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Preferred One Community Health PlanGeneral InfoDisclaimersHEDIS 2015 (Reporting Year 2014)PageData Last Refreshed: 1/15/20162Effectiveness of Care MeasuresCodeEffectiveness of Care MeasuresCode27 MPMAnnual Monitoring for Patients on Persistent Medications63328 MRPMedication Reconciliation Post Discharge70429 DDEPotentially Harmful Drug-Disease Interactions in the Elderly71730 DAEUse of High Risk Medications in the Elderly73Prevention and ScreeningABAAdult BMI AssessmentCISWeight Assessment and Counseling for Nutrition and Physical Activity forChildren/AdolescentsChildhood Immunization StatusIMAImmunizations for AdolescentsWCCPageMedication ManagementPage13BCSBreast Cancer Screening16CodeCCSCervical Cancer Screening1731 AAPAdult's Access to Preventive/Ambulatory Health ServicesCOLColorectal Cancer Screening1832 CAPChildren's and Adolescents' Access to Primary Care Practitioners82CHLChlamydia Screening in Women1933Initiation/Engagement of Alcohol & Other Drug Dependence Treatment85HPVHuman Papillomavirus Vaccine for Female Adolescents2234 PPCPrenatal and Postpartum Care92COACare for Older Adults2335 ADVAnnual Dental Visit95IETAccess / Availability of Care MeasuresPage75#REF!Respiratory ConditionsUse of Services Measures34 CodePageWell Child Visits in the First 15 Months of Life97Well Child Visits in the 3rd, 4th, 5th and 6th Years of Life10038 AWCAdolescent Well-Care Visits10139 AMBAmbulatory Care102PCEPharmacotherapy Management of COPD Exacerbation2436 W15SPRUse of Spirometry Testing in the Assessment and Diagnosis of COPD28W34ASMUse of Appropriate Medications for People with Asthma29MMAMedication Management for People with Asthma32AMRAsthma Medication Ratio3440IPUInpatient Utilization - General Hospital/Acute Care109URIAppropriate Treatment for children with Upper Respiratory Infection3741IADIdentification of Alcohol and Other Drug Services11642 MPTMental Health Utilization - % of Members Receiving Inpatient, Day/Night and Ambulatory Services12343 PCRPlan All-Cause Readmissions130CardiovascularCBPPBHControlling High Blood Pressure38Persistence of Beta Blocker Treatment After Heart Attack39DiabetesCDCComprehensive Diabetes Care40MusculoskeletalDisease Modifying Anti-Rheumatic Drug Therapy in Rheumatoid Arthritis47OMWOsteoporosis Management in Women Who had a Fracture48Behavioral HealthAMMAntidepressant Medication ManagementADD56Follow-Up Care for Children PrescribedAttention-Deficit/Hyperactivity Disorder (ADHD) MedicationFollow-up After Hospitalization for Mental Illness59HEDIS 2015 (Reporting Year 2014)49Health Plan Descriptive Information Measures42 Code44 BCRARTFUH3745ENPPageBoard Certification134Enrollment by Product Line (Age & Sex)137
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Effectiveness of CarePreferred One Community Health PlanAdult BMI AssessmentData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationData Last Refreshed:Jan 15, 2016 11:18 AMMedicareAdvantageMA ExpandF& CMN CareSNBCSNPSNBCNon RNRNRNRCommercial2014A3951Numerator Events by Admin Data on EligiblePopulation (before exclusions)Current Year's Admin RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSSNumber of Records Excluded Because of ValidData ErrorsNumber of administrative data records excludedNumber of medical record data records excludedNumber of employee/dependent medical recordsexcludedRecords Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)1503.80%3.19%4.41%Page 3
Effectiveness of CarePreferred One Community Health PlanWeight Assessment and Counseling for Nutrition and Physical Activity for Children/AdolescentsData Last Refreshed:Jan 15, 2016 11:18 AMCommercialBMI PercentileData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationGeneralMeasureDataTotal2014ANumerator events by admin data in eligiblepopulationCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSAges 3-11 Ages 12-17Counseling for NutritionGeneralMeasureDataAges 3-11 Ages 12-17Counseling for Physical 00%00NR0NR0NR00NR0NR0NR000Number of administrative data recordsexcluded000Number of medical records excluded000Number of employee/dependent recordsexcluded000Records Added from the Oversample List000HEDIS 2015 (Reporting Year 2014)Ages 12 172014ANumber of Records Excluded Because ofValid Data ErrorsDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalAges 9%000.00%0.00%0.04%Page 4
Effectiveness of CarePreferred One Community Health PlanWeight Assessment and Counseling for Nutrition and Physical Activity for Children/AdolescentsMinnesota Health Care Programs - Managed Care (MA Expand F&C)BMI PercentileData ElementsGeneralMeasureDataAges 3-11 Ages 12-17Data Last Refreshed:Jan 15, 2016 11:18 AMCounseling for NutritionTotalGeneralMeasureDataAges 3-11 Ages 12-17Counseling for Physical ActivityTotalGeneralMeasureDataAges 3-11Ages 12 17TotalMeasurement YearData Collection MethodologyEligible Member PopulationNumerator events by admin data in eligiblepopulationCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on RNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNumber of Records Excluded Because ofValid Data ErrorsNumber of administrative data recordsexcludedNumber of medical records excludedNumber of employee/dependent recordsexcludedRecords Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)Page 5
Effectiveness of CarePreferred One Community Health PlanWeight Assessment and Counseling for Nutrition and Physical Activity for Children/AdolescentsData Last Refreshed:Jan 15, 2016 11:18 AMMinnesota Health Care Programs - Managed Care (MN Care)Data ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator events by admin data in eligibleCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSNumber of Records Excluded Because ofNumber of administrative data recordsNumber of medical records excludedNumber of employee/dependent recordsRecords Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralBMI PercentileAges 3-11 Ages 12-17TotalGeneralCounseling for NutritionAges 3-11 Ages 12-17TotalCounseling for Physical ActivityGeneralAges 3-11 Ages 12 RNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRPage 6
Effectiveness of CarePreferred One Community Health PlanChildhood Immunization StatusData Last Refreshed:Jan 15, 2016 11:18 AMCommercialData ElementsMeasurement YearGeneralMeasureDataHEligible Member Population126Numerator events by admin data in eligiblepopulationNumber of administrative data recordsexcluded0Number of medical data records excluded0Number of employee/dependent recordsexcluded0Records Added from the Oversample List0Numerator Events by Medical RecordHiBHepatitis 114107114107109101761260Numerator Events by administrative DataMMR1260Number of Records Excluded Because ofValid Data ErrorsDenominatorIPV2014Data Collection MethodologyCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSPneumo coccalHepatitis A RotavirusConjugateDTaP1264514824054Reported 1%84.13%63.49%Lower 95% Confidence 80.15%77.35%54.69%Upper 95% Confidence 92.87%90.90%72.30%HEDIS 2015 (Reporting Year 2014)Page 7
Effectiveness of CarePreferred One Community Health PlanChildhood Immunization StatusData Last Refreshed:Jan 15, 2016 11:18 AMCommercialData ElementsMeasurement YearGeneralMeasureDataHEligible Member Population126Numerator events by admin data in eligiblepopulationNumber of administrative data recordsexcluded0Number of medical data records excluded0Number of employee/dependent recordsexcluded0Records Added from the Oversample List0Numerator Events by Medical RecordCombo 4Combo 5Combo 6Combo 7Combo 8Combo ator Events by administrative DataCombo 31260Number of Records Excluded Because ofValid Data ErrorsDenominatorCombo 22014Data Collection MethodologyCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSDTaP1264988696977Reported 4%55.56%53.97%Lower 95% Confidence 48.11%46.48%44.87%Upper 95% Confidence 66.18%64.63%63.07%HEDIS 2015 (Reporting Year 2014)Page 8
Effectiveness of CarePreferred One Community Health PlanChildhood Immunization StatusData Last Refreshed:Jan 15, 2016 11:18 AMMinnesota Health Care Programs - Managed Care (MA Expand F&C)Data ElementsGeneralMeasureDataPneumo coccalHepatitis A RotavirusConjugateDTaPIPVMMRHiBHepatitis RNRReported RateNRNRNRNRNRNRNRNRNRNRLower 95% Confidence IntervalNRNRNRNRNRNRNRNRNRNRUpper 95% Confidence IntervalNRNRNRNRNRNRNRNRNRNRMeasurement YearData Collection MethodologyEligible Member PopulationNumerator events by admin data in eligiblepopulationCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSNumber of Records Excluded Because ofValid Data ErrorsNumber of administrative data recordsexcludedNumber of medical data records excludedNumber of employee/dependent recordsexcludedRecords Added from the Oversample ListDenominatorNumerator Events by administrative DataNumerator Events by Medical RecordHEDIS 2015 (Reporting Year 2014)Page 9
Effectiveness of CarePreferred One Community Health PlanChildhood Immunization StatusData Last Refreshed:Jan 15, 2016 11:18 AMMinnesota Health Care Programs - Managed Care (MA Expand F&C)Data ElementsGeneralMeasureDataDTaPCombo 2Combo 3Combo 4Combo 5Combo 6Combo 7Combo 8Combo ported RateNRNRNRNRNRNRNRNRNRNRLower 95% Confidence IntervalNRNRNRNRNRNRNRNRNRNRUpper 95% Confidence IntervalNRNRNRNRNRNRNRNRNRNRMeasurement YearData Collection MethodologyEligible Member PopulationNumerator events by admin data in eligiblepopulationCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSNumber of Records Excluded Because ofValid Data ErrorsNumber of administrative data recordsexcludedNumber of medical data records excludedNumber of employee/dependent recordsexcludedRecords Added from the Oversample ListDenominatorNumerator Events by administrative DataNumerator Events by Medical RecordHEDIS 2015 (Reporting Year 2014)Page 10
Effectiveness of CarePreferred One Community Health PlanChildhood Immunization StatusData Last Refreshed:Jan 15, 2016 11:18 AMMinnesota Health Care Programs - Managed Care (MN Care)Data ElementsGeneralMeasureDataPneumo coccalHepatitis A RotavirusConjugateDTaPIPVMMRHiBHepatitis RNRMeasurement YearData Collection MethodologyEligible Member PopulationNumerator events by admin data in eligiblepopulationCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSNumber of Records Excluded Because ofValid Data ErrorsNumber of administrative data recordsexcludedNumber of medical data records excludedNumber of employee/dependent recordsexcludedRecords Added from the Oversample ListDenominatorNumerator Events by administrative DataHEDIS 2015 (Reporting Year 2014)Page 11
Effectiveness of CarePreferred One Community Health PlanChildhood Immunization StatusData Last Refreshed:Jan 15, 2016 11:18 AMMinnesota Health Care Programs - Managed Care (MN Care)Data ElementsGeneralMeasureDataDTaPCombo 2Combo 3Combo 4Combo 5Combo 6Combo 7Combo 8Combo asurement YearData Collection MethodologyEligible Member PopulationNumerator events by admin data in eligiblepopulationCurrent Year's Administrative RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin rate on FSSNumber of Records Excluded Because ofValid Data ErrorsNumber of administrative data recordsexcludedNumber of medical data records excludedNumber of employee/dependent recordsexcludedRecords Added from the Oversample ListDenominatorNumerator Events by administrative DataHEDIS 2015 (Reporting Year 2014)Page 12
Effectiveness of CarePreferred One Community Health PlanData Last Refreshed:Jan 15, 2016 11:18 AMImmunizations for AdolescentsCommercialCommercialData ElementsGeneralMeasure DataMeningococcalTdapCombo 1Current Year's Admin RateNRNRNRMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSSNRNRNR108131106Reported RateNRNRNRLower 95% Confidence IntervalNRNRNRUpper 95% Confidence IntervalNRNRNRMeasurement YearData Collection MethodologyEligible Member Population2014H143Numerator Events by Admin Data on EligiblePopulation (before exclusions)Records Excluded because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical data records excludedNumber of employee/dependent medical recordsexcludedRecords Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordHEDIS 2015 (Reporting Year 2014)Page 13
Effectiveness of CarePreferred One Community Health PlanData Last Refreshed:Jan 15, 2016 11:18 AMImmunizations for AdolescentsCommercialMinnesota Health Care Programs - Managed Care (MA-Expand)GeneralData ElementsMeasure DataMeasurement YearData Collection MethodologyEligible Member PopulationMeningococcalTdapCombo 1NRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNumerator Events by Admin Data on EligiblePopulation (before exclusions)Current Year's Admin RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSSRecords Excluded because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical data records excludedNumber of employee/dependent medical recordsexcludedRecords Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)Page 14
Effectiveness of CarePreferred One Community Health PlanData Last Refreshed:Jan 15, 2016 11:18 AMImmunizations for AdolescentsCommercialMinnesota Health Care Programs - Managed Care (MN Care)GeneralData ElementsMeasure DataMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data on EligibleCurrent Year's Admin RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSSRecords Excluded because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical data records excludedNumber of employee/dependent medical recordsRecords Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)MeningococcalTdapCombo 1NRNRNRNRNRNRNRNRNRNRNRNRNRNRNRPage 15
Effectiveness of CarePreferred One Community Health PlanBreast Cancer ScreeningData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)Data Last Refreshed:Jan 15, 2016 11:18 dvantageMSHOMA ExpandF& CMN CareSNBCSNPSNBCNon SNPNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRPage 16
Effectiveness of CarePreferred One Community Health PlanCervical Cancer ScreeningData ElementsData Last Refreshed:Jan 15, 2016 11:18 AMCommercialMeasurement YearData Collection MethodologyEligible Member Population2014H1485Numerator Events by Admin Data on EligiblePopulation (before exclusions)1001Current Year's Admin RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSSRecords Excluded because of Valid Data ErrorsNumber of administrative data records excludedNumber of medical record data records excluded67.41%4115.00%43230069.44%0016Number of employee/dependent medical recordsexcluded0Records Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)16411295873.72%69.35%78.10%MA ExpandF& CMN CareSNBCNon SNPNRNRNRNRNRNRNRNRNRNRNRNRNRNRNRPage 17
Effectiveness of CarePreferred One Community Health PlanColorectal Cancer ScreeningData Last Refreshed:Jan 15, 2016 11:18 AMData ElementsMeasurement YearData collection methodology (administrative or hybrid)Eligible populationMedicareAdvantageMSHOSNBCSNPSNBCNon mercial2014H1693Number 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 sizeOversampling rateFinal sample size (FSS)Number of numerator events by administrative data in FSSAdministrative rate on FSSNumber of original sample records excluded because of valid data errorsNumber of administrative data records excludedNumber of medical record data records excludedNumber of employee/dependent medical records excludedRecords added from the oversample listDenominatorNumerator events by administrative dataNumerator events by medical recordsReported rateLower 95% confidence intervalUpper 95% confidence intervalHEDIS 2015 (Reporting Year 2014)215NRNRNRPage 18
Effectiveness of CarePreferred One Community Health PlanChlamydia Screening in WomenData Last Refreshed:Jan 15, 2016 11:18 AMCommercialData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasure DataAges 16-20Ages 53.27%28211841.84%35.91%47.78%2014APage 19
Effectiveness of CarePreferred One Community Health PlanChlamydia Screening in WomenData Last Refreshed:Jan 15, 2016 11:18 AMMinnesota Health Care Programs - Managed Care (MA Expand F& C)Data ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasure DataAges 16-20NRNRNRAges 21-24TotalNRNRNRNRNRNRNRNRPage 20
Effectiveness of CarePreferred One Community Health PlanChlamydia Screening in WomenData Last Refreshed:Jan 15, 2016 11:18 AMMinnesota Health Care Programs - Managed Care (MN Care)Data ElementsGeneralMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)Ages 16-20NRNRNRAges 21-24TotalNRNRNRNRNRNRNRNRPage 21
Effectiveness of CarePreferred One Community Health PlanData Last Refreshed:Jan 15, 2016 11:18 AMHuman Papillomavirus Vaccine for Female AdolescentsData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data onEligible Population (before exclusions)Commercial2014H80MA Expand F & CMN Care7Current Year's Admin Rate8.75%NRNRMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSS800.00%8078.75%NRNRRecords Excluded because of Valid DataErrors1Number of administrative data recordsexcluded0Number of medical record data recordsexcluded0Number of employee/dependent medicalrecords excluded0Records Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical Record07971Reported Rate10.13%NRNRLower 95% Confidence Interval2.84%NRNRUpper 95% Confidence Interval17.41%NRNRHEDIS 2015 (Reporting Year 2014)Page 22
Effectiveness of CarePreferred One Community Health PlanData Last Refreshed:Jan 15, 2016 11:18 AMCare for Older AdultsMSHOMedication RNRNRNRNRNRReported RateNRNRNRNRLower 95% Confidence IntervalNRNRNRNRUpper 95% Confidence IntervalNRNRNRNRAdvance CarePlanningCurrent Year's Admin RateMinimum Required Sample SizeOversampling RateFinal Sample Size (FSS)Numerator events by admin data in FSSAdmin Rate on FSSData ElementsGeneral MeasureDataMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data onEligible Population (before exclusions)Records Excluded because of Valid DataErrorsNumber of employee/dependent medicalrecords excludedRecords Added from the Oversample ListDenominatorNumerator Events by Admin DataNumerator Events by Medical RecordHEDIS 2015 (Reporting Year 2014)Page 23
Effectiveness of CarePreferred One Community Health PlanPharmacotherapy Management of COPD ExacerbationData Last Refreshed:Jan 15, 2016 11:18 AMMedicare AdvantageData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasure NRPage 24
Effectiveness of CarePreferred One Community Health PlanPharmacotherapy Management of COPD ExacerbationData Last Refreshed:Jan 15, 2016 11:18 AMMSHOData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasure NRPage 25
Effectiveness of CarePreferred One Community Health PlanPharmacotherapy Management of COPD ExacerbationData Last Refreshed:Jan 15, 2016 11:18 AMSNBC-SNPData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasure NRPage 26
Effectiveness of CarePreferred One Community Health PlanPharmacotherapy Management of COPD ExacerbationData Last Refreshed:Jan 15, 2016 11:18 AMSNBC-Non SNPData ElementsMeasurement YearEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasure NRPage 27
Effectiveness of CarePreferred One Community Health PlanUse of Spirometry Testing in the Assessment and Diagnosis of COPDData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)Data Last Refreshed:Jan 15, 2016 11:18 AMMedicareAdvantageMSHOSNBCSNPSNBC NonSNPNRNRNRNRNRNRNRNRNRNRNRNRPage 28
Effectiveness of CarePreferred One Community Health PlanUse of Appropriate Medications for People with AsthmaData Last Refreshed:Jan 15, 2016 11:18 AMCommercialData ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataNumber of required exclusionsReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasure DataAges 5-11Ages 12-18Ages 19-50Ages 90%262413NANANA78701689.74%82.37%97.12%2014A Page 29
Effectiveness of CarePreferred One Community Health PlanUse of Appropriate Medications for People with AsthmaData Last Refreshed:Jan 15, 2016 11:18 AMMinnesota Health Care Programs - Managed Care (MA Expand F&C)Data ElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataNumber of required exclusionsReported RateLower 95% Confidence IntervalUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasure DataAges 5-11NRNRNRAges 12-18NRNRNRAges 19-50NRNRNRAges 51-64TotalNRNRNRNRNRNRNRNRNRPage 30
Effectiveness of CarePreferred One Community Health PlanUse of Appropriate Medications for People with AsthmaMinnesota Health Care Programs - Managed Care (MN Care)Data ElementsGeneralAges 5-11Measurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataNumber of required exclusionsNRReported RateNRLower 95% Confidence IntervalNRUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)Data Last Refreshed:Jan 15, 2016 11:18 AMAges 12-18NRNRNRAges 19-50NRNRNRAges 51-64TotalNRNRNRNRNRNRNRNRNRPage 31
Effectiveness of CarePreferred One Community Health PlanData Last Refreshed:Jan 15, 2016 11:18 AMMedication Management for People with AsthmaCommercialDataElementsMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data-50%Numerator Events by Admin Data-75%Number of required exclusionsReported Rate 50%Reported Rate 75%Lower 50% Confidence IntervalLower 75% Confidence IntervalUpper 50% Confidence IntervalUpper 75% Confidence IntervalHEDIS 2015 (Reporting Year 2014)GeneralMeasureData2014AAges 5-1162110.00%0.00%0.00%0.00%0.00%0.00%Ages 12 Ages 19 Ages 51 55%33.33%81.45%58.10%Page 32
Effectiveness of CarePreferred One Community Health PlanMedication Management for People with AsthmaMinnesota Health Care Programs - Managed Care (MA Expand F&C)GeneralAges 12 Ages 19 Ages 51 DataMeasure Ages 5-11185064ElementsDataMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data-50%Numerator Events by Admin Data-75%Number of required exclusionsReported Rate 50%Reported Rate 75%Lower 50% Confidence IntervalLower 75% Confidence IntervalUpper 50% Confidence IntervalUpper 75% Confidence IntervalMinnesota Health Care Programs - Managed Care (MN Care)GeneralAges 12 Ages 19 Ages 51 DataMeasure Ages 5-11185064ElementsDataMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin Data-50%Numerator Events by Admin Data-75%Number of required exclusionsReported Rate 50%NRNRNRNRReported Rate 75%NRNRNRNRLower 50% Confidence IntervalNRNRNRNRLower 75% Confidence IntervalNRNRNRNRNRNRNRNRUpper 50% Confidence IntervalNRNRNRNRUpper 75% Confidence IntervalHEDIS 2015 (Reporting Year 2014)Data Last Refreshed:Jan 15, 2016 11:18 AMTotalNRNRNRNRTotalNRNRNRNRNRNRNRNRNRNRPage 33
Effectiveness of CarePreferred One Community Health PlanData Last Refreshed:Jan 15, 2016 11:18 AMAsthma Medication RatioCommercialGeneralAges 12 Ages 19 Ages 51 Measure Ages 5-11185064DataMeasurement Year2014Data Collection MethodologyA38128Eligible Member Population38128Numerator Events by Admin Data422631Number of required exclusionsNANANANAReported RateNANANANALower 95% Confidence IntervalNANANANAUpper 95% Confidence IntervalData ElementsHEDIS 2015 (Reporting Year 2014)Total313163100.00%98.39%100.00% Page 34
Effectiveness of CarePreferred One Community Health PlanData Last Refreshed:Jan 15, 2016 11:18 AMAsthma Medication RatioMinnesota Health Care Programs - Managed Care (MA Expand F&C)GeneralAges 12 Ages 19 Ages 51 Data ElementsMeasure Ages 5-11185064DataMeasurement YearData Collection MethodologyEligible Member PopulationNumerator Events by Admin DataNumber of required exclusionsNRNRNRNRReported RateNRNRNRNRLower 95% Confidence IntervalNRNRNRNRUpper 95% Confidence IntervalHEDIS 2015 (Reporting Year 2014)TotalNRNRNRNRNRNRPage 35
Effectiveness of CarePreferred One Community
Preferred One Community Health Plan . Page 2 . Code : Effectiveness of Care Measures : Page : Prevention and Screening : ABA : Adult BMI Assessment ; 3 : . Number of Records Excluded Because of Valid Data Errors ; 0 : 0 : 0 : Number of administrative data records excluded ; 0 : 0 : 0 : Number of medical records excluded ; 0 : 0 : 0 :
