2014 CLINICAL INDICATORS REPORT - HealthPartnershp/@public/... · 2014 CLINICAL INDICATORS REPORT 2013/2014 Results ... Antidepressant Medication ... The average provider group rate

2014 CLINICAL INDICATORS REPORT2013/2014 Results

Technical Supplement

Measurement VariationTrended Results

BenchmarksData Detail

Report prepared by:Stacy Bussey, Senior Analyst

Karla Warner, AnalystHealth Informatics

Key contributors:Health InformaticsMarket Research

Please direct questions or comments to [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 .....................................................................14

Optimal Health Management for Severe Mental Illness ..............................................................16

Diabetes CareDiabetes Eye Exam ......................................................................................................................19

Healthy Behaviors Body Mass Index (BMI) ..............................................................................................................22

Alcohol Assessment - Adult Primary Care ..................................................................................25

Alcohol Assessment - Adult OB/GYN ........................................................................................27

Optimal Lifestyle - Adults ...........................................................................................................29

Optimal Lifestyle - Children ........................................................................................................35

Medication ManagementGeneric Drug Use - Primary Care ................................................................................................ 40

Generic Drug Use - Specialty Care .............................................................................................. 43

Generic Drug Use - Pharmacy .....................................................................................................51

Annual Monitoring for Patients on Persistent Medications - Primary Care ................................53

Annual Monitoring for Patients on Persistent Medications - Cardiology ....................................59

Medication Adherence for Asthma/COPD - Pharmacy ...............................................................63

Medication Adherence for Diabetes - Pharmacy .........................................................................66

Potentially Inappropriate Medications - Pharmacy ......................................................................68

TECHNICAL SUPPLEMENT - 2014 CLINICAL INDICATORS REPORTTable of Contents

HEDIS

HEDIS

HEDIS

HEDIS

HEDIS

HEDIS

HEDIS

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

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

Musculoskeletal Optimal Care for Acute Low Back Pain .....................................................................................70

Preventive ServicesPreventive Services Members Up-to-Date - Adult Primary Care ................................................76

Preventive Services Members Up-to-Date - Adult OB/GYN ......................................................80

Preventive Services Members Up-to-Date - Child and Adolescent .............................................83

Evidence-Based Cervical Cancer Screening - Primary Care .......................................................88

Evidence-Based Cervical Cancer Screening - OB/GYN .............................................................91

Child & Teen Check-Ups (Medicaid Population) ........................................................................94

Lead Screening (Medicaid Population)........................................................................................96

SafetyClinic Safety Assessment Survey .................................................................................................98

Patient Experience Medication Safety - Primary Care ...............................................................102

Patient Experience Medication Safety - Specialty Care .............................................................105

Tobacco Use and CessationTobacco Use and Cessation ........................................................................................................114

Total Cost of CareTotal Cost of Care and Resource Use - Primary Care .................................................................119

Total Cost Index and Resource Use - Specialty Care .................................................................122

Total Cost Index - Hospitals ........................................................................................................131

HEDIS Identification of measures, or elements of measures that are consistent with HEDIS measurement specifications

HEDIS

HEDIS

HEDIS

Technical Supplement to 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 definitions 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 confidence 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• Identification of measures, or elements of measures, that are consistent with HEDIS measurement specifi-

cations 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 specifically defines 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 significant 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 defined 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 confidence intervals represent the 95th percentile confidence intervals. In addition, for all hybrid measures (which include medical record abstraction), a finite 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


confidence interval. If the entire HealthPartners measure eligible population of that group is used, there will be no confidence interval. This reflects more confidence that the rate derived from the sample actually constitutes the true rate for their full population. Graphs using a finite 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.

Technical Supplement to HealthPartners Clinical Indicators Report - 2013/2014 Results

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2014 Clinical Indicators Report - Measurement Variation

Lowest Performing Group Highest Performing Group


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2014 Clinical Indicators Report - Measurement Variation

Lowest Performing Group Highest Performing Group


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 fill date, from Commercial and Medicaid products with a pharmacy benefit who were continuously enrolled for 120 days prior to starting ADHD medication through 30 days after. Population identification 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%

Historical Rates

ADHD Follow-up Visit

33.4%37.9% 39.2% 39.9% 42.9% 39.7% 41.1%

0%

20%

40%

60%

80%

100%

2007 2008 2009 2010 2011 2012 2013


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

HealthPartners 2014 Clinical Indicators Report2013/2014 Results


ADHD Follow-up Visit after New Medication

Allina Health 148 71 47.97%Children's Physician Network 186 98 52.69%Essentia Health - SMDC Health System 33 12 36.36%Fairview Clinics 62 32 51.61%HealthPartners Clinics 415 168 40.48%Park Nicollet Health Services 220 89 40.45%Southdale Pediatric Associates, Ltd 38 25 65.79%HP Total 2014 (2013 DOS) 1,755 721 41.08%

RateMedical Group

# of members newly

prescribed ADHD

medication (Denom)

# with Follow-up visit within

30 days


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 specifications.

Methodology — AdministrativeThis measure includes all members ages 18 and older as of April 30, 2013, from all products with a pharmacy benefit who were continuously enrolled for 90 days prior to the new episode of depression through 245 days after. Population identification 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%

Historical Rates

72.6% 72.0% 73.0% 75.1% 76.6%70.6%

56.2% 56.7% 57.4% 60.0% 61.5%54.6%

0%

20%

40%

60%

80%

100%

2008 2009 2010 2011 2012 2013

Acute Phase Continuation Phase

Antidepressant Medication Management


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)



Antidepressant Medication Management

Allina Health 676 511 75.59% 420 62.13%Associated Clinic of Psychology 67 40 59.70% 35 52.24%BHSI, LLC 34 21 61.76% 16 47.06%CentraCare Clinics 87 58 66.67% 44 50.57%Entira Family Clinics 173 126 72.83% 101 58.38%Essentia Health - SMDC Health System 173 137 79.19% 103 59.54%Essentia Health - St. Joseph's Medical Center 31 27 87.10% 23 74.19%Fairview Clinics 432 316 73.15% 242 56.02%HealthEast 108 74 68.52% 61 56.48%HealthPartners Central Minnesota Clinics, Inc 86 56 65.12% 37 43.02%HealthPartners Clinics 1,629 1,107 67.96% 870 53.41%Hennepin County Medical Center 78 51 65.38% 38 48.72%Integrity - Buffalo 35 23 65.71% 17 48.57%Integrity Health Network 71 51 71.83% 37 52.11%Lakeview Clinic, Ltd 41 29 70.73% 20 48.78%Mayo Health System Clinics MN 74 55 74.32% 36 48.65%North Clinic, PA 40 31 77.50% 24 60.00%North Memorial Health Care 79 57 72.15% 38 48.10%Nystrom & Associates, Ltd 68 50 73.53% 40 58.82%Park Nicollet Health Services 816 599 73.41% 445 54.53%Psych Recovery, Inc 48 32 66.67% 26 54.17%Ridgeview Clinics 33 27 81.82% 18 54.55%Sanford Health 52 37 71.15% 27 51.92%Sanford Health - Fargo 42 28 66.67% 21 50.00%St. Luke's Clinics 41 35 85.37% 25 60.98%Stillwater Medical Group 132 96 72.73% 74 56.06%University of MN Physicians 104 64 61.54% 45 43.27%West Side Community Health Center 34 16 47.06% 10 29.41%Western Wisconsin Medical Associates, SC Clinics 52 43 82.69% 33 63.46%HP Total 2014 (2013 DOS) 6,691 4,723 70.59% 3,650 54.55%

90 Day Count

180 Day RateMedical Group

Total Eligible Members (Denom)

180 Day Count90 Day Rate


INITIATION AND ENGAGEMENT OF ALCOHOL AND OTHER DRUG DEPENDENCE TREATMENT January 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 outpatient 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 specifications 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 identification 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%


Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

Historical Rates

Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

17.7% 18.1% 19.0% 19.5%

8.6% 8.9% 9.2% 9.0%0%

20%

40%

60%

2010 2011 2012 2013

Initiation Engagement


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 - 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



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

Behavioral Health ProvidersAllina Health 75 12 16.00% 3 4.00%Associated Clinic of Psychology 38 13 34.21% 6 15.79%Canvas Health, Inc 116 30 25.86% 26 22.41%HealthPartners Clinics 193 47 24.35% 28 14.51%Nystrom & Associates, Ltd 77 23 29.87% 12 15.58%Options Family & Behavior Services 54 11 20.37% 10 18.52%Park Nicollet Health Services 72 8 11.11% 3 4.17%Psych Recovery, Inc 49 8 16.33% 3 6.12%Non-Behavioral Health ProvidersAllina Health 188 18 9.57% 9 4.79%Entira Family Clinics 43 7 16.28% 1 2.33%Essentia Health - SMDC Health System 36 3 8.33% 1 2.78%Fairview Clinics 128 13 10.16% 2 1.56%HealthEast 32 4 12.50% 2 6.25%HealthPartners Central Minnesota Clinics, Inc 31 3 9.68% 1 3.23%HealthPartners Clinics 515 107 20.78% 34 6.60%Medical Advanced Pain Specialists 154 18 11.69% 2 1.30%Park Nicollet Health Services 211 19 9.00% 7 3.32%Stillwater Medical Group 35 2 5.71% 0 0.00%University of MN Physicians 31 4 12.90% 1 3.23%HP Total 2014 (2013 DOS) 3,290 640 19.45% 296 9.00%

Initiation Rate Engagement RateMedical Group Initiation

NumeratorEngagement Numerator



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



Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Chemical Dependency Programs

Anthony Louis Center 46 17 36.96% 13 28.26%Avalon Progams LLC 35 12 34.29% 10 28.57%C.R.E.A.T.E., Inc 35 10 28.57% 10 28.57%Center for Alcohol & Drug Treatment 31 6 19.35% 1 3.23%Dakota County Receiving Center 30 5 16.67% 1 3.33%Haven Chemical Health Systems 24 7 29.17% 7 29.17%Hazelden Foundation 54 37 68.52% 35 64.81%Living Free Recovery Services 9 4 44.44% 4 44.44%Park Avenue Center 88 26 29.55% 21 23.86%River Ridge Treatment Center 57 21 36.84% 16 28.07%Riverplace Counseling Center 42 12 28.57% 12 28.57%Specialized Treatment Services, Inc 30 18 60.00% 8 26.67%We Care Counseling Center 44 22 50.00% 22 50.00%Club Recovery, LLC 32 19 59.38% 17 53.13%HP Total 2014 (2013 DOS) 557 216 38.78% 177 31.78%

Initiation Rate Engagement RateMedical Group Initiation

NumeratorEngagement Numerator




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



Initiation and Engagement of Alcohol and Other Drug Dependence Treatment Hospitals

Abbott Northwestern Hospital 81 68 83.95% 15 18.52%Fairview Lakes Regional Medical Center 30 15 50.00% 4 13.33%Fairview Southdale Hospital 31 22 70.97% 3 9.68%Fairview University Medical Center 303 181 59.74% 82 27.06%HealthEast St. John's Hospital 84 37 44.05% 2 2.38%HealthEast St. Joseph's Hospital 89 47 52.81% 21 23.60%Hennepin County Medical Center 265 61 23.02% 12 4.53%Maple Grove Hospital 34 13 38.24% 1 2.94%Mercy Hospital 67 56 83.58% 8 11.94%North Memorial Medical Center 102 52 50.98% 10 9.80%Nystrom & Associates, Ltd 73 25 34.25% 20 27.40%Park Nicollet Methodist Hospital 74 54 72.97% 7 9.46%Regions Hospital 529 254 48.02% 84 15.88%St. Cloud Hospital 108 53 49.07% 14 12.96%St. Mary's Medical Center Acute Care 38 16 42.11% 1 2.63%United Hospital 87 59 67.82% 11 12.64%Unity Hospital 98 75 76.53% 37 37.76%HP Total 2014 (2013 DOS) 3,745 1,787 47.72% 705 18.83%

Initiation Numerator

Engagement RateMedical Group


Initiation Rate Engagement Numerator


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



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

Denom

Abbott Northwestern Hospital 81 0.00% 13.58% 79.01% 7.41%Fairview Lakes Regional Medical Center 30 0.00% 66.67% 33.33% 0.00%Fairview Southdale Hospital 31 0.00% 35.48% 64.52% 0.00%Fairview University Medical Center 303 0.00% 30.69% 33.99% 35.31%HealthEast St. John's Hospital 84 1.19% 30.95% 38.10% 29.76%HealthEast St. Joseph's Hospital 89 0.00% 34.83% 33.71% 31.46%Hennepin County Medical Center 265 0.38% 70.19% 17.74% 11.70%Maple Grove Hospital 34 2.94% 61.76% 32.35% 2.94%Mercy Hospital 67 1.49% 14.93% 82.09% 1.49%North Memorial Medical Center 102 1.96% 59.80% 38.24% 0.00%Nystrom & Associates, Ltd 73 0.00% 0.00% 0.00% 100.00%Park Nicollet Methodist Hospital 74 0.00% 31.08% 68.92% 0.00%Regions Hospital 529 0.00% 40.26% 26.84% 32.89%St. Cloud Hospital 108 0.00% 38.89% 30.56% 30.56%St. Mary's Medical Center Acute Care 38 0.00% 71.05% 28.95% 0.00%United Hospital 87 0.00% 26.44% 59.77% 13.79%Unity Hospital 98 0.00% 9.18% 57.14% 33.67%HP Total 2014 (2013 DOS) 3,745 0.99% 41.74% 27.02% 30.25%

Detox OutpatientMedical Group Emergency Department Inpatient


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 specifications 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 identification 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%

Historical Rates

Follow-up after Hospitilization for Mental Illness

53.2% 57.7%63.8% 61.2% 58.1% 60.2%

0%

20%

40%

60%

80%

100%

2008 2009 2010 2011 2012 2013


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



Follow-up After Hospitalization for Mental Illness

Abbott Northwestern Hospital 198 104 52.53%Essentia Health - Duluth 37 15 40.54%Fairview Southdale Hospital 36 23 63.89%Fairview University Medical Center 376 258 68.62%HealthEast St. Joseph's Hospital 38 19 50.00%Hennepin County Medical Center 61 26 42.62%Mayo Clinic Hospital 38 18 47.37%Mercy Hospital 84 42 50.00%North Memorial Medical Center 64 29 45.31%Prairie St. John's 33 17 51.52%Regions Hospital 244 200 81.97%St. Cloud Hospital 37 19 51.35%United Hospital 126 80 63.49%HP Total 2014 (2013 DOS) 1,601 964 60.21%

RateMedical Group Discharges (Denom)

# with Visit within 7 Days


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 fill 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 identification 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 office visits during the measurement year. If no office 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.


Optimal Health Management for Severe Mental Illness

Historical Rates

34.5%29.2%

36.9% 39.7%

26.7% 23.7%29.3% 30.1%

41.2%34.3%

43.4%48.0%

0%

20%

40%

60%

80%

100%

2010 2011 2012 2013

Optimally Managed - All Optimally Managed - BH Optimally Managed - Non-BH

Optimal Health Management for Severe Mental Illness


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



Optimal Health Management for Severe Mental Illness (SMI)Optimal Rates

Behavioral Health ProvidersAllina Health 46 46 18 39.1% 39.1% 39.1%Associated Clinic of Psychology 69 66 20 30.3% 28.1% 32.9%BHSI, LLC 37 37 10 27.0% 27.0% 27.0%HealthPartners Clinics 142 66 20 30.3% 22.5% 39.5%Nystrom & Associates, Ltd 91 66 20 30.3% 24.7% 36.9%Park Nicollet Health Services 80 66 25 37.9% 33.0% 43.2%Psych Recovery, Inc 52 52 6 11.5% 11.5% 11.5%Non-Behavioral Health ProvidersAllina Health 73 66 34 51.5% 47.6% 55.4%Fairview Clinics 56 56 34 60.7% 60.7% 60.7%HealthPartners Clinics 351 66 28 42.4% 31.5% 54.0%Park Nicollet Health Services 119 66 37 56.1% 47.5% 64.2%HP Total 2014 (2013 DOS) 1,116 653 252 39.7% 35.0% 44.4%

LCL UCLMedical GroupSample

Size (Denom)

# Hits RateEligible Members

HealthPartners 2014 Clinical Indicators Report 2013/2014 Results


Optimal Health Management for Severe Mental Illness (SMI)Individual Components

EligibleSample

Size Hits Rate LCL UCL EligibleSample


Size Hits Rate LCL UCL

Behavioral Health ProvidersAllina Health 46 46 43 93.5% 93.5% 93.5% 46 46 44 95.7% 95.7% 95.7% 46 46 26 56.5% 56.5% 56.5%Associated Clinic of Psychology 69 66 49 74.2% 71.7% 76.3% 69 66 66 100.0% 98.9% 100.0% 69 66 30 45.5% 42.9% 48.1%BHSI, LLC 37 37 28 75.7% 75.7% 75.7% 37 37 27 73.0% 73.0% 73.0% 37 37 14 37.8% 37.8% 37.8%HealthPartners Clinics 142 66 60 90.9% 83.9% 95.1% 142 66 60 90.9% 83.9% 95.1% 142 66 29 43.9% 35.0% 53.3%Nystrom & Associates, Ltd 91 66 48 72.7% 66.3% 78.1% 91 66 63 95.5% 91.2% 97.3% 91 66 27 40.9% 34.6% 47.6%Park Nicollet Health Services 80 66 56 84.9% 80.3% 88.0% 80 66 65 98.5% 95.7% 99.1% 80 66 31 47.0% 41.8% 52.3%Psych Recovery, Inc 52 52 39 75.0% 75.0% 75.0% 52 52 46 88.5% 88.5% 88.5% 52 52 9 17.3% 17.3% 17.3%Non-Behavioral Health ProvidersAllina Health 73 66 60 90.9% 87.9% 92.7% 73 66 65 98.5% 96.4% 98.9% 73 66 46 69.7% 65.8% 73.0%Fairview Clinics 56 56 55 98.2% 98.2% 98.2% 56 56 56 100.0% 100.0% 100.0% 56 56 38 67.9% 67.9% 67.9%HealthPartners Clinics 351 66 61 92.4% 84.1% 97.0% 351 66 63 95.5% 88.1% 98.7% 351 66 40 60.6% 49.1% 71.3%Park Nicollet Health Services 119 66 64 97.0% 92.0% 98.8% 119 66 66 100.0% 96.4% 100.0% 119 66 40 60.6% 52.1% 68.5%2014 HP Rates (2013 DOS) 1,116 653 563 88.3% 85.5% 91.1% 1,116 653 621 95.2% 93.2% 97.3% 1,116 653 330 53.0% 48.2% 57.7%

EligibleSample



Size Hits Rate LCL UCL

Behavioral Health ProvidersAllina Health 46 46 34 73.9% 73.9% 73.9% 46 46 26 56.5% 56.5% 56.5% 46 46 45 97.8% 97.8% 97.8%Associated Clinic of Psychology 69 66 51 77.3% 74.8% 79.2% 69 66 38 57.6% 54.9% 60.1% 69 66 55 83.3% 81.0% 85.0%BHSI, LLC 37 37 25 67.6% 67.6% 67.6% 37 37 16 43.2% 43.2% 43.2% 37 37 26 70.3% 70.3% 70.3%HealthPartners Clinics 142 66 61 92.4% 85.7% 96.1% 142 66 32 48.5% 39.3% 57.7% 142 66 61 92.4% 85.7% 96.1%Nystrom & Associates, Ltd 91 66 59 89.4% 84.1% 92.7% 91 66 33 50.0% 43.4% 56.6% 91 66 51 77.3% 71.0% 82.2%Park Nicollet Health Services 80 66 56 84.9% 80.3% 88.0% 80 66 40 60.6% 55.3% 65.6% 80 66 58 87.9% 83.5% 90.7%Psych Recovery, Inc 52 52 46 88.5% 88.5% 88.5% 52 52 22 42.3% 42.3% 42.3% 52 52 45 86.5% 86.5% 86.5%Non-Behavioral Health ProvidersAllina Health 73 66 52 78.8% 75.1% 81.6% 73 66 46 69.7% 65.8% 73.0% 73 66 65 98.5% 96.4% 98.9%Fairview Clinics 56 56 51 91.1% 91.1% 91.1% 56 56 46 82.1% 82.1% 82.1% 56 56 55 98.2% 98.2% 98.2%HealthPartners Clinics 351 66 56 84.9% 75.0% 91.7% 351 66 40 60.6% 49.1% 71.3% 351 66 64 97.0% 90.2% 99.4%Park Nicollet Health Services 119 66 64 97.0% 92.0% 98.8% 119 66 52 78.8% 70.9% 84.9% 119 66 65 98.5% 94.1% 99.5%2014 HP Rates (2013 DOS) 1,116 653 555 86.1% 82.7% 89.4% 1,116 653 391 60.0% 55.3% 64.7% 1,116 653 590 92.3% 90.2% 94.4%

Medical Group BMI Tobacco LDL

Medical GroupAlcohol Blood Glucose / HbA1c Blood Pressure


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 specifications 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 identification is based on pharmacy, claim and membership databases. Members are attributed to the provider group with the most office visits for diabetic care in the measurement year.

Note: the health plan HEDIS rate reflects 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%

Historical Rates

Diabetic Eye Exam

58.4% 58.0% 57.9% 56.1% 55.9%

0%

20%

40%

60%

80%

100%

2009 2010 2011 2012 2013


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




Diabetic Eye Exam

Affiliated Community Medical Centers, PA 57 27 47.37%Allina Health 2790 1568 56.20%Altru Clinics 91 42 46.15%Amery Regional Medical Center Clinics 52 29 55.77%Apple Valley Medical Clinic, Ltd 112 54 48.21%Avera Health Clinics 50 27 54.00%Burnsville Family Physicians, PA 56 34 60.71%CentraCare Clinics 228 143 62.72%Children's Health Care 30 14 46.67%Endocrinology Clinic of Minneapolis, PA 66 44 66.67%Entira Family Clinics 735 403 54.83%Essentia Health - Innovis Health, LLC 92 56 60.87%Essentia Health - SMDC Health System 684 445 65.06%Essentia Health - St. Joseph's Medical Center 94 59 62.77%Fairview Clinics 1283 648 50.51%France Avenue Family Physicians, PA 46 30 65.22%Grand Itasca Clinic & Hospital 58 30 51.72%Gundersen Lutheran Clinics 67 31 46.27%HealthEast 549 293 53.37%HealthPartners Central Minnesota Clinics, Inc 327 240 73.39%HealthPartners Clinics 6698 4297 64.15%Hennepin County Medical Center 67 34 50.75%Hudson Physicians 102 52 50.98%Hutchinson Health 76 28 36.84%Integrity - Buffalo 134 61 45.52%Integrity - Northern 45 29 64.44%Integrity - St. Cloud 90 49 54.44%Integrity Health Network 269 139 51.67%Lakeview Clinic, Ltd 136 78 57.35%Mankato Clinic, Ltd 40 15 37.50%Mayo Clinic 91 59 64.84%Mayo Clinic Health System - Red Wing 50 26 52.00%Mayo Health System Clinics MN 250 132 52.80%Mayo Health System Clinics WI 47 24 51.06%Minnesota Center for Obesity, Metabolism & Endocrinology, PA 30 16 53.33%Minnesota Rural Health Cooperative Clinics 89 42 47.19%Multicare Associates of the Twin Cities 122 57 46.72%New Richmond Clinic 49 22 44.90%North Clinic, PA 200 113 56.50%

1 of 2

Medical Group # with Retinal Eye Exam

# Diabetic Members (Denom)

Eye Exam Rate



Diabetic Eye Exam

North Memorial Health Care 404 232 57.43%NorthPoint Health & Wellness Center 35 17 48.57%Northwest Family Physicians, PA 118 58 49.15%Olmsted Medical Center Clinics 97 47 48.45%Open Cities Health Center 48 23 47.92%Osceola Medical Center 38 16 42.11%Park Nicollet Health Services 2613 1443 55.22%Richfield Medical Group 30 16 53.33%Ridgeview Clinics 71 36 50.70%River Falls Medical Clinic 71 31 43.66%Sanford Health 172 85 49.42%Sanford Health - Fargo 146 73 50.00%St. Croix Regional Medical Center 110 51 46.36%St. Luke's Clinics 191 120 62.83%Stillwater Medical Group 380 223 58.68%United Family Medicine 60 31 51.67%Unity Family Healthcare 48 21 43.75%University of MN Physicians 219 115 52.51%West Side Community Health Center 72 31 43.06%Western Wisconsin Medical Associates, SC Clinics 223 105 47.09%Winona Health Services 58 40 68.97%HP Total 2014 (2013 DOS) 22,945 12,821 55.88%

2 of 2

Medical Group# Diabetic Members (Denom)

# with Retinal Eye Exam

Eye Exam Rate


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 specifications. 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 identification 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 sam-ple 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)


Historical Rates

38.3%

53.5%57.6%

70.9% 72.0%77.1% 79.3%

86.9%90.5% 90.7%

67.9%

78.1% 79.2%82.8%

0%

20%

40%

60%

80%

100%

2004 2005 2006 2007* 2008 2009 2010 2011 2012 2013 2010 2011 2012 2013

BMI Adult BMI Child

BMI Assessment

* Change in attribution methodology


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



Body Mass Index (BMI) Assessment - Adult

AALFA Family Clinic, PA 100 95 95.00% 89.58% 97.90%Advanced Medical Clinic 36 36 100.00% 98.40% 100.00%Allina Health 105 95 90.48% 83.19% 95.33%Altru Clinics 102 87 85.29% 77.17% 91.34%Apple Valley Medical Clinic, Ltd 105 96 91.43% 84.52% 95.90%Associated Medical and Dental Clinic 62 62 100.00% 100.00% 100.00%Avera Health Clinics 105 93 88.57% 81.37% 93.62%Baldwin Area Medical Center 105 97 92.38% 86.16% 96.27%Burnsville Family Physicians, PA 105 97 92.38% 85.98% 96.37%Catalyst Medical Clinic 105 88 83.81% 77.34% 88.76%CentraCare Clinics 100 90 90.00% 82.47% 95.04%Dr. Bobby Yang Medical Clinic 52 45 86.54% 86.54% 86.54%Edina Sports Health & Wellness, PA 105 102 97.14% 92.32% 99.22%Entira Family Clinics 105 99 94.29% 88.01% 97.86%Essentia Health - Innovis Health, LLC 98 92 93.88% 87.33% 97.62%Essentia Health - SMDC Health System 104 94 90.38% 83.06% 95.27%Essentia Health - St. Joseph's Medical Center 102 100 98.04% 93.22% 99.72%Essentia Health - St. Mary's Regional Health Center 103 88 85.44% 77.82% 91.09%Fairview Clinics 101 96 95.05% 88.84% 98.37%France Avenue Family Physicians, PA 105 105 100.00% 96.76% 100.00%HealthEast 100 94 94.00% 87.43% 97.75%HealthPartners Central Minnesota Clinics, Inc 101 95 94.06% 87.59% 97.75%HealthPartners Clinics 105 97 92.38% 85.54% 96.65%Hennepin County Medical Center 104 92 88.46% 81.11% 93.61%Hudson Physicians 105 81 77.14% 68.08% 84.65%Hutchinson Health 102 89 87.25% 79.50% 92.82%Ilko Family Medicine, PA 102 75 73.53% 70.28% 76.30%Integrity - Buffalo 103 98 95.15% 89.14% 98.35%Integrity - Northern 104 94 90.38% 83.35% 95.08%Integrity - St. Cloud 104 94 90.38% 83.18% 95.19%Integrity Health Network 103 99 96.12% 90.40% 98.91%Lakeview Clinic, Ltd 103 92 89.32% 81.81% 94.47%Lakewood Clinic 97 87 89.69% 82.64% 94.42%Mayo Clinic Health System - Red Wing 104 96 92.31% 85.73% 96.41%Mayo Health System Clinics MN 104 76 73.08% 63.61% 81.20%Minnesota Rural Health Cooperative Clinics 105 79 75.24% 66.11% 82.93%Multicare Associates of the Twin Cities 103 96 93.20% 86.67% 97.12%New Richmond Clinic 104 92 88.46% 80.97% 93.72%North Clinic, PA 102 93 91.18% 84.01% 95.82%North Memorial Health Care 105 100 95.24% 89.29% 98.41%Northfield Hospital Clinics 103 92 89.32% 82.29% 94.14%Northwest Family Physicians, PA 105 93 88.57% 81.09% 93.81%Olmsted Medical Center Clinics 105 96 91.43% 84.57% 95.86%Osceola Medical Center 105 97 92.38% 85.90% 96.43%Park Nicollet Health Services 104 93 89.42% 81.87% 94.59%Richfield Medical Group 105 90 85.71% 78.58% 91.00%Ridgeview Clinics 105 94 89.52% 82.21% 94.53%

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Rate LCL UCLMedical GroupSample

size (Denom)

# of members

w/BMI



Body Mass Index (BMI) Assessment - Adult

River Falls Medical Clinic 105 102 97.14% 91.99% 99.36%Sanford Health 103 87 84.47% 76.12% 90.76%Sanford Health - Fargo 103 88 85.44% 77.26% 91.51%Sanford Health - Sioux Falls 101 86 85.15% 77.49% 90.84%St. Croix Regional Medical Center 101 98 97.03% 91.70% 99.32%St. Luke's Clinics 105 97 92.38% 85.64% 96.59%St. Paul Family Medical Center 70 66 94.29% 91.12% 95.87%Stillwater Medical Group 104 95 91.35% 84.25% 95.94%University of MN Physicians 98 89 90.82% 83.41% 95.63%Valley Family Practice 105 83 79.05% 74.18% 83.00%Western Wisconsin Medical Associates, SC Clinics 105 91 86.67% 78.70% 92.47%HP Total 2014 (2013 DOS) 5277 4752 90.72% 88.85% 92.60%

2 of 2

Medical GroupSample

size (Denom)

# of members

w/BMIRate LCL UCL


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




Body Mass Index (BMI) Assessment - ChildCalculated BMI

AALFA Family Clinic, PA 96 65 67.71% 62.43% 72.41%Advanced Medical Clinic 33 28 84.85% 84.85% 84.85%Allina Health 95 73 76.84% 67.11% 84.84%Altru Clinics 96 56 58.33% 48.66% 67.52%Apple Valley Medical Clinic, Ltd 100 93 93.00% 87.51% 96.30%Avera Health Clinics 102 86 84.31% 77.36% 89.57%Baldwin Area Medical Center 102 94 92.16% 87.05% 95.35%Burnsville Family Physicians, PA 62 57 91.94% 91.94% 91.94%Catalyst Medical Clinic 85 68 80.00% 80.00% 80.00%CentraCare Clinics 99 76 76.77% 67.46% 84.46%Children's Physician Network 98 80 81.63% 72.56% 88.72%Dr. Bobby Yang Medical Clinic 69 65 94.20% 94.20% 94.20%Edina Sports Health & Wellness, PA 30 27 90.00% 90.00% 90.00%Entira Family Clinics 100 92 92.00% 85.08% 96.34%Essentia Health - Innovis Health, LLC 99 84 84.85% 76.82% 90.84%Essentia Health - SMDC Health System 96 85 88.54% 80.54% 94.06%Essentia Health - St. Joseph's Medical Center 98 85 86.73% 78.98% 92.32%Essentia Health - St. Mary's Regional Health Center 98 68 69.39% 62.42% 75.52%Fairview Clinics 99 93 93.94% 87.33% 97.71%France Avenue Family Physicians, PA 64 61 95.31% 95.31% 95.31%HealthEast 95 83 87.37% 79.14% 93.18%HealthPartners Central Minnesota Clinics, Inc 100 82 82.00% 73.44% 88.67%HealthPartners Clinics 99 84 84.85% 76.26% 91.25%Hennepin County Medical Center 95 88 92.63% 87.80% 95.55%Hudson Physicians 95 81 85.26% 76.87% 91.44%Hutchinson Health 97 88 90.72% 83.78% 95.23%Ilko Family Medicine, PA 35 14 40.00% 40.00% 40.00%Integrity - Buffalo 102 101 99.02% 94.80% 99.94%Integrity - Northern 104 83 79.81% 72.31% 85.83%Integrity - St. Cloud 99 93 93.94% 87.65% 97.53%Integrity Health Network 98 91 92.86% 85.96% 97.01%Lakeview Clinic, Ltd 98 75 76.53% 67.19% 84.26%Lakewood Clinic 96 34 35.42% 29.06% 42.39%Mayo Clinic Health System - Red Wing 99 88 88.89% 82.24% 93.46%Mayo Health System Clinics MN 99 65 65.66% 55.87% 74.52%Minnesota Rural Health Cooperative Clinics 101 71 70.30% 61.20% 78.27%Multicare Associates of the Twin Cities 101 93 92.08% 85.70% 96.07%New Richmond Clinic 97 78 80.41% 72.10% 86.99%North Clinic, PA 97 85 87.63% 80.20% 92.87%North Memorial Health Care 103 88 85.44% 77.69% 91.19%Northfield Hospital Clinics 94 72 76.60% 68.22% 83.49%Northwest Family Physicians, PA 104 89 85.58% 78.82% 90.59%Olmsted Medical Center Clinics 99 78 78.79% 70.36% 85.60%Osceola Medical Center 100 90 90.00% 83.59% 94.29%Park Nicollet Health Services 97 76 78.35% 68.87% 86.04%Ridgeview Clinics 102 86 84.31% 77.51% 89.45%

1 of 2


size (Denom)

# of members

w/BMI



Body Mass Index (BMI) Assessment - ChildCalculated BMI

Sanford Health - Fargo 96 53 55.21% 45.36% 64.75%Sanford Health - Sioux Falls 102 70 68.63% 62.21% 74.33%Southdale Pediatric Associates, Ltd 95 75 78.95% 69.50% 86.54%St. Croix Regional Medical Center 96 89 92.71% 86.08% 96.70%St. Luke's Clinics 92 79 85.87% 77.64% 91.83%St. Paul Family Medical Center 49 41 83.67% 83.67% 83.67%Stillwater Medical Group 102 85 83.33% 74.82% 89.86%University of MN Physicians 96 89 92.71% 86.01% 96.74%Western Wisconsin Medical Associates, SC Clinics 93 78 83.87% 74.98% 90.55%HP Total 2014 (2013 DOS) 4668 3711 79.15% 76.41% 81.89%

2 of 2

Medical GroupSample

size (Denom)

# of members

w/BMIRate LCL UCL


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 identification 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)


Historical Rates

Alcohol Assessment - Adult Primary Care

39.9%

55.6% 55.6% 53.6%

65.0%

0%

20%

40%

60%

80%

100%

2009 2010 2011 2012 2013


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 - AdultPrimary Care


1 of 2


size (Denom)

# of members

UTD



Alcohol Assessment - AdultPrimary Care


2 of 2

UCLMedical GroupSample

size (Denom)

# of members

UTDRate LCL


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 identification 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)


Historical Rates

51.9%

66.4% 67.0% 64.5%

77.1%

0%

20%

40%

60%

80%

100%

2009 2010 2011 2012 2013

Alcohol Assessment - Adult OB/GYN


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




Alcohol Assessment - AdultOB/GYN Providers

Adefris & Toppin Women's Specialists, MD, PC 84 64 76.19% 66.61% 84.02%Allina Health 83 61 73.49% 62.72% 82.54%CentraCare Clinics 81 33 40.74% 30.30% 51.86%Clinic Sofia OB/GYN, PA 82 67 81.71% 72.39% 88.81%Comprehensive Healthcare for Women, PA 83 38 45.78% 35.92% 55.92%Essentia Health - SMDC Health System 84 29 34.52% 24.71% 45.44%Fairview Clinics 82 67 81.71% 71.79% 89.26%HealthEast 83 69 83.13% 74.57% 89.53%HealthPartners Central Minnesota Clinics, Inc 83 69 83.13% 74.32% 89.71%HealthPartners Clinics 84 65 77.38% 66.98% 85.78%Integrity - Buffalo 15 7 46.67% 21.63% 73.04%John A. Haugen Associates, PA 83 57 68.67% 57.96% 78.06%Mankato Clinic, Ltd 83 70 84.34% 75.83% 90.57%Mayo Clinic 84 35 41.67% 32.46% 51.39%Mayo Health System Clinics MN 84 48 57.14% 46.57% 67.22%Minnesota Gynecology and Surgery, LLC 83 73 87.95% 79.72% 93.55%Multicare Associates of the Twin Cities 83 41 49.40% 39.60% 59.23%North Clinic, PA 83 43 51.81% 41.13% 62.36%Obstetrics and Gynecology Associates 84 71 84.52% 75.10% 91.42%Park Nicollet Health Services 83 77 92.77% 84.96% 97.28%Paul Larson OB/GYN Clinic, PA 83 78 93.98% 86.87% 97.82%Premier ObGyn of Minnesota 84 71 84.52% 75.05% 91.45%Ridgeview Clinics 82 58 70.73% 60.18% 79.81%St. Luke's Clinics 84 43 51.19% 40.97% 61.33%Stillwater Medical Group 82 59 71.95% 61.22% 81.08%University of MN Physicians 83 72 86.75% 77.96% 92.89%HP Total 2014 (2013 DOS) 2092 1465 77.10% 74.07% 80.13%


size (Denom)

# of members

UTD


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 defined as:• Physical activity for a total of 30 minutes throughout the day for four or more days a week• Healthy eating of five 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 and December 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 office 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.


Optimal Lifestyle — Adults

Historical Rates

3.7% 4.5% 7.4% 8.6% 7.6% 10.1% 8.8% 7.5%

0%

20%

40%

60%

80%

100%

2006 2007 2008* 2009 2010 2011 2012 2013

Optimal Lifestyle - Adults2013 Goal: Silver 16%, Gold 18%

* The 2008 Optimal Lifestyles - Adult measure has been recalculated with the healthy BMI component removed.


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



Optimal Lifestyle - AdultOptimal Measure

Affiliated Community Medical Centers, PA 5.10% 2.15% 8.05%Allina Health 4.90% 1.79% 8.01%Altru Clinics 7.90% 3.82% 11.98%Amery Regional Medical Center Clinics 5.60% 2.65% 8.55%Apple Valley Medical Clinic, Ltd 3.30% 0.81% 5.79%CentraCare Clinics 4.70% 2.07% 7.33%Entira Family Clinics 5.60% 2.41% 8.79%Essentia Health 7.20% 3.60% 10.80%Essentia Health - St. Mary's Regional Health Center 12.50% 7.65% 17.35%Fairview Clinics 9.60% 4.99% 14.21%HealthEast 8.10% 4.07% 12.13%HealthPartners Central Minnesota Clinics, Inc 8.10% 4.26% 11.94%HealthPartners Clinics 7.10% 3.63% 10.57%Hutchinson Medical Center, PA 6.10% 2.83% 9.37%Essentia Health - Innovis Health, LLC 4.00% 1.64% 6.36%Integrity - Buffalo 7.00% 3.29% 10.71%Integrity - St. Cloud 6.60% 2.94% 10.26%Integrity Health Network 6.80% 4.20% 9.40%Lakeview Clinic, Ltd 4.70% 1.97% 7.43%Mayo Clinic 7.10% 3.63% 10.57%Mayo Clinic Health System - Red Wing 11.00% 6.75% 15.27%Mayo Health System Clinics MN 5.70% 2.35% 9.05%Mayo Health System Clinics WI 4.10% 1.45% 6.75%Minnesota Rural Health Cooperative Clinics 4.40% 1.52% 7.28%Multicare Associates of the Twin Cities 4.60% 1.39% 7.81%New Richmond Clinic 7.80% 4.96% 10.64%North Clinic, PA 11.50% 6.61% 16.39%North Memorial Health Care 4.90% 1.99% 7.81%Northwest Family Physicians, PA 7.60% 3.96% 11.24%Olmsted Medical Center Clinics 5.60% 2.73% 8.47%Park Nicollet Health Services 10.10% 5.91% 14.29%Ridgeview Clinics 9.30% 5.29% 13.31%Sanford Health - Fargo 6.20% 2.75% 9.65%St. Croix Regional Medical Center 7.00% 3.87% 10.13%Essentia Health - St. Joseph's Medical Center 4.50% 2.22% 6.78%St. Luke's Clinics 12.10% 7.39% 16.81%Stillwater Medical Group 7.70% 4.00% 11.40%University of MN Physicians 7.00% 2.46% 11.54%Western Wisconsin Medical Associates, SC Clinics 8.30% 4.33% 12.27%HP Total 2014 (2013 DOS) 7.50% 6.90% 8.10%

Medical Group Rate LCL UCL


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



Optimal Lifestyle - AdultPhysical Activity




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



Optimal Lifestyle - AdultHealthy Eating

Affiliated Community Medical Centers, PA 7.30% 3.77% 10.83%Allina Health 8.40% 4.35% 12.45%Altru Clinics 8.70% 4.40% 13.00%Amery Regional Medical Center Clinics 6.70% 3.47% 9.93%Apple Valley Medical Clinic, Ltd 6.10% 2.76% 9.44%CentraCare Clinics 5.70% 2.80% 8.60%Entira Family Clinics 6.80% 3.28% 10.32%Essentia Health 9.80% 5.61% 13.99%Essentia Health - Innovis Health, LLC 6.20% 3.29% 9.11%Essentia Health - St. Joseph's Medical Center 7.40% 4.50% 10.30%Essentia Health - St. Mary's Regional Health Center 13.70% 8.65% 18.75%Fairview Clinics 12.90% 7.64% 18.16%HealthEast 11.20% 6.50% 15.90%HealthPartners Central Minnesota Clinics, Inc 9.80% 5.60% 14.00%HealthPartners Clinics 11.50% 7.18% 15.82%Hutchinson Medical Center, PA 8.00% 4.26% 11.74%Integrity - Buffalo 8.80% 4.67% 12.93%Integrity - St. Cloud 7.40% 3.51% 11.29%Integrity Health Network 8.10% 5.26% 10.94%Lakeview Clinic, Ltd 6.60% 3.38% 9.82%Mayo Clinic 9.00% 5.06% 12.94%Mayo Clinic Health System - Red Wing 12.70% 8.16% 17.24%Mayo Health System Clinics MN 7.50% 3.67% 11.33%Mayo Health System Clinics WI 6.80% 3.43% 10.17%Minnesota Rural Health Cooperative Clinics 5.10% 1.97% 8.23%Multicare Associates of the Twin Cities 5.40% 1.91% 8.89%New Richmond Clinic 10.00% 6.81% 13.19%North Clinic, PA 11.60% 6.66% 16.54%North Memorial Health Care 6.90% 3.47% 10.33%Northwest Family Physicians, PA 11.20% 6.79% 15.61%Olmsted Medical Center Clinics 7.50% 4.19% 10.81%Park Nicollet Health Services 14.10% 9.18% 19.02%Ridgeview Clinics 12.80% 8.16% 17.44%Sanford Health - Fargo 8.10% 4.14% 12.06%St. Croix Regional Medical Center 9.00% 5.46% 12.54%St. Luke's Clinics 14.10% 9.01% 19.19%Stillwater Medical Group 12.20% 7.58% 16.82%University of MN Physicians 11.90% 5.97% 17.83%Western Wisconsin Medical Associates, SC Clinics 9.60% 5.34% 13.86%HP Total 2014 (2013 DOS) 10.70% 10.00% 11.40%



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 - AdultModerate to No Alcohol Use




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 defined as:• Physical activity for a total of 30 minutes throughout the day for four or more days a week• Healthy eating of five 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 and December 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 office 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.


Optimal Lifestyle — Children

Historical Rates

10.8% 7.9% 10.5% 9.8% 9.8% 11.3% 10.7% 10.9%

0%

20%

40%

60%

80%

100%

2006 2007 2008 2009 2010 2011 2012 2013

Optimal Lifestyle - Children


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



Optimal Lifestyle - ChildrenOptimal Measure

Affiliated Community Medical Centers, PA 2.50% 5.79% 0.00%Allina Health 3.70% 7.77% 0.00%CentraCare Clinics 4.50% 8.73% 0.27%Children's Physician Network 3.40% 6.65% 0.15%Entira Family Clinics 4.80% 8.75% 0.85%Essentia Health - St. Mary's Regional Health Center 3.70% 7.21% 0.19%Fairview Clinics 4.00% 7.79% 0.21%HealthEast 2.60% 6.13% 0.00%HealthPartners Central Minnesota Clinics, Inc 1.60% 4.58% 0.00%HealthPartners Clinics 4.30% 8.41% 0.19%Integrity - Buffalo 5.90% 10.77% 1.03%Lakeview Clinic, Ltd 0.80% 2.33% 0.00%Mayo Health System Clinics MN 7.10% 11.98% 2.22%Minnesota Rural Health Cooperative Clinics 2.70% 6.26% 0.00%North Memorial Health Care 1.90% 5.43% 0.00%Park Nicollet Health Services 0.00% 0.00% 0.00%Sanford Health - Fargo 7.50% 13.58% 1.42%Southdale Pediatric Associates, Ltd 0.90% 2.64% 0.00%St. Luke's Clinics 2.10% 4.81% 0.00%Stillwater Medical Group 3.60% 6.62% 0.58%Western Wisconsin Medical Associates, SC Clinics 0.70% 2.01% 0.00%HP Total 2014 (2013 DOS) 10.90% 12.30% 9.50%

Medical Group Rate UCL LCL


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



Optimal Lifestyle - ChildrenPhysical Activity


Medical Group Rate UCL LCL


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



Optimal Lifestyle - ChildrenHealthy Eating




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

DescriptionThe rate represents the percentage of all prescriptions filled with generic drugs for HealthPartners members with a drug benefit.

Methodology — AdministrativeThis measure includes all prescriptions for members with a drug benefit filled between January 1, 2014 and June 30, 2014, whose prescription was filled 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.

Historical Rates

Generic Drug Use - Primary Care2014 Goals: Silver 91%, Gold 93%

70.6% 72.6% 76.0%81.7%

85.5% 87.8% 88.7%

0%

20%

40%

60%

80%

100%

2008 2009 2010 2011 2012 2013 2014


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 UsePrimary Care and Pediatric Groups

AALFA Family Clinic, PA 2,612 465 3,077 84.89%Advanced Medical Clinic 615 93 708 86.86%Allina Health 408,821 50,387 459,208 89.03%Altru Clinics 16,592 2,738 19,330 85.84%Apple Valley Medical Clinic, Ltd 16,483 2,100 18,583 88.70%Associated Medical and Dental Clinic 632 88 720 87.78%Avera Health Clinics 7,464 822 8,286 90.08%Baldwin Area Medical Center 4,764 600 5,364 88.81%Burnsville Family Physicians, PA 4,146 421 4,567 90.78%Catalyst Medical Clinic 1,995 117 2,112 94.46%CentraCare Clinics 48,429 6,296 54,725 88.50%Dr. Bobby Yang Medical Clinic 613 161 774 79.20%Edina Sports Health & Wellness, PA 2,736 393 3,129 87.44%Entira Family Clinics 87,198 12,344 99,542 87.60%Essentia Health - Innovis Health, LLC 18,820 2,655 21,475 87.64%Essentia Health - SMDC Health System 102,196 14,555 116,751 87.53%Essentia Health - St. Joseph's Medical Center 15,103 1,388 16,491 91.58%Essentia Health - St. Mary's Regional Health Center 7,476 734 8,210 91.06%Fairview Clinics 173,900 22,636 196,536 88.48%France Avenue Family Physicians, PA 5,327 804 6,131 86.89%HealthEast 74,937 8,945 83,882 89.34%HealthPartners Central Minnesota Clinics, Inc 54,168 5,822 59,990 90.30%HealthPartners Clinics 853,447 105,973 959,420 88.95%Hennepin County Medical Center 11,799 1,788 13,587 86.84%Hudson Physicians 17,151 2,226 19,377 88.51%Hutchinson Health 9,563 1,082 10,645 89.84%Ilko Family Medicine, PA 749 146 895 83.69%Integrity - Buffalo 18,576 2,194 20,770 89.44%Integrity - Northern 8,778 1,146 9,924 88.45%Integrity - St. Cloud 30,736 3,476 34,212 89.84%Integrity Health Network 89.50%Lakeview Clinic, Ltd 24,755 2,849 27,604 89.68%Lakewood Clinic 10,235 1,901 12,136 84.34%Mayo Clinic Health System - Red Wing 10,982 1,459 12,441 88.27%Mayo Health System Clinics MN 43,016 4,638 47,654 90.27%Minnesota Rural Health Cooperative Clinics 20,454 2,565 23,019 88.86%Multicare Associates of the Twin Cities 13,315 1,627 14,942 89.11%New Richmond Clinic 8,577 891 9,468 90.59%North Clinic, PA 29,112 3,404 32,516 89.53%North Memorial Health Care 44,211 5,887 50,098 88.25%Northfield Hospital Clinics 4,479 485 4,964 90.23%

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Brand Rx Count

Percent Generic (Rate)Medical Group Generic Rx

Count

Total Rx Count

(Denom)

Primary Care Groups



Generic Drug UsePrimary Care and Pediatric Groups

Northwest Family Physicians, PA 15,381 1,883 17,264 89.09%Olmsted Medical Center Clinics 9,950 1,138 11,088 89.74%Osceola Medical Center 7,222 987 8,209 87.98%Park Nicollet Health Services 329,510 43,003 372,513 88.46%Richfield Medical Group 4,312 471 4,783 90.15%Ridgeview Clinics 19,276 2,283 21,559 89.41%River Falls Medical Clinic 13,215 1,655 14,870 88.87%Sanford - Bismarck 678 79 757 89.56%Sanford Health 87.49%Sanford Health - Fargo 26,354 3,552 29,906 88.12%Sanford Health - Sioux Falls 5,324 792 6,116 87.05%St. Croix Regional Medical Center 17,925 2,762 20,687 86.65%St. Luke's Clinics 30,167 4,316 34,483 87.48%St. Paul Family Medical Center 479 87 566 84.63%Stillwater Medical Group 54,146 7,392 61,538 87.99%University of MN Physicians 28,040 4,671 32,711 85.72%Valley Family Practice 1,653 263 1,916 86.27%Western Wisconsin Medical Associates, SC Clinics 89.08%

Children's Physician Network 27,904 4,225 32,129 86.85%Southdale Pediatric Associates, Ltd 4,707 829 5,536 85.03%HP Total 2014 (2014 DOS) 2,810,527 358,610 3,169,137 88.68%

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Pediatric Groups

Medical Group Generic Rx Count

Brand Rx Count

Total Rx Count

(Denom)

Percent Generic (Rate)


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


Methodology — AdministrativeThis measure includes all prescriptions for members with a drug benefit filled between January 1, 2014 and June 30, 2014, whose prescription was filled 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.


Generic Drug Use — Specialty Care

Historical Rates

63.1% 67.5% 71.0%

81.8%86.9% 89.8%

97.2%

0%

20%

40%

60%

80%

100%

2008 2009 2010 2012 2013 20142011

Generic Drug Use - Behavioral Health2014 Goals: Silver 92%, Gold 94%

71.1% 71.6% 74.2% 75.7%84.3%

90.4% 91.2%

0%

20%

40%

60%

80%

100%

2008 2009 2010 2011 2012 2013 2014

Generic Drug Use - Cardiology2014 Goals: Silver 92%, Gold 95%

90.6% 90.5% 92.5% 93.6% 93.7% 94.1% 94.4%

0%

20%

40%

60%

80%

100%

2008 2009 2010 2011 2012 2013 2014

Generic Drug Use - Orthopaedics

68.2% 71.4% 75.0%81.7% 84.5% 86.7% 87.3%

0%

20%

40%

60%

80%

100%

2008 2009 2010 2012 2013 20142011

Generic Drug Use - OB/GYN2014 Goals: Silver 88%, Gold 90%


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




Generic Drug UseBehavioral Health Providers

Allina Health 6259 226 6485 96.52%Aspire Mental Health, LLC 836 75 911 91.77%Associated Clinic of Psychology 2277 78 2355 96.69%Avera Health Clinics 211 8 219 96.35%BHSI, LLC 2997 89 3086 97.12%Canvas Health, Inc 470 10 480 97.92%Carver County Mental Health Program 331 12 343 96.50%Central Minnesota Mental Health Center 1107 17 1124 98.49%Children's Health Care 444 17 461 96.31%Clinical Psychopharmacology Consultants, PA 293 3 296 98.99%Community Univ Health Care Center (CUHCC) 410 11 421 97.39%David D. Gulden, MD 297 19 316 93.99%David L. Sudduth, MD 475 0 475 100.00%Dr. Sujit R. Varma, Inc 267 7 274 97.45%Essentia Health - SMDC Health System 1491 29 1520 98.09%Essentia Health - St. Joseph's Medical Center 566 16 582 97.25%Family Life Mental Health Center 1121 14 1135 98.77%Gundersen Lutheran Clinics 381 2 383 99.48%Hazelden Foundation 235 4 239 98.33%Headway Emotional Health Services 201 13 214 93.93%HealthEast 368 0 368 100.00%Hennepin County Human Services & Public Health Department 488 12 500 97.60%HealthPartners Clinics 16970 341 17311 98.03%Hennepin County Medical Center 952 12 964 98.76%Hutchinson Health 520 10 530 98.11%Innovative Psychological Consultants 324 7 331 97.89%Juliette Petersen, MD 452 10 462 97.84%Kevin A. O'Connor, MD 436 6 442 98.64%Lakeland Mental Health Center, Inc 728 14 742 98.11%Mankato Clinic, Ltd 373 0 373 100.00%Mayo Clinic 439 1 440 99.77%Mayo Health System Clinics MN 217 4 221 98.19%Mayo Health System Clinics WI 210 7 217 96.77%Mental Health Counseling Services, LLC 359 2 361 99.45%Minneapolis Clinical Assoc In Psych 524 21 545 96.15%

Page 1 of 2

Brand Rx Count


Count

Total Rx Count

(Denom)



Generic Drug UseBehavioral Health Providers

Minnesota Psychological Resources 573 27 600 95.50%Molly V. Silas, MD 556 45 601 92.51%North Metro Psychiatry 1044 88 1132 92.23%Nystrom & Associates, Ltd 5697 255 5952 95.72%Oak Ridge Center, PLLC 441 9 450 98.00%Olmsted Medical Center Clinics 278 17 295 94.24%Park Nicollet Health Services 10850 188 11038 98.30%Paul T. Richardson, MD LLC 404 2 406 99.51%People Incorporated 265 1 266 99.62%PrairieCare Medical Group 1831 33 1864 98.23%Psych Business Services, Ltd 689 11 700 98.43%Psych Recovery, Inc 2803 153 2956 94.82%Ramsey County Mental Health Center 453 0 453 100.00%Relate Counseling Center 443 33 476 93.07%River Valley Behavioral Health & Wellness Center, LLC 462 16 478 96.65%Sanford Health - Fargo 764 0 764 100.00%Schwieters Medical PLLC 275 18 293 93.86%St. Cloud Hospital 2001 76 2077 96.34%St. Croix Regional Medical Center 243 17 260 93.46%St. Luke's Clinics 181 35 216 83.80%Stone Creek Psychiatry, LLC 733 47 780 93.97%The Calli Institute, LLC 249 3 252 98.81%The Emily Program 919 8 927 99.14%University of MN Physicians 2307 15 2322 99.35%Volunteers of America Mental Health Clinics 501 36 537 93.30%Washburn Center For Children 276 0 276 100.00%West End Consultation Group 302 11 313 96.49%William L. Clapp, MD 235 16 251 93.63%Zvi Frankfurt, MD 431 31 462 93.29%HP Total 2014 (2014 DOS) 87854 2493 90347 97.24%

2 of 2


Brand Rx Count

Total Rx Count

(Denom)



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----- 2014 Goal (Silver 92%, Gold 95%)

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



Generic Drug UseCardiology Providers

Allina Health 27738 3307 31045 89.35%Altru Clinics 413 35 448 92.19%Aspirus Network, Inc 56 3 59 94.92%Avera Health Hospitals 304 42 346 87.86%CentraCare Clinics 4431 241 4672 94.84%Children's Heart Clinic, PA 297 12 309 96.12%David G. Fine, MD 225 18 243 92.59%Essentia Health - Innovis Health, LLC 380 15 395 96.20%Essentia Health - SMDC Health System 3375 416 3791 89.03%Essentia Health - St. Joseph's Medical Center 453 14 467 97.00%Gundersen Lutheran Clinics 221 12 233 94.85%HealthEast Heart Care 4853 543 5396 89.94%HealthPartners Clinics 24101 1868 25969 92.81%Hennepin County Medical Center 795 54 849 93.64%Lyle J. Swenson, MD, PA 219 7 226 96.90%Mankato Clinic, Ltd 74 0 74 100.00%Mark W. Erhard, MD, PA 258 35 293 88.05%Mayo Clinic 2733 327 3060 89.31%Mayo Clinic Health System - Red Wing 156 14 170 91.76%Mayo Health System Clinics MN 160 13 173 92.49%Mayo Health System Clinics WI 608 39 647 93.97%Murad Heart Care 291 72 363 80.17%North Memorial Cardiolvascular Services 485 10 495 97.98%North Memorial Health Care 6127 409 6536 93.74%OakLeaf Medical Network 148 29 177 83.62%Olmsted Medical Center Clinics 100 2 102 98.04%Park Nicollet Health Services 9495 756 10251 92.63%Prairie Lakes Health Care System 38 0 38 100.00%Preventive Cardiology Consultants, PA 41 2 43 95.35%PrimeCare Health Group 25 7 32 78.13%Sanford Health - Fargo 596 57 653 91.27%Sanford Health - Sioux Falls 135 17 152 88.82%St. Luke's Clinics 986 145 1131 87.18%Stillwater Medical Group 1178 91 1269 92.83%The Heart Institute of North Dakota 53 8 61 86.89%University of MN Physicians Heart at Fairview 13141 1525 14666 89.60%HP Total 2014 (2014 DOS) 104752 10145 114897 91.17%

Brand Rx Count


Count

Total Rx Count

(Denom)


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

Northfield Hospital Clinics




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



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


Medical Groups with <200 prescriptions are not displayed.

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




Generic Drug UseOB/GYN Providers

Adefris & Toppin Women's Specialists, MD, PC 864 66 930 92.90%Advanced Specialty Care for Women, PA 392 101 493 79.51%Affiliated Community Medical Centers, PA 464 50 514 90.27%Allina Health 23941 3249 27190 88.05%Avera Health Clinics 349 12 361 96.68%CentraCare Clinics 6285 660 6945 90.50%Children's Physician Network 321 16 337 95.25%Clinic Sofia OB/GYN, PA 1438 231 1669 86.16%Comprehensive Healthcare for Women, PA 926 100 1026 90.25%Cuyuna Regional Medical Center Clinic 240 49 289 83.04%Douglas County Hospital 252 28 280 90.00%Essentia Health - Brainerd Medical Center, Inc. 594 62 656 90.55%Essentia Health - Innovis Health, LLC 1778 255 2033 87.46%Essentia Health - SMDC Health System 5726 943 6669 85.86%Essentia Health - St. Mary's Regional Health Center 416 30 446 93.27%Fairview Clinics 7724 873 8597 89.85%FirstLight Health System 246 12 258 95.35%Generations Women's Health Center, PA 483 72 555 87.03%Gundersen Lutheran Clinics 461 43 504 91.47%HealthEast 855 72 927 92.23%HealthPartners Clinics 35876 4598 40474 88.64%Hennepin County Medical Center 783 89 872 89.79%Hudson Physicians 1441 184 1625 88.68%Hutchinson Health 927 69 996 93.07%Integrity - Buffalo 1791 83 1874 95.57%Integrity - Northern 502 42 544 92.28%Integrity - St. Cloud 1000 101 1101 90.83%John A. Haugen Associates, PA 3076 463 3539 86.92%Kathleen Sulentich, MD 241 39 280 86.07%Lake Region Hospital 256 13 269 95.17%Lakeview Clinic, Ltd 1191 135 1326 89.82%Lakewood Clinic 198 48 246 80.49%Mankato Clinic, Ltd 1171 159 1330 88.05%Mayo Clinic 361 92 453 79.69%Mayo Clinic Health System - Red Wing 693 125 818 84.72%Mayo Health System Clinics MN 1928 203 2131 90.47%Mayo Health System Clinics WI 417 55 472 88.35%Metropolitan Urologic Specialists, PA 969 352 1321 73.35%

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Brand Rx Count


Count

Total Rx Count

(Denom)



Generic Drug UseOB/GYN Providers

Midwest Institute of Urology, PA 555 591 1146 48.43%Minnesota Gynecology and Surgery, LLC 1078 248 1326 81.30%Minnesota Rural Health Cooperative Clinics 393 21 414 94.93%Multicare Associates of the Twin Cities 920 76 996 92.37%New Richmond Clinic 191 13 204 93.63%North Clinic, PA 1589 135 1724 92.17%Northfield Hospital Clinics 337 40 377 89.39%NorthPoint Health & Wellness Center 251 52 303 82.84%Obstetrics and Gynecology Associates 7577 1518 9095 83.31%Olmsted Medical Center Clinics 420 37 457 91.90%Open Cities Health Center 271 42 313 86.58%Park Nicollet Health Services 26677 4391 31068 85.87%Paul Larson OB/GYN Clinic, PA 1697 307 2004 84.68%Planned Parenthood of Minnesota, North Dakota, South Dakota 3031 365 3396 89.25%Premier ObGyn of Minnesota 14677 2490 17167 85.48%Ridgeview Clinics 2870 319 3189 90.00%Sanford Health - Fargo 1340 141 1481 90.48%Sanford Health - Sioux Falls 230 22 252 91.27%St Paul-Ramsey County Department of Public Health 204 26 230 88.70%St. Croix Regional Medical Center 363 53 416 87.26%St. Luke's Clinics 753 136 889 84.70%Stillwater Medical Group 3968 768 4736 83.78%Unity Family Healthcare 311 34 345 90.14%University of MN Physicians 2784 408 3192 87.22%West Side Community Health Center 487 62 549 88.71%Western Wisconsin Medical Associates, SC Clinics 512 40 552 92.75%Winona Health Services 959 109 1068 89.79%HP Total 2014 (2014 DOS) 184991 26812 211803 87.34%

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Brand Rx Count

Total Rx Count

(Denom)



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

OakLeaf Medical Network

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 UseOrthopaedic Providers

Advanced Spine Associates, PA 139 7 146 95.21%Allina Health 1144 80 1224 93.46%Douglas County Hospital 174 16 190 91.58%Essentia Health - Innovis Health, LLC 193 45 238 81.09%Essentia Health - SMDC Health System 758 27 785 96.56%Fairview Clinics 505 14 519 97.30%Gundersen Lutheran Clinics 134 7 141 95.04%HealthPartners Clinics 4020 162 4182 96.13%Hennepin County Medical Center 309 2 311 99.36%Institute for Low Back and Neck Care 119 9 128 92.97%Integrity - Northern 397 19 416 95.43%Mayo Clinic 248 26 274 90.51%Mayo Clinic Health System - Red Wing 133 3 136 97.79%Mayo Health System Clinics MN 220 10 230 95.65%Mayo Health System Clinics WI 106 6 112 94.64%Midwest Spine Institute, LLC 304 19 323 94.12%Northern Orthopedics, Ltd 376 6 382 98.43%OakLeaf Medical Network 175 9 184 95.11%Orthopaedic & Fracture Clinic, PA 286 13 299 95.65%Park Nicollet Health Services 2354 155 2509 93.82%Sanford Health - Fargo 174 6 180 96.67%St. Cloud Orthopedic Associates, Ltd 941 49 990 95.05%St. Croix Orthopaedics, PA 2315 152 2467 93.84%St. Croix Regional Medical Center 203 12 215 94.42%Summit Orthopedics, Ltd 4110 201 4311 95.34%Twin Cities Orthopedics, PA 6686 508 7194 92.94%Unity Family Healthcare 212 17 229 92.58%University of MN Physicians 925 41 966 95.76%HP Total 2014 (2014 DOS) 28814 1702 30516 94.42%

Brand Rx Count


Count

Total Rx Count

(Denom)


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


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

Results

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

Generic Drug Use Rate 87.2%

Historical Rates

76.6%80.8% 83.7% 86.0% 87.2%

0%

20%

40%

60%

80%

100%

2010 2011 2012 2013 2014

Generic Drug Use - Pharmacy2014 Goals: Silver 89%, Gold 91%


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


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



Generic Drug UsePharmacy

Allina Health 28,607 3,152 31,759 90.08%Boynton Health Service Pharmacy 6,587 657 7,244 90.93%Coborn's/Cash Wise 104,082 12,846 116,928 89.01%Costco 29,208 3,307 32,515 89.83%CVS Pharmacy 250,746 35,592 286,338 87.57%Essentia Health - SMDC Health System 65,988 11,746 77,734 84.89%Fairview Clinics 73,350 11,462 84,812 86.49%Goodrich Pharmacy 21,412 2,290 23,702 90.34%HealthPartners Central Minnesota Clinics, Inc 22,255 2,459 24,714 90.05%HealthPartners Clinics 305,885 42,330 348,215 87.84%HealthPartners Mail Order Pharmacy 431,485 76,585 508,070 84.93%Kmart 20,300 2,835 23,135 87.75%Lunds and Byerly's 26,606 3,854 30,460 87.35%Mattson Pharmacy 10,990 1,812 12,802 85.85%Park Nicollet Health Services 106,262 15,851 122,113 87.02%Regions Hospital 32,339 4,042 36,381 88.89%Setzer Pharmacy 8,817 1,481 10,298 85.62%Shopko 50,246 6,614 56,860 88.37%St. Paul Corner Drug 8,419 1,249 9,668 87.08%SuperValu/Cub 211,649 29,868 241,517 87.63%Target 529,657 68,376 598,033 88.57%The Medicine Shoppe 7,142 854 7,996 89.32%Thrifty Drug Stores 58,809 7,426 66,235 88.79%Walgreens 1,166,558 170,675 1,337,233 87.24%Wal-Mart/Sam’s Club 259,089 31,121 290,210 89.28%HP Total 2014 (2014 DOS) 4,549,117 670,082 5,219,199 87.16%

Brand Rx Count

Percent GenericMedical Group Generic Rx

Count

Total Rx Count

(Denom)


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 medica-tion 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 defined 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 specifications and includes all members ages 18 years and older as of December 31, 2013, from all products except Medicare Cost with a drug benefit who were continuously enrolled from January 1, 2013 to December 31, 2013. Population identification 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 qualified 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%


Historical Rates

80.6% 79.5%83.6% 85.5% 85.2% 85.5% 85.4%

81.1% 80.9%84.7% 86.5% 86.2% 85.5% 85.4%

0%

20%

40%

60%

80%

100%

2007 2008 2009 2010 2011 2012 2013ACE/ARB Diuretics

2009

Annual Monitoring for Patients on Persistent MedicationsPrimary Care 2013 Goals for ACE/ARB and Diuretics: Silver 90%, Gold 95%

Annual Monitoring for Patients on Persistent Medications Primary Care


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




Annual Monitoring for Patients on Persistent Medications - Primary CareACE/ARB

Affiliated Community Medical Centers, PA 70 56 80.00%Allina Health 2856 2453 85.89%Altru Clinics 227 159 70.04%Amery Regional Medical Center Clinics 65 55 84.62%Apple Valley Medical Clinic, Ltd 165 130 78.79%Avera Health Clinics 92 70 76.09%Burnsville Family Physicians, PA 65 56 86.15%CentraCare Clinics 316 258 81.65%Douglas County Hospital 30 26 86.67%Entira Family Clinics 648 583 89.97%Essentia Health - Innovis Health, LLC 167 144 86.23%Essentia Health - SMDC Health System 897 785 87.51%Essentia Health - St. Joseph's Medical Center 190 165 86.84%Essentia Health - St. Mary's Regional Health Center 81 61 75.31%Fairview Clinics 1442 1251 86.75%France Avenue Family Physicians, PA 37 34 91.89%Grand Itasca Clinic & Hospital 135 101 74.81%Gundersen Lutheran Clinics 46 41 89.13%HealthEast 457 404 88.40%HealthPartners Central Minnesota Clinics, Inc 300 268 89.33%HealthPartners Clinics 5316 4653 87.53%Hennepin County Medical Center 71 59 83.10%Hudson Physicians 108 86 79.63%Hutchinson Health 99 83 83.84%Integrity - Buffalo 94 84 89.36%Integrity - Northern 33 25 75.76%Integrity - St. Cloud 157 140 89.17%Lakeview Clinic, Ltd 205 164 80.00%Mankato Clinic, Ltd 83 54 65.06%Mayo Clinic 86 66 76.74%Mayo Clinic Health System - Red Wing 40 37 92.50%Mayo Health System Clinics MN 310 242 78.06%Mayo Health System Clinics WI 39 33 84.62%Minnesota Rural Health Cooperative Clinics 98 73 74.49%Multicare Associates of the Twin Cities 135 123 91.11%New Richmond Clinic 48 41 85.42%

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Medical Group

Eligible Members on Medication

(Denom)

Members with Monitoring

TestingRate



Annual Monitoring for Patients on Persistent Medications - Primary CareACE/ARB

North Clinic, PA 207 173 83.57%North Memorial Health Care 352 304 86.36%Northwest Family Physicians, PA 109 95 87.16%Olmsted Medical Center Clinics 53 46 86.79%Open Cities Health Center 49 40 81.63%Osceola Medical Center 35 31 88.57%Park Nicollet Health Services 2356 2046 86.84%Richfield Medical Group 40 29 72.50%Ridgeview Clinics 145 125 86.21%River Falls Medical Clinic 42 37 88.10%Sanford Health - Fargo 153 117 76.47%Sanford Health - Sioux Falls 32 27 84.38%St. Croix Regional Medical Center 123 103 83.74%St. Luke's Clinics 136 109 80.15%Stillwater Medical Group 337 268 79.53%Surgical Consultants 49 30 61.22%Tri-County Hospital, Inc 34 24 70.59%United Family Medicine 48 40 83.33%Unity Family Healthcare 105 87 82.86%University of MN Physicians 136 108 79.41%West Side Community Health Center 72 61 84.72%Winona Health Services 66 57 86.36%HP Total 2014 (2013 DOS) 20737 17702 85.36%

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Medical Group


(Denom)


TestingRate


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 - Primary CareDiuretics

Affiliated Community Medical Centers, PA 60 51 85.00%Allina Health 2131 1863 87.42%Altru Clinics 159 103 64.78%Amery Regional Medical Center Clinics 41 31 75.61%Apple Valley Medical Clinic, Ltd 103 86 83.50%Avera Health Clinics 72 53 73.61%Burnsville Family Physicians, PA 53 47 88.68%CentraCare Clinics 206 165 80.10%Entira Family Clinics 484 435 89.88%Essentia Health - Innovis Health, LLC 147 127 86.39%Essentia Health - SMDC Health System 672 583 86.76%Essentia Health - St. Joseph's Medical Center 146 124 84.93%Essentia Health - St. Mary's Regional Health Center 75 49 65.33%Fairview Clinics 966 845 87.47%Grand Itasca Clinic & Hospital 150 120 80.00%HealthEast 358 307 85.75%HealthPartners Central Minnesota Clinics, Inc 257 230 89.49%HealthPartners Clinics 4873 4269 87.61%Hennepin County Medical Center 63 53 84.13%Hudson Physicians 93 72 77.42%Hutchinson Health 55 48 87.27%Integrity - Buffalo 87 71 81.61%Integrity - St. Cloud 115 102 88.70%Lakeview Clinic, Ltd 151 118 78.15%Mankato Clinic, Ltd 50 29 58.00%Mayo Clinic 64 49 76.56%Mayo Clinic Health System - Red Wing 34 31 91.18%Mayo Health System Clinics MN 249 190 76.31%Mayo Health System Clinics WI 36 32 88.89%Minnesota Rural Health Cooperative Clinics 76 55 72.37%Multicare Associates of the Twin Cities 84 74 88.10%New Richmond Clinic 35 32 91.43%North Clinic, PA 196 163 83.16%North Memorial Health Care 292 250 85.62%Northwest Family Physicians, PA 86 75 87.21%Olmsted Medical Center Clinics 47 39 82.98%

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TestingRateMedical Group


(Denom)



Annual Monitoring for Patients on Persistent Medications - Primary CareDiuretics

Open Cities Health Center 45 34 75.56%Park Nicollet Health Services 1985 1714 86.35%Ridgeview Clinics 110 93 84.55%Sanford Health - Fargo 126 96 76.19%St. Croix Regional Medical Center 100 81 81.00%St. Luke's Clinics 89 73 82.02%Stillwater Medical Group 249 213 85.54%United Family Medicine 52 45 86.54%Unity Family Healthcare 48 40 83.33%University of MN Physicians 120 92 76.67%West Side Community Health Center 58 47 81.03%Winona Health Services 46 40 86.96%HP Total 2014 (2013 DOS) 16664 14235 85.42%

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Medical GroupEligible

Members on Medication


TestingRate


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 defined 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 specifications and includes all members ages 18 years and older as of December 31, 2013, from all products except Medicare Cost with a drug benefit who were continuously enrolled from January 1, 2013 to December 31, 2013. Population identification 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 qualified 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%


Annual Monitoring for Patients on Persistent Medications Cardiology

Historical Rates

77.3% 77.3%81.7% 84.5% 85.4% 84.4% 84.7%87.8% 88.3% 89.5% 91.5% 91.6% 90.6% 91.9%

0%

20%

40%

60%

80%

100%

2007 2008 2009 2010 2012ACE/ARB Diuretics

2011 2013

Annual Monitoring for Patients on Persistent MedicationsCardiology 2013 Goals for ACE/ARB and Diuretics: Silver 90%, Gold 95%


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



Annual Monitoring for Patients on Persistent Medications - CardiologyACE/ARB

Allina Health 360 302 83.89%CentraCare Clinics 51 48 94.12%Essentia Health - SMDC Health System 51 47 92.16%Fairview Clinics 107 82 76.64%HealthEast 61 53 86.89%HealthPartners Clinics 278 256 92.09%Mayo Clinic 43 29 67.44%North Memorial Cardiovascular Services 82 67 81.71%Park Nicollet Health Services 131 121 92.37%University of MN Physicians Heart at Fairview 94 70 74.47%HP Total 2014 (2013 DOS) 1366 1157 84.70%




(Denom)


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



Annual Monitoring for Patients on Persistent Medications - CardiologyDiuretics

Allina Health 164 148 90.24%Fairview Clinics 38 32 84.21%HealthEast 36 34 94.44%HealthPartners Clinics 170 160 94.12%North Memorial Cardiovascular Services 47 43 91.49%Park Nicollet Health Services 74 71 95.95%University of MN Physicians Heart at Fairview 45 41 91.11%HP Total 2014 (2013 DOS) 689 633 91.87%




(Denom)


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 filled divided by the number of days from the date of the first fill 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 defined 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-inflammatory or inhaled/oral bronchodilator medications or;

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

The eligible population for members with a diagnosis of COPD is defined 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 filled 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 modifiers, mast cell stabilizers, bronchodilators, systemic corticosteroids


Medication Adherence for Asthma/COPD – Pharmacy

Historical Rates

35.8% 39.5% 40.1%47.1%

0%

20%

40%

60%

80%

100%

2011 2012 2013 2014

Medication Adherence for Asthma/COPD - Pharmacy2014 Goals: Silver 50%, Gold 63%


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 Asthma/COPDPharmacy

Coborn's/Cash Wise 140 32.73%Costco 33 39.29%CVS Pharmacy 442 44.35%Essentia Health - SMDC Health System 177 59.35%Fairview Clinics 92 43.28%Goodrich Pharmacy 45 27.78%HealthPartners Clinics 288 39.81%HealthPartners Mail Order Pharmacy 747 71.69%Kmart 32 48.15%Lunds and Byerly's 46 38.46%Park Nicollet Health Services 214 39.34%Regions Hospital 68 50.00%Setzer Pharmacy 15 50.00%Shopko 127 52.17%SuperValu/Cub 335 46.56%Target 980 45.52%Thrifty Drug Stores 67 53.85%Walgreens 2,101 42.70%Wal-Mart/Sam’s Club 342 40.87%HP Total 2014 (2013 DOS) 5,992 47.10%

RateMedical Group Denom


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 filled divided by the number of days from the date of the first fill 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 defined as having had, within the previous 15 months:

one or more prescription fills 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 filled 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 defined using GPI code 27 and route of admin of Oral

Historical Rates

75.8% 75.6%80.8%

0%

20%

40%

60%

80%

100%

2013 20142012

Medication Adherence for Diabetes - Pharmacy2014 Goals: Silver 85%, Gold 89%


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



Medication Adherence for DiabetesPharmacy

Allina Health 45 84.62%Coborn's/Cash Wise 304 82.35%Costco 72 84.00%CVS Pharmacy 630 77.20%Essentia Health - SMDC Health System 332 84.55%Fairview Clinics 179 78.35%Goodrich Pharmacy 49 75.00%HealthPartners Central Minnesota Clinics, Inc 39 65.38%HealthPartners Clinics 637 76.43%HealthPartners Mail Order Pharmacy 1,506 89.71%Kmart 85 77.19%Lunds and Byerly's 49 77.42%Mattson Pharmacy 58 73.68%Park Nicollet Health Services 337 79.80%Regions Hospital 108 76.39%Setzer Pharmacy 31 88.89%Shopko 206 77.62%SuperValu/Cub 694 83.15%Target 1,438 81.95%Thrifty Drug Stores 147 84.69%Walgreens 3,365 79.71%Wal-Mart/Sam’s Club 1,146 77.14%HP Total 2014 (2013 DOS) 9,004 80.76%

RateMedical Group Denom


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 identified 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 filled 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.

Historical Rates

11.4% 9.2%

0%

20%

40%

60%

80%

100%

2013 2014

Potentially Inappropriate Medications - Pharmacy


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



Potentially Inappropriate MedicationsPharmacy

Allina Health 188 17 9.04%Coborn's/Cash Wise 603 75 12.44%Costco 522 39 7.47%CVS Pharmacy 1,483 151 10.18%Essentia Health - SMDC Health System 340 35 10.29%Fairview Clinics 520 57 10.96%Goodrich Pharmacy 207 14 6.76%HealthPartners Central Minnesota Clinics, Inc 309 36 11.65%HealthPartners Clinics 5,139 379 7.37%HealthPartners Mail Order Pharmacy 11,576 1,145 9.89%Kmart 295 30 10.17%Lunds and Byerly's 458 42 9.17%Park Nicollet Health Services 1,103 77 6.98%Regions Hospital 129 13 10.08%Setzer Pharmacy 156 10 6.41%Shopko 372 24 6.45%St. Paul Corner Drug 157 17 10.83%SuperValu/Cub 2,783 264 9.49%Target 4,492 408 9.08%The Medicine Shoppe 99 10 10.10%Thrifty Drug Stores 668 75 11.23%Walgreens 10,659 997 9.35%Wal-Mart/Sam’s Club 2,634 232 8.81%HP Total 2014 (2013 DOS) 52,434 4,826 9.20%

RateMedical Group Denom Numerator


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 defined as an initial office visit for low back pain and does NOT include any of the following services in the first 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 benefit. A newly diagnosed episode of acute low back pain for a member is defined 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 first six weeks following diagnosis are excluded. Population identification 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 first six weeks 90.8%No injection in first six weeks 97.7%No narcotic prescription in first six weeks 78.6%No surgical consultation in first six weeks 98.8%

Historical Rates

62.3% 63.7% 62.4%68.7% 68.7% 70.2%

0%

20%

40%

60%

80%

100%

2008 2009 2010 2011 2012 2013

Acute Low Back Pain - Members Optimally Managed


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



Optimal Care for Acute Low Back Pain

Allina Health 1,617 1,069 66.10%Altru Clinics 45 25 55.60%Amery Regional Medical Center Clinics 61 31 50.80%Apple Valley Medical Clinic, Ltd 87 57 65.50%CentraCare Clinics 152 94 61.80%Community Univ Health Care Center (CUHCC) 31 24 77.40%Douglas County Hospital 37 20 54.10%Entira Family Clinics 328 230 70.10%Essentia Health - Innovis Health, LLC 55 34 61.80%Essentia Health - SMDC Health System 332 223 67.20%Essentia Health - St. Joseph's Medical Center 71 51 71.80%Fairview Clinics 810 544 67.20%Grand Itasca Clinic & Hospital 32 23 71.90%HealthEast 271 184 67.90%HealthPartners Central Minnesota Clinics, Inc 156 99 63.50%HealthPartners Clinics 3,404 2,590 76.10%Hennepin County Medical Center 50 36 72.00%Hudson Physicians 107 72 67.30%Hutchinson Health 55 42 76.40%Integrity - Buffalo 72 36 50.00%Integrity - Northern 59 34 57.60%Integrity - St. Cloud 97 59 60.80%Lakeview Clinic, Ltd 114 64 56.10%Mayo Clinic 51 39 76.50%Mayo Health System Clinics MN 134 96 71.60%Mayo Health System Clinics WI 82 56 68.30%Minnesota Rural Health Cooperative Clinics 85 48 56.50%Multicare Associates of the Twin Cities 110 77 70.00%New Richmond Clinic 42 33 78.60%North Clinic, PA 101 67 66.30%North Memorial Health Care 219 145 66.20%NorthPoint Health & Wellness Center 36 28 77.80%Northwest Family Physicians, PA 85 55 64.70%Olmsted Medical Center Clinics 54 39 72.20%Open Cities Health Center 32 12 37.50%Osceola Medical Center 36 27 75.00%Park Nicollet Health Services 1,318 993 75.30%Ridgeview Clinics 68 48 70.60%River Falls Medical Clinic 67 44 65.70%

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Medical Group # of cases (Denom)

# meeting criteria Rate



Optimal Care for Acute Low Back Pain

Sanford Health - Fargo 113 73 64.60%St. Croix Regional Medical Center 50 32 64.00%St. Luke's Clinics 108 81 75.00%Stillwater Medical Group 307 204 66.40%United Family Medicine 43 32 74.40%University of MN Physicians 183 147 80.30%West Side Community Health Center 59 39 66.10%Winona Health Services 38 25 65.80%HP Total 2014 (2013 DOS) 14,230 9,993 70.20%

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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



Low Back Pain - Imaging

Allina Health 1,617 137 91.50%Altru Clinics 45 9 80.00%Amery Regional Medical Center Clinics 61 8 86.90%Apple Valley Medical Clinic, Ltd 87 12 86.20%CentraCare Clinics 152 18 88.20%Community Univ Health Care Center (CUHCC) 31 2 93.50%Douglas County Hospital 37 7 81.10%Entira Family Clinics 328 26 92.10%Essentia Health - Innovis Health, LLC 55 6 89.10%Essentia Health - SMDC Health System 332 41 87.70%Essentia Health - St. Joseph's Medical Center 71 3 95.80%Fairview Clinics 810 85 89.50%Grand Itasca Clinic & Hospital 32 2 93.80%HealthEast 271 33 87.80%HealthPartners Central Minnesota Clinics, Inc 156 20 87.20%HealthPartners Clinics 3,404 260 92.40%Hennepin County Medical Center 50 5 90.00%Hudson Physicians 107 9 91.60%Hutchinson Health 55 6 89.10%Integrity - Buffalo 72 10 86.10%Integrity - Northern 59 10 83.10%Integrity - St. Cloud 97 15 84.50%Lakeview Clinic, Ltd 114 15 86.80%Mayo Clinic 51 3 94.10%Mayo Health System Clinics MN 134 8 94.00%Mayo Health System Clinics WI 82 9 89.00%Minnesota Rural Health Cooperative Clinics 85 13 84.70%Multicare Associates of the Twin Cities 110 11 90.00%New Richmond Clinic 42 1 97.60%North Clinic, PA 101 9 91.10%North Memorial Health Care 219 32 85.40%NorthPoint Health & Wellness Center 36 1 97.20%Northwest Family Physicians, PA 85 9 89.40%Olmsted Medical Center Clinics 54 10 81.50%Open Cities Health Center 32 2 93.80%Osceola Medical Center 36 4 88.90%Park Nicollet Health Services 1,318 115 91.30%Ridgeview Clinics 68 5 92.60%River Falls Medical Clinic 67 5 92.50%

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Number w/o Imaging Rate



Low Back Pain - Imaging


2 of 2




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



Low Back Pain - Injections


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Number w/o Injections Rate



Low Back Pain - Injections


2 of 2




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



Low Back Pain - Narcotics Use


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Number w/o Narcotics Rate



Low Back Pain - Narcotics Use


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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



Low Back Pain - Surgical Consult


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Number w/o Surgical Consult

Rate



Low Back Pain - Surgical Consult


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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 identification 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 reflects a combination of administrative and chart abstracted data. Members are attributed to the primary care provider group with the most office 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 five years) 90.8% (± 2.2) √ √Colorectal cancer screening (colonoscopy last ten years, flex sig last five years or FOBT in 2013) 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 specifications) 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) √



Preventive Services — Adult Primary Care

Historical Rates

81.4%74.0%

78.1%

0%

20%

40%

60%

80%

100%

2011 2012 2013

Preventive Services (Combination 3) - Adult Primary Care2013 Goals: Silver 90%, Gold 93%


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 1/1/2013 - 12/31/2013

Confidence Interval



Preventive Services, Adult - Members Up-to-DatePrimary Care, Combination 3


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Rate LCL UCLMedical Group Sample size (Denom)

# of members UTD



Preventive Services, Adult - Members Up-to-DatePrimary Care, Combination 3


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Medical Group Sample size (Denom)

# of members UTD Rate LCL UCL


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, AdultPrimary Care, Combination 6


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# of members UTD



Preventive Services, AdultPrimary Care, Combination 6


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Preventive Services, AdultPrimary CareAll Individual Components

Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLAALFA Family Clinic, PA 105 105 100.00% 97.05% 100.00% 46 45 97.83% 89.04% 99.82% 35 27 77.14% 60.65% 89.01%Advanced Medical Clinic 36 36 100.00% 98.40% 100.00% 20 15 75.00% 58.66% 86.08% 9 0 0.00% 0.00% 29.25%Allina Health 105 101 96.19% 90.54% 98.95% 62 56 90.32% 80.12% 96.36% 42 38 90.48% 77.38% 97.34%Altru Clinics 105 105 100.00% 96.66% 100.00% 43 39 90.70% 78.03% 97.32% 26 18 69.23% 48.38% 85.55%Apple Valley Medical Clinic, Ltd 105 104 99.05% 94.91% 99.95% 62 56 90.32% 80.26% 96.28% 47 30 63.83% 48.68% 77.19%Associated Medical and Dental Clinic 62 62 100.00% 100.00% 100.00% 56 55 98.21% 95.80% 98.76% 43 35 81.40% 73.20% 87.05%Avera Health Clinics 105 103 98.10% 93.59% 99.66% 48 38 79.17% 65.41% 89.24% 35 22 62.86% 45.29% 78.21%Baldwin Area Medical Center 105 102 97.14% 92.35% 99.20% 57 46 80.70% 68.70% 89.51% 44 34 77.27% 62.71% 88.11%Burnsville Family Physicians, PA 105 101 96.19% 90.90% 98.77% 67 61 91.04% 81.91% 96.41% 48 31 64.58% 49.90% 77.45%Catalyst Medical Clinic 106 104 98.11% 94.48% 99.38% 61 55 90.16% 81.14% 95.51% 33 28 84.85% 69.23% 94.21%CentraCare Clinics 103 102 99.03% 94.76% 99.96% 54 50 92.59% 82.17% 97.91% 40 23 57.50% 40.97% 72.88%Dr. Bobby Yang Medical Clinic 52 50 96.15% 96.15% 96.15% 26 25 96.15% 84.99% 98.80% 19 7 36.84% 20.47% 56.60%Edina Sports Health & Wellness, PA 105 104 99.05% 95.17% 99.90% 62 59 95.16% 86.93% 98.80% 52 41 78.85% 65.85% 88.53%Entira Family Clinics 105 103 98.10% 93.31% 99.76% 66 61 92.42% 83.23% 97.48% 51 39 76.47% 62.54% 87.18%Essentia Health - Innovis Health, LLC 105 105 100.00% 96.65% 100.00% 43 38 88.37% 75.07% 96.02% 34 22 64.71% 46.66% 80.11%Essentia Health - SMDC Health System 105 101 96.19% 90.56% 98.94% 63 58 92.06% 82.47% 97.36% 47 38 80.85% 66.77% 90.83%Essentia Health - St. Joseph's Medical Center 105 104 99.05% 94.91% 99.95% 70 65 92.86% 84.26% 97.56% 60 44 73.33% 60.52% 83.77%Essentia Health - St. Mary's Regional Health Center 105 105 100.00% 96.85% 100.00% 60 56 93.33% 84.26% 97.92% 48 39 81.25% 67.90% 90.67%Fairview Clinics 105 102 97.14% 91.89% 99.40% 57 51 89.47% 78.50% 96.03% 41 36 87.80% 73.81% 95.91%France Avenue Family Physicians, PA 105 105 100.00% 96.76% 100.00% 68 63 92.65% 84.02% 97.38% 46 31 67.39% 52.39% 80.12%

Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLAALFA Family Clinic, PA 18 14 77.78% 52.95% 93.22% 69 54 78.26% 67.76% 86.46% 7 5 71.43% 29.42% 96.11%Advanced Medical Clinic 7 0 0.00% 0.00% 36.88% 13 5 38.46% 18.65% 62.59% 7 4 57.14% 22.26% 86.82%Allina Health 20 19 95.00% 75.13% 99.87% 32 25 78.13% 60.03% 90.72% 19 16 84.21% 60.43% 96.61%Altru Clinics 17 11 64.71% 38.46% 85.68% 42 33 78.57% 63.38% 89.56% 1 1 100.00% 2.53% 100.00%Apple Valley Medical Clinic, Ltd 27 19 70.37% 49.94% 86.15% 46 36 78.26% 63.78% 88.94% 15 13 86.67% 59.63% 98.30%Associated Medical and Dental Clinic 10 9 90.00% 58.40% 98.93% 8 7 87.50% 50.03% 98.87% 22 20 90.91% 74.79% 97.31%Avera Health Clinics 12 10 83.33% 51.81% 97.81% 34 29 85.29% 69.27% 94.85% 1 0 0.00% 0.00% 97.44%Baldwin Area Medical Center 15 12 80.00% 52.26% 95.47% 39 23 58.97% 42.65% 73.93% 1 1 100.00% 2.58% 100.00%Burnsville Family Physicians, PA 24 19 79.17% 58.16% 92.67% 50 41 82.00% 68.97% 91.14% 10 7 70.00% 34.97% 93.19%Catalyst Medical Clinic 14 13 92.86% 66.88% 99.62% 36 34 94.44% 82.30% 98.96% 11 10 90.91% 59.43% 99.58%CentraCare Clinics 20 14 70.00% 45.78% 88.06% 51 37 72.55% 58.34% 84.04% 5 4 80.00% 28.39% 99.48%Dr. Bobby Yang Medical Clinic 6 2 33.33% 6.05% 75.08% 16 9 56.25% 34.31% 76.22% 9 8 88.89% 55.12% 98.74%Edina Sports Health & Wellness, PA 34 30 88.24% 72.97% 96.48% 61 55 90.16% 80.31% 96.01% 7 7 100.00% 59.26% 100.00%Entira Family Clinics 31 24 77.42% 58.93% 90.39% 42 37 88.10% 74.40% 96.00% 16 13 81.25% 54.38% 95.94%Essentia Health - Innovis Health, LLC 20 16 80.00% 56.47% 94.19% 57 47 82.46% 70.29% 91.12% 4 3 75.00% 19.47% 99.34%Essentia Health - SMDC Health System 27 26 96.30% 81.05% 99.90% 37 30 81.08% 64.87% 92.02% 13 10 76.92% 46.20% 94.95%Essentia Health - St. Joseph's Medical Center 37 32 86.49% 71.36% 95.38% 50 41 82.00% 68.72% 91.31% 13 11 84.62% 54.65% 98.04%Essentia Health - St. Mary's Regional Health Center 28 24 85.71% 67.74% 95.74% 55 41 74.55% 61.60% 84.85% 4 4 100.00% 39.95% 100.00%Fairview Clinics 17 14 82.35% 56.58% 96.20% 48 43 89.58% 77.35% 96.52% 11 11 100.00% 71.52% 100.00%France Avenue Family Physicians, PA 22 14 63.64% 40.94% 82.56% 43 34 79.07% 64.33% 89.69% 11 9 81.82% 48.43% 97.62%

Medical Group Blood Pressure Cholesterol Colon Cancer Screening

Medical Group Mammography Pap Pneumococcal




Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLAALFA Family Clinic, PA . . . . . 105 105 100.00% 97.05% 100.00% 100 95 95.00% 89.58% 97.90%Advanced Medical Clinic . . . . . 36 36 100.00% 98.40% 100.00% 36 36 100.00% 98.40% 100.00%Allina Health 3 1 33.33% 0.84% 90.57% 105 104 99.05% 94.81% 99.97% 105 95 90.48% 83.19% 95.33%Altru Clinics 6 3 50.00% 11.88% 88.12% 105 95 90.48% 83.42% 95.18% 102 87 85.29% 77.17% 91.34%Apple Valley Medical Clinic, Ltd 4 0 0.00% 0.00% 60.18% 105 103 98.10% 93.40% 99.73% 105 96 91.43% 84.52% 95.90%Associated Medical and Dental Clinic . . . . . 62 62 100.00% 100.00% 100.00% 62 62 100.00% 100.00% 100.00%Avera Health Clinics 1 0 0.00% 0.00% 97.44% 105 101 96.19% 90.89% 98.78% 105 93 88.57% 81.37% 93.62%Baldwin Area Medical Center 2 1 50.00% 1.34% 98.66% 105 102 97.14% 92.35% 99.20% 105 97 92.38% 86.16% 96.27%Burnsville Family Physicians, PA . . . . . 105 105 100.00% 96.77% 100.00% 105 97 92.38% 85.98% 96.37%Catalyst Medical Clinic 3 2 66.67% 9.77% 98.97% 106 105 99.06% 95.85% 99.76% 106 88 83.02% 76.52% 88.05%CentraCare Clinics 3 2 66.67% 9.45% 99.15% 103 94 91.26% 84.15% 95.87% 100 90 90.00% 82.47% 95.04%Dr. Bobby Yang Medical Clinic . . . . . 52 52 100.00% 100.00% 100.00% 52 45 86.54% 86.54% 86.54%Edina Sports Health & Wellness, PA 4 4 100.00% 39.95% 100.00% 105 104 99.05% 95.17% 99.90% 105 102 97.14% 92.32% 99.22%Entira Family Clinics 6 3 50.00% 11.82% 88.18% 105 105 100.00% 96.57% 100.00% 105 99 94.29% 88.01% 97.86%Essentia Health - Innovis Health, LLC 4 1 25.00% 0.66% 80.53% 105 104 99.05% 94.93% 99.95% 98 92 93.88% 87.33% 97.62%Essentia Health - SMDC Health System 2 2 100.00% 15.82% 100.00% 105 104 99.05% 94.83% 99.97% 104 94 90.38% 83.06% 95.27%Essentia Health - St. Joseph's Medical Center 2 2 100.00% 15.85% 100.00% 105 105 100.00% 96.63% 100.00% 102 100 98.04% 93.22% 99.72%Essentia Health - St. Mary's Regional Health Center 3 1 33.33% 0.92% 90.43% 105 104 99.05% 95.17% 99.90% 103 88 85.44% 77.82% 91.09%Fairview Clinics 2 2 100.00% 15.81% 100.00% 105 103 98.10% 93.30% 99.76% 101 96 95.05% 88.84% 98.37%France Avenue Family Physicians, PA 2 1 50.00% 1.31% 98.69% 105 105 100.00% 96.76% 100.00% 105 105 100.00% 96.76% 100.00%

Medical Group Chlamydia Tobacco BMI




Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLHealthEast 105 104 99.05% 94.83% 99.97% 60 57 95.00% 86.11% 98.94% 49 40 81.63% 68.02% 91.21%HealthPartners Central Minnesota Clinics, Inc 102 102 100.00% 96.49% 100.00% 61 55 90.16% 79.88% 96.26% 39 32 82.05% 66.53% 92.42%HealthPartners Clinics 105 105 100.00% 96.55% 100.00% 64 60 93.75% 84.77% 98.27% 46 40 86.96% 73.75% 95.06%Hennepin County Medical Center 104 101 97.12% 92.08% 99.28% 60 52 86.67% 75.74% 93.85% 41 27 65.85% 49.73% 79.63%Hudson Physicians 105 101 96.19% 90.63% 98.91% 51 39 76.47% 62.62% 87.12% 35 20 57.14% 39.45% 73.59%Hutchinson Health 105 104 99.05% 94.97% 99.94% 58 43 74.14% 61.24% 84.52% 42 29 69.05% 53.16% 82.17%Ilko Family Medicine, PA 103 101 98.06% 96.48% 98.61% 61 59 96.72% 91.19% 98.69% 40 33 82.50% 70.16% 90.71%Integrity - Buffalo 104 99 95.19% 89.24% 98.37% 42 35 83.33% 68.74% 92.96% 29 15 51.72% 32.62% 70.46%Integrity - Northern 104 101 97.12% 92.03% 99.30% 66 54 81.82% 70.71% 90.00% 53 28 52.83% 38.95% 66.39%Integrity - St. Cloud 104 103 99.04% 94.85% 99.96% 46 42 91.30% 79.32% 97.52% 36 27 75.00% 57.92% 87.79%Integrity Health Network 105 102 97.14% 91.92% 99.39% 48 42 87.50% 74.80% 95.24% 36 20 55.56% 38.14% 72.02%Lakeview Clinic, Ltd 105 101 96.19% 90.62% 98.91% 59 53 89.83% 79.26% 96.12% 44 29 65.91% 50.18% 79.42%Lakewood Clinic 105 104 99.05% 95.27% 99.88% 57 47 82.46% 70.80% 90.75% 48 39 81.25% 68.04% 90.58%Mayo Clinic Health System - Red Wing 105 103 98.10% 93.52% 99.69% 64 57 89.06% 79.05% 95.30% 52 40 76.92% 63.48% 87.22%Mayo Health System Clinics MN 105 104 99.05% 94.86% 99.96% 61 52 85.25% 73.91% 92.97% 47 35 74.47% 59.73% 85.99%Minnesota Rural Health Cooperative Clinics 105 102 97.14% 92.02% 99.35% 62 52 83.87% 72.51% 91.86% 53 38 71.70% 57.84% 83.06%Multicare Associates of the Twin Cities 103 99 96.12% 90.50% 98.86% 57 55 96.49% 88.01% 99.53% 43 30 69.77% 54.04% 82.68%New Richmond Clinic 104 103 99.04% 94.90% 99.94% 50 41 82.00% 68.77% 91.28% 36 25 69.44% 52.09% 83.49%North Clinic, PA 104 99 95.19% 89.22% 98.38% 57 53 92.98% 83.07% 98.02% 38 34 89.47% 75.26% 97.02%North Memorial Health Care 105 104 99.05% 94.84% 99.97% 63 61 96.83% 89.04% 99.60% 52 39 75.00% 61.11% 85.92%


Mammography Pap Pneumococcal


Medical Group





Medical Group Chlamydia Tobacco BMI




Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLNorthfield Hospital Clinics 105 102 97.14% 92.30% 99.23% 48 38 79.17% 65.51% 89.16% 26 14 53.85% 33.76% 73.04%Northwest Family Physicians, PA 105 103 98.10% 93.41% 99.72% 64 57 89.06% 78.92% 95.39% 47 38 80.85% 66.91% 90.73%Olmsted Medical Center Clinics 105 103 98.10% 93.44% 99.72% 63 55 87.30% 76.70% 94.23% 47 32 68.09% 53.09% 80.74%Osceola Medical Center 105 104 99.05% 95.03% 99.93% 65 56 86.15% 75.68% 93.23% 41 31 75.61% 60.01% 87.40%Park Nicollet Health Services 105 104 99.05% 94.81% 99.97% 59 54 91.53% 81.33% 97.19% 43 34 79.07% 63.97% 89.95%Richfield Medical Group 105 103 98.10% 93.90% 99.55% 74 67 90.54% 82.28% 95.62% 51 43 84.31% 72.18% 92.46%Ridgeview Clinics 105 104 99.05% 94.91% 99.95% 65 54 83.08% 71.91% 91.11% 41 30 73.17% 57.21% 85.66%River Falls Medical Clinic 105 105 100.00% 96.62% 100.00% 58 48 82.76% 70.72% 91.30% 47 27 57.45% 42.33% 71.60%Sanford Health 104 102 98.08% 93.30% 99.74% 57 46 80.70% 68.19% 89.88% 42 26 61.90% 45.73% 76.34%Sanford Health - Fargo 105 103 98.10% 93.37% 99.74% 61 54 88.52% 77.88% 95.19% 44 29 65.91% 50.19% 79.41%Sanford Health - Sioux Falls 101 101 100.00% 96.75% 100.00% 42 35 83.33% 69.20% 92.65% 29 13 44.83% 26.93% 63.79%St. Croix Regional Medical Center 105 104 99.05% 94.92% 99.95% 64 54 84.38% 73.31% 92.12% 48 36 75.00% 60.58% 86.23%St. Luke's Clinics 105 104 99.05% 94.87% 99.96% 80 67 83.75% 73.93% 90.97% 56 39 69.64% 56.02% 81.13%St. Paul Family Medical Center 82 82 100.00% 100.00% 100.00% 40 29 72.50% 60.77% 81.73% 22 5 22.73% 9.98% 42.10%Stillwater Medical Group 104 103 99.04% 94.79% 99.97% 62 57 91.94% 82.21% 97.31% 46 33 71.74% 56.58% 83.98%University of MN Physicians 105 100 95.24% 89.35% 98.38% 38 33 86.84% 72.01% 95.53% 25 19 76.00% 54.96% 90.58%Valley Family Practice 105 100 95.24% 92.00% 96.96% 64 61 95.31% 88.98% 98.11% 45 33 73.33% 60.59% 83.40%Western Wisconsin Medical Associates, SC Clinics 105 99 94.29% 88.02% 97.85% 58 51 87.93% 76.75% 94.98% 47 35 74.47% 59.70% 86.02%HP Total 2014 (2013 DOS) 5882 5772 98.27% 97.63% 98.92% 3300 2917 90.79% 88.57% 93.02% 2406 1720 80.17% 76.72% 83.61%

Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLNorthfield Hospital Clinics 11 10 90.91% 58.98% 99.70% 40 31 77.50% 62.02% 88.82% 10 8 80.00% 44.65% 97.35%Northwest Family Physicians, PA 17 12 70.59% 44.15% 89.61% 33 23 69.70% 51.44% 84.29% 9 8 88.89% 51.83% 99.69%Olmsted Medical Center Clinics 18 17 94.44% 72.82% 99.83% 41 32 78.05% 62.57% 89.30% 13 13 100.00% 75.39% 100.00%Osceola Medical Center 12 6 50.00% 21.26% 78.74% 36 26 72.22% 55.12% 85.56% 6 5 83.33% 36.01% 99.53%Park Nicollet Health Services 29 24 82.76% 64.23% 94.15% 55 49 89.09% 77.76% 95.88% 9 8 88.89% 51.75% 99.72%Richfield Medical Group 20 17 85.00% 62.63% 96.52% 25 21 84.00% 64.50% 95.13% 19 19 100.00% 82.74% 100.00%Ridgeview Clinics 23 16 69.57% 47.20% 86.70% 44 36 81.82% 67.44% 91.71% 9 5 55.56% 21.27% 86.24%River Falls Medical Clinic 18 14 77.78% 52.46% 93.53% 34 21 61.76% 43.69% 77.72% 7 6 85.71% 42.19% 99.62%Sanford Health 17 11 64.71% 38.39% 85.74% 31 20 64.52% 45.45% 80.70% 8 8 100.00% 63.10% 100.00%Sanford Health - Fargo 20 17 85.00% 62.18% 96.75% 38 28 73.68% 57.00% 86.52% 15 12 80.00% 51.98% 95.63%Sanford Health - Sioux Falls 17 13 76.47% 50.51% 92.93% 41 23 56.10% 40.36% 70.95% 3 3 100.00% 29.43% 100.00%St. Croix Regional Medical Center 28 24 85.71% 67.46% 95.90% 44 33 75.00% 59.83% 86.68% 10 6 60.00% 26.32% 87.78%St. Luke's Clinics 29 24 82.76% 64.30% 94.11% 36 29 80.56% 64.06% 91.75% 22 14 63.64% 40.73% 82.74%St. Paul Family Medical Center 13 0 0.00% 0.00% 22.66% 39 20 51.28% 39.33% 63.09% 22 16 72.73% 53.10% 86.88%Stillwater Medical Group 23 16 69.57% 47.11% 86.77% 41 35 85.37% 70.86% 94.41% 17 14 82.35% 56.59% 96.19%University of MN Physicians 8 5 62.50% 24.54% 91.44% 39 27 69.23% 52.54% 82.89% 6 6 100.00% 54.12% 100.00%Valley Family Practice 20 13 65.00% 42.48% 83.24% 37 27 72.97% 58.17% 84.44% 6 5 83.33% 36.85% 99.25%Western Wisconsin Medical Associates, SC Clinics 30 23 76.67% 57.76% 90.04% 43 34 79.07% 64.00% 89.92% 6 5 83.33% 35.90% 99.57%HP Total 2014 (2013 DOS) 1158 888 86.46% 83.68% 89.24% 2337 1806 81.28% 77.26% 85.30% 577 483 86.95% 82.13% 91.78%

Pneumococcal


Medical Group Mammography Pap




Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLNorthfield Hospital Clinics 4 1 25.00% 0.70% 80.43% 105 97 92.38% 86.08% 96.31% 103 92 89.32% 82.29% 94.14%Northwest Family Physicians, PA 7 0 0.00% 0.00% 40.89% 105 99 94.29% 88.14% 97.78% 105 93 88.57% 81.09% 93.81%Olmsted Medical Center Clinics 2 0 0.00% 0.00% 84.14% 105 88 83.81% 75.61% 90.08% 105 96 91.43% 84.57% 95.86%Osceola Medical Center 4 2 50.00% 6.84% 93.16% 105 102 97.14% 92.15% 99.29% 105 97 92.38% 85.90% 96.43%Park Nicollet Health Services 1 0 0.00% 0.00% 97.50% 105 103 98.10% 93.30% 99.77% 104 93 89.42% 81.87% 94.59%Richfield Medical Group 2 1 50.00% 1.37% 98.63% 105 103 98.10% 93.90% 99.55% 105 90 85.71% 78.58% 91.00%Ridgeview Clinics 1 1 100.00% 2.52% 100.00% 105 105 100.00% 96.63% 100.00% 105 94 89.52% 82.21% 94.53%River Falls Medical Clinic 4 1 25.00% 0.65% 80.54% 105 100 95.24% 89.37% 98.37% 105 102 97.14% 91.99% 99.36%Sanford Health 7 1 14.29% 0.37% 57.83% 104 103 99.04% 94.82% 99.96% 103 87 84.47% 76.12% 90.76%Sanford Health - Fargo 3 1 33.33% 0.86% 90.54% 105 105 100.00% 96.61% 100.00% 103 88 85.44% 77.26% 91.51%Sanford Health - Sioux Falls 3 3 100.00% 29.43% 100.00% 101 101 100.00% 96.75% 100.00% 101 86 85.15% 77.49% 90.84%St. Croix Regional Medical Center 4 2 50.00% 6.80% 93.20% 105 102 97.14% 92.01% 99.35% 101 98 97.03% 91.70% 99.32%St. Luke's Clinics . . . . . 105 105 100.00% 96.60% 100.00% 105 97 92.38% 85.64% 96.59%St. Paul Family Medical Center 6 5 83.33% 37.65% 98.97% 82 82 100.00% 100.00% 100.00% 70 66 94.29% 91.12% 95.87%Stillwater Medical Group 5 3 60.00% 14.68% 94.72% 104 101 97.12% 91.83% 99.39% 104 95 91.35% 84.25% 95.94%University of MN Physicians 9 8 88.89% 51.81% 99.70% 105 102 97.14% 91.97% 99.37% 98 89 90.82% 83.41% 95.63%Valley Family Practice 2 2 100.00% 16.38% 100.00% 105 104 99.05% 96.76% 99.55% 105 83 79.05% 74.18% 83.00%Western Wisconsin Medical Associates, SC Clinics 3 0 0.00% 0.00% 70.75% 105 100 95.24% 89.28% 98.41% 105 91 86.67% 78.70% 92.47%HP Total 2014 (2013 DOS) 171 88 33.72% 25.74% 41.70% 5883 5720 98.39% 97.90% 98.89% 5798 5213 91.22% 89.43% 93.01%

ChlamydiaMedical Group Tobacco BMI

Clinical Indicator Matrix of Required Services2014 Adult Preventive Services - Combination 3

Reporting for Measurement Year 2013

Age:Service Timeframe 19 20-23 24 25-49 50 51 52-64 65 66-67 68-74 75 76-80 81+* Tobacco Assessment in the measurement year x x x x x x x x x x x x x BMI Assessment in the measurement year x x x x x x x x x x x x x* Blood Pressure last 2 years x x x x x x x x x x x x x* Cholesterol, total and HDL or lipid pane last 5 years x x x x x x x x x* Colon Cancer Screen x x x x x x

FOBT (set of 3), or in measurement year Flex sig or Double Contrast BE, or last 5 years CT Colonography last 5 years Colonoscopy last 10 years

* Mammogram last 2 years x x x x x* Pap Smear last 3 years x x x x x Alcohol Assessment in measurement year x x x x x x x x x x x x* Pneumovax Immunization 1 ever x x x x x* Chlamydia Screening in measurement year x1 x1 x1

* Included in Preventive Services Combination 3 Data gathered from preventive services sample for stand alone measure reporting

1 HEDIS codes will be applied to determine if member meets criteria as "sexually active". Will only include if member does meet criteria.

Age:Service Timeframe 19 20-23 24-39 40-50 51-64 65 66-67 68-75 76-80 81+* Tobacco Assessment in measurement year x x x x x x x x x x BMI Assessment in measurement year x x x x x x x x x x* Blood Pressure last 2 years x x x x x x x x x x* Cholesterol, total and HDL or lipid pane last 5 years x x x x x x x* Colon Cancer Screen x x x x


Alcohol Assessment in measurement year x x x x x x x x x* Pneumovax Immunization 1 ever x x x x * Included in Preventive Services Combination 3 Data gathered from preventive services sample for stand alone measure reporting

Preventive Services matrix per ICSI Preventive Services guideline September, 2011Note: Chlamydia, Cervical Cancer and Colon Cancer Screening aligns with HEDIS age specifications; Breast Cancer Screening aligns with ICSI age specificatiions

FEMALES

MALES


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 identification 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 reflects a combination of administrative and chart abstracted data. Members are attributed to the OB/GYN provider group with the most office 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 five years) 96.0% (± 1.9)Colorectal cancer screening (colonoscopy last ten years, flex sig last five years or FOBT in 2013) 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 specifications) 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)



Preventive Services — Adult OB/GYN

Historical Rates

90.2% 88.4% 90.2%

0%

20%

40%

60%

80%

100%

2011 2012 2013

Preventive Services (Combination 3) - Adult OB/GYN


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, Adult, Members Up-to-DateOB/GYN Providers, Combination 3

Adefris & Toppin Women's Specialists, MD, PC 84 81 96.43% 90.51% 99.00%Allina Health 84 78 92.86% 85.14% 97.31%CentraCare Clinics 83 76 91.57% 83.66% 96.38%Clinic Sofia OB/GYN, PA 84 74 88.10% 79.87% 93.68%Comprehensive Healthcare for Women, PA 83 64 77.11% 67.65% 84.76%Essentia Health - SMDC Health System 84 72 85.71% 76.58% 92.24%Fairview Clinics 82 72 87.80% 78.86% 93.90%HealthEast 83 78 93.98% 87.44% 97.51%HealthPartners Central Minnesota Clinics, Inc 83 79 95.18% 88.82% 98.32%HealthPartners Clinics 84 81 96.43% 89.93% 99.25%Integrity - Buffalo 83 81 97.59% 92.04% 99.54%John A. Haugen Associates, PA 84 70 83.33% 73.97% 90.31%Mankato Clinic, Ltd 84 74 88.10% 80.23% 93.44%Mayo Clinic 84 50 59.52% 49.78% 68.67%Mayo Health System Clinics MN 84 66 78.57% 68.89% 86.28%Minnesota Gynecology and Surgery, LLC 84 59 70.24% 60.20% 78.92%Multicare Associates of the Twin Cities 84 67 79.76% 70.83% 86.77%North Clinic, PA 83 73 87.95% 79.41% 93.76%Obstetrics and Gynecology Associates 84 79 94.05% 86.74% 97.99%Park Nicollet Health Services 84 74 88.10% 79.24% 94.11%Paul Larson OB/GYN Clinic, PA 84 76 90.48% 82.51% 95.54%Premier ObGyn of Minnesota 84 73 86.90% 77.83% 93.24%Ridgeview Clinics 84 69 82.14% 72.74% 89.28%St. Luke's Clinics 85 57 67.06% 56.93% 76.06%Stillwater Medical Group 84 71 84.52% 75.23% 91.32%University of MN Physicians 84 68 80.95% 71.39% 88.34%HP Total 2014 (2013 DOS) 2177 1862 90.17% 88.21% 92.14%


# of members UTD



Preventive Services, AdultOB/GYNAll Individual Components

Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLAdefris & Toppin Women's Specialists, MD, PC 84 84 100.00% 96.09% 100.00% 14 14 100.00% 77.17% 100.00% 12 11 91.67% 61.90% 99.69%Allina Health 84 83 98.81% 93.57% 99.96% 28 27 96.43% 81.68% 99.90% 24 21 87.50% 67.67% 97.33%CentraCare Clinics 83 83 100.00% 95.80% 100.00% 17 17 100.00% 80.62% 100.00% 17 15 88.24% 63.72% 98.47%Clinic Sofia OB/GYN, PA 84 82 97.62% 92.12% 99.55% 9 9 100.00% 66.64% 100.00% 8 7 87.50% 47.63% 99.60%Comprehensive Healthcare for Women, PA 83 82 98.80% 94.01% 99.85% 16 13 81.25% 54.86% 95.68% 14 13 92.86% 66.57% 99.71%Essentia Health - SMDC Health System 84 84 100.00% 95.80% 100.00% 23 20 86.96% 66.54% 97.16% 19 15 78.95% 54.56% 93.87%Fairview Clinics 82 80 97.56% 91.56% 99.67% 23 22 95.65% 78.13% 99.87% 19 17 89.47% 66.94% 98.67%HealthEast 83 83 100.00% 96.20% 100.00% 4 3 75.00% 19.73% 99.23% 4 3 75.00% 19.73% 99.23%HealthPartners Central Minnesota Clinics, Inc 83 83 100.00% 96.09% 100.00% 14 13 92.86% 66.56% 99.71% 10 8 80.00% 44.80% 97.28%HealthPartners Clinics 84 84 100.00% 95.72% 100.00% 25 25 100.00% 86.29% 100.00% 22 19 86.36% 65.10% 97.09%Integrity - Buffalo 15 15 100.00% 78.50% 100.00% 2 2 100.00% 15.97% 100.00% 2 2 100.00% 15.97% 100.00%John A. Haugen Associates, PA 84 84 100.00% 95.86% 100.00% 17 16 94.12% 71.48% 99.81% 15 12 80.00% 52.09% 95.57%Mankato Clinic, Ltd 84 84 100.00% 96.20% 100.00% 13 12 92.31% 64.46% 99.68% 13 13 100.00% 75.72% 100.00%Mayo Clinic 84 68 80.95% 72.28% 87.65% 36 35 97.22% 86.13% 99.78% 33 25 75.76% 58.66% 88.24%Mayo Health System Clinics MN 84 82 97.62% 92.03% 99.58% 23 21 91.30% 72.28% 98.80% 20 16 80.00% 56.67% 94.06%Minnesota Gynecology and Surgery, LLC 84 82 97.62% 92.17% 99.53% 44 35 79.55% 65.34% 89.73% 37 24 64.86% 48.10% 79.25%Multicare Associates of the Twin Cities 84 81 96.43% 90.71% 98.91% 16 15 93.75% 70.30% 99.71% 14 10 71.43% 42.47% 91.22%North Clinic, PA 83 83 100.00% 95.87% 100.00% 21 21 100.00% 84.09% 100.00% 17 15 88.24% 63.81% 98.44%Obstetrics and Gynecology Associates 84 83 98.81% 93.60% 99.96% 26 24 92.31% 74.93% 99.03% 24 22 91.67% 73.06% 98.95%Park Nicollet Health Services 84 84 100.00% 95.72% 100.00% 25 25 100.00% 86.30% 100.00% 21 15 71.43% 47.85% 88.70%Paul Larson OB/GYN Clinic, PA 84 84 100.00% 95.91% 100.00% 39 35 89.74% 76.09% 96.97% 34 32 94.12% 80.59% 99.18%Premier ObGyn of Minnesota 84 81 96.43% 89.95% 99.24% 25 23 92.00% 74.00% 99.00% 22 17 77.27% 54.66% 92.16%Ridgeview Clinics 84 84 100.00% 95.91% 100.00% 20 20 100.00% 83.35% 100.00% 18 12 66.67% 41.25% 86.45%St. Luke's Clinics 85 70 82.35% 73.38% 89.16% 25 20 80.00% 59.79% 92.86% 22 14 63.64% 41.14% 82.40%Stillwater Medical Group 84 84 100.00% 95.81% 100.00% 19 16 84.21% 60.55% 96.55% 18 14 77.78% 52.50% 93.51%University of MN Physicians 84 84 100.00% 95.91% 100.00% 9 9 100.00% 66.54% 100.00% 8 7 87.50% 47.52% 99.63%HP Total 2014 (2013 DOS) 2109 2061 98.89% 98.28% 99.50% 533 492 95.96% 94.06% 97.87% 467 379 82.58% 76.93% 88.24%

Colon Cancer ScreeningMedical Group Blood Pressure Cholesterol




Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLAdefris & Toppin Women's Specialists, MD, PC 11 11 100.00% 71.83% 100.00% 77 75 97.40% 91.47% 99.49% . . . . .Allina Health 21 19 90.48% 69.65% 98.81% 66 65 98.48% 91.87% 99.96% 1 1 100.00% 2.51% 100.00%CentraCare Clinics 15 15 100.00% 78.33% 100.00% 70 66 94.29% 86.24% 98.31% 2 2 100.00% 15.88% 100.00%Clinic Sofia OB/GYN, PA 7 7 100.00% 59.29% 100.00% 72 70 97.22% 90.77% 99.50% . . . . .Comprehensive Healthcare for Women, PA 12 10 83.33% 52.03% 97.71% 74 68 91.89% 83.96% 96.51% 1 1 100.00% 2.61% 100.00%Essentia Health - SMDC Health System 18 17 94.44% 72.81% 99.83% 64 60 93.75% 84.92% 98.19% 2 2 100.00% 15.86% 100.00%Fairview Clinics 16 15 93.75% 69.84% 99.82% 65 63 96.92% 89.42% 99.59% 5 4 80.00% 28.41% 99.48%HealthEast 4 4 100.00% 40.11% 100.00% 81 77 95.06% 88.72% 98.20% . . . . .HealthPartners Central Minnesota Clinics, Inc 9 9 100.00% 66.72% 100.00% 65 65 100.00% 94.91% 100.00% . . . . .HealthPartners Clinics 20 20 100.00% 83.17% 100.00% 70 70 100.00% 94.88% 100.00% 3 3 100.00% 29.25% 100.00%Integrity - Buffalo 2 2 100.00% 15.97% 100.00% 13 12 92.31% 64.31% 99.72% . . . . .John A. Haugen Associates, PA 14 14 100.00% 76.97% 100.00% 74 67 90.54% 81.77% 95.93% 3 1 33.33% 0.88% 90.50%Mankato Clinic, Ltd 12 10 83.33% 52.09% 97.68% 74 71 95.95% 89.35% 98.83% . . . . .Mayo Clinic 32 30 93.75% 79.91% 98.96% 55 48 87.27% 76.54% 94.08% 7 5 71.43% 29.49% 96.07%Mayo Health System Clinics MN 18 17 94.44% 72.98% 99.79% 67 60 89.55% 80.13% 95.40% 2 1 50.00% 1.33% 98.67%Minnesota Gynecology and Surgery, LLC 31 31 100.00% 89.12% 100.00% 64 62 96.88% 89.66% 99.44% 7 6 85.71% 42.42% 99.54%Multicare Associates of the Twin Cities 11 10 90.91% 59.21% 99.64% 71 62 87.32% 78.32% 93.35% 1 0 0.00% 0.00% 97.37%North Clinic, PA 16 16 100.00% 79.60% 100.00% 66 63 95.45% 87.61% 98.91% 6 4 66.67% 22.43% 95.57%Obstetrics and Gynecology Associates 18 18 100.00% 81.51% 100.00% 80 79 98.75% 93.29% 99.96% 1 1 100.00% 2.51% 100.00%Park Nicollet Health Services 18 18 100.00% 81.49% 100.00% 72 68 94.44% 86.41% 98.45% 4 4 100.00% 39.78% 100.00%Paul Larson OB/GYN Clinic, PA 29 29 100.00% 88.25% 100.00% 67 67 100.00% 94.85% 100.00% 5 4 80.00% 28.51% 99.44%Premier ObGyn of Minnesota 18 16 88.89% 65.32% 98.61% 68 68 100.00% 94.74% 100.00% 6 4 66.67% 22.30% 95.66%Ridgeview Clinics 18 16 88.89% 65.53% 98.53% 71 67 94.37% 86.53% 98.28% . . . . .St. Luke's Clinics 20 20 100.00% 83.48% 100.00% 67 61 91.04% 82.14% 96.28% 2 1 50.00% 1.35% 98.65%Stillwater Medical Group 15 11 73.33% 45.03% 92.13% 60 57 95.00% 86.23% 98.89% 3 3 100.00% 29.30% 100.00%University of MN Physicians 8 8 100.00% 63.22% 100.00% 71 59 83.10% 72.76% 90.64% 2 1 50.00% 1.31% 98.69%HP Total 2014 (2013 DOS) 413 393 95.75% 93.18% 98.33% 1744 1650 97.14% 96.14% 98.15% 63 48 89.94% 84.43% 95.46%

Medical Group Mammography Pap Pneumococcal




Den Num Rate LCL UCL Den Num Rate LCL UCLAdefris & Toppin Women's Specialists, MD, PC 5 5 100.00% 48.09% 100.00% 84 84 100.00% 96.09% 100.00%Allina Health 5 5 100.00% 47.83% 100.00% 84 83 98.81% 93.57% 99.96%CentraCare Clinics 2 2 100.00% 15.88% 100.00% 83 82 98.80% 93.64% 99.93%Clinic Sofia OB/GYN, PA 7 2 28.57% 3.82% 70.70% 84 84 100.00% 96.03% 100.00%Comprehensive Healthcare for Women, PA 4 2 50.00% 6.96% 93.04% 83 75 90.36% 82.75% 95.20%Essentia Health - SMDC Health System 12 9 75.00% 42.92% 94.45% 84 84 100.00% 95.80% 100.00%Fairview Clinics 5 4 80.00% 28.41% 99.48% 82 82 100.00% 95.67% 100.00%HealthEast 2 2 100.00% 16.05% 100.00% 83 83 100.00% 96.20% 100.00%HealthPartners Central Minnesota Clinics, Inc 12 11 91.67% 61.94% 99.68% 83 83 100.00% 96.09% 100.00%HealthPartners Clinics 6 6 100.00% 54.08% 100.00% 84 84 100.00% 95.72% 100.00%Integrity - Buffalo 1 1 100.00% 2.59% 100.00% 83 82 98.80% 93.89% 99.88%John A. Haugen Associates, PA 4 2 50.00% 6.83% 93.17% 84 84 100.00% 95.86% 100.00%Mankato Clinic, Ltd 5 0 0.00% 0.00% 51.84% 84 84 100.00% 96.20% 100.00%Mayo Clinic 6 2 33.33% 4.59% 77.32% 84 70 83.33% 74.94% 89.59%Mayo Health System Clinics MN 7 4 57.14% 18.60% 89.94% 84 83 98.81% 93.87% 99.90%Minnesota Gynecology and Surgery, LLC 5 2 40.00% 5.44% 85.12% 84 84 100.00% 96.07% 100.00%Multicare Associates of the Twin Cities 11 10 90.91% 59.21% 99.64% 84 84 100.00% 96.23% 100.00%North Clinic, PA 5 2 40.00% 5.38% 85.20% 83 83 100.00% 95.87% 100.00%Obstetrics and Gynecology Associates 3 3 100.00% 29.27% 100.00% 84 84 100.00% 95.75% 100.00%Park Nicollet Health Services 8 6 75.00% 34.93% 96.81% 84 84 100.00% 95.72% 100.00%Paul Larson OB/GYN Clinic, PA 3 2 66.67% 9.53% 99.10% 84 84 100.00% 95.91% 100.00%Premier ObGyn of Minnesota 4 3 75.00% 19.43% 99.36% 84 81 96.43% 89.95% 99.24%Ridgeview Clinics 7 4 57.14% 18.56% 89.97% 84 84 100.00% 95.91% 100.00%St. Luke's Clinics 5 5 100.00% 48.06% 100.00% 85 80 94.12% 87.41% 97.73%Stillwater Medical Group 13 9 69.23% 38.69% 90.82% 84 84 100.00% 95.81% 100.00%University of MN Physicians 5 4 80.00% 28.50% 99.44% 84 83 98.81% 93.79% 99.92%HP Total 2014 (2013 DOS) 152 107 84.53% 77.22% 91.85% 2177 2142 99.15% 98.57% 99.72%

Medical Group Chlamydia Tobacco Assessment

Clinical Indicator Matrix of Required Services2014 Preventive Services OB/GYN - Combination 3

Reporting for Dates of Service 2013

Age:Service Timeframe 19 20-23 24 25-49 50 51 52-64 65 66-67 68-74 75 76-80 81+* Tobacco Assessment in measurement year x x x x x x x x x x x x x* Blood Pressure last 2 years x x x x x x x x x x x x x* Cholesterol, total and HDL or lipid panel last 5 years x x x x x x x x x* Colon Cancer Screen x x x x x x


* Mammogram last 2 years x x x x x* Pap Smear last 3 years x x x x x Alcohol Assessment in measurement year x x x x x x x x x x x x* Pneumovax Immunization 1 ever x x x x x* Chlamydia Screening in measurement year x1 x1 x1

* Included in Preventive Services OB/GYN Combination 3 Data gathered from preventive services sample for stand alone measure reporting

1 HEDIS codes will be applied to determine if member meets criteria as "sexually active". Will only include if member does meet criteria.

Preventive Services matrix per ICSI Preventive Services guideline September, 2011Note: Chlamydia, Cervical Cancer and Colon Cancer Screening aligns with HEDIS age specifications; Breast Cancer Screening aligns with ICSI age specifications

FEMALES


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 identification 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 reflects a combination of ad-ministrative and chart abstracted data. Members are attributed to the primary care provider group with the most office 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) 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 Influenza) 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.

Historical Rates

64.7% 65.2% 67.0%

0%

20%

40%

60%

80%

100%

2011 2012 2013

Preventive Services (Combination 4) - Child and Adolescent2013 Goals: Silver 85%, Gold 90%


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



Preventive Services, Child and Adolescent, Members Up-to-DateCombination 4


1 of 2


# of members UTD




River Falls Medical Clinic 103 74 71.84% 62.82% 79.66%Sanford Health 104 46 44.23% 35.00% 53.78%Sanford Health - Fargo 104 33 31.73% 23.50% 40.96%Sanford Health - Sioux Falls 104 54 51.92% 45.42% 58.36%Southdale Pediatric Associates, Ltd 105 78 74.29% 64.96% 82.22%St. Croix Regional Medical Center 105 70 66.67% 57.54% 74.90%St. Luke's Clinics 105 61 58.10% 48.78% 66.98%St. Paul Family Medical Center 53 30 56.60% 56.60% 56.60%Stillwater Medical Group 103 78 75.73% 66.46% 83.49%University of MN Physicians 105 81 77.14% 68.52% 84.28%Western Wisconsin Medical Associates, SC Clinics 105 72 68.57% 58.99% 77.10%HP Total 2014 (2013 DOS) 5055 3005 66.96% 64.02% 69.90%

2 of 2




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






1 of 2


# of members UTD





2 of 2




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






1 of 2


# of members UTD





2 of 2





Preventive Services, Child and AdolescentAll Individual Components

Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLAALFA Family Clinic, PA 6 5 83.33% 36.86% 99.24% 96 94 97.92% 94.85% 98.99% 1 0 0.00% 0.00% 97.17%Advanced Medical Clinic 1 0 0.00% 0.00% 96.06% 33 33 100.00% 98.19% 100.00% 1 0 0.00% 0.00% 96.06%Allina Health 6 6 100.00% 54.09% 100.00% 95 73 76.84% 67.11% 84.85% 4 1 25.00% 0.64% 80.58%Altru Clinics 7 1 14.29% 0.43% 57.64% 96 61 63.54% 53.88% 72.41% 2 0 0.00% 0.00% 84.06%Apple Valley Medical Clinic, Ltd 9 4 44.44% 14.19% 78.25% 100 92 92.00% 86.23% 95.61% 5 2 40.00% 5.58% 84.94%Avera Health Clinics 9 2 22.22% 3.09% 59.48% 102 92 90.20% 84.01% 94.33% 5 1 20.00% 0.66% 71.24%Baldwin Area Medical Center 4 1 25.00% 0.85% 80.09% 102 94 92.16% 86.95% 95.41% 2 0 0.00% 0.00% 83.82%Burnsville Family Physicians, PA 4 4 100.00% 41.71% 100.00% 62 57 91.94% 90.71% 92.62% 8 4 50.00% 17.95% 82.05%Catalyst Medical Clinic 6 6 100.00% 55.61% 100.00% 85 71 83.53% 81.06% 85.37% 3 1 33.33% 1.38% 89.62%CentraCare Clinics 13 13 100.00% 75.37% 100.00% 99 79 79.80% 70.76% 87.02% 4 3 75.00% 19.47% 99.35%Children's Physician Network 13 13 100.00% 75.30% 100.00% 98 81 82.65% 73.71% 89.54% 2 1 50.00% 1.26% 98.74%Dr. Bobby Yang Medical Clinic 5 5 100.00% 49.61% 100.00% 69 65 94.20% 92.02% 95.29% . . . . .Edina Sports Health & Wellness, PA 1 1 100.00% 4.09% 100.00% 30 28 93.33% 90.57% 94.38% 4 3 75.00% 23.12% 97.74%Entira Family Clinics 6 6 100.00% 54.16% 100.00% 100 92 92.00% 85.07% 96.34% 5 1 20.00% 0.53% 71.56%Essentia Health - Innovis Health, LLC 9 5 55.56% 21.39% 86.13% 99 85 85.86% 77.93% 91.67% 3 2 66.67% 9.53% 99.10%Essentia Health - SMDC Health System 4 4 100.00% 39.80% 100.00% 96 85 88.54% 80.53% 94.06% 2 1 50.00% 1.27% 98.73%Essentia Health - St. Joseph's Medical Center 3 3 100.00% 29.38% 100.00% 98 90 91.84% 85.03% 96.11% 3 0 0.00% 0.00% 70.62%Essentia Health - St. Mary's Regional Health Center 7 6 85.71% 42.90% 99.39% 98 69 70.41% 63.23% 76.68% 2 0 0.00% 0.00% 83.76%Fairview Clinics 9 9 100.00% 66.40% 100.00% 99 94 94.95% 88.65% 98.32% 2 2 100.00% 15.82% 100.00%

Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLAALFA Family Clinic, PA 7 7 100.00% 60.03% 100.00% 7 2 28.57% 4.27% 69.93% 18 0 0.00% 0.00% 17.35%Advanced Medical Clinic 6 6 100.00% 58.32% 100.00% 6 3 50.00% 15.34% 84.66% 9 3 33.33% 11.17% 64.84%Allina Health 6 6 100.00% 54.09% 100.00% 6 5 83.33% 35.89% 99.57% 20 8 40.00% 19.14% 63.92%Altru Clinics 7 3 42.86% 10.07% 81.39% 7 0 0.00% 0.00% 40.75% 13 0 0.00% 0.00% 24.46%Apple Valley Medical Clinic, Ltd 3 3 100.00% 29.61% 100.00% 3 1 33.33% 1.01% 90.27% 24 4 16.67% 5.25% 36.49%Avera Health Clinics 10 5 50.00% 19.20% 80.80% 10 4 40.00% 12.59% 73.23% 28 4 14.29% 4.49% 31.85%Baldwin Area Medical Center 7 5 71.43% 29.70% 95.94% 7 2 28.57% 4.06% 70.30% 23 7 30.43% 14.11% 51.74%Burnsville Family Physicians, PA 6 6 100.00% 56.32% 100.00% 6 0 0.00% 0.00% 43.68% 23 7 30.43% 16.71% 48.35%Catalyst Medical Clinic 8 8 100.00% 64.72% 100.00% 8 1 12.50% 0.86% 50.85% 19 1 5.26% 0.70% 23.73%CentraCare Clinics 6 5 83.33% 35.95% 99.56% 6 4 66.67% 22.34% 95.63% 17 7 41.18% 18.54% 66.97%Children's Physician Network 6 6 100.00% 54.08% 100.00% 6 5 83.33% 35.88% 99.58% 13 5 38.46% 13.87% 68.41%Dr. Bobby Yang Medical Clinic 3 3 100.00% 30.69% 100.00% 3 2 66.67% 10.60% 98.49% 9 2 22.22% 4.03% 57.64%Edina Sports Health & Wellness, PA 3 2 66.67% 12.27% 97.55% 3 2 66.67% 12.27% 97.55% 13 9 69.23% 45.87% 85.75%Entira Family Clinics 6 6 100.00% 54.16% 100.00% 6 2 33.33% 4.38% 77.64% 26 10 38.46% 20.37% 59.26%Essentia Health - Innovis Health, LLC 6 6 100.00% 54.24% 100.00% 6 6 100.00% 54.24% 100.00% 16 7 43.75% 19.99% 69.87%Essentia Health - SMDC Health System 6 6 100.00% 54.11% 100.00% 6 5 83.33% 35.92% 99.56% 20 8 40.00% 19.18% 63.88%Essentia Health - St. Joseph's Medical Center 8 8 100.00% 63.25% 100.00% 8 6 75.00% 35.12% 96.70% 20 9 45.00% 23.34% 68.17%Essentia Health - St. Mary's Regional Health Center 5 5 100.00% 48.48% 100.00% 5 5 100.00% 48.48% 100.00% 19 3 15.79% 3.99% 38.41%Fairview Clinics 8 8 100.00% 63.08% 100.00% 8 6 75.00% 34.94% 96.80% 20 7 35.00% 15.42% 59.18%

Medical Group Vision Height and Weight Chlamydia

Medical Group Tetanus (Adolescent) Meningococcol HPV




Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLAALFA Family Clinic, PA 37 22 59.46% 44.46% 73.10% 37 9 24.32% 13.48% 38.90% 8 3 37.50% 9.33% 74.46%Advanced Medical Clinic 2 1 50.00% 2.71% 97.29% 2 0 0.00% 0.00% 81.67% 1 1 100.00% 3.94% 100.00%Allina Health 21 18 85.71% 63.68% 96.94% 21 13 61.90% 38.46% 81.87% 10 8 80.00% 44.41% 97.47%Altru Clinics 17 14 82.35% 56.90% 96.02% 17 0 0.00% 0.00% 19.26% 13 11 84.62% 54.85% 97.95%Apple Valley Medical Clinic, Ltd 8 6 75.00% 35.48% 96.51% 8 2 25.00% 3.49% 64.52% 13 11 84.62% 55.25% 97.77%Avera Health Clinics 14 14 100.00% 77.35% 100.00% 14 3 21.43% 5.03% 50.15% 13 9 69.23% 39.20% 90.46%Baldwin Area Medical Center 10 5 50.00% 19.41% 80.59% 10 4 40.00% 12.78% 73.01% 8 8 100.00% 63.72% 100.00%Burnsville Family Physicians, PA 5 3 60.00% 16.50% 93.32% 5 1 20.00% 1.29% 69.55% 2 2 100.00% 17.16% 100.00%Catalyst Medical Clinic 14 10 71.43% 44.26% 89.99% 14 0 0.00% 0.00% 21.31% 10 8 80.00% 46.40% 96.49%CentraCare Clinics 19 18 94.74% 74.07% 99.84% 19 12 63.16% 38.47% 83.62% 17 15 88.24% 63.66% 98.50%Children's Physician Network 26 24 92.31% 74.88% 99.05% 26 19 73.08% 52.23% 88.42% 13 10 76.92% 46.20% 94.96%Dr. Bobby Yang Medical Clinic 16 2 12.50% 2.81% 35.38% 16 0 0.00% 0.00% 18.23% 6 6 100.00% 55.98% 100.00%Edina Sports Health & Wellness, PA 3 1 33.33% 2.45% 87.73% 3 0 0.00% 0.00% 67.25% 4 1 25.00% 2.26% 76.88%Entira Family Clinics 12 8 66.67% 35.00% 89.99% 12 7 58.33% 27.78% 84.74% 12 12 100.00% 73.63% 100.00%Essentia Health - Innovis Health, LLC 23 21 91.30% 72.23% 98.82% 23 18 78.26% 56.60% 92.34% 10 8 80.00% 44.61% 97.37%Essentia Health - SMDC Health System 25 23 92.00% 74.03% 98.99% 25 21 84.00% 63.99% 95.42% 9 8 88.89% 51.80% 99.71%Essentia Health - St. Joseph's Medical Center 16 12 75.00% 47.91% 92.55% 16 9 56.25% 30.15% 80.00% 12 11 91.67% 61.76% 99.73%Essentia Health - St. Mary's Regional Health Center 25 22 88.00% 70.03% 96.84% 25 11 44.00% 25.67% 63.70% 18 10 55.56% 31.91% 77.41%Fairview Clinics 16 15 93.75% 69.80% 99.83% 16 12 75.00% 47.65% 92.71% 12 10 83.33% 51.61% 97.90%

Den Num Rate LCL UCL Den Num Rate LCL UCLAALFA Family Clinic, PA 105 105 100.00% 98.17% 100.00% 96 65 67.71% 61.67% 73.08%Advanced Medical Clinic 34 34 100.00% 100.00% 100.00% 33 28 84.85% 81.98% 86.57%Allina Health 104 94 90.38% 83.06% 95.27% 95 73 76.84% 67.11% 84.85%Altru Clinics 105 85 80.95% 72.85% 87.38% 96 56 58.33% 48.61% 67.57%Apple Valley Medical Clinic, Ltd 105 77 73.33% 65.77% 79.82% 100 93 93.00% 87.45% 96.34%Avera Health Clinics 105 100 95.24% 90.32% 97.86% 102 86 84.31% 77.26% 89.64%Baldwin Area Medical Center 105 93 88.57% 82.95% 92.51% 102 94 92.16% 86.95% 95.41%Burnsville Family Physicians, PA 63 60 95.24% 95.24% 95.24% 62 57 91.94% 90.71% 92.62%Catalyst Medical Clinic 91 87 95.60% 95.60% 95.60% 85 68 80.00% 77.41% 82.03%CentraCare Clinics 103 83 80.58% 71.84% 87.54% 99 76 76.77% 67.44% 84.47%Children's Physician Network 105 99 94.29% 87.99% 97.86% 98 80 81.63% 72.56% 88.72%Dr. Bobby Yang Medical Clinic 74 71 95.95% 95.95% 95.95% 69 65 94.20% 92.02% 95.29%Edina Sports Health & Wellness, PA 31 28 90.32% 90.32% 90.32% 30 27 90.00% 87.03% 91.42%Entira Family Clinics 105 105 100.00% 96.66% 100.00% 100 92 92.00% 85.07% 96.34%Essentia Health - Innovis Health, LLC 105 91 86.67% 79.17% 92.13% 99 84 84.85% 76.77% 90.87%Essentia Health - SMDC Health System 105 105 100.00% 96.60% 100.00% 96 85 88.54% 80.53% 94.06%Essentia Health - St. Joseph's Medical Center 105 96 91.43% 84.85% 95.68% 98 85 86.73% 78.93% 92.35%Essentia Health - St. Mary's Regional Health Center 105 82 78.10% 71.82% 83.24% 98 68 69.39% 62.18% 75.74%Fairview Clinics 105 105 100.00% 96.57% 100.00% 99 93 93.94% 87.32% 97.72%

Medical Group Peds Imm Combo 1A Peds Imm Combo 1B Peds Imm Combo 2A

Medical Group Tobacco Assessment BMI




Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLFrance Avenue Family Physicians, PA 1 0 0.00% 0.00% 96.74% 64 61 95.31% 95.31% 95.31% 5 0 0.00% 0.00% 50.10%HealthEast 8 8 100.00% 63.11% 100.00% 96 84 87.50% 79.34% 93.26% 3 2 66.67% 9.46% 99.14%HealthPartners Central Minnesota Clinics, Inc 6 6 100.00% 54.19% 100.00% 100 83 83.00% 74.55% 89.49% 7 4 57.14% 18.51% 90.01%HealthPartners Clinics 7 7 100.00% 59.04% 100.00% 99 84 84.85% 76.26% 91.25% 6 6 100.00% 54.08% 100.00%Hennepin County Medical Center 12 6 50.00% 21.99% 78.01% 95 88 92.63% 87.44% 95.76% 1 0 0.00% 0.00% 97.25%Hudson Physicians 6 4 66.67% 22.38% 95.61% 95 81 85.26% 76.84% 91.46% 5 3 60.00% 14.75% 94.66%Hutchinson Health 4 4 100.00% 39.96% 100.00% 98 89 90.82% 83.92% 95.30% 2 1 50.00% 1.34% 98.66%Ilko Family Medicine, PA . . . . . 35 23 65.71% 61.55% 69.24% 3 1 33.33% 2.19% 88.20%Integrity - Buffalo 7 6 85.71% 42.22% 99.61% 102 101 99.02% 94.79% 99.95% 2 1 50.00% 1.29% 98.71%Integrity - Northern 4 2 50.00% 7.00% 93.00% 104 86 82.69% 75.41% 88.34% 1 1 100.00% 2.64% 100.00%Integrity - St. Cloud 7 7 100.00% 59.18% 100.00% 99 93 93.94% 87.62% 97.55% 1 1 100.00% 2.55% 100.00%Integrity Health Network 9 8 88.89% 51.81% 99.70% 98 92 93.88% 87.26% 97.66% 4 2 50.00% 6.79% 93.21%Lakeview Clinic, Ltd 3 2 66.67% 9.48% 99.13% 99 75 75.76% 66.39% 83.57% 7 4 57.14% 18.48% 90.03%Lakewood Clinic 8 3 37.50% 9.15% 74.70% 96 90 93.75% 88.95% 96.49% 5 0 0.00% 0.00% 51.48%Mayo Clinic Health System - Red Wing 6 6 100.00% 54.46% 100.00% 99 92 92.93% 87.01% 96.49% . . . . .Mayo Health System Clinics MN 8 5 62.50% 24.61% 91.39% 99 68 68.69% 58.99% 77.28% 2 1 50.00% 1.30% 98.70%Minnesota Rural Health Cooperative Clinics 5 5 100.00% 48.01% 100.00% 101 75 74.26% 65.35% 81.81% 3 1 33.33% 0.91% 90.44%Multicare Associates of the Twin Cities 2 2 100.00% 15.96% 100.00% 101 93 92.08% 85.67% 96.09% 2 1 50.00% 1.35% 98.65%New Richmond Clinic 4 3 75.00% 19.63% 99.27% 97 78 80.41% 72.06% 87.02% . . . . .

Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLFrance Avenue Family Physicians, PA 1 1 100.00% 3.26% 100.00% 1 1 100.00% 3.26% 100.00% 18 5 27.78% 12.45% 49.57%HealthEast 3 3 100.00% 29.28% 100.00% 3 2 66.67% 9.46% 99.14% 11 2 18.18% 2.32% 51.71%HealthPartners Central Minnesota Clinics, Inc 7 7 100.00% 59.15% 100.00% 7 6 85.71% 42.25% 99.60% 19 11 57.89% 33.69% 79.58%HealthPartners Clinics 3 3 100.00% 29.24% 100.00% 3 3 100.00% 29.24% 100.00% 25 11 44.00% 24.41% 65.06%Hennepin County Medical Center 2 2 100.00% 16.24% 100.00% 2 2 100.00% 16.24% 100.00% 5 1 20.00% 0.76% 70.98%Hudson Physicians 6 4 66.67% 22.38% 95.61% 6 2 33.33% 4.39% 77.62% 19 5 26.32% 9.27% 51.02%Hutchinson Health 4 4 100.00% 39.96% 100.00% 4 4 100.00% 39.96% 100.00% 24 5 20.83% 7.41% 41.72%Ilko Family Medicine, PA 3 2 66.67% 11.80% 97.81% 3 2 66.67% 11.80% 97.81% 8 4 50.00% 19.63% 80.37%Integrity - Buffalo 5 4 80.00% 28.43% 99.47% 5 2 40.00% 5.33% 85.27% 16 7 43.75% 19.87% 70.00%Integrity - Northern 8 6 75.00% 35.37% 96.57% 8 5 62.50% 24.92% 91.15% 29 14 48.28% 30.23% 66.67%Integrity - St. Cloud 9 9 100.00% 66.53% 100.00% 9 5 55.56% 21.36% 86.16% 16 8 50.00% 24.86% 75.14%Integrity Health Network 5 4 80.00% 28.40% 99.48% 5 1 20.00% 0.52% 71.60% 15 8 53.33% 26.65% 78.67%Lakeview Clinic, Ltd 10 10 100.00% 69.24% 100.00% 10 8 80.00% 44.49% 97.43% 29 8 27.59% 12.86% 47.07%Lakewood Clinic 5 5 100.00% 48.52% 100.00% 5 0 0.00% 0.00% 51.48% 19 7 36.84% 17.35% 60.36%Mayo Clinic Health System - Red Wing 5 4 80.00% 28.72% 99.36% 5 1 20.00% 0.64% 71.28% 16 5 31.25% 11.47% 58.05%Mayo Health System Clinics MN 8 8 100.00% 63.17% 100.00% 8 5 62.50% 24.61% 91.39% 24 8 33.33% 15.80% 55.11%Minnesota Rural Health Cooperative Clinics 7 7 100.00% 59.25% 100.00% 7 3 42.86% 10.07% 81.39% 21 9 42.86% 22.15% 65.62%Multicare Associates of the Twin Cities 3 3 100.00% 29.43% 100.00% 3 2 66.67% 9.58% 99.07% 20 4 20.00% 5.99% 43.23%New Richmond Clinic 2 2 100.00% 15.98% 100.00% 2 1 50.00% 1.36% 98.64% 24 6 25.00% 10.14% 46.18%






Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLFrance Avenue Family Physicians, PA 1 1 100.00% 3.26% 100.00% 1 0 0.00% 0.00% 96.74% 6 3 50.00% 13.65% 86.35%HealthEast 25 12 48.00% 27.89% 68.60% 25 8 32.00% 15.03% 53.40% 15 14 93.33% 68.12% 99.81%HealthPartners Central Minnesota Clinics, Inc 13 9 69.23% 38.73% 90.79% 13 5 38.46% 13.99% 68.26% 13 11 84.62% 54.71% 98.01%HealthPartners Clinics 15 14 93.33% 68.06% 99.83% 15 13 86.67% 59.55% 98.34% 6 6 100.00% 54.08% 100.00%Hennepin County Medical Center 23 8 34.78% 17.49% 55.91% 23 6 26.09% 11.19% 47.05% 15 8 53.33% 27.63% 77.74%Hudson Physicians 22 20 90.91% 71.01% 98.81% 22 13 59.09% 36.55% 79.12% 14 13 92.86% 66.28% 99.78%Hutchinson Health 18 14 77.78% 52.74% 93.35% 18 10 55.56% 31.13% 78.13% 12 8 66.67% 35.21% 89.84%Ilko Family Medicine, PA 5 4 80.00% 31.97% 98.13% 5 4 80.00% 31.97% 98.13% 2 1 50.00% 2.59% 97.41%Integrity - Buffalo 15 14 93.33% 68.16% 99.80% 15 10 66.67% 38.51% 88.08% 14 8 57.14% 28.98% 82.23%Integrity - Northern 7 6 85.71% 42.56% 99.50% 7 3 42.86% 10.23% 81.21% 13 11 84.62% 55.11% 97.83%Integrity - St. Cloud 19 16 84.21% 60.65% 96.50% 19 9 47.37% 24.67% 70.91% 14 11 78.57% 49.41% 95.22%Integrity Health Network 16 13 81.25% 54.43% 95.91% 16 7 43.75% 19.82% 70.05% 21 16 76.19% 52.91% 91.73%Lakeview Clinic, Ltd 17 16 94.12% 71.42% 99.82% 17 11 64.71% 38.46% 85.69% 9 7 77.78% 40.09% 97.13%Lakewood Clinic 24 16 66.67% 46.13% 83.20% 24 5 20.83% 8.04% 40.74% 7 6 85.71% 42.95% 99.38%Mayo Clinic Health System - Red Wing 18 17 94.44% 73.26% 99.72% 18 8 44.44% 22.11% 68.61% 13 12 92.31% 64.49% 99.67%Mayo Health System Clinics MN 11 9 81.82% 48.37% 97.65% 11 7 63.64% 30.93% 88.96% 9 9 100.00% 66.49% 100.00%Minnesota Rural Health Cooperative Clinics 14 12 85.71% 57.48% 98.09% 14 5 35.71% 13.00% 64.56% 14 12 85.71% 57.48% 98.09%Multicare Associates of the Twin Cities 21 18 85.71% 64.08% 96.74% 21 14 66.67% 43.48% 85.05% 10 9 90.00% 55.81% 99.66%New Richmond Clinic 14 13 92.86% 66.51% 99.72% 14 7 50.00% 23.42% 76.58% 13 12 92.31% 64.34% 99.71%

Den Num Rate LCL UCL Den Num Rate LCL UCLFrance Avenue Family Physicians, PA 64 61 95.31% 95.31% 95.31% 64 61 95.31% 95.31% 95.31%HealthEast 105 105 100.00% 96.62% 100.00% 95 83 87.37% 79.13% 93.19%HealthPartners Central Minnesota Clinics, Inc 105 96 91.43% 84.66% 95.81% 100 82 82.00% 73.42% 88.68%HealthPartners Clinics 103 96 93.20% 86.51% 97.22% 99 84 84.85% 76.26% 91.25%Hennepin County Medical Center 103 32 31.07% 25.04% 37.87% 95 88 92.63% 87.44% 95.76%Hudson Physicians 104 94 90.38% 83.33% 95.09% 95 81 85.26% 76.84% 91.46%Hutchinson Health 105 98 93.33% 87.35% 96.92% 97 88 90.72% 83.75% 95.25%Ilko Family Medicine, PA 37 36 97.30% 97.30% 97.30% 35 14 40.00% 36.25% 44.16%Integrity - Buffalo 105 88 83.81% 75.61% 90.07% 102 101 99.02% 94.79% 99.95%Integrity - Northern 105 89 84.76% 77.78% 90.02% 104 83 79.81% 72.24% 85.89%Integrity - St. Cloud 105 92 87.62% 80.19% 92.93% 99 93 93.94% 87.62% 97.55%Integrity Health Network 105 91 86.67% 78.78% 92.41% 98 91 92.86% 85.95% 97.01%Lakeview Clinic, Ltd 105 70 66.67% 57.11% 75.29% 98 75 76.53% 67.17% 84.27%Lakewood Clinic 105 99 94.29% 90.09% 96.67% 96 34 35.42% 28.77% 42.71%Mayo Clinic Health System - Red Wing 105 65 61.90% 53.49% 69.74% 99 88 88.89% 82.16% 93.51%Mayo Health System Clinics MN 105 92 87.62% 80.09% 93.00% 99 65 65.66% 55.84% 74.54%Minnesota Rural Health Cooperative Clinics 105 73 69.52% 60.57% 77.44% 101 71 70.30% 61.15% 78.31%Multicare Associates of the Twin Cities 105 101 96.19% 91.10% 98.68% 101 93 92.08% 85.67% 96.09%New Richmond Clinic 105 102 97.14% 92.46% 99.16% 97 78 80.41% 72.06% 87.02%






Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLNorth Clinic, PA 3 2 66.67% 9.59% 99.07% 97 85 87.63% 80.14% 92.91% 5 2 40.00% 5.43% 85.13%North Memorial Health Care 4 4 100.00% 39.91% 100.00% 103 90 87.38% 79.91% 92.73% 4 0 0.00% 0.00% 60.09%Northfield Hospital Clinics 6 3 50.00% 12.12% 87.88% 94 72 76.60% 68.08% 83.61% 3 0 0.00% 0.00% 70.47%Northwest Family Physicians, PA 9 7 77.78% 40.51% 96.92% 104 90 86.54% 79.84% 91.42% 4 1 25.00% 0.78% 80.25%Olmsted Medical Center Clinics 4 2 50.00% 6.92% 93.08% 99 88 88.89% 81.73% 93.81% 4 0 0.00% 0.00% 60.02%Osceola Medical Center 7 4 57.14% 18.79% 89.78% 100 91 91.00% 84.72% 95.07% 3 2 66.67% 9.67% 99.02%Park Nicollet Health Services 8 7 87.50% 47.36% 99.68% 97 76 78.35% 68.87% 86.04% 2 0 0.00% 0.00% 84.18%Ridgeview Clinics 5 4 80.00% 28.81% 99.33% 102 90 88.24% 81.89% 92.69% 2 0 0.00% 0.00% 83.90%River Falls Medical Clinic 6 0 0.00% 0.00% 45.74% 98 91 92.86% 86.31% 96.79% 3 3 100.00% 29.38% 100.00%Sanford Health 6 3 50.00% 11.92% 88.08% 98 72 73.47% 64.07% 81.47% 1 0 0.00% 0.00% 97.45%Sanford Health - Fargo 7 4 57.14% 18.56% 89.97% 96 56 58.33% 48.43% 67.74% . . . . .Sanford Health - Sioux Falls 5 2 40.00% 5.76% 84.70% 102 76 74.51% 68.20% 79.85% 4 0 0.00% 0.00% 59.56%Southdale Pediatric Associates, Ltd 8 8 100.00% 63.10% 100.00% 95 82 86.32% 77.84% 92.43% 2 2 100.00% 15.83% 100.00%St. Croix Regional Medical Center 7 1 14.29% 0.43% 57.66% 96 89 92.71% 86.04% 96.72% 3 1 33.33% 0.91% 90.45%St. Luke's Clinics 4 4 100.00% 39.92% 100.00% 92 79 85.87% 77.59% 91.86% 1 0 0.00% 0.00% 97.44%St. Paul Family Medical Center 4 3 75.00% 21.55% 98.43% 49 43 87.76% 84.31% 89.85% . . . . .Stillwater Medical Group 7 6 85.71% 42.18% 99.62% 102 85 83.33% 74.81% 89.86% 6 3 50.00% 11.85% 88.15%University of MN Physicians 5 5 100.00% 47.97% 100.00% 97 95 97.94% 93.06% 99.64% 5 4 80.00% 28.51% 99.44%Western Wisconsin Medical Associates, SC Clinics 6 4 66.67% 22.33% 95.64% 93 78 83.87% 74.96% 90.56% 1 1 100.00% 2.52% 100.00%HP Total 2014 (2013 DOS) 340 251 91.37% 88.48% 94.26% 5248 4499 84.04% 81.73% 86.36% 170 70 57.56% 44.72% 70.41%

Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLNorth Clinic, PA 4 4 100.00% 39.98% 100.00% 4 2 50.00% 6.91% 93.09% 22 5 22.73% 8.12% 44.92%North Memorial Health Care 6 4 66.67% 22.44% 95.56% 6 2 33.33% 4.44% 77.56% 19 4 21.05% 6.23% 45.28%Northfield Hospital Clinics 6 6 100.00% 54.45% 100.00% 6 3 50.00% 12.12% 87.88% 21 7 33.33% 15.13% 56.29%Northwest Family Physicians, PA 7 5 71.43% 29.49% 96.07% 7 3 42.86% 10.25% 81.18% 26 13 50.00% 30.73% 69.27%Olmsted Medical Center Clinics 7 7 100.00% 59.30% 100.00% 7 6 85.71% 42.41% 99.55% 21 13 61.90% 38.89% 81.51%Osceola Medical Center 6 6 100.00% 54.46% 100.00% 6 1 16.67% 0.56% 63.72% 19 7 36.84% 16.84% 60.97%Park Nicollet Health Services 3 3 100.00% 29.25% 100.00% 3 3 100.00% 29.25% 100.00% 17 9 52.94% 27.83% 77.00%Ridgeview Clinics 7 5 71.43% 29.56% 96.03% 7 2 28.57% 3.97% 70.44% 25 7 28.00% 12.78% 48.44%River Falls Medical Clinic 4 4 100.00% 39.93% 100.00% 4 3 75.00% 19.56% 99.30% 21 7 33.33% 14.85% 56.63%Sanford Health 4 4 100.00% 39.88% 100.00% 4 3 75.00% 19.52% 99.32% 18 8 44.44% 21.73% 69.03%Sanford Health - Fargo 7 6 85.71% 42.31% 99.58% 7 3 42.86% 10.03% 81.44% 24 8 33.33% 15.88% 55.01%Sanford Health - Sioux Falls 7 5 71.43% 29.87% 95.84% 7 3 42.86% 10.55% 80.83% 17 4 23.53% 7.62% 48.62%Southdale Pediatric Associates, Ltd 4 4 100.00% 39.79% 100.00% 4 3 75.00% 19.44% 99.36% 12 5 41.67% 15.20% 72.29%St. Croix Regional Medical Center 6 6 100.00% 54.26% 100.00% 6 0 0.00% 0.00% 45.74% 14 9 64.29% 35.42% 87.02%St. Luke's Clinics 5 4 80.00% 28.53% 99.43% 5 3 60.00% 14.81% 94.61% 13 2 15.38% 2.04% 45.19%St. Paul Family Medical Center 6 3 50.00% 14.04% 85.96% 6 1 16.67% 1.37% 61.36% 7 0 0.00% 0.00% 38.16%Stillwater Medical Group 6 6 100.00% 54.12% 100.00% 6 6 100.00% 54.12% 100.00% 15 7 46.67% 21.33% 73.34%University of MN Physicians 2 2 100.00% 15.91% 100.00% 2 1 50.00% 1.32% 98.68% 12 6 50.00% 21.30% 78.70%Western Wisconsin Medical Associates, SC Clinics 4 4 100.00% 39.81% 100.00% 4 1 25.00% 0.65% 80.54% 12 5 41.67% 15.23% 72.26%HP Total 2014 (2013 DOS) 314 280 97.22% 95.88% 98.56% 314 165 78.14% 71.52% 84.76% 1043 355 40.71% 33.60% 47.81%






Den Num Rate LCL UCL Den Num Rate LCL UCL Den Num Rate LCL UCLNorth Clinic, PA 22 20 90.91% 71.24% 98.72% 22 11 50.00% 28.66% 71.34% 12 9 75.00% 43.16% 94.30%North Memorial Health Care 13 12 92.31% 64.20% 99.74% 13 10 76.92% 46.44% 94.82% 13 8 61.54% 31.82% 85.94%Northfield Hospital Clinics 25 17 68.00% 47.24% 84.46% 25 10 40.00% 21.77% 60.60% 13 9 69.23% 39.12% 90.52%Northwest Family Physicians, PA 10 9 90.00% 56.03% 99.60% 10 8 80.00% 44.93% 97.21% 7 6 85.71% 42.59% 99.49%Olmsted Medical Center Clinics 16 13 81.25% 54.75% 95.74% 16 10 62.50% 35.83% 84.47% 13 13 100.00% 75.59% 100.00%Osceola Medical Center 13 13 100.00% 75.75% 100.00% 13 7 53.85% 25.66% 80.28% 11 9 81.82% 48.75% 97.47%Park Nicollet Health Services 19 14 73.68% 48.82% 90.84% 19 10 52.63% 28.88% 75.53% 10 9 90.00% 55.51% 99.74%Ridgeview Clinics 10 10 100.00% 69.69% 100.00% 10 3 30.00% 7.08% 64.63% 10 10 100.00% 69.69% 100.00%River Falls Medical Clinic 14 12 85.71% 57.46% 98.10% 14 9 64.29% 35.41% 87.02% 7 6 85.71% 42.33% 99.57%Sanford Health 12 8 66.67% 35.07% 89.94% 12 4 33.33% 10.06% 64.93% 14 11 78.57% 49.40% 95.23%Sanford Health - Fargo 19 15 78.95% 54.71% 93.78% 19 6 31.58% 12.79% 56.27% 12 9 75.00% 43.04% 94.38%Sanford Health - Sioux Falls 24 20 83.33% 64.05% 94.44% 24 11 45.83% 26.95% 65.71% 14 7 50.00% 24.11% 75.89%Southdale Pediatric Associates, Ltd 22 20 90.91% 70.89% 98.86% 22 16 72.73% 49.84% 89.23% 16 13 81.25% 54.41% 95.92%St. Croix Regional Medical Center 18 14 77.78% 52.68% 93.39% 18 6 33.33% 13.59% 58.69% 13 13 100.00% 75.52% 100.00%St. Luke's Clinics 28 22 78.57% 59.41% 91.46% 28 13 46.43% 27.86% 65.77% 9 7 77.78% 40.21% 97.07%St. Paul Family Medical Center 12 7 58.33% 31.36% 81.64% 12 0 0.00% 0.00% 23.28% 9 8 88.89% 55.05% 98.76%Stillwater Medical Group 12 11 91.67% 61.58% 99.77% 12 9 75.00% 42.88% 94.47% 19 19 100.00% 82.41% 100.00%University of MN Physicians 20 16 80.00% 56.62% 94.10% 20 11 55.00% 31.81% 76.68% 18 11 61.11% 36.02% 82.47%Western Wisconsin Medical Associates, SC Clinics 19 15 78.95% 54.53% 93.89% 19 7 36.84% 16.37% 61.55% 14 11 78.57% 49.28% 95.30%HP Total 2014 (2013 DOS) 935 739 86.39% 82.17% 90.60% 935 447 65.90% 60.07% 71.73% 645 517 86.16% 80.99% 91.33%

Den Num Rate LCL UCL Den Num Rate LCL UCLNorth Clinic, PA 105 81 77.14% 68.85% 84.01% 97 85 87.63% 80.14% 92.91%North Memorial Health Care 105 64 60.95% 51.62% 69.69% 103 88 85.44% 77.67% 91.21%Northfield Hospital Clinics 105 83 79.05% 71.40% 85.25% 94 72 76.60% 68.08% 83.61%Northwest Family Physicians, PA 105 91 86.67% 80.04% 91.50% 104 89 85.58% 78.75% 90.64%Olmsted Medical Center Clinics 105 58 55.24% 46.23% 63.98% 99 78 78.79% 70.31% 85.65%Osceola Medical Center 104 80 76.92% 69.11% 83.40% 100 90 90.00% 83.53% 94.33%Park Nicollet Health Services 105 97 92.38% 85.57% 96.63% 97 76 78.35% 68.87% 86.04%Ridgeview Clinics 105 96 91.43% 85.78% 95.08% 102 86 84.31% 77.45% 89.50%River Falls Medical Clinic 103 98 95.15% 89.47% 98.17% 98 90 91.84% 85.04% 96.10%Sanford Health 104 68 65.38% 55.94% 73.98% 98 70 71.43% 61.90% 79.68%Sanford Health - Fargo 104 65 62.50% 53.10% 71.22% 96 53 55.21% 45.32% 64.78%Sanford Health - Sioux Falls 104 85 81.73% 76.03% 86.21% 102 70 68.63% 62.08% 74.44%Southdale Pediatric Associates, Ltd 105 94 89.52% 82.13% 94.59% 95 75 78.95% 69.49% 86.55%St. Croix Regional Medical Center 105 97 92.38% 86.05% 96.33% 96 89 92.71% 86.04% 96.72%St. Luke's Clinics 105 91 86.67% 79.21% 92.10% 92 79 85.87% 77.59% 91.86%St. Paul Family Medical Center 53 52 98.11% 98.11% 98.11% 49 41 83.67% 80.01% 86.15%Stillwater Medical Group 103 98 95.15% 89.14% 98.35% 102 85 83.33% 74.81% 89.86%University of MN Physicians 105 100 95.24% 89.62% 98.23% 96 89 92.71% 85.97% 96.77%Western Wisconsin Medical Associates, SC Clinics 105 95 90.48% 83.33% 95.24% 93 78 83.87% 74.96% 90.56%HP Total 2014 (2013 DOS) 5576 4773 91.11% 89.60% 92.62% 5244 4311 83.02% 80.68% 85.35%



Clinical Indicator Matrix of Required Services2014 Child and Adolescent Preventive Services - Combination 4

Reporting for Measurement Year 2013

FEMALESAge:

Service Timeframe 2 3-4 5 6 7 8 9-12 13 14-15 16-18 Tobacco Exposure (age <13) Assessment (age > 13) see abstracting instructions x x x x x x x x x x Vision by end of measurement year x Height and Weight (recorded on same date) in measurement year x x x x x x x x x BMI Percentile in measurement year x x x x x x x x x Chlamydia Screening in measurement year x1

Tdap or Td <13 x Meningococcal <13 x HPV 3-dose series by end of measurement year x x x 4 DTaP, 3 Polio, 1 MMR, 3 Hib, 1 VZV, 4 Pneu, 3 HepB by end of measurement year x x DTaP #5, MMR #2, Polio #4, VZV #2 ages > 4 & < 7 x x Included in Child & Adolescent Preventive Services Combination 4 Data gathered from preventive services sample for stand alone measure reporting

1 HEDIS codes will be applied to determine if member meets criteria as "sexually active". Will only include if member does meet criteria.MALES

Age:Service Timeframe 2 3-4 5 6 7 8 9-12 13 14-15 16-18 Tobacco Exposure (age <13) Assessment (age > 13) see abstracting instructions x x x x x x x x x x Vision by end of measurement year x Height and Weight (recorded on same date) in measurement year x x x x x x x x x BMI Percentile in measurement year x x x x x x x x x Tdap or Td <13 x Meningococcal <13 x 4 DTaP, 3 Polio, 1 MMR, 3 Hib, 1 VZV, 4 Pneu, 3 HepB by end of measurement year x x DTaP #5, MMR #2, Polio #4, VZV #2 ages > 4 & < 7 x x Included in Child & Adolescent Preventive Services Combination 4 Data gathered from preventive services sample for stand alone measure reporting

Preventive Services matrix per ICSI Preventive Services guideline, September, 2011


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 of hysterectomy

• 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 identification 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 five 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.


Evidence-Based Cervical Cancer Screening — Primary Care

Historical Rates

54.6% 55.6% 57.0% 59.6%63.6%

0%

20%

40%

60%

80%

100%

2009 2010 2011 2012 2013

Evidence-Based Cervical Cancer Screening - Primary Care


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 ScreeningPap Test AttributionPrimary Care

Affiliated Community Medical Centers, PA 714 374 52.38%Allina Health 14,771 9,197 62.26%Altru Clinics 654 358 54.74%Amery Regional Medical Center Clinics 576 364 63.19%Apple Valley Medical Clinic, Ltd 877 466 53.14%Burnsville Family Physicians, PA 349 172 49.28%CentraCare Clinics 1,000 577 57.70%Douglas County Hospital 249 147 59.04%Edina Sports Health & Wellness, PA 310 187 60.32%Entira Family Clinics 3,791 2,405 63.44%Essentia Health - Innovis Health, LLC 297 173 58.25%Essentia Health - SMDC Health System 4,554 2,416 53.05%Essentia Health - St. Joseph's Medical Center 283 173 61.13%Fairview Clinics 7,403 4,582 61.89%Fairview Health Services Hospitals 900 752 83.56%France Avenue Family Physicians, PA 216 109 50.46%Gateway Family Health Clinic 208 117 56.25%Grand Itasca Clinic & Hospital 564 342 60.64%Gundersen Lutheran Clinics 420 277 65.95%HealthEast 3,567 2,318 64.98%HealthPartners Central Minnesota Clinics, Inc 1,490 896 60.13%HealthPartners Clinics 34,217 23,773 69.48%Hennepin County Medical Center 249 170 68.27%Hutchinson Health 409 224 54.77%Integrity - Buffalo 797 464 58.22%Integrity - Northern 404 245 60.64%Integrity - St. Cloud 774 381 49.22%Lakeview Clinic, Ltd 1,311 728 55.53%Mankato Clinic, Ltd 302 158 52.32%Mayo Clinic 691 427 61.79%Mayo Clinic Health System - Red Wing 454 293 64.54%Mayo Health System Clinics MN 959 568 59.23%Mayo Health System Clinics WI 528 302 57.20%Minnesota Rural Health Cooperative Clinics 650 360 55.38%Multicare Associates of the Twin Cities 593 334 56.32%North Clinic, PA 1,456 886 60.85%North Memorial Health Care 2,590 1,575 60.81%

1 of 2

RateMedical Group Denominator Numerator



Evidence-Based Cervical Cancer ScreeningPap Test AttributionPrimary Care

Northwest Family Physicians, PA 806 475 58.93%Olmsted Medical Center Clinics 605 378 62.48%Osceola Medical Center 407 224 55.04%Park Nicollet Health Services 10,152 6,688 65.88%Park Nicollet Health Services Hospitals 2,609 2,274 87.16%Regions Hospital 785 369 47.01%Ridgeview Clinics 643 419 65.16%Sanford Health - Fargo 1,225 669 54.61%Sanford Health - Sioux Falls 726 538 74.10%St. Croix Regional Medical Center 751 436 58.06%St. Luke's Clinics 1,203 700 58.19%Stillwater Medical Group 3,446 2,339 67.88%United Family Medicine 291 194 66.67%Unity Family Healthcare 555 285 51.35%University of MN Physicians 299 153 51.17%Western Wisconsin Medical Associates, SC Clinics 2,275 1,320 58.02%Winona Health Services 509 288 56.58%HP Total 2014 (2013 DOS) 122,313 77,740 63.56%

2 of 2

Medical Group Denominator Numerator Rate


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 of hysterectomy

• 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 identification 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 five 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.


Evidence-Based Cervical Cancer Screening — OB/GYN

Historical Rates

47.7% 49.3% 51.7% 55.1%58.2%

0%

20%

40%

60%

80%

100%

2009 2010 2011 2012 2013

Evidence-Based Cervical Cancer Screening - OB/GYN


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



Evidence-Based Cervical Cancer ScreeningOB/GYN Providers

Advanced Specialty Care for Women, PA 39 32 82.05%Allina Health 6,305 4,209 66.76%CentraCare Clinics 1,197 649 54.22%Clinic Sofia OB/GYN, PA 751 286 38.08%Comprehensive Healthcare for Women, PA 397 237 59.70%Essentia Health - SMDC Health System 1,950 1,074 55.08%Fairview Clinics 1,381 871 63.07%FirstLight Health System 38 29 76.32%HealthEast 324 216 66.67%HealthPartners Central Minnesota Clinics, Inc 122 44 36.07%HealthPartners Clinics 11,887 7,699 64.77%Hennepin County Medical Center 48 32 66.67%Hutchinson Health 147 115 78.23%Integrity - Buffalo 392 260 66.33%Integrity - St. Cloud 164 94 57.32%John A. Haugen Associates, PA 1,274 765 60.05%Lake Region Hospital 100 46 46.00%Lakeview Clinic, Ltd 303 169 55.78%Mankato Clinic, Ltd 360 194 53.89%Mayo Clinic 34 19 55.88%Mayo Clinic Health System - Red Wing 156 108 69.23%Mayo Health System Clinics MN 231 169 73.16%Metropolitan Urologic Specialists, PA 38 24 63.16%Minnesota Gynecology and Surgery, LLC 30 2 6.67%Multicare Associates of the Twin Cities 231 181 78.35%North Clinic, PA 699 471 67.38%Northfield Hospital Clinics 127 93 73.23%Obstetrics and Gynecology Associates 4,661 2,221 47.65%Olmsted Medical Center Clinics 155 114 73.55%Open Cities Health Center 42 16 38.10%Park Nicollet Health Services 5,435 2,891 53.19%Paul Larson OB/GYN Clinic, PA 1,244 598 48.07%Planned Parenthood of Minnesota, North Dakota, South Dakota 370 232 62.70%Premier ObGyn of Minnesota 8,690 4,582 52.73%Ridgeview Clinics 206 113 54.85%Sanford Health - Fargo 43 31 72.09%St. Croix Regional Medical Center 125 86 68.80%St. Luke's Clinics 161 80 49.69%Stillwater Medical Group 53 21 39.62%University of MN Physicians 59 33 55.93%Western Wisconsin Medical Associates, SC Clinics 672 400 59.52%Women's Health Consultants 907 546 60.20%HP Total 2014 (2013 DOS) 52,324 30,475 58.24%

RateMedical Group Denominator Numerator


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) defined 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 identification 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)

Historical Rates

52.0% 54.7% 56.6% 57.5% 58.7% 59.2% 59.7%52.7%

56.8%52.8%

0%

20%

40%

60%

80%

100%

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Child and Teen Check-Ups


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



Child & Teen Check-Ups (C&TC)

Advanced Medical Clinic 170 91 53.50% 46.00% 61.00%Allina Health 2,477 1,200 48.40% 46.50% 50.40%Axis Medical Center 49 19 38.80% 25.10% 52.40%Cedar Riverside People's Center 98 50 51.00% 41.10% 60.90%CentraCare Clinics 1,997 557 27.90% 25.90% 29.90%Community Univ Health Care Center (CUHCC) 99 63 63.60% 54.20% 73.10%Dr. Bobby Yang Medical Clinic 42 30 71.40% 57.80% 85.10%Entira Family Clinics 1,886 957 50.70% 48.50% 53.00%Fairview Lakes Clinics 1,379 559 40.50% 37.90% 43.10%Foley Medical Center 129 43 33.30% 25.20% 41.50%HealthEast 190 56 29.50% 23.00% 36.00%HealthPartners Central Minnesota Clinics, Inc 1,194 565 47.30% 44.50% 50.20%HealthPartners Clinics 21,716 13,458 62.00% 61.30% 62.60%Indian Health Board of Minneapolis 38 25 65.80% 50.70% 80.90%Integrity - Buffalo 834 394 47.20% 43.90% 50.60%Integrity - St. Cloud 2,977 858 28.80% 27.20% 30.40%Lakeview Clinic, Ltd 879 425 48.40% 45.00% 51.70%Mille Lacs Health System 1 0.00% 0.00% 0.00%Minnesota Rural Health Cooperative Clinics 45 6 13.30% 3.40% 23.30%Native American Community Clinic 33 21 63.60% 47.20% 80.00%Neighborhood Healthsource 498 226 45.40% 41.00% 49.80%NorthPoint Health & Wellness Center 548 313 57.10% 53.00% 61.30%Open Cities Health Center 777 409 52.60% 49.10% 56.10%Osceola Medical Center 53 14 26.40% 14.50% 38.30%Park Nicollet Health Services 7,634 3,952 51.80% 50.60% 52.90%Parkview Medical Clinic 41 18 43.90% 28.70% 59.10%Primary Care and Rehabilitation Clinics 56 23 41.10% 28.20% 54.00%Southside Community Health Services 128 88 68.80% 60.70% 76.80%St. Paul Family Medical Center 231 130 56.30% 49.90% 62.70%Stillwater Medical Group 622 288 46.30% 42.40% 50.20%United Family Medicine 328 192 58.50% 53.20% 63.90%Unity Family Healthcare 309 70 22.70% 18.00% 27.30%University of MN Physicians 1,766 916 51.90% 49.50% 54.20%West Side Community Health Center 1,477 764 51.70% 49.20% 54.30%HP Total 2014 (2012-14 DOS) 50,799 26,815 52.80% 52.40% 53.20%

LCL UCLMedical Group C&TC Eligible (Denom) Had C&TC Rate


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 identification 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)

Historical Rates

49.0%56.2%

63.7% 66.2% 66.7% 67.7% 69.2%61.1%

65.9%58.4%

0%

20%

40%

60%

80%

100%

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Lead Screening


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



Lead Screening

Allina Health 308 185 60.10% 54.60% 65.50%CentraCare Clinics 189 71 37.60% 30.70% 44.50%Entira Family Clinics 300 170 56.70% 51.10% 62.30%Fairview Lakes Clinics 107 50 46.70% 37.30% 56.20%HealthPartners Central Minnesota Clinics, Inc 79 42 53.20% 42.20% 64.20%HealthPartners Clinics 1,710 1,145 67.00% 64.70% 69.20%Integrity - Buffalo 78 40 51.30% 40.20% 62.40%Integrity - St. Cloud 354 160 45.20% 40.00% 50.40%Lakeview Clinic, Ltd 75 36 48.00% 36.70% 59.30%Neighborhood Healthsource 64 41 64.10% 52.30% 75.80%NorthPoint Health & Wellness Center 49 28 57.10% 43.30% 71.00%Open Cities Health Center 73 46 63.00% 51.90% 74.10%Park Nicollet Health Services 692 376 54.30% 50.60% 58.00%Stillwater Medical Group 52 27 51.90% 38.30% 65.50%United Family Medicine 31 21 67.70% 51.30% 84.20%University of MN Physicians 289 163 56.40% 50.70% 62.10%West Side Community Health Center 108 73 67.60% 58.80% 76.40%HP Total 2014 (2013-14 DOS) 4,687 2,737 58.40% 57.00% 59.80%

LCL UCLMedical Group

Lead Screening

Eligible (Denom)

Had Lead Screening Rate


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-fied 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 satisfied” 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 satisfied were you with your clinic on explanations you received about the reason for any prescribed 1. medicines? How satisfied 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 satisfied 39.2% 32.6%

Medication Survey Safety ResultsMeasurement Variation

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prim

ary

Car

ePr

ovid

ers

Car

diol

ogy

Prov

ider

s

ENT

Prov

ider

s

OB/

GYN

Prov

ider

s

Orth

opae

dic

Prov

ider

s

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

Lowest Performing Group Average Performing Group Highest Performing Group

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Prim

ary

Car

ePr

ovid

ers

Car

diol

ogy

Prov

ider

s

ENT

Prov

ider

s

OB/

GYN

Prov

ider

s

Orth

opae

dic

Prov

ider

s

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

Lowest Performing Group Average Performing Group Highest Performing Group



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?



Patient Experience Medication SafetyVery Satisfied with Explanation for Prescribed MedicationsPrimary Care Providers

Affiliated Community Medical Centers, PA 40.60%Allina Health 47.00%Altru Clinics 26.90%Amery Regional Medical Center Clinics 42.90%Apple Valley Medical Clinic, Ltd 39.10%CentraCare Clinics 42.00%Entira Family Clinics 59.10%Essentia Health 43.30%Essentia Health - Innovis Health, LLC 54.40%Essentia Health - St. Joseph's Medical Center 47.70%Essentia Health - St. Mary's Regional Health Center 39.60%Fairview Clinics 43.90%HealthEast 49.80%HealthPartners Central Minnesota Clinics, Inc 45.80%HealthPartners Clinics 44.80%Hutchinson Medical Center, PA 30.30%Integrity - Buffalo 44.20%Integrity - St. Cloud 43.60%Integrity Health Network 43.90%Lakeview Clinic, Ltd 44.40%Mayo Clinic 54.50%Mayo Clinic Health System - Red Wing 37.00%Mayo Health System Clinics MN 35.10%Mayo Health System Clinics WI 45.50%Minnesota Rural Health Cooperative Clinics 44.60%Multicare Associates of the Twin Cities 41.60%New Richmond Clinic 45.30%North Clinic, PA 46.90%North Memorial Health Care 47.60%Northwest Family Physicians, PA 44.50%Olmsted Medical Center Clinics 50.50%Park Nicollet Health Services 45.10%Ridgeview Clinics 42.00%Sanford Health - Fargo 38.20%St. Croix Regional Medical Center 39.80%St. Luke's Clinics 50.00%Stillwater Medical Group 43.80%University of MN Physicians 51.00%Western Wisconsin Medical Associates, SC Clinics 41.00%HP Total 2014 (2013 DOS) 39.20%

RateMedical Group


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




Patient Experience Medication SafetyVery Satisfied with Information Received about Side EffectsPrimary Care Providers

Affiliated Community Medical Centers, PA 27.40%Allina Health 31.40%Altru Clinics 19.50%Amery Regional Medical Center Clinics 33.50%Apple Valley Medical Clinic, Ltd 28.30%CentraCare Clinics 25.50%Entira Family Clinics 43.60%Essentia Health 34.20%Essentia Health - Innovis Health, LLC 47.20%Essentia Health - St. Joseph's Medical Center 33.10%Essentia Health - St. Mary's Regional Health Center 32.10%Fairview Clinics 28.30%HealthEast 34.20%HealthPartners Central Minnesota Clinics, Inc 33.40%HealthPartners Clinics 29.10%Hutchinson Medical Center, PA 24.80%Integrity - Buffalo 35.00%Integrity - St. Cloud 31.70%Integrity Health Network 33.35%Lakeview Clinic, Ltd 30.00%Mayo Clinic 42.60%Mayo Clinic Health System - Red Wing 22.60%Mayo Health System Clinics MN 29.20%Mayo Health System Clinics WI 36.20%Minnesota Rural Health Cooperative Clinics 35.00%Multicare Associates of the Twin Cities 24.90%New Richmond Clinic 32.50%North Clinic, PA 35.20%North Memorial Health Care 31.50%Northwest Family Physicians, PA 35.00%Olmsted Medical Center Clinics 37.20%Park Nicollet Health Services 32.60%Ridgeview Clinics 32.20%Sanford Health - Fargo 30.50%St. Croix Regional Medical Center 35.40%St. Luke's Clinics 41.90%Stillwater Medical Group 32.20%University of MN Physicians 34.70%Western Wisconsin Medical Associates, SC Clinics 30.90%HP Total 2014 (2013 DOS) 32.60%

RateMedical Group


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-isfied 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 satisfied” 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 satisfied are you with the explanations you received about the reason for the medicines? 1. How satisfied 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 satisfied - explanation for prescribed medications 58.0%Very satisfied - information received about side effects 50.3%

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

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

Very satisfied - explanation for prescribed medications 63.5%

Very satisfied - information received about side effects 57.7%

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

Very satisfied - explanation for prescribed medications 64.5%

Very satisfied - 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?



Patient Experience Medication SafetyVery Satisfied with Explanation for Prescribed MedicationsCardiology Providers

CentraCare Clinics 53.0%Children's Health Care 64.3%Essentia Health - SMDC Health System 60.3%Fairview Clinics 59.7%HealthEast Heart Care 51.4%HealthPartners Clinics 50.0%Mayo Clinic 71.8%Metropolitan Heart & Vascular Institute 60.9%Minneapolis Heart Institute 57.6%North Memorial Cardiovascular Services 62.0%Park Nicollet Health Services 56.2%United Heart and Vascular Clinic 55.9%HP Total 2014 (2013 DOS) 58.0%

RateMedical Group


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




Patient Experience Medication SafetyVery Satisfied with Information Received about Side EffectsCardiology Providers

CentraCare Clinics 44.4%Children's Health Care 64.3%Essentia Health - SMDC Health System 56.5%Fairview Clinics 51.7%HealthEast Heart Care 35.2%HealthPartners Clinics 44.6%Mayo Clinic 65.8%Metropolitan Heart & Vascular Institute 55.4%Minneapolis Heart Institute 49.2%North Memorial Cardiovascular Services 50.0%Park Nicollet Health Services 50.0%United Heart and Vascular Clinic 50.0%HP Total 2014 (2013 DOS) 50.3%

RateMedical Group


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




Patient Experience Medication SafetyVery Satisfied with Explanation for Prescribed MedicationsENT Providers

Allina Health 48.5%Children's Health Care 52.0%ENT Specialty Care 66.7%Essentia Health - SMDC Health System 68.3%Fairview Clinics 56.5%HealthPartners Clinics 58.5%Integrity - Northern 50.0%Midwest Ear, Nose & Throat Specialists 62.1%Minneapolis Otolaryngology, PA 45.0%Oakdale Ear, Nose and Throat Clinic, PA 73.1%Paparella Ear Head & Neck Institute, PA 58.1%Park Nicollet Health Services 67.6%Ridgeview Clinics 51.4%St. Cloud Ear, Nose & Throat - Head & Neck Clinic 35.5%Stillwater Medical Group 42.9%University of MN Physicians 81.8%HP Total 2014 (2013 DOS) 63.0%

RateMedical Group


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




Patient Experience Medication SafetyVery Satisfied with Information Received about Side EffectsENT Providers

Allina Health 43.8%Children's Health Care 48.0%ENT Specialty Care 56.3%Essentia Health - SMDC Health System 56.4%Fairview Clinics 42.9%HealthPartners Clinics 46.2%Integrity - Northern 50.0%Midwest Ear, Nose & Throat Specialists 53.6%Minneapolis Otolaryngology, PA 47.4%Oakdale Ear, Nose and Throat Clinic, PA 62.7%Paparella Ear Head & Neck Institute, PA 44.8%Park Nicollet Health Services 52.9%Ridgeview Clinics 54.5%St. Cloud Ear, Nose & Throat - Head & Neck Clinic 35.7%Stillwater Medical Group 35.7%University of MN Physicians 70.0%HP Total 2014 (2013 DOS) 50.4%

RateMedical Group


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




Patient Experience Medication SafetyVery Satisfied with Explanation for Prescribed MedicationsOB/GYN Providers

Allina Health 66.7%CentraCare Clinics 55.3%Essentia Health - SMDC Health System 75.5%Fairview Clinics 57.1%HealthPartners Clinics 76.9%Integrity - Buffalo 57.1%John A. Haugen Associates, PA 59.3%Mayo Health System Clinics MN 66.7%North Clinic, PA 55.3%Obstetrics and Gynecology Associates 70.4%Park Nicollet Health Services 73.8%Premier ObGyn of Minnesota 62.3%Ridgeview Clinics 63.2%St. Luke's Clinics 59.6%Stillwater Medical Group 57.4%Women's Health Consultants 65.0%HP Total 2014 (2013 DOS) 63.5%

RateMedical Group


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




Patient Experience Medication SafetyVery Satisfied with Information Received about Side EffectsOB/GYN Providers

Allina Health 57.1%CentraCare Clinics 48.6%Essentia Health - SMDC Health System 71.2%Fairview Clinics 51.4%HealthPartners Clinics 72.0%Integrity - Buffalo 57.5%John A. Haugen Associates, PA 58.8%Mayo Health System Clinics MN 61.9%North Clinic, PA 47.4%Obstetrics and Gynecology Associates 54.7%Park Nicollet Health Services 72.5%Premier ObGyn of Minnesota 53.3%Ridgeview Clinics 63.2%St. Luke's Clinics 53.3%Stillwater Medical Group 46.3%Women's Health Consultants 61.5%HP Total 2014 (2013 DOS) 57.7%

RateMedical Group


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




Patient Experience Medication SafetyVery Satisfied with Explanation for Prescribed MedicationsOrthopaedics Providers

Allina Health 64.1%Essentia Health - SMDC Health System 71.4%Fairview Clinics 59.5%Gillette Children's Specialty Healthcare 90.9%HealthPartners Clinics 63.6%Integrity - Northern 49.2%Mayo Clinic 79.6%Northern Orthopedics, Ltd 59.2%Orthopaedic & Fracture Clinic, PA 59.6%Park Nicollet Health Services 65.8%St. Cloud Orthopedic Associates, Ltd 48.5%St. Croix Orthopaedics, PA 55.3%Summit Orthopedics, Ltd 58.3%TRIA Orthopaedic Center, LLC 74.4%Twin Cities Orthopedics, PA 75.0%Twin Cities Spine Center 75.8%University of MN Physicians 58.7%HP Total 2014 (2013 DOS) 64.5%

RateMedical Group


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




Patient Experience Medication SafetyVery Satisfied with Information Received about Side EffectsOrthopaedics Providers

Allina Health 59.5%Essentia Health - SMDC Health System 68.1%Fairview Clinics 57.1%Gillette Children's Specialty Healthcare 81.8%HealthPartners Clinics 61.5%Integrity - Northern 33.9%Mayo Clinic 63.0%Northern Orthopedics, Ltd 48.9%Orthopaedic & Fracture Clinic, PA 52.3%Park Nicollet Health Services 56.8%St. Cloud Orthopedic Associates, Ltd 48.4%St. Croix Orthopaedics, PA 41.9%Summit Orthopedics, Ltd 50.0%TRIA Orthopaedic Center, LLC 66.7%Twin Cities Orthopedics, PA 67.5%Twin Cities Spine Center 66.7%University of MN Physicians 56.5%HP Total 2014 (2013 DOS) 57.2%

RateMedical Group


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.

Historical Rates

1 A lower percentage is desirable.

15.2% 16.0% 15.1%13.2% 13.6% 13.0%

10.7% 11.1%9.2% 9.9% 9.0%13.0%

11.4%8.6%

6.1% 5.9% 5.0% 4.5% 3.8% 4.0% 3.1% 3.2%0%

10%

20%

30%

40%

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Adult Tobacco Prevalence Children Second-hand Smoke Exposure

Tobacco Use1


Tobacco Use and Cessation

Historical Rates

46.5% 49.1%55.1%

59.8% 59.7%64.5% 66.7% 65.3% 68.2%

60.6%

71.1% 71.1%65.2%

0%

20%

40%

60%

80%

100%

2001 2002 2003* 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Tobacco Adult Assist

* Survey methodology change in 2003 from telephone to mail survey.


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



Optimal Lifestyle - AdultTobacco Prevalence

Affiliated Community Medical Centers, PA 10.50% 6.34% 14.66%Allina Health 8.20% 4.22% 12.18%Altru Clinics 17.90% 12.08% 23.72%Amery Regional Medical Center Clinics 13.30% 8.91% 17.69%Apple Valley Medical Clinic, Ltd 8.40% 4.52% 12.28%CentraCare Clinics 8.30% 4.83% 11.77%Entira Family Clinics 10.40% 6.14% 14.66%Essentia Health 12.60% 7.97% 17.23%Essentia Health - Innovis Health, LLC 7.90% 4.65% 11.15%Essentia Health - St. Joseph's Medical Center 10.60% 7.20% 14.00%Essentia Health - St. Mary's Regional Health Center 9.10% 4.87% 13.33%Fairview Clinics 9.00% 4.51% 13.49%HealthEast 9.90% 5.47% 14.33%HealthPartners Central Minnesota Clinics, Inc 8.60% 4.65% 12.55%HealthPartners Clinics 10.60% 6.42% 14.78%Hutchinson Medical Center, PA 11.30% 6.95% 15.65%Integrity - Buffalo 13.60% 8.59% 18.61%Integrity - St. Cloud 11.00% 6.37% 15.63%Integrity Health Network 12.40% 8.97% 15.83%Lakeview Clinic, Ltd 7.20% 3.81% 10.59%Mayo Clinic 7.10% 3.63% 10.57%Mayo Clinic Health System - Red Wing 6.40% 3.06% 9.74%Mayo Health System Clinics MN 10.30% 5.89% 14.71%Mayo Health System Clinics WI 10.50% 6.39% 14.61%Minnesota Rural Health Cooperative Clinics 8.90% 4.88% 12.92%Multicare Associates of the Twin Cities 9.30% 4.83% 13.77%New Richmond Clinic 10.30% 7.08% 13.52%North Clinic, PA 5.10% 1.72% 8.48%North Memorial Health Care 10.30% 6.20% 14.40%Northwest Family Physicians, PA 16.60% 11.44% 21.76%Olmsted Medical Center Clinics 10.40% 6.56% 14.24%Park Nicollet Health Services 5.20% 2.08% 8.32%Ridgeview Clinics 10.40% 6.18% 14.62%Sanford Health - Fargo 10.90% 6.42% 15.38%St. Croix Regional Medical Center 10.20% 6.47% 13.93%St. Luke's Clinics 7.60% 3.74% 11.46%Stillwater Medical Group 9.30% 5.26% 13.34%University of MN Physicians 7.10% 2.48% 11.72%Western Wisconsin Medical Associates, SC Clinics 8.30% 4.33% 12.27%HP Total 2014 (2013 DOS) 9.00% 8.30% 9.70%



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



Optimal Lifestyle - AdultTobacco Assist Rate


Medical Group LCLRate UCL


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



Optimal Lifestyle - ChildrenSecond Hand Smoke Exposure




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 efficiency, intensity and price of care delivered compared to the average for similar primary care providers while resource use is a measure of efficiency 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 first 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 office 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




Total Cost of Care - Primary CareTotal Cost Index (TCI)

Affiliated Community Medical Centers, PA 1.150 Lakeview Clinic, Ltd 1.030Allina Health 1.060 Lakewood Health System 1.300Altru Clinics 1.270 Mankato Clinic, Ltd 1.280Amery Regional Medical Center Clinics 1.010 Mayo Clinic 1.780Apple Valley Medical Clinic, Ltd 1.070 Mayo Clinic Health System - Red Wing 1.250Avera Health Clinics 1.370 Mayo Health System Clinics MN 1.420Baldwin Area Medical Center 1.160 Minnesota Rural Health Cooperative Clinics 1.160Burnsville Family Physicians, PA 0.890 Multicare Associates of the Twin Cities 1.010CentraCare Clinics 1.010 North Clinic, PA 0.860Douglas County Hospital 0.870 North Memorial Health Care 0.940Entira Family Clinics 0.970 Northfield Hospital Clinics 1.050Essentia Health - Central Region 1.070 Northwest Family Physicians, PA 0.870Essentia Health - East Region 1.370 Olmsted Medical Center Clinics 1.520Essentia Health - West Region 1.060 Osceola Medical Center 1.180Fairview Clinics 1.000 Park Nicollet Health Services 1.040France Avenue Family Physicians, PA 0.990 Ridgeview Clinics 1.000Grand Itasca Clinic & Hospital 1.110 Sanford Health - Fargo 1.080Gundersen Lutheran Clinics 1.600 Sanford Health - Sioux Falls 1.420HealthEast 1.000 St. Croix Regional Medical Center 1.210HealthPartners Central Minnesota Clinics, Inc 0.900 St. Luke's Clinics 1.180HealthPartners Clinics 0.960 Stillwater Medical Group 0.900Hennepin County Medical Center 1.110 Unity Family Healthcare 1.080Hudson Physicians 0.990 University of MN Physicians 1.310Hutchinson Health 1.160 Western Wisconsin Medical Associates, SC Clinics 1.150Integrity - Buffalo 0.960 Westfields Hospital 1.080Integrity - Northern 1.300 Winona Health Services 1.460Integrity - St. Cloud 0.870 Average Index 1.000Lake Region Hospital 1.250

Medical Group TCI Index Medical Group TCI Index



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 of CarePrimary Care Resource Use Index (RUI)

Affiliated Community Medical Centers, PA 0.930 Lakeview Clinic, Ltd 1.040Allina Health 1.010 Lakewood Health System 0.920Altru Clinics 1.040 Mankato Clinic, Ltd 0.990Amery Regional Medical Center Clinics 0.860 Mayo Clinic 1.140Apple Valley Medical Clinic, Ltd 1.060 Mayo Clinic Health System - Red Wing 0.950Avera Health Clinics 1.010 Mayo Health System Clinics MN 0.910Baldwin Area Medical Center 0.970 Minnesota Rural Health Cooperative Clinics 1.000Burnsville Family Physicians, PA 0.940 Multicare Associates of the Twin Cities 1.080CentraCare Clinics 1.010 North Clinic, PA 0.960Douglas County Hospital 0.890 North Memorial Health Care 1.020Entira Family Clinics 1.030 Northfield Hospital Clinics 0.910Essentia Health - Central Region 0.990 Northwest Family Physicians, PA 0.960Essentia Health - East Region 1.040 Olmsted Medical Center Clinics 0.940Essentia Health - West Region 0.960 Osceola Medical Center 1.030Fairview Clinics 0.980 Park Nicollet Health Services 1.010France Avenue Family Physicians, PA 1.000 Ridgeview Clinics 1.040Grand Itasca Clinic & Hospital 0.920 Sanford Health - Fargo 0.960Gundersen Lutheran Clinics 0.940 Sanford Health - Sioux Falls 0.970HealthEast 1.020 St. Croix Regional Medical Center 1.070HealthPartners Central Minnesota Clinics, Inc 0.980 St. Luke's Clinics 1.010HealthPartners Clinics 0.980 Stillwater Medical Group 0.990Hennepin County Medical Center 1.020 Unity Family Healthcare 1.100Hudson Physicians 1.020 University of MN Physicians 1.120Hutchinson Health 1.010 Western Wisconsin Medical Associates, SC Clinics 1.000Integrity - Buffalo 0.960 Westfields Hospital 1.070Integrity - Northern 1.010 Winona Health Services 0.940Integrity - St. Cloud 0.950 Average Index 1.000Lake Region Hospital 1.100

Medical Group RUI Index Medical Group RUI Index


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 efficiency, intensity and price of care delivered compared to the same specialty average for the same case mix and risk profile 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 defined 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





Total Cost of Care - CardiologyTotal Cost Index (TCI)

Allina Health 1.080CentraCare Clinics 0.870Essentia Health - SMDC Health System 1.360HealthEast Heart Care 1.010HealthPartners Clinics 0.950Mayo Clinic 1.850North Memorial Cardiovascular Services 0.840Park Nicollet Health Services 0.970University of MN Physicians Heart at Fairview 0.920Average Index 1.000

Medical Group TCI Index


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



Total Cost of Care - CardiologyResource Use Index (RUI)

Allina Health 0.990CentraCare Clinics 0.950Essentia Health - SMDC Health System 0.920HealthEast Heart Care 1.000HealthPartners Clinics 1.040Mayo Clinic 1.170North Memorial Cardiovascular Services 0.990Park Nicollet Health Services 1.030University of MN Physicians Heart at Fairview 0.970Average Index 1.000



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





Total Cost of Care - ENTTotal Cost Index (TCI)

Allina Health 1.120Ear, Nose & Throat SpecialtyCare of Minnesota, PA 1.030Ear, Nose and Throat Clinic and Hearing Center 0.980Essentia Health - SMDC Health System 1.130Fairview Clinics 1.040HealthPartners Clinics 0.960Integrity - Northern 0.880Mayo Clinic 2.010Mayo Health System Clinics MN 1.330Midwest Ear, Nose & Throat Specialists 0.840Minneapolis Otolaryngology, PA 0.930Oakdale Ear, Nose And Throat Clinic, PA 1.100Paparella Ear Head & Neck Institute, PA 0.970Park Nicollet Health Services 1.040Ridgeview Clinics 0.950Southdale Otolaryngology, PA 0.790St. Cloud Ear, Nose & Throat - Head & Neck Clinic 0.870St. Croix Regional Medical Center 1.220Stillwater Medical Group 0.780University of MN Physicians 1.460Average Index 1.000



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



Total Cost of Care - ENTResource Use Index (RUI)

Allina Health 0.950Ear, Nose & Throat SpecialtyCare of Minnesota, PA 1.000Ear, Nose and Throat Clinic and Hearing Center 1.140Essentia Health - SMDC Health System 0.970Fairview Clinics 1.030HealthPartners Clinics 0.970Integrity - Northern 0.840Mayo Clinic 1.340Mayo Health System Clinics MN 0.920Midwest Ear, Nose & Throat Specialists 0.960Minneapolis Otolaryngology, PA 1.000Oakdale Ear, Nose And Throat Clinic, PA 1.250Paparella Ear Head & Neck Institute, PA 1.180Park Nicollet Health Services 0.960Ridgeview Clinics 0.940Southdale Otolaryngology, PA 0.920St. Cloud Ear, Nose & Throat - Head & Neck Clinic 1.020St. Croix Regional Medical Center 1.070Stillwater Medical Group 0.800University of MN Physicians 1.260Average Index 1.000

Medical Group RUI Index



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




Total Cost of CareOB/GYN Total Cost Index (TCI)

Adefris & Toppin Women’s Specialists, MD, PC 1.050Allina Health 1.090CentraCare Clinics 1.000Clinic Sofia OB/GYN, PA 0.990Comprehensive Healthcare for Women, PA 0.900Essentia Health - SMDC Health System 1.330Fairview Clinics 1.060HealthEast 0.900HealthPartners Clinics 0.970Integrity - Buffalo 0.920John A. Haugen Associates, PA 0.920Mankato Clinic, Ltd 1.280Mayo Health System Clinics MN 1.390Minnesota Gynecology and Surgery, LLC 0.940Multicare Associates of the Twin Cities 0.980North Clinic, PA 0.880Obstetrics and Gynecology Associates 0.960Park Nicollet Health Services 1.080Paul Larson OB/GYN Clinic, PA 0.930Premier ObGyn of Minnesota 0.950Ridgeview Clinics 0.860St. Croix Regional Medical Center 1.200St. Luke's Clinics 1.090Stillwater Medical Group 0.810University of MN Physicians 1.200Western Wisconsin Medical Associates, SC Clinics 1.010Average Index 1.000




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




Total Cost of Care - OB/GYNResource Use Index (RUI)

Adefris & Toppin Women’s Specialists, MD, PC 1.080Allina Health 0.970CentraCare Clinics 1.060Clinic Sofia OB/GYN, PA 1.110Comprehensive Healthcare for Women, PA 0.950Essentia Health - SMDC Health System 1.060Fairview Clinics 1.030HealthEast 0.950HealthPartners Clinics 1.000Integrity - Buffalo 0.950John A. Haugen Associates, PA 0.940Mankato Clinic, Ltd 1.010Mayo Health System Clinics MN 0.920Minnesota Gynecology and Surgery, LLC 0.950Multicare Associates of the Twin Cities 1.100North Clinic, PA 1.010Obstetrics and Gynecology Associates 1.030Park Nicollet Health Services 1.000Paul Larson OB/GYN Clinic, PA 0.970Premier ObGyn of Minnesota 1.020Ridgeview Clinics 0.990St. Croix Regional Medical Center 1.080St. Luke's Clinics 1.020Stillwater Medical Group 0.940University of MN Physicians 1.060Western Wisconsin Medical Associates, SC Clinics 0.950Average Index 1.000




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




Total Cost of Care - OrthopaedicsTotal Cost Index (TCI)

Allina Health 1.210Essentia Health - SMDC Health System 1.510Fairview Clinics 1.000HealthPartners Clinics 0.900Integrity - Northern 1.250Mayo Clinic 1.900Northern Orthopedics, Ltd 1.190Orthopaedic & Fracture Clinic, PA 1.060Park Nicollet Health Services 0.950St. Cloud Orthopedic Associates, Ltd 1.010St. Croix Orthopaedics, PA 0.990Summit Orthopedics, Ltd 0.980Twin Cities Orthopedics, PA 1.020University of MN Physicians 1.220Average Index 1.000




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 of Care - OrthopaedicsResource Use Index (RUI)

Allina Health 1.020Essentia Health - SMDC Health System 1.070Fairview Clinics 0.880HealthPartners Clinics 1.010Integrity - Northern 0.900Mayo Clinic 1.110Northern Orthopedics, Ltd 0.950Orthopaedic & Fracture Clinic, PA 0.910Park Nicollet Health Services 0.990St. Cloud Orthopedic Associates, Ltd 0.990St. Croix Orthopaedics, PA 1.050Summit Orthopedics, Ltd 0.980Twin Cities Orthopedics, PA 0.980University of MN Physicians 1.140Average Index 1.000



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



Total Cost of Care - HospitalTotal Cost Index (TCI)

Abbott Northwestern Hospital 1.148 Glacial Ridge Hospital 2.261Aitkin Community Hospital 2.250 Glencoe Regional Health Services 1.446Albany Area Hospital 1.913 Grand Itasca Clinic & Hospital 2.437Altru Clinics 1.095 Gundersen Lutheran Medical Center, Inc 1.942Amery Regional Medical Center Clinics 1.511 Hayward Area Memorial Hospital 2.154Aurora Baycare Medical Center 1.582 HealthEast St. John's Hospital 1.047Avera Holy Family Hospital 2.074 HealthEast St. Joseph's Hospital 1.165Avera Marshall Regional Medical Center 1.500 HealthEast Surgery Center - Maplewood 0.616Avera McKennan Hospital & University Health Center 1.752 HealthEast Woodwinds Hospital 1.129Baldwin Area Medical Center 1.838 HealthPartners Same Day Surgery Center 0.538Bigfork Valley Hospital 3.096 Hennepin County Medical Center 1.134Brainerd Lakes Surgery Center 1.093 High Pointe Surgery Center 0.470Buffalo Hospital 1.496 Hocking Valley Community Hospital 1.751Burnett Medical Center 1.884 Hudson Hospital & Clinics 0.934Cambridge Medical Center 1.661 Hutchinson Health Hospital 1.540CentraCare Health - Long Prairie Hospital 1.176 Kosciusko Community Hospital - Warsaw 2.922CentraCare Health - Monticello Hospital 1.380 Lake Region Hospital 2.029CentraCare Health - Sauk Centre Hospital 2.071 Lakes Regional Healthcare 1.474CentraCare Surgery Center 0.717 Lakeview Hospital 0.916Chaska Plaza Surgery Center, LLC 0.462 Lakeview Medical Center 1.772Chippewa County Montevideo Hospital 1.606 Lakeview Memorial Hospital, Inc 1.758Community Memorial Hospital 2.471 Lakewalk Surgery Center, Ltd 1.083Crosstown Surgery Center 0.448 Lakewood Health Center 3.340Cumberland Memorial Hospital & Extended Care Unit, Inc 2.343 Lakewood Health System 2.423Cuyuna Regional Medical Center 1.609 Landmark Surgery Center 0.438Douglas County Hospital 1.090 Maple Grove Hospital 0.868Ely-Bloomenson Community Hospital 3.068 Marion General Hospital 2.009Essentia Health - Duluth 1.129 Mass General Hospital 2.302Essentia Health - Fargo 1.501 Mayo Clinic Health System - Cannon Falls 3.205Essentia Health - Sandstone Health Center 1.711 Mayo Clinic Health System - Eau Claire Hospital, Inc 2.010Essentia Health - St. Joseph's Medical Center 1.431 Mayo Clinic Health System - Fairmont 1.436Essentia Health - St. Mary's Hospital - Superior 1.606 Mayo Clinic Health System - Franciscan Medical Center, Inc 1.590Essentia Health - St. Mary's Medical Center 1.439 Mayo Clinic Health System - Mankato 1.441Essentia Health - Deer River 1.977 Mayo Clinic Health System - Red Cedar 1.758Essentia Health - Fosston 1.847 Mayo Clinic Health System - St. James 2.275Essentia Health - Holy Trinity Hospital 1.888 Mayo Clinic Health System - Albert Lea and Austin 1.581Essentia Health - St. Mary's Hospital - Detroit Lakes 1.489 Mayo Clinic Health System Hospital - New Prague 1.917Essentia Health - Virginia 1.974 Mayo Clinic Health System Hospital - Red Wing 1.448Fairview Lakes Regional Medical Center 1.255 Meeker Memorial Hospital 1.572Fairview Maple Grove Surgery Center 0.536 Melrose Area Hospital 1.251Fairview Northland Regional Hospital 1.376 Memorial Medical Center, Inc 2.440Fairview Ridges Hospital 0.968 Mercy Health Services - Iowa Corp 1.764Fairview Southdale Hospital 0.955 Mercy Hospital 1.142Finley Hospital 1.678 Mercy Medical Center - Des Moines 1.070FirstLight Health System 2.633 Midwest Surgery Center 0.468Froedtert Hospital 1.902 Mille Lacs Health System 2.270

1 of 2

Medical Group TCI IndexMedical Group TCI

Index



Total Cost of Care - HospitalTotal Cost Index (TCI)

Minnesota Orthopedic Surgery Center, LLC 0.448 Sanford Medical Center Fargo 1.717Minnesota Valley Surgery Center 1.370 Sanford Thief River Falls 1.501MNGI Endoscopy - Bloomington Clinic and Endoscopy Center 0.588 Sanford USD Medical Center 1.950MNGI Endoscopy - Maplewood 0.591 Sibley Medical Center 2.686Moose Lake Community Hosp 2.044 Sleepy Eye Municipal Hospital 2.688New Ulm Medical Center 1.481 Spencer Municipal Hospital 1.876North Memorial Ambulatory Surgical Center at Maple Grove 0.499 Spooner Health System 3.550North Memorial Medical Center 0.924 St. Cloud Hospital 0.949Northfield City Hospital 1.524 St. Cloud Surgical Center 0.669Olmsted Medical Center/Hospital 1.339 St. Croix Regional Medical Center 1.532Osceola Medical Center 1.938 St. Francis Regional Medical Center 1.200Owatonna Hospital 1.559 St. Gabriel's Hospital 1.161Park Nicollet Methodist Hospital 0.995 St. Joseph's Area Health Services 2.314Park Nicollet Methodist Hospital - Ambulatory Surgery Center 0.767 St. Joseph's Hospital 1.529Pavilion Surgery Center, LLC 0.808 St. Luke's Hospital 1.481Paynesville Area Hospital 2.153 St. Mary's Hospital 1.715Perham Memorial Hospital and Home 1.850 Stevens Community Medical Center 2.187Prairie du Chien Memorial Hospital 2.042 Tri - County Hospital 1.615Prairie Ridge Hospital and Health Services 2.469 TRIA Orthopaedic Center, LLC 0.402Redwood Area Hospital 1.834 United Hospital 1.187Regina Medical Center 1.186 United Hospital District - Blue Earth 2.678Regions Hospital 0.844 Unity Hospital 1.257Renville County Hospital 2.682 University Medical Center - Mesaba 1.683Rice County District One 1.156 University of Iowa Hospitals & Clinics 1.835Rice Memorial Hospital 1.410 University of Minnesota Medical Center, Fairview 1.288Ridgeview Medical Center 1.016 University of Wisconsin Hospital & Clinics 1.495River Falls Area Hospital 1.806 Westfields Hospital 1.153River's Edge Hospital 2.034 WestHealth Surgery 0.580Riverside Endoscopy Center 0.575 Winona Health Services 2.144Riverview Healthcare Association 2.234 Wise Regional Health System 2.273Rochester Methodist Hospital 1.850 Woodbury Ambulatory Surgery Center 0.426Sacred Heart Hospital 1.972 Average Index 1.000Sanford Bemidji Medical Center 1.661

2 of 2

Medical Group TCI Index Medical Group TCI

Index


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

Lake Region Hospital

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






Total Cost of Care - Hospital InpatientTotal Cost Index (TCI)

Abbott Northwestern Hospital 1.104 Mayo Clinic Health System Hospital - Red Wing 1.185Altru Clinics 0.990 Meeker Memorial Hospital 1.274Amery Regional Medical Center Clinics 0.928 Memorial Medical Center, Inc 1.380Avera Marshall Regional Medical Center 1.060 Mercy Hospital 1.116Avera McKennan Hospital & University Health Center 1.810 Mercy Medical Center - Des Moines 1.070Buffalo Hospital 0.953 New Ulm Medical Center 1.165Cambridge Medical Center 1.072 North Memorial Medical Center 0.847Cuyuna Regional Medical Center 1.273 Northfield City Hospital 1.080Douglas County Hospital 0.782 Olmsted Medical Center/Hospital 1.133Essentia Health - Duluth 1.156 Osceola Medical Center 1.436Essentia Health - Fargo 1.341 Owatonna Hospital 1.151Essentia Health - St. Joseph's Medical Center 1.105 Park Nicollet Methodist Hospital 0.985Essentia Health - St. Mary's Medical Center 1.293 Regina Medical Center 0.733Essentia Health - St. Mary's Hospital - Detroit Lakes 1.171 Regions Hospital 0.757Fairview Lakes Regional Medical Center 0.898 Rice County District One 0.481Fairview Northland Regional Hospital 1.041 Rice Memorial Hospital 0.955Fairview Ridges Hospital 0.937 Ridgeview Medical Center 0.687Fairview Southdale Hospital 0.966 River Falls Area Hospital 1.544Glencoe Regional Health Services 1.085 Rochester Methodist Hospital 1.598Grand Itasca Clinic & Hospital 1.473 Sacred Heart Hospital 1.557Gundersen Lutheran Medical Center, Inc 1.634 Sanford Bemidji Medical Center 1.331Hayward Area Memorial Hospital 1.572 Sanford Medical Center Fargo 1.510HealthEast St. John's Hospital 0.959 Sanford USD Medical Center 2.087HealthEast St. Joseph's Hospital 1.129 St. Cloud Hospital 0.938HealthEast Woodwinds Hospital 1.065 St. Croix Regional Medical Center 1.095Hennepin County Medical Center 0.948 St. Francis Regional Medical Center 0.925Hudson Hospital & Clinics 0.619 St. Gabriel's Hospital 1.038Hutchinson Health Hospital 1.054 St. Joseph's Area Health Services 2.155Lake Region Hospital 1.617 St. Joseph's Hospital 1.014Lakeview Hospital 0.756 St. Luke's Hospital 1.292Lakeview Medical Center 1.445 St. Mary's Hospital 1.828Lakewood Health System 1.881 United Hospital 1.200LifeCare Medical Center 1.271 Unity Hospital 1.346Maple Grove Hospital 0.810 University Medical Center - Mesaba 1.025Mayo Clinic Health System - Eau Claire Hospital, Inc 1.850 University of Minnesota Medical Center, Fairview 1.272Mayo Clinic Health System - Franciscan Medical Center, Inc 1.524 Westfields Hospital 0.673Mayo Clinic Health System - Mankato 1.227 Winona Health Services 1.387Mayo Clinic Health System - Red Cedar 1.534 Average Index 1.000Mayo Clinic Health System - Albert Lea and Austin 1.337


Index


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







Total Cost of Care - Hospital OutpatientTotal Cost Index (TCI)

Abbott Northwestern Hospital 1.210 Glacial Ridge Hospital 2.261Aitkin Community Hospital 2.250 Glencoe Regional Health Services 1.554Albany Area Hospital 1.913 Grand Itasca Clinic & Hospital 2.985Altru Clinics 1.150 Gundersen Lutheran Medical Center, Inc 2.184Amery Regional Medical Center Clinics 1.691 Hayward Area Memorial Hospital 2.266Aurora Baycare Medical Center 1.582 HealthEast St. John's Hospital 1.175Avera Holy Family Hospital 2.074 HealthEast St. Joseph's Hospital 1.228Avera Marshall Regional Medical Center 2.168 HealthEast Surgery Center - Maplewood 0.616Avera McKennan Hospital & University Health Center 1.710 HealthEast Woodwinds Hospital 1.255Baldwin Area Medical Center 1.838 HealthPartners Same Day Surgery Center 0.538Bigfork Valley Hospital 3.096 Hennepin County Medical Center 1.264Brainerd Lakes Surgery Center 1.093 High Pointe Surgery Center 0.470Buffalo Hospital 1.889 Hocking Valley Community Hospital 1.751Burnett Medical Center 1.884 Hudson Hospital & Clinics 1.140Cambridge Medical Center 2.007 Hutchinson Health Hospital 1.750CentraCare Health - Long Prairie Hospital 1.176 Kosciusko Community Hospital - Warsaw 2.922CentraCare Health - Monticello Hospital 1.380 Lake Region Hospital 2.396CentraCare Health - Sauk Centre Hospital 2.071 Lakes Regional Healthcare 1.474CentraCare Surgery Center 0.717 Lakeview Hospital 1.070Chaska Plaza Surgery Center, LLC 0.462 Lakeview Medical Center 1.995Chippewa County Montevideo Hospital 1.606 Lakeview Memorial Hospital, Inc 1.758Community Memorial Hospital 2.471 Lakewalk Surgery Center, Ltd 1.083Crosstown Surgery Center 0.448 Lakewood Health Center 3.340Cumberland Memorial Hospital & Extended Care Unit, Inc 2.343 Lakewood Health System 2.669Cuyuna Regional Medical Center 1.735 Landmark Surgery Center 0.438Douglas County Hospital 1.285 Maple Grove Hospital 1.015Ely-Bloomenson Community Hospital 3.068 Marion General Hospital 2.009Essentia Health - Duluth 1.125 Mass General Hospital 2.302Essentia Health - Fargo 1.648 Mayo Clinic Health System - Cannon Falls 3.205Essentia Health - Sandstone Health Center 1.711 Mayo Clinic Health System - Eau Claire Hospital, Inc 2.171Essentia Health - St. Joseph's Medical Center 1.693 Mayo Clinic Health System - Fairmont 1.436Essentia Health - St. Mary's Hospital - Superior 1.606 Mayo Clinic Health System - Franciscan Medical Center, Inc 1.619Essentia Health - St. Mary's Medical Center 1.634 Mayo Clinic Health System - Mankato 1.699Essentia Health - Deer River 1.977 Mayo Clinic Health System - Red Cedar 1.838Essentia Health - Fosston 1.847 Mayo Clinic Health System - St. James 2.275Essentia Health - Holy Trinity Hospital 1.888 Mayo Clinic Health System - Albert Lea and Austin 1.705Essentia Health - St. Mary's Hospital - Detroit Lakes 1.774 Mayo Clinic Health System Hospital - New Prague 1.917Essentia Health - Virginia 1.974 Mayo Clinic Health System Hospital - Red Wing 1.616Fairview Lakes Regional Medical Center 1.446 Meeker Memorial Hospital 1.682Fairview Maple Grove Surgery Center 0.536 Melrose Area Hospital 1.251Fairview Northland Regional Hospital 1.527 Memorial Medical Center, Inc 2.950Fairview Ridges Hospital 1.003 Mercy Health Services - Iowa Corp 1.764Fairview Southdale Hospital 0.942 Mercy Hospital 2.044Finley Hospital 1.678 Mercy Hospital 1.173FirstLight Health System 2.633 Midwest Surgery Center 0.468Froedtert Hospital 1.902 Mille Lacs Health System 2.270

1 of 2


Index



Total Cost of Care - Hospital OutpatientTotal Cost Index (TCI)

Minnesota Orthopedic Surgery Center, LLC 0.448 Sanford Medical Center Fargo 1.926Minnesota Valley Surgery Center 1.370 Sanford Thief River Falls 1.501MNGI Endoscopy - Bloomington Clinic and Endoscopy Center 0.588 Sanford USD Medical Center 1.814MNGI Endoscopy - Maplewood 0.591 Sibley Medical Center 2.686New Ulm Medical Center 1.582 Sleepy Eye Municipal Hospital 2.688North Memorial Ambulatory Surgical Center at Maple Grove 0.499 Spencer Municipal Hospital 1.876North Memorial Medical Center 1.012 Spooner Health System 3.550Northfield City Hospital 1.776 St. Cloud Hospital 0.960Olmsted Medical Center/Hospital 1.441 St. Cloud Surgical Center 0.669Osceola Medical Center 2.181 St. Croix Regional Medical Center 1.707Owatonna Hospital 1.794 St. Francis Regional Medical Center 1.424Park Nicollet Methodist Hospital 1.006 St. Gabriel's Hospital 1.242Park Nicollet Methodist Hospital - Ambulatory Surgery Center 0.767 St. Joseph's Area Health Services 2.474Pavilion Surgery Center, LLC 0.808 St. Joseph's Hospital 2.123Paynesville Area Hospital 2.153 St. Luke's Hospital 1.632Perham Memorial Hospital and Home 1.850 St. Mary's Hospital 1.891Prairie du Chien Memorial Hospital 2.042 Stevens Community Medical Center 2.187Prairie Ridge Hospital and Health Services 2.469 Tri - County Hospital 1.615Redwood Area Hospital 1.834 TRIA Orthopaedic Center, LLC 0.402Regina Medical Center 1.394 United Hospital 1.171Regions Hospital 0.925 United Hospital District - Blue Earth 2.678Renville County Hospital 2.682 Unity Hospital 1.162Rice County District One 1.498 University Medical Center - Mesaba 2.123Rice Memorial Hospital 1.821 University of Iowa Hospitals & Clinics 1.835Ridgeview Medical Center 1.293 University of Minnesota Medical Center, Fairview 1.303River Falls Area Hospital 1.903 University of Wisconsin Hospital & Clinics 1.495River's Edge Hospital 2.034 Westfields Hospital 1.336Riverside Endoscopy Center 0.575 WestHealth Surgery 0.580Riverview Healthcare Association 2.234 Winona Health Services 2.505Rochester Methodist Hospital 1.797 Wise Regional Health System 2.273Sacred Heart Hospital 2.662 Woodbury Ambulatory Surgery Center 0.426Sanford Bemidji Medical Center 1.892 Average Index 1.000

2 of 2

Medical Group TCI Index Medical Group TCI

Index

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