HealthPartners, Inc.
Plan Name
2002
Reporting Year
General Info
Submission #
1
Last Refreshed:
4
9/23/2003 1:39:40 PM
Page
Title
Disclaimers
Effectiveness of
Care Measures
Plan ID
2
Access / Availability
of Care
Page
Measure
Page
Childhood Immunization Rate
3
Adults' Access to Preventive/Ambulatory Health Services
62
Adolescent Immunization Rate
6
Children's Access to Primary Care Practitioners
68
Breast Cancer Screening
9
Prenatal and Postpartum Care
71
Cervical Cancer Screening
10
Availability of Language Interpretation Services
74
Chlamydia Screening in Women
11
Controlling High Blood Pressure
12
Beta Blocker Treatment after a Heart Attack
13
Cholesterol Management
14
Comprehensive Diabetes Care
15
Practitioner Turnover
75
Appropriate Medications for People with Asthma
21
Years in Business / Total Membership
77
Follow-up After Hospitalization For Mental Illness
25
Antidepressant Medication Management
26
Measure
Use of Services
Measures
Measure
Health Plan Stability
Measure
Page
Health Plan
Descriptive
Information
Measure
Page
Page
Well-Child Visits In The First 15 Months of Life
32
Board Certification / Residency Completion
79
Well-Child Visits In The Third, Fourth, Fifth And Sixth Year of Life
34
Total Enrollment by Percentage
80
Adolescent Well-Care Visits
35
Enrollment by Product Line (Age & Sex)
81
Inpatient Utilization - General Hospital/Acute Care
36
Ambulatory Care
42
Inpatient Utilization - Nonacute Care
45
Mental Health Utilization - Inpatient Discharges and Average Length of Stay
48
Mental Health Utilization - Percentage of Members Receiving Inpatient and Ambulatory Services
51
Chemical Dependency Utilization - Inpatient Discharges and Average Length of Stay
54
Chemical Dependency Utilization - Percentage of Members Receiving Inpatient and Ambulatory Services
57
Outpatient Drug Utilization
60
HEDIS 2003 (Reporting Year 2002)
DISCLAIMERS
-1
( this page left blank intentionally )
0. Disclaimer Query located below
HEDIS 2003 (Reporting Year 2002)
Page 2
Effectiveness of Care
HealthPartners, Inc.
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 1
Combo 2
2218
61.80%
2340
65.20%
3154
87.88%
2300
64.08%
2191
61.05%
2729
76.04%
1798
50.10%
1592
44.36%
267
61.81%
277
64.12%
381
88.19%
274
63.43%
254
58.80%
335
77.55%
217
50.23%
195
45.14%
252
106
87.10%
83.74%
90.47%
259
114
90.75%
87.83%
93.68%
363
19
92.94%
90.35%
95.54%
259
103
88.08%
84.82%
91.33%
240
132
90.51%
87.56%
93.47%
321
27
84.67%
81.07%
88.28%
205
109
76.40%
72.17%
80.63%
185
101
69.59%
65.02%
74.16%
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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/OPV
HO
S
3589
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
DTaP/DT
411
Page 3
Effectiveness of Care
HealthPartners, Inc.
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 1
Combo 2
330
22.36%
444
30.08%
685
46.41%
417
28.25%
396
26.83%
578
39.16%
233
15.79%
187
12.67%
90
20.83%
128
29.63%
196
45.37%
119
27.55%
112
25.93%
152
35.19%
68
15.74%
56
12.96%
89
199
70.07%
65.52%
74.62%
124
224
84.67%
81.07%
88.28%
191
168
87.35%
84.01%
90.68%
115
187
73.48%
69.09%
77.87%
108
256
88.56%
85.37%
91.76%
146
161
74.70%
70.37%
79.02%
67
171
57.91%
53.01%
62.80%
55
154
50.85%
45.90%
55.81%
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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/OPV
HO
S
1476
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
DTaP/DT
411
Page 4
Effectiveness of Care
HealthPartners, Inc.
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HiB
Hepatitis B
VZV
Combo 1
Combo 2
69
32.39%
86
40.38%
111
52.11%
75
35.21%
73
34.27%
90
42.25%
55
25.82%
44
20.66%
69
32.39%
86
40.38%
111
52.11%
75
35.21%
73
34.27%
90
42.25%
55
25.82%
44
20.66%
69
105
81.69%
76.26%
87.12%
86
106
90.14%
85.90%
94.38%
111
80
89.67%
85.35%
93.99%
75
100
82.16%
76.78%
87.54%
73
124
92.49%
88.71%
96.26%
90
74
77.00%
71.11%
82.88%
55
95
70.42%
64.06%
76.79%
44
90
62.91%
56.19%
69.63%
213
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
MMR
213
0.00%
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/OPV
HO
S
213
Numerator events by admin data in eligible
population
Current Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
DTaP/DT
213
Page 5
Effectiveness of Care
HealthPartners, Inc.
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 1
Combo 2
2185
51.25%
1182
27.73%
104
2.44%
892
20.92%
27
0.63%
204
47.22%
121
28.01%
14
3.24%
93
21.53%
3
0.69%
190
169
87.35%
84.01%
90.68%
118
166
69.10%
64.51%
73.69%
12
185
47.93%
42.98%
52.88%
90
183
66.42%
61.74%
71.11%
3
151
37.47%
32.67%
42.27%
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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
HO
S
4263
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, Inc.
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 1
Combo 2
129
27.33%
34
7.20%
24
5.08%
23
4.87%
3
0.64%
118
27.31%
32
7.41%
22
5.09%
22
5.09%
3
0.69%
113
210
78.59%
74.50%
82.68%
30
178
50.61%
45.65%
55.56%
22
111
32.36%
27.72%
37.00%
21
173
47.20%
42.25%
52.15%
3
77
19.46%
15.52%
23.41%
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
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
HO
S
472
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 7
Effectiveness of Care
HealthPartners, Inc.
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
Combo 1
Combo 2
92
29.58%
48
15.43%
12
3.86%
36
11.58%
3
0.96%
92
29.58%
48
15.43%
12
3.86%
36
11.58%
3
0.96%
92
156
79.74%
75.12%
84.37%
48
136
59.16%
53.54%
64.79%
12
109
38.91%
33.33%
44.49%
36
133
54.34%
48.64%
60.04%
3
75
25.08%
20.10%
30.06%
311
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
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
VZV
311
0.00%
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
HO
S
311
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
311
Page 8
Effectiveness of Care
HealthPartners, Inc.
Breast Cancer Screening
Data Elements
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
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
HO
S
20307
15892
78.26%
411
5.00%
432
336
77.78%
0
Records Excluded because of contraindications
through Admin data
0
Records Excluded because of contraindications
through Medical Record Review
4
Number of employee/dependent medical records
excluded
0
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Medicare + Choice
4
411
322
9
80.54%
76.59%
84.48%
NR
NR
NR
NR
NR
Page 9
Effectiveness of Care
HealthPartners, Inc.
Cervical Cancer Screening
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
HO
S
62294
PMAP
HO
S
3274
MNCare
HO
S
3622
GAMC
HO
S
524
50024
2388
2668
282
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
80.30%
411
5.00%
432
363
95.14%
0
72.94%
411
5.00%
432
305
95.14%
0
73.66%
411
5.00%
432
323
95.14%
0
53.82%
411
5.00%
432
235
95.14%
0
Records Excluded because of contraindications
through Admin data
0
0
0
0
Records Excluded because of contraindications
through Medical Record Review
20
8
12
18
Number of employee/dependent medical records
excluded
0
0
0
0
20
411
363
4
89.29%
86.18%
92.41%
8
411
296
27
78.59%
74.50%
82.68%
12
411
317
14
80.54%
76.59%
84.48%
18
411
235
16
61.07%
56.23%
65.91%
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Page 10
Effectiveness of Care
HealthPartners, Inc.
Chlamydia Screening in Women
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data Collection Methodology
Eligible Member Population
Current Year's Admin Rate
General
Measure Ages 16-20 Ages 21-26
Data
PMAP
Total
A
Records Excluded because of contraindications
through Admin data
Denominator
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
General
Measure Ages 16-20 Ages 21-26
Data
A
4431
30.31%
7624
27.60%
12055
28.59%
665
62.71%
1050
55.62%
1715
58.37%
154
137
291
7
21
28
4277
1343
31.40%
30.00%
32.80%
7487
2104
28.10%
27.08%
29.13%
11764
3447
29.30%
28.47%
30.13%
658
417
63.37%
59.62%
67.13%
1029
584
56.75%
53.68%
59.83%
1687
1001
59.34%
56.96%
61.71%
GAMC
Data Elements
Data Collection Methodology
Eligible Member Population
Current Year's Admin Rate
Records Excluded because of contraindications
through Admin data
Denominator
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Total
MNCare
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
1
0.00%
52
42.31%
53
41.51%
334
48.20%
565
39.12%
899
42.49%
0
2
2
10
8
18
1
0
NA
NA
NA
50
22
44.00%
29.24%
58.76%
51
22
43.14%
28.56%
57.71%
324
161
49.69%
44.09%
55.29%
557
221
39.68%
35.52%
43.83%
881
382
43.36%
40.03%
46.69%
Page 11
Effectiveness of Care
HealthPartners, Inc.
Controlling High Blood Pressure
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Data Elements
Data Collection Methodology (Hybrid)
Sampling Method Used
Eligible Member Population
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Records Excluded because of Valid Data Errors
Records Excluded - False positive diagnosis
Commercial
HO
S
9317
411
5.00%
432
0
0
PMAP
HO
S
643
411
5.00%
432
0
0
Records Excluded because of ESRD identified by
Admin Data
0
0
Records Excluded because of ESRD identified by
Medical Record
10
6
Number of employee/dependent medical records
excluded
0
0
10
411
260
63.26%
58.48%
68.04%
6
411
237
57.66%
52.77%
62.56%
Records Added from Auxiliary List
Denominator
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Medicare + Choice
MSHO
NR
NR
NR
NR
NR
NR
Page 12
Effectiveness of Care
HealthPartners, Inc.
Beta Blocker Treatment after Heart Attack
Data Elements
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator Events by Admin Data on
Eligible Population
Current Year's Admin Rate
NR
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
NR
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 Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
NR
Lower 95% Confidence Interval
Upper 95% Confidence Interval
NR
HEDIS 2003 (Reporting Year 2002)
NR
Page 13
Effectiveness of Care
HealthPartners, Inc.
Cholesterol Management After Acute Cardiovascular Events
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Data Elements
General
Measure
Data
LDL-C
LDL-C Level of
screening 60- <130 mg/dL 60365 Days
365 Days
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
Records Excluded because of Valid Data
Errors
Number of employee/dependent medical
records excluded
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Page 14
Effectiveness of Care
HealthPartners, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
6355
84.63%
6003
79.94%
3554
47.33%
6238
83.07%
1230
16.38%
4303
57.30%
361
83.56%
342
79.17%
194
44.91%
358
82.87%
66
15.28%
238
55.09%
352
15
89.29%
86.18%
92.41%
10
78
21.41%
17.32%
25.50%
187
47
56.93%
52.03%
61.84%
346
9
86.37%
82.94%
89.81%
64
166
55.96%
51.04%
60.88%
230
47
67.40%
62.74%
72.05%
432
14
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
14
HEDIS 2003 (Reporting Year 2002)
Eye Exam
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
Poor HbA1c
Control
HO
S
7509
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
HbA1c
Testing
411
Page 15
Effectiveness of Care
HealthPartners, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Data Elements
General
Measure Data
HbA1c
Testing
Poor HbA1c
Control
Eye Exam
LDL-C
Screening
LDL-C Level
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
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 employee/dependent records
excluded
Additional Records Added from the
Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Page 16
Effectiveness of Care
HealthPartners, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MSHO
Data Elements
General
Measure Data
HbA1c
Testing
Poor HbA1c
Control
Eye Exam
LDL-C
Screening
LDL-C Level
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
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 employee/dependent records
excluded
Additional Records Added from the
Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Page 17
Effectiveness of Care
HealthPartners, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
319
62.80%
406
79.92%
227
44.69%
253
49.80%
59
11.61%
224
44.09%
274
63.43%
345
79.86%
193
44.68%
211
48.84%
59
13.66%
193
44.68%
272
65
82.00%
78.16%
85.83%
18
91
26.52%
22.13%
30.91%
184
56
58.39%
53.51%
63.28%
206
62
65.21%
60.48%
69.93%
49
144
46.96%
42.01%
51.91%
189
77
64.72%
59.98%
69.46%
432
21
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
21
HEDIS 2003 (Reporting Year 2002)
Eye Exam
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
Poor HbA1c
Control
HO
S
508
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
HbA1c
Testing
411
Page 18
Effectiveness of Care
HealthPartners, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
123
84.25%
112
76.71%
71
48.63%
104
71.23%
23
15.75%
97
66.44%
123
84.25%
112
76.71%
71
48.63%
104
71.23%
23
15.75%
97
66.44%
123
2
86.81%
80.93%
92.68%
5
35
27.78%
20.11%
35.44%
71
17
61.11%
52.80%
69.42%
104
3
74.31%
66.82%
81.79%
23
47
48.61%
40.10%
57.12%
97
9
73.61%
66.07%
81.16%
146
2
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Eye Exam
146
0.00%
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
Poor HbA1c
Control
HO
S
146
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
HbA1c
Testing
144
Page 19
Effectiveness of Care
HealthPartners, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
294
84.24%
260
74.50%
167
47.85%
260
74.50%
62
17.77%
213
61.03%
294
84.24%
260
74.50%
167
47.85%
260
74.50%
62
17.77%
213
61.03%
292
8
90.91%
87.66%
94.16%
19
58
23.33%
18.62%
28.05%
164
44
63.03%
57.67%
68.39%
253
9
79.39%
74.88%
83.91%
62
119
54.85%
49.33%
60.37%
211
37
75.15%
70.34%
79.97%
349
19
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Eye Exam
349
0.00%
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
Poor HbA1c
Control
HO
S
349
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
HbA1c
Testing
330
Page 20
Effectiveness of Care
HealthPartners, Inc.
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
466
337
72.32%
68.15%
76.49%
883
590
66.82%
63.66%
69.98%
3403
2469
72.55%
71.04%
74.07%
4752
3396
71.46%
70.17%
72.76%
A
Page 21
Effectiveness of Care
HealthPartners, Inc.
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
63
31
49.21%
36.07%
62.35%
89
54
60.67%
49.96%
71.38%
105
65
61.90%
52.14%
71.67%
257
150
58.37%
52.14%
64.59%
A
Page 22
Effectiveness of Care
HealthPartners, Inc.
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
0
0
NA
NA
NA
1
0
NA
NA
NA
24
17
NA
NA
NA
25
17
NA
NA
NA
A
Page 23
Effectiveness of Care
HealthPartners, Inc.
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MNCare
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure Data
Ages 5-9
Ages 10-17
Ages 18-56
Total
29
20
NA
NA
NA
62
40
64.52%
51.80%
77.23%
142
91
64.08%
55.84%
72.33%
233
151
64.81%
58.46%
71.15%
A
Page 24
Effectiveness of Care
HealthPartners, Inc.
Follow-Up After Hospitalization for Mental Illness
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Medicare + Choice
General
W/in 7 Days of W/in 30 Days of
Measure
Discharge
Discharge
Data
MSHO
General
W/in 7 Days of W/in 30 Days of
Measure
Discharge
Discharge
Data
W/in 7 Days of W/in 30 Days of
Discharge
Discharge
A
862
415
48.14%
44.75%
51.54%
649
75.29%
72.35%
78.23%
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 25
Effectiveness of Care
HealthPartners, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
507
20.64%
19.02%
22.26%
1663
67.71%
65.84%
69.58%
1272
51.79%
49.79%
53.79%
A
2456
Page 26
Effectiveness of Care
HealthPartners, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 27
Effectiveness of Care
HealthPartners, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MSHO
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 28
Effectiveness of Care
HealthPartners, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
36
21.18%
14.74%
27.61%
73
42.94%
35.21%
50.68%
47
27.65%
20.63%
34.66%
A
170
Page 29
Effectiveness of Care
HealthPartners, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
7
18.92%
4.95%
32.89%
24
64.86%
48.13%
81.60%
16
43.24%
25.93%
60.56%
A
37
Page 30
Effectiveness of Care
HealthPartners, Inc.
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MNCare
Data Elements
Data Collection Methodology
Eligible Member Population
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
General
Measure
Data
Optimal
Practitioner
Contacts for
Medication
Management
Effective Acute
Phase
Treatment
Effective
Continuation
Phase
Treatment
32
22.70%
15.43%
29.96%
78
55.32%
46.76%
63.88%
59
41.84%
33.35%
50.34%
A
141
Page 31
Use of Services
HealthPartners, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
38
2.71%
46
3.28%
60
4.28%
126
8.98%
230
16.39%
358
25.52%
545
38.85%
15
3.48%
13
3.02%
17
3.94%
33
7.66%
83
19.26%
101
23.43%
169
39.21%
0
9
2.20%
0.65%
3.74%
0
7
1.71%
0.33%
3.08%
0
7
1.71%
0.33%
3.08%
0
15
3.66%
1.72%
5.60%
0
44
10.73%
7.61%
13.85%
0
86
20.98%
16.91%
25.04%
165
77
59.02%
54.14%
63.91%
410
5.00%
431
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
HO
S
1403
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
410
Page 32
Use of Services
HealthPartners, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
2 visits
3 visits
4 visits
5 visits
6 or more
visits
0
0.00%
3
1.49%
10
4.98%
13
6.47%
29
14.43%
50
24.88%
96
47.76%
0
0.00%
3
1.49%
10
4.98%
13
6.47%
29
14.43%
50
24.88%
96
47.76%
0
0
0.00%
0.00%
0.25%
0
2
1.00%
0.00%
2.62%
0
2
1.00%
0.00%
2.62%
0
7
3.48%
0.70%
6.27%
0
14
6.97%
3.20%
10.73%
0
51
25.37%
19.11%
31.64%
96
29
62.19%
55.24%
69.14%
201
0.00%
201
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
HO
S
201
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
201
Page 33
Use of Services
HealthPartners, Inc.
Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
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
Number of employee/dependent medical records
excluded
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
HO
S
2775
MNCare
HO
S
1058
1517
576
54.67%
395
5.00%
415
235
54.44%
395
5.00%
415
211
56.63%
0
50.84%
0
0
0
0
395
225
34
65.57%
60.76%
70.38%
0
395
198
28
57.22%
52.21%
62.22%
Page 34
Use of Services
HealthPartners, Inc.
Adolescent Well-Care Visits
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
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
Number of employee/dependent medical records
excluded
Records Added from Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
HO
S
4037
MNCare
HO
S
2681
1249
805
30.94%
411
5.00%
432
141
30.03%
411
5.00%
432
131
32.64%
0
30.32%
0
0
0
0
411
135
47
44.28%
39.36%
49.21%
0
411
123
41
39.90%
35.05%
44.76%
Page 35
Use of Services
HealthPartners, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Age
Total Inpatient
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Medicine
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Surgery
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Maternity
<1
1-9
10-19
20-44
45-64
65+
Unknown
Total
Member Months
56237
527601
602584
1607745
1031141
32658
4039
624
0
3862629
Discharges
Discharges /
1,000 Member
Months
366
797
972
8955
6889
489
105
29
0
18602
6.51
1.51
1.61
5.57
6.68
14.97
26.00
46.47
272
570
428
1809
3569
295
76
26
0
7045
4.84
1.08
0.71
1.13
3.46
9.03
18.82
41.67
93
226
394
2110
3310
194
29
3
0
6359
1.65
0.43
0.65
1.31
3.21
5.94
7.18
4.81
0
1
150
5035
8
0
0
5194
HEDIS 2003 (Reporting Year 2002)
4.82
1.82
1.65
0.00
0.00
0.25
3.13
0.01
0.00
1.34
Days
Days / 1,000
Member
Months
1704
2038
2972
24739
23720
1992
378
148
0
57691
30.30
3.86
4.93
15.39
23.00
61.00
93.59
237.18
1047
1232
1285
4984
10551
1018
255
122
0
20494
18.62
2.34
2.13
3.10
10.23
31.17
63.13
195.51
647
805
1285
6594
13142
974
123
26
0
23596
11.50
1.53
2.13
4.10
12.75
29.82
30.45
41.67
0
1
402
13160
22
0
0
13585
0.00
0.00
0.67
8.19
0.02
0.00
14.94
5.31
6.11
3.52
Average Length
of Stay
4.66
2.56
3.06
2.76
3.44
4.07
3.60
5.10
NA
3.10
3.85
2.16
3.00
2.76
2.96
3.45
3.36
4.69
NA
2.91
6.96
3.56
3.26
3.13
3.97
5.02
4.24
8.67
NA
3.71
NA
1.00
2.68
2.61
2.75
NA
NA
2.62
Page 36
Use of Services
HealthPartners, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
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
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
HEDIS 2003 (Reporting Year 2002)
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
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
Page 37
Use of Services
HealthPartners, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
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
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
HEDIS 2003 (Reporting Year 2002)
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
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
Page 38
Use of Services
HealthPartners, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
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
<1
1-9
10-19
20-44
45-64
65+
Unknown
Total
Member Months
25365
116767
80347
78318
7173
18203
13344
9602
0
349119
Discharges
239
289
496
2033
76
374
401
233
0
4141
Discharges /
1,000 Member
Months
9.42
2.48
6.17
25.96
10.60
20.55
30.05
24.27
11.86
203
230
88
253
48
265
301
189
0
1577
8.00
1.97
1.10
3.23
6.69
14.56
22.56
19.68
35
59
67
180
26
109
100
44
0
620
1.38
0.51
0.83
2.30
3.62
5.99
7.49
4.58
0
0
341
1599
2
0
0
1942
0.00
0.00
4.24
20.42
0.28
0.00
HEDIS 2003 (Reporting Year 2002)
4.52
1.78
5.56
Days
Days / 1,000
Member
Months
1157
734
1534
5605
244
1837
1640
983
0
13734
45.61
6.29
19.09
71.57
34.02
100.92
122.90
102.37
739
430
314
767
116
1028
1082
714
0
5190
29.13
3.68
3.91
9.79
16.17
56.47
81.09
74.36
416
304
289
565
122
809
558
269
0
3332
16.40
2.60
3.60
7.21
17.01
44.44
41.82
28.01
0
0
931
4272
6
0
0
5209
0.00
0.00
11.59
54.55
0.84
0.00
39.34
14.87
9.54
14.92
Average Length
of Stay
4.84
2.54
3.09
2.76
3.21
4.91
4.09
4.22
NA
3.32
3.64
1.87
3.57
3.03
2.42
3.88
3.59
3.78
NA
3.29
11.89
5.15
4.31
3.14
4.69
7.42
5.58
6.11
NA
5.37
NA
NA
2.73
2.67
3.00
NA
NA
2.68
Page 39
Use of Services
HealthPartners, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
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
<1
1-9
10-19
20-44
45-64
65+
Unknown
Total
Member Months
3
720
787
21026
13169
188
10
0
0
35903
Discharges
Discharges /
1,000 Member
Months
1
0
1
253
281
7
1
0
0
544
333.33
0.00
1.27
12.03
21.34
37.23
100.00
NA
1
0
1
156
181
4
0
0
0
343
333.33
0.00
1.27
7.42
13.74
21.28
0.00
NA
0
0
0
87
100
3
1
0
0
191
0.00
0.00
0.00
4.14
7.59
15.96
100.00
NA
0
0
0
10
0
0
0
10
0.00
0.00
0.00
0.48
0.00
0.00
HEDIS 2003 (Reporting Year 2002)
15.15
9.55
5.32
0.28
Days
Days / 1,000
Member
Months
4
0
1
852
954
47
4
0
0
1862
1333.33
0.00
1.27
40.52
72.44
250.00
400.00
NA
4
0
1
439
512
17
0
0
0
973
1333.33
0.00
1.27
20.88
38.88
90.43
0.00
NA
0
0
0
367
442
30
4
0
0
843
0.00
0.00
0.00
17.45
33.56
159.57
400.00
NA
0
0
0
46
0
0
0
46
0.00
0.00
0.00
2.19
0.00
0.00
51.86
27.10
23.48
1.28
Average Length
of Stay
4.00
NA
1.00
3.37
3.40
6.71
4.00
NA
NA
3.42
4.00
NA
1.00
2.81
2.83
4.25
NA
NA
NA
2.84
NA
NA
NA
4.22
4.42
10.00
4.00
NA
NA
4.41
NA
NA
NA
4.60
NA
NA
NA
4.60
Page 40
Use of Services
HealthPartners, Inc.
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
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
<1
1-9
10-19
20-44
45-64
65+
Unknown
Total
Member Months
3772
40184
46568
82090
31955
639
155
16
0
205379
Discharges
Discharges /
1,000 Member
Months
31
63
109
651
275
2
5
1
0
1137
8.22
1.57
2.34
7.93
8.61
3.13
32.26
62.50
26
53
37
172
158
1
5
1
0
453
6.89
1.32
0.79
2.10
4.94
1.56
32.26
62.50
5
10
28
143
117
1
0
0
0
304
1.33
0.25
0.60
1.74
3.66
1.56
0.00
0.00
0
0
44
336
0
0
0
380
0.00
0.00
0.94
4.09
0.00
0.00
HEDIS 2003 (Reporting Year 2002)
5.54
2.21
1.48
1.85
Days
Days / 1,000
Member
Months
169
130
303
1877
1091
8
27
4
0
3609
44.80
3.24
6.51
22.87
34.14
12.52
174.19
250.00
101
103
89
509
496
7
27
4
0
1336
26.78
2.56
1.91
6.20
15.52
10.95
174.19
250.00
68
27
110
502
595
1
0
0
0
1303
18.03
0.67
2.36
6.12
18.62
1.56
0.00
0.00
0
0
104
866
0
0
0
970
0.00
0.00
2.23
10.55
0.00
0.00
17.57
6.51
6.34
4.72
Average Length
of Stay
5.45
2.06
2.78
2.88
3.97
4.00
5.40
4.00
NA
3.17
3.88
1.94
2.41
2.96
3.14
7.00
5.40
4.00
NA
2.95
13.60
2.70
3.93
3.51
5.09
1.00
NA
NA
NA
4.29
NA
NA
2.36
2.58
NA
NA
NA
2.55
Page 41
Use of Services
HealthPartners, Inc.
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
56237
527601
602584
1607745
1031141
32658
4039
624
0
3862629
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
50934
162142
131058
397149
337903
14931
2189
405
0
1096711
HEDIS 2003 (Reporting Year 2002)
Visits/ 1,000
Member
Months
905.70
307.32
217.49
247.02
327.70
457.19
541.97
649.04
283.93
Emergency Room Visits
Visits
1584
7517
6168
16077
8463
351
52
13
0
40225
Visits/ 1,000
Member
Months
28.17
14.25
10.24
10.00
8.21
10.75
12.87
20.83
10.41
Ambulatory
Surgery/Procedures
Procedures
310
2154
1587
9468
13135
592
113
10
0
27369
Procedures/
1,000 Member
Months
5.51
4.08
2.63
5.89
12.74
18.13
27.98
16.03
7.09
Observation Room Stays
Resulting in Discharge
Stays
14
30
72
1015
32
2
1
0
0
1166
Stays/ 1,000
Member
Months
0.25
0.06
0.12
0.63
0.03
0.06
0.25
0.00
0.30
Page 42
Use of Services
HealthPartners, Inc.
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
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 2003 (Reporting Year 2002)
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 43
Use of Services
HealthPartners, Inc.
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
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 2003 (Reporting Year 2002)
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 44
Use of Services
HealthPartners, Inc.
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Member
Months
Age
<1
56237
1-9
527601
10-19
602584
20-44
1607745
45-64
1031141
65-74
32658
75-84
4039
85+
624
Unknown
0
3862629
Total
Days
Days / 1,000
Member
Months
Average Length
of Stay
0.02
12
0.21
12.00
0
0.00
0
0.00
NA
11
0.02
135
0.22
12.27
Discharges
Discharges /
1,000 Member
Months
<1
1
1-9
10-19
Age
20-44
61
0.04
1070
0.67
17.54
45-64
266
0.26
3797
3.68
14.27
65-74
45
1.38
1214
37.17
26.98
75-84
17
4.21
863
213.67
50.76
85+
18
28.85
1062
1701.92
59.00
Unknown
0
419
0.11
0
8153
2.11
NA
19.46
Total
HEDIS 2003 (Reporting Year 2002)
Page 45
Use of Services
HealthPartners, Inc.
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Member
Months
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
NR
Total
Age
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
HEDIS 2003 (Reporting Year 2002)
NR
NR
NR
Page 46
Use of Services
HealthPartners, Inc.
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Member
Months
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
NR
Total
Age
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
HEDIS 2003 (Reporting Year 2002)
NR
NR
NR
Page 47
Use of Services
HealthPartners, Inc.
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
Total
394626
158072
1307651
20083
0
1880432
376203
150578
1438178
17238
0
1982197
770829
308650
2745829
37321
0
3862629
Discharges
Discharges /
1,000 Member
Months
Age
0-12
Days*
Average Length
of Stay
M
34
0.09
595
17.50
F
21
0.06
167
7.95
Total
55
0.07
762
13.85
13-17
M
118
0.75
2327
19.72
F
220
1.46
3074
13.97
Total
338
1.10
5401
15.98
18-64
M
277
0.21
2728
9.85
F
585
0.41
5315
9.09
Total
862
0.31
8043
9.33
65+
M
3
0.15
23
7.67
F
8
0.46
278
34.75
Total
11
0.29
301
27.36
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
M
Total
432
0.23
5673
13.13
F
834
0.42
8834
10.59
TOTAL
1266
0.33
14507
11.46
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table
HEDIS 2003 (Reporting Year 2002)
Page 48
Use of Services
HealthPartners, Inc.
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
Total
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 2003 (Reporting Year 2002)
Page 49
Use of Services
HealthPartners, Inc.
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
Total
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
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 2003 (Reporting Year 2002)
Page 50
Use of Services
HealthPartners, Inc.
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
394626
158072
1307651
20083
0
1880432
Female
376203
150578
1438178
17238
0
1982197
Member Months (Inpatient)
Total
770829
308650
2745829
37321
0
3862629
Male
394626
158072
1307651
20083
0
1880432
Female
376203
150578
1438178
17238
0
1982197
Total
770829
308650
2745829
37321
0
3862629
Member Months (Day/Night)
Male
394626
158072
1307651
20083
0
1880432
Female
376203
150578
1438178
17238
0
1982197
Total
770829
308650
2745829
37321
0
3862629
Member Months (Ambulatory)
Male
394626
158072
1307651
20083
0
1880432
Female
376203
150578
1438178
17238
0
1982197
Total
770829
308650
2745829
37321
0
3862629
Any Mental Health Services
Inpatient Mental Health Services
Day/Night Mental Health Services
Ambulatory Mental Health Services
Number
1736
933
2669
1424
1524
2948
6510
12291
18801
47
79
126
0
0
0
9717
14827
24544
Number
24
13
37
84
151
235
223
440
663
3
7
10
0
0
0
334
611
945
Number
11
4
15
11
22
33
14
47
61
0
1
1
0
0
0
36
74
110
Number
1731
929
2660
1408
1498
2906
6459
12207
18666
45
74
119
0
0
0
9643
14708
24351
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
Percent
5.28%
2.98%
4.16%
10.81%
12.15%
11.46%
5.97%
10.26%
8.22%
2.81%
5.50%
4.05%
NA
NA
NA
6.20%
8.98%
7.63%
Percent
0.07%
0.04%
0.06%
0.64%
1.20%
0.91%
0.20%
0.37%
0.29%
0.18%
0.49%
0.32%
NA
NA
NA
0.21%
0.37%
0.29%
Percent
0.03%
0.01%
0.02%
0.08%
0.18%
0.13%
0.01%
0.04%
0.03%
0.00%
0.07%
0.03%
NA
NA
NA
0.02%
0.04%
0.03%
Percent
5.26%
2.96%
4.14%
10.69%
11.94%
11.30%
5.93%
10.19%
8.16%
2.69%
5.15%
3.83%
NA
NA
NA
6.15%
8.90%
7.57%
Page 51
Use of Services
HealthPartners, Inc.
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months (Inpatient)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Day/Night)
Total
NR
NR
NR
NR
NR
NR
Any Mental Health Services
Inpatient Mental Health Services
Number
Number
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Ambulatory)
Total
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
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Ambulatory 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
Page 52
Use of Services
HealthPartners, Inc.
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months (Inpatient)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Day/Night)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Ambulatory)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
NR
NR
NR
NR
NR
NR
Any Mental Health Services
Inpatient Mental Health Services
Day/Night Mental Health Services
Ambulatory Mental Health Services
Number
Number
Number
Number
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 53
Use of Services
HealthPartners, Inc.
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
394626
158072
1307651
20083
0
1880432
376203
150578
1438178
17238
0
1982197
770829
308650
2745829
37321
0
3862629
Discharges
Discharges /
1,000 Member
Months
Days
Average Length
of Stay
M
1
0.00
5
5.00
F
0
0.00
0
NA
Total
1
0.00
5
5.00
M
13-17
88
0.56
881
10.01
F
47
0.31
362
7.70
Total
135
0.44
1243
9.21
M
18-64
355
0.27
1899
5.35
F
237
0.16
1055
4.45
Total
592
0.22
2954
4.99
M
65+
5
0.25
32
6.40
F
4
0.23
11
2.75
Total
9
0.24
43
4.78
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
449
0.24
2817
6.27
F
288
0.15
1428
4.96
TOTAL
737
0.19
4245
5.76
* This table should reflect inpatient days only. Days associated with day/night or partial hospitalization should not be included in this table
HEDIS 2003 (Reporting Year 2002)
Page 54
Use of Services
HealthPartners, Inc.
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
Total
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
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 2003 (Reporting Year 2002)
Page 55
Use of Services
HealthPartners, Inc.
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
NR
Female
Total
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
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 2003 (Reporting Year 2002)
Page 56
Use of Services
HealthPartners, Inc.
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
394626
158072
1307651
20083
0
1880432
Female
376203
150578
1438178
17238
0
1982197
Member Months (Inpatient)
Total
770829
308650
2745829
37321
0
3862629
Any Chemical Dependency Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
Number
3
0
3
245
121
366
1034
497
1531
9
2
11
0
0
0
1291
620
1911
Percent
0.01%
0.00%
0.00%
1.86%
0.96%
1.42%
0.95%
0.41%
0.67%
0.54%
0.14%
0.35%
NA
NA
NA
0.82%
0.38%
0.59%
Male
394626
158072
1307651
20083
0
1880432
Female
376203
150578
1438178
17238
0
1982197
Total
770829
308650
2745829
37321
0
3862629
Member Months (Day/Night)
Male
394626
158072
1307651
20083
0
1880432
Female
376203
150578
1438178
17238
0
1982197
Total
770829
308650
2745829
37321
0
3862629
Member Months (Ambulatory)
Male
394626
158072
1307651
20083
0
1880432
Female
376203
150578
1438178
17238
0
1982197
Total
770829
308650
2745829
37321
0
3862629
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
1
0
1
63
40
103
277
176
453
5
2
7
0
0
0
346
218
564
Number
1
0
1
70
33
103
225
104
329
0
0
0
0
0
0
296
137
433
Number
2
0
2
199
92
291
782
359
1141
5
0
5
0
0
0
988
451
1439
Percent
0.00%
0.00%
0.00%
0.48%
0.32%
0.40%
0.25%
0.15%
0.20%
0.30%
0.14%
0.23%
NA
NA
NA
0.22%
0.13%
0.18%
Percent
0.00%
0.00%
0.00%
0.53%
0.26%
0.40%
0.21%
0.09%
0.14%
0.00%
0.00%
0.00%
NA
NA
NA
0.19%
0.08%
0.13%
Percent
0.01%
0.00%
0.00%
1.51%
0.73%
1.13%
0.72%
0.30%
0.50%
0.30%
0.00%
0.16%
NA
NA
NA
0.63%
0.27%
0.45%
Page 57
Use of Services
HealthPartners, Inc.
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months (Inpatient)
Total
NR
NR
NR
NR
NR
NR
Any Chemical Dependency Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
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
Male
Female
NR
NR
Member Months (Day/Night)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Ambulatory)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
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
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 58
Use of Services
HealthPartners, Inc.
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
Female
NR
NR
Member Months (Inpatient)
Total
NR
NR
NR
NR
NR
NR
Any Chemical Dependency Services
Age
0-12
13-17
18-64
65+
Unknown
Total
Sex
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
M
F
Total
HEDIS 2003 (Reporting Year 2002)
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
Male
Female
NR
NR
Member Months (Day/Night)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Member Months (Ambulatory)
Total
NR
NR
NR
NR
NR
NR
Male
Female
NR
NR
Total
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
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Percent
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 59
Use of Services
HealthPartners, Inc.
Outpatient Drug Utilization
Medicare + Choice
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Member Months
NR
Specification Documentation:
Prescription is defined as (Enter "A"
or "B"):
Age
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
HEDIS 2003 (Reporting Year 2002)
NR
Avg. Cost of
Prescriptions /
Per Member Per
Month
NR
NR
NR
NR
NR
NR
NR
NR
Total Number of
Prescriptions
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
Page 60
Use of Services
HealthPartners, Inc.
Outpatient Drug Utilization
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Age
Member Months
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
NR
Specification Documentation:
Prescription is defined as (Enter "A"
or "B"):
Age
Total Cost of
Prescriptions
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
HEDIS 2003 (Reporting Year 2002)
NR
Avg. Cost of
Prescriptions /
Per Member Per
Month
NR
NR
NR
NR
NR
NR
NR
NR
Total Number of
Prescriptions
NR
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NR
NR
NR
NR
NR
NR
NR
NR
Page 61
Access/Availability of Care
HealthPartners, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
61431
58809
2383
58536
56847
2333
95.29%
95.12%
95.46%
96.66%
96.52%
96.81%
97.90%
97.31%
98.50%
A
Page 62
Access/Availability of Care
HealthPartners, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
Page 63
Access/Availability of Care
HealthPartners, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Data Elements
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
NR
NR
NR
NR
NR
NR
NR
NR
NR
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
Page 64
Access/Availability of Care
HealthPartners, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
3736
402
2840
3289
360
2569
88.04%
86.98%
89.09%
89.55%
86.44%
92.67%
90.46%
89.36%
91.56%
A
Page 65
Access/Availability of Care
HealthPartners, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
Data Elements
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
489
575
15
421
493
11
86.09%
82.93%
89.26%
85.74%
82.79%
88.68%
NA
NA
NA
A
Page 66
Access/Availability of Care
HealthPartners, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Care
Data Elements
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
General Measure
Data
Ages 20-44
Ages 45-64
Ages 65+
4268
2011
58
3646
1774
43
85.43%
84.36%
86.50%
88.21%
86.78%
89.65%
74.14%
62.01%
86.27%
A
Page 67
Access/Availability of Care
HealthPartners, Inc.
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Data Elements
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
4156
20027
17347
4101
18035
15732
98.68%
98.32%
99.04%
90.05%
89.64%
90.47%
90.69%
90.25%
91.13%
A
Page 68
Access/Availability of Care
HealthPartners, Inc.
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
1789
3739
1978
1714
3241
1618
95.81%
94.85%
96.76%
86.68%
85.58%
87.78%
81.80%
80.07%
83.53%
A
Page 69
Access/Availability of Care
HealthPartners, Inc.
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Care
Data Elements
Data collection methodology
(Administrative 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 2003 (Reporting Year 2002)
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
258
1270
1021
254
1144
937
98.45%
96.75%
100.00%
90.08%
88.40%
91.76%
91.77%
90.04%
93.51%
A
Page 70
Access/Availability of Care
HealthPartners, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
General Measure
Data
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)
3232
2426
71.47%
53.65%
320
227
74.07%
52.55%
161
210
161
145
90.27%
87.28%
93.25%
74.45%
70.11%
78.79%
S
4522
Minimum required sample size (MRSS) or other sample size
411
Oversampling rate
Final sample size (FSS)
5%
432
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
5
Number of employee/dependent medical records excluded
0
HEDIS 2003 (Reporting Year 2002)
Postpartum Care
HO
Number of numerator events by administrative data in
eligible population (before exclusions)
Current year's administrative rate (before exclusions)
Additional records added from the auxiliary list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
Timeliness of
Prenatal Care
5
411
Page 71
Access/Availability of Care
HealthPartners, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
General Measure
Data
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)
893
557
61.80%
38.55%
263
160
60.88%
37.04%
90
249
90
153
82.48%
78.69%
86.28%
59.12%
54.25%
64.00%
S
1445
Minimum required sample size (MRSS) or other sample size
411
Oversampling rate
Final sample size (FSS)
5%
432
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
1
Number of employee/dependent medical records excluded
0
HEDIS 2003 (Reporting Year 2002)
Postpartum Care
HO
Number of numerator events by administrative data in
eligible population (before exclusions)
Current year's administrative rate (before exclusions)
Additional records added from the auxiliary list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
Timeliness of
Prenatal Care
1
411
Page 72
Access/Availability of Care
HealthPartners, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Care
General Measure
Data
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)
214
116
73.54%
39.86%
214
116
73.54%
39.86%
84
171
84
109
87.93%
84.01%
91.85%
66.55%
60.95%
72.15%
S
291
Minimum required sample size (MRSS) or other sample size
291
Oversampling rate
Final sample size (FSS)
0%
291
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
1
Number of employee/dependent medical records excluded
0
HEDIS 2003 (Reporting Year 2002)
Postpartum Care
HO
Number of numerator events by administrative data in
eligible population (before exclusions)
Current year's administrative rate (before exclusions)
Additional records added from the auxiliary list
Denominator
Numerator events by administrative data
Numerator events by medical record
Reported rate
Lower 95% confidence interval
Upper 95% confidence interval
Timeliness of
Prenatal Care
0
290
Page 73
Access/Availability of Care
HealthPartners, Inc.
Availability of Language Interpretation Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Language (not to exceed 25
Interpreter Services (not to exceed
Description (not to exceed 50
characters)
50 characters)
characters)
HEDIS 2003 (Reporting Year 2002)
Type of Agreement (not to exceed 50 Restrictions on Availability (not
characters)
to exceed 50 characters)
Page 74
Health Plan Stability
HealthPartners, Inc.
Practitioner Turnover
Medicare + Choice
Practitioner Types
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Number of
Practitioners as of
12/31/2001
Number of
Practitioners who
were not affiliated
with the plan as of
12/31/2002
Practitioner
Turnover Rate
Primary Care
Physicians
NR
Non-Physician Primary
Care Practitioners
NR
HEDIS 2003 (Reporting Year 2002)
Page 75
Health Plan Stability
HealthPartners, Inc.
Practitioner Turnover
Minnesota Senior Health Options
Practitioner Types
Number of
Practitioners as of
12/31/2001
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Number of
Practitioners who
were not affiliated
with the plan as of
12/31/2002
Practitioner
Turnover Rate
Primary Care
Physicians
NR
Non-Physician Primary
Care Practitioners
NR
HEDIS 2003 (Reporting Year 2002)
Page 76
Health Plan Stability
HealthPartners, Inc.
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Product/Product Line
HMO (Total)
Years in Business
NR
Members*
NR
NR
NR
NR
NR
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
PPO (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
POS (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
Total
NR
* Total number of members in each category as of December 31, 2002
HEDIS 2003 (Reporting Year 2002)
Page 77
Health Plan Stability
HealthPartners, Inc.
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Product/Product Line
HMO (Total)
Years in Business
NR
Members*
NR
NR
NR
NR
NR
Medicaid
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
PPO (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
POS (Total)
Commercial
Medicare (cost or risk)
Self-insured
Other (specify)
Total
NR
* Total number of members in each category as of December 31, 2002
HEDIS 2003 (Reporting Year 2002)
Page 78
Health Plan Descriptive Information
HealthPartners, Inc.
Board Certification / Residency Completion
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
Type of Practitioner
Primary Care Practitioners
Number of
Practitioners in Each
Practice Area
Geriatricians
Other practitioner
Specialists
HEDIS 2003 (Reporting Year 2002)
Board Certification
Number
Percent
Residency / Fellowship
Completion
Percent
Number
NR
NR
NR
NR
NR
NR
Page 79
Health Plan Descriptive Information
HealthPartners, Inc.
Total Enrollment by Percentage
Age/Sex
<1
1-4
5-9
10-14
15-17
18-19
Subtotal: 0-19
20-24
25-29
30-34
35-39
40-44
Subtotal: 20-44
45-49
50-54
55-59
60-64
Subtotal: 45-64
65-69
70-74
75-79
80-84
85-89
>=90
Subtotal: >=65
Medicaid
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Product Line
Medicare
Other
Total
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Total
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
M
F
M
F
M
F
M
F
M
F
M
F
Total
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
M
F
M
F
M
F
M
F
M
F
Total
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Total
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
Age Unknown
Total
0.00%
0.00%
Note: Row entries should add up to 100%.
HEDIS 2003 (Reporting Year 2002)
Page 80
Health Plan Descriptive Information
HealthPartners, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
28872
117252
152496
159792
94284
53556
Member Months
Female
27348
112632
145236
151632
89940
53388
Total
56220
229884
297732
311424
184224
106944
606252
32.24%
113760
123288
160008
174792
188916
580176
29.27%
134916
143820
175752
189888
202608
1186428
30.72%
760764
40.46%
165852
146352
108804
72336
846984
42.73%
182520
162396
117864
75012
1607748
41.62%
493344
26.24%
13608
4008
1608
576
156
132
537792
27.13%
11400
3648
1392
468
192
144
1031136
26.70%
20088
1.07%
0
17244
0.87%
0
37332
0.97%
1880448
1982196
HEDIS 2003 (Reporting Year 2002)
248676
267108
335760
364680
391524
348372
308748
226668
147348
25008
7656
3000
1044
348
276
0
3862644
Page 81
Health Plan Descriptive Information
HealthPartners, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
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
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2003 (Reporting Year 2002)
Page 82
Health Plan Descriptive Information
HealthPartners, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Senior Health Options
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
Total
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
HEDIS 2003 (Reporting Year 2002)
Page 83
Health Plan Descriptive Information
HealthPartners, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
13300
34085
25525
22666
10816
4297
Member Months
Female
12065
31081
26076
22416
11394
8758
Total
25365
65166
51601
45082
22210
13055
110689
80.59%
3361
2454
2728
2421
2097
111790
52.79%
22438
16262
12397
8592
5568
222479
63.73%
13061
9.51%
1379
548
275
172
65257
30.82%
2695
1476
410
218
78318
22.43%
2374
1.73%
3338
2910
1891
1627
827
633
4799
2.27%
6059
5896
5243
4583
4101
4041
7173
2.05%
11226
8.17%
0
29923
14.13%
0
41149
11.79%
137350
211769
HEDIS 2003 (Reporting Year 2002)
25799
18716
15125
11013
7665
4074
2024
685
390
9397
8806
7134
6210
4928
4674
0
349119
Page 84
Health Plan Descriptive Information
HealthPartners, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
85
314
258
121
16
Member Months
Female
3
105
216
258
107
27
Total
3
190
530
516
228
43
794
3.79%
2375
2363
2430
2870
3169
716
4.79%
2250
1411
1229
1339
1590
1510
4.21%
13207
63.07%
2671
1953
1338
939
7819
52.26%
1641
1668
1454
1505
21026
58.56%
6901
32.96%
36
0
2
0
0
0
6268
41.89%
131
21
8
0
0
0
13169
36.68%
38
0.18%
0
160
1.07%
0
198
0.55%
20940
14963
HEDIS 2003 (Reporting Year 2002)
4625
3774
3659
4209
4759
4312
3621
2792
2444
167
21
10
0
0
0
0
35903
Page 85
Health Plan Descriptive Information
HealthPartners, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Care
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
1823
8549
11777
12419
6608
3963
Member Months
Female
1949
8226
11632
12291
6339
4948
Total
3772
16775
23409
24710
12947
8911
45139
49.14%
8353
6107
5876
6241
6327
45385
39.98%
13495
9584
9272
8670
8165
90524
44.08%
32904
35.82%
5264
3864
2516
1863
49186
43.33%
6598
4861
3614
3375
82090
39.97%
13507
14.70%
197
43
43
24
5
0
18448
16.25%
321
78
72
16
11
0
31955
15.56%
312
0.34%
0
498
0.44%
0
810
0.39%
91862
113517
HEDIS 2003 (Reporting Year 2002)
21848
15691
15148
14911
14492
11862
8725
6130
5238
518
121
115
40
16
0
0
205379
Page 86