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MICHIGAN MISSION-BASED PERFORMANCE INDICATOR SYSTEM,
VERSION 6.0
Revised 11/22/2005
Note: Indicators that can be constructed from encounter or
quality improvement data or cost reports are marked with an *.
ACCESS DOMAIN
Definition of Access: the ease with which care can be
initiated and maintained
Indicators:
1. The percent of children and adults receiving a
pre-admission screening for psychiatric inpatient care for whom the
disposition was completed within three hours.
 | Standard = 95% in three hours |
| Quarterly report |
| PIHP for all Medicaid beneficiaries |
| CMHSP for all consumers |
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2. The percent of new persons receiving a
face-to-face assessment with a professional within 14 calendar days of a
non-emergency request for service.
| Standard = 95% in 14 days |
| Quarterly report |
| PIHP for all Medicaid beneficiaries |
| CMHSP for all consumers |
| Scope: MI adults, MI children, DD adults, DD children, and
Medicaid SA |
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3. The percent of new persons starting any needed
on-going service within 14 days of a non-emergent assessment with a
professional.
| Standard = 95% in 14 days |
| Quarterly report |
| PIHP for all Medicaid beneficiaries |
| CMHSP for all consumers |
| Scope: MI adults, MI children, DD adults, DD children, and
Medicaid SA |
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4.a. The percent of discharges from a psychiatric
inpatient unit who are seen for follow-up care within seven days.
| Standard = 95% |
| Quarterly report |
| PIHP for all Medicaid beneficiaries |
| CMHSP for all consumers |
| Scope: All children and all adults (MI, DD) - Do not include
dual eligibles (Medicare/Medicaid) in these counts. |
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4.b. The percent of discharges from a substance abuse
detox unit who are seen for follow-up care within seven days.
| Standard = 95% |
| Quarterly report |
| PIHP for all Medicaid beneficiaries - Do not include dual eligibles
(Medicare/Medicaid) in these counts. |
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5. *The percent of Medicaid recipients having
received PIHP managed services.
| Quarterly report (MDCH calculates from encounter data) |
| PIHP for all Medicaid beneficiaries |
| Scope: MI adults, MI children, DD adults, DD children, and SA |
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6. The percent of face-to-face assessment with
professionals that result in decisions to deny CMHSP services.
| Quarterly report |
| CMHSP |
| Scope: all MI/DD consumers |
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7. The percent of Section 705 second opinions that
result in services.
| Quarterly report |
| CMHSP |
| Scope: all MI/DD consumers |
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ADEQUACY/APPROPRIATENESS DOMAIN
Definition of adequacy: the provision of the right
services, in the right amounts, for the right duration of time, given the
current state of knowledge
Indicators:
8. *The percent of Habilitation Supports Waiver (HSW)
enrollees during the quarter with encounters in data warehouse who are
receiving at least one HSW service per month in addition to supports
coordination.
| Quarterly report (MDCH calculates from encounter data) |
| PIHP |
| Scope: HSW enrollees only |
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EFFICIENCY DOMAIN
Definition of efficiency: the level of outcome achieved
for a given level of resource expenditure, perhaps adjusted for case mix and
severity
Indicators:
9. *The percent of total expenditures spent on
managed care administrative functions for CMHSP and PIHPs.
| Annual report (MDCH calculates from cost reports) |
| PIHP for Medicaid administrative expenditures |
| CMHSP for all administrative expenditures |
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OUTCOMES DOMAIN
Definition of outcomes: changes in a consumer's current
or future health status, level of functioning, quality of life, or satisfaction
that can be attributed to the care provided
Indicators:
10. *The percent of adults with mental illness and
the percent of adults with developmental disabilities served by CMHSPs and
PIHPs who are in competitive employment.
| Annual report (MDCH calculates from QI data) |
| PIHP for Medicaid adult beneficiaries |
| CMHSP for all adults |
| Scope: MI and DD consumers |
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11. *The percent of adults with mental illness and
the percent of adults with developmental disabilities served by CMHSPs and
PIHPs who earn minimum wage or more from employment activities
(competitive, supported or self employment, or sheltered workshop).
| Annual report (MDCH calculates from QI data) |
| PIHP for Medicaid adult beneficiaries |
| CMHSP for all adults |
| Scope: MI and DD consumers |
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12. The percent of children and adults readmitted to
an inpatient psychiatric unit within 30 days of discharge.
| Standard = 15% or less within 30 days |
| Quarterly report |
| PIHP for all Medicaid beneficiaries |
| CMHSP |
| Scope: All MI and DD children and adults - Do not include dual
eligibles (Medicare/Medicaid) in these counts |
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13. The annual number of substantiated recipient
rights complaints per thousand persons served, in the categories of Abuse
I and II, and Neglect I and II.
| Annual report |
| PIHP for Medicaid beneficiaries |
| CMHSP |
| Scope: MI and DD only |
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14. The semi-annual number of sentinel events per
thousand Medicaid beneficiaries served (MI adults, MI children, persons
with DD, HSW enrollees, Children's Waiver enrollees, and SA).
| Semi-annual report |
| PIHP for Medicaid beneficiaries |
| CMHSP for Children's Waiver beneficiaries |
| Scope: MI, DD and SA children and adults |
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15. The number of suicides per thousand persons
served (MI, DD).
| Annual report |
| CMHSP |
| Scope: MI and DD children and adults |
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