Transcript Responding to HITECH

Responding to HITECH
The Michigan Public Health/Medicaid
Collaboration Strategy
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Michigan’s Approach
 Developing an enterprise-wide health information
exchange—State of Michigan Health Information Exchange
(SOM HIE)
 Building upon existing Medicaid/Public Health integration
efforts
 Leveraging existing technologies
 Sharing HIE services and electronic directories
 Sharing IT resources
 Establishing a united governance
 Coordinating HIT/HIE projects and funding opportunities
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Building upon what exists…
Medicaid Data Warehouse
and Vital Records
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• Medicaid newborns matched to birth data
• Date of death added to Medicaid records
Medicaid and Michigan
Care Improvement
Registry (MCIR)
• Medicaid Ids matched to immunization record
• Immunization coverage level reporting by health plan, county and state
• High Risk Flu Indicator
• MCIR displays EPSDT status
• MCIR displays lead levels and treatment recommendations
• Medicaid provides funding for MCIR enhancements and support
MDCH Interoperability
Work Group
• Aligned PHIN and MITA interoperability and security
standards
• Developed a standardized use notification script
• Planned for an enterprise-wide health information exchange
SOM HIE Objectives
 Support Medicare and Medicaid EHR Incentive Programs and the
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public health meaningful use objectives
Enable DCH connectivity with the MiHIN Shared Services and the
Sub-state HIEs
Uniquely identify citizens across multiple programs to improve
health care outcomes
Uniquely identify health care professionals across multiple
programs to improve communications with health care
professionals
Increase communication among internal SOM applications in
order to reduce Fraud and Abuse
Streamline the data flow between DCH health information
systems and external partners
MDCH Systems Supporting MU
System
Role
CHAMPS
Community Health Automated Medicaid
Processing System
1.Medicaid EHR Incentive Enrollment
2.Medicaid EHR Incentive Attestation
3.Medicaid EHR Incentive Payments
4.Eligibility Tracking
Data Warehouse
1.Patient Identity Management
2.EHR Incentive Monitoring and Meaningful Use Reporting
MCIR
Michigan Care Improvement Registry
Stage 1 MU Objective: Capability to submit electronic data to
immunization information systems in accordance with
applicable law and practice
MDSS
Michigan Disease Surveillance System
Stage 1 MU Objective: Capability to submit electronic data on
reportable lab results and actual submission in accordance with
applicable law and practice
Syndromic
Michigan Syndromic Surveillance System
Stage 1 MU Objective: Capability to submit electronic
syndromic surveillance data in accordance with applicable law
and practice
Bureau of Labs LIMS (STARLIMS)
Stage 1 MU Objective: Incorporate clinical laboratory tests into
EHR as structured data
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Stage 1 Meaningful Use Public Health Reporting Data Flow
2. Receive certified E.HR’s
public health reporting
message
6. Validate message format & completeness,
translate & transform message to intended
systems requirement (HL7 to XML)
9. Process message
3. Validate message
format & completeness
1. Send public
health reporting
message
15. Receive public
health reporting
acknowledgement &
data quality report
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4. Validate provider
exists within the MiHIN
14. Send
acknowledgment &
data quality report to
E.HR
7. Validate Provider &
Patient identity
5. Route public health
reporting message through
MiHIN messaging service
13. Route public health
acknowledgment & data
quality report through MiHIN
messaging services
8. Send message to
appropriate MDCH system
10. Data quality
checking, audit & logging
12. Send
Acknowledgment & data
quality report
11. Generate data quality
report & send to SoM HIE
SOM HIE Components
Integration Engine
(Orion Rhapsody)
Enterprise Master
Person Index
(IBM/Initiate MDM)
Provider Index
(IBM/Initiate MDM)
Shared Audit Logging
and Data Analytics
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• Secure Message
Gateway
• Translator
• Identity
Management
• Provider
Management
• MU tracking and
auditing
• HIPAA Compliancy
• Performance
Measurement
SOM HIE Steering Committee
Medicaid
Public Health
HIT Coordinator
SOM HIE Governance
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MiHIN Director
Department of
Technology
Management and
Budget
Project and Funding Coordination
CDC Infrastructure and
Interoperability LIS Support Grant
CDC IIS EHR Interoperability
Grant
ONC HIE Cooperative Agreement
Medicaid Data Warehouse I-APD
State Medicaid Health IT Plan
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Future Outlook of State of Michigan Health Information Exchange
Federal
Government
MiHIN
Security Services
SoM HIE
Data Audit
& Logging
Meaningful
Use Tracking
Sub-State
HIEs
EMPI
Integration Engine
(Rhapsody)
User/Provider
Directory
Web Services
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State Courts
Questions
Laura Rappleye
SOM HIE Business Lead
[email protected]
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