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Table 1 Vermont Blueprint for Health Practice Variation in Demographics, Health Status, & Payer Mix – Adult Population, CY2014

From: Risk-adjustment methods for all-payer comparative performance reporting in Vermont

Metric

Patient-Level Variation (N = 283153)

Practice-Level Variation (N = 102)

Mean

Mean

SD

CV

Median

IQR (25%)

IQR (75%)

Min.

Max.

Practice Size

N/A

2699.7

2010.2

74.5

2233.0

1272

3578

352

10756

Age (in Years)

50.0

52.0

5.1

9.8

51.7

49.1

53.5

40.1

67.7

Gender = Male

45.1%

44.9%

7.1%

15.9

46.1%

42.3%

48.7%

9.3%

58.6%

Clinical Risk Group

         

Healthy

Reference group

Acute/Minor

19.9%

19.7%

2.5%

12.5

19.8%

18.3%

21.1%

13.2%

26.2%

Chronic

24.1%

24.8%

3.9%

15.5

25.0%

22.5%

27.0%

14.5%

35.4%

Significant chronic

12.4%

13.4%

5.7%

42.4

12.5%

9.7%

15.0%

2.1%

36.3%

Cancer or catastrophic

1.4%

1.5%

0.7%

43.5

1.4%

1.2%

1.7%

0.0%

4.3%

Targeted chronic conditions

43.9%

44.8%

8.0%

17.8

44.9%

39.7%

49.9%

17.6%

65.5%

Maternity

1.6%

1.5%

1.3%

81.6

1.3%

1.0%

1.7%

0.0%

10.8%

Medicaid

18.8%

19.0%

9.1%

48.1

18.4%

13.0%

25.7%

1.0%

47.6%

Special Medicaid services

3.8%

3.6%

2.4%

67.0

3.2%

2.2%

4.9%

0.0%

14.9%

Medicare

26.3%

29.2%

11.2%

38.3

28.8%

23.9%

34.3%

0.0%

63.3%

Medicare dual eligible

6.3%

6.8%

3.3%

48.3

6.9%

4.6%

8.9%

0.0%

15.1%

Medicare disabled

6.8%

7.2%

3.1%

43.6

7.0%

5.2%

9.0%

0.0%

15.9%

Medicare End-Stage Renal Disease (ESRD)

0.08%

0.08%

0.09%

109.3

0.06%

0.00%

0.11%

0.00%

0.48%

  1. All percentages use the whole population as denominator and are not specific to payer (e.g., Special Medicaid Services for Medicaid). Examples of special Medicaid services include patients receiving day treatment, residential treatment, case management services, and special school services covered by the Department of Education. Clinical Risk Groups utilize a hierarchy to classify a patient into one and only one CRG for the year. Example conditions include Acute or Minor Chronic (e.g., acute ear, nose or throat condition or minor join pain), Moderate Chronic (e.g., diabetes or moderate chronic joint pain), Significant Chronic (e.g., diabetes with other comorbid conditions such as CHF or COPD), and Cancer or Catastrophic (e.g., malignant breast cancer, HIV, cystic fibrosis, muscular dystrophy, quadriplegia). Target Conditions include asthma, chronic obstructive pulmonary disease, congestive heart failure, ischemic heart disease, hypertension, depression, diabetes, and attention deficit disorder
  2. SD Standard deviation, CV Coefficient of variation, IQR Interquartile range