Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 11

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The objective of the MiHIN Shared Services Bus is to provide interconnectivity between the
Sub-state HIEs, payer organizations and State of Michigan systems. As national standards for
interoperability and data exchange are developed and adopted, MiHIN will advocate, promote,
align with state standards and foster adoption of national standards by all Michigan HIEs. The
use of such standards will provide organizations with the interoperability necessary to
electronically move clinical information between disparate provider organizations.
2.3.3 Budget and Sustainability Strategy
The State HIE Cooperative Agreement Grant will provide funding to plan and implement the
MiHIN Shared Services. To ensure long-term sustainability, MiHIN has adopted a sustainability
funding mechanism that is built upon identifying the primary customers associated with the
MiHIN Shared Service Bus and empowering them to play an active role in governance and
finance. At present, the primary financing and governing organizations are sub-state HIEs, the
State of Michigan and payers.
This strategic direction allowed Michigan to determine the expected contribution available from
the customers of the MiHIN Shared Services Bus; Sub-state HIEs, Payers and the State of
Michigan at between $1.5 and $2.0 million per year starting in 2012. Final dollar amounts are
pending multiple variables including vendor negotiations.
The money available from the Cooperative Agreement, combined with the State of Michigan
matching funding and member organization contributions allowed Michigan to set a budget of
approximately $21.6M from 2010 through 2015 for creating a sustainable organization that
executes on the strategy defined in this document.
The diagram below demonstrates how the expected grant expenditure and membership/other
fees will ensure that Michigan create a sustainable model for the MiHIN Shared Services Bus.
Figure 3. Projected MiHIN Shared Services Sustainability Model
MiHIN Strategic Plan
Page 5

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