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2013/2014 Results

The Clinical Indicators Report features

comparative provider performance on

measures of clinical quality, patient

experience and affordability.

2014 Clinical Indicators Report

October 2014

Dear friends and colleagues,

Welcome to the HealthPartners 2014 Clinical Indicators Report. This report continues our commitment to the Triple Aim of improving health, experience and cost and the transparent reporting of meaningful measures that refl ect the quality of care delivered to our members and patients by the community of providers.

During the years this report has been distributed, we have seen consecutive year-over-year improvement in quality measures due to the impressive work by provider groups focused on quality and effectiveness of care. However, there is still much work to be done. In particular, in the last fi ve years we have seen a national trend towards steady or declining rates on major preventive care screenings including chlamydia, as well as breast, cervical, and colorectal cancer. This trend serves as a call to action to fi nd innovative ways to improve the health of our population and reverse this course. Your partnership and commitment to achieving the Triple Aim in the everyday care of your patients has a signifi cant impact on our members, their families and our communities.

The goal of these measures is to align with and support efforts that are important to our community and the over-all health of the population. In collaboration with Minnesota Community Measurement, our measures overlap with the Healthcare Effectiveness Data and Information Set. This combines local and national sources to create a broad list of quality measures that refl ect better care for our members and patients and improved outcomes for the populations we serve.

This report would not be possible without the trust, engagement and partnership of all the provider groups that care for our members. Going forward we will continue to improve and innovate by partnering with these groups to strive for the best health and experience of care at the most affordable cost, which is the value our members deserve and expect.

On behalf of HealthPartners and our members, thank you for your ongoing dedication and proven ability to im-prove the health of our community.

Sincerely,

Andrew Zinkel, MD, FACEP, FAAEMAssociate Medical Director for QualityHealthPartners Health [email protected]

P.O. Box 1309Minneapolis, MN 55440-1309healthpartners.com

2014 CLINICAL INDICATORS REPORT2013/2014 Results

Report prepared by:

Stacy Bussey, Senior AnalystKarla Warner, Analyst

Health Informatics

Key contributors:

Health InformaticsMarket Research

Please direct questions or comments to:

Andrew Zinkel, MD, FACEP, FAAEM René Fisher Associate Medical Director for Quality Sr. Manager HealthPartners Health Plan Health Informatics 952-883-7603 952-883-5113 [email protected] rene.k.fi [email protected]

Introduction ..................................................................................................................................1

Behavioral HealthADHD Follow-Up Visit after New Medication ............................................................................4

Antidepressant Medication Management......................................................................................6

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment ..........................8

Follow-Up after Hospitalization for Mental Illness .....................................................................13

Optimal Health Management for Severe Mental Illness ..............................................................15

Diabetes CareDiabetes Eye Exam ......................................................................................................................17

Healthy Behaviors Body Mass Index (BMI) ..............................................................................................................20

Alcohol Assessment - Adult Primary Care ..................................................................................23

Alcohol Assessment - Adult OB/GYN ........................................................................................25

Optimal Lifestyle - Adults ...........................................................................................................27

Optimal Lifestyle - Children ........................................................................................................ 32

Medication ManagementGeneric Drug Use - Primary Care ................................................................................................ 36

Generic Drug Use - Specialty Care .............................................................................................. 39

Generic Drug Use - Pharmacy ..................................................................................................... 46

Annual Monitoring for Patients on Persistent Medications - Primary Care ................................ 48

Annual Monitoring for Patients on Persistent Medications - Cardiology .................................... 53

Medication Adherence for Asthma/COPD - Pharmacy ............................................................... 56

Medication Adherence for Diabetes - Pharmacy ......................................................................... 58

Potentially Inappropriate Medications - Pharmacy ...................................................................... 60

2014 CLINICAL INDICATORS REPORTTable of Contents

............. .............. ...................................HEDIS

............. ............ ..........................HEDIS

................. ................. ......................................HEDIS

gg pp

...................... ......................................HEDIS

......................... ........................................HEDIS

...................... .......................................HEDIS

..............................................................HEDIS

HealthPartners Clinical Indicators Report — 2013/2014 Results

HealthPartners Clinical Indicators Report — 2013/2014 Results

Musculoskeletal Optimal Care for Acute Low Back Pain .....................................................................................62

Preventive ServicesPreventive Services Members Up-to-Date - Adult Primary Care ................................................68

Preventive Services Members Up-to-Date - Adult OB/GYN ......................................................71

Preventive Services Members Up-to-Date - Child and Adolescent .............................................73

Evidence-Based Cervical Cancer Screening - Primary Care .......................................................78

Evidence-Based Cervical Cancer Screening - OB/GYN .............................................................80

Child & Teen Check-Ups (Medicaid Population) ........................................................................82

Lead Screening (Medicaid Population)........................................................................................84

SafetyClinic Safety Assessment Survey .................................................................................................86

Patient Experience Medication Safety - Primary Care ................................................................90

Patient Experience Medication Safety - Specialty Care ..............................................................93

Tobacco Use and CessationTobacco Use and Cessation ........................................................................................................102

Total Cost of CareTotal Cost of Care and Resource Use - Primary Care .................................................................106

Total Cost Index and Resource Use - Specialty Care .................................................................109

Total Cost Index - Hospitals ........................................................................................................118

HEDIS Identifi cation of measures, or elements of measures that are consistent with HEDIS measurement specifi cations

............... ........... .............................HEDIS

........................... ......................................................HEDIS

..................... ...................................HEDIS

HealthPartners Clinical Indicators Report — 2013/2014 Results1

INTRODUCTIONPurposeThis annual Clinical Indicators Report features comparative provider performance on measures of clinical quality, patient experience and affordability. The Triple Aim approach improves the health of the population, enhances the patient experience of care and helps make care more affordable. Measurement results displayed relate to preven-tive and chronic care, behavioral health, pharmacy, specialty care, hospital care and total cost of care. The primary purpose is to provide valid and reliable information for providers to use in their efforts to improve patient care and outcomes.

ContentThis year’s Clinical Indicators Report includes comparative provider performance on 75 measures. Rates are reported by primary provider group, specialty provider group, pharmacy or hospital. The HealthPartners Partners in Excellence (PIE) program recognizes provider groups achieving superior outcomes in heart disease, diabetes, depression, prevention, medication management, low back care and patient experience. This year 25 primary care provider groups, 12 specialty care provider groups and 13 pharmacies met one or more PIE targets.

The report includes:• Measurement defi nitions and methodologies based on the following categories: chart review (may include

data from electronic medical records), administrative data, hybrid (combination administrative and chart review), provider self-reported data, provider survey and member survey

• Graphs of provider rates with 95th percentile confi dence intervals, where applicable• HealthPartners rate: weighted population average for measures that are sampled• Average group/hospital: an average provider group rate (the average of the reported provider groups) is

displayed on the graph. The average provider group rate is highlighted to allow for easy comparison.• Partners in Excellence goals, where applicable• Identifi cation of measures, or elements of measures, that are consistent with HEDIS measurement specifi -

cations ficacaatitititionononon o of mss HEDIS

• A list of provider groups, clinics and hospitals contributing data to this report

Risk AdjustmentsHealthPartners has adopted NCQA’s approach to risk adjustment for quality measures. Risk adjustment is consid-ered when developing quality measures. The measurement methodology will describe when case-mix or severity adjustment is applied. Clinical measures are consistent with evidenced-based clinical guidelines. Case-mix and severity is only applied when the guideline specifi cally defi nes different treatment protocols or expected outcomes based on variations in the health of the population. For the purpose of comparing provider performance, using the same measurement criteria for all patients produces valid comparative provider results when there is no evidence to suggest there is signifi cant variation in patient populations across our provider groups.

Key ImpactsThe following clinical indicators statistically improved from the previous year:

• Body Mass Index (BMI) Assessment - Child and Adolescent• Alcohol Use Assessment - Adult Primary Care• Alcohol Use Assessment - OB/GYN Providers• Generic Drug Use - Primary Care• Generic Drug Use - Behavioral Health• Generic Drug Use - Cardiology• Generic Drug Use - OB/GYN• Generic Drug Use - Pharmacy Chains• Medication Adherence for Asthma/COPD - Pharmacy Chains


• Medication Adherence for Diabetes - Pharmacy Chains• Preventive Services - Adult - Primary Care, Combination 3• Evidence-Based Cervical Cancer Screening - Primary Care• Evidence-Based Cervical Cancer Screening - OB/GYN• Patient Experience Medication Safety - explanation for prescribed medications - Orthopaedics• Patient Experience Medication Safety - information received about side effects - Orthopaedics

Retired Measures• Optimal Depression Care - was retired from the report this year. MNCM Depression Remission or

Response at 6 months will be used for the PIE program.

• Alcohol Screening - Depression Care - was retired from the report this year as it was a component of the Optimal Depression Care measure.

Measurement Changes• Antidepressant Medication Management – the focus of this measure was changed from diagnosis of

depression to the start of an antidepressant prescription. The denominator is defi ned by the antidepressant prescription start date and requires a diagnosis of depression in the 60 days before and after. The continu-ous enrollment and negative medication history periods have been changed accordingly

• Preventive Services - Adult - Primary Care: the previously reported combination 2 measure has been retired from the Clinical Indicators set of measures, and combination 6 has been added to the report. Combination 6 adds BMI to the list of required components.

• Preventive Services - OB/GYN: the previously reported combination 2 measure has been retired from the Clinical Indicators set of measures.

• Preventive Services - Child and Adolescent:. the previously reported combination 2 and combination 3 measures have been retired from the Clinical Indicators set of measures, and combination 6 has been added to the report. Combination 6 includes the components of combination 4, replacing height and weight recorded on the same date with BMI.

All of the preventive services matrices of required services by age and gender are included in the 2014 Clinical Indicators Report Technical Supplement, which can be found at healthpartners.com/quality.

Participating ProvidersRates are displayed for HealthPartners provider groups based on patient volume, Partners in Excellence program participation, geographic location and strategic relationship with HealthPartners. Primary care provider groups in-cluded in this year’s Clinical Indicators Report serve over 90 percent of HealthPartners membership.

Data Display Each graph displays provider group performance (light red bars) and average group performance (dark red bar). Comparative provider data are only made available for a sample size or population denominator of at least 30. If the measure is included in the Partners in Excellence program, target performance is indicated by the dashed black lines. While health plan rates provided on the measure description pages are weighted as described within the measure, the average medical group bar on the graphs represents the unweighted average performance of the displayed provider groups only.

The upper and lower confi dence intervals represent the 95th percentile confi dence intervals. In addition, for all hybrid measures (which include medical record abstraction), a fi nite population correction factor is used to best account for the percentage of the total of a provider group’s population that the sample represents. For example, when calculating the Optimal Health Management for Severe Mental Illness measure, a group whose sample col-lected approaches the entire HealthPartners measure eligible population at that group will have a very narrow


confi dence interval. If the entire HealthPartners measure eligible population of that group is used, there will be no confi dence interval. This refl ects more confi dence that the rate derived from the sample actually constitutes the true rate for their full population. Graphs using a fi nite population correction factor will include a footnote indicat-ing this application.

Provider Group

Average Group

Provider Group

Provider Group

Confidence IntervalAverage Provider Group RateProvider Group RateGoal

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

The 2014 Clinical Indicators Report Technical Supplement is available online and includes measurement detail, optimal component rates, trended plan rates over time and external benchmarks. The 2014 Clinical Indicators Report and 2014 Clinical Indicators Report Technical Supplement are both available at healthpartners.com/quality.


ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) Follow-Up Visit after New MedicationJanuary 1, 2013 – December 31, 2013

DescriptionThe percentage of children ages six to 17 with an ambulatory prescription dispensed for ADHD medication be-tween January 1, 2013 and December 1, 2013, that had a minimum of one follow-up visit with a practitioner with prescribing authority within 30 days of starting the medication.

Methodology — AdministrativeElements of this measure are consistent with the HEDIS 2014 Follow-Up Care for Children Prescribed ADHD Medication measure and includes all members ages six to 17 years old as of prescription fi ll date, from Commercial and Medicaid products with a pharmacy benefi t who were continuously enrolled for 120 days prior to starting ADHD medication through 30 days after. Population identifi cation is based on claim and membership databases. Rates are calculated using administrative data only. Members are attributed to the provider group of the practitioner who prescribed the ADHD medication.

Results

Total eligible members 1,755Members with follow-up visit(s) 721

ADHD Follow-Up Visit Rate 41.1%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Essentia Health - SMDC Health System

Park Nicollet Health Services

HealthPartners Clinics

Average Group

Allina Health

Fairview Clinics

Children's Physician Network

Southdale Pediatric Associates, Ltd

Percent with Visits within 30 Days

ADHD Follow-up Visit after New Medication1/1/2013 - 12/31/2013


ANTIDEPRESSANT MEDICATION MANAGEMENTMay 1, 2012 – December 31, 2013

DescriptionThe percentage of members ages 18 and older with a diagnosis of major depression, and newly treated with an-tidepressant medication who remained on the medication for 90 days (acute phase) and 180 days (continuation phase).

This measure is consistent with the HEDIS 2014 Antidepressant Medication Management measurement specifi cations.

Methodology — AdministrativeThis measure includes all members ages 18 and older as of April 30, 2013, from all products with a pharmacy benefi t who were continuously enrolled for 90 days prior to the new episode of depression through 245 days after. Population identifi cation is based on claim and membership databases. Rates are calculated using administrative data only. Members are attributed to the provider group of the practitioner, regardless of specialty, who diagnosed the new episode of depression.

Results

Total eligible members 6,691

Members remaining on medication for 90 days (acute phase) 4,723

Members remaining on medication for 180 days (continuation phase) 3,650

Antidepressant Medication Management Rate - Acute Phase 70.6%

Antidepressant Medication Management Rate -Continuation Phase 54.6%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

West Side Community Health Center

HealthPartners Central Minnesota Clinics, Inc

University of MN Physicians

BHSI, LLC

North Memorial Health Care

Integrity - Buffalo

Mayo Health System Clinics MN

Hennepin County Medical Center

Lakeview Clinic, Ltd

Sanford Health - Fargo

CentraCare Clinics

Associated Clinic of Psychology

Average Group


Psych Recovery, Inc


Ridgeview Clinics

Fairview Clinics

Stillwater Medical Group

HealthEast

Entira Family Clinics

Nystrom & Associates, Ltd


North Clinic, PA

St. Luke's Clinics

Allina Health

Western Wisconsin Medical Associates, SC Clinics

Essentia Health - St. Joseph's Medical Center

Percent Managed

Antidepressant Medication Management1/1/2013 - 12/31/2013

Acute Phase (90 days) Continuation Phase (180 days)


INITIATION AND ENGAGEMENT OF ALCOHOL AND OTHER DRUG DEPENDENCE TREATMENTJanuary 1, 2013 – December 31, 2013

DescriptionThe percentage of members ages 13 and older who were diagnosed with a new episode of alcohol or other drug (AOD) dependence who initiated treatment through an inpatient AOD admission, outpatient visit, intensive out-patient encounter or partial hospitalization within 14 days of diagnosis (initiation) and had two or more additional services with an alcohol or other drug dependence diagnosis within 30 days of the initiation visit (engagement).

Methodology — AdministrativeThis measure is consistent with the HEDIS 2014 Initiation and Engagement of Alcohol and Other Drug Dependence Treament measurement specifi cations and includes all members ages 13 and older as of December 31, 2013, from all products who were continuously enrolled for 60 days prior to the new AOD diagnosis through 44 days after. Population identifi cation is based on claim and membership databases. Rates are calculated using administrative data only. Members are attributed to the provider group or hospital of the practi-tioner who diagnosed the new episode of AOD dependence.

Results

Members Attributed to Provider GroupsTotal eligible members 3,290Members initiating treatment within 14 days of diagnosis 640Members engaged in treatment within 30 days of initiation visit 296

Initiation of AOD Treatment Rate 19.5%Engagement of AOD Treatment Rate 9.0%

Members Attributed to Chemical Dependency ProgramsTotal eligible members 557Members initiating treatment within 14 days of diagnosis 216Members engaged in treatment within 30 days of initiation visit 177

Initiation of AOD Treatment Rate 38.8%Engagement of AOD Treatment Rate 31.8%

Members Attributed to HospitalsTotal eligible members 3,745Members initiating treatment within 14 days of diagnosis 1,787Members engaged in treatment within 30 days of initiation visit 705

Initiation of AOD Treatment Rate 47.7%

Engagement of AOD Treatment Rate 18.8%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Stillwater Medical Group - NBH

Essentia Health - SMDC Health System - NBH

Park Nicollet Health Services - NBH

Allina Health - NBH

HealthPartners Central Minnesota Clinics, Inc - NBH

Fairview Clinics - NBH

Park Nicollet Health Services - BH

Medical Advanced Pain Specialists - NBH

HealthEast - NBH

University of MN Physicians - NBH

Allina Health - BH

Average Group

Entira Family Clinics - NBH

Psych Recovery, Inc - BH

Options Family & Behavior Services - BH

HealthPartners Clinics - NBH

HealthPartners Clinics - BH

Canvas Health, Inc - BH

Nystrom & Associates, Ltd - BH

Associated Clinic of Psychology - BH

Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentPrimary Care and Behavioral Health Provider Groups

1/1/2013 - 12/31/2013

Initiation Engagement

Initiation - treatment initiated within 14 days of diagnosis Engagement - Initiation plus two additional follow - up visits within 30 days

Percent Initiation and Engagement

BH - Behavioral Health Provider Group NBH - Non-Behavioral Health Provider Group


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Dakota County Receiving Center

Center for Alcohol & Drug Treatment

Riverplace Counseling Center

C.R.E.A.T.E., Inc

Haven Chemical Health Systems

Park Avenue Center

Avalon Progams LLC

River Ridge Treatment Center

Anthony Louis Center

Average Group

Living Free Recovery Services

We Care Counseling Center

Club Recovery, LLC

Specialized Treatment Services, Inc

Hazelden Foundation


Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentChemical Dependency Programs

1/1/2013 - 12/31/2013


Initiation - treatment initiated within 14 days of diagnosis Engagement - Initiation plus two additional follow - up visits within 30 days



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%



Maple Grove Hospital

St. Mary's Medical Center Acute Care

HealthEast St. John's Hospital

Regions Hospital

St. Cloud Hospital

Fairview Lakes Regional Medical Center

North Memorial Medical Center

Average Facility

HealthEast St. Joseph's Hospital

Fairview University Medical Center

United Hospital

Fairview Southdale Hospital

Park Nicollet Methodist Hospital

Unity Hospital

Mercy Hospital

Abbott Northwestern Hospital


Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentHospitals

1/1/2013 - 12/31/2013

Initiation - treatment initiated within 14 days of diagnosis Engagement - Initiation plus two additional follow-up visits within 30 days


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Unity Hospital

United Hospital

St. Mary's Medical Center Acute Care

St. Cloud Hospital

Regions Hospital




Mercy Hospital









Percent by Category

Initiation and Engagement of Alcohol and Other Drug Dependence TreatmentHospitals - Initial Diagnosis Location

1/1/2013 - 12/31/2013

Detox ED Inpatient Outpatient

Groups sorted alphabetically


FOLLOW-UP AFTER HOSPITALIZATION FOR MENTAL ILLNESSJanuary 1, 2013 – December 31, 2013

DescriptionThe percentage of members ages six and older who were hospitalized for treatment of selected mental health dis-orders in 2013, who were seen on an outpatient basis or were in intermediate treatment with a mental health pro-vider within seven days of discharge.

Methodology — AdministrativeThis measure is consistent with the HEDIS 2014 Follow-Up after Hospitalization for Mental Illness measurement specifi cations and includes all members ages six years and older as of discharge date from all products who were continuously enrolled for 30 days after hospital discharge date. Population identifi cation is based on claim and membership databases. Rates are calculated using administrative data only. Members are attributed to the hospital from which they were discharged.

Results

Total eligible members 1,601Members with follow-up visit(s) 964

Follow-Up Visit Rate 60.2%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Essentia Health - Duluth



Mayo Clinic Hospital

Mercy Hospital


St. Cloud Hospital

Prairie St. John's


Average Facility

United Hospital



Regions Hospital

Percent with Visits within 7 Days

Follow-up after Hospitalization for Mental Illness1/1/2013 - 12/31/2013


OPTIMAL HEALTH MANAGEMENT FOR SEVERE MENTAL ILLNESS January 1, 2013 – December 31, 2013

DescriptionThe percentage of members ages 18 to 65 by December 31, 2013, who have a diagnosis of schizophrenia or bipo-lar disorder and had at least one fi ll of an antipsychotic or mood stabilizer medication and have documentation of optimal care.

Methodology — HybridThis measure includes members from all products who were continuously enrolled from January 1, 2013 to December 31, 2013, who had a clinic visit in 2013 and were prescribed an antipsychotic or mood stabilizer in 2013. Population identifi cation is based on claim and membership databases. This measure includes a random sample of 66 members (60 + 10% oversample) per medical group. Members are attributed to the provider group with the most offi ce visits during the measurement year. If no offi ce visit, members are attributed to the provider group of the practitioner who prescribed the antipsychotic or mood stabilizer medication.

Results*

Total eligible members 1,116Members sampled 653Members optimally managed 252

Members Optimally Managed 39.7% (± 4.7)

Behavioral health provider groupsTotal eligible members 517Members sampled 399Members optimally managed 119Members Optimally Managed 30.1% (± 4.8)

Non-behavioral health provider groupsTotal eligible members 599Members sampled 254Members optimally managed 133Members Optimally Managed 48.0% (± 7.8)

Completion Rate by Individual Component Behavioral Health Non-Behavioral Health Total

Tobacco Assessment 93.0% (± 2.6) 97.2% (± 2.9) 95.2% (± 2.0)

BMI Assessment (in 2013) 82.1% (± 3.8) 93.7% (± 4.0) 88.3% (± 2.8)

Alcohol Assessment (in 2013) 84.9% (± 3.5) 87.1% (± 5.4) 86.1% (± 3.3)

Blood Pressure (in 2013) 86.1% (± 3.4) 97.6% (± 2.4) 92.3% (± 2.1)

LDL Screening (in 2013) 42.1% (± 5.1) 62.4% (± 7.7) 53.0% (± 4.8)

Fasting Glucose or HbA1c [if diabetes] (in 2013) 51.6% (± 5.2) 67.3% (± 7.5) 60.0% (± 4.7)

* All rates are weighted by the eligible population of the provider groups displayed.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Psych Recovery, Inc - BH

BHSI, LLC - BH

Nystrom & Associates, Ltd - BH

HealthPartners Clinics - BH

Associated Clinic of Psychology - BH

Average Group

Park Nicollet Health Services - BH

Allina Health - BH

HealthPartners Clinics - NBH

Allina Health - NBH

Park Nicollet Health Services - NBH

Fairview Clinics - NBH

Percent Reaching All Targets

Optimal Health Management for Severe Mental Illness1/1/2013 - 12/31/2013

Confidence Interval Finite population correction factor applied

BH - Behavioral Health Provider Group NBH - Non-Behavioral Health Provider Group


DIABETIC EYE EXAMJanuary 1, 2013 – December 31, 2013

DescriptionThe rate represents the percentage of members with diabetes (Type 1 and Type 2) who had a retinal eye exam per-formed in the measurement year.

Methodology — AdministrativeThis measure is consistent with the HEDIS 2014 Comprehensive Diabetes Care measurement specifi cations and includes members ages 18 to 75 years as of December 31, 2013, from all products who were continuously en-rolled from January 1, 2013 to December 31, 2013, and who had during the measurement year or year prior:

two or more encounters in an ambulatory or non-acute inpatient setting, • or;

one or more encounters in an acute inpatient or emergency room setting with a diagnosis of diabetes • or;

who were dispensed insulin or oral hypoglycemic prescriptions.•

Population identifi cation is based on pharmacy, claim and membership databases. Members are attributed to the provider group with the most offi ce visits for diabetic care in the measurement year.

Note: the health plan HEDIS rate refl ects a sample population and includes chart review while this is an adminis-trative measure that includes total eligible members.

Results

Total eligible members 22,945Members with eye exam 12,821

Diabetic Eye Exam Rate 55.9%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Mayo Clinic Health System - Red Wing



Average Group

MN Center for Obesity, Metabolism & Endocrinology, PA

Richfield Medical Group

HealthEast

Avera Health Clinics

Integrity - St. Cloud



Amery Regional Medical Center Clinics

Allina Health

North Clinic, PA




Burnsville Family Physicians, PA

Essentia Health - Innovis Health, LLC

CentraCare Clinics


St. Luke's Clinics


Integrity - Northern

Mayo Clinic


France Avenue Family Physicians, PA

Endocrinology Clinic of Minneapolis, PA

Winona Health Services


Percent with Eye Exam

Diabetic Eye Exam1/1/2013 - 12/31/2013

Part 1 of a 2 Part Graph


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Hutchinson Health

Mankato Clinic, Ltd

Osceola Medical Center


River Falls Medical Clinic

Unity Family Healthcare

New Richmond Clinic

Integrity - Buffalo

Altru Clinics

Gundersen Lutheran Clinics

St. Croix Regional Medical Center

Children's Health Care

Multicare Associates of the Twin Cities


Minnesota Rural Health Cooperative Clinics

Affiliated Community Medical Centers, PA

Open Cities Health Center

Apple Valley Medical Clinic, Ltd

Olmsted Medical Center Clinics

NorthPoint Health & Wellness Center

Northwest Family Physicians, PA


Fairview Clinics

Ridgeview Clinics


Hudson Physicians

Mayo Health System Clinics WI

United Family Medicine

Grand Itasca Clinic & Hospital

Percent with Eye Exam

Diabetic Eye Exam1/1/2013 - 12/31/2013



BODY MASS INDEX (BMI) January 1, 2013 – December 31, 2013

DescriptionThe rate represents the percent of enrolled members with a documented BMI value in the medical record (BMI Assessment) in the measurement year.

Methodology — HybridElements of this measure are consistent with the HEDIS 2014 Adult BMI assessment specifi cations. This measure includes members from all products and all ages three and older who were continuously enrolled from January 1, 2013 to December 31, 2013, who had a clinic visit in 2013. Population identifi cation is based on claim and membership databases. The sample includes members from the adult and child and adolescent preventive services measures.

BMI Assessment - Adult: the percentage of members ages 19 and older within the sample with a docu-mented BMI value in the medical record.

BMI Percentile Rate - Child and Adolescent: the percentage of members ages three to 18 within the sample with a BMI percentile or BMI plotted in the medical record, or for members ≥ age 16 with a docu-mented BMI in the medical record.

Results*

Total eligible members 314,641Members sampled - adult 5,277Members with documented BMI 4,752

BMI Assessment Rate - Adult 90.7% (± 1.9)

Total eligible members 105,392Members sampled - child and adolescent 4,758

Members with BMI percentile or BMI plotted 3,901

BMI Percentile Rate - Child and Adolescent 82.8% (± 2.5)



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Mayo Health System Clinics MNIlko Family Medicine, PA

Minnesota Rural Health Cooperative ClinicsHudson Physicians

Valley Family PracticeCatalyst Medical Clinic

Sanford Health - Sioux FallsAltru Clinics

Sanford Health - FargoEssentia Health - St. Mary's Regional Health Center

Richfield Medical GroupDr. Bobby Yang Medical Clinic

Western Wisconsin Medical Associates, SC ClinicsHutchinson Health

New Richmond ClinicHennepin County Medical CenterNorthwest Family Physicians, PA

Avera Health ClinicsNorthfield Hospital Clinics

Lakeview Clinic, LtdPark Nicollet Health Services

Ridgeview ClinicsLakewood Clinic

CentraCare ClinicsAverage Group

Integrity - St. CloudIntegrity - Northern

Essentia Health - SMDC Health SystemAllina Health

University of MN PhysiciansNorth Clinic, PA

Stillwater Medical GroupOlmsted Medical Center ClinicsApple Valley Medical Clinic, Ltd

Mayo Clinic Health System - Red WingSt. Luke's Clinics

Osceola Medical CenterHealthPartners Clinics

Burnsville Family Physicians, PABaldwin Area Medical Center

Multicare Associates of the Twin CitiesEssentia Health - Innovis Health, LLC

HealthEastHealthPartners Central Minnesota Clinics, Inc

St. Paul Family Medical CenterEntira Family Clinics

AALFA Family Clinic, PAFairview Clinics

Integrity - BuffaloNorth Memorial Health Care

St. Croix Regional Medical CenterRiver Falls Medical Clinic

Edina Sports Health & Wellness, PAEssentia Health - St. Joseph's Medical Center

France Avenue Family Physicians, PAAssociated Medical and Dental Clinic

Advanced Medical Clinic

Percent with Assessment

Body Mass Index (BMI) Assessment - Adult1/1/2013 - 12/31/2013

Confidence IntervalFinite population correction factor applied


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Lakewood ClinicIlko Family Medicine, PA

Sanford Health - FargoAltru Clinics

Mayo Health System Clinics MNAALFA Family Clinic, PA

Sanford Health - Sioux FallsEssentia Health - St. Mary's Regional Health Center

Minnesota Rural Health Cooperative ClinicsLakeview Clinic, Ltd

Northfield Hospital ClinicsCentraCare Clinics

Allina HealthPark Nicollet Health Services

Olmsted Medical Center ClinicsSouthdale Pediatric Associates, Ltd

Integrity - NorthernCatalyst Medical Clinic

New Richmond ClinicChildren's Physician Network

HealthPartners Central Minnesota Clinics, IncAverage Group

Stillwater Medical GroupSt. Paul Family Medical Center

Western Wisconsin Medical Associates, SC ClinicsRidgeview Clinics

Avera Health ClinicsHealthPartners Clinics

Essentia Health - Innovis Health, LLCAdvanced Medical Clinic

Hudson PhysiciansNorth Memorial Health Care

Northwest Family Physicians, PASt. Luke's Clinics

Essentia Health - St. Joseph's Medical CenterHealthEast

North Clinic, PAEssentia Health - SMDC Health SystemMayo Clinic Health System - Red Wing

Osceola Medical CenterEdina Sports Health & Wellness, PA

Hutchinson HealthRiver Falls Medical Clinic

Burnsville Family Physicians, PAEntira Family Clinics

Multicare Associates of the Twin CitiesBaldwin Area Medical Center

Hennepin County Medical CenterUniversity of MN Physicians

St. Croix Regional Medical CenterApple Valley Medical Clinic, Ltd

Integrity - St. CloudFairview Clinics

Dr. Bobby Yang Medical ClinicFrance Avenue Family Physicians, PA

Integrity - Buffalo


Body Mass Index (BMI) Assessment - Child and Adolescent 1/1/2013 - 12/31/2013



ALCOHOL ASSESSMENT — ADULT PRIMARY CAREJanuary 1, 2013 – December 31, 2013

DescriptionThe rate represents the percentage of members ages 19 and older by December 31, 2013, whose alcohol use status is documented in the medical record in the measurement year. Documentation of alcohol assessment must be dated and include the amount and frequency of alcohol use.

Methodology — Chart ReviewThis measure includes members from all products who were continuously enrolled from January 1, 2013 to December 31, 2013, who had a clinic visit in 2013. Population identifi cation is based on claim and membership databases. The sample includes members from the adult preventive services measure.

Results*

Total eligible members 309,947Members sampled 5,275Members with assessment 2,893

Alcohol Assessment Rate 65.0% (± 3.1)



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Integrity - St. CloudLakeview Clinic, LtdIntegrity - Northern

Advanced Medical ClinicBaldwin Area Medical Center

Northfield Hospital ClinicsEdina Sports Health & Wellness, PA

Lakewood ClinicBurnsville Family Physicians, PAMayo Health System Clinics MN

Mayo Clinic Health System - Red WingRichfield Medical Group

North Clinic, PANorthwest Family Physicians, PA

Essentia Health - St. Mary's Regional Health CenterCentraCare Clinics

Ridgeview ClinicsHutchinson Health

Avera Health ClinicsEssentia Health - Innovis Health, LLC

Apple Valley Medical Clinic, LtdIntegrity - Buffalo

Altru ClinicsRiver Falls Medical Clinic

Essentia Health - St. Joseph's Medical CenterEntira Family Clinics

Minnesota Rural Health Cooperative ClinicsFrance Avenue Family Physicians, PA

St. Croix Regional Medical CenterHennepin County Medical Center

St. Luke's ClinicsWestern Wisconsin Medical Associates, SC Clinics

Hudson PhysiciansAverage Group

Stillwater Medical GroupEssentia Health - SMDC Health System

HealthEastMulticare Associates of the Twin Cities

New Richmond ClinicOlmsted Medical Center Clinics

Allina HealthDr. Bobby Yang Medical Clinic

North Memorial Health CareHealthPartners Clinics

Sanford Health - FargoUniversity of MN Physicians

Osceola Medical CenterFairview Clinics

HealthPartners Central Minnesota Clinics, IncIlko Family Medicine, PA

Park Nicollet Health ServicesValley Family Practice

St. Paul Family Medical CenterAssociated Medical and Dental Clinic

Sanford Health - Sioux FallsCatalyst Medical Clinic

AALFA Family Clinic, PA


Alcohol Assessment - Adult - Primary Care 1/1/2013 - 12/31/2013



ALCOHOL ASSESSMENT — ADULT OB/GYNJanuary 1, 2013 – December 31, 2013

DescriptionThe rate represents the percentage of women ages 19 and older by December 31, 2013, whose alcohol use status is documented in the medical record in the measurement year. Documentation of alcohol assessment must be dated and include the amount and frequency of alcohol use.

Methodology — Chart ReviewThis measure includes women from all products who were continuously enrolled from January 1, 2013 to December 31, 2013, who had a clinic visit in 2013. Population identifi cation is based on claim and membership databases. The sample includes members from the OB/GYN preventive services measure.

Results*

Total eligible members 60,685Members sampled 2,092Members with assessment 1465

Alcohol Assessment Rate 77.1% (± 3.0)



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


CentraCare Clinics

Mayo Clinic

Comprehensive Healthcare for Women, PA

Integrity - Buffalo


St. Luke's Clinics

North Clinic, PA


John A. Haugen Associates, PA

Average Group

Ridgeview Clinics


Allina Health

Adefris & Toppin Women's Specialists, MD, PC


Fairview Clinics

Clinic Sofia OB/GYN, PA


HealthEast

Mankato Clinic, Ltd

Premier ObGyn of Minnesota

Obstetrics and Gynecology Associates


Minnesota Gynecology and Surgery, LLC


Paul Larson OB/GYN Clinic, PA


Alcohol Assessment - Adult - OB/GYN Providers1/1/2013 - 12/31/2013



OPTIMAL LIFESTYLE — ADULTS2013 Member Survey

DescriptionThe rate represents the percent of surveyed members who reported adherence with all components of an optimal lifestyle: physical activity, healthy eating, moderate alcohol consumption and non-tobacco use during the past year. Alcohol consumption is excluded from optimal lifestyle calculations for respondents < 21 years old.

Optimal lifestyle is defi ned as:• Physical activity for a total of 30 minutes throughout the day for four or more days a week• Healthy eating of fi ve or more fruits and vegetables in a typical day• Female respondents who reported consuming seven servings or less of alcohol per week; male respon-

dents who reported consuming 14 servings or less of alcohol per week• Non-tobacco use

Methodology — Member SurveyOptimal lifestyle status was determined through a mail survey conducted by HealthPartners in November andDecember 2013. Results were distributed to provider groups second quarter, 2014. The measures include a ran-dom sample of commercial members ages 18 years and older from 38 primary care medical groups. The data were weighted to equal sample sizes of 200 for adults and to control for self-reported health status. Members are attrib-uted to the primary care provider group with the most offi ce visits during the measurement year.

Survey Questions1. Do you do physical activities such as brisk walking, bicycling or gardening for a total of 30 minutes through-

out the day for four or more days a week? 2. How many servings of fruits and vegetables do you eat in a typical day?3. On average, how many alcoholic beverages do you drink in a week?4. During the past year, have you used tobacco products such as cigarettes, cigars, pipes, snuff or chewing

tobacco?

Results*

Total members completing survey 7,152Members with all optimal lifestyles 563

Optimal Lifestyle Rate 7.5% (± 0.6)

Rate by ComponentPhysical activity 67.4% (± 1.1)Healthy eating 10.7% (± 0.7)Moderate alcohol use 96.4% (± 0.4)Non-tobacco use1 91.0% (± 0.7)

1 Derived from tobacco prevalence member survey rates. Graphic display of medical group tobacco prevalence included in Tobacco Use and Cessation section.* All rates are weighted using graphically displayed provider group populations.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%








CentraCare Clinics


Allina Health






Hutchinson Medical Center, PA



Average Group



Integrity - Buffalo

Mayo Clinic


Essentia Health



New Richmond Clinic

Altru Clinics


HealthEast


Ridgeview Clinics

Fairview Clinics



North Clinic, PA

St. Luke's Clinics

Essentia Health - St. Mary's Regional Health Center

Percent Reaching All Targets----- 2013 Goal (Silver 18%, Gold 20%)

Optimal Lifestyle - Adult 2013 Member Survey

Confidence Interval


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


Essentia Health






Allina Health

CentraCare Clinics

Ridgeview Clinics








Integrity - Buffalo



Average Group


New Richmond Clinic




Fairview Clinics





Altru Clinics

HealthEast


Mayo Clinic

North Clinic, PA


St. Luke's Clinics


Percent Physically Active

Optimal Lifestyle - Adult - Physical Activity 2013 Member Survey

Confidence Interval


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%



CentraCare Clinics















Allina Health

Altru Clinics

Integrity - Buffalo


Mayo Clinic

Average Group



Essentia Health

New Richmond Clinic


HealthEast


North Clinic, PA




Ridgeview Clinics

Fairview Clinics


St. Luke's Clinics


Percent Reporting Healthy Eating

Optimal Lifestyle - Adult - Healthy Eating 2013 Member Survey

Confidence Interval


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Fairview Clinics







CentraCare Clinics

Ridgeview Clinics






Altru Clinics




Average Group



New Richmond Clinic



Essentia Health

St. Luke's Clinics



Mayo Clinic


North Clinic, PA




HealthEast



Allina Health

Integrity - Buffalo

Percent Moderate to No Use

Optimal Lifestyle - Adult - Reporting Moderate to No Alcohol Use 2013 Member Survey

Confidence Interval


OPTIMAL LIFESTYLE — CHILDREN2013 Member Survey

DescriptionThe rate represents the percent of surveyed members who reported adherence with all components of an optimal lifestyle: physical activity, healthy eating and secondhand tobacco exposure during the past year.

Optimal lifestyle is defi ned as:• Physical activity for a total of 30 minutes throughout the day for four or more days a week• Healthy eating of fi ve or more fruits and vegetables in a typical day• No exposure to secondhand smoke

Methodology — Member SurveyOptimal lifestyle status was determined through a mail survey conducted by HealthPartners in November andDecember 2013. Results were distributed to provider groups second quarter, 2014. The measures include a ran-dom sample of commercial members ages 17 years and younger from 21 primary care medical groups. For the children’s survey, the adult most knowledgeable about the child’s medical care was asked to complete the survey. The data were weighted to equal sample sizes of 100 for children and to control for self-reported health status. Members are attributed to the primary care provider group with the most offi ce visits during the measurement year.

Survey Questions Is your child physically active for a total of 30 minutes throughout the day for four or more days a week? 1. How many servings of fruits and vegetables does your child eat in a typical day?2. During the past year, have any of your children been exposed to secondhand smoke at home or in day c3. are?

Results*

Total members completing survey 2,019Members with all optimal lifestyles 221

Optimal Lifestyle Rate 10.9% (± 1.4)

Rate by Service

Physical activity 95.5% (± 0.9)Healthy eating 10.5% (± 1.3)No exposure to secondhand smoke 1 96.8% (± 0.8)

1 Derived from secondhand smoke exposure member survey rates. Graphic display of medical group secondhand smoke exposure is included in Tobacco Use and Cessation section.* All rates are weighted by the eligible population of the provider groups displayed.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%







St. Luke's Clinics


HealthEast


Average Group




Allina Health

Fairview Clinics


CentraCare Clinics


Integrity - Buffalo



Percent Reaching All Targets

Optimal Lifestyle - Children 2013 Member Survey

Confidence Interval


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%





CentraCare Clinics



HealthEast


Allina Health


Average Group


St. Luke's Clinics





Integrity - Buffalo


Fairview Clinics


Percent Physically Active

Optimal Lifestyle - Children - Physical Activity 2013 Member Survey

Confidence Interval


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%






Allina Health

Fairview Clinics


CentraCare Clinics

Average Group


Integrity - Buffalo







HealthEast



St. Luke's Clinics

Percent Reporting Healthy Eating

Optimal Lifestyle - Children - Healthy Eating 2013 Member Survey

Confidence Interval


GENERIC DRUG USE — PRIMARY CAREJanuary 1, 2014 – June 30, 2014

DescriptionThe rate represents the percentage of all prescriptions fi lled with generic drugs for HealthPartners members with a drug benefi t.

Methodology — AdministrativeThis measure includes all prescriptions for members with a drug benefi t fi lled between January 1, 2014 and June 30, 2014, whose prescription was fi lled with a generic drug. This rate is calculated with pharmacy claims data. Members are attributed to the primary provider group of the prescribing physician.

Results*

Total prescriptions 3,169,137Generic drug prescriptions 2,810,527

Generic Drug Use Rate 88.7%

* Results include all prescriptions regardless of prescribing physician specialty. Results from medical groups who are current or anticipated HealthPartners Partners in Excellence (PIE) participants are graphically displayed.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

CentraCare Clinics

Hudson Physicians


Baldwin Area Medical Center




Allina Health




HealthEast

Ridgeview Clinics

Integrity - Buffalo

North Clinic, PA

Sanford - Bismarck




Hutchinson Health



Northfield Hospital Clinics



New Richmond Clinic




Catalyst Medical Clinic

Percent Generic Drug Use------- 2014 Goals - Primary Care (Silver 91%, Gold 93%)

2014 Goals - Pediatrics (Silver 88%, Gold 90%)

Generic Drug Use - Primary Care 1/1/2014 - 6/30/2014



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Dr. Bobby Yang Medical Clinic

Ilko Family Medicine, PA

Lakewood Clinic

St. Paul Family Medical Center

AALFA Family Clinic, PA



Altru Clinics

Valley Family Practice






Sanford Health - Sioux Falls

Edina Sports Health & Wellness, PA

St. Luke's Clinics




Associated Medical and Dental Clinic




Average Group





Fairview Clinics

Percent Generic Drug Use------- 2014 Goals - Primary Care (Silver 91%, Gold 93%)

2014 Goals - Pediatrics (Silver 88%, Gold 90%)

Generic Drug Use - Primary Care 1/1/2014 - 6/30/2014



GENERIC DRUG USE — SPECIALTY CAREJanuary 1, 2014 – June 30, 2014


Methodology — AdministrativeThis measure includes all prescriptions for members with a drug benefi t fi lled between January 1, 2014 and June 30, 2014, whose prescription was fi lled with a generic drug. This rate is calculated with pharmacy claims data. Members are attributed to the specialty provider group of the prescribing physician.

Results*

Behavioral HealthTotal prescriptions 90,347Generic drug prescriptions 87,854

Behavioral Health Generic Drug Use Rate 97.2%

CardiologyTotal prescriptions 114,897Generic drug prescriptions 104,752

Cardiology Generic Drug Use Rate 91.2%

OB/GYNTotal prescriptions 211,803Generic drug prescriptions 184,991

OB/GYN Generic Drug Use Rate 87.3%

OrthopaedicsTotal prescriptions 30,516Generic drug prescriptions 28,814

Orthopaedics Generic Drug Use Rate 94.4%

* Results include all prescriptions from applicable provider specialties. Results from medical groups who are current or anticipated HealthPartners Partners in Excellence (PIE) participants are graphically displayed.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%Hennepin County Human Services & Public Health Dept

Juliette Petersen, MD

Innovative Psychological Consultants

Canvas Health, Inc

Oak Ridge Center, PLLC



Lakeland Mental Health Center, Inc

Hutchinson Health


PrairieCare Medical Group


Hazelden Foundation

Psych Business Services, Ltd

Central Minnesota Mental Health Center

Kevin A. O'Connor, MD


Family Life Mental Health Center

The Calli Institute, LLC

Clinical Psychopharmacology Consultants, PA

The Emily Program


Mental Health Counseling Services, LLC


Paul T. Richardson, MD LLC

People Incorporated

Mayo Clinic

Washburn Center For Children


Ramsey County Mental Health Center

Mankato Clinic, Ltd

HealthEast

David L. Sudduth, MD

Percent Generic Drug Use------- 2014 Goal (Silver 92%, Gold 94%)

Medical Groups with <200 prescriptions are not displayed

Generic Drug Use - Behavioral Health Providers 1/1/2014 - 6/30/2014



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

St. Luke's Clinics

Aspire Mental Health, LLC

North Metro Psychiatry

Molly V. Silas, MD

Relate Counseling Center

Zvi Frankfurt, MD

Volunteers of America Mental Health Clinics


William L. Clapp, MD

Schwieters Medical PLLC

Headway Emotional Health Services

Stone Creek Psychiatry, LLC

David D. Gulden, MD


Psych Recovery, Inc

Minnesota Psychological Resources


Minneapolis Clinical Assoc In Psych


St. Cloud Hospital


West End Consultation Group

Carver County Mental Health Program

Allina Health

River Valley Behavioral Health & Wellness Center, LLC

Associated Clinic of Psychology


Average Group

BHSI, LLC


Community Univ Health Care Center (CUHCC)

Dr. Sujit R. Varma, Inc

Percent Generic Drug Use------- 2014 Goal (Silver 92%, Gold 94%)

Medical Groups with <200 prescriptions are not displayed

Generic Drug Use - Behavioral Health Providers 1/1/2014 - 6/30/2014



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

PrimeCare Health Group

Murad Heart Care

OakLeaf Medical Network

The Heart Institute of North Dakota

St. Luke's Clinics

Avera Health Hospitals

Mark W. Erhard, MD, PA



Mayo Clinic

Allina Health

University of MN Physicians Heart at Fairview

HealthEast Heart Care



Average Group

Altru Clinics


David G. Fine, MD







CentraCare Clinics


Aspirus Network, Inc

Preventive Cardiology Consultants, PA

Children's Heart Clinic, PA


Lyle J. Swenson, MD, PA


North Memorial Cardiolvascular Services


Prairie Lakes Health Care System

Mankato Clinic, Ltd

Percent Generic Drug Use

Generic Drug Use - Cardiology Providers 1/1/2014-6/30/2014

Technical Supplement to HealthPartners Clinical Indicators Report — 2013/2014 Results48

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%





Fairview Clinics

Ridgeview Clinics

Douglas County Hospital






CentraCare Clinics

Essentia Health - Brainerd Medical Center, Inc.





North Clinic, PA

HealthEast





Hutchinson Health


New Richmond Clinic


Lake Region Hospital


FirstLight Health System

Integrity - Buffalo


Percent Generic Drug Use-----2014 Goal (Silver 88%, Gold 90%)

Medical Groups w ith <200 prescriptions are not displayed.

Generic Drug Use - OB/GYN Providers 1/1/2014 - 6/30/2014


Technical Supplement to HealthPartners Clinical Indicators Report — 2013/2014 Results49

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Midwest Institute of Urology, PA

Metropolitan Urologic Specialists, PA

Advanced Specialty Care for Women, PA

Mayo Clinic

Lakewood Clinic



Cuyuna Regional Medical Center Clinic




St. Luke's Clinics





Kathleen Sulentich, MD




Generations Women's Health Center, PA




Mankato Clinic, Ltd

Allina Health

Average Group



Hudson Physicians

St Paul-Ramsey County Department of Public Health


Planned Parenthood of MN, ND, SD

Percent Generic Drug Use----- 2014 Goal (Silver 88%, Gold 90%)

Medical Groups with <200 prescriptions are not displayed.

Generic Drug Use - OB/GYN Providers 1/1/2014 - 6/30/2014



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


Mayo Clinic



Twin Cities Orthopedics, PA

Institute for Low Back and Neck Care

Allina Health


St. Croix Orthopaedics, PA

Midwest Spine Institute, LLC


Average Group



St. Cloud Orthopedic Associates, Ltd


Advanced Spine Associates, PA

Summit Orthopedics, Ltd


Orthopaedic & Fracture Clinic, PA






Fairview Clinics


Northern Orthopedics, Ltd


Percent Generic Drug Use

Medical Groups with <100 prescriptions are not displayed.

Generic Drug Use - Orthopaedic Providers 1/1/2014 - 6/30/2014


GENERIC DRUG USE — PHARMACYJanuary 1, 2014 – June 30, 2014


Methodology — AdministrativeThis measure includes all prescriptions for members with a drug benefi t fi lled between January 1, 2014 and June 30, 2014, whose prescription was fi lled with a generic drug. This rate is calculated with pharmacy claims data. Each prescription is attributed to the pharmacy that fi lled the prescription.

Results

Total prescriptions 5,219,199Generic drug prescriptions 4,549,117

Generic Drug Use Rate 87.2%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


HealthPartners Mail Order Pharmacy

Setzer Pharmacy

Mattson Pharmacy

Fairview Clinics


St. Paul Corner Drug

Walgreens

Lunds and Byerly's

CVS Pharmacy

SuperValu/Cub

Kmart


Average Pharmacy

Shopko

Target

Thrifty Drug Stores

Regions Hospital

Coborn's/Cash Wise

Wal-Mart/Sam’s Club

The Medicine Shoppe

Costco


Allina Health

Goodrich Pharmacy

Boynton Health Service Pharmacy

Percent Generic Drug Use----- 2014 Goal (Silver 89%, Gold 91%)

Generic Drug Use - Pharmacy 1/1/2014 - 6/30/2014


ANNUAL MONITORING FOR PATIENTS ON PERSISTENT MEDICATIONS PRIMARY CAREJanuary 1, 2013 – December 31, 2013

DescriptionThe percentage of members ages 18 and older who received at least a 180-day supply of ambulatory medication therapy for Angiotensin Converting Enzyme (ACE) inhibitors, Angiotensin Receptor Blockers (ARB) and/or diuretics during the measurement year and had at least one therapeutic monitoring event for the therapeutic agent in the measurement year.

A therapeutic monitoring event is defi ned as:

• At least one serum potassium (K+) and either a serum creatinine (SCr) or a blood urea nitrogen (BUN) for prescribed ACE inhibitors, ARBs and/or diuretics.

Methodology — AdministrativeThis measure is consistent with the HEDIS 2014 Annual Monitoring for Patients on Persistent Medications measurement specifi cations and includes all members ages 18 years and older as of December 31, 2013, from all products except Medicare Cost with a drug benefi t who were continuously enrolled from January 1, 2013 to December 31, 2013. Population identifi cation is based on claim and membership databases. Rates are calculated using administrative data only. Members are attributed to the medical group of the prescribing provider’s pri-mary location of the most recent script that qualifi ed the member for the denominator. Only scripts written by a provider with a primary care specialty are included; however, therapeutic monitoring claims from all providers are included.

Results

ACE/ARB monitoringTotal eligible members 20,737Members with monitoring event 17,702

Annual Monitoring Rate 85.4%

Diuretics monitoringTotal eligible members 16,664Members with monitoring event 14,235

Annual Monitoring Rate 85.4%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%





New Richmond Clinic

Allina Health


Ridgeview Clinics





Fairview Clinics








HealthEast





Integrity - Buffalo





Percent with Monitoring----- 2013 Goal (Silver 90%, Gold 95%)

Annual Monitoring for Patients on Persistent Medications - Primary Care ACE/ARB

1/1/2013 - 12/31/2013



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Surgical Consultants

Mankato Clinic, Ltd

Altru Clinics

Tri-County Hospital, Inc








Mayo Clinic





Hudson Physicians



St. Luke's Clinics


CentraCare Clinics

Average Group




North Clinic, PA


Hutchinson Health


Annual Monitoring for Patients on Persistent Medications - Primary Care ACE/ARB

1/1/2013 - 12/31/2013



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


Ridgeview Clinics





HealthEast







Hutchinson Health

Allina Health

Fairview Clinics









New Richmond Clinic


Annual Monitoring for Patients on Persistent Medications - Primary Care Diuretics

1/1/2013 - 12/31/2013



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Mankato Clinic, Ltd

Altru Clinics








Mayo Clinic


Hudson Physicians



CentraCare Clinics



Integrity - Buffalo

St. Luke's Clinics

Average Group


North Clinic, PA




Annual Monitoring for Patients on Persistent Medications - Primary Care Diuretics

1/1/2013 - 12/31/2013



ANNUAL MONITORING FOR PATIENTS ON PERSISTENT MEDICATIONS CARDIOLOGYJanuary 1, 2013 – December 31, 2013

DescriptionThe percentage of members ages 18 and older who received at least a 180-day supply of ambulatory medication therapy for Angiotensin Converting Enzyme (ACE) inhibitors, Angiotensin Receptor Blockers (ARB) and/or di-uretics during the measurement year and had at least one therapeutic monitoring event for the therapeutic agent in the measurement year.

A therapeutic monitoring event is defi ned as:

• At least one serum potassium (K+) and either a serum creatinine (SCr) or a blood urea nitrogen (BUN) for prescribed ACE inhibitors, ARBs and/or diuretics.

Methodology — AdministrativeThis measure is consistent with the HEDIS 2014 Annual Monitoring for Patients on Persistent Medications measurement specifi cations and includes all members ages 18 years and older as of December 31, 2013, from all products except Medicare Cost with a drug benefi t who were continuously enrolled from January 1, 2013 to December 31, 2013. Population identifi cation is based on claim and membership databases. Rates are calculated using administrative data only. Members are attributed to the medical group of the prescribing provider’s primary location of the most recent script that qualifi ed the member for the denominator. Only scripts written by a provider with a cardiology specialty are included; however, therapeutic monitoring claims from all providers are included.

Results

ACE/ARB monitoringTotal eligible members 1,366Members with monitoring event 1,157Annual Monitoring Rate 84.7%

Diuretics monitoringTotal eligible members 689Members with monitoring event 633Annual Monitoring Rate 91.9%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Mayo Clinic


Fairview Clinics

North Memorial Cardiovascular Services

Allina Health

Average Group

HealthEast




CentraCare Clinics


Annual Monitoring for Patients on Persistent Medications - Cardiology ACE/ARB

1/1/2013 - 12/31/2013


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Fairview Clinics

Allina Health



Average Group


HealthEast



Annual Monitoring for Patients on Persistent Medications - Cardiology Diuretics

1/1/2013 - 12/31/2013


MEDICATION ADHERENCE FOR ASTHMA/COPD – PHARMACY July 1, 2013 – June 30, 2014

DescriptionThe percentage of members with a diagnosis of asthma or chronic obstructive pulmonary disease (COPD) who re-main on a controller medication1 and meet an 80 percent portion of days covered (PDC) for the controller medica-tion as measured by the days’ supply fi lled divided by the number of days from the date of the fi rst fi ll to the end of the measurement period.

Methodology — AdministrativeThis measure includes members age 5–64 years with a diagnosis of asthma and members age 40 years and older with a diagnosis of COPD from commercial products and who were continuously enrolled from July 1, 2013 to June 30, 2014.

The eligible population for members with a diagnosis of asthma is defi ned as having had, within the previous 24 months:

one or more inpatient or emergency department encounters with a discharge diagnosis of asthma • or;

two or more outpatient encounters with a diagnosis of asthma on different dates of service and two or • more distinct claim dates for inhaled/oral anti-infl ammatory or inhaled/oral bronchodilator medications or;

three or more distinct claim dates for inhaled bronchodilator or anti-infl ammatory medications and no• diagnosis of COPD.

The eligible population for members with a diagnosis of COPD is defi ned as having had, within the previous 24 months:

two or more distinct dates of service with a diagnosis of COPD • or;

one diagnosis of COPD and one claim on a different date of service for oxygen or a nebulizer.•

Rates are calculated administratively using outpatient claims. Members are attributed to the pharmacy where they have the greatest amount of days’ supply fi lled during the measurement period.

Results

Commercial Members

Total treated members 5,992

Members with 80% portion of days covered 2,822

Medication Adherence Rate 47.1%

1 Antiasthmatic combinations, antibody inhibitor, inhaled corticosteroids, Leukotriene modifi ers, mast cell stabilizers, bronchodilators, systemic corticosteroids


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Goodrich Pharmacy

Coborn's/Cash Wise

Lunds and Byerly's

Costco




Walgreens

Fairview Clinics

CVS Pharmacy

Target

Average Pharmacy

SuperValu/Cub

Kmart

Setzer Pharmacy

Regions Hospital

Shopko

Thrifty Drug Stores



Percent Adherence----- 2014 Goal (Silver 50%, Gold 63%)

Medication Adherence for Asthma/COPDPharmacy

7/1/2013 - 6/30/2014


MEDICATION ADHERENCE FOR DIABETES – PHARMACYJuly 1, 2013 – June 30, 2014

DescriptionThe percentage of members with a diagnosis of diabetes who remain on oral hypoglycemic medication1 and meet an 80 percent portion of days covered (PDC) for the medication as measured by the days’ supply fi lled divided by the number of days from the date of the fi rst fi ll to the end of the measurement period.

Methodology — AdministrativeThis measure includes members age 18 and older from commercial products and who were continuously enrolled from July 1, 2013 to June 30, 2014.

The eligible population for members with a diagnosis of diabetes is defi ned as having had, within the previous 15 months:

one or more prescription fi lls of insulin or oral hypoglycemic/antihyperglycemic agents • or;

two or more outpatient or non-acute inpatient encounters with a diagnosis of diabetes on different dates of • service or;

one or more acute inpatient or ED encounters with a diagnosis of diabetes.•

Rates are calculated administratively using outpatient pharmacy claims. Members are attributed to the pharmacy where they have the greatest amount of days’ supply fi lled during the measurement period.

Results

Commercial Members

Total treated members 9,004

Members with 80% portion of days covered 7,272

Medication Adherence Rate 80.8%

1 Oral Hypogleycemic drugs are defi ned using GPI code 27 and route of admin of Oral


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


Mattson Pharmacy

Goodrich Pharmacy

Regions Hospital



Kmart

CVS Pharmacy

Lunds and Byerly's

Shopko

Fairview Clinics

Walgreens

Average Pharmacy


Target

Coborn's/Cash Wise

SuperValu/Cub

Costco


Allina Health

Thrifty Drug Stores

Setzer Pharmacy


Percent Adherence----- 2014 Goal (Silver 85%, Gold 89%)

Medication Adherence for DiabetesPharmacy

7/1/2013 - 6/30/2014


POTENTIALLY INAPPROPRIATE MEDICATIONS – PHARMACYJuly 1, 2013 – June 30, 2014

DescriptionThe percentage of members ages 65 and older who were taking more than one contraindicated (high-risk) medica-tion from July 1, 2013 to June 30, 2014.

Methodology — AdministrativeThis measure includes members ages 65 and older as of June 30, 2014 from all products who were continuously enrolled from July 1, 2013 to June 30, 2014. Population is identifi ed using membership databases. Rates are calculated administratively using outpatient pharmacy claims. Members are attributed to the pharmacy where they have the greatest amount of days’ supply fi lled during the measurement period.

Results

Commercial Members

Total eligible members 52,434

Members with more than one contraindicated medication 4,826

Potentially Inappropriate Medications Rate1 9.2%

1 A lower percentage is desirable.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Coborn's/Cash Wise


Thrifty Drug Stores

Fairview Clinics

St. Paul Corner Drug


CVS Pharmacy

Kmart

The Medicine Shoppe

Regions Hospital


SuperValu/Cub

Walgreens

Average Pharmacy

Lunds and Byerly's

Target

Allina Health


Costco



Goodrich Pharmacy

Shopko

Setzer Pharmacy

Percent Potentially Inappropriate----- 2014 Goal (Silver <9%, Gold <7%)

Potentially Inappropriate MedicationsPharmacy

7/1/2013 - 6/30/2014

Note: A lower index is desirable


OPTIMAL CARE FOR ACUTE LOW BACK PAINJanuary 1, 2013 – December 31, 2013

DescriptionThe rate represents the percentage of members ages 18 and older with newly diagnosed acute low back pain who received optimal care for acute low back pain.

Optimal care for acute low back pain is defi ned as an initial offi ce visit for low back pain and does NOT include any of the following services in the fi rst six weeks of care:

• Imaging• Injection therapy referral• Narcotic prescription• Surgical consultation

Methodology — AdministrativeThis measure includes members ages 18 years and older as of December 31, 2013, from commercial and Medicaid products with a pharmacy benefi t. A newly diagnosed episode of acute low back pain for a member is defi ned as having no non-pharmacy low back pain claims at any facility in the 180 days prior to the diagnosis visit. Members with cancer, trauma, neurological impairment, IV drug abuse or pregnancy diagnoses prior to the end of the fi rst six weeks following diagnosis are excluded. Population identifi cation is based on claim and mem-bership databases. Rates are calculated using administrative data only. Members are attributed to the provider group of the diagnosing practitioner.

ResultsTotal eligible members 11,464Members with appropriate care 8,081

Members Optimally Managed 70.5%

Rate by ServiceNo imaging in fi rst six weeks 90.8%No injection in fi rst six weeks 97.7%No narcotic prescription in fi rst six weeks 78.6%No surgical consultation in fi rst six weeks 98.8%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Open Cities Health CenterIntegrity - Buffalo

Amery Regional Medical Center ClinicsDouglas County Hospital

Altru ClinicsLakeview Clinic, Ltd

Minnesota Rural Health Cooperative ClinicsIntegrity - NorthernIntegrity - St. Cloud

Essentia Health - Innovis Health, LLCCentraCare Clinics

HealthPartners Central Minnesota Clinics, IncSt. Croix Regional Medical Center

Sanford Health - FargoNorthwest Family Physicians, PA

Apple Valley Medical Clinic, LtdRiver Falls Medical ClinicWinona Health Services

West Side Community Health CenterAllina Health

North Memorial Health CareNorth Clinic, PA

Stillwater Medical GroupAverage GroupFairview Clinics

Essentia Health - SMDC Health SystemHudson Physicians

HealthEastMayo Health System Clinics WI

Multicare Associates of the Twin CitiesEntira Family Clinics

Ridgeview ClinicsMayo Health System Clinics MN

Essentia Health - St. Joseph's Medical CenterGrand Itasca Clinic & Hospital

Hennepin County Medical CenterOlmsted Medical Center Clinics

United Family MedicineSt. Luke's Clinics

Osceola Medical CenterPark Nicollet Health Services

HealthPartners ClinicsHutchinson Health

Mayo ClinicCommunity Univ Health Care Center (CUHCC)

NorthPoint Health & Wellness CenterNew Richmond Clinic


Percent with No Imaging, Injections, Surgery Referralor Narcotics within 6 weeks

Optimal Care for Acute Low Back Pain1/1/2013 - 12/31/2013


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Altru ClinicsDouglas County Hospital

Olmsted Medical Center ClinicsIntegrity - Northern

Integrity - St. CloudMinnesota Rural Health Cooperative Clinics

North Memorial Health CareIntegrity - Buffalo

Apple Valley Medical Clinic, LtdLakeview Clinic, Ltd

Amery Regional Medical Center ClinicsHealthPartners Central Minnesota Clinics, Inc

Essentia Health - SMDC Health SystemHealthEast

CentraCare ClinicsOsceola Medical Center

Mayo Health System Clinics WIHutchinson Health

Essentia Health - Innovis Health, LLCNorthwest Family Physicians, PA

Fairview ClinicsAverage Group

Multicare Associates of the Twin CitiesHennepin County Medical Center

Stillwater Medical GroupSanford Health - Fargo

St. Luke's ClinicsNorth Clinic, PA

Park Nicollet Health ServicesAllina Health

Hudson PhysiciansSt. Croix Regional Medical Center

Winona Health ServicesEntira Family Clinics

HealthPartners ClinicsRiver Falls Medical Clinic

Ridgeview ClinicsUniversity of MN Physicians

Community Univ Health Care Center (CUHCC)Open Cities Health Center

Grand Itasca Clinic & HospitalMayo Health System Clinics MN

Mayo ClinicWest Side Community Health Center

Essentia Health - St. Joseph's Medical CenterNorthPoint Health & Wellness Center

New Richmond ClinicUnited Family Medicine

Percent with No Imaging within 6 weeks

Low Back Pain - Imaging 1/1/2013 - 12/31/2013


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Integrity - NorthernIntegrity - Buffalo

Lakeview Clinic, LtdSanford Health - Fargo

St. Croix Regional Medical CenterRidgeview Clinics

Essentia Health - St. Joseph's Medical CenterNorth Clinic, PA

Mayo ClinicCentraCare Clinics

Mayo Health System Clinics WIMulticare Associates of the Twin Cities

Minnesota Rural Health Cooperative ClinicsOpen Cities Health Center

Entira Family ClinicsAverage Group

NorthPoint Health & Wellness CenterHudson Physicians

Park Nicollet Health ServicesNorth Memorial Health Care

Douglas County HospitalStillwater Medical Group

Allina HealthApple Valley Medical Clinic, Ltd

Mayo Health System Clinics MNHealthEast

St. Luke's ClinicsHealthPartners Central Minnesota Clinics, Inc

Hutchinson HealthEssentia Health - SMDC Health System

Essentia Health - Innovis Health, LLCWest Side Community Health Center

Fairview ClinicsAmery Regional Medical Center Clinics

HealthPartners ClinicsNorthwest Family Physicians, PA

Integrity - St. CloudUniversity of MN Physicians

Winona Health ServicesUnited Family Medicine

River Falls Medical ClinicOsceola Medical Center

Olmsted Medical Center ClinicsNew Richmond Clinic

Hennepin County Medical CenterGrand Itasca Clinic & Hospital

Community Univ Health Care Center (CUHCC)Altru Clinics

Percent with No Injection within 6 weeks

Low Back Pain - Injections 1/1/2013 - 12/31/2013


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Open Cities Health CenterAmery Regional Medical Center Clinics

Integrity - BuffaloMinnesota Rural Health Cooperative Clinics

Douglas County HospitalSt. Croix Regional Medical Center

Lakeview Clinic, LtdAltru Clinics

Integrity - St. CloudCentraCare Clinics

Northwest Family Physicians, PAEssentia Health - Innovis Health, LLCWest Side Community Health Center

Hudson PhysiciansRiver Falls Medical Clinic

Sanford Health - FargoWinona Health Services

HealthPartners Central Minnesota Clinics, IncAllina Health

North Clinic, PAGrand Itasca Clinic & Hospital

Average GroupMayo Health System Clinics MN

Fairview ClinicsHennepin County Medical Center

Stillwater Medical GroupUnited Family Medicine

Apple Valley Medical Clinic, LtdMulticare Associates of the Twin Cities

Essentia Health - SMDC Health SystemEntira Family Clinics

HealthEastMayo Health System Clinics WI

Essentia Health - St. Joseph's Medical CenterRidgeview Clinics

North Memorial Health CareNorthPoint Health & Wellness Center

Integrity - NorthernHealthPartners Clinics

Osceola Medical CenterNew Richmond Clinic

Park Nicollet Health ServicesHutchinson Health

St. Luke's ClinicsMayo Clinic

University of MN PhysiciansCommunity Univ Health Care Center (CUHCC)


Percent with No Narcotics within 6 weeks

Low Back Pain - Narcotics Use 1/1/2013 - 12/31/2013


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Lakeview Clinic, LtdStillwater Medical Group

Amery Regional Medical Center ClinicsCommunity Univ Health Care Center (CUHCC)

River Falls Medical ClinicOsceola Medical Center

Integrity - BuffaloWinona Health Services

New Richmond ClinicMayo Health System Clinics WI

Essentia Health - SMDC Health SystemEntira Family Clinics

St. Croix Regional Medical CenterHealthEast

Allina HealthRidgeview Clinics

Mayo Health System Clinics MNNorth Memorial Health Care

Minnesota Rural Health Cooperative ClinicsAverage Group

Apple Valley Medical Clinic, LtdNorth Clinic, PA

St. Luke's ClinicsHealthPartners Clinics

Park Nicollet Health ServicesFairview Clinics

HealthPartners Central Minnesota Clinics, IncUniversity of MN Physicians

West Side Community Health CenterUnited Family MedicineSanford Health - Fargo

Open Cities Health CenterOlmsted Medical Center Clinics

Northwest Family Physicians, PANorthPoint Health & Wellness Center

Multicare Associates of the Twin CitiesMayo Clinic

Integrity - St. CloudIntegrity - NorthernHutchinson Health

Hudson PhysiciansHennepin County Medical Center

Grand Itasca Clinic & HospitalEssentia Health - St. Joseph's Medical Center

Essentia Health - Innovis Health, LLCDouglas County Hospital

CentraCare ClinicsAltru Clinics

Percent with No Surgical Consult within 6 weeks

Low Back Pain - Surgical Consult 1/1/2013 - 12/31/2013


PREVENTIVE SERVICES — ADULT PRIMARY CAREJanuary 1, 2013 – December 31, 2013

DescriptionThe rate represents the percent of enrolled members ages 19 and older by December 31, 2013, who are up-to-date (UTD) for all appropriate preventive services and the percent up-to-date rate by each service type. The measure includes preventive screening appropriate to each member’s age and gender. (The Adult Preventive Services matrix of required services by age and gender is included in the 2014 Clinical Indicators Report Technical Supplement at healthpartners.com/quality.)

Methodology — HybridElements of this measure are consistent with HEDIS 2014 measures. This measure includes members from all products who were continuously enrolled from January 1, 2013 to December 31, 2013, who had a clinic visit in 2013. Population identifi cation is based on claim and membership databases. This measure includes a random sample of 105 members (100 + 5% oversample) per medical group. The UTD rate refl ects a combination of administrative and chart abstracted data. Members are attributed to the primary care provider group with the most offi ce visits during the measurement year. In addition to the members UTD rate, also displayed is an UTD rate that includes a tobacco assessment component. The Institute for Clinical Systems Improvement (ICSI) preventive services guideline for adults lists tobacco assessment as a Level I Component.

Results*Total eligible members 314,641Members sampled 5,359Members up-to-date (Combination 3) 3,870

Members Up-to-Date - Primary Care (Combination 3) 78.1% (± 2.6)Members Up-to-Date - Primary Care (Combination 6) 73.8% (± 2.8)

Rate by Service Combo 3 Combo 6Cholesterol, total and HDL (last fi ve years) 90.8% (± 2.2) √ √Colorectal cancer screening (colonoscopy last ten years, fl ex sig last fi ve years or FOBT in 2013)

pypyy l llasasasastt t teten y) HEDIS

80.2% (± 3.4) √ √

Breast cancer screening (last two years ) ) ) HEDIS 86.5% (± 2.8) √ √

Cervical cancer screening (last three years) ) ) HEDIS 81.3% (± 4.0) √ √Chlamydia screening (in 2013 for sexually active women per HEDIS specifi cations)

2001313133 ff f fffffffffffffororo s ex) HEDIS

33.7% (± 8.0) √ √

Pneumococcal vaccine ( ≥ 65 yrs) ) ) HEDIS 87.0% (± 4.8) √ √

Blood pressure (last two years) 98.3% (± 0.7) √ √Tobacco assessment (in 2013) 98.4% (± 0.5) √ √BMI (in 2013) 91.2% (± 1.8) √



Finite population correction factor applied

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Advanced Medical ClinicSt. Paul Family Medical Center

Integrity - NorthernRiver Falls Medical Clinic

Olmsted Medical Center ClinicsMinnesota Rural Health Cooperative Clinics

Apple Valley Medical Clinic, LtdSt. Luke's Clinics

CentraCare ClinicsIntegrity - Buffalo

Hennepin County Medical CenterDr. Bobby Yang Medical Clinic

Northwest Family Physicians, PALakeview Clinic, Ltd

Baldwin Area Medical CenterSt. Croix Regional Medical Center

Osceola Medical CenterHudson Physicians

Western Wisconsin Medical Associates, SC ClinicsNorthfield Hospital Clinics

Sanford Health - FargoHutchinson Health

Avera Health ClinicsAltru Clinics

Sanford Health - Sioux FallsRidgeview Clinics

France Avenue Family Physicians, PABurnsville Family Physicians, PA

Average GroupIntegrity - St. Cloud

Mayo Clinic Health System - Red WingEssentia Health - St. Joseph's Medical Center

Essentia Health - Innovis Health, LLCEntira Family Clinics

Stillwater Medical GroupLakewood Clinic

New Richmond ClinicUniversity of MN Physicians

Essentia Health - SMDC Health SystemIlko Family Medicine, PA

Multicare Associates of the Twin CitiesMayo Health System Clinics MN

Essentia Health - St. Mary's Regional Health CenterAALFA Family Clinic, PA

North Memorial Health CareValley Family Practice

Park Nicollet Health ServicesEdina Sports Health & Wellness, PA

North Clinic, PARichfield Medical Group

Allina HealthFairview Clinics

HealthEastHealthPartners ClinicsCatalyst Medical Clinic

Associated Medical and Dental ClinicHealthPartners Central Minnesota Clinics, Inc

Percent Receiving All Appropriate Services----- 2013 Goal (Silver 90%, Gold 93%)

Preventive Services - Adult - Primary Care Members Up-to-Date, Combination 3 (includes Tobacco Assessment)

1/1/2013 - 12/31/2013

Confidence Interval


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

St. Paul Family Medical CenterAdvanced Medical Clinic

Minnesota Rural Health Cooperative ClinicsIntegrity - Northern

Hudson PhysiciansRiver Falls Medical Clinic

Olmsted Medical Center ClinicsIlko Family Medicine, PA

CentraCare ClinicsDr. Bobby Yang Medical Clinic

Lakeview Clinic, LtdApple Valley Medical Clinic, Ltd

Sanford Health - Sioux FallsHennepin County Medical CenterMayo Health System Clinics MN

St. Luke's ClinicsSanford Health - Fargo

Hutchinson HealthBaldwin Area Medical Center

Western Wisconsin Medical Associates, SC ClinicsNorthwest Family Physicians, PA

Avera Health ClinicsAltru Clinics

Northfield Hospital ClinicsIntegrity - Buffalo

Osceola Medical CenterIntegrity - St. Cloud

St. Croix Regional Medical CenterAverage Group

Ridgeview ClinicsBurnsville Family Physicians, PA

Valley Family PracticeMayo Clinic Health System - Red Wing

New Richmond ClinicLakewood Clinic

Entira Family ClinicsEssentia Health - St. Mary's Regional Health Center

Essentia Health - Innovis Health, LLCUniversity of MN Physicians

France Avenue Family Physicians, PACatalyst Medical Clinic

Stillwater Medical GroupEssentia Health - St. Joseph's Medical Center

Essentia Health - SMDC Health SystemRichfield Medical Group

AALFA Family Clinic, PAMulticare Associates of the Twin Cities

Park Nicollet Health ServicesNorth Memorial Health Care

Allina HealthHealthPartners Clinics

HealthEastEdina Sports Health & Wellness, PA

North Clinic, PAFairview Clinics

HealthPartners Central Minnesota Clinics, IncAssociated Medical and Dental Clinic

Percent Receiving All Appropriate Services

Preventive Services - Adult - Primary Care Members Up-to-Date, Combination 6

1/1/2013 - 12/31/2013



PREVENTIVE SERVICES — ADULT OB/GYN January 1, 2013 – December 31, 2013

DescriptionThe rate represents the percent of enrolled female members ages 19 and older by December 31, 2013, who are up-to-date (UTD) for all appropriate preventive services and the percent up-to-date rate by each service type. The measure includes preventive screening appropriate to each member’s age. (The Adult Preventive Services matrix of required services by age and gender is included in the 2014 Clinical Indicators Report Technical Supplement at healthpartners.com/quality.)

Methodology — HybridElements of this measure are consistent with HEDIS 2014 measures. This measure includes members from all products who were continuously enrolled from January 1, 2013 to December 31, 2013, who had a clinic visit in 2013. Population identifi cation is based on claim and membership databases. This measure includes a random sample of 84 members (80 + 5% oversample) per medical group. The UTD rate refl ects a combination of administrative and chart abstracted data. Members are attributed to the OB/GYN provider group with the most offi ce visits during the measurement year. In addition to the members UTD rate, also displayed is an UTD rate that includes a tobacco assessment component. The Institute for Clinical Systems Improvement (ICSI) preventive services guideline for adults lists tobacco assessment as a Level I Component.

Results*Total eligible members 61,349Members sampled 2,177Members up-to-date (Combination 3) 1,862

Members Up-to-Date - OB/GYN (Combination 3) 90.2% (± 2.0)

Rate by ServiceCholesterol, total and HDL (last fi ve years) 96.0% (± 1.9)Colorectal cancer screening (colonoscopy last ten years, fl ex sig last fi ve years or FOBT in 2013)

osscococoopypypypypypypypypypypypypypypy l l asa t ) HEDIS

82.6% (± 5.7)

Breast cancer screening (last two years) ) ) HEDIS 95.8% (± 2.6)

Cervical cancer screening (last three years) ) ) HEDIS 97.1% (± 1.0)Chlamydia screening (in 2013 for sexually active women per HEDIS specifi cations)

2001313133 f f f fffffffffffffororo s ex) HEDIS

84.5% (± 7.3)

Pneumococcal vaccine ( ≥ 65 yrs) ) ) HEDIS 89.9% (± 5.5)

Blood pressure (last two years) 98.9% (± 0.6)Tobacco assessment (in 2013) 99.1% (± 0.6)



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Mayo Clinic

St. Luke's Clinics






Ridgeview Clinics



Average Group



Fairview Clinics

North Clinic, PA


Mankato Clinic, Ltd



CentraCare Clinics

Allina Health

HealthEast





Integrity - Buffalo


Preventive Services - Adult - OB/GYN Providers Members Up-to-Date, Combination 3

1/1/2013 -12/31/2013



PREVENTIVE SERVICES — CHILD AND ADOLESCENTJanuary 1, 2013 – December 31, 2013

DescriptionThe rate represents the percent of enrolled members ages 18 and younger on December 31, 2013, who are up-to-date (UTD) for all appropriate preventive services and the up-to-date rate by each service type. The measure includes preventive screening appropriate to each member’s age and gender. (The Child and Adolescent Preventive Services matrix of required services by age and gender is included in the 2014 Clinical Indicators Report Technical Supplement at healthpartners.com/quality.)

Methodology — HybridElements of this measure are consistent with HEDIS 2014 measures. This measure includes members from all products who were continuously enrolled from January 1, 2013 to December 31, 2013, who had a clinic visit in 2013. Population identifi cation is based on claim and membership databases. This measure includes a random sample of 105 members (100 + 5% oversample) per medical group. The UTD rate refl ects a combination of ad-ministrative and chart abstracted data. Members are attributed to the primary care provider group with the most offi ce visits during the measurement year. In addition to the members UTD rate, also displayed is an UTD rate that includes a tobacco assessment component. The Institute for Clinical Systems Improvement (ICSI) preventive services guideline for adults lists tobacco assessment as a Level I Component.

Results*Total eligible members 112,617Members sampled 5,055Members up-to-date Combination 4 3,005Members up-to-date Combination 5 2,795Members up-to-date Combination 6 2,902

Members Up-to-Date - Child and Adolescent (Combination 4) 67.0% (± 2.9)Members Up-to-Date - Child and Adolescent (Combination 5) 63.7% (± 3.0)Members Up-to-Date - Child and Adolescent (Combination 6) 66.3% (± 3.0)

Rate by Service Combo 4 Combo 5 Combo 6Vision screening (by 12/31/2013) 91.4% (± 2.9) √ √ √Height and weight (recorded on same date in 2013, ages 3–18) 84.0% (± 2.3) √ √

Chlamydia screening1 (in 2013) ) HEDIS 57.6% (± 12.9) √ √ √

Tetanus, adolescent (by age 13) ) HEDIS 97.2% (± 1.3) √ √ √

Meningococcol immunization (by age 13) ) ) HEDIS 78.1% (± 6.6) √ √ √

HPV ages 13-18 (UTD by 12/31/13) series of 3 40.7% (± 7.1) √ √ √Imm combination ages 2–4 (UTD by 12/31/13) 4 DTaP, 3 Polio, 1 MMR, 3 HiB, 3 HepB, 1 VZV, 4 Pneumococcal)

1 M MMMMRMRMRM , , 3 H) HEDIS

86.4% (± 4.2) √ √

Imm combination ages 2–4 (UTD by 12/31/13)4 DTaP, 3 Polio, 1 MMR, 3 HiB, 3 HepB, 1 VZV, 4 Pneumococcal, 1 HepA, 2-3 Rotavirus, 2 Infl uenza)

ocococcccccccalalaa , ,, 1 H) HEDIS

65.9% (± 5.2) √


Rate by Service, continued Combo 4 Combo 5 Combo 6Imm combination ages 7–8 (UTD by age 7) DTaP #5, MMR #2, Polio #4, VZV #2 86.2% (± 5.8) √ √ √

Tobacco assessment (in 2013) 91.1% (± 1.5) √ √ √BMI (in 2013) 83.0% (± 2.3) √

1 Ages 16–18 if member meets HEDIS criteria as sexually active.* All rates are weighted by the eligible population of the provider groups displayed.


Finite population correction factor applied

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Hennepin County Medical CenterSanford Health - Fargo

Altru ClinicsLakeview Clinic, Ltd

Olmsted Medical Center ClinicsEssentia Health - St. Mary's Regional Health Center

Mayo Clinic Health System - Red WingNorth Memorial Health Care

Minnesota Rural Health Cooperative ClinicsNorthfield Hospital Clinics

Apple Valley Medical Clinic, LtdIlko Family Medicine, PA

Mayo Health System Clinics MNSanford Health - Sioux Falls

North Clinic, PAAvera Health Clinics

Edina Sports Health & Wellness, PASt. Paul Family Medical Center

St. Luke's ClinicsAALFA Family Clinic, PAOsceola Medical Center

Average GroupBurnsville Family Physicians, PA

Catalyst Medical ClinicHudson PhysiciansCentraCare Clinics

Ridgeview ClinicsIntegrity - Northern

Park Nicollet Health ServicesBaldwin Area Medical Center

Allina HealthLakewood Clinic

France Avenue Family Physicians, PANorthwest Family Physicians, PA

New Richmond ClinicEssentia Health - Innovis Health, LLC

St. Croix Regional Medical CenterEssentia Health - St. Joseph's Medical Center

Dr. Bobby Yang Medical ClinicHutchinson Health

HealthPartners Central Minnesota Clinics, IncEntira Family Clinics

Advanced Medical ClinicWestern Wisconsin Medical Associates, SC Clinics

Integrity - BuffaloHealthEast

Children's Physician NetworkHealthPartners Clinics

Integrity - St. CloudRiver Falls Medical Clinic

Multicare Associates of the Twin CitiesSouthdale Pediatric Associates, Ltd

Stillwater Medical GroupUniversity of MN Physicians

Essentia Health - SMDC Health SystemFairview Clinics

Percent Receiving All Appropriate Services----- 2013 Goal (Silver 85%, Gold 90%)

Preventive Services - Child and Adolescent Members Up-to-Date, Combination 4

1/1/2013 - 12/31/2013

Confidence Interval


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Hennepin County Medical CenterAltru Clinics

Sanford Health - FargoEssentia Health - St. Mary's Regional Health Center

Lakeview Clinic, LtdOlmsted Medical Center Clinics

Minnesota Rural Health Cooperative ClinicsNorthfield Hospital Clinics

Mayo Clinic Health System - Red WingApple Valley Medical Clinic, Ltd

North Memorial Health CareAvera Health Clinics

Sanford Health - Sioux FallsSt. Paul Family Medical Center

North Clinic, PAAALFA Family Clinic, PA

Mayo Health System Clinics MNIlko Family Medicine, PA

Catalyst Medical ClinicSt. Luke's ClinicsLakewood Clinic

Hudson PhysiciansEdina Sports Health & Wellness, PA

Average GroupRidgeview Clinics

Osceola Medical CenterBurnsville Family Physicians, PA

CentraCare ClinicsAllina Health

St. Croix Regional Medical CenterPark Nicollet Health Services

New Richmond ClinicWestern Wisconsin Medical Associates, SC Clinics

Integrity - NorthernBaldwin Area Medical Center

Essentia Health - Innovis Health, LLCHutchinson Health

HealthPartners Central Minnesota Clinics, IncFrance Avenue Family Physicians, PA

Advanced Medical ClinicNorthwest Family Physicians, PA

Integrity - St. CloudHealthEast

Essentia Health - St. Joseph's Medical CenterChildren's Physician Network

Dr. Bobby Yang Medical ClinicIntegrity - Buffalo

Entira Family ClinicsRiver Falls Medical Clinic

HealthPartners ClinicsMulticare Associates of the Twin Cities

Southdale Pediatric Associates, LtdStillwater Medical Group

University of MN PhysiciansEssentia Health - SMDC Health System

Fairview Clinics



1/1/2013 - 12/31/2013



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Hennepin County Medical CenterLakewood Clinic

Sanford Health - FargoIlko Family Medicine, PA

Altru ClinicsOlmsted Medical Center Clinics

Lakeview Clinic, LtdEssentia Health - St. Mary's Regional Health Center

AALFA Family Clinic, PAMayo Clinic Health System - Red Wing

North Memorial Health CareMinnesota Rural Health Cooperative Clinics

Northfield Hospital ClinicsSanford Health - Sioux Falls

Apple Valley Medical Clinic, LtdMayo Health System Clinics MN

Avera Health ClinicsNorth Clinic, PA

St. Paul Family Medical CenterEdina Sports Health & Wellness, PA

Average GroupSt. Luke's Clinics

Catalyst Medical ClinicAdvanced Medical Clinic

Ridgeview ClinicsIntegrity - NorthernCentraCare Clinics

Osceola Medical CenterBurnsville Family Physicians, PA

Hudson PhysiciansPark Nicollet Health ServicesBaldwin Area Medical Center

Allina HealthEssentia Health - St. Joseph's Medical Center

France Avenue Family Physicians, PANorthwest Family Physicians, PA

New Richmond ClinicEssentia Health - Innovis Health, LLC

St. Croix Regional Medical CenterHealthPartners Central Minnesota Clinics, Inc

Dr. Bobby Yang Medical ClinicHutchinson Health

Entira Family ClinicsWestern Wisconsin Medical Associates, SC Clinics

Southdale Pediatric Associates, LtdIntegrity - Buffalo

HealthEastChildren's Physician Network

HealthPartners ClinicsRiver Falls Medical Clinic

Integrity - St. CloudMulticare Associates of the Twin Cities

University of MN PhysiciansStillwater Medical Group

Essentia Health - SMDC Health SystemFairview Clinics



1/1/2013 - 12/31/2013



EVIDENCE-BASED CERVICAL CANCER SCREENING — PRIMARY CAREAverage Risk Asymptomatic WomenJanuary 1, 2011 – December 31, 2013

DescriptionThe rate represents the percentage of women ages 21 and older in the measurement year screened in accordance with evidence-based standards:

• One screening pap test in measurement year or two years prior for women ages 21 to 64 and no history ofhysterectomy

• No screening pap test in the measurement year for women ages 65 and older or women ages 21 and older with history of hysterectomy

Not screened:• No screening pap test in measurement year or two years prior for women ages 21 to 64 and no history of

hysterectomyScreened more frequently:

• Two or more screening pap tests in measurement year or two years prior for women ages 21 to 64 and no history of hysterectomy

• One or more screening pap tests in the measurement year for women ages 65 and older• One or more screening pap tests for women ages 21 and older with history of hysterectomy

Methodology — AdministrativeDue to a three year measurement period, this measure includes all women ages 24 and older as of December 31, 2013, from all products who were continuously enrolled for three years. Population identifi cation is based on claim and membership databases. Rates are calculated using administrative data only. Members with a history of any abnormal cervical cancer screening, including cervical HPV, within fi ve years or with a history of cervi-cal cancer are excluded. Each pap test is attributed to the provider’s medical group who performed the service. Members who do not have a pap test are attributed to the medical group visited the most.

ResultsTotal eligible pap tests or members (those without a pap test) 122,313

Evidence-based screening 77,740

Evidence-Based Screening Rate 63.6%Not screened1 18.7%Screened more frequently1 17.7%

1 Lower rates are better.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Regions HospitalIntegrity - St. Cloud

Burnsville Family Physicians, PAFrance Avenue Family Physicians, PA

University of MN PhysiciansUnity Family Healthcare

Mankato Clinic, LtdAffiliated Community Medical Centers, PA

Essentia Health - SMDC Health SystemApple Valley Medical Clinic, Ltd

Sanford Health - FargoAltru Clinics

Hutchinson HealthOsceola Medical Center

Minnesota Rural Health Cooperative ClinicsLakeview Clinic, Ltd

Gateway Family Health ClinicMulticare Associates of the Twin Cities

Winona Health ServicesMayo Health System Clinics WI

CentraCare ClinicsWestern Wisconsin Medical Associates, SC Clinics

St. Croix Regional Medical CenterSt. Luke's ClinicsIntegrity - Buffalo

Essentia Health - Innovis Health, LLCNorthwest Family Physicians, PA

Douglas County HospitalMayo Health System Clinics MN

Average GroupHealthPartners Central Minnesota Clinics, Inc

Edina Sports Health & Wellness, PAIntegrity - Northern

Grand Itasca Clinic & HospitalNorth Memorial Health Care

North Clinic, PAEssentia Health - St. Joseph's Medical Center

Mayo ClinicFairview Clinics

Allina HealthOlmsted Medical Center Clinics

Amery Regional Medical Center ClinicsEntira Family Clinics

Mayo Clinic Health System - Red WingHealthEast

Ridgeview ClinicsPark Nicollet Health ServicesGundersen Lutheran Clinics

United Family MedicineStillwater Medical Group

Hennepin County Medical CenterHealthPartners Clinics

Sanford Health - Sioux FallsFairview Health Services Hospitals

Park Nicollet Health Services Hospitals

Percent Evidence-Based Screening

Medical Groups with <200 records are not displayed.

Evidence-Based Cervical Cancer Screening - Primary Care Pap Test Attribution

1/1/2011 - 12/31/2013


EVIDENCE-BASED CERVICAL CANCER SCREENING — OB/GYNAverage Risk Asymptomatic WomenJanuary 1, 2011 – December 31, 2013

DescriptionThe rate represents the percentage of women ages 21 and older in the measurement year screened in accordance with evidence-based standards:

• One screening pap test in measurement year or two years prior for women ages 21 to 64 and no history ofhysterectomy

• No screening pap test in the measurement year for women ages 65 and older or women ages 21 and older with history of hysterectomy

Not screened:

• No screening pap test in measurement year or two years prior for women ages 21 to 64 and no history of hysterectomy

Screened more frequently:• Two or more screening pap tests in measurement year or two years prior for women ages 21 to 64 and no

history of hysterectomy• One or more screening pap tests in the measurement year for women ages 65 and older• One or more screening pap tests for women ages 21 and older with history of hysterectomy

Methodology — AdministrativeDue to a three year measurement period, this measure includes all women ages 24 and older as of December 31, 2013, from all products who were continuously enrolled for three years. Population identifi cation is based on claim and membership databases. Rates are calculated using administrative data only. Members with a history of any abnormal cervical cancer screening, including cervical HPV, within fi ve years or with a history of cervical cancer are excluded. Each pap test is attributed to the OB/GYN group who performed the service. Members who do not have a pap test are attributed to the medical group visited the most.

ResultsTotal eligible pap tests or members (those without a pap test) 52,324

Evidence-based screening 30,475

Evidence-Based Screening Rate 58.2%Not screened1 2.5%Screened more frequently1 39.3%

1 Lower rates are better.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Minnesota Gynecology and Surgery, LLCHealthPartners Central Minnesota Clinics, Inc

Clinic Sofia OB/GYN, PAOpen Cities Health Center

Stillwater Medical GroupLake Region Hospital

Obstetrics and Gynecology AssociatesPaul Larson OB/GYN Clinic, PA

St. Luke's ClinicsPremier ObGyn of MinnesotaPark Nicollet Health Services

Mankato Clinic, LtdCentraCare Clinics

Ridgeview ClinicsEssentia Health - SMDC Health System

Lakeview Clinic, LtdMayo Clinic

University of MN PhysiciansIntegrity - St. Cloud

Average GroupWestern Wisconsin Medical Associates, SC Clinics

Comprehensive Healthcare for Women, PAJohn A. Haugen Associates, PA

Women's Health ConsultantsPlanned Parenthood of MN, ND, SD

Fairview ClinicsMetropolitan Urologic Specialists, PA

HealthPartners ClinicsIntegrity - Buffalo

Hennepin County Medical CenterHealthEast

Allina HealthNorth Clinic, PA

St. Croix Regional Medical CenterMayo Clinic Health System - Red Wing

Sanford Health - FargoMayo Health System Clinics MN

Northfield Hospital ClinicsOlmsted Medical Center Clinics

FirstLight Health SystemHutchinson Health

Multicare Associates of the Twin CitiesAdvanced Specialty Care for Women, PA

Percent Evidence-Based Screening

Evidence-Based Cervical Cancer Screening - OB/GYN Providers Pap Test Attribution

1/1/2011 - 12/31/2013


CHILD AND TEEN CHECK-UPSJuly 1, 2012 – June 30, 2014

DescriptionThe rate represents the percentage of children ages six months to 20 years as of June 30, 2014, enrolled in Prepaid Medical Assistance Program (PMAP) or MinnesotaCare (MNCare) who had a preventive care visit within Child & Teen Check-Ups (C&TC) defi ned time periods:

• Last six months if age is six months through 17 months

• Last one year if age is 18 months through six years

• Last two years if age is seven years through 20 years

Methodology — AdministrativeThis measure includes all children ages six months to 20 years old from PMAP or MNCare products who were enrolled on June 30, 2014. Population identifi cation is based on encounter, claim and membership databases. Rates are calculated using administrative data only. Members are attributed to the provider group they were enrolled with on June 30, 2014.

Results

Total eligible members 50,799Preventive visits 26,815

C&TC Rate 52.8% (± 0.4)


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Mille Lacs Health System




CentraCare Clinics


HealthEast

Foley Medical Center

Axis Medical Center

Fairview Lakes Clinics

Primary Care and Rehabilitation Clinics

Parkview Medical Clinic

Neighborhood Healthsource

Average Group


Integrity - Buffalo



Allina Health


Cedar Riverside People's Center






St. Paul Family Medical Center




Native American Community Clinic

Community Univ Health Care Center (CUHCC)

Indian Health Board of Minneapolis

Southside Community Health Services

Dr. Bobby Yang Medical Clinic

Percent with C&TC Visit

Child & Teen Check-Ups (C&TC)7/1/2012 - 6/30/2014

Confidence Interval


LEAD SCREENINGJuly 1, 2013 – June 30, 2014

DescriptionThe rate represents the percentage of children ages 12 to 30 months as of June 30, 2014, enrolled in Prepaid Medical Assistance Program (PMAP) or MinnesotaCare (MNCare) who had at least one lead test between July 1, 2013 and June 30, 2014.

Methodology — AdministrativeThis measure includes all children ages 12 to 30 months from PMAP or MNCare products who were enrolled on June 30, 2014. Population identifi cation is based on encounter, claim and membership databases. Rates are calcu-lated using administrative data only. Members are attributed to the provider group they were enrolled with on June 30, 2014.

Results

Total eligible members 4,687Lead screening test 2,737

Lead Screening Rate 58.4% (± 1.4)


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

CentraCare Clinics


Fairview Lakes Clinics


Integrity - Buffalo




Average Group




Allina Health


Neighborhood Healthsource




Percent Screened

Lead Screening7/1/2013 - 6/30/2014

Confidence Interval


CLINIC SAFETY ASSESSMENT SURVEY2014

DescriptionThis measure displays current provider group efforts related to six ambulatory patient safety topics.

Methodology — Provider Group SurveyPrimary care and specialty providers are surveyed on an annual basis. Results are self-reported. The six topics and related survey questions are:

1. Has your provider group developed and completed a Safety Culture Assessment Survey?

No assessmentAssessment completed; includes reporting system of incidents and near misses

Assessment and implementation of action plan(s) based on analysis of reported incidents

2. Has your provider group established a protocol for dispensing sample medications?

No protocolIf samples are provided to patients, there is a protocol established and implemented at all clinic sites.

Sampling eliminated at all clinic sites

3. Has your provider group established a protocol for members on chronic anticoagulation therapy?

No protocol Protocol established and implemented at all clinic sites

100% of all patients on chronic anticoagulation therapy are managed by protocol; protocol compliance monitored and documented

NA = We do not manage patients on anticoagulation therapy. 4. Has your provider group established a protocol for safe use of abbreviations?

No protocol Protocol established or EMR support implemented at all clinic sites

Compliance monitored and documented

5. Has your provider group established a protocol for medication refi lls?



6. Has your provider group established a protocol for use of controlled substances?




Clinic Safety Assessment Survey ResultsSelf Reported Data as of June 25, 2014


#1 #2 #3 #4 #5 #6






Fairview Clinics

Family Practice Medical Center of Willmar


CentraCare Clinics


Cuyuna Regional Medical Center Clinic


Edina Sports Health & Wellness, PA

Allina Health

Altru Clinics




Baldwin Area Medical Center

Protocol Established

Skipped question, or no protocol or procedure

Chose not to participate

Not Applicable

Provider Group


Compliance with protocol monitored

Saf

ety

Clin

ic A

sses

smen

t

Med

icat

ion

Sam

plin

g

Ant

icoa

gula

tion

Pro

toco

l

Abb

revi

atio

ns

Med

icat

ion

Ref

ills

Con

trolle

d S

ubst

ance

s

NA

NA




#1 #2 #3 #4 #5 #6



North Clinic, PA



Lakewood Clinic

Mankato Clinic, Ltd

Mayo Clinic



Hutchinson Health

Integrity - Buffalo






HealthEast






Not Applicable

Provider Group


Saf

ety

Clin

ic A

sses

smen

t

Med

icat

ion

Sam

plin

g

Ant

icoa

gula

tion

Pro

toco

l

Abb

revi

atio

ns

Med

icat

ion

Ref

ills

Con

trolle

d S

ubst

ance

s

NA




#1 #2 #3 #4 #5 #6

Med

icat

ion

Sam

plin

g

Ant

icoa

gula

tion

Pro

toco

l

Abb

revi

atio

ns

Med

icat

ion

Ref

ills

Con

trolle

d S

ubst

ance

s




Not Applicable


Saf

ety

Clin

ic A

sses

smen

t






St. Luke's Clinics







Provider Group






Ridgeview Clinics



NA

NA

NA


PATIENT EXPERIENCE — MEDICATION SAFETY — PRIMARY CARE2013 Member Survey

DescriptionOn an annual basis, members with medications prescribed by primary care physicians are asked if they are satis-fi ed with the explanation provided by their clinic concerning the reasons for and side effects of the prescribed medication. The rate represents the percent of surveyed members responding with “very satisfi ed” on questions related to medication safety.

Methodology — Member SurveyPatient experience was determined through mail surveys conducted by HealthPartners in November and December 2013. Results were distributed to provider groups second quarter, 2014. The measures include a random sample of members ages 18 years and older. Primary care results include commercial members only. The data were weighted to equal sample sizes of 200. The results were also weighted to control for self-reported health status. Results are reported for 38 primary care groups.

Survey Questions - Primary CareHow satisfi ed were you with your clinic on explanations you received about the reason for any prescribed 1. medicines? How satisfi ed were you with your clinic on information you received about any side effects of your 2. medicines?

Results

Primary Care - 2013 Explanation InformationTotal members responding 7,453 6,460Total members with prescribed medications 2,919 2,103Very satisfi ed 39.2% 32.6%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Altru Clinics











Ridgeview Clinics

CentraCare Clinics


Essentia Health



Fairview Clinics

Average Group

Integrity - Buffalo






New Richmond Clinic



North Clinic, PA

Allina Health



HealthEast

St. Luke's Clinics




Mayo Clinic


Percent Very Satisfied

Patient Experience Medication Safety - Primary Care 2013 Member Survey

How satisfied are you with the explanations you received about the reason for the medicines?


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Altru Clinics




CentraCare Clinics


Fairview Clinics







Allina Health





Ridgeview Clinics

Average Group

New Richmond Clinic





HealthEast

Essentia Health




Integrity - Buffalo

North Clinic, PA




St. Luke's Clinics

Mayo Clinic




Patient Experience Medication Safety - Primary Care 2013 Member Survey

How satisfied are you with the information you received about any side effects of the medicines?


PATIENT EXPERIENCE — MEDICATION SAFETY — SPECIALTY CARE2014 Member Survey

DescriptionOn an annual basis, members with medications prescribed by specialty care physicians are asked if they are sat-isfi ed with the explanation provided by their clinic concerning the reasons for and side effects of the prescribed medication. The rate represents the percent of surveyed members responding with “very satisfi ed” on questions related to medication safety.

Methodology — Member SurveyPatient experience was determined through mail surveys conducted by HealthPartners in February and March 2014. Results were distributed to provider groups second quarter, 2014. OB/GYN includes a random sample of members ages 18 years and older. Cardiology, ENT and Orthopaedics include a random sample of members that includes both adults and children. Specialty care results include members enrolled in commercial, Medicare or Medicaid products. The data were weighted to equal sample sizes of 100. The results were also weighted to control for self-reported health status. Results are reported for 12 cardiology, 16 ENT, 16 OB/GYN and 17 orthopaedic groups.

Survey Questions - Specialty CareHow satisfi ed are you with the explanations you received about the reason for the medicines? 1. How satisfi ed are you with the information you received about any side effects of the medicines?2.

Results

Cardiology - 2014Total members responding 1288Total members with prescribed medications 772Very satisfi ed - explanation for prescribed medications 58.0%Very satisfi ed - information received about side effects 50.3%

ENT - 2014 Total members responding 1157Total members with prescribed medications 545Very satisfi ed - explanation for prescribed medications 58.1%Very satisfi ed - information received about side effects 50.4%

OB/GYN - 2014 Total members responding 1252Total members with prescribed medications 711

Very satisfi ed - explanation for prescribed medications 63.5%

Very satisfi ed - information received about side effects 57.7%

Orthopaedics - 2014 Total members responding 1647Total members with prescribed medications 733

Very satisfi ed - explanation for prescribed medications 64.5%

Very satisfi ed - information received about side effects 57.2%


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%



CentraCare Clinics

United Heart and Vascular Clinic


Minneapolis Heart Institute

Average Group

Fairview Clinics


Metropolitan Heart & Vascular Institute



Mayo Clinic


Patient Experience Medication Safety - Cardiology Providers 2014 Member Survey

How satisfied are you with the explanations you receivedabout the reason for the medicines?


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


CentraCare Clinics


Minneapolis Heart Institute

United Heart and Vascular Clinic



Average Group

Fairview Clinics

Metropolitan Heart & Vascular Institute



Mayo Clinic


Patient Experience Medication Safety - Cardiology Providers 2014 Member Survey



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

St. Cloud Ear, Nose & Throat - Head & Neck Clinic


Minneapolis Otolaryngology, PA

Allina Health


Ridgeview Clinics


Fairview Clinics

Average Group

Paparella Ear Head & Neck Institute, PA


Midwest Ear, Nose & Throat Specialists

ENT Specialty Care



Oakdale Ear, Nose and Throat Clinic, PA



Patient Experience Medication Safety - ENT Providers2014 Member Survey



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%



Fairview Clinics

Allina Health






Average Group



Ridgeview Clinics

ENT Specialty Care


Oakdale Ear, Nose and Throat Clinic, PA



Patient Experience Medication Safety - ENT Providers 2014 Member Survey



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

North Clinic, PA

CentraCare Clinics

Integrity - Buffalo

Fairview Clinics



St. Luke's Clinics


Ridgeview Clinics

Average Group

Women's Health Consultants


Allina Health






Patient Experience Medication Safety - OB/GYN Providers 2014 Member Survey



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


North Clinic, PA

CentraCare Clinics

Fairview Clinics

St. Luke's Clinics



Allina Health

Integrity - Buffalo

Average Group


Women's Health Consultants


Ridgeview Clinics





Patient Experience Medication Safety - OB/GYN Providers 2014 Member Survey



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%







Fairview Clinics



Allina Health

Average Group



TRIA Orthopaedic Center, LLC


Twin Cities Spine Center

Mayo Clinic

Gillette Children's Specialty Healthcare


Patient Experience Medication Safety - Orthopaedic Providers 2014 Member Survey



0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%









Fairview Clinics

Average Group

Allina Health


Mayo Clinic

Twin Cities Spine Center

TRIA Orthopaedic Center, LLC



Gillette Children's Specialty Healthcare


Patient Experience Medication Safety - Orthopaedic Providers 2014 Member Survey



TOBACCO USE AND CESSATION2013 Member Survey

DescriptionThe rate represents the percent of members who indicated they used tobacco products and recalled receiving tobacco cessation assistance or preventive advice related to tobacco use during the past year.

Methodology — Member SurveyTobacco status was determined through a mail survey conducted by HealthPartners in November and December 2013. The measures include a random sample of commercial members ages 18 years and older from 38 primary care medical groups for the adult survey and 21 primary care medical groups for the children’s survey. The data were weighted to equal sample sizes of 200 for adults and 100 for children and to control for self-reported health status. For the child’s portion of the interview, the adult most knowledgeable about the child’s medical care was asked to complete the survey.

Survey QuestionsDuring the past year, have you used tobacco products such as cigarettes, cigars, pipes, snuff or chewing 1. tobacco?At your last appointment, were you offered assistance to help you stop using tobacco? Assistance could 2. include the nicotine patch, Zyban, phone counseling, a follow-up appointment at your clinic or written materials.During the past year, have any of your children been exposed to secondhand smoke at home or day care?3.

Results*

Adult Tobacco Prevalence Rate1 9.0% (± 0.7)Adult Tobacco Assist Rate 65.2% (± 3.7)Secondhand Smoke Exposure Rate1 3.2% (± 0.8)

1 A lower percentage is desirable.* All rates are weighted by the eligible population of the provider groups displayed.


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Altru Clinics


Integrity - Buffalo


Essentia Health








Ridgeview Clinics




New Richmond Clinic



HealthEast

Average Group




Fairview Clinics





CentraCare Clinics

Allina Health


St. Luke's Clinics



Mayo Clinic



North Clinic, PA

Percent Reporting Tobacco Use

Tobacco - Adult - Prevalence 2013 Member Survey

Confidence Interval

Note: A lower percent is desirable


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%



Fairview Clinics



St. Luke's Clinics

Integrity - Buffalo



Mayo Clinic


HealthEast


North Clinic, PA



CentraCare Clinics


Average Group







Ridgeview Clinics






New Richmond Clinic



Altru Clinics

Allina Health

Essentia Health



Percent Assisted

Tobacco - Adult - Assist Rate 2013 Member Survey

Confidence Interval


0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%



Integrity - Buffalo


CentraCare Clinics


Fairview Clinics


Allina Health



Average Group


HealthEast


St. Luke's Clinics







Percent Exposed

Tobacco - Children - Second Hand Smoke Exposure 2013 Member Survey

Confidence Interval

Note: A lower percent is desirable


TOTAL COST OF CARE AND RESOURCE USE — PRIMARY CARE January 1, 2013 – December 31, 2013

DescriptionMedical groups risk adjusted cost and resource use effectiveness at managing their primary care attributed popula-tion. Total cost of care is a measure of effi ciency, intensity and price of care delivered compared to the average for similar primary care providers while resource use is a measure of effi ciency and intensity, removing the effects of price. The total cost and resource use measures include all services and procedures across all sectors of care (e.g.: physician services, lab tests, x-rays, pharmacy, specialists, and hospitals). In 2013, this HealthPartners-developed measure became one of the fi rst measures of resource use and cost to be endorsed by the National Quality Forum.

MethodologyThese measures are based on commercial fully insured and self insured members ages 64 and under who are enrolled for a minimum of nine months. These members are attributed to the medical group that provides the majority of primary care offi ce visits as determined by the specialty of the servicing physician. These include family practice, internal medicine, pediatrics, geriatrics and obstetrics and gynecology specialties. All care members receive are assigned a relative resource use value using HealthPartners’ patented algorithm, Total Care Relative Resource Values or TCRRVs. These values quantify resource use for all procedures and services across all sectors of the health care system.

Attributed members are assigned Adjusted Clinical Groups (ACG) risk adjustment scores based on all diagnoses, age and gender and are aggregated to the provider group level. ACGs, developed by Johns Hopkins University, represent the illness burden of a population and allow comparisons between populations with varying illness burdens.

Medical costs, pharmacy costs and resources use for each attributed member are totaled with outliers being capped at $100,000. Each provider group’s attributed member costs, resource use and risk scores are aggregated to create risk adjusted per member per month values. Total cost of care and resource use indices are created by dividing each provider’s risk adjusted per member per month value by the respective 11 county metro area risk adjusted per member per month value.

ResultsHealthPartners 11 County Metro Network Average: 1.000

Total Cost Indices > 1.000 represent providers that are more expensive than average

Total Cost Indices < 1.000 represent providers that are less expensive than average

Resource Use Indices > 1.000 represent providers that have higher resource use than average

Resource Use Indices < 1.000 represent providers that have lower resource use than average


HealthPartners 11 County Metro Network Average: 1.000Indices > 1.000 represent providers that are more expensive than averageIndices < 1.000 represent providers that are less expensive than average

0.0 0.5 1.0 1.5 2.0 2.5

Mayo ClinicGundersen Lutheran Clinics

Olmsted Medical Center ClinicsWinona Health Services

Sanford Health - Sioux FallsMayo Health System Clinics MN

Essentia Health - East RegionAvera Health Clinics

University of MN PhysiciansLakewood Health System

Integrity - NorthernMankato Clinic, Ltd

Altru ClinicsMayo Clinic Health System - Red Wing

Lake Region HospitalSt. Croix Regional Medical Center

St. Luke's ClinicsOsceola Medical Center

Minnesota Rural Health Cooperative ClinicsHutchinson Health

Baldwin Area Medical CenterWestern Wisconsin Medical Associates, SC Clinics

Affiliated Community Medical Centers, PAHennepin County Medical Center

Grand Itasca Clinic & HospitalWestfields Hospital

Unity Family HealthcareSanford Health - Fargo

Essentia Health - Central RegionApple Valley Medical Clinic, LtdEssentia Health - West Region

Allina HealthNorthfield Hospital Clinics

Park Nicollet Health ServicesLakeview Clinic, Ltd

Multicare Associates of the Twin CitiesCentraCare Clinics

Amery Regional Medical Center ClinicsRidgeview Clinics

HealthEastFairview Clinics

11 County Metro AverageHudson Physicians

France Avenue Family Physicians, PAEntira Family Clinics

Integrity - BuffaloHealthPartners Clinics

North Memorial Health CareStillwater Medical Group

HealthPartners Central Minnesota Clinics, IncBurnsville Family Physicians, PANorthwest Family Physicians, PA

Integrity - St. CloudDouglas County Hospital

North Clinic, PA

Total Cost Index (TCI)Providers with <600 attributed members are not displayed.

Total Cost of Care - Primary Care, Total Cost Index (TCI) 1/1/2013 - 12/31/2013




0.0 0.5 1.0 1.5 2.0 2.5

Mayo ClinicUniversity of MN Physicians

Unity Family HealthcareLake Region Hospital

Multicare Associates of the Twin CitiesWestfields Hospital

St. Croix Regional Medical CenterApple Valley Medical Clinic, Ltd

Ridgeview ClinicsLakeview Clinic, Ltd

Essentia Health - East RegionAltru Clinics

Osceola Medical CenterEntira Family Clinics

North Memorial Health CareHudson Physicians

Hennepin County Medical CenterHealthEast

St. Luke's ClinicsPark Nicollet Health Services

Integrity - NorthernHutchinson HealthCentraCare Clinics

Avera Health ClinicsAllina Health

Western Wisconsin Medical Associates, SC ClinicsMinnesota Rural Health Cooperative Clinics

France Avenue Family Physicians, PAStillwater Medical Group

Mankato Clinic, LtdEssentia Health - Central Region

HealthPartners ClinicsHealthPartners Central Minnesota Clinics, Inc

Fairview ClinicsSanford Health - Sioux Falls

Baldwin Area Medical CenterSanford Health - Fargo

Northwest Family Physicians, PANorth Clinic, PA

Integrity - BuffaloEssentia Health - West Region

Mayo Clinic Health System - Red WingIntegrity - St. Cloud

Winona Health ServicesOlmsted Medical Center Clinics

Gundersen Lutheran ClinicsBurnsville Family Physicians, PA

Affiliated Community Medical Centers, PALakewood Health System

Grand Itasca Clinic & HospitalNorthfield Hospital Clinics

Mayo Health System Clinics MNDouglas County Hospital


Resource Use Index (RUI)Providers with <600 attributed members are not displayed.

Total Cost of Care - Primary Care, Resource Use Index (RUI) 1/1/2013 - 12/31/2013



TOTAL COST INDEX AND RESOURCE USE — SPECIALTY CARE October 1, 2011 – September 30, 2013

DescriptionMedical group’s case mix and risk adjusted cost and resource use effectiveness at managing their attributed patient’s episodes of care.

The total cost index is a measure of the effi ciency, intensity and price of care delivered compared to the same specialty average for the same case mix and risk profi le of episodes. The resource use index is identical to the total cost index; however it removes the effects of price. Total cost and resource use measures include all care includ-ing: hospital, professional, ancillary and pharmacy costs.

MethodologyThese measures are based on episodes treatment groups (ETGs) for commercial fully insured and self insured members where episodes are completed, non outliers and the member is continuously enrolled throughout the duration of the episode. ETGs group all care received related to a condition into a defi ned episode of care. All care members receive are assigned a relative resource use value using HealthPartners’ patented algorithm, Total Care Relative Resource Values or TCRRVs. These values quantify resource use for all procedures and services across all sectors of the health care system. Providers are attributed to episodes where they represent at least 25% of management and surgery resources for the episode. The episodes included in the measures are case mix and severity adjusted by specialty and excludes all trauma and transplants. Total cost of care and resource use indices are created for each specialty by dividing each provider’s risk actual cost or resource use by the 11 county metro expected values.


Total Cost Indices > 1.000 represent providers that are more expensive than average

Total Cost Indices < 1.000 represent providers that are less expensive than average

Resource Use Indices > 1.000 represent providers that have higher resource use than average

Resource Use Indices < 1.000 represent providers that have lower resource use than average


0.0 0.5 1.0 1.5 2.0 2.5

Mayo Clinic


Allina Health


11 County Metro Average




CentraCare Clinics



Total Cost Index (TCI) - Cardiology Providers 10/1/2011 - 9/30/2013




0.0 0.5 1.0 1.5 2.0 2.5

Mayo Clinic





Allina Health


CentraCare Clinics



Resource Use Index (RUI) - Cardiology Providers 10/1/2011 - 9/30/2013


HealthPartners 11 County Metro Network Average: 1.000Indices > 1.000 represent providers that have higher than average resource useIndices < 1.000 represent providers that have lower than average resource use


0.0 0.5 1.0 1.5 2.0 2.5

Mayo Clinic





Allina Health

Oakdale Ear, Nose And Throat Clinic, PA


Fairview Clinics

Ear, Nose & Throat SpecialtyCare of Minnesota, PA


Ear, Nose and Throat Clinic and Hearing Center



Ridgeview Clinics





Southdale Otolaryngology, PA



Total Cost Index (TCI) - ENT Providers 10/1/2011 - 9/30/2013




0.0 0.5 1.0 1.5 2.0 2.5

Mayo Clinic


Oakdale Ear, Nose And Throat Clinic, PA


Ear, Nose and Throat Clinic and Hearing Center


Fairview Clinics



Ear, Nose & Throat SpecialtyCare of Minnesota, PA





Allina Health

Ridgeview Clinics

Southdale Otolaryngology, PA





Resource Use Index (RUI) - ENT Providers 10/1/2011 - 9/30/2013


HealthPartners 11 County Metro Network Average: 1.000Indices > 1.000 represent providers that have higher than average resource useIndices < 1.000 represent providers that have lower than average resource use



0.0 0.5 1.0 1.5 2.0 2.5



Mankato Clinic, Ltd



St. Luke's Clinics

Allina Health


Fairview Clinics

Adefris & Toppin Women’s Specialists, MD, PC


CentraCare Clinics










Integrity - Buffalo

HealthEast


North Clinic, PA

Ridgeview Clinics



Total Cost Index (TCI) - OB/GYN Providers 10/1/2011 - 9/30/2013




0.0 0.5 1.0 1.5 2.0 2.5




Adefris & Toppin Women’s Specialists, MD, PC



CentraCare Clinics


Fairview Clinics

St. Luke's Clinics


North Clinic, PA

Mankato Clinic, Ltd



Ridgeview Clinics


Allina Health



Integrity - Buffalo

HealthEast






Resource Use Index (RUI) - OB/GYN Providers 10/1/2011 - 9/30/2013




0.0 0.5 1.0 1.5 2.0 2.5

Mayo Clinic




Allina Health





Fairview Clinics







Total Cost Index (TCI) - Orthopaedic Providers 10/1/2011 - 9/30/2013




0.0 0.5 1.0 1.5 2.0 2.5


Mayo Clinic



Allina Health









Fairview Clinics


Resource Use Index (RUI) - Orthopaedic Providers 10/1/2011 - 9/30/2013



TOTAL COST INDEX — HOSPITALS AND SURGERY CENTERSJanuary 1, 2013 – December 31, 2013

DescriptionHospitals and surgery centers case mix and place of service mix adjusted cost index. The cost index measures a facility’s inpatient and outpatient total costs relative to all other facilities.

MethodologyThis measure is based on inpatient and outpatient commercial fully insured and self insured non-outlier inpatient admissions and outpatient visits. Facility case mix is adjusted by DRG for inpatient admissions and APC and RVUs for outpatient visits. The inpatient/outpatient case mix is accounted for by weighting the percent of business in each component by facility. Total cost of care indices are created for each facility by dividing each facility’s case and place of service risk actual costs by the 11 county metro expected values.


Total Cost Indices > 1.000 represent hospitals and surgery centers that are more expensive than average

Total Cost Indices < 1.000 represent hospitals and surgery centers that are less expensive than average


Total Cost Index (TCI)


0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

Unity HospitalFairview Lakes Regional Medical Center

Melrose Area HospitalSt. Francis Regional Medical Center

United HospitalRegina Medical Center

CentraCare Health - Long PrairieHealthEast St. Joseph's Hospital

St. Gabriel's HospitalRice County District One

Westfields HospitalAbbott Northwestern Hospital

Mercy HospitalHennepin County Medical CenterHealthEast Woodwinds Hospital

Essentia Health - DuluthAltru Clinics

Brainerd Lakes Surgery CenterDouglas County Hospital

Lakewalk Surgery Center, LtdMercy Medical Center - Des Moines

HealthEast St. John's HospitalRidgeview Medical Center11 County Metro Average

Park Nicollet Methodist HospitalFairview Ridges Hospital

Fairview Southdale HospitalSt. Cloud Hospital

Hudson Hospital & ClinicsNorth Memorial Medical Center

Lakeview HospitalMaple Grove Hospital

Regions HospitalPavilion Surgery Center, LLC

Park Nicollet Methodist Hospital - Ambulatory Surgery CenterCentraCare Surgery Center

St. Cloud Surgical CenterHealthEast Surgery Center - Maplewood

MNGI Endoscopy - MaplewoodMNGI Endoscopy - Bloomington Clinic and Endoscopy Center

WestHealth SurgeryRiverside Endoscopy Center

HealthPartners Same Day Surgery CenterFairview Maple Grove Surgery Center

North Memorial Ambulatory Surgical Center at Maple GroveHigh Pointe Surgery Center

Midwest Surgery CenterChaska Plaza Surgery Center, LLC

Minnesota Orthopedic Surgery Center, LLCCrosstown Surgery CenterLandmark Surgery Center

Woodbury Ambulatory Surgery CenterTRIA Orthopaedic Center, LLC

Total Cost Index (TCI) - Hospitals and Surgery Centers 1/1/2013 - 12/31/2013






0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

Baldwin Area Medical CenterUniversity of Iowa Hospitals & Clinics

Redwood Area HospitalRiver Falls Area HospitalLakeview Medical Center

Mercy Health Services - Iowa CorpMayo Clinic Health System - Red Cedar

Lakeview Memorial Hospital, IncAvera McKennan Hospital & University Health Center

Hocking Valley Community HospitalSanford Medical Center Fargo

St. Mary's HospitalEssentia Health - Sandstone Health Center

University Medical Center - MesabaFinley Hospital

Sanford Bemidji Medical CenterCambridge Medical Center

Tri-County HospitalCuyuna Regional Medical Center

Essentia Health - St. Mary's Hospital - SuperiorChippewa County Montevideo Hospital

Mayo Clinic Health System - Franciscan Medical CenterAurora Baycare Medical Center

Mayo Clinic Health System - Albert Lea and AustinMeeker Memorial Hospital

Owatonna HospitalHutchinson Health Hospital

St. Croix Regional Medical CenterSt. Joseph's Hospital

Northfield City HospitalAmery Regional Medical Center Clinics

Sanford Thief River FallsEssentia Health - Fargo

Avera Marshall Regional Medical CenterBuffalo Hospital

University of Wisconsin Hospital & ClinicsEssentia Health - St. Mary's Hospital - Detroit Lakes

St. Luke's HospitalNew Ulm Medical Center

Lakes Regional HealthcareMayo Clinic Health System Hospital - Red Wing

Glencoe Regional Health ServicesMayo Clinic Health System - Mankato

Essentia Health - St. Mary's Medical CenterMayo Clinic Health System - Fairmont

Essentia Health - St. Joseph's Medical CenterRice Memorial Hospital

CentraCare Health - Monticello HospitalFairview Northland Regional Hospital

Minnesota Valley Surgery CenterOlmsted Medical Center/Hospital

University of Minnesota Medical Center, Fairview







0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

Spooner Health SystemLakewood Health Center

Mayo Clinic Health System - Cannon FallsBigfork Valley Hospital

Ely-Bloomenson Community HospitalKosciusko Community Hospital - Warsaw

Sleepy Eye Municipal HospitalSibley Medical Center

Renville County HospitalUnited Hospital District - Blue Earth

FirstLight Health SystemCommunity Memorial Hospital

Prairie Ridge Hospital and Health ServicesMemorial Medical Center, IncGrand Itasca Clinic & Hospital

Lakewood Health SystemCumberland Memorial Hospital & Extended Care Unit

St. Joseph's Area Health ServicesMass General Hospital

Mayo Clinic Health System - St. JamesWise Regional Health System

Mille Lacs Health SystemGlacial Ridge Hospital

Aitkin Community HospitalRiverview Healthcare Association

Stevens Community Medical CenterHayward Area Memorial Hospital

Paynesville Area HospitalWinona Health Services

Avera Holy Family HospitalCentraCare Health - Sauk Centre Hospital

Moose Lake Community HospitalPrairie du Chien Memorial Hospital

River's Edge HospitalLake Region Hospital

Mayo Clinic Health System - Eau Claire HospitalMarion General Hospital

Essentia Health - Deer RiverEssentia Health - Virginia

Sacred Heart HospitalSanford USD Medical Center

Gundersen Lutheran Medical Center, IncOsceola Medical Center

Mayo Clinic Health System Hospital - New PragueAlbany Area Hospital

Froedtert HospitalEssentia Health - Holy Trinity Hospital

Burnett Medical CenterSpencer Municipal Hospital

Rochester Methodist HospitalPerham Memorial Hospital and Home

Essentia Health Fosston



Note: a lower index is desirable


0.0 0.5 1.0 1.5 2.0 2.5


Mercy Hospital




Glencoe Regional Health ServicesNorthfield City Hospital

Cambridge Medical Center

Mercy Medical Center - Des Moines

HealthEast Woodwinds Hospital

Avera Marshall Regional Medical Center

Hutchinson Health Hospital

Fairview Northland Regional Hospital

St. Gabriel's Hospital

University Medical Center - Mesaba

St. Joseph's Hospital


Altru Clinics




Rice Memorial Hospital

Buffalo Hospital


St. Cloud Hospital

Fairview Ridges Hospital


St. Francis Regional Medical Center





Regions Hospital

Lakeview Hospital

Regina Medical Center

Ridgeview Medical Center

Westfields Hospital

Hudson Hospital & Clinics

Rice County District One


Total Cost Index (TCI) - Hospital Inpatient1/1/2013 - 12/31/2013





0.0 0.5 1.0 1.5 2.0 2.5

St. Joseph's Area Health Services

Sanford USD Medical Center

Lakewood Health System

Mayo Clinic Health System - Eau Claire Hospital

St. Mary's Hospital

Avera McKennan Hospital & University Health Center

Gundersen Lutheran Medical Center, Inc


Rochester Methodist Hospital

Hayward Area Memorial Hospital

Sacred Heart Hospital

River Falls Area Hospital

Mayo Clinic Health System - Red Cedar

Mayo Clinic Health System - Franciscan Medical CenterSanford Medical Center Fargo


Lakeview Medical Center



Memorial Medical Center, Inc

Unity Hospital

Essentia Health - Fargo

Mayo Clinic Health System - Albert Lea and Austin

Sanford Bemidji Medical Center

Essentia Health - St. Mary's Medical Center

St. Luke's Hospital

Meeker Memorial Hospital

Cuyuna Regional Medical Center

University of Minnesota Medical Center, Fairview

LifeCare Medical Center

Mayo Clinic Health System - Mankato

United Hospital

Mayo Clinic Health System Hospital - Red Wing

Essentia Health - St. Mary's Hospital - Detroit Lakes

New Ulm Medical Center

Essentia Health - Duluth

Owatonna Hospital

Olmsted Medical Center/Hospital


Total Cost Index (TCI) - Hospital Inpatient 1/1/2013 - 12/31/2013





0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

Regina Medical CenterCentraCare Health - Monticello Hospital

Minnesota Valley Surgery CenterWestfields Hospital

University of Minnesota Medical Center, FairviewRidgeview Medical Center

Douglas County HospitalHennepin County Medical CenterHealthEast Woodwinds Hospital

Melrose Area HospitalSt. Gabriel's Hospital

HealthEast St. Joseph's HospitalAbbott Northwestern Hospital

CentraCare Health - Long PrairieHealthEast St. John's Hospital

Mercy HospitalUnited Hospital

Unity HospitalAltru Clinics

Hudson Hospital & ClinicsEssentia Health - Duluth

Brainerd Lakes Surgery CenterLakewalk Surgery Center, Ltd

Lakeview HospitalMaple Grove Hospital

North Memorial Medical CenterPark Nicollet Methodist Hospital

Fairview Ridges Hospital11 County Metro Average

St. Cloud HospitalFairview Southdale Hospital

Regions HospitalPavilion Surgery Center, LLC

Park Nicollet Methodist Hospital - Ambulatory Surgery CenterCentraCare Surgery Center

St. Cloud Surgical CenterHealthEast Surgery Center - Maplewood

MNGI Endoscopy - MaplewoodMNGI Endoscopy - Bloomington Clinic and Endoscopy Center

WestHealth SurgeryRiverside Endoscopy Center

HealthPartners Same Day Surgery CenterFairview Maple Grove Surgery Center

North Memorial Ambulatory Surgical Center at Maple GroveHigh Pointe Surgery Center

Midwest Surgery CenterChaska Plaza Surgery Center, LLC

Minnesota Orthopedic Surgery Center, LLCCrosstown Surgery CenterLandmark Surgery Center

Woodbury Ambulatory Surgery CenterTRIA Orthopaedic Center, LLC


Total Cost Index (TCI) - Outpatient Hospitals and Surgery Centers 1/1/2013 - 12/31/2013






0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

Sanford Bemidji Medical CenterSt. Mary's Hospital

Buffalo HospitalEssentia Health - Holy Trinity Hospital

Burnett Medical CenterSpencer Municipal Hospital

Perham Memorial Hospital and HomeEssentia Health - Fosston

Mayo Clinic Health System - Red CedarBaldwin Area Medical Center

University of Iowa Hospitals & ClinicsRedwood Area HospitalRice Memorial Hospital

Sanford USD Medical CenterRochester Methodist Hospital

Owatonna HospitalNorthfield City Hospital

Essentia Health - St. Mary's Hospital - Detroit LakesMercy Health Services - Iowa Corp

Lakeview Memorial Hospital, IncHocking Valley Community Hospital

Hutchinson Health HospitalCuyuna Regional Medical Center

Essentia Health - Sandstone Health CenterAvera McKennan Hospital & University Health Center

St. Croix Regional Medical CenterMayo Clinic Health System - Albert Lea and Austin

Mayo Clinic Health System - MankatoEssentia Health - St. Joseph's Medical Center

Amery Regional Medical Center ClinicsMeeker Memorial Hospital

Finley HospitalEssentia Health - Fargo

Essentia Health - St. Mary's Medical CenterSt. Luke's Hospital

Mayo Clinic Health System - Franciscan Medical CenterMayo Clinic Health System Hospital - Red Wing

Tri - County HospitalEssentia Health - St. Mary's Hospital - Superior

Chippewa County Montevideo HospitalNew Ulm Medical Center

Aurora Baycare Medical CenterGlencoe Regional Health Services

Fairview Northland Regional HospitalSanford Thief River FallsRice County District One

University of Wisconsin Hospital & ClinicsLakes Regional Healthcare

Fairview Lakes Regional Medical CenterOlmsted Medical Center/Hospital

Mayo Clinic Health System - FairmontSt. Francis Regional Medical Center







0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0

Spooner Health SystemLakewood Health Center

Mayo Clinic Health System - Cannon FallsBigfork Valley Hospital

Ely-Bloomenson Community HospitalGrand Itasca Clinic & HospitalMemorial Medical Center, Inc

Kosciusko Community Hospital - WarsawSleepy Eye Municipal Hospital

Sibley Medical CenterRenville County Hospital

United Hospital District - Blue EarthLakewood Health System

Sacred Heart HospitalFirstLight Health SystemWinona Health Services

St. Joseph's Area Health ServicesCommunity Memorial Hospital

Prairie Ridge Hospital and Health ServicesLake Region Hospital

Cumberland Memorial Hospital & Extended Care UnitMass General Hospital

Mayo Clinic Health System - St. JamesWise Regional Health System

Mille Lacs Health SystemHayward Area Memorial Hospital

Glacial Ridge HospitalAitkin Community Hospital

Riverview Healthcare AssociationStevens Community Medical Center

Gundersen Lutheran Medical Center, IncOsceola Medical Center

Mayo Clinic Health System - Eau Claire HospitalAvera Marshall Regional Medical Center

Paynesville Area HospitalUniversity Medical Center - Mesaba

St. Joseph's HospitalAvera Holy Family Hospital

CentraCare Health - Sauk Centre HospitalMercy Hospital

Prairie du Chien Memorial HospitalRiver's Edge Hospital

Marion General HospitalCambridge Medical Center

Lakeview Medical CenterEssentia Health - Deer River

Essentia Health VirginiaSanford Medical Center Fargo

Mayo Clinic Health System Hospital - New PragueAlbany Area Hospital

River Falls Area HospitalFroedtert Hospital






PARTICIPATING PROVIDERS

AALFA Family Clinic, PA (21, 22, 24, 38, 69, 70, 75, 76, 77)Abbott Northwestern Hospital (11, 12, 14, 119, 122, 124)Adefris & Toppin Women’s Specialists, MD, PC (114, 115, 26,

43, 72)Advanced Medical Clinic (21, 22, 24, 38, 69, 70, 75, 76, 77,

83)Advanced Specialty Care for Women, PA (44, 81)Advanced Spine Associates, PA (45)Affi liated Community Medical Centers, PA (19, 28, 29, 30, 31,

33, 34, 35, 43, 50, 51, 79, 87, 91, 92, 103, 104, 105, 107, 108)

Aitkin Community Hospital (121, 126)Albany Area Hospital (121, 126)Allina Health (5, 7, 9, 9, 16, 16, 18, 21, 22, 24, 26, 28, 29, 30,

31, 37, 41, 42, 44, 45, 47, 49, 51, 54, 55, 59, 61, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 83, 85, 87, 91, 92, 96, 97, 98, 99, 100, 101, 103, 104, 107, 108, 110, 111, 112, 113, 114, 115, 116, 117, 33, 34, 35, 105)

Altru Clinics (19, 21, 22, 24, 28, 29, 30, 31, 38, 42, 50, 52, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 87, 91, 92, 103, 104, 107, 108, 119, 122, 124)

Amery Regional Medical Center Clinics (18, 28, 29, 30, 31, 49, 52, 63, 65, 66, 67, 79, 87, 91, 92, 103, 104, 107, 108, 120, 122, 125)

Anthony Louis Center (10)Apple Valley Medical Clinic, Ltd (19, 21, 22, 24, 28, 29, 30,

31, 37, 50, 52, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 87, 91, 92, 103, 104, 107, 108)

Aspire Mental Health, LLC (41)Aspirus Network, Inc (42)Associated Clinic of Psychology (7, 9, 16, 41)Associated Medical and Dental Clinic (21, 24, 38, 69, 70)Aurora Baycare Medical Center (120, 125)Avalon Progams LLC (10)Avera Health Clinics (18, 21, 22, 24, 37, 41, 43, 50, 52, 69,

70, 75, 76, 77, 87, 107, 108)Avera Health Hospitals (42)Avera Holy Family Hospital (121, 126)Avera Marshall Regional Medical Center (120, 122, 126)Avera McKennan Hospital & University Health Center (120,

123, 125)Axis Medical Center (83)Baldwin Area Medical Center (21, 22, 24, 37, 69, 70, 75, 76,

77, 87, 107, 108, 120, 125)BHSI, LLC (7, 16, 41)Bigfork Valley Hospital (121, 126)Boynton Health Service Pharmacy (47)Brainerd Lakes Surgery Center (119, 124)Buffalo Hospital (120, 122, 125)Burnett Medical Center (121, 125)Burnsville Family Physicians, PA (18, 21, 22, 24, 37, 49, 51,

69, 70, 75, 76, 77, 79, 87, 107, 108)C.R.E.A.T.E., Inc (10)Cambridge Medical Center (120, 122, 126)Canvas Health, Inc (9, 40)Carver County Mental Health Program (41)Catalyst Medical Clinic (21, 22, 24, 37, 69, 70, 75, 76, 77)Cedar Riverside People’s Center (83)Center for Alcohol & Drug Treatment (10)

CentraCare Clinics (7, 18, 21, 22, 24, 26, 28, 29, 30, 31, 33, 34, 35, 37, 42, 43, 50, 52, 54, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 83, 85, 87, 91, 92, 94, 95, 98, 99, 103, 104, 105, 107, 108, 110, 111, 114, 115)

CentraCare Health - Long Prairie Hospital (119, 124)CentraCare Health - Monticello Hospital (120, 124)CentraCare Health - Sauk Centre Hospital (121, 126)CentraCare Surgery Center (119, 124)Central Minnesota Mental Health Center (40)Chaska Plaza Surgery Center, LLC (119, 124)Children’s Health Care (19, 41, 94, 95, 96, 97)Children’s Heart Clinic, PA (42)Children’s Physician Network (5, 22, 33, 34, 35, 38, 43, 75,

76, 77, 87, 105)Chippewa County Montevideo Hospital (120, 125)Clinic Sofi a OB/GYN, PA (26, 44, 72, 81, 114, 115)Clinical Psychopharmacology Consultants, PA (40)Club Recovery, LLC (10)Coborn’s/Cash Wise (47, 57, 59, 61)Community Memorial Hospital (121, 126)Community Univ Health Care Center (CUHCC) (41, 63, 65,

66, 67, 83)Comprehensive Healthcare for Women, PA (26, 43, 72, 81,

114, 115)Costco (47, 57, 59, 61)Crosstown Surgery Center (119, 124)Cumberland Memorial Hospital & Extended Care Unit, Inc

(121, 126)Cuyuna Regional Medical Center (120, 123, 125)Cuyuna Regional Medical Center Clinic (44, 87)CVS Pharmacy (47, 57, 59, 61)Dakota County Receiving Center (10)David D. Gulden, MD (41)David G. Fine, MD (42)David L. Sudduth, MD (40)Douglas County Hospital (43, 45, 49, 63, 65, 66, 67, 79, 87,

107, 108, 119, 122, 124)Dr. Bobby Yang Medical Clinic (21, 22, 24, 38, 69, 70, 75, 76,

77, 83)Dr. Sujit R. Varma, Inc (41)Ear, Nose & Throat SpecialtyCare of Minnesota, PA (112, 113)Ear, Nose and Throat Clinic and Hearing Center (112, 113)Edina Sports Health & Wellness, PA (21, 22, 24, 38, 69, 70,

75, 76, 77, 79, 87)Ely-Bloomenson Community Hospital (121, 126)Endocrinology Clinic of Minneapolis, PA (18)ENT Specialty Care (96, 97)Entira Family Clinics (7, 9, 18, 21, 22, 24, 28, 29, 30, 31, 33,

34, 35, 38, 49, 51, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 83, 85, 87, 91, 92, 103, 104, 105, 107, 108)

Essentia Health - Brainerd Medical Center, Inc. (43)Essentia Health - Central Region (107, 108)Essentia Health - Deer River (121, 126)Essentia Health - Duluth (14, 119, 123, 124)Essentia Health - East Region (107, 108)Essentia Health - Fargo (120, 123, 125)Essentia Health - Fosston (121, 125)Essentia Health - Holy Trinity Hospital (121, 125)Essentia Health - Innovis Health, LLC (18, 21, 22, 24, 28, 29,

Recognition must be extended to participating provider groups whose cooperation and support make this report possible and whose efforts to improve care are refl ected in these results.


PARTICIPATING PROVIDERS30, 31, 38, 42, 44, 45, 49, 51, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 87, 91, 92, 103, 104)

Essentia Health - Sandstone Health Center (120, 125)Essentia Health - SMDC Health System (5, 7, 9, 18, 21, 22,

24, 26, 38, 40, 42, 44, 45, 47, 49, 51, 54, 57, 59, 61, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 87, 94, 95, 96, 97, 98, 99, 100, 101, 110, 111, 112, 113, 114, 115, 116, 117)

Essentia Health - St. Joseph’s Medical Center (7, 18, 21, 22, 24, 28, 29, 30, 31, 37, 41, 42, 49, 51, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 87, 91, 92, 103, 104, 120, 122, 125)

Essentia Health - St. Mary’s Hospital - Detroit Lakes (123, 125)

Essentia Health - St. Mary’s Hospital - Superior (120, 125)Essentia Health - St. Mary’s Medical Center (120, 123, 125)Essentia Health - St. Mary’s Regional Health Center (21, 22,

24, 28, 29, 30, 31, 33, 34, 35, 37, 43, 50, 52, 69, 70, 75, 76, 77, 91, 92, 103, 104, 105)

Essentia Health - Virginia (121, 126)Essentia Health - West Region (107, 108)Essentia Health (28, 29, 30, 31, 91, 92, 103, 104)Essentia Health St. Mary’s Hospital - Detroit Lakes (120)Fairview Clinics (5, 7, 9, 16, 19, 21, 22, 24, 26, 28, 29, 30, 31,

33, 34, 35, 38, 43, 45, 47, 49, 51, 54, 55, 57, 59, 61, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 87, 91, 92, 94, 95, 96, 97, 98, 99, 100, 101, 103, 104, 105, 107, 108, 112, 113, 114, 115, 116, 117)

Fairview Health Services Hospitals (79)Fairview Lakes Clinics (83, 85)Fairview Lakes Regional Medical Center (11, 12, 119, 122,

125)Fairview Maple Grove Surgery Center (119, 124)Fairview Northland Regional Hospital (120, 122, 125)Fairview Ridges Hospital (119, 122, 124)Fairview Southdale Hospital (11, 12, 14, 119, 122, 124)Fairview University Medical Center (11, 12, 14)Family Life Mental Health Center (40)Family Practice Medical Center of Willmar (87)Finley Hospital (120, 125)FirstLight Health System (43, 81, 121, 126)Foley Medical Center (83)France Avenue Family Physicians, PA (18, 21, 22, 24, 38, 49,

69, 70, 75, 76, 77, 79, 87, 107, 108)Froedtert Hospital (121, 126)Gateway Family Health Clinic (79)Generations Women’s Health Center, PA (44)Gillette Children’s Specialty Healthcare (100, 101)Glacial Ridge Hospital (121, 126)Glencoe Regional Health Services (120, 122, 125)Goodrich Pharmacy (47, 57, 59, 61)Grand Itasca Clinic & Hospital (19, 50, 52, 63, 65, 66, 67, 79,

88, 107, 108, 121, 123, 126)Gundersen Lutheran Clinics (19, 40, 42, 43, 45, 49, 79, 88,

107, 108)Gundersen Lutheran Medical Center, Inc (121, 123, 126)Haven Chemical Health Systems (10)Hayward Area Memorial Hospital (121, 123, 126)Hazelden Foundation (10, 40)Headway Emotional Health Services (41)HealthEast (7, 9, 18, 21, 22, 24, 26, 28, 29, 30, 31, 33, 34,

35, 37, 40, 43, 49, 51, 54, 55, 63, 65, 66, 67, 69, 70, 72,

75, 76, 77, 79, 81, 83, 88, 91, 92, 103, 104, 105, 107, 108, 114, 115)

HealthEast Heart Care (42, 94, 95, 110, 111)HealthEast St. John’s Hospital (11, 12, 119, 122, 124)HealthEast St. Joseph’s Hospital (11, 12, 14, 119, 122, 124)HealthEast Surgery Center - Maplewood (119, 124)HealthEast Woodwinds Hospital (119, 122, 124)HealthPartners Central Minnesota Clinics, Inc (7, 9, 18, 21,

22, 24, 26, 28, 29, 30, 31, 33, 34, 35, 37, 47, 49, 51, 59, 61, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 83, 85, 88, 91, 92, 103, 104, 105, 107, 108)

HealthPartners Clinics (5, 7, 9, 9, 16, 16, 18, 21, 22, 24, 26, 28, 29, 30, 31, 33, 34, 35, 37, 40, 42, 44, 45, 47, 49, 51, 54, 55, 57, 59, 61, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 83, 85, 88, 91, 92, 94, 95, 96, 97, 98, 99, 100, 101, 103, 104, 105, 107, 108, 110, 111, 112, 113, 114, 115, 116, 117)

HealthPartners Mail Order Pharmacy (47, 57, 59, 61)HealthPartners Same Day Surgery Center (119, 124)Hennepin County Human Services & Public Health Depart-

ment (40)Hennepin County Medical Center (7, 11, 12, 14, 19, 21, 22,

24, 38, 40, 42, 43, 45, 50, 51, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 81, 88, 107, 108, 119, 122, 124)

High Pointe Surgery Center (119, 124)Hocking Valley Community Hospital (120, 125)Hudson Hospital & Clinics (119, 122, 124)Hudson Physicians (19, 21, 22, 24, 37, 44, 50, 52, 63, 65, 66,

67, 69, 70, 75, 76, 77, 107, 108)Hutchinson Health (19, 21, 22, 24, 37, 40, 43, 50, 51, 63, 65,

66, 67, 69, 70, 75, 76, 77, 79, 81, 88, 107, 108)Hutchinson Health Hospital (120, 122, 125)Hutchinson Medical Center, PA (28, 29, 30, 31, 91, 92, 103,

104)Ilko Family Medicine, PA (21, 22, 24, 38, 69, 70, 75, 76, 77)Indian Health Board of Minneapolis (83)Innovative Psychological Consultants (40)Institute for Low Back and Neck Care (45)Integrity - Buffalo (7, 19, 21, 22, 24, 26, 28, 29, 30, 31, 33, 34,

35, 37, 43, 49, 52, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 83, 85, 88, 91, 92, 98, 99, 103, 104, 105, 107, 108, 114, 115)

Integrity - Northern (18, 21, 22, 24, 38, 43, 45, 50, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 88, 96, 97, 100, 101, 107, 108, 112, 113, 116, 117)

Integrity - St. Cloud (18, 21, 22, 24, 28, 29, 30, 31, 37, 43, 49, 51, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 81, 83, 85, 88, 91, 92, 103, 104, 107, 108)

John A. Haugen Associates, PA (26, 44, 72, 81, 88, 98, 99, 114, 115)

Juliette Petersen, MD (40)Kathleen Sulentich, MD (44)Kevin A. O’Connor, MD (40)Kmart (47, 57, 59, 61)Kosciusko Community Hospital - Warsaw (121, 126)Lake Region Hospital (43, 81, 88, 107, 108, 121, 123, 126)Lakeland Mental Health Center, Inc (40)Lakes Regional Healthcare (120, 125)Lakeview Clinic, Ltd (7, 18, 21, 22, 24, 28, 29, 30, 31, 33, 34,

35, 37, 43, 50, 52, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 81, 83, 85, 88, 91, 92, 103, 104, 105, 107, 108)


PARTICIPATING PROVIDERSMinneapolis Clinical Assoc In Psych (41)Minneapolis Heart Institute (94, 95)Minneapolis Otolaryngology, PA (96, 97, 112, 113)Minnesota Gynecology and Surgery, LLC (26, 44, 72, 81, 114,

115)Minnesota Orthopedic Surgery Center, LLC (119, 124)Minnesota Psychological Resources (41)Minnesota Rural Health Cooperative Clinics (19, 21, 22, 24,

28, 29, 30, 31, 33, 34, 35, 37, 43, 50, 52, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 83, 91, 92, 103, 104, 105, 107, 108)

Minnesota Valley Surgery Center (120, 124)MN Center for Obesity, Metabolism & Endocrinology, PA (18)MNGI Endoscopy - Bloomington Clinic and Endoscopy Center

(119, 124)MNGI Endoscopy - Maplewood (119, 124)Molly V. Silas, MD (41)Moose Lake Community Hosp (121)Multicare Associates of the Twin Cities (19, 21, 22, 24, 26, 28,

29, 30, 31, 37, 43, 49, 51, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 88, 91, 92, 103, 104, 107, 108, 114, 115)

Murad Heart Care (42)Native American Community Clinic (83)Neighborhood Healthsource (83, 85)New Richmond Clinic (see also Westfi elds Hospital) (19, 21,

22, 24, 28, 29, 30, 31, 37, 43, 49, 51, 63, 65, 66, 67, 69, 70, 75, 76, 77, 91, 92, 103, 104)

New Ulm Medical Center (120, 123, 125)North Clinic, PA (7, 18, 21, 22, 24, 26, 28, 29, 30, 31, 37, 43,

50, 52, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 88, 91, 92, 98, 99, 103, 104, 107, 108, 114, 115)

North Memorial Ambulatory Surgical Center at Maple Grove (119, 124)

North Memorial Cardiolvascular Services (42, 54, 55, 94, 95, 110, 111)

North Memorial Health Care (7, 18, 21, 22, 24, 28, 29, 30, 31, 33, 34, 35, 38, 42, 49, 51, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 89, 91, 92, 103, 104, 105, 107, 108)

North Memorial Medical Center (11, 12, 14, 119, 122, 124)North Metro Psychiatry (41)Northern Orthopedics, Ltd (45, 100, 101, 116, 117)Northfi eld City Hospital (120, 122, 125)Northfi eld Hospital Clinics (21, 22, 24, 37, 43, 69, 70, 75, 76,

77, 81, 89, 107, 108)NorthPoint Health & Wellness Center (19, 44, 63, 65, 66, 67,

83, 85)Northwest Family Physicians, PA (19, 21, 22, 24, 28, 29, 30,

31, 37, 49, 51, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 89, 91, 92, 103, 104, 107, 108)

Nystrom & Associates, Ltd (7, 9, 11, 12, 16, 41)Oak Ridge Center, PLLC (40)Oakdale Ear, Nose and Throat Clinic, PA (96, 97, 112, 113)OakLeaf Medical Network (42, 45, 89)Obstetrics and Gynecology Associates (26, 44, 72, 81, 89, 98,

99, 114, 115)Olmsted Medical Center Clinics (19, 21, 22, 24, 28, 29, 30,

31, 37, 41, 42, 43, 49, 52, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 81, 89, 91, 92, 103, 104, 107, 108)

Olmsted Medical Center/Hospital (120, 123, 125)Open Cities Health Center (19, 44, 50, 52, 63, 65, 66, 67, 81,

83, 85)Options Family & Behavior Services (9)

Lakeview Hospital (119, 122, 124)Lakeview Medical Center (120, 123, 126)Lakeview Memorial Hospital, Inc (120, 125)Lakewalk Surgery Center, Ltd (119, 124)Lakewood Clinic (21, 22, 24, 38, 44, 69, 70, 75, 76, 77, 88)Lakewood Health Center (107, 108, 121, 123, 126)Lakewood Health System (121, 126)Landmark Surgery Center (119, 124)LifeCare Medical Center (123)Living Free Recovery Services (10)Lunds and Byerly’s (47, 57, 59, 61)Lyle J. Swenson, MD, PA (42)Mankato Clinic, Ltd (19, 26, 40, 42, 44, 50, 52, 72, 79, 81, 88,

107, 108, 114, 115)Maple Grove Hospital (11, 12, 119, 122, 124)Marion General Hospital (121, 126)Mark W. Erhard, MD, PA (42)Mass General Hospital (121, 126)Mattson Pharmacy (47, 59)Mayo Clinic (18, 26, 28, 29, 30, 31, 40, 42, 44, 45, 50, 52,

54, 63, 65, 66, 67, 72, 79, 81, 88, 91, 92, 94, 95, 100, 101, 103, 104, 107, 108, 110, 111, 112, 113, 116, 117)

Mayo Clinic Health System - Albert Lea and Austin (120, 123, 125)

Mayo Clinic Health System - Cannon Falls (121, 126)Mayo Clinic Health System - Eau Claire Hospital, Inc (121,

123, 126)Mayo Clinic Health System - Fairmont (120, 125)Mayo Clinic Health System - Franciscan Medical Center, Inc

(120, 123, 125)Mayo Clinic Health System - Mankato (120, 123, 125)Mayo Clinic Health System - Red Cedar (120, 123, 125)Mayo Clinic Health System - Red Wing (18, 21, 22, 24, 28, 29,

30, 31, 38, 42, 44, 45, 49, 51, 69, 70, 75, 76, 77, 79, 81, 88, 91, 92, 103, 104, 107, 108)

Mayo Clinic Health System - St. James (121, 126)Mayo Clinic Health System Hospital - New Prague (121, 126)Mayo Clinic Health System Hospital - Red Wing (120, 123,

125)Mayo Clinic Hospital (14)Mayo Health System Clinics MN (7, 18, 21, 22, 24, 26, 28, 29,

30, 31, 33, 34, 35, 37, 40, 42, 43, 45, 50, 52, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 91, 92, 98, 99, 103, 104, 105, 107, 108, 112, 113, 114, 115)

Mayo Health System Clinics WI (19, 28, 29, 30, 31, 41, 42, 44, 45, 49, 51, 63, 65, 66, 67, 79, 88, 91, 92, 103, 104)

Medical Advanced Pain Specialists (9)Meeker Memorial Hospital (120, 123, 125)Melrose Area Hospital (119, 124)Memorial Medical Center, Inc (121, 123, 126)Mental Health Counseling Services, LLC (40)Mercy Health Services - Iowa Corp (120, 125)Mercy Hospital (11, 12, 14, 119, 122, 124, 126)Mercy Medical Center - Des Moines (119, 122)Metropolitan Heart & Vascular Institute (94, 95)Metropolitan Urologic Specialists, PA (44, 81)Midwest Ear, Nose & Throat Specialists (96, 97, 112, 113)Midwest Institute of Urology, PA (44)Midwest Spine Institute, LLC (45)Midwest Surgery Center (119, 124)Mille Lacs Health System (83, 121, 126)


PARTICIPATING PROVIDERSOrthopaedic & Fracture Clinic, PA (45, 100, 101, 116, 117)Osceola Medical Center (19, 21, 22, 24, 38, 49, 63, 65, 66,

67, 69, 70, 75, 76, 77, 79, 83, 89, 107, 108, 121, 123, 126)Owatonna Hospital (120, 123, 125)Paparella Ear Head & Neck Institute, PA (96, 97, 112, 113)Park Avenue Center (10)Park Nicollet Health Services (5, 7, 9, 9, 16, 16, 18, 21, 22,

24, 26, 28, 29, 30, 31, 33, 34, 35, 38, 40, 42, 44, 45, 47, 49, 51, 54, 55, 57, 59, 61, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 83, 85, 89, 91, 92, 94, 95, 96, 97, 98, 99, 100, 101, 103, 104, 105, 107, 108, 110, 111, 112, 113, 114, 115, 116, 117)

Park Nicollet Health Services Hospitals (79)Park Nicollet Methodist Hospital - Ambulatory Surgery Center

(119, 124)Park Nicollet Methodist Hospital (11, 12, 119, 122, 124)Parkview Medical Clinic (83)Paul Larson OB/GYN Clinic, PA (26, 44, 72, 81, 89, 114, 115)Paul T. Richardson, MD LLC (40)Pavilion Surgery Center, LLC (119, 124)Paynesville Area Hospital (121, 126)People Incorporated (40)Perham Memorial Hospital and Home (121, 125)Planned Parenthood of MN, ND, SD (44, 81)Prairie du Chien Memorial Hospital (121, 126)Prairie Lakes Health Care System (42)Prairie Ridge Hospital and Health Services (121, 126)Prairie St. John’s (14)PrairieCare Medical Group (40)Premier ObGyn of Minnesota (26, 44, 72, 81, 89, 98, 99, 114,

115)Preventive Cardiology Consultants, PA (42)Primary Care and Rehabilitation Clinics (83)Psych Business Services, Ltd (40)Psych Recovery, Inc (7, 9, 16, 41)Ramsey County Mental Health Center (40)Redwood Area Hospital (120, 125)Regina Medical Center (119, 122, 124)Regions Hospital (11, 12, 14, 47, 57, 59, 61, 79, 119, 122,

124)Relate Counseling Center (41)Renville County Hospital (121, 126)Rice County District One (119, 122, 125)Rice Memorial Hospital (120, 122, 125)Richfi eld Medical Group (18, 21, 24, 37, 50, 69, 70)Ridgeview Clinics (7, 19, 21, 22, 24, 26, 28, 29, 30, 31, 37,

43, 49, 51, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 89, 91, 92, 96, 97, 98, 99, 103, 104, 107, 108, 112, 113, 114, 115)

Ridgeview Medical Center (119, 122, 124)River Falls Area Hospital (120, 123, 126)River Falls Medical Clinic (19, 21, 22, 24, 37, 49, 63, 65, 66,

67, 69, 70, 75, 76, 77, 89)River Ridge Treatment Center (10)River Valley Behavioral Health & Wellness Center, LLC (41)Riverplace Counseling Center (10)River’s Edge Hospital (121, 126)Riverside Endoscopy Center (119, 124)Riverview Healthcare Association (121, 126)Rochester Methodist Hospital (121, 123, 125)Sacred Heart Hospital (121, 123, 126)

Sanford - Bismarck (37)Sanford Bemidji Medical Center (120, 123, 125)Sanford Health - Fargo (7, 19, 21, 22, 24, 28, 29, 30, 31, 33,

34, 35, 38, 40, 42, 43, 45, 50, 52, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 81, 89, 91, 92, 103, 104, 105, 107, 108)

Sanford Health - Sioux Falls (21, 22, 24, 38, 42, 43, 49, 69, 70, 75, 76, 77, 79, 107, 108)

Sanford Medical Center Fargo (120, 123, 126)Sanford Thief River Falls (120, 125)Sanford USD Medical Center (121, 123, 125)Schwieters Medical PLLC (41)Setzer Pharmacy (47, 57, 59, 61)Shopko (47, 57, 59, 61)Sibley Medical Center (121, 126)Sleepy Eye Municipal Hospital (121, 126)Southdale Otolaryngology, PA (112, 113)Southdale Pediatric Associates, Ltd (5, 22, 33, 34, 35, 38, 75,

76, 77, 89, 105)Southside Community Health Services (83)Specialized Treatment Services, Inc (10)Spencer Municipal Hospital (121, 125)Spooner Health System (121, 126)St Paul-Ramsey County Department of Public Health (44)St. Cloud Ear, Nose & Throat - Head & Neck Clinic (96, 97,

112, 113)St. Cloud Hospital (11, 12, 14, 41, 119, 122, 124)St. Cloud Orthopedic Associates, Ltd (45, 100, 101, 116, 117)St. Cloud Surgical Center (119, 124)St. Croix Orthopaedics, PA (45, 100, 101, 116, 117)St. Croix Regional Medical Center (19, 21, 22, 24, 28, 29, 30,

31, 38, 41, 44, 45, 50, 52, 63, 65, 66, 67, 69, 70, 75, 76, 77, 79, 81, 89, 91, 92, 103, 104, 107, 108, 112, 113, 114, 115, 120, 122, 125)

St. Francis Regional Medical Center (119, 122, 125)St. Gabriel’s Hospital (119, 122, 124)St. Joseph’s Area Health Services (121, 123, 126)St. Joseph’s Hospital (120, 122, 126)St. Luke’s Clinics (7, 18, 21, 22, 24, 26, 28, 29, 30, 31, 33, 34,

35, 38, 41, 42, 44, 50, 52, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 89, 91, 92, 98, 99, 103, 104, 105, 107, 108, 114, 115)

St. Luke’s Hospital (120, 123, 125)St. Mary’s Hospital (120, 123, 125)St. Mary’s Medical Center Acute Care (11, 12)St. Paul Corner Drug (47, 61)St. Paul Family Medical Center (21, 22, 24, 38, 69, 70, 75, 76,

77, 83)Stevens Community Medical Center (121, 126)Stillwater Medical Group (7, 9, 18, 21, 22, 24, 26, 28, 29, 30,

31, 33, 34, 35, 38, 42, 44, 50, 51, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 83, 85, 89, 91, 92, 96, 97, 98, 99, 103, 104, 105, 107, 108, 112, 113, 114, 115)

Stone Creek Psychiatry, LLC (41)Summit Orthopedics, Ltd (45, 100, 101, 116, 117)SuperValu/Cub (47, 57, 59, 61)Surgical Consultants (50)Target (47, 57, 59, 61)The Calli Institute, LLC (40)The Emily Program (40)The Heart Institute of North Dakota (42)The Medicine Shoppe (47, 61)


PARTICIPATING PROVIDERSTri - County Hospital (120, 125)TRIA Orthopaedic Center, LLC (100, 101, 119, 124)Tri-County Hospital, Inc (50)Twin Cities Orthopedics, PA (45, 100, 101, 116, 117)Twin Cities Spine Center (100, 101)United Family Medicine (19, 50, 51, 63, 65, 66, 67, 79, 83, 85)United Heart and Vascular Clinic (94, 95)United Hospital (14, 119, 123, 124, 11, 12)United Hospital District - Blue Earth (121, 126)Unity Family Healthcare (19, 43, 45, 50, 52, 79, 83, 89, 107,

108)Unity Hospital (11, 12, 119, 123, 124)University Medical Center - Mesaba (120, 122, 126)University of Iowa Hospitals & Clinics (120, 125)University of Minnesota Medical Center, Fairview (120, 123,

124)University of MN Physicians (7, 9, 18, 21, 22, 24, 26, 28, 29,

30, 31, 38, 40, 44, 45, 50, 52, 63, 65, 66, 67, 69, 70, 72, 75, 76, 77, 79, 81, 83, 85, 89, 91, 92, 96, 97, 100, 101, 103, 104, 107, 108, 112, 113, 114, 115, 116, 117)

University of MN Physicians Heart at Fairview (42, 54, 55, 110, 111)

University of Wisconsin Hospital & Clinics (120, 125)Valley Family Practice (21, 24, 38, 69, 70)Volunteers of America Mental Health Clinics (41)Walgreens (47, 57, 59, 61)Wal-Mart/Sam’s Club (47, 57, 59, 61)Washburn Center For Children (40)We Care Counseling Center (10)West End Consultation Group (41)West Side Community Health Center (7, 19, 44, 49, 52, 63,

65, 66, 67, 83, 85)Western Wisconsin Medical Associates, SC Clinics (7, 19, 21,

22, 24, 28, 29, 30, 31, 33, 34, 35, 37, 43, 69, 70, 75, 76, 77, 79, 81, 91, 92, 103, 104, 105, 107, 108, 114, 115)

Westfi elds Hospital (see also New Richmond Clinic) (107, 108, 119, 122, 124)

WestHealth Surgery (119, 124)William L. Clapp, MD (41)Winona Health Services (18, 43, 49, 51, 63, 65, 66, 67, 79,

89, 107, 108, 121, 123, 126)Wise Regional Health System (121, 126)Women’s Health Consultants (81, 98, 99)Woodbury Ambulatory Surgery Center (119, 124)Zvi Frankfurt, MD (41)

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