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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 Key Information.

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State HIE Cooperative Agreement Program: Michigan’s Response

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

  2. State HIE Cooperative Agreement ProgramKey Information

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. State HIE Cooperative Agreement ProgramKey Details

  16. 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

  17. 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

  18. 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

  19. 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)

  20. Work Groups • Governance Workgroup • Finance sub-group • Measurement sub-group • Technical Work group • Privacy & Security sub-group • Business Operation (formerly Clinical)

  21. Save the Date… November 10, 2009 MiHIN Kick Off Lansing Details TBD

  22. For More information… www.michigan.gov/mihinworkgroups http://healthit.hhs.gov

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