1. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit HealthPartners Communication Toolkit HealthPartners is pleased to provide you with this communication toolkit to assist in your efforts to disseminate clinical indicator results to your providers. The toolkit consists of PowerPoint slide templates that you can customize with your results. Included in the toolkit: –Clinical indicators overview –Sample comparison graphs for Optimal Lifestyles, Preventive Services, Healthy Behaviors and Optimal Depression Care –Partners in Excellence measures and targets for 2009 and 2010 To use this as a PowerPoint document, click File, Save As and save it to your system. A technical supplement to the Clinical Indicators Report is available and includes measurement detail, optimal component rates, trended plan rates over time and external benchmarks. The report and supplements are available at healthpartners.com/quality.

2. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit HealthPartners Clinical Indicators 18th Edition Over seventeen years of collaboration, measurement innovation and performance improvement To be updated with new cover

3. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit Clinical Indicators 2009 / 2010 Results The primary purpose is to provide valid and reliable information for providers to use in their efforts to improve patient care and outcomes Rates are displayed for HealthPartners provider groups based on patient volume, Partners in Excellence program participation, geographic location and strategic relationship with HealthPartners Each graph displays provider performance, 95% confidence intervals, average medical group performance and performance goals for Partners in Excellence measures Results reflect claims data, chart audit results, patient survey and provider self-reported data Clinical Indicators data is reported at the medical group level and supports the HealthPartners Partners in Excellence program. This important initiative provides financial recognition to medical groups for superior performance. HealthPartners uses this information to support internal quality improvement initiatives which may include provider incentive and tiering programs

4. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit Clinical Indicators 2009 / 2010 Results Measure Title Description Methodology –Products included –Denominator/numerator definitions –Attribution –Sample size if applicable Results

5. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit Clinical Indicators 2009 / 2010 Results Behavioral Health Diabetes Care Healthy Behaviors Medication Management Musculoskeletal Comparative provider performance on 67 measures reported by primary care, specialty, pharmacy and hospital related to: Obstetrics and Gynecology Preventive Services Safety Tobacco Use & Cessation Total Cost of Care

6. 11.30.102010HealthPartners Clinical Indicators Communication Toolkit What’s New? Diabetic Eye Exam Generic Drug Use (Pharmacy Chains) Optimal Care for Acute Low Back Pain (Primary Care) Annual Monitoring for Patients on Persistent Medications – Combined ACE/ARB and Diuretics (Pharmacy Chains) Total Cost of Care

7. 11.30.102010HealthPartners Clinical Indicators Communication Toolkit What’s Coming? Optimal Health Management for Severe Mental Illness – On average, people with schizophrenia or bipolar disorders and on an antipsychotic medication die 25 years earlier than people without these disorders – Antipsychotic medications predispose people to Metabolic Syndrome, weight gain, diabetes, hypertension and hyperlipidemia Measure Description The percentage of members ages 18 to 65 on December 31 st of the measurement year that have a diagnosis of schizophrenia or bipolar disorder and had at least one fill of an antipsychotic or mood stabilizer medication and documentation of care is optimal. 1.BMI assessment 2.Tobacco assessment 3.Alcohol use screening 4.LDL screening 5.Blood glucose screening 6.Blood pressure screening

8. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit Optimal Lifestyles and Preventive Services

9. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit Healthy Behaviors

10. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit Optimal Depression Care Documented five or more symptoms of major depression Documented symptom follow-up within three months Antidepressant medication for 180 days

11. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit How we compare to others

12. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit Partners in Excellence Program Forms the basis for HealthPartners financial and public recognition for medical/specialty groups achieving either excellent or superior performance in clinical quality, patient experience and affordability measures. Rewards are based on medical group performance as measured by the clinical indicators measurement set, Consumer Choice satisfaction survey and other defined measurement tools. October 2010 Partners In Excellence provider group awards reflect performance measured against targets outlined in the 2009 program manuals (reflecting rates based on 2009 dates of service) with the exception of generic drug use which are measured against targets outlined in the 2010 manuals. (Generic drug use rates reflect 2010 performance.)

13. 2009 Partners in Excellence Program – Primary Care MeasuresSilver TargetGold Target MNCM Optimal Diabetes Care DDS40%50% MNCM Optimal Vascular Care DDS55%60% Optimal Depression Care45%50% Evidence-based Cervical Cancer Screening45%55% Preventive Services – Adult93%98% Alcohol Assessment93%98% Optimal Care for Acute Low Back Pain15%25% Generic Drug Use – Adult Generic Drug Use – Pediatrics 75% 70% 80% 75% Breast Cancer Screening (small groups only)80%85% Part 1: BMI Assessment – Pediatric Part 2: Preventive Services Combo 2 – Pediatric 80% 75% 85% 80% Pediatric Immunization Combo 3 – Pediatric90%95% Patient Experience – Informed about care – Adult Patient Experience – Talked about pros and cons – Adult Top Band Top Performer Patient Experience – Informed about care – Pediatric Patient Experience – Talked about pros and cons – Pediatric Top Performer 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit HealthPartners Innovations in Health Care Award

14. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit 2009 Partners in Excellence –Specialty Care SpecialtyMeasuresSilver TargetGold Target CardiologyGeneric Drug Use Patient Experience – Informed about care Patient Experience – Talked about pros and cons 75% Top Performer 80% Top Performer OB/GYNGeneric Drug Use Hysterectomy Post-Operative Complications Alcohol Assessment Patient Experience – Informed about care Patient Experience – Talked about pros and cons 78% 93% Top Performer 83% ≤ 0.5 of the index rate 98% Top Performer Behavioral HealthGeneric Drug Use Optimal Depression Care 70% 55% 75% 60% ENTGeneric Drug Use Patient Experience – Informed about care Patient Experience – Talked about pros and cons 75% 71% Top Performer 80% 76% Top Performer Physical TherapyOswestry ComplianceInitial 75% Longitudinal 35% Combined 75% Initial 35% Longitudinal OrthopaedicsPatient Experience – Informed about care Patient Experience – Talked about pros and cons 80% Top Performer 85% Top Performer

15. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit 2010 Partners in Excellence Program –Primary Care MeasuresSilver TargetGold Target MNCM Optimal Diabetes Care DDS40%50% MNCM Optimal Vascular Care DDS55%60% Optimal Depression Care45%50% Optimal Care for Acute Low Back Pain15%25% Evidence-based Cervical Cancer Screening (pap test attribution)60%65% Part 1: Preventive Services – Adult Part 2: Preventive Services Combo 2 – Pediatric Part 3: MNCM Childhood Immunization Combo 3 (Primary care will need to meet all three targets, Pediatric groups need to meet Parts 2 & 3) 90% 80% 90% 95% 85% 95% Generic Drug Use – Adult Generic Drug Use – Pediatrics 78% 73% 83% 78% MNCM Avoidance of Antibiotic Use in Acute Bronchitis40%45% MNCM Controlling High Blood Pressure90%95% Initiation & Engagement of Alcohol & Other Drug Dependence Treatment - Initiation Initiation & Engagement of Alcohol & Other Drug Dependence Treatment - Engagement 20% 10% 25% 15% Annual Monitoring for Patients on Persistent Medications - ACE/ARB Annual Monitoring for Patients on Persistent Medications - Diuretics 85% 90% Patient Experience – Informed about care - Primary Care Patient Experience – Talked about pros and cons - Primary Care 72% 70% 77% 75% Patient Experience – Informed about care - Pediatrics Patient Experience – Talked about pros and cons - Pediatrics 72% 75% 77% 80% HealthPartners Innovations in Health Care Award

16. 11.30.102010 HealthPartners Clinical Indicators Communication Toolkit 2010 Partners in Excellence –Specialty Care SpecialtyMeasuresSilver TargetGold Target CardiologyMNCM Optimal Vascular Care Generic Drug Use Annual Monitoring for Patients on Persistent Medications - ACE/ARB Annual Monitoring for Patients on Persistent Medications - Diuretics Patient Experience – Informed about care Patient Experience – Talked about pros and cons 55% 78% 90% 85% 60% 83% 95% 90% OB/GYNGeneric Drug Use MNCM Chlamydia Screening Evidence-based Cervical Cancer Screening (pap test attribution) Patient Experience – Informed about care Patient Experience – Talked about pros and cons 78% 70% 60% 85% 90% 83% 75% 65% 90% 95% Behavioral HealthGeneric Drug Use Optimal Depression Care 78% 55% 83% 65% ENTGeneric Drug Use Patient Experience – Informed about care Patient Experience – Talked about pros and cons 78% 85% 83% 90% OrthopaedicsFunctional Measurement for Knee Arthroplasty Patient Experience – Informed about care Patient Experience – Talked about pros and cons Written documentation AND > 25% longitudinal 85% 90% Written documentation AND > 75% longitudinal 90% 95% HealthPartners Innovations in Health Care Award