
10%
453
298
65.78%
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
12
12
12
12
12
12
12
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
12
411
370
15
93.67%
91.20%
96.15%
12
411
50
34
20.44%
16.42%
24.46%
12
411
243
39
68.61%
64.00%
73.22%
12
411
372
19
95.13%
92.93%
97.34%
12
411
108
207
76.64%
72.43%
80.85%
12
411
76
148
54.50%
49.57%
59.44%
12
411
274
19
71.29%
66.79%
75.79%
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 16
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicare Advantage
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
S
678
HO
S
678
HO
S
678
HO
S
678
HO
S
678
HO
S
678
HO
S
678
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
630
92.92%
392
10%
432
401
92.82%
122
17.99%
392
10%
432
85
19.68%
488
71.98%
392
10%
432
309
71.53%
632
93.22%
392
10%
432
398
92.13%
528
77.88%
392
10%
432
335
77.55%
442
65.19%
392
10%
432
283
65.51%
492
72.57%
392
10%
432
314
72.69%
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
14
14
14
14
14
14
14
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
14
392
370
0
94.39%
91.98%
96.79%
14
392
31
22
13.52%
10.01%
17.03%
14
392
284
35
81.38%
77.40%
85.36%
14
392
364
1
93.11%
90.48%
95.75%
14
392
307
13
81.63%
77.67%
85.59%
14
392
259
11
68.88%
64.17%
73.59%
14
392
294
11
77.81%
73.56%
82.05%
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 17
Effectiveness of Care
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Comprehensive Diabetes Care
Data Last Refreshed:
Oct 7, 2009 11:29 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
S
1214
2005
HO
S
1214
2005
HO
S
1214
2005
HO
S
1214
2005
HO
S
1214
2005
HO
S
1214
2005
HO
S
1214
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
934
76.94%
411
10%
453
354
78.15%
767
63.18%
411
10%
453
285
62.91%
618
50.91%
411
10%
453
222
49.01%
925
76.19%
411
10%
453
350
77.26%
439
36.16%
411
10%
453
167
36.87%
301
24.79%
411
10%
453
111
24.50%
690
56.84%
411
10%
453
250
55.19%
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
12
12
12
12
12
12
12
Number of employee/dependent medical
records excluded
0
0
0
0
0
0
0
12
411
330
40
90.02%
87.01%
93.04%
12
411
55
47
24.82%
20.52%
29.12%
12
411
204
40
59.37%
54.50%
64.24%
12
411
325
36
87.83%
84.55%
91.12%
12
411
156
121
67.40%
62.74%
72.05%
12
411
103
85
45.74%
40.80%
50.68%
12
411
236
47
68.86%
64.26%
73.46%
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
HealthPartners and Group Health
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 11:29 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
Ages 10-17
Ages 18-56
Total
526
513
97.53%
96.11%
98.95%
866
819
94.57%
93.01%
96.14%
3823
3439
89.96%
88.99%
90.92%
5215
4771
91.49%
90.72%
92.25%
2005
A
Page 20
Effectiveness of Care
HealthPartners and Group Health
Use of Appropriate Medications for People with Asthma
Data Last Refreshed:
Oct 7, 2009 11:29 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
66
62
93.94%
87.43%
100.00%
129
122
94.57%
90.28%
98.87%
221
188
85.07%
80.14%
89.99%
416
372
89.42%
86.35%
92.50%
2005
A
Page 21
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 11:29 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
701
18.30%
17.07%
19.54%
2738
71.49%
70.05%
72.93%
2098
54.78%
53.19%
56.37%
2005
A
3830
Page 22
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 11:29 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
0
NA
NA
NA
21
NA
NA
NA
15
NA
NA
NA
2005
A
29
Page 23
Effectiveness of Care
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Antidepressant Medication Management
Data Last Refreshed:
Oct 7, 2009 11:29 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
83
21.39%
17.18%
25.60%
204
52.58%
47.48%
57.67%
135
34.79%
29.93%
39.66%
2005
A
388
Page 25
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 2006 (Reporting Year 2005)
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicare
Advantage
2005
A
33
8
24.24%
8.11%
40.38%
MSHO
NR
NR
NR
Page 26
Effectiveness of Care HealthPartners and Group Health
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 11:29 AM
Medicare
Advantage
2005
A
9521
22
7567
79.48%
78.66%
80.29%
MSHO
NR
NR
NR
Page 27
Use of Services
HealthPartners and Group Health
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
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 2006 (Reporting Year 2005)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
52
1.01%
28
0.55%
49
0.96%
72
1.41%
243
4.74%
808
15.77%
3872
75.57%
2
0.66%
2
0.66%
2
0.66%
3
0.99%
14
4.62%
52
17.16%
228
75.25%
0
1
0.35%
0.00%
1.20%
0
1
0.35%
0.00%
1.20%
0
2
0.69%
0.00%
1.83%
0
4
1.39%
0.00%
2.91%
0
4
1.39%
0.00%
2.91%
0
41
14.24%
10.03%
18.45%
215
20
81.60%
76.95%
86.25%
288
5.00%
303
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
2005
HO
S
5124
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
288
Page 28
Use of Services
HealthPartners and Group Health
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicaid
Data Elements
Measurement Year
Data Collection Methodology
Sampling Method Used
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 2006 (Reporting Year 2005)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
15
1.45%
12
1.16%
39
3.77%
54
5.22%
144
13.91%
301
29.08%
470
45.41%
8
1.93%
6
1.45%
10
2.41%
17
4.10%
57
13.73%
127
30.60%
190
45.78%
0
5
1.27%
0.04%
2.49%
0
3
0.76%
0.00%
1.74%
0
6
1.52%
0.19%
2.85%
0
14
3.54%
1.59%
5.49%
0
33
8.35%
5.50%
11.21%
0
70
17.72%
13.83%
21.61%
178
86
66.84%
62.07%
71.61%
395
5.00%
415
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
2005
HO
S
1035
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
395
Page 29
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 11:29 AM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
2005
HO
S
24281
2005
HO
S
3427
Numerator events by admin data in eligible
population
14788
2213
60.90%
395
5.00%
415
256
9.11%
395
5.00%
415
276
61.69%
0
66.51%
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
395
263
7
68.35%
63.64%
73.07%
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 2006 (Reporting Year 2005)
Page 30
Use of Services
HealthPartners and Group Health
Adolescent Well-Care Visits
Data Elements
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Medicaid
Measurement Year
Data Collection Methodology
Sampling Method Used
Eligible Member Population
2005
HO
S
68322
2005
HO
S
6273
Numerator events by admin data in eligible
population
22116
2347
32.37%
411
5.00%
432
135
3.44%
411
5.00%
432
152
31.25%
0
35.19%
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
147
20
40.63%
35.76%
45.50%
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 2006 (Reporting Year 2005)
Page 31
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Measurement Year
2005
Member Months
Total
417738
843850
1372773
946661
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
2236
680
679
290
Procedures /
1,000 Member
Months
5.35
0.50
0.80
0.31
Member Months
Male
Female
1424403
1063221
1189233
1631463
905961
989362
59862
52259
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
51
3
225
22
456
828
441
58
661
117
157
36
251
72
Female
Procedures /
1,000 Member
Months
Number of
Procedures
215
292
250
383
12
224
285
5
Procedures /
1,000 Member
Months
0.15
0.30
0.18
0.39
0.23
0.16
0.29
0.10
0.03
0.05
0.14
0.37
0.43
0.91
0.49
0.97
0.73
1.95
0.17
0.60
0.28
1.20
70
53
2
0.05
0.05
0.04
484
391
20
552
966
148
24
419
67
28
8
0.34
0.40
0.38
0.46
0.98
0.15
0.46
0.42
1.28
0.03
0.15
54
140
16
254
369
32
0.04
0.14
0.31
0.18
0.37
0.61
Page 32
Use of Services
HealthPartners and Group Health
Frequency of Selected Procedures
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicare Advantage
Measurement Year
2005
Age
< 65
65-74
75-84
85+
Member Months
Male
Female
1209
1056
15699
25233
23975
41704
7107
16267
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
0
16
12
1
0
9
28
7
0
17
33
5
0
3
8
1
0
3
12
7
0
1
13
0
1
14
23
9
0
3
9
4
0
1
2
1
0
7
6
3
2
16
36
13
Female
Procedures /
1,000 Member
Months
0.00
1.02
0.50
0.14
0.00
0.57
1.17
0.98
0.00
1.08
1.38
0.70
0.00
0.19
0.33
0.14
0.00
0.19
0.50
0.98
0.00
0.06
0.54
0.00
0.83
0.89
0.96
1.27
0.00
0.19
0.38
0.56
0.00
0.06
0.08
0.14
0.00
0.45
0.25
0.42
Number of
Procedures
1
2
7
1
1
15
30
5
4
33
36
9
0
3
13
1
0
4
18
28
0
10
35
2
0
39
52
5
0
7
14
5
0
3
6
1
0
11
12
4
0
1
7
0
0
2
6
0
Procedures /
1,000 Member
Months
0.95
0.08
0.17
0.06
0.95
0.59
0.72
0.31
3.79
1.31
0.86
0.55
0.00
0.12
0.31
0.06
0.00
0.16
0.43
1.72
0.00
0.40
0.84
0.12
0.00
1.55
1.25
0.31
0.00
0.28
0.34
0.31
0.00
0.12
0.14
0.06
0.00
0.44
0.29
0.25
0.00
0.04
0.17
0.00
0.00
0.08
0.14
0.00
1
6
9
7
1
11
9
2
0.95
0.24
0.22
0.43
0.95
0.44
0.22
0.12
1.65
1.02
1.50
1.83
Page 33
Use of Services
HealthPartners and Group Health
Inpatient Utilization - General Hospital/Acute Care
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
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
Member Months
82095
761755
946661
2252454
1895323
87428
20928
3765
0
6050409
Discharges
Discharges /
1,000 Member
Months
527
1378
1493
13537
13107
1313
524
113
0
31992
6.42
1.81
1.58
6.01
6.92
15.02
25.04
30.01
424
1038
773
2833
6193
668
346
98
0
12373
5.16
1.36
0.82
1.26
3.27
7.64
16.53
26.03
102
340
544
3158
6898
645
178
15
0
11880
1.24
0.45
0.57
1.40
3.64
7.38
8.51
3.98
172
7529
8
0
0
7709
HEDIS 2006 (Reporting Year 2005)
5.29
2.04
1.96
0.18
3.34
0.00
0.00
1.49
Days
Days / 1,000
Member
Months
2274
3739
4897
38245
45858
5335
2124
568
0
103040
27.70
4.91
5.17
16.98
24.20
61.02
101.49
150.86
1283
2454
2816
8270
20258
2639
1325
460
0
39505
15.63
3.22
2.97
3.67
10.69
30.18
63.31
122.18
990
1285
1599
9625
25551
2696
799
108
0
42653
12.06
1.69
1.69
4.27
13.48
30.84
38.18
28.69
472
20292
22
0
0
20786
0.50
9.01
0.01
0.00
17.03
6.53
7.05
4.01
Average
Length of Stay
4.31
2.71
3.28
2.83
3.50
4.06
4.05
5.03
NA
3.22
3.03
2.36
3.64
2.92
3.27
3.95
3.83
4.69
NA
3.19
9.71
3.78
2.94
3.05
3.70
4.18
4.49
7.20
NA
3.59
2.74
2.70
2.75
NA
NA
2.70
Page 34
Use of Services
HealthPartners and Group Health
Inpatient Utilization - General Hospital/Acute Care
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
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
Member Months
0
0
0
273
1992
40932
65679
23374
0
132250
Discharges
Discharges /
1,000 Member
Months
0
0
0
8
49
921
2023
939
0
3940
NA
NA
NA
29.30
24.60
22.50
30.80
40.17
0
0
0
7
27
541
1322
694
0
2591
NA
NA
NA
25.64
13.55
13.22
20.13
29.69
0
0
0
1
22
380
701
245
0
1349
NA
NA
NA
3.66
11.04
9.28
10.67
10.48
0
0
0
0
0
0
HEDIS 2006 (Reporting Year 2005)
29.79
19.59
10.20
NA
0.00
0.00
0.00
0.00
Days
0
0
0
81
189
4046
8541
4055
0
16912
Days / 1,000
Member
Months
NA
NA
NA
296.70
94.88
98.85
130.04
173.48
127.88
0
0
0
38
102
2094
5014
2818
0
10066
NA
NA
NA
139.19
51.20
51.16
76.34
120.56
0
0
0
43
87
1952
3527
1237
0
6846
NA
NA
NA
157.51
43.67
47.69
53.70
52.92
0
0
0
0
0
0
NA
0.00
0.00
0.00
76.11
51.77
0.00
Average
Length of Stay
NA
NA
NA
10.13
3.86
4.39
4.22
4.32
NA
4.29
NA
NA
NA
5.43
3.78
3.87
3.79
4.06
NA
3.88
NA
NA
NA
43.00
3.95
5.14
5.03
5.05
NA
5.07
NA
NA
NA
NA
NA
NA
Page 35
Use of Services
HealthPartners and Group Health
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Measurement
Year
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
2005
Member
Months
82095
761755
946661
2252454
1895323
87428
20928
3765
0
6050409
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
73577
241000
211232
582987
662033
44515
13782
2470
0
1831596
HEDIS 2006 (Reporting Year 2005)
Visits/ 1,000
Member
Months
896.24
316.37
223.13
258.82
349.30
509.16
658.54
656.04
302.72
Emergency Room Visits
Visits
2073
10429
9404
23895
16790
1025
372
81
0
64069
Visits/ 1,000
Member
Months
25.25
13.69
9.93
10.61
8.86
11.72
17.78
21.51
10.59
Ambulatory
Surgery/Procedures
Procedures
460
3400
2567
13755
31517
2162
604
66
0
54531
Procedures/
1,000 Member
Months
5.60
4.46
2.71
6.11
16.63
24.73
28.86
17.53
9.01
Observation Room Stays
Resulting in Discharge
Stays
24
51
60
1269
60
2
1
0
0
1467
Stays/ 1,000
Member
Months
0.29
0.07
0.06
0.56
0.03
0.02
0.05
0.00
0.24
Page 37
Use of Services
HealthPartners and Group Health
Ambulatory Care
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicare Advantage
Measurement
Year
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
2005
Member
Months
0
0
0
273
1992
40932
65679
23374
0
132250
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
0
0
0
155
1299
25141
47131
19302
0
93028
HEDIS 2006 (Reporting Year 2005)
Visits/ 1,000
Member
Months
NA
NA
NA
567.77
652.11
614.21
717.60
825.79
703.43
Emergency Room Visits
Visits
0
0
0
23
47
660
1185
580
0
2495
Visits/ 1,000
Member
Months
NA
NA
NA
84.25
23.59
16.12
18.04
24.81
18.87
Ambulatory
Surgery/Procedures
Procedures
0
0
0
9
41
980
1546
405
0
2981
Procedures/
1,000 Member
Months
NA
NA
NA
32.97
20.58
23.94
23.54
17.33
22.54
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
1
4
1
0
6
Stays/ 1,000
Member
Months
NA
NA
NA
0.00
0.00
0.02
0.06
0.04
0.05
Page 38
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Commercial
Measurement
Year
Age
2005
Member
Months
<1
82095
1-9
761755
10-19
946661
20-44
2252454
45-64
1895323
65-74
87428
75-84
20928
85+
3765
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 11:29 AM
0
6050409
Discharges
Discharges /
1,000 Member
Months
<1
0
0.00
0
0.00
NA
1-9
1
0.00
17
0.02
17.00
10-19
13
0.01
256
0.27
19.69
20-44
74
0.03
1194
0.53
16.14
45-64
654
0.35
9877
5.21
15.10
65-74
141
1.61
2409
27.55
17.09
75-84
83
3.97
1738
83.05
20.94
85+
38
10.09
1055
280.21
27.76
0.17
0
16546
2.73
NA
16.48
Age
Unknown
Total
0
1004
HEDIS 2006 (Reporting Year 2005)
Days
Days / 1,000
Member
Months
Average Length
of Stay
Page 39
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Medicare Advantage
Measurement
Year
Age
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
Member
Months
<1
0
1-9
0
10-19
0
20-44
273
45-64
1992
65-74
40932
75-84
65679
85+
23374
Unknown
Total
0
132250
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
0
10-19
0
NA
0
NA
NA
20-44
0
0.00
0
0.00
NA
45-64
6
3.01
94
47.19
15.67
65-74
264
6.45
3852
94.11
14.59
75-84
767
11.68
10331
157.30
13.47
85+
514
21.99
8196
350.65
15.95
Unknown
Total
0
1551
11.73
0
22473
169.93
NA
14.49
Age
HEDIS 2006 (Reporting Year 2005)
Days
Days / 1,000
Member
Months
Average Length
of Stay
NA
0
NA
NA
NA
0
NA
NA
Page 40
Use of Services
HealthPartners and Group Health
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Commercial
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
Male
Member Months
Female
Total
572222
253567
2059060
59862
0
2944711
544964
240081
2268394
52259
0
3105698
1117186
493648
4327454
112121
0
6050409
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days*
Average
Length of Stay
Gender
M
52
0.09
760
14.62
F
36
0.07
688
19.11
Total
88
0.08
1448
16.45
M
13-17
197
0.78
4887
24.81
F
310
1.29
4555
14.69
Total
507
1.03
9442
18.62
M
18-64
519
0.25
4219
8.13
F
777
0.34
6851
8.82
Total
1296
0.30
11070
8.54
65+
M
23
0.38
244
10.61
F
15
0.29
175
11.67
Total
38
0.34
419
11.03
Unknown
M
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
791
0.27
10110
12.78
F
1138
0.37
12269
10.78
TOTAL
1929
0.32
22379
11.60
* 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
HealthPartners and Group Health
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Medicare Advantage
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
Male
Member Months
Female
Total
0
0
1209
46781
0
47990
0
0
1056
83204
0
84260
0
0
2265
129985
0
132250
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days*
Average
Length of Stay
Gender
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
13-17
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
18-64
6
4.96
115
19.17
F
4
3.79
63
15.75
Total
10
4.42
178
17.80
M
65+
40
0.86
585
14.63
F
81
0.97
1385
17.10
Total
121
0.93
1970
16.28
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
46
0.96
700
15.22
F
85
1.01
1448
17.04
TOTAL
131
0.99
2148
16.40
* 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
HealthPartners and Group Health
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
0-12
Member Months (Ambulatory)
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
572222
253567
544964
240081
1117186
493648
572222
253567
544964
240081
1117186
493648
572222
253567
544964
240081
1117186
493648
572222
253567
544964
240081
1117186
493648
2059060
59862
0
2944711
2268394
52259
0
3105698
4327454
112121
0
6050409
2059060
59862
0
2944711
2268394
52259
0
3105698
4327454
112121
0
6050409
2059060
59862
0
2944711
2268394
52259
0
3105698
4327454
112121
0
6050409
2059060
59862
0
2944711
2268394
52259
0
3105698
4327454
112121
0
6050409
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
Age
Member Months (Inpatient)
Male
Number
Percent
Inpatient Mental Health Services
Percent
Number
Day/Night Mental Health Services
Percent
Number
Ambulatory Mental Health Services
Percent
Number
2833
1559
4392
2487
2680
5167
11058
20745
31803
175
186
361
0
0
0
16553
25170
41723
5.94%
3.43%
4.72%
11.77%
13.40%
12.56%
6.44%
10.97%
8.82%
3.51%
4.27%
3.86%
NA
NA
NA
6.75%
9.73%
8.28%
35
21
56
128
207
335
409
592
1001
19
15
34
0
0
0
591
835
1426
10
8
18
34
68
102
72
130
202
0
0
0
0
0
0
116
206
322
2826
1555
4381
2462
2650
5112
10968
20655
31623
164
178
342
0
0
0
16420
25038
41458
HEDIS 2006 (Reporting Year 2005)
0.07%
0.05%
0.06%
0.61%
1.03%
0.81%
0.24%
0.31%
0.28%
0.38%
0.34%
0.36%
NA
NA
NA
0.24%
0.32%
0.28%
0.02%
0.02%
0.02%
0.16%
0.34%
0.25%
0.04%
0.07%
0.06%
0.00%
0.00%
0.00%
NA
NA
NA
0.05%
0.08%
0.06%
5.93%
3.42%
4.71%
11.65%
13.25%
12.43%
6.39%
10.93%
8.77%
3.29%
4.09%
3.66%
NA
NA
NA
6.69%
9.67%
8.22%
Page 45
Use of Services
HealthPartners and Group Health
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicare Advantage
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Member Months (Inpatient)
0-12
Female
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
1209
46781
0
47990
1056
83204
0
84260
2265
129985
0
132250
1209
46781
0
47990
1056
83204
0
84260
2265
129985
0
132250
1209
46781
0
47990
1056
83204
0
84260
2265
129985
0
132250
1209
46781
0
47990
1056
83204
0
84260
2265
129985
0
132250
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)
Male
Any Mental Health Services
Age
Member Months (Day/Night)
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
33
33
66
175
377
552
0
0
0
208
410
618
NA
NA
NA
NA
NA
NA
32.75%
37.50%
34.97%
4.49%
5.44%
5.10%
NA
NA
NA
5.20%
5.84%
5.61%
0
0
0
0
0
0
3
2
5
34
62
96
0
0
0
37
64
101
NA
NA
NA
NA
NA
NA
2.98%
2.27%
2.65%
0.87%
0.89%
0.89%
NA
NA
NA
0.93%
0.91%
0.92%
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
33
33
66
150
329
479
0
0
0
183
362
545
HEDIS 2006 (Reporting Year 2005)
NA
NA
NA
NA
NA
NA
32.75%
37.50%
34.97%
3.85%
4.74%
4.42%
NA
NA
NA
4.58%
5.16%
4.95%
Page 46
Use of Services
HealthPartners and Group Health
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Oct 7, 2009 11:29 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
114731
35075
233416
69481
118685
34406
114731
35075
233416
69481
118685
34406
114731
35075
233416
69481
118685
34406
114731
35075
233416
69481
105222
14688
0
273001
178537
33857
0
362200
283759
48545
0
635201
105222
14688
0
273001
178537
33857
0
362200
283759
48545
0
635201
105222
14688
0
273001
178537
33857
0
362200
283759
48545
0
635201
105222
14688
0
273001
178537
33857
0
362200
283759
48545
0
635201
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)
118685
34406
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
705
435
1140
362
414
776
1554
2959
4513
73
188
261
0
0
0
2694
3996
6690
7.13%
4.55%
5.86%
12.63%
14.16%
13.40%
17.72%
19.89%
19.09%
5.96%
6.66%
6.45%
NA
NA
NA
11.84%
13.24%
12.64%
10
3
13
21
50
71
159
222
381
10
25
35
0
0
0
200
300
500
1
2
3
7
21
28
11
20
31
0
0
0
0
0
0
19
43
62
705
435
1140
355
393
748
1505
2903
4408
65
169
234
0
0
0
2630
3900
6530
HEDIS 2006 (Reporting Year 2005)
0.10%
0.03%
0.07%
0.73%
1.71%
1.23%
1.81%
1.49%
1.61%
0.82%
0.89%
0.87%
NA
NA
NA
0.88%
0.99%
0.94%
0.01%
0.02%
0.02%
0.24%
0.72%
0.48%
0.13%
0.13%
0.13%
0.00%
0.00%
0.00%
NA
NA
NA
0.08%
0.14%
0.12%
7.13%
4.55%
5.86%
12.38%
13.45%
12.92%
17.16%
19.51%
18.64%
5.31%
5.99%
5.78%
NA
NA
NA
11.56%
12.92%
12.34%
Page 48
Use of Services
HealthPartners and Group Health
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Commercial
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
Male
Member Months
Female
Total
572222
253567
2059060
59862
0
2944711
544964
240081
2268394
52259
0
3105698
1117186
493648
4327454
112121
0
6050409
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days
Average
Length of Stay
M
0
0.00
0
NA
F
0
0.00
0
NA
Total
0
0.00
0
NA
13-17
M
131
0.52
1695
12.94
F
91
0.38
1210
13.30
Total
222
0.45
2905
13.09
18-64
M
570
0.28
3959
6.95
F
369
0.16
2785
7.55
Total
939
0.22
6744
7.18
65+
M
3
0.05
43
14.33
F
4
0.08
39
9.75
Total
7
0.06
82
11.71
Unknown
M
0
0
NA
F
0
0
NA
Total
0
0
NA
M
Total
704
0.24
5697
8.09
F
464
0.15
4034
8.69
TOTAL
1168
0.19
9731
8.33
* 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
HealthPartners and Group Health
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Medicare Advantage
Measurement
Year
Age
0-12
13-17
18-64
65+
Unknown
Total
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
Male
Member Months
Female
Total
0
0
1209
46781
0
47990
0
0
1056
83204
0
84260
0
0
2265
129985
0
132250
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days
Average
Length of Stay
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
13-17
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
M
18-64
0
0.00
0
NA
F
2
1.89
4
2.00
Total
2
0.88
4
2.00
M
65+
15
0.32
117
7.80
F
8
0.10
35
4.38
Total
23
0.18
152
6.61
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
15
0.31
117
7.80
F
10
0.12
39
3.90
TOTAL
25
0.19
156
6.24
* 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
HealthPartners and Group Health
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
572222
253567
256116
377932
1425012
59862
0
2944711
Female
544964
240081
276688
435698
1556008
52259
0
3105698
Total
1117186
493648
532804
813630
2981020
112121
0
6050409
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
9
4
13
520
321
841
665
371
1036
593
333
926
2309
1343
3652
72
44
116
0
0
0
4168
2416
6584
HEDIS 2006 (Reporting Year 2005)
Percent
0.02%
0.01%
0.01%
2.46%
1.60%
2.04%
NR
NR
NA
1.24%
0.73%
0.99%
1.94%
1.04%
1.47%
1.44%
1.01%
1.24%
NA
NA
NA
1.70%
0.93%
1.31%
Member Months (Inpatient)
Male
572222
253567
256116
377932
1425012
59862
0
2944711
Female
544964
240081
276688
435698
1556008
52259
0
3105698
Total
1117186
493648
532804
813630
2981020
112121
0
6050409
Member Months (Day/Night)
Male
572222
253567
256116
377932
1425012
59862
0
2944711
Female
544964
240081
276688
435698
1556008
52259
0
3105698
Total
1117186
493648
532804
813630
2981020
112121
0
6050409
Member Months (Ambulatory)
Male
572222
253567
256116
377932
1425012
59862
0
2944711
Female
544964
240081
276688
435698
1556008
52259
0
3105698
Total
1117186
493648
532804
813630
2981020
112121
0
6050409
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
2
1
3
131
116
247
133
65
198
109
83
192
711
435
1146
41
26
67
0
0
0
1127
726
1853
Number
0
0
0
165
83
248
107
45
152
75
25
100
282
118
400
0
0
0
0
0
0
629
271
900
Number
7
3
10
442
257
699
561
326
887
517
297
814
1940
1151
3091
42
25
67
0
0
0
3509
2059
5568
Percent
0.00%
0.00%
0.00%
0.62%
0.58%
0.60%
NR
NR
NA
0.23%
0.18%
0.21%
0.60%
0.34%
0.46%
0.82%
0.60%
0.72%
NA
NA
NA
0.46%
0.28%
0.37%
Percent
0.00%
0.00%
0.00%
0.78%
0.41%
0.60%
NR
NR
NA
0.16%
0.06%
0.11%
0.24%
0.09%
0.16%
0.00%
0.00%
0.00%
NA
NA
NA
0.26%
0.10%
0.18%
Percent
0.01%
0.01%
0.01%
2.09%
1.28%
1.70%
NR
NR
NA
1.08%
0.65%
0.87%
1.63%
0.89%
1.24%
0.84%
0.57%
0.72%
NA
NA
NA
1.43%
0.80%
1.10%
Page 52
Use of Services
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicare Advantage
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
0
0
0
31
1178
46781
0
47990
Female
0
0
12
12
1032
83204
0
84260
Total
0
0
12
43
2210
129985
0
132250
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
1
0
1
6
3
9
75
64
139
0
0
0
82
67
149
HEDIS 2006 (Reporting Year 2005)
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
6.11%
3.49%
4.89%
1.92%
0.92%
1.28%
NA
NA
NA
2.05%
0.95%
1.35%
Member Months (Inpatient)
Male
0
0
0
31
1178
46781
0
47990
Female
0
0
12
12
1032
83204
0
84260
Total
0
0
12
43
2210
129985
0
132250
Member Months (Day/Night)
Male
0
0
0
31
1178
46781
0
47990
Female
0
0
12
12
1032
83204
0
84260
Total
0
0
12
43
2210
129985
0
132250
Member Months (Ambulatory)
Male
0
0
0
31
1178
46781
0
47990
Female
0
0
12
12
1032
83204
0
84260
Total
0
0
12
43
2210
129985
0
132250
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
2
2
53
47
100
0
0
0
53
49
102
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
Number
0
0
0
0
0
0
0
0
0
1
0
1
6
3
9
38
27
65
0
0
0
45
30
75
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
0.00%
2.33%
1.09%
1.36%
0.68%
0.92%
NA
NA
NA
1.33%
0.70%
0.93%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.05%
0.00%
0.02%
NA
NA
NA
0.05%
0.00%
0.02%
Percent
NA
NA
NA
NA
NA
NA
NR
NR
NA
NA
NA
NA
6.11%
3.49%
4.89%
0.97%
0.39%
0.60%
NA
NA
NA
1.13%
0.43%
0.68%
Page 53
Use of Services
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Identification of Alcohol and Other Drug Services
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicaid
Measurement Year
2005
Member Months (Any)
Age
0-12
13-17
18-24
25-34
35-64
65+
Unknown
Total
Male
118685
34406
25112
26598
53512
14688
0
273001
Female
114731
35075
53604
55198
69735
33857
0
362200
Total
233416
69481
78716
81796
123247
48545
0
635201
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
3
5
8
113
71
184
178
272
450
335
406
741
841
599
1440
31
24
55
0
0
0
1501
1377
2878
HEDIS 2006 (Reporting Year 2005)
Percent
0.03%
0.05%
0.04%
3.94%
2.43%
3.18%
NR
NR
NA
3.39%
4.25%
3.81%
18.86%
10.31%
14.02%
2.53%
0.85%
1.36%
NA
NA
NA
6.60%
4.56%
5.44%
Member Months (Inpatient)
Male
118685
34406
25112
26598
53512
14688
0
273001
Female
114731
35075
53604
55198
69735
33857
0
362200
Total
233416
69481
78716
81796
123247
48545
0
635201
Member Months (Day/Night)
Male
118685
34406
25112
26598
53512
14688
0
273001
Female
114731
35075
53604
55198
69735
33857
0
362200
Total
233416
69481
78716
81796
123247
48545
0
635201
Member Months (Ambulatory)
Male
118685
34406
25112
26598
53512
14688
0
273001
Female
114731
35075
53604
55198
69735
33857
0
362200
Total
233416
69481
78716
81796
123247
48545
0
635201
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
2
2
28
25
53
43
89
132
84
103
187
293
189
482
17
17
34
0
0
0
465
425
890
Number
0
2
2
46
14
60
34
34
68
54
56
110
98
67
165
1
0
1
0
0
0
233
173
406
Number
3
3
6
81
51
132
145
214
359
286
348
634
700
524
1224
20
10
30
0
0
0
1235
1150
2385
Percent
0.00%
0.02%
0.01%
0.98%
0.86%
0.92%
NR
NR
NA
0.85%
1.08%
0.96%
6.57%
3.25%
4.69%
1.39%
0.60%
0.84%
NA
NA
NA
2.04%
1.41%
1.68%
Percent
0.00%
0.02%
0.01%
1.60%
0.48%
1.04%
NR
NR
NA
0.55%
0.59%
0.57%
2.20%
1.15%
1.61%
0.08%
0.00%
0.02%
NA
NA
NA
1.02%
0.57%
0.77%
Percent
0.03%
0.03%
0.03%
2.83%
1.74%
2.28%
NR
NR
NA
2.89%
3.64%
3.26%
15.70%
9.02%
11.92%
1.63%
0.35%
0.74%
NA
NA
NA
5.43%
3.81%
4.51%
Page 55
Use of Services
HealthPartners and Group Health
Outpatient Drug Utilization
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Measurement
Year
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
2005
Member Months
742467
838117
2007534
1709961
79871
18587
3250
0
5399787
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
$9,187,541.06
$21,055,336.19
$78,272,810.10
$148,516,655.62
$11,126,594.70
$3,035,214.21
$538,183.85
$0.00
$271,732,335.73
HEDIS 2006 (Reporting Year 2005)
Avg. Cost of
Prescriptions /
Per Member Per
Month
$12.37
$25.12
$38.99
$86.85
$139.31
$163.30
$165.60
$50.32
Total Number of
Prescriptions
199781
325460
1451049
2877554
247510
71932
13939
0
5187225
Avg. Num. Of
Prescriptions /
Per Member Per
Year
3.23
4.66
8.67
20.19
37.19
46.44
51.47
11.53
Page 56
Use of Services
HealthPartners and Group Health
Outpatient Drug Utilization
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicare Advantage
Measurement
Year
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
2005
Member Months
0
0
43
314
16368
14189
5771
0
36685
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
$0.00
$0.00
$42,858.81
$138,246.39
$2,088,071.09
$1,637,523.08
$306,267.25
$0.00
$4,212,966.62
HEDIS 2006 (Reporting Year 2005)
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
$996.72
$440.28
$127.57
$115.41
$53.07
$114.84
Total Number of
Prescriptions
0
0
252
2286
47194
43253
9621
0
102606
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
70.33
87.36
34.60
36.58
20.01
33.56
Page 57
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 11:29 AM
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 2006 (Reporting Year 2005)
Ages 20-44
Ages 45-64
Ages 65+
94687
113063
7803
90526
109321
7632
95.61%
95.47%
95.74%
96.69%
96.59%
96.80%
97.81%
97.48%
98.14%
2005
A
Page 58
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 11:29 AM
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 2006 (Reporting Year 2005)
Ages 20-44
Ages 45-64
Ages 65+
22
148
9980
2005
A
18
140
9617
NA
NA
NA
94.59%
90.61%
98.58%
96.36%
95.99%
96.74%
Page 59
Access/Availability of Care
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Oct 7, 2009 11:29 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+
8030
3168
2995
2005
A
7018
2767
2760
87.40%
86.67%
88.13%
87.34%
86.17%
88.52%
92.15%
91.17%
93.13%
Page 61
Access/Availability of Care
HealthPartners and Group Health
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 11:29 AM
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 2006 (Reporting Year 2005)
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
12-19 yrs.
6213
29717
26780
49293
6088
26226
23219
43226
97.99%
97.63%
98.35%
88.25%
87.88%
88.62%
86.70%
86.29%
87.11%
87.69%
87.40%
87.98%
2005
A
Page 62
Access/Availability of Care
HealthPartners and Group Health
Children's and Adolescents' Access to Primary Care Practitioners
Data Last Refreshed:
Oct 7, 2009 11:29 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.
1475
4277
2596
3931
2005
A
1432
3669
2196
3292
97.08%
96.19%
97.98%
85.78%
84.73%
86.84%
84.59%
83.18%
86.00%
83.74%
82.58%
84.91%
Page 63
Access/Availability of Care
HealthPartners and Group Health
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Commercial
Timeliness of
Prenatal Care
Postpartum
Care
2005
HO
2004
HO
S
S
Eligible member population (i.e. members who meet all
denominator criteria)
6497
6922
Number of numerator events by administrative data in
eligible population (before exclusions)
4891
3874
Current year's administrative rate (before exclusions)
Measurement Year
Data collection methodology (Administrative or Hybrid)
Sampling method used (see User's Guide for entry
descriptions)
75.28%
55.97%
Minimum required sample size (MRSS) or other sample
size
207
260
Oversampling rate
Final sample size (FSS)
5%
218
5%
273
Number of numerator events by administrative data in FSS
169
159
77.52%
58.24%
Number of original sample records excluded because of
valid data errors
0
0
Number of employee/dependent medical records
excluded
0
0
0
207
91
109
0
260
121
103
96.62%
93.91%
99.32%
86.15%
81.76%
90.54%
Administrative rate on FSS
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2006 (Reporting Year 2005)
Page 64
Access/Availability of Care
HealthPartners and Group Health
Prenatal and Postpartum Care
Data Last Refreshed:
Oct 7, 2009 11:29 AM
Medicaid
Timeliness of
Prenatal Care
Postpartum
Care
2005
HO
2005
HO
S
S
Eligible member population (i.e. members who meet all
denominator criteria)
1772
1772
Number of numerator events by administrative data in
eligible population (before exclusions)
1129
628
Current year's administrative rate (before exclusions)
Measurement Year
Data collection methodology (Administrative or Hybrid)
Sampling method used (see User's Guide for entry
descriptions)
63.71%
35.44%
Minimum required sample size (MRSS) or other sample
size
411
411
Oversampling rate
Final sample size (FSS)
5%
432
5%
432
Number of numerator events by administrative data in FSS
272
144
62.96%
33.33%
Number of original sample records excluded because of
valid data errors
0
0
Number of employee/dependent medical records
excluded
0
0
0
411
93
283
0
411
93
178
91.48%
88.66%
94.30%
65.94%
61.23%
70.64%
Administrative rate on FSS
Records added from the oversample list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
HEDIS 2006 (Reporting Year 2005)
Page 65
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 11:29 AM
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
2005
A
Eligible member population (i.e. members
who meet all denominator criteria)
Numerator events by administrative data
18-25 Year Olds
457
960
524
2177
79
4197
200
97
287
126
174
67
1070
317
60
2
1791
609
Reported rate
43.76%
21.23%
29.90%
13.13%
33.21%
12.79%
49.15%
14.56%
75.95%
2.53%
42.67%
14.51%
Lower 95% confidence interval
39.11%
17.37%
26.95%
10.94%
29.08%
9.83%
47.03%
13.06%
65.89%
0.00%
41.17%
13.43%
Upper 95% confidence interval
48.42%
25.08%
32.84%
15.31%
37.33%
15.74%
51.27%
16.07%
86.01%
6.63%
44.18%
15.59%
HEDIS 2006 (Reporting Year 2005)
Page 66
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 11:29 AM
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
2005
A
Eligible member population (i.e. members
who meet all denominator criteria)
103
107
0
0
0
0
0
0
2
0
85
1
87
1
Reported rate
NA
NA
NA
NA
NA
NA
NA
NA
82.52%
0.97%
81.31%
0.93%
Lower 95% confidence interval
Upper 95% confidence interval
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
74.70%
90.34%
0.00%
3.35%
73.45%
89.16%
0.00%
3.23%
Numerator events by administrative data
HEDIS 2006 (Reporting Year 2005)
Page 67
Access/Availability of Care
HealthPartners and Group Health
Initiation/Engagement of Alcohol & Other Drug Dependence Treatment
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners and Group Health
Practitioner Turnover
Medicare Advantage
Measurement Year
Practitioner Types
Primary Care
Physicians
Non-Physician Primary
Care Practitioners
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
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
243
15
6.17%
93.83%
41
1
2.44%
97.56%
HEDIS 2006 (Reporting Year 2005)
Page 69
Health Plan Stability
HealthPartners and Group Health
Years in Business / Total Membership
Medicare Advantage
Measurement Year
Product/Product Line
Data Last Refreshed:
Oct 7, 2009 11:29 AM
2005
Years in Business
Members*
50.00
20.00
50.00
21.00
18.00
50.00
386455
51569
61643
34523
235912
2808
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
22.00
22.00
0.00
0.00
0.00
225858
225858
0
0
0
612313
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
Total
* Total number of members in each category as of December 31, 2005
HEDIS 2006 (Reporting Year 2005)
Page 70
Health Plan Descriptive
HealthPartners
Information and Group Health
Enrollment by Product Line (Age & Sex)
Commercial
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 11:29 AM
2005
Male
42192
170832
217356
241248
154176
89880
Member Months
Female
39912
164808
208764
226188
145368
89796
915684
31.10%
166236
171480
206448
240732
278316
874836
28.17%
186888
205968
229728
261972
304668
1063212
36.11%
280872
258252
224184
142644
1189224
38.29%
314076
290964
236424
147900
905952
30.77%
33672
14016
6744
3720
1356
360
989364
31.86%
27696
12048
6780
3696
1440
612
59868
2.03%
0
52272
1.68%
0
2944716
3105696
HEDIS 2006 (Reporting Year 2005)
Total
82104
335640
426120
467436
299544
179676
1790520
29.59%
353124
377448
436176
502704
582984
2252436
37.23%
594948
549216
460608
290544
1895316
31.33%
61368
26064
13524
7416
2796
972
112140
1.85%
0
6050412
Page 71
Health Plan Descriptive
HealthPartners
Information and Group Health
Enrollment by Product Line (Age & Sex)
Medicare Advantage
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 11:29 AM
2005
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
0
0.00%
0
0
36
36
72
0
0.00%
12
0
12
48
60
144
0.30%
120
180
384
384
132
0.16%
108
228
240
348
1068
2.23%
6120
9576
12036
11940
5484
1620
924
1.10%
9492
15744
20268
21444
10896
5376
46776
97.47%
0
83220
98.75%
0
47988
84276
HEDIS 2006 (Reporting Year 2005)
Total
0
0
0
0
0
0
0
0.00%
12
0
48
84
132
276
0.21%
228
408
624
732
1992
1.51%
15612
25320
32304
33384
16380
6996
129996
98.29%
0
132264
Page 72
Health Plan Descriptive
HealthPartners
Information and Group Health
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Oct 7, 2009 11:29 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
HealthPartners
Information and Group Health
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 11:29 AM
2005
Male
15492
41874
39817
35753
20155
9891
Member Months
Female
14514
39464
38802
35930
21096
13080
162982
59.70%
15221
14130
12468
12705
12577
162886
44.97%
40524
31917
23281
19675
17127
67101
24.58%
11172
8784
5061
3213
132524
36.59%
13004
8682
6764
4483
28230
10.34%
4544
3908
2614
1790
988
844
32933
9.09%
8372
6638
5786
4956
3943
4162
14688
5.38%
0
33857
9.35%
0
273001
362200
HEDIS 2006 (Reporting Year 2005)
Total
30006
81338
78619
71683
41251
22971
325868
51.30%
55745
46047
35749
32380
29704
199625
31.43%
24176
17466
11825
7696
61163
9.63%
12916
10546
8400
6746
4931
5006
48545
7.64%
0
635201
Page 74