MSHN Data

Mid-State Health Network’s overall philosophy regarding data management includes presenting data to a wide-range of stakeholders – board members, advisory councils, consumers, providers, employees, community agencies and other external entities.

Consumers

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Medicaid Enrollment Statewide Medicaid Enrollment in Michigan

Medicaid Enrollment by County

Medicaid Enrolled to Persons Served Persons served versus Medicaid Enrollment for Mental Health Services.

Habilitation Supports Waiver (HSW) Program Enrollment by CMHSP

Habilitation Supports Waiver (HSW) Program by Community Mental Health Service Program - End of Quarter 3, Fiscal Year 2020.

Medicaid Enrollment to Persons Served SUD SUD Medicaid Enrollment compare to Persons Served from MSHN.

Persons Served for Substance Use Disorder Treatment Persons served for a substance use disorder.

Persons Served for Mental Health

Serious Emotional Disturbance Waiver (SEDW) Enrollment

Children's Waiver Program Enrollment by CMHSP

Children's Waiver Program Enrollment by Community Mental Health Service Program

FY19 SUD Prevention Participants Served This graph shows how many prevention participants were served in FY19.

Provider Network

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CMHSP Program Specific Review This focus of this review is to ensure that Community Mental Health Service Participants (CMHSP) are in compliance with the Michigan Department of Health & Human Services (MDHHS) Program Specific Requirements.

This focus of this review is to ensure that Community Mental Health Service Participants (CMHSP) are in compliance with the Michigan Department of Health & Human Services (MDHHS) Program Specific Requirements.

CMHSP Delegated Managed Care Review The focus of this review is to ensure that Community Mental Health Service Participants (CMHSP) are in compliance with MSHN’s Delegated Managed Care Functions.

The focus of this review is to ensure that Community Mental Health Service Participants (CMHSP) are in compliance with MSHN’s Delegated Managed Care Functions.

CMHSP Consumer Record Review The focus of this review is to ensure that Community Mental Health Service Participants (CMHSP) consumer record documentation is in compliance with MDHHS and Federal requirements.

The focus of this review is to ensure that Community Mental Health Service Participants (CMHSP) consumer record documentation is in compliance with MDHHS and Federal requirements.

SUD Delegated Managed Care Review The focus of this review is to ensure that SUD Providers are in compliance with MSHN’s Delegated Managed Care Functions.

Scores are reflective of the providers that received full reviews in the year identified. MSHN conducts full reviews for SUD providers over a two-year period due to the size of the network.

The focus of this review is to ensure that SUD Providers are in compliance with MSHN’s Delegated Managed Care Functions.

Scores are reflective of the providers that received full reviews in the year identified. MSHN conducts full reviews for SUD providers over a two-year period due to the size of the network.

SUD Program Specific Review The focus of this review is to ensure that SUD Providers are in compliance with Michigan Department of Health & Human Services (MDHHS) Program Specific Requirements.

*Scores are reflective of the providers that received full reviews in the year identified and provide the specific service.

MSHN conducts full reviews for SUD providers over a two-year period due to the size of the network.

The focus of this review is to ensure that SUD Providers are in compliance with Michigan Department of Health & Human Services (MDHHS) Program Specific Requirements.

*Scores are reflective of the providers that received full reviews in the year identified and provide the specific service.

MSHN conducts full reviews for SUD providers over a two-year period due to the size of the network.

SUD Consumer Record Review The focus of this review is to ensure that SUD Providers consumer record documentation is in compliance with MDHHS and Federal requirements.

*Scores are reflective of the providers that received full reviews in the year identified and provide the specific service. MSHN conducts full reviews for SUD providers over a two-year period due to the size of the network.

The focus of this review is to ensure that SUD Providers consumer record documentation is in compliance with MDHHS and Federal requirements.

*Scores are reflective of the providers that received full reviews in the year identified and provide the specific service. MSHN conducts full reviews for SUD providers over a two-year period due to the size of the network.

Stakeholders

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Follow-up After Hospitalization - Adult The percentage of discharges for members 21 years or older who were hospitalized for treatment of selected mental illness diagnoses and who had an outpatient visit, an intensive outpatient encounter or partial hospitalization with a mental health practitioner within 30 days of discharge

The percentage of discharges for members 21 years or older who were hospitalized for treatment of selected mental illness diagnoses and who had an outpatient visit, an intensive outpatient encounter or partial hospitalization with a mental health practitioner within 30 days of discharge

Follow-up After Hospitalization - Child The percentage of discharges for members 6 years - 20 years of age who were hospitalized for treatment of selected mental illness diagnoses and who
had an outpatient visit, an intensive outpatient encounter or partial hospitalization with a mental health practitioner within 30 days of discharge

The percentage of discharges for members 6 years - 20 years of age who were hospitalized for treatment of selected mental illness diagnoses and who
had an outpatient visit, an intensive outpatient encounter or partial hospitalization with a mental health practitioner within 30 days of discharge

Adult Access to Primary Care The percentage of members 20 years and older who had one or more ambulatory or preventive care visits during the measurement year or the two years prior to the measurement year

The percentage of members 20 years and older who had one or more ambulatory or preventive care visits during the measurement year or the two years prior to the measurement year

Child Access to Primary Care The percentage of members 12 months–19 years of age who had a visit with a PCP. For 12 months to 6 years: One or more visits with a PCP during the measurement year. For 7 years to 19 years: One or more visits with a PCP during the measurement year or the year prior to the measurement year.

The percentage of members 12 months–19 years of age who had a visit with a PCP. For 12 months to 6 years: One or more visits with a PCP during the measurement year. For 7 years to 19 years: One or more visits with a PCP during the measurement year or the year prior to the measurement year.

All Cause Re-Admissions For members 18 years of age and older, the number of acute inpatient stays during the measurement year that were followed by an unplanned acute readmission for
any diagnosis within 30 days

For members 18 years of age and older, the number of acute inpatient stays during the measurement year that were followed by an unplanned acute readmission for
any diagnosis within 30 days

Diabetes Screening The percentage of patients 18 – 64 years of age with schizophrenia or bipolar disorder, who were dispensed an antipsychotic medication and had a diabetes
screening test during the measurement year

The percentage of patients 18 – 64 years of age with schizophrenia or bipolar disorder, who were dispensed an antipsychotic medication and had a diabetes
screening test during the measurement year

Diabetes Monitoring The percentage of members 18 to 64 years of age with schizophrenia and diabetes who had both a low-density lipoprotein cholesterol (LDL-C) test and a hemoglobin A1c (HbA1c) test during the measurement year.

The percentage of members 18 to 64 years of age with schizophrenia and diabetes who had both a low-density lipoprotein cholesterol (LDL-C) test and a hemoglobin A1c (HbA1c) test during the measurement year.

Cardiovascular Screening The percentage of individuals 25 to 64 years of age with schizophrenia or bipolar disorder who were prescribed any antipsychotic medication and who received a cardiovascular health screening during the measurement year.

The percentage of individuals 25 to 64 years of age with schizophrenia or bipolar disorder who were prescribed any antipsychotic medication and who received a cardiovascular health screening during the measurement year.

Follow-up Child ADHD Initial Phase The percentage of children 6-12 years of age who were newly prescribed ADHD medication who had one follow-up visit with a practitioner with prescribing authority during the 30-day Initiation Phase.

The percentage of children 6-12 years of age who were newly prescribed ADHD medication who had one follow-up visit with a practitioner with prescribing authority during the 30-day Initiation Phase.

Follow-up Child ADHD Monitoring Phase The percentage of members 6–12 years of age with an ambulatory prescription dispensed for ADHD medication, who remained on the medication for at least 210 days and who, in addition to the visit in the Initiation Phase, had at least two follow-up visits within 270 days (9 months) after the Initiation Phase ended

The percentage of members 6–12 years of age with an ambulatory prescription dispensed for ADHD medication, who remained on the medication for at least 210 days and who, in addition to the visit in the Initiation Phase, had at least two follow-up visits within 270 days (9 months) after the Initiation Phase ended

Mid-State Health Network Expense Percentages

Mid-State Health Network Expenditures by Administration, Community Mental Heath Service Programs and Substance Use Disorder Providers.

Mid-State Health Network Revenue Percentages

Mid-State Health Network Revenue by Funding Source

For more information or questions contact MSHN at info@midstatehealthnetwork.org.