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Table 2 Vermont Blueprint for Health Practice Variation in Demographics, Health Status, & Payer Mix – Pediatric Population, CY2014

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

Metric Patient Level (N = 78162) Practice-Level Variation (N = 56)
Mean Mean SD CV Median IQR (25%) IQR (75%) Min. Max.
Practice size NA 1264.7 1109.7 87.7 880.5 455 1678 317 5303
Age (in years) 9.1 9.4 0.8 8.4 9.3 8.7 10.1 7.7 11.1
Gender = Male 51.2% 51.0% 2.4% 4.8 51.1% 49.6% 52.8% 44.9% 55.4%
Clinical risk groups          
Healthy Reference group
Acute/Minor 15.8% 16.1% 2.1% 12.7 16.1% 15.0% 17.4% 10.9% 21.0%
Chronic 8.8% 8.6% 2.1% 24.5 8.3% 7.2% 9.6% 5.0% 16.6%
Significant chronic 1.1% 1.0% 0.5% 46.9 1.0% 0.6% 1.3% 0.2% 2.3%
Cancer or catastrophic 0.2% 0.2% 0.1% 92.4 0.1% 0.0% 0.3% 0.0% 0.7%
Targeted chronic conditions 20.0% 20.2% 3.9% 19.3 19.9% 17.5% 22.9% 12.2% 30.3%
Medicaid 53.8% 54.3% 15.0% 27.7 56.6% 43.6% 64.8% 24.8% 82.9%
Special Medicaid services 18.1% 18.3% 6.4% 35.2 18.3% 13.2% 22.0% 6.9% 33.4%
  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