Group Health Plan, Inc.
Plan Name
2002
Reporting Year
General Info
Submission #
1
Last Refreshed:
5
9/23/2003 1:39:09 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
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0. Disclaimer Query located below
HEDIS 2003 (Reporting Year 2002)
Page 2
Effectiveness of Care
Group Health Plan, 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
80
64.52%
82
66.13%
104
83.87%
83
66.94%
84
67.74%
99
79.84%
72
58.06%
67
54.03%
80
64.52%
82
66.13%
104
83.87%
83
66.94%
84
67.74%
99
79.84%
72
58.06%
67
54.03%
80
29
87.90%
81.76%
94.05%
82
29
89.52%
83.72%
95.31%
104
8
90.32%
84.72%
95.93%
83
26
87.90%
81.76%
94.05%
84
31
92.74%
87.77%
97.71%
99
4
83.06%
76.06%
90.07%
72
26
79.03%
71.46%
86.60%
67
23
72.58%
64.33%
80.84%
124
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
124
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
124
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
124
Page 3
Effectiveness of Care
Group Health Plan, Inc.
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
General
Measure
Data
DTaP/DT
IPV/OPV
MMR
HiB
Hepatitis B
VZV
Combo 1
Combo 2
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
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 4
Effectiveness of Care
Group Health Plan, Inc.
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
Data Elements
General
Measure
Data
DTaP/DT
IPV/OPV
MMR
HiB
Hepatitis B
VZV
Combo 1
Combo 2
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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 Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
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 5
Effectiveness of Care
Group Health Plan, 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
188
55.46%
128
37.76%
11
3.24%
91
26.84%
3
0.88%
188
55.46%
128
37.76%
11
3.24%
91
26.84%
3
0.88%
188
117
89.97%
86.63%
93.32%
128
110
70.21%
65.19%
75.22%
11
178
55.75%
50.32%
61.19%
91
137
67.26%
62.11%
72.40%
3
137
41.30%
35.91%
46.69%
339
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
339
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
339
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
339
Page 6
Effectiveness of Care
Group Health Plan, Inc.
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
General
Measure
Data
MMR
Hepatitis B
VZV
Combo 1
Combo 2
NR
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
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
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 7
Effectiveness of Care
Group Health Plan, Inc.
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
Data Elements
General
Measure
Data
MMR
Hepatitis B
VZV
Combo 1
Combo 2
NR
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
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of Records Excluded because of
Contraindications by Admin Data
Number of Records Excluded because of
Contraindications by Medical Record
Review
Number of employee/dependent records
excluded
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 8
Effectiveness of Care
Group Health Plan, Inc.
Breast 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
2404
Medicare + Choice
HO
S
1756
1905
1441
79.24%
411
5.00%
432
82.06%
207
5.00%
218
350
81.02%
0
177
81.19%
0
Records Excluded because of contraindications
through Admin data
0
0
Records Excluded because of contraindications
through Medical Record Review
1
2
Number of employee/dependent medical records
excluded
0
0
1
411
332
12
83.70%
80.01%
87.39%
2
207
168
3
82.61%
77.20%
88.01%
Numerator Events by Admin Data on Eligible
Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Records 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 9
Effectiveness of Care
Group Health Plan, Inc.
Cervical Cancer Screening
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
HO
S
5718
75.29%
411
5.00%
432
336
95.14%
0
Records Excluded because of contraindications
through Admin data
0
Records Excluded because of contraindications
through Medical Record Review
17
Number of employee/dependent medical records
excluded
0
HEDIS 2003 (Reporting Year 2002)
MNCare
GAMC
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
4305
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 Auxiliary List
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
PMAP
17
411
336
4
82.73%
78.95%
86.50%
Page 10
Effectiveness of Care
Group Health Plan, 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
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
PMAP
Total
General
Measure Ages 16-20 Ages 21-26
Data
A
547
46.44%
337
40.65%
884
44.23%
14
6
20
NR
533
254
47.65%
43.32%
51.99%
331
137
41.39%
35.93%
46.85%
864
391
45.25%
41.88%
48.63%
NR
NR
NR
NR
NR
NR
Data Collection Methodology
Eligible Member Population
Current Year's Admin Rate
NR
NR
NR
NR
NR
MNCare
General
Measure Ages 16-20 Ages 21-26
Data
NR
NR
NR
NR
NR
GAMC
Data Elements
Total
NR
Total
NR
NR
General
Measure Ages 16-20 Ages 21-26
Data
NR
NR
Total
NR
NR
Records Excluded because of contraindications
through Admin data
NR
NR
Denominator
Numerator Events by Admin Data
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
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
Page 11
Effectiveness of Care
Group Health Plan, 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
1314
411
5.00%
432
0
0
PMAP
Medicare + Choice
HO
S
3892
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
8
7
Number of employee/dependent medical records
excluded
0
0
8
411
261
63.50%
58.73%
68.28%
7
411
253
61.56%
56.73%
66.38%
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)
NR
NR
NR
MSHO
NR
NR
NR
Page 12
Effectiveness of Care
Group Health Plan, Inc.
Beta Blocker Treatment after Heart Attack
Data Elements
Data Collection Methodology
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
HO
Sampling Method Used
S
Eligible Member Population
63
Numerator Events by Admin Data on
Eligible Population
38
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
60.32%
63
0.00%
63
38
60.32%
Records Excluded because of Valid Data
Errors
0
Records Excluded Contraindications/Admin Data
0
Records Excluded Contraindications/Medical Record Review
4
Number of employee/dependent medical
records excluded
0
Records Added from Auxiliary List
0
Denominator
59
Numerator Events by Admin Data
38
Numerator Events by Medical Record
18
Reported Rate
94.92%
Lower 95% Confidence Interval
Upper 95% Confidence Interval
100.00%
HEDIS 2003 (Reporting Year 2002)
88.46%
Page 13
Effectiveness of Care
Group Health Plan, Inc.
Cholesterol Management After Acute Cardiovascular Events
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
HO
S
138
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
8
Number of employee/dependent medical
records excluded
0
HEDIS 2003 (Reporting Year 2002)
103
56
74.64%
40.58%
103
56
74.64%
40.58%
97
6
53
39
79.23%
71.87%
86.59%
70.77%
62.57%
78.97%
138
0.00%
138
Records Excluded because of Valid Data
Errors
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
LDL-C
LDL-C Level of
screening 60- <130 mg/dL 60365 Days
365 Days
0
130
Page 14
Effectiveness of Care
Group Health Plan, 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
849
85.24%
432
43.37%
569
57.13%
848
85.14%
450
45.18%
618
62.05%
366
84.72%
179
41.44%
250
57.87%
368
85.19%
192
44.44%
272
62.96%
360
6
89.05%
85.91%
92.19%
16
54
17.03%
13.28%
20.79%
244
30
66.67%
61.99%
71.35%
354
3
86.86%
83.47%
90.25%
188
73
63.50%
58.73%
68.28%
264
46
75.43%
71.14%
79.71%
432
17
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
17
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
996
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
Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
1228
89.44%
291
21.19%
972
70.79%
1218
88.71%
908
66.13%
911
66.35%
359
90.89%
72
18.23%
285
72.15%
357
90.38%
258
65.32%
272
68.86%
347
3
93.09%
90.39%
95.78%
9
30
10.37%
7.16%
13.59%
277
17
78.19%
73.88%
82.50%
345
1
92.02%
89.15%
94.89%
249
14
69.95%
65.18%
74.71%
263
44
81.65%
77.60%
85.69%
395
6
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
6
HEDIS 2003 (Reporting Year 2002)
Eye Exam
376
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
1373
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
376
Page 16
Effectiveness of Care
Group Health Plan, 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
Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
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 18
Effectiveness of Care
Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
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 19
Effectiveness of Care
Group Health Plan, Inc.
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
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 20
Effectiveness of Care
Group Health Plan, 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
19
13
NA
NA
NA
67
39
58.21%
45.65%
70.77%
292
207
70.89%
65.51%
76.27%
378
259
68.52%
63.70%
73.33%
A
Page 21
Effectiveness of Care
Group Health Plan, 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
NR
NR
NR
Ages 10-17
NR
NR
NR
Ages 18-56
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 22
Effectiveness of Care
Group Health Plan, 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
NR
NR
NR
Ages 10-17
NR
NR
NR
Ages 18-56
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 23
Effectiveness of Care
Group Health Plan, 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
NR
NR
NR
Ages 10-17
NR
NR
NR
Ages 18-56
Total
NR
NR
NR
NR
NR
NR
NR
NR
Page 24
Effectiveness of Care
Group Health Plan, 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
A
113
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
30
52
46.02%
36.39%
55.65%
88
77.88%
69.78%
85.97%
5
16.67%
1.66%
31.67%
21
70.00%
51.93%
88.07%
NR
NR
NR
NR
NR
NR
Page 25
Effectiveness of Care
Group Health Plan, 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
22
17.60%
10.52%
24.68%
82
65.60%
56.87%
74.33%
68
54.40%
45.27%
63.53%
A
125
Page 26
Effectiveness of Care
Group Health Plan, 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
15
12.82%
6.34%
19.31%
76
64.96%
55.88%
74.03%
60
51.28%
41.80%
60.77%
A
117
Page 27
Effectiveness of Care
Group Health Plan, 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
Group Health Plan, 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 29
Effectiveness of Care
Group Health Plan, 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 30
Effectiveness of Care
Group Health Plan, 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
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 31
Use of Services
Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
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 32
Use of Services
Group Health Plan, Inc.
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:39 PM
MinnesotaCare
Data Elements
General
Measure
Data
Zero Visits
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Numerator events by admin data in eligible
population
Currect Year's Administrative Rate
Minimum Required Sample Size
Oversampling Rate
Final sample size (FSS)
Numerator events by admin data in FSS
Administrative rate on FSS
Number of Records Excluded Because of
Valid Data Errors
Number of employee/dependent medical
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 33
Use of Services
Group Health Plan, 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
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
MNCare
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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)
Page 34
Use of Services
Group Health Plan, Inc.
Adolescent Well-Care Visits
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
MNCare
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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)
Page 35
Use of Services
Group Health Plan, 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
1893
23522
53137
84368
107449
13465
6298
949
0
291081
Discharges
Discharges /
1,000 Member
Months
27
27
94
391
742
169
128
25
0
1603
14.26
1.15
1.77
4.63
6.91
12.55
20.32
26.34
20
25
37
93
375
97
86
19
0
752
10.57
1.06
0.70
1.10
3.49
7.20
13.66
20.02
7
2
40
145
367
72
42
6
0
681
3.70
0.09
0.75
1.72
3.42
5.35
6.67
6.32
0
0
17
153
0
0
0
170
0.00
0.00
0.32
1.81
0.00
0.00
HEDIS 2003 (Reporting Year 2002)
5.51
2.58
2.34
0.58
Days
Days / 1,000
Member
Months
113
60
229
1114
2630
634
524
107
0
5411
59.69
2.55
4.31
13.20
24.48
47.09
83.20
112.75
52
58
78
248
955
331
298
71
0
2091
27.47
2.47
1.47
2.94
8.89
24.58
47.32
74.82
61
2
116
466
1675
303
226
36
0
2885
32.22
0.09
2.18
5.52
15.59
22.50
35.88
37.93
0
0
35
400
0
0
0
435
0.00
0.00
0.66
4.74
0.00
0.00
18.59
7.18
9.91
1.49
Average Length
of Stay
4.19
2.22
2.44
2.85
3.54
3.75
4.09
4.28
NA
3.38
2.60
2.32
2.11
2.67
2.55
3.41
3.47
3.74
NA
2.78
8.71
1.00
2.90
3.21
4.56
4.21
5.38
6.00
NA
4.24
NA
NA
2.06
2.61
NA
NA
NA
2.56
Page 36
Use of Services
Group Health Plan, 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
0
0
0
355
2872
89546
89141
20964
0
202878
Discharges
0
0
0
10
50
1680
2437
753
0
4930
0
0
0
2
31
1000
1691
569
0
3293
0
0
0
8
19
680
744
182
0
1633
HEDIS 2003 (Reporting Year 2002)
Discharges /
1,000 Member
Months
NA
NA
NA
28.17
17.41
18.76
27.34
35.92
24.30
NA
NA
NA
5.63
10.79
11.17
18.97
27.14
16.23
NA
NA
NA
22.54
6.62
7.59
8.35
8.68
8.05
Days
Days / 1,000
Member
Months
0
0
0
101
280
6780
9530
2870
0
19561
NA
NA
NA
284.51
97.49
75.72
106.91
136.90
0
0
0
3
143
3069
5416
1848
0
10479
NA
NA
NA
8.45
49.79
34.27
60.76
88.15
0
0
0
98
137
3711
4107
1018
0
9071
96.42
51.65
NA
NA
NA
276.06
47.70
41.44
46.07
48.56
44.71
Average Length
of Stay
NA
NA
NA
10.10
5.60
4.04
3.91
3.81
NA
3.97
NA
NA
NA
1.50
4.61
3.07
3.20
3.25
NA
3.18
NA
NA
NA
12.25
7.21
5.46
5.52
5.59
NA
5.55
Page 37
Use of Services
Group Health Plan, 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
Group Health Plan, 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
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 2003 (Reporting Year 2002)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
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
NR
NR
Page 39
Use of Services
Group Health Plan, 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
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 2003 (Reporting Year 2002)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
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
NR
NR
Page 40
Use of Services
Group Health Plan, 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
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 2003 (Reporting Year 2002)
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
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
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
NR
NR
Page 41
Use of Services
Group Health Plan, 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
1893
23522
53137
84368
107449
13465
6298
949
0
291081
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
1552
6215
11407
21028
35562
5888
3389
581
0
85622
HEDIS 2003 (Reporting Year 2002)
Visits/ 1,000
Member
Months
819.86
264.22
214.67
249.24
330.97
437.28
538.11
612.22
294.15
Emergency Room Visits
Visits
43
228
412
695
860
96
69
14
0
2417
Visits/ 1,000
Member
Months
22.72
9.69
7.75
8.24
8.00
7.13
10.96
14.75
8.30
Ambulatory
Surgery/Procedures
Procedures
2
63
153
438
1215
231
106
16
0
2224
Procedures/
1,000 Member
Months
1.06
2.68
2.88
5.19
11.31
17.16
16.83
16.86
7.64
Observation Room Stays
Resulting in Discharge
Stays
0
2
6
42
4
1
0
0
0
55
Stays/ 1,000
Member
Months
0.00
0.09
0.11
0.50
0.04
0.07
0.00
0.00
0.19
Page 42
Use of Services
Group Health Plan, 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
0
0
0
355
2872
89546
89141
20964
0
202878
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
225
1839
52086
60844
17014
0
132008
HEDIS 2003 (Reporting Year 2002)
Visits/ 1,000
Member
Months
NA
NA
NA
633.80
640.32
581.67
682.56
811.58
650.68
Emergency Room Visits
Visits
0
0
0
11
54
1090
1489
450
0
3094
Visits/ 1,000
Member
Months
NA
NA
NA
30.99
18.80
12.17
16.70
21.47
15.25
Ambulatory
Surgery/Procedures
Procedures
0
0
0
18
62
1719
1761
312
0
3872
Procedures/
1,000 Member
Months
NA
NA
NA
50.70
21.59
19.20
19.76
14.88
19.09
Observation Room Stays
Resulting in Discharge
Stays
0
0
0
0
0
2
1
2
0
5
Stays/ 1,000
Member
Months
NA
NA
NA
0.00
0.00
0.02
0.01
0.10
0.02
Page 43
Use of Services
Group Health Plan, 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
Group Health Plan, Inc.
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Commercial
Member
Months
Age
<1
1893
1-9
23522
10-19
53137
20-44
84368
45-64
107449
65-74
13465
75-84
6298
85+
949
Unknown
0
291081
Total
Days
Days / 1,000
Member
Months
Average Length
of Stay
0.00
0
0.00
NA
0
0.00
0
0.00
NA
0
0.00
0
0.00
NA
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
10-19
Age
20-44
4
0.05
19
0.23
4.75
45-64
57
0.53
2251
20.95
39.49
65-74
18
1.34
509
37.80
28.28
75-84
27
4.29
616
97.81
22.81
85+
17
17.91
287
302.42
16.88
Unknown
0
123
0.42
0
3682
12.65
NA
29.93
Total
HEDIS 2003 (Reporting Year 2002)
Page 45
Use of Services
Group Health Plan, Inc.
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Member
Months
Age
<1
0
1-9
0
10-19
0
20-44
355
45-64
2872
65-74
89546
75-84
89141
85+
20964
Unknown
0
202878
Total
Days
Days / 1,000
Member
Months
Average Length
of Stay
NA
0
NA
NA
0
NA
0
NA
NA
0
NA
0
NA
NA
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
10-19
Age
20-44
1
2.82
3
8.45
3.00
45-64
12
4.18
150
52.23
12.50
65-74
426
4.76
5281
58.98
12.40
75-84
928
10.41
10308
115.64
11.11
85+
533
25.42
6588
314.25
12.36
Unknown
0
1900
9.37
0
22330
110.07
NA
11.75
Total
HEDIS 2003 (Reporting Year 2002)
Page 46
Use of Services
Group Health Plan, 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
Group Health Plan, 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
Age
0-12
Male
Female
Total
20074
13961
103745
11083
0
148863
18844
13450
100295
9629
0
142218
38918
27411
204040
20712
0
291081
Discharges
Discharges /
1,000 Member
Months
Days*
Average Length
of Stay
M
4
0.20
25
6.25
F
5
0.27
63
12.60
Total
9
0.23
88
9.78
13-17
M
20
1.43
403
20.15
F
24
1.78
192
8.00
Total
44
1.61
595
13.52
18-64
M
33
0.32
338
10.24
F
51
0.51
393
7.71
Total
84
0.41
731
8.70
65+
M
4
0.36
31
7.75
F
6
0.62
71
11.83
Total
10
0.48
102
10.20
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
M
Total
61
0.41
797
13.07
F
86
0.60
719
8.36
TOTAL
147
0.51
1516
10.31
* 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
Group Health Plan, 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
Age
0-12
Male
Female
Total
0
0
1588
79101
0
80689
0
0
1639
120550
0
122189
0
0
3227
199651
0
202878
Discharges
Discharges /
1,000 Member
Months
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
1
0.63
11
11.00
F
6
3.66
190
31.67
Total
7
2.17
201
28.71
M
65+
57
0.72
510
8.95
F
70
0.58
1027
14.67
Total
127
0.64
1537
12.10
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
58
0.72
521
8.98
F
76
0.62
1217
16.01
TOTAL
134
0.66
1738
12.97
* 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
Group Health Plan, 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
Group Health Plan, 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
20074
13961
103745
11083
0
148863
Female
18844
13450
100295
9629
0
142218
Member Months (Inpatient)
Total
38918
27411
204040
20712
0
291081
Male
20074
13961
103745
11083
0
148863
Female
18844
13450
100295
9629
0
142218
Total
38918
27411
204040
20712
0
291081
Member Months (Day/Night)
Male
20074
13961
103745
11083
0
148863
Female
18844
13450
100295
9629
0
142218
Total
38918
27411
204040
20712
0
291081
Member Months (Ambulatory)
Male
20074
13961
103745
11083
0
148863
Female
18844
13450
100295
9629
0
142218
Total
38918
27411
204040
20712
0
291081
Any Mental Health Services
Inpatient Mental Health Services
Day/Night Mental Health Services
Ambulatory Mental Health Services
Number
96
66
162
124
135
259
507
854
1361
20
32
52
0
0
0
747
1087
1834
Number
3
2
5
15
18
33
24
45
69
4
4
8
0
0
0
46
69
115
Number
0
1
1
1
2
3
3
8
11
0
0
0
0
0
0
4
11
15
Number
95
66
161
123
132
255
501
848
1349
16
29
45
0
0
0
735
1075
1810
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
5.74%
4.20%
5.00%
10.66%
12.04%
11.34%
5.86%
10.22%
8.00%
2.17%
3.99%
3.01%
NA
NA
NA
6.02%
9.17%
7.56%
Percent
0.18%
0.13%
0.15%
1.29%
1.61%
1.44%
0.28%
0.54%
0.41%
0.43%
0.50%
0.46%
NA
NA
NA
0.37%
0.58%
0.47%
Percent
0.00%
0.06%
0.03%
0.09%
0.18%
0.13%
0.03%
0.10%
0.06%
0.00%
0.00%
0.00%
NA
NA
NA
0.03%
0.09%
0.06%
Percent
5.68%
4.20%
4.96%
10.57%
11.78%
11.16%
5.79%
10.15%
7.93%
1.73%
3.61%
2.61%
NA
NA
NA
5.92%
9.07%
7.46%
Page 51
Use of Services
Group Health Plan, 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
0
0
1588
79101
0
80689
Female
0
0
1639
120550
0
122189
Member Months (Inpatient)
Total
0
0
3227
199651
0
202878
Male
0
0
1588
79101
0
80689
Female
0
0
1639
120550
0
122189
Total
0
0
3227
199651
0
202878
Any Mental Health Services
Inpatient Mental Health Services
Number
0
0
0
0
0
0
28
44
72
248
508
756
0
0
0
276
552
828
Number
0
0
0
0
0
0
1
4
5
47
54
101
0
0
0
48
58
106
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
NA
NA
NA
NA
NA
NA
21.16%
32.21%
26.77%
3.76%
5.06%
4.54%
NA
NA
NA
4.10%
5.42%
4.90%
Percent
NA
NA
NA
NA
NA
NA
0.76%
2.93%
1.86%
0.71%
0.54%
0.61%
NA
NA
NA
0.71%
0.57%
0.63%
Member Months (Day/Night)
Male
0
0
1588
79101
0
80689
Female
0
0
1639
120550
0
122189
Total
0
0
3227
199651
0
202878
Day/Night Mental Health Services
Number
0
0
0
0
0
0
0
1
1
2
1
3
0
0
0
2
2
4
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.73%
0.37%
0.03%
0.01%
0.02%
NA
NA
NA
0.03%
0.02%
0.02%
Member Months (Ambulatory)
Male
0
0
1588
79101
0
80689
Female
0
0
1639
120550
0
122189
Total
0
0
3227
199651
0
202878
Ambulatory Mental Health Services
Number
0
0
0
0
0
0
28
42
70
215
471
686
0
0
0
243
513
756
Percent
NA
NA
NA
NA
NA
NA
21.16%
30.75%
26.03%
3.26%
4.69%
4.12%
NA
NA
NA
3.61%
5.04%
4.47%
Page 52
Use of Services
Group Health Plan, 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
Group Health Plan, 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
20074
13961
103745
11083
0
148863
18844
13450
100295
9629
0
142218
38918
27411
204040
20712
0
291081
Discharges
Discharges /
1,000 Member
Months
Days
Average Length
of Stay
M
0
0.00
0
NA
F
0
0.00
0
NA
Total
0
0.00
0
NA
M
13-17
9
0.64
38
4.22
F
6
0.45
21
3.50
Total
15
0.55
59
3.93
M
18-64
22
0.21
76
3.45
F
28
0.28
158
5.64
Total
50
0.25
234
4.68
M
65+
4
0.36
13
3.25
F
0
0.00
0
NA
Total
4
0.19
13
3.25
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
35
0.24
127
3.63
F
34
0.24
179
5.26
TOTAL
69
0.24
306
4.43
* 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
Group Health Plan, 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
Age
0-12
Male
Female
Total
0
0
1588
79101
0
80689
0
0
1639
120550
0
122189
0
0
3227
199651
0
202878
Discharges
Discharges /
1,000 Member
Months
Days
Average Length
of Stay
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
13-17
M
0
NA
0
NA
F
0
NA
0
NA
Total
0
NA
0
NA
18-64
M
1
0.63
9
9.00
F
0
0.00
0
NA
Total
1
0.31
9
9.00
65+
M
17
0.21
108
6.35
F
12
0.10
97
8.08
Total
29
0.15
205
7.07
Unknown
M
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
18
0.22
117
6.50
F
12
0.10
97
8.08
TOTAL
30
0.15
214
7.13
* 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
Group Health Plan, 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
Group Health Plan, 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
20074
13961
103745
11083
0
148863
Female
18844
13450
100295
9629
0
142218
Member Months (Inpatient)
Total
38918
27411
204040
20712
0
291081
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
0
0
0
28
18
46
125
54
179
3
1
4
0
0
0
156
73
229
Percent
0.00%
0.00%
0.00%
2.41%
1.61%
2.01%
1.45%
0.65%
1.05%
0.32%
0.12%
0.23%
NA
NA
NA
1.26%
0.62%
0.94%
Male
20074
13961
103745
11083
0
148863
Female
18844
13450
100295
9629
0
142218
Total
38918
27411
204040
20712
0
291081
Member Months (Day/Night)
Male
20074
13961
103745
11083
0
148863
Female
18844
13450
100295
9629
0
142218
Total
38918
27411
204040
20712
0
291081
Member Months (Ambulatory)
Male
20074
13961
103745
11083
0
148863
Female
18844
13450
100295
9629
0
142218
Total
38918
27411
204040
20712
0
291081
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
7
6
13
19
17
36
2
0
2
0
0
0
28
23
51
Number
0
0
0
5
2
7
23
5
28
0
0
0
0
0
0
28
7
35
Number
0
0
0
24
15
39
102
47
149
2
1
3
0
0
0
128
63
191
Percent
0.00%
0.00%
0.00%
0.60%
0.54%
0.57%
0.22%
0.20%
0.21%
0.22%
0.00%
0.12%
NA
NA
NA
0.23%
0.19%
0.21%
Percent
0.00%
0.00%
0.00%
0.43%
0.18%
0.31%
0.27%
0.06%
0.16%
0.00%
0.00%
0.00%
NA
NA
NA
0.23%
0.06%
0.14%
Percent
0.00%
0.00%
0.00%
2.06%
1.34%
1.71%
1.18%
0.56%
0.88%
0.22%
0.12%
0.17%
NA
NA
NA
1.03%
0.53%
0.79%
Page 57
Use of Services
Group Health Plan, 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
0
0
1588
79101
0
80689
Female
0
0
1639
120550
0
122189
Member Months (Inpatient)
Total
0
0
3227
199651
0
202878
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
0
0
0
0
0
0
2
0
2
18
11
29
0
0
0
20
11
31
Percent
NA
NA
NA
NA
NA
NA
1.51%
0.00%
0.74%
0.27%
0.11%
0.17%
NA
NA
NA
0.30%
0.11%
0.18%
Male
0
0
1588
79101
0
80689
Female
0
0
1639
120550
0
122189
Total
0
0
3227
199651
0
202878
Member Months (Day/Night)
Male
0
0
1588
79101
0
80689
Female
0
0
1639
120550
0
122189
Total
0
0
3227
199651
0
202878
Member Months (Ambulatory)
Male
0
0
1588
79101
0
80689
Female
0
0
1639
120550
0
122189
Total
0
0
3227
199651
0
202878
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
0
0
0
1
0
1
12
7
19
0
0
0
13
7
20
Number
0
0
0
0
0
0
1
0
1
4
2
6
0
0
0
5
2
7
Number
0
0
0
0
0
0
0
0
0
8
4
12
0
0
0
8
4
12
Percent
NA
NA
NA
NA
NA
NA
0.76%
0.00%
0.37%
0.18%
0.07%
0.11%
NA
NA
NA
0.19%
0.07%
0.12%
Percent
NA
NA
NA
NA
NA
NA
0.76%
0.00%
0.37%
0.06%
0.02%
0.04%
NA
NA
NA
0.07%
0.02%
0.04%
Percent
NA
NA
NA
NA
NA
NA
0.00%
0.00%
0.00%
0.12%
0.04%
0.07%
NA
NA
NA
0.12%
0.04%
0.07%
Page 58
Use of Services
Group Health Plan, 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
Group Health Plan, 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
0
0
24
916
46743
28055
4425
0
80163
Specification Documentation:
Prescription is defined as (Enter "A"
or "B"):
Age
0-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Total Cost of
Prescriptions
$0.00
$0.00
$37,280.46
$178,948.58
$4,763,393.91
$2,926,366.53
$429,861.57
$0.00
$8,335,851.05
HEDIS 2003 (Reporting Year 2002)
A
Avg. Cost of
Prescriptions /
Per Member Per
Month
NA
NA
$1,553.35
$195.36
$101.91
$104.31
$97.14
$103.99
Total Number of
Prescriptions
0
0
251
3866
114860
84100
14686
0
217763
Avg. Num. Of
Prescriptions /
Per Member Per
Year
NA
NA
125.50
50.65
29.49
35.97
39.83
32.60
Page 60
Use of Services
Group Health Plan, 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
Group Health Plan, 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+
4236
7814
1610
4036
7529
1567
95.28%
94.63%
95.93%
96.35%
95.93%
96.77%
97.33%
96.51%
98.15%
A
Page 62
Access/Availability of Care
Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
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+
27
209
16554
26
191
15928
NA
NA
NA
91.39%
87.34%
95.43%
96.22%
95.92%
96.51%
A
Page 63
Access/Availability of Care
Group Health Plan, 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
Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
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 65
Access/Availability of Care
Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
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 66
Access/Availability of Care
Group Health Plan, Inc.
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Care
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 67
Access/Availability of Care
Group Health Plan, 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.
157
850
1095
153
756
976
97.45%
94.67%
100.00%
88.94%
86.77%
91.11%
89.13%
87.24%
91.02%
A
Page 68
Access/Availability of Care
Group Health Plan, Inc.
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
Data Elements
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
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 69
Access/Availability of Care
Group Health Plan, Inc.
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Care
Data Elements
General Measure
Data
12-24 months
25 months - 6
yrs.
7-11 yrs.
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 70
Access/Availability of Care
Group Health Plan, 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)
102
58
72.34%
41.13%
102
58
72.34%
41.13%
39
76
39
60
83.94%
77.43%
90.45%
72.26%
64.40%
80.12%
S
141
Minimum required sample size (MRSS) or other sample size
141
Oversampling rate
Final sample size (FSS)
0%
141
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
4
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
137
Page 71
Access/Availability of Care
Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
General Measure
Data
Timeliness of
Prenatal Care
Postpartum Care
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Data collection methodology (Administrative or Hybrid)
Sampling method used (see User's Guide for entry
descriptions)
Eligible member population (i.e. members who meet all
denominator criteria)
Number of numerator events by administrative data in
eligible population (before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
Number of employee/dependent medical records excluded
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
HEDIS 2003 (Reporting Year 2002)
Page 72
Access/Availability of Care
Group Health Plan, Inc.
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Care
General Measure
Data
Timeliness of
Prenatal Care
Postpartum Care
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Data collection methodology (Administrative or Hybrid)
Sampling method used (see User's Guide for entry
descriptions)
Eligible member population (i.e. members who meet all
denominator criteria)
Number of numerator events by administrative data in
eligible population (before exclusions)
Current year's administrative rate (before exclusions)
Minimum required sample size (MRSS) or other sample size
Oversampling rate
Final sample size (FSS)
Number of numerator events by administrative data in FSS
Administrative rate on FSS
Number of original sample records excluded because of
valid data errors
Number of employee/dependent medical records excluded
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
HEDIS 2003 (Reporting Year 2002)
Page 73
Access/Availability of Care
Group Health Plan, 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
Group Health Plan, 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
210
10
4.76%
Non-Physician Primary
Care Practitioners
38
1
2.63%
HEDIS 2003 (Reporting Year 2002)
Page 75
Health Plan Stability
Group Health Plan, 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
Group Health Plan, Inc.
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
Product/Product Line
HMO (Total)
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
Years in Business
47.00
17.00
47.00
47.00
15.00
47.00
Members*
433211
52495
131758
34171
210976
3811
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
19.00
19.00
0.00
0.00
0.00
222226
222226
0
0
0
655437
* Total number of members in each category as of December 31, 2002
HEDIS 2003 (Reporting Year 2002)
Page 77
Health Plan Stability
Group Health Plan, 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
Group Health Plan, 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
Group Health Plan, 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
Group Health Plan, 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
948
4164
7788
12324
8808
6384
Member Months
Female
948
4032
7536
11064
8724
5844
Total
1896
8196
15324
23388
17532
12228
40416
27.15%
8604
4800
6336
8880
12876
38148
26.82%
8472
4620
6324
9252
14220
78564
26.99%
41496
27.88%
16368
19296
12732
7464
42888
30.15%
17328
16104
10440
7716
84384
28.99%
55860
37.53%
4044
3192
2172
1188
396
84
51588
36.26%
3504
2724
2112
828
396
72
107448
36.91%
11076
7.44%
0
9636
6.77%
0
20712
7.11%
148848
142260
HEDIS 2003 (Reporting Year 2002)
17076
9420
12660
18132
27096
33696
35400
23172
15180
7548
5916
4284
2016
792
156
0
291108
Page 81
Health Plan Descriptive Information
Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Medicare + Choice
<1
1-4
5-9
10-14
15-17
18-19
0-19 Subtotal
0-19 Subtotal: %
20-24
25-29
30-34
35-39
40-44
20-44 Subtotal
20-44 Subtotal: %
45-49
50-54
55-59
60-64
45-64 Subtotal
45-64 Subtotal: %
65-69
70-74
75-79
80-84
85-89
>=90
>=65 Subtotal
>=65 Subtotal: %
Age Unknown
Total
Male
0
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
0
0
12
96
84
0
0.00%
0
12
36
48
72
0
0.00%
192
0.24%
132
240
420
600
168
0.14%
192
216
336
732
360
0.18%
1392
1.72%
15948
21672
20940
14388
4908
1260
1476
1.21%
22236
29700
31824
21996
10140
4668
2868
1.41%
79116
98.04%
0
120564
98.65%
0
199680
98.41%
80700
122208
HEDIS 2003 (Reporting Year 2002)
0
12
48
144
156
324
456
756
1332
38184
51372
52764
36384
15048
5928
0
202908
Page 82
Health Plan Descriptive Information
Group Health Plan, 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
Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
PMAP
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 84
Health Plan Descriptive Information
Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
GAMC
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 85
Health Plan Descriptive Information
Group Health Plan, Inc.
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:39 PM
Minnesota Care
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 86