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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. Utilizing technology to improve healthcare outcomes and clinical workflow Improving quality and safety

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HIE Implementation in Michigan for Improved Health

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  1. HIE Implementation in Michigan for Improved Health As approved by the Michigan Health Information Technology Commission on March 4, 2009

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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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