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State HIE Cooperative Agreement Program: Michigan’s Response. Beth Nagel, HIT Coordinator Michigan Department of Community Health. www.michigan.gov/mdch. State HIE Cooperative Agreement Program Key Information.

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state hie cooperative agreement program michigan s response

State HIE Cooperative Agreement Program:Michigan’s Response

Beth Nagel, HIT Coordinator Michigan Department of Community Health

www.michigan.gov/mdch

state hie cooperative agreement program state roles responsibilities
States will be expected to use their authority, programs, and resources to:

Develop and implement Strategic and Operational Plans

Develop state level directories and enable technical services for HIE within and across states.

Remove barriers and create enablers for HIE, particularly those related to interoperability across laboratories, hospitals, clinician offices, health plans and other health information trading partners.

Convene health care stakeholders to ensure trust in and support for a statewide approach to HIE.

Ensure that an effective model for HIE governance and accountability is in place.

Coordinate an integrated approach with Medicaid and state public health programs to enable information exchange and support monitoring of provider participation in HIE as required for Medicaid meaningful use incentives.

Develop or update privacy and security requirements for HIE within and across state borders.

State HIE Cooperative Agreement ProgramState Roles & Responsibilities
state hie cooperative agreement program michigan s approach
State HIE Cooperative Agreement ProgramMichigan’s Approach
  • A Project Abstract
  • A Project Narrative
  • Strategic Plan (submitting Conduit to Care but not as a final strategic plan)
  • Operational Plan
  • Four separate 1-year budget narrative/justification
  • Letters of Commitment from key stakeholders
  • Letter from Governor
state hie cooperative agreement program michigan s approach1
State HIE Cooperative Agreement ProgramMichigan’s Approach
  • First Deliverable: Strategic & Operational Plans
    • Strategic plan
      • It will be updated
      • Expanded information will be consistent with the “5 Essential Domains”
    • Michigan is working on an operational plan
      • Work must be consistent with the “5 Essential Domains”
      • Needs stakeholder input (equivalent to the Conduit to Care process) to fill in and finalize
state hie cooperative agreement program michigan s approach2
State HIE Cooperative Agreement Program Michigan’s Approach
  • What needs to be done to have a complete approach for Michigan?
    • Technical Architecture
    • Business & Technical Operations Plan
    • Financial plan
    • Functioning governance structure
    • Privacy & Security policies for system development, use
    • Stakeholder engagement, feedback, input and buy-in on all components of strategic & operational plan
state hie cooperative agreement program key details
State HIE Cooperative Agreement ProgramKey Details
  • Current State of HIE Capacity in MI:
    • MiHIN Conduit to Care
    • Michigan HIT Commission
    • HISPC
    • Broadband (FCC and ARRA)
    • MiHIN Grant Program
      • 9 MiHIN Regions
      • MiHIN Resource Center
    • Community HIEs
state hie cooperative agreement program key details1
State HIE Cooperative Agreement ProgramKey Details
  • Current State of HIE Capacity in MI
    • Electronic Eligibility & Claims
      • BCBSM EDI Clearinghouse
      • CHAMPS
    • E-Prescribing Initiatives
      • SEMI
      • CIPA
      • Medicaid
state hie cooperative agreement program key details2
State HIE Cooperative Agreement ProgramKey Details
  • Current State of HIE Capacity in MI
    • Public Health Reporting
      • MCIR
      • MDSS
      • Laboratory Information Management System
      • Michigan Electronic Death Registry
      • Michigan Syndromic Surveillance System
      • Web Electronic Birth Certificates
    • Quality, Care Coordination and Patient Engagement
      • Medicaid Warehouse
      • BCBSM PGIP
      • Michigan Primary Care Consortium
state hie cooperative agreement program key details3
State HIE Cooperative Agreement ProgramKey Details
  • Self Assessment
    • Michigan has made significant progress
    • Continued Planning must occur to meet ONC criteria
    • Michigan needs an updated Strategic Plan
    • Michigan needs an Operational Plan
state hie cooperative agreement program key details4
State HIE Cooperative Agreement ProgramKey Details
  • Proposed Project Strategy
    • Build upon groundwork of state programs
    • Leverage & add value to private investments
    • Enable achievement of “meaningful use”
    • Extensive stakeholder engagement
state hie cooperative agreement program key details5
State HIE Cooperative Agreement ProgramKey Details
  • Strategic & Operational Planning
    • Now through March 2010
    • Must finalize Strategic & Operational Plans before receiving implementation funding
    • Must work through specific milestones in five domains:
      • Governance
      • Technical Architecture
      • Business and Technical Operations
      • Finance
      • Legal/Policy
state hie cooperative agreement program key details6
State HIE Cooperative Agreement ProgramKey Details
  • Implementation & Ongoing Efforts
    • Technology “stood up”
    • At least two pilots with at least two priority services
    • Security services implemented
    • Testing
    • Measurement
state hie cooperative agreement program key details7
State HIE Cooperative Agreement ProgramKey Details

Spending by Year

Year 1 No Match Until Oct. 2010

Year 2 10% Match

Year 3 14% Match

Year 4 33% Match

state hie cooperative agreement program key details9
State HIE Cooperative Agreement ProgramKey Details
  • Nearly 60 letters of support
    • HIE Initiatives, Providers, Organizations/Associations, Universities and Colleges of Medicine
  • Letter from Governor
  • Letter from MDIT
  • Letter from M-CEITA
stakeholder engagement
Stakeholder Engagement
  • A wide array of stakeholders must be engaged to give input throughout all aspects of the project
    • Engage the MiHIN Regional entities to build on their significant progress
    • Form structured workgroups to get focused, detailed input
    • Hold public review and input sessions to ensure consideration of all perspectives
    • Utilize tools for transparency such as an online work space where all documents and information are readily available
slide18

Michigan’s Timeline

Finalized Strategic & Operational Plans Due ~ April 2010

Letter of Intent Due September 11

Applications Due October 16

Notice of Awards December 15

September

October

November

December

2009

2010

Continuous, in-depth planning to meet April 2010 Due Date

Workgroup Informational Session September 18

Cooperative Agreement Signed January 15, 2010

Workgroup Kickoff November 10

HIT Commission October 15

HIT Commission September 10

workgroup formulation principles
Workgroup Formulation Principles
  • Open & Inclusive
    • Meetings are open to the public
  • Transparent
    • Meeting information will be readily available to anyone
  • Diverse
    • Workgroups will include membership from diverse representation
  • Scalable & Feasible
    • Workgroups may need to be scaled to an efficient number of voting members. Web-ex and Teleconference will be used where appropriate.
    • Clinical and Technical workgroups co-chairs are part of Governance/Finance
  • Fair
    • Technology vendors that participate in any workgroups will not be eligible to bid on any component of the technical solution(s)
work groups
Work Groups
  • Governance Workgroup
    • Finance sub-group
    • Measurement sub-group
  • Technical Work group
    • Privacy & Security sub-group
  • Business Operation (formerly Clinical)
save the date
Save the Date…

November 10, 2009

MiHIN Kick Off

Lansing

Details TBD

for more information
For More information…

www.michigan.gov/mihinworkgroups

http://healthit.hhs.gov

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