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HIE Implementation in Michigan for Improved Health. As approved by the Michigan Health Information Technology Commission on March 4, 2009. The Big Picture Goals. Utilizing technology to improve healthcare outcomes and clinical workflow Improving quality and safety

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Hie implementation in michigan for improved health

HIE Implementation in Michigan for Improved Health

As approved by the Michigan Health Information Technology Commission on March 4, 2009


The big picture goals
The Big Picture Goals

  • Utilizing technology to improve healthcare outcomes and clinical workflow

    • Improving quality and safety

    • Increasing fiscal responsibility

    • Increasing clinical and administrative efficiency

  • Empowering citizens with access to information

    • About their own health in partnership with clinicians

    • About their community’s healthcare choices


Framework for successful hie implementation in michigan
Framework for Successful HIE Implementation in Michigan

  • Leverage the regional collaboration and successes

  • Refine statewide services that support statewide Health Information Exchange (a statewide “backbone”)

  • Position Michigan for resources from the economic stimulus package


Benefits of a statewide backbone
Benefits of a Statewide Backbone

  • Aligns with the American Reinvestment and Recovery Act HIE infrastructure requirement for State funding

  • Allows for earlier adopters to populate the record locator service increasing HIE value and reducing the “empty” EHR syndrome.

  • Unifies privacy and consent management policies, governance and data sharing agreements avoiding confusion for clinicians practicing cross-regions and consumers seeking treatment across regions

  • Unifies the coordination of community outreach and support avoiding mixed messages on Michigan’s health information exchange initiative

  • Allows Michigan’s earlier adopters of HIE/interoperability to connect with each other and state applications (i.e., MCIR)

  • Allows HIT/HIE experts across regions to unite and advance Michigan’s HIT/HIE initiative


Proposed roles responsibilities
Proposed Roles & Responsibilities

Centralized

Regionalized

Business Plan

Help Desk / Call Center

Develop and maintain a statewide business plan for operations

Provide 24/7 Service and Support

Governance

Funding/ Revenue

Enrollment Process

Collect funding, administer revenue

Community outreach to providers promoting and assisting with enrollment and signing the Data Sharing Agreement

Vendor selection

Privacy & Security

Funding

Standards promulgation & enforcement

Training and Support

Business Plan & Operational Policies

Vendor procurement

Provide training and user support locally to providers

A fair, transparent purchasing process

Data Sharing Agreements

Community Outreach

Develop a standard agreement

Market and Educate regarding health information exchange

Together


Proposed technology
Proposed Technology

Centralized

Regionalized

Master Patient Index

Master Patient Index

Data resolved and managed

Technology purchased & administered

Messaging Gateway(s)

Record Locator Service

Federated regionally

Technology purchased & administered

Adhere to Mutually Agreed Upon Standards

Messaging Gateway(s)

Opt-out Management

Technology purchased & administered

Regional Added Services

Privacy & Security

Technology purchased & administered

Disaster Recovery

Federated regionally

Disaster Recovery

Technology purchased & administered

Together


Michigan s hie backbone

Master Patient Index

Record Locator Service

Messaging Gateway (s)

Security

Michigan’s HIE Backbone

  • Uniquely identifies an individual within the Michigan Health Information Network

  • Locates where the disparate pieces of health information exists on an individual

  • Transports the requests for and responses (messages) regarding the location of health information

  • Provides authentication, authorization, auditing and logging on all connection and disconnections to the MiHIN

  • Provides resources within communities to resolve and troubleshoot issues with identity management, the RLS and gateways

Regionalized Service and Support


Hospital

Hospital

Hospital

Hospital

Hospital

Long Term Care

Lab

Lab

Service & Support

Service & Support

Service & Support

Health Plans

Payers

Messaging Gateway

Messaging Gateway

Messaging Gateway

Messaging Gateway

Clinic Lab Hospital Hospital

Health System Hospital

State of MI Applications

Clinic

Hospital

Physician Group

Hospital

Michigan’s HIE Backbone

Service & Support

Messaging

Gateway

Master Patient Index (MPI)

Nationwide Health Information Network

Public Health

Record Locator Service (RLS)

Security

Physician with interoperable EMR

Physician with interoperable EMR


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