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What Does HIE (verb) Do?
2
Adapted from Hripcsak et al. (2007)
Benefits· Avoiding repeat diagnostic tests
· Enables a clinician to add or remove a differential diagnosis in a timely fashion
· Optimal choice of tests and therapy
· More rapid response to a contraindication or any necessary refinements to a given therapy
· Care coordination: helps ensure that the next clinician involved in the patient’s care will see the relevant information about the patient!
Prevent future or fill known and unknown
knowledge deficits
Copyright 2014 - Michigan Health Information Network
Shared Services
Statewide Coordination
3
Health
Plans
Physicians
Specialty
Providers
Hospitals & Clinics
Patients
& Families
Lab tests &
XRAYs
Medications
Public Health
Insurance
Companies
Physicians
Specialty
Providers
Hospitals & Clinics
Patients
& Families
Lab tests &
XRAYs
Medications
Public Health
Duplication of effort, waste, & expense
(N x N-1 connections)Shared Services
(N connections)
Copyright 2014 Michigan Health Information Network
MiHIN is a
network for sharing health
information statewide
for Michigan
4Copyright 2014 Michigan Health Information Network
“One and Done”- Easier, Simplified,
Predictable Data Sharing1. Sign once
• Common legal framework across the state
• Transparent data usage for each use case
2. Connect once
• MiHIN network includes all of health care: HIEs, HISPs,health plans, the state and the federal agencies
3. Publish once
• Patient and provider delivery preferences easily registered and centrally managed
4. Report once
• Messages can be routed to multiple destinations – no duplicate interfaces or repeat reports
5. Log-on once
• Single sign-on across patient/member and provider portals
5Copyright 2014 Michigan Health Information Network
State-wide
Shared Services
MDCH Data Hub
Medicaid
MSSS
State
LABS
Doctors & Community
Providers
HIE QOs(Qualified sub-state HIEs)
Network of Networks:
Data
Warehouse
6
Health Plan QOs
(more coming)
Single point of
entry/exit for state
Virtual QOs
Copyright 2014 Michigan Health Information Network
Pharmacies
(more coming)
Immunizations
Mi Syndromic
Surveillance System
Mi Disease
Surveillance System
Consumer QOs
(more coming)
Federal
MiHIN FAST FACTS
Network of Networks (not an HIE)
Shared network of multiple qualified
organizations (QOs) for sharing data
Transparency via Governor’s HIT
Commission
Strong state and health plan
representation
Statewide Approach
Driven by Use Cases
Leverages public health code &
Meaningful Use
Public-private model vs. complete state
control
Accomplishments (established
2010)
From zero to 100M+ production
messages since inception
22 *O connections:
8 HIEs, 6 payers,
4 pharmacies, state,
3 others
Health Provider Directory, certified eHealth Exchange
node, EHNAC-DTAAP Direct
Copyright 2014 Michigan Health Information Network7
MiHIN Stakeholders
HIE QO
(HQO)
• Meets the QO requirements
• Plans to participate in at least 2/3 of Use Cases
• Voice in the MiHIN Advisory Committee (MOAC)
Plan/Payor QO
(PQO)
• Health Plan licensed in the state of Michigan
• Blue Cross, Michigan Association of Health Plans, & Priority Health have Board eligibility
Government QO
(GQO)
• Government Qualified Organization (i.e. Michigan Department of Community Health)
• Federal Agency (i.e. Social Security Administration, CMS, Veterans Affairs, DoD, CDC, etc.)
• Tribal Nations in Michigan
Consumer QO
(CQO)
• Participate in consumer-focused Use Cases (i.e. MiWay Statewide Consumer Directory)
• Supported & authorized consumer facing services (i.e. Patient Health Record, Patient Portal) - an example is advance directives stored in Peace of Mind Registry
8Copyright 2014 Michigan Health Information Network
Maximize SOM Resources
9
Sta
te o
f Mic
hig
an
Inte
rnal
ExternalSTATEWIDE
SHARED SERVICES
MDCH Data Hub MiHIN & the Qualified
Data Sharing Organizations
Transparency
via HIT
Commission
Monitoring
Shared
Governance via
MiHIN Board
Copyright 2014 Michigan Health Information Network
10
MiHIN Governance
MiHIN Board of Directors
MiHIN Management & Core Staff
Executes the Operations Plan
MiHIN Operations Advisory Committee (MOAC) oversees working groups that advise MiHIN
Health Information Technology Commission
Copyright 2014 Michigan Health Information Network
MiHIN Operations Advisory Committee (MOAC)
MiHIN Executive ManagementExecutes the operations plan
Tim Pletcher, Executive Director
Jeff Livesay, Associate Director
Provides monthly MiHIN status report
Health Information Technology Commission(HITC)
The Commission's mission is to facilitate and promote the design, implementation, operation, and maintenance of an interoperable health
care information infrastructure in Michigan.
Pat RinveltRepresenting Purchasers or Employers
Mark Notman, Ph.D.Representing Schools of Medicine
Nick LyonRepresenting MDCH
Nick SmithRepresenting Health Plans or Third Party Payers
Jill Castiglione Representing Pharmacists
Gregory Forzley, M.D.- Chair Representing Doctors of Medicine
Michael G. Chrissos, M.D.Representing Consumers
Robert MilewskiRepresenting Nonprofit Healthcare Corporations
Rod DavenportRepresenting State of Michigan CTO
Orest Sowirka, D.O.Representing Doctors of Osteopathic Medicine
Jim LeeRepresenting Hospitals
MiHIN Board of Directors
Michigan Public HealthJim Collins
Southeast Michigan HIE (SEMHIE) Helen Hill
Michigan Pharmacist Association
Larry Wagenknecht, Chair
Michigan MedicaidCynthia Green Edwards
Ex OfficioTim Pletcher
Priority HealthKrischa Winwright
Blue Cross Blue Shieldof MI (BCBSM)
Dr. Thomas Simmer
Jackson Community Medical Record (JCMR)Rick Warren, Vice Chair
Great Lakes Health Connect Vacant
Ingenium John Vismara, President
Upper Peninsula HealthInformation Exchange (UPHIE)
Dennis Smith
Set Policies
Act
on
the
Policies
MiHIN Governance
VacantRepresenting Pharmaceutical Manufacturers
Irita B. MatthewsRepresents Health Information Technology
2014Copyright 2011 - Michigan Health Information Network Shared Services
Meridian Health Plan Thomas Lauzon
HIT CommissionerNick Lyon
Copyright 2014 - Michigan Health Information Network 11
MiHIN Governance
Copyright 2014 - Michigan Health Information Network 12
MOAC Working GroupsOperations/
Production Support
Great Lakes Health Connect Adam GeeMike Ayers
Upper Peninsula Health Information Exchange (UPHIE)
Paula Hedlund, Dan Boyle
Jackson Community Medical Record (JCMR)
Jeanne Wymer
Ingenium John Vismara, E.D., Rusty
Mandle
MDCH/DTMB/SOMDoug Witten – Co-Chair,
Tina Scott, Alan Darl ing, Larry Ruble, Kev in Garnett, Therese
Hoyle, Bea Salada, Dave Wil lhite, Brenda Coleman, Paul Groll, Ed Hartwick, Jeff Shaw,
Doug Saylor, Craig Weaver, Mike Potter, Soma Duppi,
Brendan O’Brien, Jaya Tamrakar
MiHIN Sh ared ServicesBrian Seggie, Rod Mach, Steve
Arnst, Aldan Beaubien
Integration and Architecture
MDCH/DTMB/SOMDoug Witten – Co-Chair,
Tina Scott, Alan Darl ing, Larry Ruble, Kev in Garnett, Therese
Hoyle, Bea Salada, Dave Wi llhite, Brenda Coleman, Paul Groll, Ed
Hartwick, Jeff Shaw, Doug Saylor, Craig Weaver, Mike Potter,
Soma Duppi, Brendan O’Brien, Jaya Tamrakar
MiHIN Sh ared ServicesBrian Seggie, Co-Chair, Steve
Arnst, Rod Mach, Aldan Beaubien
Security
Great Lakes Health Connect Adam Gee, Rich Fish
Upper Peninsula Health Information Exchange (UPHIE)
Paula Hedlund
Jackson Community Medical Record (JCMR)
Jeanne Wymer
MDCH Data Hub/DTMBPaul Groll,
Phil Kurdunowicz, Tairus Taylor
MiHIN Sh ared ServicesBrian Seggie – Co-ChairJeff Livesay, Frank Cass
Issue Remediation
MDCH Cynthia Green-Edwards –
Co-Chair, Meghan Vanderstelt
MiHIN Sh ared ServicesDr. Tim Pletcher – Co-Chair
Use Case
MDCH/DTMBTina Scott– Co-Chair,
Paul Groll, Alan Darl ing, Rick Mathews, Doug Witten, Bob Swanson, Tairus Taylor, Phil
Kurdunowicz, Patty Clark, Therese Hoyle, Jeff Haskell, Jim Collins,
Brendan O’Brien, Jaya Tamrakar
MiHIN Sh ared ServicesRick Wilkening – Co-Chair
Michael Taylor
SEMHIEMick Tal ley
Great Lakes Health Connect Heidi Newton, Mike Ayers
Great Lakes Health Connect Carol Parker,
Douglas Dietzman
Upper Peninsula Health Information Exchange (UPHIE)
Paula Hedlund, Dan Boyle
2014Copyright Michigan Health Information Network Shared Services
Great Lakes Health Connect Doug Dietzman
Upper Peninsula Health Information Exchange (UPHIE)
Paula HedlundDan Boyle (alt.)
Jackson Community Medical Record (JCMR)
Aaron WoottonRick Warren (alt.)
Ingenium John Vismara
Wendy Linkimer (alt.)
MDCH/MDCH Data Hub Tina Scott, Co-Chair
Cynthia Edwards
MiHIN Shared ServicesJeff Livesay, Co-Chair
Dr. Tim Pletcher
Southeast Michigan HIE (SEMHIE) Helen Hill
Blue Cross Blue Shieldof MI (BCBSM)Wanda Brideau
Health Alliance Plan of Michigan (HAP)
Jane Harper
Jackson Community Medical Record (JCMR)
Jeanne Wymer
Ingenium John Vismara, Rusty Mandle
SEMHIEVacant
Blue Cross Blue Shieldof MI (BCBSM)
Vacant
Health Alliance Plan of Michigan (HAP)
Vacant
SEMHIEVacant
Blue Cross Blue Shieldof MI (BCBSM)
Vacant
Health Alliance Plan of Michigan (HAP)
Vacant
Blue Cross Blue Shieldof MI (BCBSM)
Vacant
Health Alliance Plan of Michigan (HAP)
Jane Harper, Robert Keefer
Upper Peninsula Health Information Exchange (UPHIE)
Paula Hedlund
Jackson Community Medical Record (JCMR)
Aaron Wootton
Ingenium John Vismara
SEMHIEHelen Hill
Blue Cross Blue Shieldof MI (BCBSM)John Bialowicz
Health Alliance Plan of Michigan (HAP)
Vacant
Upper Peninsula Health Information Exchange (UPHIE)
Paula Hedlund, Dan Boyle
Jackson Community Medical Record (JCMR)
Aaron Wootton, Jeanne Wymer, Rick Warren
Ingenium Diane Slon, Wendy Linkimer
SEMHIEHelen Hill, Mick Tal ley
Blue Cross Blue Shieldof MI (BCBSM)John Bialowicz
Health Alliance Plan of Michigan (HAP)
Deborah Spencer
Ingenium Rusty MandleKen O’Brien
Privacy
Upper Peninsula Health Information Exchange (UPHIE)
Paula Hedlund
Jackson Community Medical Record (JCMR)
Jeanne Wymer
MDCH/DTMBLeslie Asman,
John Donovan-Co-Chair, Phil Kurdunowicz- Co-Chair
MiHIN Sh ared Service Jeff Livesay
Brandi Briones
SEMHIEMick Tal ley
Blue Cross Blue Shieldof MI (BCBSM)
Vacant
Health Alliance Plan of Michigan (HAP)
Vacant
Ingenium Rusty MandleKen O’Brien
Great Lakes Health Connect Rich Fish
Priority Health Lee VanWagner
Priority Health Vacant
Priority Health Vacant
Priority Health Vacant
Priority Health Vacant
Priority Health Vacant
Priority Health Vacant
Meridian Health Plan Tony Randolph Thomas Lauzon
Meridian Health Plan Vacant
Meridian Health Plan Vacant
Meridian Health Plan Vacant
Meridian Health Plan Vacant
Meridian Health Plan Vacant
Meridian Health Plan Vacant
MiHIN Operations Advisory Committee (MOAC)
Great Lakes Health Connect Adam GeeMike Ayers
MiHIN Operations Advisory Committee (MOAC)
Data Sharing Agreement
Use Case
#1
Use Case
#2
Use Case
#3
Legal Infrastructure for Data Sharing
13Copyright 2014 - Michigan Health Information Network
ORGANIZATION AGREEMENT
(QDSOA,VQDSOA, CQDSOA, SSOA,
SSSOA, PIHP QDSOA, other “OA”)
Basic Connection Terms
Basic BAA Terms
Minimal Operational SLA
Contracting & Payment
Definitions
Termination
Cyber Liability Insurance
Qualified
Sub-state HIE
or VQO
Qualified
Sub-state HIE
or VQO
Clear Chain of Trust
Copyright 2014 - Michigan Health Information Network
Shared Services 14
Covered
Entity
Business
AssociateBusiness
Associate
Business
Associate
Covered
Entity
Covered
Entity
Constituent Transparency
Copyright 2014 - Michigan Health Information Network
Shared Services 15
Use Case
Health
Plans
Physicians
Specialty
Providers
Hospitals & Clinics
Patients
& Families
Laboratories &
Diagnostic centers
Pharmacies
Public Health & CMS
Policy Makers
Communities
Employers
What is a USE CASE?• Data sharing scenario with specific:
• purpose
• type of data exchanged
• description of interactions between people/ systems
• Each Use Case may have different:
• access restrictions
• rules for using the data
• cost recovery fees or charges
• technical requirements
16
Use Case Factory™
Copyright 2014 Michigan Health Information Network
Use Case Components
17
Use Case Summary explains purpose
and value proposition for sharing data
Use Case Agreement is a legal document that
covers expected rules of engagement
(all Qualified Organizations sign the agreements)
Implementation Guide is a
technical specification that
outlines standard format details
for data transmission & content
Copyright 2014 Michigan Health Information Network
http://mihin.org/about-mihin/resources/use-case-submission-form/
Use Case Factory
Idea with Champion
Idea with Sponsor
Plan & Develop
Pilot &
RefineTechnical
Planning
Conceptual
EvaluationDefine Purpose
U se Case Summary
Contains The B asic I deas
L aid Out in an E asy to
R ead Document for the
B oard to A pprove
Implement
Production
StatusMetrics
Adoption
Critical Mass
Mass Marketing &
Outreach
MiHIN Board
SuccessfulAdoption
ContinuousImprovement
Functional Data-Sharing
Widget
18Copyright 2014 Michigan Health Information Network
Use Case Assembly Lines
Results Delivery
•Lab results
•Diagnostic imaging
•Other tests
•Hospital discharge summaries
Public Health Reporting
• Immunizations
•Chronic disease registries
•Disease surveillance
•Syndromicsurveillance
•Birth & death notifications
•41 new use cases identified
Care Coordination & Patient Safety
•Referrals
•Care summaries for treatment history & allergies
•Notification of transitions of care ( Admit Discharge or Transfer)
•Medication reconciliation & therapy change notices
•Clinical decision support alerts
Quality & Administrative Reporting
•Registry Updates
•Physician Quality Reporting measures
•Meaningful Use reporting
•Electronic verification
•Patient satisfaction
•Eligibility
•Authorization
•Claims audit
Patient/Consumer Engagement
• Instructions
•Health risk appraisals
•Medication Compliance
•Therapy Compliance
•Patient activation and self determination
•Health literacy & numeracy
•Consumer Preferences and Consents
19Copyright 2014 Michigan Health Information Network
Infrastructure Use Cases
Secure Transport Layer Services and Digital Credentials
Master Person Index(Common Key Service)
Active Care Relationship
Service
Patient Opt-In Preferences
Identity Management
Federated
Identity Management
(FiDM)
Health Provider Directory
Gateway Services (e.g.
XCA)
20Copyright 2014 Michigan Health Information Network
Accelerating Use Cases
21
Policy &
Regulatory
Levers
Clinical
Endorsement &
Evidence
Financial
Incentives or
Disincentives
Copyright 2014 Michigan Health Information Network
Use Case Pipeline Example
22Copyright 2014 Michigan Health Information Network
Statewide Use Case Evolution
Planning & DevelopmentConceptualImplementation
(Operational Adoption)Mature Production(> 65% Utilization)
Statewide ADT-IN
Submit Syndromics
Request Immunization History/Forecast Submit Immunizations
Submit Data to Active Care Relationship Service
(ACRS)
Death Registry
Advanced Directives Health Provider Directory
Basic Query
Submit Data to Health Provider Directory
Medication Reconciliation
Chronic Disease Registry
Health Provider Directory Advanced Query
MiHealth Link (ICBR)
Provider Submission
Birth Registry
Convert Syndromics
Submit Newborn Screening -CCHD
Health Provider Directory Search Service
Single Sign On
Federated Identity Management
Common Key Service
Health Risk Assessment (HRA)
Submit Clinical Quality Measures
Send/Receive Lab Results/Orders
Submit Birth Defect Notifications
eHealth Exchange Patient Query
Cross-QO Patient Query
Submit Reportable Labs
VA Patient Query
CMS Electronic Submission of Medical Documentation
SSA Disability Determination
Patient Look Up (Cross Community Access XCA)
Benefits of Use Case Approach
23
• Manageable chunks so competitive or confidentiality concerns can be addressed without “boiling the ocean” Reduces Complexity
• Standardized mechanism for scoping purpose, technical requirements, costs, and limits on how data is usedConsistent Pattern
• Use Cases can be combined to create higher and higher levels of functionality Modular (like Lego blocks)
• Incentives, regulations or policies can target specific Use Case to foster or accelerate adoptionAligns Priorities
• Constituents can understand expected use of their data and follow the common chain of trust across organizationsTransparent
• Aids focused monitoring and measurement of progressMeasureable
• Reduces variability and enables scalabilityFaster & Cost Effective
Copyright 2014 Michigan Health Information Network
-
2,000,000
4,000,000
6,000,000
8,000,000
10,000,000
12,000,000
14,000,000
MONTHLY MESSAGE COUNT
Admit-Discharge-Transfer (ADT)
Outbound (ADT)
Copyright 2014 Michigan Health Information Network
Copyright 2014 Michigan Health Information Network
-
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
3,500,000
4,000,000
MONTHLY MESSAGE COUNT
Syndromic Surveillance (SS)
Clinical Quality Measures (CQM)
Reportable Labs (ELR)
Immunizations (VXU)
Copyright 2014 Michigan Health Information Network25
26
Monitoring Transitions of Care
0
2000000
4000000
6000000
8000000
10000000
12000000
14000000
16000000
Admit-Discharge-Transfer (ADT)
Outbound (ADT)
Copyright 2014 Michigan Health Information Network
Statewide ADT Use Case Example
27
Active Care
Relationship Service
(ACRS)
Statewide
Health Provider
Directory (HPD)+ +
Copyright 2014 Michigan Health Information Network
Admit Discharge & Transfer (ADT)
Use Case
28Copyright 2014 - Michigan Health Information Network
Shared Services
Statewide Health Provider Directory
29
• Contains Electronic Service Information (ESI) used to route information to providers
• Flexibility to maintain multiple distribution points for single provider or single distribution for organization
• Manages organizations, providers and the multiple relationships between them
Copyright 2014 Michigan Health Information Network
ACRS™ Update – Version 2.0
Additional patient information to minimize false positives
30
Patient InformationSource Patient ID
First Name
Middle Initial
Last Name
Suffix
Date of Birth
Gender
SSN – Last 4 digits
Address 1 & Address 2
City, State, Zip
Home & Mobile Phones
Physician InformationNPI
First Name
Last Name
Practice Unit ID
Practice Unit Name
Physician Organization ID
Physician Org Name
Physician DIRECT Address
DIRECT Preferences
Copyright 2014 Michigan Health Information Network
Important Horizontal View
31
Eligible
Hospitals
Eligible
Providers &
PCMH
Care
CoordinatorsSpecialty
Providers
Behavioral
Health SpecialistsCritical Access
Hospitals
Patients & Families
Copyright 2014 Michigan Health Information Network
Trusted Data
Sharing
Organization
Trusted Data
Sharing
Organization
Statewide ADT Notification
Active Care
Relationship
HPD Delivery
Preference
Lookup
1) Patient goes to the hospital, hospital sends a registration message
2) Check Active Care Relationships and identify three providers
3) Using the HPD, identify delivery preference for each provider
4) Notification is routed to providers based on preferences
Primary Care
Specialist
Care
Coordinator
32
Animation
Copyright 2014 Michigan Health Information Network
Other “Lego” Combinations
33
Active Care
Relationships
State-wide
Health Provider
Directory+ +
Active Care
Relationships
State-wide
Health Provider
Directory+ +
MED
REC
Care
Plan
Copyright 2014 Michigan Health Information Network
Some 2015 Use Cases• Query for immunizations
• Newborn screening
• Social Security eligibility determination
• Medication Reconciliation-discharge push of Med Rec
• Trusted identities
• Provider single-sign-on
• Patient single-sign-on
• Statewide HPD query-direct client integration module
• Medication Information Direct Gateway (MIDIGATE®)
• Common Key Service– patient matching service
• ACRS Services-expose to beneficiaries
• Advance Directives - send to Peace of Mind registry
• Health Risk Assessment (HRA)
• Integrated Care Bridge Record (ICBR) - care plan
34
Ready Now!
Copyright 2014 Michigan Health Information Network
The Direct Project
• Simple, secure, scalable, standards-based
way to send encrypted information “directly” to
known, authenticated, trusted recipients
• Messages sent securely between end-points:
• person to person
• person to system
• system to system
• system to person
Copyright 2014 - Michigan Health Information Network
Shared Services35
Dr. Jones
Dr. Smith
Provider to Provider Email
Definitions
HISP – Health Information Service Provider
HISP
HISP
Federally-bridged digital
security certificate as
trust anchor
Copyright 2014 - Michigan Health Information Network
Shared Services36
From:
To:
System-to-system messaging
Definitions
HISP – Health Information Service Provider
HISP
HISP
Federally-bridged digital
security certificate as
trust anchor
Copyright 2014 - Michigan Health Information Network
Shared Services37
Current DTAAP Accreditation Roster
January 15, 2014
• CareAccord
• Cerner Corporation
• DigiCert
• Infomedtrix
• ICA
• Inpriva
• MaxMD
• Surescripts
• MedAllies
• DataMotion
• Applied Research Works, Inc.
• Athenahealth
• Covisint
• EMR Direct
• GlobalSign, Inc.
• HIXNy
• Health Companion
• Health Connection CNY
• Health Info EXchange of NY
• iMedicor
• IOD Inc.
• Medicity
• NYeC
• RelayHealth
• Rochester RHIO
• Secure Exchange Solutions
• Simplicity Health Systems
• Truven Health Analytics
• Updox
• Utah Health Information Network
• Vitalz, Inc.
• West Virginia HIN
Fully Accredited and Audited Candidate Status
Copyright 2014 - Michigan Health Information Network
Shared Services4040
MIDIGATE® Purpose
• Simplified & low cost data capture based
on DIRECT Secure Messaging protocols
• Fully secure for handling PHI
• Bridges the gap or “mitigates” transport
challenges, e.g. DIRECT to HL7 LLP
• Designed to support MiHIN Use Cases,
broad quality reporting requirements, and
custom data capture needs
Copyright 2014 - Michigan Health Information Network
Shared Services41
Key Components
• Configuration of the base service that feeds data into the
existing virtual private network used to send data
• Captures attachments to published DIRECT addresses
• “Peels” off structured data and routes appropriately
• Establishment of one or more “catcher” modules
• Examples of common catcher modules:
• ADT’s
• Electronic clinical quality measures
• HEDIS reports
• Care Plan Updates
• Authorizations
• Etc.
Copyright 2014 - Michigan Health Information Network
Shared Services42
“Catcher” Modules
Copyright 2014 - Michigan Health Information Network
Shared Services43
HISP
Doctor offices &
Community
Hospitals
ADT
Catcher
Module
MiDIGATE
Handler ‘peels” off
attachments
Base Gateway
Service
Normal ADT Flow
Copyright 2014 - Michigan Health Information Network
Shared Services44
MiHIN
TOC
Router
ADT
HIE QOs(Qualified sub-state
HIEs)
Trusted Data
Sharing
Organization
Active Care
Relationships
HPD Delivery
Preference
Lookup
With ADT “Catcher” Module
Copyright 2014 - Michigan Health Information Network
Shared Services45
MiHIN
TOC
Router
Trusted Data
Sharing
Organization
Active Care
Relationships
HPD Delivery
Preference
Lookup
HISP
MiDIGATE
Base Service
Handler
Lots of Potential “catchers”
Copyright 2014 - Michigan Health Information Network
Shared Services46
47
MDCHData Hub
HIE QO/VQO
MiDiGate
Medical Information Direct GatewayTM MiDiGateTM for HIE QOs and VQOs
CQM Data Mart
Medicaid ADT Repository
MCIR
MDSS
MSSS
SOM Data Warehouse
OutboundInbound
QRDA Cat III
QRDA CAT III
MU Credit
MeaningfulUse
Database
QRDA
Any provider organization
Physicians
Labs
Hospitals
HIEs
CorrectionalFacility
Patients
EDRS
MCDR
MiHIN
Repository
HIE
Other StatesDirect Email Convention Examples Using MiDiGate
& Health Provider Directory Inbox
[email protected]@direct.hieqo.org
[email protected]@direct.hieqo.org
[email protected]@direct.hieqo.org [email protected]
[email protected]@direct.hieqo.org
Destination(s) .Reportable Labs to MDSSElectronic Death Registry System Michigan Care Improvement RegistryRegistry for that use caseChronic Condition RegistrySOM Data WarehouseVital StatisticsFoster Kids RegistryChronic Disease Registry
DescriptionLab Results
Death NoticesImmunizations
Use Case SpecificBirth Defect Notices
Clinical Quality Measures Admit, Discharge, Transfer
Foster Kids Care SummariesConsolidated Clinical Document Architecture
Copyright 2014 - Michigan Health Information Network Shared Services
Questions?Dr. Tim Pletcher
Executive Director
Jeff Livesay
Associate Director
Shelley Mannino
Director
48Copyright 2014 - Michigan Health Information Network Shared Services