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
Program Key Information
Total Amount of Funding Available: $564,000,000Award Floor $4,000,000Award Ceiling $40,000,000Approximate Number of Awards: 56Program Period Length Four yearsLetter of Intent Due: 11-Sep-09Application Due: 16-Oct-09Award Announcements: 15-Dec-09Estimated Start Date: 15-Jan-10
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 Program State Roles & Responsibilities
4
State HIE Cooperative Agreement Program
Michigan’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 Program
Michigan’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
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 Details
8
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 Details
9
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 Details
10
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 Details
11
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 Details
12
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 Details
13
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 Details
14
State HIE Cooperative Agreement Program
Key Details
1 2 3 4
Spending by Year
Year 1 No Match Until Oct. 2010 Year 2
10% MatchYear 3 14% Match
Year 4 33% Match
15
State HIE Cooperative Agreement Program
Key Details
Supplies1%
Travel0%
Fringe 4%
Personnel9%
Indirect 2%Other
3%
Contractual23%
Technology58%
16
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
State HIE Cooperative Agreement Program
Key Details
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
Finalized Strategic & Operational Plans Due ~ April 2010
Letter of Intent Due September 11
Workgroup Informational Session September 18
Applications Due October 16 Notice of Awards
December 15
Cooperative Agreement Signed January 15, 2010
September October November December2009 2010
Continuous, in-depth planning to meet April 2010 Due Date
Michigan’s Timeline
HIT Commission September 10
HIT Commission October 15
Workgroup Kickoff November 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