1 Operations Update February 2016 Calls and Office Visits: January 2016 • Calls and In-person Assistance total: - Inbound calls: 4,133 answered calls (18.5% ↓ from 2015) - Speed of answer: 39 seconds (9 seconds over goal due to BSC plan year rollover error) - Abandonment rate: 3.3% (.3% over goal due to BSC plan year rollover error) - In-person assistance: 1,139 members (15% ↓ from 2015) Operations Update February 2016 4133 - 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2014 2015 2016 Open Enrollment Inbound Calls: January 2016 Calls
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Operations Update February 2016
Calls and Office Visits: January 2016
• Calls and In-person Assistance total:
- Inbound calls: 4,133 answered calls (18.5% ↓ from 2015)
- Speed of answer: 39 seconds (9 seconds over goal due to
BSC plan year rollover error)
- Abandonment rate: 3.3% (.3% over goal due to BSC plan year
rollover error)
- In-person assistance: 1,139 members (15% ↓ from 2015)
Operations Update February 2016
4133
-
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2014 2015 2016 OpenEnrollment
Inbound Calls: January 2016
Calls
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Operations Update February 2016
39
0
5
10
15
20
25
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35
40
45
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2014 2015 2016 OpenEnrollment
< Exceeded goal by 9 seconds due to BSC plan year rollover error
Call Speed of Answer: January 2016S
eco
nds
GOAL < 30 seconds
Operations Update February 2016
3.3%
0.0%
1.0%
2.0%
3.0%
4.0%
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2014 2015 2016
GOAL < 3%
Abandonment Rate: January 2016
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Operations Update February 2016
1139
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Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec2014 2015 2016
In-person Assistance: January 2016Open
Enrollment
Operations Update February 2016
Delinquencies & Terminations: January 2016
• Delinquency Notices Sent- Employees: 299- Retirees: 32
• Termination Notices Sent- Employees: 93- Retirees: 5
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Operations Update February 2016
299
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2015 Employee 2016 Employee 2015 Retirees 2016 Retirees
Delinquency Notices: January 2016
Operations Update February 2016
Termination Notices: January 2016
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2015 Employee 2016 Employee 2015 Retirees 2016 Retirees
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Communications February 2016 Board Meeting
11,180 website visitors
Website Visits: January 2016
Communications February 2016 Board Meeting
Most Visited Website Pages: January 2016
Home Page 6,873
City & County Employee Benefits 3,863Retiree Benefits 1,3791095-C Tax Form Info 1,238Flexible Spending Accounts 1,072Top Ten Topics 1,007Blue Shield 961Search Results 960Wellness Center Calendar 694Diabetes Prevention 699
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Communications February 2016 Board Meeting
Top Website Downloads: January 2016
2016 City & County Employee Benefits Guide 939
2016 City & County Employee Premium Rates 439
2016 Retiree Benefits Guide 303
2016 City & County Employee Enrollment Form 299
2016 Blue Shield Summary of Benefits 229
2016 P&A Group FSA Brochure 214
2016 Delta Dental Summary of Benefits 173
2016 Kaiser Summary of Benefits 156
2016 SFUSD Benefits Guide 137
2016 VSP Vision Summary of Benefits 131
Communications February 2016 Board Meeting
eNews January 2016
Subject Line: New 2016 Plan Year BeginsTotal Delivered 16,276Opened 5,232 39.0%Clicked Links 1,602 9.9%
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Communications February 2016 Board Meeting
• 1095-C tax form communications to all City employers, employees, retirees, unions and human resources personnel throughout the City.
• 1095 communications included web pages, flyers, multiple emails, Employee Gateway news feature and outreach to unions and associations.
• Collaborated on coordinating hand-delivery of 1095-C to City employees. (Similar to W-2 delivery.)
• Coordinated with mail house on 1095-C mailing to USD/City College employees and retirees.
January 2016 Communication Highlights
Communications February 2016 Board Meeting
• 2016 Demographics report.• Collaborated with wellness on specification for
outside vendor to produce nutrition challenge communications.
• Collaborated with Finance, Ops and Wellness on $2.05 budget documentation and projected budget requests for FY16-17 and 17-18.
• Planning meeting with Dept of Technology re agile development process for myhss.org redesign.
January 2016 Communication Highlights
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Data Analytics Update February 11, 2016
1
PeopleSoft (eMerge):• Completed final acceptance testing for Form 1095• Generated 51,720 Form 1095 for printing and distribution• Provided assessment for FSA over-the-counter payments• Remediated incorrect USD deductions due to changes made by USD• Completed documentation of HSS PeopleSoft programs• Assisted in reconciliation of financial discrepancy. New deduction code
had not been correctly configured by the financial system
IT INITIATIVES:
• Customer Relationship Management System Go-Live occurred February 4th
• Completed Q2 Committee of IT report on HSS initiatives• Provided content for the CRM knowledgebase
PresenterPresentation NotesPAUSE HERE
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Data Analytics Update February 11, 2016
2
DATA ANALYTICS:• Extracted all data and provided calculations for annual demographic report• Began crosswalk of health plans data for early retirees with the APCD• Began vetting of APCD risk scores• Prepared focused analysis of inpatient utilization by age group 54-65
OTHER:
• Met with Truven to formulate analytic agenda for 2016 and beyond • Met with eMerge to review work requirements for 2016• Joined Department of Technology & Health Services Agency for Cisco
telecom demonstration• Attended Caring for Municipal Records presentation• Attended ongoing ACA webcast • Attended webcast on ICD-10 Tools and Analytics
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Data Analytics Update February 11, 2016
3
Follow up on Health Plans Dashboard
At the January 14, 2016 Health Service Board meeting, the Health Plans dashboard was presented. The review of inpatient, outpatient and pharmacy utilization and cost trends across all health plans for active employees was provided at an aggregate level.
A focused analysis of inpatient utilization for the 45-64 age group of the active population was requested. What follows is both the initial presentation of inpatient data for all age groups along with the requested age group slice.
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Data Analytics Update February 11, 2016
4
Health Plan Actives: Inpatient Average Length of Stay
• Recent data shows that City Plan and Blue Shield Patients are in the hospital ½ day longer than Kaiser
• This area is amenable to increased case review to decrease the average length of stay. Each ½ day of stay represents about $3,911
• This greater length of stay coupled with the higher admits per thousand as compared to KP results in greater inpatient cost for Blue Shield and City Plan
4.08 3.893.97
5.32
4.454.54
5.49
4.09
4.57
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
18.00
Q 1 2 0 1 3 Q 2 2 0 1 3 Q 3 2 0 1 3 Q 4 2 0 1 3 Q 1 2 0 1 4 Q 2 2 0 1 4 Q 3 2 0 1 4 Q 4 2 0 1 4 Q 1 2 0 1 5 Q 2 2 0 1 5
INPATIENT AVERAGE LENGTH OF STAYKP BSC CP
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Data Analytics Update February 11, 2016
5
Health Plan Actives: Inpatient Average Length of Stay
• Average Length of Stay for Blue Shield patients is slightly more than ½ day longer than Kaiser and two days more than the Blue Shield Average Length of Stay for all age groups
• City Plan Average Length of Stay for age group 45-64 is 1/3rd day less than looking at all age groups combined
Chart1
Q1 2013Q1 2013Q1 2013
Q2 2013Q2 2013Q2 2013
Q3 2013Q3 2013Q3 2013
Q4 2013Q4 2013Q4 2013
Q1 2014Q1 2014Q1 2014
Q2 2014Q2 2014Q2 2014
Q3 2014Q3 2014Q3 2014
Q4 2014Q4 2014Q4 2014
Q1 2015Q1 2015Q1 2015
Q2 2015Q2 2015Q2 2015
KP
CP
BSC
Inpatient Average Length of StayAge Group 45 - 64
4.3962655602
6.3846153846
4.4607329843
4.3534798535
6.03125
4.9740932642
4.3933463796
5.2068965517
4.8274111675
4.3095238095
5.0882352941
4.0054644809
4.2231075697
3.4871794872
4.605
4.4099616858
3.1794871795
5.0121212121
4.4878504673
3.6666666667
5.0754716981
4.7172675522
4
4.1976744186
4.4849056604
4.1785714286
5.7765363128
4.1369863014
4.2
4.6644295302
Charts
Q1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Days LOS Admit AcuteKP4.44.44.44.34.24.44.54.74.54.1Truven
CP6.46.05.25.13.53.23.74.04.24.2Truven
BSC4.55.04.84.04.65.05.14.25.84.7CRN
Q1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Hospital DaysKP2,1162,3742,2452,1712,1192,3072,4092,5022,4002,144Truven
CP67160303530838281932eServices
BSC5,1326,3305,9595,1914,9964,6984,6815,0306,6276,738Truven
Q1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Days / 1000KP202169159153148160165169160141Truven
CP1012404756551551561552071eServices
BSC265246241238241239241243234220Truven
Charts
KP
CP
BSC
Inpatient Average Length of StayAge Group 45 - 64
BackUp Truven & CRN Data
KP
CP
BSC
Inpatient Hospital DaysAge Group 45-64
eServices
KP
CP
BSC
Inpatient Days / 1000Age Group 45-64
BackUp eServices Data
KAISER -
Plan GroupKaiser
Benefit StatusActive & Others
Employee Status MedstatActive/Other
Time Period: Incurred Date MMDDYYYYQ1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Admit Type Medstat w CodeAge Group Medstat
Days Per 1000 Acute1 SurgicalAge Group 45-6493.1876.8461.8759.4957.8867.1769.8771.0467.8051.63
2 MedicalAge Group 45-6484.5171.0170.4469.9770.1275.7081.4076.8169.0168.95
3 Maternity/NewbornAge Group 45-640.102.632.622.753.571.041.241.290.400.60
4 Psychiatric/Substance AbuseAge Group 45-6424.1118.6424.0020.7016.6415.6712.2919.5422.5119.65
Aggregate(Admit Type Medstat w Code Values)201.90169.12158.93152.90148.20159.57164.79168.69159.72140.83
Admits Per 1000 Acute1 SurgicalAge Group 45-6418.0115.2313.4514.1514.4714.7014.3414.1814.3112.46
2 MedicalAge Group 45-6424.3020.4219.4018.5818.1119.2720.3818.8618.5519.12
3 Maternity/NewbornAge Group 45-640.100.280.280.350.420.210.270.270.130.20
4 Psychiatric/Substance AbuseAge Group 45-643.532.923.042.392.102.011.722.442.622.26
Aggregate(Admit Type Medstat w Code Values)45.9338.8536.1835.4835.0936.1836.7235.7635.6134.04
Days LOS Admit Acute1 SurgicalAge Group 45-645.175.054.604.204.004.574.875.014.744.14
2 MedicalAge Group 45-643.483.483.633.773.873.933.994.073.723.61
3 Maternity/NewbornAge Group 45-641.009.259.257.808.505.004.504.753.003.00
4 Psychiatric/Substance AbuseAge Group 45-646.846.397.888.657.937.797.168.008.598.68
Aggregate(Admit Type Medstat w Code Values)4.404.354.394.314.224.414.494.724.484.14
Net Pay Per Day Adm Acute1 SurgicalAge Group 45-64$16,973.30$16,870.42$17,148.88$19,101.40$19,687.54$19,400.78$19,103.78$18,021.41$17,714.80$18,359.97
2 MedicalAge Group 45-64$10,031.14$10,084.28$10,099.17$10,360.09$10,565.51$10,657.29$10,823.52$10,432.43$10,458.64$10,228.14
3 Maternity/NewbornAge Group 45-64$10,526.00$5,583.89$5,583.89$5,702.87$5,848.48$6,812.98$6,988.51$7,385.48$8,989.57$9,610.13
4 Psychiatric/Substance AbuseAge Group 45-64$2,143.40$2,801.35$3,087.51$3,237.09$3,914.88$3,928.28$3,178.14$2,704.11$2,527.80$2,432.60
Aggregate(Admit Type Medstat w Code Values)$12,293.68$12,294.80$11,710.49$12,713.04$13,268.16$13,652.08$13,735.54$12,709.99$12,417.33$12,118.83
Days {Cmpl}1 SurgicalAge Group 45-649781,0808758478309741,0241,0551,020787
2 MedicalAge Group 45-648859969949911,0001,0911,1891,1391,0381,052
3 Maternity/NewbornAge Group 45-6413737395115181969
4 Psychiatric/Substance AbuseAge Group 45-64252261339294238227178288336296
Aggregate(Admit Type Medstat w Code Values)2,1162,3742,2452,1712,1192,3072,4092,5022,4002,144
CITY PLAN
Plan GroupCity Plan
Benefit StatusActive & Others
Employee Status MedstatActive/Other
Time Period: Incurred Date MMDDYYYYQ1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Age Group MedstatAdmit Type Medstat w Code
Net Pay Per Day Adm AcuteAge Group 45-641 Surgical$16,329.13$14,293.62$15,778.40$15,932.42$17,752.62$22,173.86$20,361.64$14,206.14$12,470.73$11,878.98
2 Medical$6,857.93$9,488.46$10,525.10$10,875.90$10,756.54$8,745.17$7,803.63$5,688.48$5,485.87$5,185.13
3 Maternity/Newborn$4,173.90$4,173.90$4,173.90$4,173.90$681.65
4 Psychiatric/Substance Abuse$337.48$250.98$250.98$250.98$1,917.75$1,960.46$7,610.13$7,610.13$8,242.62
Aggregate(Admit Type Medstat w Code Values)$11,734.86$11,750.46$12,733.81$12,801.66$12,838.53$13,754.93$12,588.22$9,952.76$9,490.67$9,086.90
Days LOS Admit AcuteAge Group 45-641 Surgical9.278.627.085.932.823.133.184.475.084.58
2 Medical3.083.893.444.063.813.054.193.213.273.63
3 Maternity/Newborn8.008.008.008.003.00
4 Psychiatric/Substance Abuse12.0011.0011.0011.002.001.504.004.004.50
Aggregate(Admit Type Medstat w Code Values)6.386.035.215.093.493.183.674.004.184.20
Days Per 1000 Adm AcuteAge Group 45-641 Surgical200.66167.58130.74141.0879.4886.7697.96127.17120.91113.66
2 Medical78.69104.7484.59115.72132.47111.05121.5485.4271.3659.93
3 Maternity/Newborn13.2513.8814.5115.196.20
4 Psychiatric/Substance Abuse47.2116.4616.9217.443.475.4437.9639.6437.20
Aggregate(Admit Type Medstat w Code Values)326.56288.78232.25274.24225.20215.15239.46265.74231.91216.98not used in the fianl report
Days {Cmpl}1 SurgicalAge Group-45-64107133111116755857635455
2 MedicalAge Group-45-6442685678796677514639
3 Maternity/NewbornAge Group-45-6477774
4 Psychiatric/Substance AbuseAge Group-45-643016161623181816
Aggregate(Admit Type Medstat w Code Values)179217183210161133145140119114not used in the fianl report
BSC_INPATIENT-v32 Trend
Plan GroupBlue Shield
Benefit StatusActive Ben Status
Employee Status MedstatActive/Other
Time Period: Incurred Date MMDDYYYYQ1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
DRGAge Group Medstat
Days Per 1000 Adm AcuteIP-MEDAge Group - 45-6491.6991.2597.3699.99113.58106.3698.6099.50101.3098.31
IP-SURGAge Group - 45-64114.37103.0999.9493.3286.4788.4698.53103.68104.1198.69
IP-MATAge Group - 45-645.944.681.843.112.842.632.121.600.980.98
IP-PSYCH / SAAge Group - 45-6452.9546.5042.0941.8138.1641.6741.5938.5127.9622.07
Aggregate(DRG Values)264.96245.52241.23238.24241.05239.13240.84243.28234.35220.06
Admits Per 1000 AcuteIP-MEDAge Group - 45-6424.6324.1325.3226.9826.5125.4223.9722.9422.1220.71
IP-SURGAge Group - 45-6421.6119.9620.9721.1321.6621.4419.8118.9119.1719.04
IP-MATAge Group - 45-640.580.510.590.740.600.530.300.300.230.23
IP-PSYCH / SAAge Group - 45-644.573.803.533.482.993.083.183.342.802.72
Aggregate(DRG Values)51.4048.4050.4152.3351.7550.4747.2645.5044.3242.70
Days {Cmpl}IP-MEDAge Group - 45-641,6902,1612,2532,0802,4242,1662,0262,0813,6553,894
IP-SURGAge Group - 45-642,7603,3022,9892,4141,9391,8682,0332,3572,5022,528
IP-MATAge Group - 45-641201294868554635332525
IP-PSYCH / SAAge Group - 45-64562738669629578617587559445291
Aggregate(DRG Values)5,1326,3305,9595,1914,9964,6984,6815,0306,6276,738
BSC INPATIENT - AGE GROUP - 45-64 - CRN
AgeBandSubgroupIncurredQuarter2012Q42013Q12013Q22013Q32013Q42014Q12014Q22014Q32014Q42015Q12015Q22015Q3Summary
45-490000Average Length of Stay4.16.42.92.86.35.64.7
SummaryAverage Length of Stay4.16.42.92.86.35.64.7
50-540000Average Length of Stay5.73.45.23.82.34.04.65.13.83.65.84.4
SummaryAverage Length of Stay5.73.45.23.82.34.04.65.13.83.65.84.4
55-590000Average Length of Stay3.84.05.13.24.04.64.62.94.54.68.54.4
SummaryAverage Length of Stay3.84.05.13.24.04.64.62.94.54.68.54.4
60-640000Average Length of Stay4.35.65.85.85.35.34.95.19.16.55.15.7
SummaryAverage Length of Stay4.35.65.85.85.35.34.95.19.16.55.15.7
Claimants < 26Claimants < 26Average Length of Stay4.24.27.13.14.07.37.96.63.94.53.73.14.7
SummaryAverage Length of Stay4.24.55.04.84.04.65.05.14.25.84.75.74.8
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2015-06, 2015-05, 2015-04, 2015-03, 2015-02, 2015-01, 2014-12, 2014-11, 2014-10, 2014-09, 2014-08, 2014-07, 2014-06, 2014-05, 2014-04, 2014-03, 2014-02, 2014-01, 2013-12, 2013-11, 2013-10, 2013-09, 2013-08, 2013-07, 2013-06, 2013-05, 2013-04, 2013-03, 2013-02, 2013-01) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusService QuarterNumber of DaysDays Per 1000Average Length of StayNumber of Days-55-64Days Per 1000-55-64Average Length of Stay-55-64Total -Number of DaysTotal - Days Per 1000Total - Average Length of Stay
45 - 54Active2013100.00.0671,847.411.2671,84711
201324130.32.01564,345.411.11604,47613
20133133.71.029864.03.2308984
2013420687.310.015455.52.5351,14313
2014115592.93.815511.92.1301,1056
20142381,540.512.7451,555.35.0833,09618
201435207.81.7772,695.419.3822,90321
20144391,613.89.8421,496.48.4813,11018
201513150.33.06234.72.093855
2015212606.12.420785.34.0321,3916
55 - 64Active20131
20132
20133
20134
20141
20142
20143
20144
20151
20152
Total60910,835.06.5
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2013-03, 2013-02, 2013-01) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active00.000.00.0
55 - 64Active616.567184.711.2
Total2013Q169.067101.111.2
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2013-06, 2013-05, 2013-04) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active26.5413.02.0
55 - 64Active1439.0156434.511.1
Total2013Q21624.016024010.0
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2013-09, 2013-08, 2013-07) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active13.413.41.0
55 - 64Active926.82986.43.2
Total2013Q31015.830473.0
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2013-12, 2013-11, 2013-10) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active26.92068.710.0
55 - 64Active618.21545.52.5
Total2013Q4812.935564.4
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2014-03, 2014-02, 2014-01) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active415.81559.33.8
55 - 64Active723.91551.22.1
Total2014Q11120.130552.7
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2014-06, 2014-05, 2014-04) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active312.238154.112.7
55 - 64Active931.145155.55.0
Total2014Q21222.4831556.9
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2014-09, 2014-08, 2014-07) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active312.5520.81.7
55 - 64Active414.077269.519.3
Total2014Q3713.38215611.7
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2014-12, 2014-11, 2014-10) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active416.639161.49.8
55 - 64Active517.842149.68.4
Total2014Q4917.2811559.0
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2015-03, 2015-02, 2015-01) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active15.0315.03.0
55 - 64Active311.7623.52.0
Total2015Q148.89202.3
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2015-06, 2015-05, 2015-04) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active525.31260.62.4
55 - 64Active519.62078.54.0
Total2015Q21022.132713.2
-
Data Analytics Update February 11, 2016
6
Health Plan Actives: Inpatient Days per 1000 Members
• Overall in the last two years, inpatient days per 1000 members has decreased for both Blue Shield and Kaiser Permanente
• Note, Blue Shield decreased the average length by a day per admit which has resulted in the decrease in days per thousand
161 141142
216205
197
10499
104
0
50
100
150
200
250
Q 1 2 0 1 3 Q 2 2 0 1 3 Q 3 2 0 1 3 Q 4 2 0 1 3 Q 1 2 0 1 4 Q 2 2 0 1 4 Q 3 2 0 1 4 Q 4 2 0 1 4 Q 1 2 0 1 5 Q 2 2 0 1 5
INPATIENT DAYS PER 1000 MEMBERSKP BSC CP
-
Data Analytics Update February 11, 2016
7
Health Plan Actives: Inpatient Days per 1000 Members
• City Plan membership for those aged 45-64 as of Q2 2015 was less than 500 people. Inpatient utilization by a few patients appears to impact the overall trend as is evidenced by erratic trend line.
• Kaiser Permanente’s inpatient days are consistent with the overall active population while Blue Shield’s experience is 23 days higher than the overall active population.
Chart1
Q1 2013Q1 2013Q1 2013
Q2 2013Q2 2013Q2 2013
Q3 2013Q3 2013Q3 2013
Q4 2013Q4 2013Q4 2013
Q1 2014Q1 2014Q1 2014
Q2 2014Q2 2014Q2 2014
Q3 2014Q3 2014Q3 2014
Q4 2014Q4 2014Q4 2014
Q1 2015Q1 2015Q1 2015
Q2 2015Q2 2015Q2 2015
KP
CP
BSC
Inpatient Days Per 1000 MembersAge Group 45-64
201.8992568126
101.0558069382
264.9599688511
169.1203064135
240.2402402402
245.5156950673
158.9305519504
47.4183350896
241.2333958862
152.9021130809
56.4212788823
238.23583915
148.2042468906
54.9450549451
241.0514262956
159.5702278832
154.8507462687
239.1274368457
164.7887807277
155.7948068398
240.8408635487
168.687234235
155.0733886407
243.2812203304
159.7231554899
19.7657393851
234.353689953
140.8269307634
70.6921944035
220.0559208041
Charts
Q1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Days LOS Admit AcuteKP4.44.44.44.34.24.44.54.74.54.1Truven
CP6.46.05.25.13.53.23.74.04.24.2Truven
BSC4.55.04.84.04.65.05.14.25.84.7CRN
Q1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Hospital DaysKP2,1162,3742,2452,1712,1192,3072,4092,5022,4002,144Truven
CP67160303530838281932eServices
BSC5,1326,3305,9595,1914,9964,6984,6815,0306,6276,738Truven
Q1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Days / 1000KP202169159153148160165169160141Truven
CP1012404756551551561552071eServices
BSC265246241238241239241243234220Truven
Charts
KP
CP
BSC
Inpatient Average Length of StayAge Group 45 - 64
BackUp Truven & CRN Data
KP
CP
BSC
Inpatient Hospital DaysAge Group 45-64
eServices
KP
CP
BSC
Inpatient Days / 1000Age Group 45-64
BackUp eServices Data
KAISER -
Plan GroupKaiser
Benefit StatusActive & Others
Employee Status MedstatActive/Other
Time Period: Incurred Date MMDDYYYYQ1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Admit Type Medstat w CodeAge Group Medstat
Days Per 1000 Acute1 SurgicalAge Group 45-6493.1876.8461.8759.4957.8867.1769.8771.0467.8051.63
2 MedicalAge Group 45-6484.5171.0170.4469.9770.1275.7081.4076.8169.0168.95
3 Maternity/NewbornAge Group 45-640.102.632.622.753.571.041.241.290.400.60
4 Psychiatric/Substance AbuseAge Group 45-6424.1118.6424.0020.7016.6415.6712.2919.5422.5119.65
Aggregate(Admit Type Medstat w Code Values)201.90169.12158.93152.90148.20159.57164.79168.69159.72140.83
Admits Per 1000 Acute1 SurgicalAge Group 45-6418.0115.2313.4514.1514.4714.7014.3414.1814.3112.46
2 MedicalAge Group 45-6424.3020.4219.4018.5818.1119.2720.3818.8618.5519.12
3 Maternity/NewbornAge Group 45-640.100.280.280.350.420.210.270.270.130.20
4 Psychiatric/Substance AbuseAge Group 45-643.532.923.042.392.102.011.722.442.622.26
Aggregate(Admit Type Medstat w Code Values)45.9338.8536.1835.4835.0936.1836.7235.7635.6134.04
Days LOS Admit Acute1 SurgicalAge Group 45-645.175.054.604.204.004.574.875.014.744.14
2 MedicalAge Group 45-643.483.483.633.773.873.933.994.073.723.61
3 Maternity/NewbornAge Group 45-641.009.259.257.808.505.004.504.753.003.00
4 Psychiatric/Substance AbuseAge Group 45-646.846.397.888.657.937.797.168.008.598.68
Aggregate(Admit Type Medstat w Code Values)4.404.354.394.314.224.414.494.724.484.14
Net Pay Per Day Adm Acute1 SurgicalAge Group 45-64$16,973.30$16,870.42$17,148.88$19,101.40$19,687.54$19,400.78$19,103.78$18,021.41$17,714.80$18,359.97
2 MedicalAge Group 45-64$10,031.14$10,084.28$10,099.17$10,360.09$10,565.51$10,657.29$10,823.52$10,432.43$10,458.64$10,228.14
3 Maternity/NewbornAge Group 45-64$10,526.00$5,583.89$5,583.89$5,702.87$5,848.48$6,812.98$6,988.51$7,385.48$8,989.57$9,610.13
4 Psychiatric/Substance AbuseAge Group 45-64$2,143.40$2,801.35$3,087.51$3,237.09$3,914.88$3,928.28$3,178.14$2,704.11$2,527.80$2,432.60
Aggregate(Admit Type Medstat w Code Values)$12,293.68$12,294.80$11,710.49$12,713.04$13,268.16$13,652.08$13,735.54$12,709.99$12,417.33$12,118.83
Days {Cmpl}1 SurgicalAge Group 45-649781,0808758478309741,0241,0551,020787
2 MedicalAge Group 45-648859969949911,0001,0911,1891,1391,0381,052
3 Maternity/NewbornAge Group 45-6413737395115181969
4 Psychiatric/Substance AbuseAge Group 45-64252261339294238227178288336296
Aggregate(Admit Type Medstat w Code Values)2,1162,3742,2452,1712,1192,3072,4092,5022,4002,144
CITY PLAN
Plan GroupCity Plan
Benefit StatusActive & Others
Employee Status MedstatActive/Other
Time Period: Incurred Date MMDDYYYYQ1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
Age Group MedstatAdmit Type Medstat w Code
Net Pay Per Day Adm AcuteAge Group 45-641 Surgical$16,329.13$14,293.62$15,778.40$15,932.42$17,752.62$22,173.86$20,361.64$14,206.14$12,470.73$11,878.98
2 Medical$6,857.93$9,488.46$10,525.10$10,875.90$10,756.54$8,745.17$7,803.63$5,688.48$5,485.87$5,185.13
3 Maternity/Newborn$4,173.90$4,173.90$4,173.90$4,173.90$681.65
4 Psychiatric/Substance Abuse$337.48$250.98$250.98$250.98$1,917.75$1,960.46$7,610.13$7,610.13$8,242.62
Aggregate(Admit Type Medstat w Code Values)$11,734.86$11,750.46$12,733.81$12,801.66$12,838.53$13,754.93$12,588.22$9,952.76$9,490.67$9,086.90
Days LOS Admit AcuteAge Group 45-641 Surgical9.278.627.085.932.823.133.184.475.084.58
2 Medical3.083.893.444.063.813.054.193.213.273.63
3 Maternity/Newborn8.008.008.008.003.00
4 Psychiatric/Substance Abuse12.0011.0011.0011.002.001.504.004.004.50
Aggregate(Admit Type Medstat w Code Values)6.386.035.215.093.493.183.674.004.184.20
Days Per 1000 Adm AcuteAge Group 45-641 Surgical200.66167.58130.74141.0879.4886.7697.96127.17120.91113.66
2 Medical78.69104.7484.59115.72132.47111.05121.5485.4271.3659.93
3 Maternity/Newborn13.2513.8814.5115.196.20
4 Psychiatric/Substance Abuse47.2116.4616.9217.443.475.4437.9639.6437.20
Aggregate(Admit Type Medstat w Code Values)326.56288.78232.25274.24225.20215.15239.46265.74231.91216.98not used in the fianl report
Days {Cmpl}1 SurgicalAge Group-45-64107133111116755857635455
2 MedicalAge Group-45-6442685678796677514639
3 Maternity/NewbornAge Group-45-6477774
4 Psychiatric/Substance AbuseAge Group-45-643016161623181816
Aggregate(Admit Type Medstat w Code Values)179217183210161133145140119114not used in the fianl report
BSC_INPATIENT-v32 Trend
Plan GroupBlue Shield
Benefit StatusActive Ben Status
Employee Status MedstatActive/Other
Time Period: Incurred Date MMDDYYYYQ1 2013Q2 2013Q3 2013Q4 2013Q1 2014Q2 2014Q3 2014Q4 2014Q1 2015Q2 2015
DRGAge Group Medstat
Days Per 1000 Adm AcuteIP-MEDAge Group - 45-6491.6991.2597.3699.99113.58106.3698.6099.50101.3098.31
IP-SURGAge Group - 45-64114.37103.0999.9493.3286.4788.4698.53103.68104.1198.69
IP-MATAge Group - 45-645.944.681.843.112.842.632.121.600.980.98
IP-PSYCH / SAAge Group - 45-6452.9546.5042.0941.8138.1641.6741.5938.5127.9622.07
Aggregate(DRG Values)264.96245.52241.23238.24241.05239.13240.84243.28234.35220.06
Admits Per 1000 AcuteIP-MEDAge Group - 45-6424.6324.1325.3226.9826.5125.4223.9722.9422.1220.71
IP-SURGAge Group - 45-6421.6119.9620.9721.1321.6621.4419.8118.9119.1719.04
IP-MATAge Group - 45-640.580.510.590.740.600.530.300.300.230.23
IP-PSYCH / SAAge Group - 45-644.573.803.533.482.993.083.183.342.802.72
Aggregate(DRG Values)51.4048.4050.4152.3351.7550.4747.2645.5044.3242.70
Days {Cmpl}IP-MEDAge Group - 45-641,6902,1612,2532,0802,4242,1662,0262,0813,6553,894
IP-SURGAge Group - 45-642,7603,3022,9892,4141,9391,8682,0332,3572,5022,528
IP-MATAge Group - 45-641201294868554635332525
IP-PSYCH / SAAge Group - 45-64562738669629578617587559445291
Aggregate(DRG Values)5,1326,3305,9595,1914,9964,6984,6815,0306,6276,738
BSC INPATIENT - AGE GROUP - 45-64 - CRN
AgeBandSubgroupIncurredQuarter2012Q42013Q12013Q22013Q32013Q42014Q12014Q22014Q32014Q42015Q12015Q22015Q3Summary
45-490000Average Length of Stay4.16.42.92.86.35.64.7
SummaryAverage Length of Stay4.16.42.92.86.35.64.7
50-540000Average Length of Stay5.73.45.23.82.34.04.65.13.83.65.84.4
SummaryAverage Length of Stay5.73.45.23.82.34.04.65.13.83.65.84.4
55-590000Average Length of Stay3.84.05.13.24.04.64.62.94.54.68.54.4
SummaryAverage Length of Stay3.84.05.13.24.04.64.62.94.54.68.54.4
60-640000Average Length of Stay4.35.65.85.85.35.34.95.19.16.55.15.7
SummaryAverage Length of Stay4.35.65.85.85.35.34.95.19.16.55.15.7
Claimants < 26Claimants < 26Average Length of Stay4.24.27.13.14.07.37.96.63.94.53.73.14.7
SummaryAverage Length of Stay4.24.55.04.84.04.65.05.14.25.84.75.74.8
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2015-06, 2015-05, 2015-04, 2015-03, 2015-02, 2015-01, 2014-12, 2014-11, 2014-10, 2014-09, 2014-08, 2014-07, 2014-06, 2014-05, 2014-04, 2014-03, 2014-02, 2014-01, 2013-12, 2013-11, 2013-10, 2013-09, 2013-08, 2013-07, 2013-06, 2013-05, 2013-04, 2013-03, 2013-02, 2013-01) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusService QuarterNumber of DaysDays Per 1000Average Length of StayNumber of Days-55-64Days Per 1000-55-64Average Length of Stay-55-64Total -Number of DaysTotal - Days Per 1000Total - Average Length of Stay
45 - 54Active2013100.00.0671,847.411.2671,84711
201324130.32.01564,345.411.11604,47613
20133133.71.029864.03.2308984
2013420687.310.015455.52.5351,14313
2014115592.93.815511.92.1301,1056
20142381,540.512.7451,555.35.0833,09618
201435207.81.7772,695.419.3822,90321
20144391,613.89.8421,496.48.4813,11018
201513150.33.06234.72.093855
2015212606.12.420785.34.0321,3916
55 - 64Active20131
20132
20133
20134
20141
20142
20143
20144
20151
20152
Total60910,835.06.5
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2013-03, 2013-02, 2013-01) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active00.000.00.0
55 - 64Active616.567184.711.2
Total2013Q169.067101.111.2
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2013-06, 2013-05, 2013-04) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active26.5413.02.0
55 - 64Active1439.0156434.511.1
Total2013Q21624.016024010.0
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2013-09, 2013-08, 2013-07) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active13.413.41.0
55 - 64Active926.82986.43.2
Total2013Q31015.830473.0
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2013-12, 2013-11, 2013-10) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active26.92068.710.0
55 - 64Active618.21545.52.5
Total2013Q4812.935564.4
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2014-03, 2014-02, 2014-01) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active415.81559.33.8
55 - 64Active723.91551.22.1
Total2014Q11120.130552.7
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2014-06, 2014-05, 2014-04) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active312.238154.112.7
55 - 64Active931.145155.55.0
Total2014Q21222.4831556.9
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2014-09, 2014-08, 2014-07) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active312.5520.81.7
55 - 64Active414.077269.519.3
Total2014Q3713.38215611.7
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2014-12, 2014-11, 2014-10) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active416.639161.49.8
55 - 64Active517.842149.68.4
Total2014Q4917.2811559.0
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2015-03, 2015-02, 2015-01) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active15.0315.03.0
55 - 64Active311.7623.52.0
Total2015Q148.89202.3
Inpatient Utilization and Costs by Admission Type - Total
Report Filter:
({-Policy Number} = 000705287, 000752103) And ({Medical Age Group} = 45 - 54, 55 - 64) And ({Employment Status} = Active ) And ({Payment Arrangement Category} Capitated Arrangement) And ({Covered Amount} (ID) 0) Or ({Net Paid} (ID) 0) And ({Service Year/Month} = 2015-06, 2015-05, 2015-04) And ({Funding Arrangement Category} = Administrative Services Only) And ({Admission Type Detail} 99) And ({Valid Admission Indicator} = YES)
Medical Age GroupEmployment StatusNumber of AdmissionsAdmissions Per 1000Number of DaysDays Per 1000Average Length of Stay
45 - 54Active525.31260.62.4
55 - 64Active519.62078.54.0
Total2015Q21022.132713.2
-
Finance and Contracting Activities Update February 2016
1
Finance and Accounting• FY 2016-2017 and FY 2017-2018 Budget preparation• Preparation for the internal audit conducted by the Controller’s Office• Finalized City Plan experience for CY 2015 • Submitted first payment for ACA Transitional Reinsurance Contribution for
CY 2015• Participation in the on-going project to replace citywide financial system• Fully Executed Lexmark contract for software licenses and professional
services associated with Enterprise Content Management systems
-
Finance and Contracting Activities Update February 2016
2
Contracting and Vendor Management• Fully Executed Lexmark contract for software licenses and
professional services associated with Enterprise Content Management systems
-
Wellness Team Update February 2016
1
2015 Wellness Center Update
-
Wellness Team Update February 2016
2
Wellness Center: 2015 Highlights
• 8,136 visits
• 939 different people (unique participants) used the Wellness Center
Compared to 2014• 43% increase in visits/month
• 81% increase in participants/month
Chart1
JanuaryJanuary
FebruaryFebruary
MarchMarch
AprilApril
MayMay
JuneJune
JulyJuly
AugustAugust
SeptemberSeptember
OctoberOctober
NovemberNovember
DecemberDecember
Total Visits
Unique
Wellness Center: 2015 Total and Unique Participation
568
136
665
197
578
181
724
233
641
220
900
494
884
268
803
206
645
252
494
145
673
201
561
142
Jan'15 Total Offerings
Wellness Center OnlyGEXWorkshopsCoachingTOTAL
Total Participation5281822568
Total Unique Participation1081717136
Total Number of Offerings for the month38360101
SeminarsFinding your motivationunderstanding your metabolismEating for All Day Energy
Total by seminar6846
Total Combined18
Total Unique17
Total number of seminars offered3
HSSCity Hall
GEXYoga NoonZumbaWalking NoonTotal Body Conditioning NoonZumba NoonYoga PMBelly Dancing NoonTotal Body Conditioning PMIntro to YogaAMTai ChiZumbaQi GongYogaYogaZumba
Total by class663213721094483271963101266137108
Total by location528333
Total Combined861
Unique Participation108
Total Number of Classes offered3816
Coaching
Total Participation22
Total Unique17
January Participation
EmailSeimarsGEXTOTAL
Health CoachingFinding your motivationUnderstanding your metabolismEating for All Day EnergyBelly DancingTai ChiTBC 12TBC 5Yoga AMYoga 12Yoga 5Zumba 12Zumba
[email protected] participation
Feb'15 Total Offerings
GEXWorkshopsCoachingTOTAL
Total Participation49614029665
Total Unique Participation1196718197
Total Number of Offerings for the Month38660104
SeminarsAnger ManagementBudget and Financial LiteracyCommunicate to Resolve ConflictStess ManagementKitchen MedicinePreventing Burnout
Total by seminar114781326823
Total Combined140
Total Unique - All67
Total number of seminars offered6
HSSCity Hall
GEXYoga NoonTotal Body Conditioning PMWalking NoonTotal Body Conditioning NoonZumba PMZumba NoonYoga PMBollywood NoonZumba PMIntro to YogaAMTai Chi NoonZumbaQi GongYogaYogaZumba
Total by class4832106567100292850194810415605682
Total by location496317
Total Combined813
Unique Participation119
Total Number of Classes offered3815
Coaching
Total Participation29
Total Unique18
Beshears, Carrie:Class Moved started Feb from Thursdays to Mondays
Beshears, Carrie:NEW CLASS Starting February
Beshears, Carrie:NEW CLASS as of February
Beshears, Carrie:Moved from Mondays to Thursdays
Feb'15 Total Offerings
Total Participation
Total Unique Participation
Total Number of Offerings for the Month
Total Participation - Feb
February Participation
Total by class
Mar'15 Total Offerings
EmailSeimarsGEXTOTAL
Health CoachingAnger ManagementBudget and Financial LiteracyCommunicate to Resolve ConflictStess ManagementKitchen MedicinePreventing BurnoutBollywoodTai ChiTBC 12TBC 5Yoga AMYoga 12Yoga 5Zumba 12Zumba Tu. 5Zumba Th. 5
0
0
0
00223548301642199347413TOTAL PARTICIPATION
UNIQUE
March Participation
GEXWorkshopsCoachingTOTAL
Total Participation4717631578
Total Unique Participation1096822181
Total Number of Offerings for the Month38560103
SeminarsTime ManagementDiabetes 101Food Demo - SaladCommunicate to Resolve ConflictYour Kidneys and You
Total by seminar101216
Total Combined38
Total Unique - All68
Total number of seminars offered5
GEXHSSCity Hall
GEXYoga NoonTotal Body Conditioning PMTotal Body Conditioning NoonZumba PMZumba NoonYoga PMWalking NoonBelly DancingBollywood NoonZumba PMIntro to YogaAMTai Chi NoonZumbaQi GongYogaYogaZumba
Total by class644872471131621030134711805271154
Total by location471395
Total Combined866
Unique Participation109
Total Number of Classes offered3814
Coaching
Total Participation31
Total Unique22
Beshears, Carrie:Not including City Hall
Beshears, Carrie:moved to Thursday
March Participation
Total Participation
Total Unique Participation
Total Number of Offerings for the Month
Total Participation - March
Sept'14 Total Offerings
Total by class
Sept Participation
SeminarsGEXTOTAL
EmailHealth CoachingTime ManagementDiabetes 101Food Demo - SaladCommunicate to Resolve ConflictYour Kidneys and YouBollywoodTai ChiTBC 12TBC 5Yoga AMYoga 12Yoga 5Zumba 12Zumba Tu. 5Zumba Th. 5
0
0
00000004059421358141024528401Total Participation
Unique
Oct'14 Total Offerings
GEXWorkshopsCoachingTOTAL
Total Participation5836116660
Total Unique Participation1234112176
Total Number of Offerings for the Month441159114
SeminarsCreating Happiness (3)Clinical DepressionBalancing Work & Family (1)Balancing Work & Family (2)Balancing Work & Family (3)Active Parenting (1)Active Parenting (2)Active Parenting (3)Stress ReductionGetting Healthy SleepFinancial Literacy
Total by seminar41566361020
Total Combined61
Total Unique - All41
Total number of seminars offered11
GEXHSSCity Hall
GEXYoga NoonZumba PMWalking NoonTotal Body Conditioning NoonZumba NoonYoga PMBelly Dancing NoonTotal Body Conditioning PMTai ChiIntro to YogaAMZumba Mon.Qi GongYoga Wed.Yoga Thurs.Zumba Fri.
Total by class103712596119452227581779284160110
Total by location583318
Total Combined901
Total Number of Classes offered4418
Coaching
Total Participation16
Total Unique12
Beshears, Carrie:Not including City Hall
Oct'14 Total Offerings
Total Participation
Total Unique Participation
Total Number of Offerings for the Month
Total Participation - September
Oct Participation
Total by class
Q1'15Total Offerings
SeminarsGEX
EmailHealth CoachingClinical Depression at the WorkplaceBalancing Work and Family (Part 1)Balancing Work and Family (Part 2)Balancing Work and Family (Part 3)Active Parenting (Part 1)Active Parenting (Part 2)Active Parenting (Part 3)Stress ReductionGetting Healthy SleepFinancial LiteracyBelly DancingTBC (PM)TBC (Noon)Yoga (AM)Yoga (Noon)Zoga PMZumba (Noon)Zumba (PM)Tai ChiTOTAL
Cheryl Herrera1
Criselda Stitzell2
Irene Sorokolit1
Kyle Dang2
laurie.acrino11
Lisa Ocampo2
Mela Hernandez2
Nora Priego2
Stella Ong1
Violet Henderson4
Vita Ogans2
Apr'15 Total Offerings
GEXWorkshopsCoachingTOTAL
Total Participation1541620190
Total Unique Participation871014111
Total Number of Offerings for the Month1757193
SeminarsOffice ErgonomicsStrong and Healthy BackExercises at workstationWalk the Talk (1)Walk the Talk (2)
Total by seminar54232
Total Combined16
Total Unique - All10
Total number of seminars offered5
GEXHSSCity Hall
GEXYoga NoonZumba PMWalking NoonTotal Body Conditioning NoonZumba NoonYoga PMBelly Dancing NoonTotal Body Conditioning PMTai ChiIntro to YogaAMZumba Mon.Qi GongYoga Wed.Yoga Thurs.Zumba Fri.
Total by class221674040171415115066135142
Total by location187244
Total Combined431
Total Number of Classes offered179
Coaching
Total Participation31
Total Unique20
Beshears, Carrie:Not including City Hall
Apr'15 Total Offerings
Total Participation
Total Unique Participation
Total Number of Offerings for the Month
Total Participation - October
Apr Participation
Total by class
May'15 Total Offerings
SeminarsGEX
EmailHealth CoachingYour Strong and Healthy BackOffice ErgonomicsExercises at Your WorkstationWalk the Talk (1)Walk the Talk (2)Belly DancingTBC (PM)TBC (Noon)Yoga (AM)Yoga (Noon)Zoga PMZumba (Noon)Zumba (PM)Tai ChiTOTAL
Cheryl Herrera11
Gloria Rivera-Lawson11
Grace Enriquez Ybanez22
Irene Sorokolit11
Kenyan Davis11
Kyle Dang11
latarsha.green11
Linda Burgest11
Linda Burgest11
Lisa Ocampo11
Lisa Ocampo11
Mela Hernandez11
Nora Priego33
Rosario Carbajal11
Violet Henderson44
Voneciel Gaines22
Yeshey Beyene11
Yete McMahon33
206
May Participation
GEXWorkshopsCoachingTOTAL
Q1'15 Participation1495234821811603.6666666667Average monthly
Total Unique Participation Q1'1533615257545181.6666666667Average monthly
Total Number of Offerings Q1'1511414180308
Seminars
Total Participation196
Total Unique - All152
Total number of seminars offered14
HSSCity Hall
GEXYoga (Mon. Noon)Total Body Conditioning (Mon. PM)Zumba (Mon. PM)Total Body Conditioning (Tue. Noon)Walking (Tu. Noon)Zumba (Tue. PM)Zumba (Wed. Noon)Yoga (Wed. PM)Walking (Th. Noon)Belly dancing (Thu. Noon)Bollywood (Thu. Noon)Total Body Conditioning (Thu. PM)Zumba (Thu. PM)Intro to Yoga(Fri. AM)Tai Chi (Fri. Noon)ZumbaQi GongYogaYogaZumba
Total by class1788032209231143228921832827805115832341173164344
Total by location14951045
Total Combined2540
Total Number of Classes offered11446
Coaching
Total Participation
Total Unique
May Participation
Q1'15 Participation
Total Unique Participation Q1'15
Total Number of Offerings Q1'15
Total Participation - June & July Combined
June'15 Total Offerings
Total by class
GEX - Total Participation Q1'115 - HSS
June Participation
GEXWorkshopsCoachingToursTOTAL
Total Participation602107141724
Total Unique Participation15762131233219ACTUAL UNIQUE
Total Number of Offerings for the Month47975131
SeminarsCreating a Meaningful Retirement (Series)Communicate to Resolve ConflictHealthy HabitsHealthy WeightUsing Deffered Comp in Retirement
Total by seminar223722719
Total Combined107
Total Unique - All62
Total number of seminars offered92 series
GEXHSSCity Hall
GEXYoga NoonTotal Body Conditioning PMTotal Body Conditioning NoonZumba PMZumba NoonYoga PMWalking NoonZumba PMIntro to Yoga AMTai ChiZumba Mon.Yoga Wed.Yoga Thurs.Zumba Fri.
Total by class87499167127362160154910668106126
Total by location602406
Total Combined1008
Total Number of Classes offered4715
Coaching
Total Participation14
Total Unique13
Beshears, Carrie:Not including City Hall
June Participation
Total Participation
Total Unique Participation
Total Number of Offerings for the Month
Total Participation - April
Q2'15Total Offerings
Total by class
July'15 Total Offerings
SeminarsGEX
EmailHealth CoachingTOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Aug'15 Total Offerings
GEXHSS/VideoWorkshopsCoachingSalsa ThursdayToursTOTAL
Total Participation509542112432641
Total Unique Participation13315198432220183ACTUAL UNIQUE
Total Number of Offerings for the Month42360105
SeminarsFinding Your MotivationCreating Postivity @ WorkEating Locally, Eating Seasonally
Total by seminar2127
Total Combined21
Total Unique - All19
Total number of seminars offered3
GEXHSSCity Hall
GEXYoga NoonTotal Body Conditioning PMTotal Body Conditioning NoonZumba PMZumba NoonYoga PMVideo NoonWalking NoonZumba PMIntro to Yoga AMTai ChiZumba Mon.Yoga Wed.Yoga Thurs.Zumba Fri.
Total by class612071531271427115617521087958177
Total by location509422
Total Combined931
Total Number of Classes offered4214
Coaching
Total Participation12
Total Unique8
Beshears, Carrie:Not including City Hall
Beshears, Carrie:Not sure if we need add this….however if we did, it would be every business day in the month
Aug'15 Total Offerings
Total Participation
Total Unique Participation
Total Number of Offerings for the Month
Total Participation - May
Sept'15 Total Offerings
Total by class
Sheet2
SeminarsGEX
EmailHealth CoachingTOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Q3'15Total Offerings
GEXHSS/VideoWorkshopsCoachingFitness FairTourTOTAL
Total Participation5544021142701900
Total Unique Participation1712420122661494411ACTUAL UNIQUE
Total Number of Offerings for the Month43460107
SeminarsExercises at your workstationYour Strong and Healthy BackHealthy Habits for WorkStress Managmeent for Managers/Sup
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