Newsletter February 2024
Information Technology
Steve Grulke
Chief Information Officer
The Mid-State Health Network (MSHN) Information Technology (IT) team works with Zenith Technology Solutions (ZTS) and their analytics tool called Integrated Care Delivery Platform (ICDP) to continually update the Healthcare Effectiveness Data and Information Set (HEDIS) specifications. ICDP is utilized to calculate many key performance indicators and metrics for the region that can also be stratified by Community Mental Health Service Providers (CMHSP) and Medicaid Health Plans. The system supports review and action related to the shared performance bonus metrics with the Medicaid Health Plans as part of the requirements in the Prepaid Inpatient Health Plan
(PIHP)/Michigan Department of Health and Human Services (MDHHS) contract. MDHHS requirements are currently based on calendar year 2023 specifications, so the MSHN IT team worked with ZTS to update the HEDIS specifications in ICDP to match. MSHN and ZTS are now working to be prepared for when MDHHS starts reporting calendar year 2024 specifications.
The IT team also completed work with TBD Solutions to update the time and distance analysis for the region’s annual Network Adequacy Assessment. In the past, time and distance calculations were performed on only the Medicaid individuals that MSHN served in the various service categories, as required by MDHHS. This year MSHN utilized a geographic distance calculation to provide the time and distance analysis for all individuals that reside in the MSHN region, regardless of whether they were served or not. This change allows MSHN to better understand access to services for anyone in the region that might want services. This new analysis will be used to report to MDHHS for the FY23 Network Adequacy Assessment in April 2024.
For further information or questions, please contact Steve @ Steve.Grulke@midstatehealthnetwork.org.