First Plan of Minnesota
Plan Name
2002
Reporting Year
General Info
Submission #
1
Last Refreshed:
2
9/23/2003 1:38:31 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
First Plan of Minnesota
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
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
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)
IPV/OPV
MMR
HiB
Hepatitis B
VZV
Combo 1
Combo 2
19
63.33%
18
60.00%
25
83.33%
17
56.67%
19
63.33%
21
70.00%
15
50.00%
13
43.33%
NR
NR
NR
NR
NR
NR
NR
NR
19
10
96.67%
88.58%
100.00%
18
11
96.67%
88.58%
100.00%
25
4
96.67%
88.58%
100.00%
17
10
90.00%
77.60%
100.00%
19
10
96.67%
88.58%
100.00%
21
2
76.67%
59.86%
93.47%
15
11
86.67%
72.84%
100.00%
13
9
73.33%
55.84%
90.82%
HO
N
30
Numerator events by admin data in eligible
population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
DTaP/DT
30
Page 3
Effectiveness of Care
First Plan of Minnesota
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:38 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
MMR
HiB
Hepatitis B
VZV
Combo 1
Combo 2
28
24.56%
39
34.21%
62
54.39%
30
26.32%
37
32.46%
46
40.35%
20
17.54%
17
14.91%
NR
NR
NR
NR
NR
NR
NR
NR
28
40
59.65%
50.20%
69.09%
39
43
71.93%
63.24%
80.62%
62
21
72.81%
64.20%
81.41%
30
40
61.40%
52.03%
70.78%
37
45
71.93%
63.24%
80.62%
46
15
53.51%
43.91%
63.10%
20
34
47.37%
37.76%
56.97%
17
25
36.84%
27.55%
46.14%
114
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
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)
IPV/OPV
HO
Numerator events by admin data in eligible
population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
DTaP/DT
114
Page 4
Effectiveness of Care
First Plan of Minnesota
Childhood Immunization Rate
Data Last Refreshed:
Sep 23, 2003 1:38 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
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
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)
IPV/OPV
MMR
HiB
Hepatitis B
VZV
Combo 1
Combo 2
4
9.09%
3
6.82%
17
38.64%
3
6.82%
4
9.09%
15
34.09%
2
4.55%
1
2.27%
NR
NR
NR
NR
NR
NR
NR
NR
4
27
70.45%
55.84%
85.07%
3
30
75.00%
61.07%
88.93%
17
18
79.55%
66.49%
92.60%
3
24
61.36%
45.84%
76.89%
4
30
77.27%
63.75%
90.79%
15
10
56.82%
41.05%
72.59%
2
20
50.00%
34.09%
65.91%
1
16
38.64%
23.11%
54.16%
HO
N
44
Numerator events by admin data in eligible
population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
DTaP/DT
44
Page 5
Effectiveness of Care
First Plan of Minnesota
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
VZV
Combo 1
Combo 2
20
54.05%
16
43.24%
5
13.51%
11
29.73%
0
0.00%
NR
NR
NR
NR
NR
20
6
70.27%
54.19%
86.35%
16
12
75.68%
60.50%
90.85%
5
2
18.92%
4.95%
32.89%
11
10
56.76%
39.44%
74.07%
0
4
10.81%
0.00%
22.17%
37
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
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)
Hepatitis B
HO
Numerator events by admin data in eligible
population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
MMR
37
Page 6
Effectiveness of Care
First Plan of Minnesota
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:38 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
VZV
Combo 1
Combo 2
15
34.09%
3
6.82%
1
2.27%
3
6.82%
0
0.00%
NR
NR
NR
NR
NR
15
16
70.45%
55.84%
85.07%
3
12
34.09%
18.95%
49.23%
1
2
6.82%
0.00%
15.40%
3
11
31.82%
16.92%
46.72%
0
2
4.55%
0.00%
11.84%
44
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
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)
Hepatitis B
HO
Numerator events by admin data in eligible
population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
MMR
44
Page 7
Effectiveness of Care
First Plan of Minnesota
Adolescent Immunization Status
Data Last Refreshed:
Sep 23, 2003 1:38 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
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
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)
Hepatitis B
VZV
Combo 1
Combo 2
27
32.14%
8
9.52%
2
2.38%
6
7.14%
0
0.00%
NR
NR
NR
NR
NR
27
35
73.81%
63.81%
83.81%
8
33
48.81%
37.52%
60.09%
2
6
9.52%
2.65%
16.40%
6
28
40.48%
29.38%
51.57%
0
1
1.19%
0.00%
4.11%
HO
N
84
Numerator events by admin data in eligible
population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
MMR
84
Page 8
Effectiveness of Care
First Plan of Minnesota
Breast Cancer Screening
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
A
Medicare + Choice
178
Numerator Events by Admin Data on Eligible
Population
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Records Excluded because of contraindications
through Admin data
NR
NR
NR
NR
1
Records Excluded because of contraindications
through 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
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HEDIS 2003 (Reporting Year 2002)
177
147
83.05%
77.24%
88.86%
NR
NR
NR
Page 9
Effectiveness of Care
First Plan of Minnesota
Cervical Cancer Screening
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
A
PMAP
A
MNCare
A
GAMC
A
525
338
1352
80
76.76%
67.46%
62.43%
48.75%
NR
NR
NR
NR
23
7
25
2
502
403
331
228
1327
844
78
39
80.28%
76.70%
83.86%
68.88%
63.74%
74.02%
63.60%
60.98%
66.23%
50.00%
38.26%
61.74%
Numerator Events by Admin Data on Eligible
Population (before exclusions)
Current Year's Admin Rate
Minimum Required Sample Size
Oversampling Rate
Final Sample Size (FSS)
Numerator events by admin data in FSS
Admin Rate on FSS
Records Excluded because of Valid Data Errors
Records Excluded because of contraindications
through Admin data
Records Excluded because of contraindications
through Medical Record Review
Number of employee/dependent medical records
excluded
Records Added from 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
First Plan of Minnesota
Chlamydia Screening in Women
Data Last Refreshed:
Sep 23, 2003 1:38 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
49
26.53%
66
31.82%
115
29.57%
76
35.53%
0
0
0
0
49
13
26.53%
13.15%
39.91%
66
21
31.82%
19.82%
43.81%
115
34
29.57%
20.79%
38.34%
76
27
35.53%
24.11%
46.94%
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
120
30.83%
196
32.65%
NR
120
37
30.83%
22.15%
39.51%
196
64
32.65%
25.83%
39.47%
MNCare
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
General
Measure Ages 16-20 Ages 21-26
Data
Total
A
0
NA
5
20.00%
5
20.00%
102
32.35%
138
25.36%
240
28.33%
0
0
0
0
0
0
0
0
NR
NR
NR
5
1
NA
NA
NA
5
1
NA
NA
NA
102
33
32.35%
22.78%
41.92%
138
35
25.36%
17.74%
32.98%
240
68
28.33%
22.42%
34.24%
Page 11
Effectiveness of Care
First Plan of Minnesota
Controlling High Blood Pressure
Data Last Refreshed:
Sep 23, 2003 1:38 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
PMAP
HO
87
76
0
8
0
8
Records Excluded because of ESRD identified by
Admin Data
0
0
Records Excluded because of ESRD identified by
Medical Record
0
0
Number of employee/dependent medical records
excluded
0
0
0
79
43
54.43%
42.81%
66.05%
0
68
31
45.59%
33.02%
58.16%
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
First Plan of Minnesota
Beta Blocker Treatment after Heart Attack
Data Elements
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Cholesterol Management After Acute Cardiovascular Events
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
62
83.78%
Monitoring
for Diabetic
Nephropathy
Eye Exam
LDL-C
Screening
NR
61
82.43%
62
83.78%
NR
56
75.68%
NR
NR
NR
NR
NR
NR
61
0
89.71%
81.75%
97.66%
0
14
20.59%
10.24%
30.93%
58
2
88.24%
79.84%
96.63%
62
0
91.18%
83.70%
98.65%
0
42
61.76%
49.48%
74.05%
52
4
82.35%
72.56%
92.15%
LDL-C Level
74
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
6
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Poor HbA1c
Control
HO
Numerator events by admin data in
eligible population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HbA1c
Testing
68
Page 15
Effectiveness of Care
First Plan of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
Eye Exam
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
50
79.37%
0
0.00%
52
82.54%
35
55.56%
0
0.00%
46
73.02%
NR
NR
NR
NR
NR
NR
50
5
88.71%
80.03%
97.39%
0
20
32.26%
19.82%
44.70%
51
1
83.87%
73.91%
93.83%
35
5
64.52%
51.80%
77.23%
0
24
38.71%
25.78%
51.64%
45
4
79.03%
68.09%
89.97%
63
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
1
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Poor HbA1c
Control
HO
Numerator events by admin data in
eligible population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HbA1c
Testing
62
Page 18
Effectiveness of Care
First Plan of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
GAMC
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
Eye Exam
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
19
82.61%
0
0.00%
19
82.61%
18
78.26%
0
0.00%
16
69.57%
NR
NR
NR
NR
NR
NR
19
1
NA
NA
NA
0
8
NA
NA
NA
19
1
NA
NA
NA
18
0
NA
NA
NA
0
15
NA
NA
NA
16
0
NA
NA
NA
23
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
0
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Poor HbA1c
Control
HO
Numerator events by admin data in
eligible population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HbA1c
Testing
23
Page 19
Effectiveness of Care
First Plan of Minnesota
Comprehensive Diabetes Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure Data
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
7
Number of employee/dependent records
excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
Poor HbA1c
Control
Eye Exam
LDL-C
Screening
LDL-C Level
Monitoring
for Diabetic
Nephropathy
115
85.19%
0
0.00%
104
77.04%
104
77.04%
0
0.00%
112
82.96%
NR
NR
NR
NR
NR
NR
113
2
89.84%
84.22%
95.47%
0
37
28.91%
20.66%
37.15%
100
3
80.47%
73.21%
87.73%
103
0
80.47%
73.21%
87.73%
0
58
45.31%
36.30%
54.33%
107
0
83.59%
76.79%
90.40%
HO
N
135
Numerator events by admin data in
eligible population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
HbA1c
Testing
128
Page 20
Effectiveness of Care
First Plan of Minnesota
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:38 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
4
3
NA
NA
NA
7
6
NA
NA
NA
31
24
77.42%
61.09%
93.75%
42
33
78.57%
64.97%
92.17%
A
Page 21
Effectiveness of Care
First Plan of Minnesota
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:38 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
3
1
NA
NA
NA
13
8
NA
NA
NA
12
6
NA
NA
NA
28
15
NA
NA
NA
A
Page 22
Effectiveness of Care
First Plan of Minnesota
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:38 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
0
0
NA
NA
NA
4
3
NA
NA
NA
4
3
NA
NA
NA
A
Page 23
Effectiveness of Care
First Plan of Minnesota
Appropriate Medications for People with Asthma
Data Last Refreshed:
Sep 23, 2003 1:38 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
12
7
NA
NA
NA
19
14
NA
NA
NA
50
34
68.00%
54.07%
81.93%
81
55
67.90%
57.12%
78.69%
A
Page 24
Effectiveness of Care
First Plan of Minnesota
Follow-Up After Hospitalization for Mental Illness
Data Last Refreshed:
Sep 23, 2003 1:38 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
8
8
NA
NA
NA
6
NA
NA
NA
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
NR
Page 25
Effectiveness of Care
First Plan of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:38 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
2
NA
NA
NA
13
NA
NA
NA
11
NA
NA
NA
A
18
Page 26
Effectiveness of Care
First Plan of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:38 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
1
NA
NA
NA
9
NA
NA
NA
6
NA
NA
NA
A
14
Page 29
Effectiveness of Care
First Plan of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:38 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
1
NA
NA
NA
4
NA
NA
NA
4
NA
NA
NA
A
5
Page 30
Effectiveness of Care
First Plan of Minnesota
Antidepressant Medication Management
Data Last Refreshed:
Sep 23, 2003 1:38 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
6
16.22%
2.99%
29.44%
25
67.57%
51.13%
84.00%
20
54.05%
36.64%
71.46%
A
37
Page 31
Use of Services
First Plan of Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:38 PM
PMAP
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
2 visits
3 visits
4 visits
5 visits
6 or more
visits
7
6.48%
1
0.93%
1
0.93%
11
10.19%
2
1.85%
12
11.11%
20
18.52%
NR
NR
NR
NR
NR
NR
NR
7
0
6.48%
1.38%
11.59%
1
1
1.85%
0.00%
4.86%
1
0
0.93%
0.00%
3.20%
11
3
12.96%
6.16%
19.76%
2
6
7.41%
2.01%
12.81%
12
17
26.85%
18.03%
35.67%
20
27
43.52%
33.71%
53.33%
108
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
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
1 visit
HO
Numerator events by admin data in eligible
population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Zero Visits
108
Page 32
Use of Services
First Plan of Minnesota
Well Child Visits in the First 15 Months of Life
Data Last Refreshed:
Sep 23, 2003 1:38 PM
MinnesotaCare
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
General
Measure
Data
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
0
Number of employee/dependent medical
records excluded
0
Additional Records Added from the
Auxiliary List
0
HEDIS 2003 (Reporting Year 2002)
1 visit
2 visits
3 visits
4 visits
5 visits
6 or more
visits
0
0.00%
0
0.00%
0
0.00%
1
2.86%
3
8.57%
4
11.43%
8
22.86%
NR
NR
NR
NR
NR
NR
NR
0
0
0.00%
0.00%
1.43%
0
0
0.00%
0.00%
1.43%
0
0
0.00%
0.00%
1.43%
1
1
5.71%
0.00%
14.83%
3
3
17.14%
3.23%
31.06%
4
3
20.00%
5.32%
34.68%
8
12
57.14%
39.32%
74.97%
HO
N
35
Numerator events by admin data in eligible
population
Denominator
Numerator Events by Admin Data
Numerator Events by Medical Record
Reported Rate
Lower 95% Confidence Interval
Upper 95% Confidence Interval
Zero Visits
35
Page 33
Use of Services
First Plan of Minnesota
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)
PMAP
HO
N
202
Data Last Refreshed:
Sep 23, 2003 1:38 PM
MNCare
HO
N
225
124
61.39%
NR
NR
0
NR
0
0
0
0
202
124
6
64.36%
57.50%
71.21%
0
225
128
10
61.33%
54.75%
67.92%
Page 34
Use of Services
First Plan of Minnesota
Adolescent Well-Care Visits
Data Elements
Data Collection Methodology
Sampling Method Used
Eligible Member Population
Data Last Refreshed:
Sep 23, 2003 1:38 PM
PMAP
A
MNCare
A
409
774
30.81%
29.97%
NR
NR
409
126
774
232
30.81%
26.21%
35.40%
29.97%
26.68%
33.27%
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
First Plan of Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
230
3493
4973
12926
9580
134
12
0
0
31348
Discharges
2
3
10
67
63
0
0
0
0
145
1
0
5
11
24
0
0
0
0
41
1
3
3
17
39
0
0
0
0
63
0
0
2
39
0
0
0
41
HEDIS 2003 (Reporting Year 2002)
Discharges /
1,000 Member
Months
8.70
0.86
2.01
5.18
6.58
0.00
0.00
NA
4.63
4.35
0.00
1.01
0.85
2.51
0.00
0.00
NA
1.31
4.35
0.86
0.60
1.32
4.07
0.00
0.00
NA
2.01
0.00
0.00
0.40
3.02
0.00
0.00
1.31
Days
6
10
15
204
224
0
0
0
0
459
Days / 1,000
Member
Months
26.09
2.86
3.02
15.78
23.38
0.00
0.00
NA
14.64
3
0
9
25
67
0
0
0
0
104
13.04
0.00
1.81
1.93
6.99
0.00
0.00
NA
3
10
3
53
157
0
0
0
0
226
13.04
2.86
0.60
4.10
16.39
0.00
0.00
NA
0
0
3
126
0
0
0
129
0.00
0.00
0.60
9.75
0.00
0.00
3.32
7.21
4.12
Average Length
of Stay
3.00
3.33
1.50
3.04
3.56
NA
NA
NA
NA
3.17
3.00
NA
1.80
2.27
2.79
NA
NA
NA
NA
2.54
3.00
3.33
1.00
3.12
4.03
NA
NA
NA
NA
3.59
NA
NA
1.50
3.23
NA
NA
NA
3.15
Page 36
Use of Services
First Plan of Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
1380
11536
9111
10048
656
2310
2809
3531
0
41381
Discharges
Discharges /
1,000 Member
Months
31
27
64
262
5
46
81
92
0
608
22.46
2.34
7.02
26.07
7.62
19.91
28.84
26.05
20
22
17
39
0
31
55
70
0
254
14.49
1.91
1.87
3.88
0.00
13.42
19.58
19.82
11
5
7
46
5
15
26
22
0
137
7.97
0.43
0.77
4.58
7.62
6.49
9.26
6.23
0
0
40
177
0
0
0
217
HEDIS 2003 (Reporting Year 2002)
14.69
6.14
3.31
0.00
0.00
4.39
17.62
0.00
0.00
5.24
Days
Days / 1,000
Member
Months
151
77
165
708
10
204
440
381
0
2136
109.42
6.67
18.11
70.46
15.24
88.31
156.64
107.90
68
56
35
82
0
113
236
255
0
845
49.28
4.85
3.84
8.16
0.00
48.92
84.02
72.22
83
21
28
169
10
91
204
126
0
732
60.14
1.82
3.07
16.82
15.24
39.39
72.62
35.68
0
0
102
457
0
0
0
559
51.62
20.42
17.69
0.00
0.00
11.20
45.48
0.00
0.00
13.51
Average Length
of Stay
4.87
2.85
2.58
2.70
2.00
4.43
5.43
4.14
NA
3.51
3.40
2.55
2.06
2.10
NA
3.65
4.29
3.64
NA
3.33
7.55
4.20
4.00
3.67
2.00
6.07
7.85
5.73
NA
5.34
NA
NA
2.55
2.58
NA
NA
NA
2.58
Page 39
Use of Services
First Plan of Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
0
0
0
3426
2329
0
0
0
0
5755
Discharges
0
0
39
26
0
0
0
0
65
0
0
0
25
16
0
0
0
0
41
0
0
0
12
10
0
0
0
0
22
0
0
0
2
0
0
0
2
HEDIS 2003 (Reporting Year 2002)
Discharges /
1,000 Member
Months
NR
NA
NA
11.38
11.16
NA
NA
NA
11.29
NA
NA
NA
7.30
6.87
NA
NA
NA
7.12
NA
NA
NA
3.50
4.29
NA
NA
NA
3.82
NA
NA
NA
0.58
0.00
NA
0.35
Days
0
0
92
84
0
0
0
0
176
0
0
0
42
45
0
0
0
0
87
0
0
0
44
39
0
0
0
0
83
0
0
0
6
0
0
0
6
Days / 1,000
Member
Months
NR
NA
NA
26.85
36.07
NA
NA
NA
30.58
NA
NA
NA
12.26
19.32
NA
NA
NA
15.12
NA
NA
NA
12.84
16.75
NA
NA
NA
14.42
NA
NA
NA
1.75
0.00
NA
1.04
Average Length
of Stay
NR
NA
NA
2.36
3.23
NA
NA
NA
NA
2.71
NA
NA
NA
1.68
2.81
NA
NA
NA
NA
2.12
NA
NA
NA
3.67
3.90
NA
NA
NA
NA
3.77
NA
NA
NA
3.00
NA
NA
NA
3.00
Page 40
Use of Services
First Plan of Minnesota
Inpatient Utilization - General Hospital/Acute Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
327
8193
12653
23601
14575
268
12
0
0
59629
Discharges
Discharges /
1,000 Member
Months
7
14
27
144
165
0
0
0
0
357
21.41
1.71
2.13
6.10
11.32
0.00
0.00
NA
7
11
6
41
76
0
0
0
0
141
21.41
1.34
0.47
1.74
5.21
0.00
0.00
NA
0
3
17
47
87
0
0
0
0
154
0.00
0.37
1.34
1.99
5.97
0.00
0.00
NA
0
0
4
56
2
0
0
62
HEDIS 2003 (Reporting Year 2002)
5.99
2.36
2.58
0.00
0.00
0.32
2.37
0.14
0.00
1.04
Days
Days / 1,000
Member
Months
21
26
74
410
552
0
0
0
0
1083
64.22
3.17
5.85
17.37
37.87
0.00
0.00
NA
21
20
13
109
215
0
0
0
0
378
64.22
2.44
1.03
4.62
14.75
0.00
0.00
NA
0
6
52
151
333
0
0
0
0
542
0.00
0.73
4.11
6.40
22.85
0.00
0.00
NA
0
0
9
150
4
0
0
163
0.00
0.00
0.71
6.36
0.27
0.00
18.16
6.34
9.09
2.73
Average Length
of Stay
3.00
1.86
2.74
2.85
3.35
NA
NA
NA
NA
3.03
3.00
1.82
2.17
2.66
2.83
NA
NA
NA
NA
2.68
NA
2.00
3.06
3.21
3.83
NA
NA
NA
NA
3.52
NA
NA
2.25
2.68
2.00
NA
NA
2.63
Page 41
Use of Services
First Plan of Minnesota
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Member
Months
230
3493
4973
12926
9580
134
12
0
0
31348
Outpatient Visits
(Excludes MH/CD)
Age
<1
1-9
10-19
20-44
45-64
65-74
75-84
85+
Unknown
Total
Visits
318
1013
1061
3156
2968
43
2
0
0
8561
HEDIS 2003 (Reporting Year 2002)
Visits/ 1,000
Member
Months
1382.61
290.01
213.35
244.16
309.81
320.90
166.67
NA
273.10
Emergency Room Visits
Visits
16
83
71
173
142
6
0
0
0
491
Visits/ 1,000
Member
Months
69.57
23.76
14.28
13.38
14.82
44.78
0.00
NA
15.66
Ambulatory
Surgery/Procedures
Procedures
3
5
10
75
154
3
0
0
0
250
Procedures/
1,000 Member
Months
13.04
1.43
2.01
5.80
16.08
22.39
0.00
NA
7.97
Observation Room Stays
Resulting in Discharge
Stays
0
6
0
48
8
2
0
0
0
64
Stays/ 1,000
Member
Months
0.00
1.72
0.00
3.71
0.84
14.93
0.00
NA
2.04
Page 42
Use of Services
First Plan of Minnesota
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Ambulatory Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
Member
Months
Age
<1
230
1-9
3493
10-19
4973
20-44
12926
45-64
9580
65-74
134
75-84
12
85+
0
Unknown
0
31348
Total
Days
Days / 1,000
Member
Months
Average Length
of Stay
0.00
0
0.00
NA
0
0.00
0
0.00
NA
10-19
0
0.00
0
0.00
NA
20-44
0
0.00
0
0.00
NA
45-64
1
0.10
8
0.84
8.00
65-74
0
0.00
0
0.00
NA
75-84
0
0.00
0
0.00
NA
85+
0
NA
0
NA
NA
Unknown
0
1
0.03
0
8
0.26
NA
8.00
Discharges
Discharges /
1,000 Member
Months
<1
0
1-9
Age
Total
HEDIS 2003 (Reporting Year 2002)
Page 45
Use of Services
First Plan of Minnesota
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Inpatient Utilization - Nonacute Care
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
2593
1402
10721
108
0
14824
2435
1266
12785
38
0
16524
5028
2668
23506
146
0
31348
Discharges
Discharges /
1,000 Member
Months
Days*
Average Length
of Stay
M
1
0.39
4
4.00
F
0
0.00
0
NA
Total
1
0.20
4
4.00
13-17
M
1
0.71
10
10.00
F
2
1.58
7
3.50
Total
3
1.12
17
5.67
18-64
M
2
0.19
4
2.00
F
2
0.16
3
1.50
Total
4
0.17
7
1.75
65+
M
0
0.00
0
NA
F
0
0.00
0
NA
Total
0
0.00
0
NA
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
M
Total
4
0.27
18
4.50
F
4
0.24
10
2.50
TOTAL
8
0.26
28
3.50
* 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
First Plan of Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Mental Health Utilization Inpatient Discharges and Average Length of Stay, by Age and Sex
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:38 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
2593
1402
10721
108
0
14824
Female
2435
1266
12785
38
0
16524
Member Months (Inpatient)
Total
5028
2668
23506
146
0
31348
Male
2593
1402
10721
108
0
14824
Female
2435
1266
12785
38
0
16524
Member Months (Day/Night)
Total
5028
2668
23506
146
0
31348
Male
2593
1402
10721
108
0
14824
Female
2435
1266
12785
38
0
16524
Total
5028
2668
23506
146
0
31348
Member Months (Ambulatory)
Male
2593
1402
10721
108
0
14824
Female
2435
1266
12785
38
0
16524
Total
5028
2668
23506
146
0
31348
Any Mental Health Services
Inpatient Mental Health Services
Day/Night Mental Health Services
Ambulatory Mental Health Services
Number
18
10
28
11
12
23
37
95
132
0
0
0
0
0
0
66
117
183
Number
1
0
1
1
1
2
2
2
4
0
0
0
0
0
0
4
3
7
Number
0
0
0
1
1
2
3
4
7
0
0
0
0
0
0
4
5
9
Number
17
10
27
11
12
23
36
93
129
0
0
0
0
0
0
64
115
179
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
8.33%
4.93%
6.68%
9.42%
11.37%
10.34%
4.14%
8.92%
6.74%
0.00%
0.00%
0.00%
NA
NA
NA
5.34%
8.50%
7.01%
Percent
0.46%
0.00%
0.24%
0.86%
0.95%
0.90%
0.22%
0.19%
0.20%
0.00%
0.00%
0.00%
NA
NA
NA
0.32%
0.22%
0.27%
Percent
0.00%
0.00%
0.00%
0.86%
0.95%
0.90%
0.34%
0.38%
0.36%
0.00%
0.00%
0.00%
NA
NA
NA
0.32%
0.36%
0.34%
Percent
7.87%
4.93%
6.44%
9.42%
11.37%
10.34%
4.03%
8.73%
6.59%
0.00%
0.00%
0.00%
NA
NA
NA
5.18%
8.35%
6.85%
Page 51
Use of Services
First Plan of Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Mental Health Utilization -Percent of Members Receiving Inpatient, Day/Night and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
Member Months
Age
0-12
13-17
18-64
65+
Unknown
Total
Age
0-12
Male
Female
Total
2593
1402
10721
108
0
14824
2435
1266
12785
38
0
16524
5028
2668
23506
146
0
31348
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
1
0.71
25
25.00
F
0
0.00
0
NA
Total
1
0.37
25
25.00
M
18-64
3
0.28
17
5.67
F
0
0.00
0
NA
Total
3
0.13
17
5.67
M
65+
0
0.00
0
NA
F
0
0.00
0
NA
Total
0
0.00
0
NA
M
Unknown
0
0
NA
F
0
0
NA
Total
0
0
NA
Total
M
4
0.27
42
10.50
F
0
0.00
0
NA
TOTAL
4
0.13
42
10.50
* 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
First Plan of Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Chemical Dependency Utilization Inpatient Discharges and Average Length of Stay
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
Member Months (Any)
Age
0-12
13-17
18-64
65+
Unknown
Total
Male
2593
1402
10721
108
0
14824
Female
2435
1266
12785
38
0
16524
Member Months (Inpatient)
Total
5028
2668
23506
146
0
31348
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
3
1
4
7
1
8
0
0
0
0
0
0
10
2
12
Percent
0.00%
0.00%
0.00%
2.57%
0.95%
1.80%
0.78%
0.09%
0.41%
0.00%
0.00%
0.00%
NA
NA
NA
0.81%
0.15%
0.46%
Male
2593
1402
10721
108
0
14824
Female
2435
1266
12785
38
0
16524
Member Months (Day/Night)
Total
5028
2668
23506
146
0
31348
Male
2593
1402
10721
108
0
14824
Female
2435
1266
12785
38
0
16524
Total
5028
2668
23506
146
0
31348
Member Months (Ambulatory)
Male
2593
1402
10721
108
0
14824
Female
2435
1266
12785
38
0
16524
Total
5028
2668
23506
146
0
31348
Inpatient Chemical Dependency
Services
Day/Night Chemical Dependency
Services
Ambulatory Chemical Dependency
Services
Number
0
0
0
1
0
1
3
0
3
0
0
0
0
0
0
4
0
4
Number
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Number
0
0
0
3
1
4
5
1
6
0
0
0
0
0
0
8
2
10
Percent
0.00%
0.00%
0.00%
0.86%
0.00%
0.45%
0.34%
0.00%
0.15%
0.00%
0.00%
0.00%
NA
NA
NA
0.32%
0.00%
0.15%
Percent
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
NA
NA
NA
0.00%
0.00%
0.00%
Percent
0.00%
0.00%
0.00%
2.57%
0.95%
1.80%
0.56%
0.09%
0.31%
0.00%
0.00%
0.00%
NA
NA
NA
0.65%
0.15%
0.38%
Page 57
Use of Services
First Plan of Minnesota
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Chemical Dependency Utilization -Percent of members Receiving inpatient, Day/Night Care, and Ambulatory Services
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
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 1:38 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
First Plan of Minnesota
Outpatient Drug Utilization
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:38 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+
451
578
7
426
547
7
94.46%
92.23%
96.68%
94.64%
92.71%
96.56%
NA
NA
NA
A
Page 62
Access/Availability of Care
First Plan of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:38 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+
421
35
564
377
30
497
89.55%
86.51%
92.59%
85.71%
72.69%
98.74%
88.12%
85.36%
90.88%
A
Page 65
Access/Availability of Care
First Plan of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:38 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+
104
110
0
85
86
0
81.73%
73.82%
89.64%
78.18%
70.01%
86.35%
NA
NA
NA
A
Page 66
Access/Availability of Care
First Plan of Minnesota
Adult's Access to Preventive/Ambulatory Health Services
Data Last Refreshed:
Sep 23, 2003 1:38 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+
1356
976
7
1071
844
4
78.98%
76.78%
81.19%
86.48%
84.28%
88.67%
NA
NA
NA
A
Page 67
Access/Availability of Care
First Plan of Minnesota
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:38 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.
34
123
120
33
110
100
97.06%
89.91%
100.00%
89.43%
83.59%
95.27%
83.33%
76.25%
90.42%
A
Page 68
Access/Availability of Care
First Plan of Minnesota
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:38 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.
162
297
152
150
253
126
92.59%
88.25%
96.93%
85.19%
80.98%
89.39%
82.89%
76.58%
89.21%
A
Page 69
Access/Availability of Care
First Plan of Minnesota
Children's Access to Primary Care Practitioners
Data Last Refreshed:
Sep 23, 2003 1:38 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.
54
264
312
52
230
272
96.30%
90.33%
100.00%
87.12%
82.89%
91.35%
87.18%
83.31%
91.05%
A
Page 70
Access/Availability of Care
First Plan of Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Commercial
General Measure
Data
Data collection methodology (Administrative or Hybrid)
Timeliness of
Prenatal Care
Postpartum Care
68.42%
73.68%
NR
NR
26
28
68.42%
52.33%
84.52%
73.68%
58.37%
89.00%
A
Sampling method used (see User's Guide for entry
descriptions)
Eligible member population (i.e. members who meet all
denominator criteria)
38
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)
38
Page 71
Access/Availability of Care
First Plan of Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
PMAP
General Measure
Data
Data collection methodology (Administrative or Hybrid)
Timeliness of
Prenatal Care
Postpartum Care
23.23%
62.58%
NR
NR
36
97
23.23%
16.26%
30.20%
62.58%
54.64%
70.52%
A
Sampling method used (see User's Guide for entry
descriptions)
Eligible member population (i.e. members who meet all
denominator criteria)
155
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)
155
Page 72
Access/Availability of Care
First Plan of Minnesota
Prenatal and Postpartum Care
Data Last Refreshed:
Sep 23, 2003 1:38 PM
Minnesota Care
General Measure
Data
Data collection methodology (Administrative or Hybrid)
Timeliness of
Prenatal Care
Postpartum Care
41.82%
60.00%
NR
NR
23
33
41.82%
27.87%
55.76%
60.00%
46.14%
73.86%
A
Sampling method used (see User's Guide for entry
descriptions)
Eligible member population (i.e. members who meet all
denominator criteria)
55
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)
55
Page 73
Access/Availability of Care
First Plan of Minnesota
Availability of Language Interpretation Services
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Practitioner Turnover
Medicare + Choice
Practitioner Types
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Practitioner Turnover
Minnesota Senior Health Options
Practitioner Types
Number of
Practitioners as of
12/31/2001
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Years in Business / Total Membership
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Board Certification / Residency Completion
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
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 1:38 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
First Plan of Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:38 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
120
732
1056
1236
852
528
Member Months
Female
120
768
936
972
912
468
Total
240
1500
1992
2208
1764
996
4524
30.50%
1128
1080
1032
1020
1464
4176
25.25%
1032
1524
1452
1572
1632
8700
27.74%
5724
38.59%
1584
1392
936
564
7212
43.61%
1872
1572
924
744
12936
41.24%
4476
30.18%
96
0
12
0
0
0
5112
30.91%
36
0
0
0
0
0
9588
30.57%
108
0.73%
36
0.22%
144
0.46%
14832
16536
NR
31368
HEDIS 2003 (Reporting Year 2002)
2160
2604
2484
2592
3096
3456
2964
1860
1308
132
0
12
0
0
0
Page 81
Health Plan Descriptive Information
First Plan of Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:38 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
First Plan of Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:38 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
730
3507
2373
2260
1371
548
Member Months
Female
650
3193
2463
2532
1388
1012
Total
1380
6700
4836
4792
2759
1560
10789
71.25%
743
392
337
391
348
11238
42.83%
2728
1787
1315
1115
892
22027
53.23%
2211
14.60%
182
90
18
0
7837
29.87%
272
61
9
24
10048
24.28%
290
1.92%
420
376
259
327
300
170
366
1.39%
753
761
1035
1188
1546
1515
656
1.59%
1852
12.23%
6798
25.91%
8650
20.90%
15142
26239
NR
41381
HEDIS 2003 (Reporting Year 2002)
3471
2179
1652
1506
1240
454
151
27
24
1173
1137
1294
1515
1846
1685
Page 84
Health Plan Descriptive Information
First Plan of Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:38 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
0
0
0
0
0
Member Months
Female
0
0
0
0
0
0
Total
0
0
0
0
0
0
0
0.00%
459
446
299
363
621
0
0.00%
458
238
113
116
313
0
0.00%
2188
61.27%
497
435
349
102
1238
56.68%
318
202
217
209
3426
59.53%
1383
38.73%
0
0
0
0
0
0
946
43.32%
0
0
0
0
0
0
2329
40.47%
0
0.00%
0
0
0.00%
0
0
0.00%
3571
2184
HEDIS 2003 (Reporting Year 2002)
917
684
412
479
934
815
637
566
311
0
0
0
0
0
0
0
5755
Page 85
Health Plan Descriptive Information
First Plan of Minnesota
Enrollment by Product Line (Age & Sex)
Data Last Refreshed:
Sep 23, 2003 1:38 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
124
1434
2703
3156
1996
1292
Member Months
Female
203
1543
2513
3143
1859
1207
Total
327
2977
5216
6299
3855
2499
10705
40.27%
2570
1785
1458
1738
2295
10468
31.68%
3138
2389
2071
2670
3487
21173
35.51%
9846
37.03%
2168
1741
941
1100
13755
41.63%
2844
1929
1844
2008
23601
39.58%
5950
22.38%
85
0
0
0
0
0
8625
26.10%
183
0
0
12
0
0
14575
24.44%
85
0.32%
0
195
0.59%
0
280
0.47%
26586
33043
HEDIS 2003 (Reporting Year 2002)
5708
4174
3529
4408
5782
5012
3670
2785
3108
268
0
0
12
0
0
0
59629
Page 86