Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 13
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873 General Components
3.1 Environmental Scan
Health Information Exchange (HIE) is advancing throughout Michigan in various forms with a
wide array of functionality. The State of Michigan government has advanced public health
reporting systems, health systems are moving information electronically to users, provider
offices in Michigan are utilizing portal technologies, Electronic Health Records (EHRs) and are
utilizing the services of sub-state HIEs.
An analysis of Michigan’s HIT and HIE environment was conducted in the fall of 2009 in two
phases. First, with the use of a survey instrument, 32 health systems, hospitals, public health,
behavioral health, physician offices and other healthcare delivery entities were assessed.
Approximately 63 percent of those responding reported HIE to be one of the top five
organizational priorities and 57 percent are or are planning to participate in a sub-state HIE. An
overwhelming 90 percent of respondents reported that they plan to participate in the Medicare
and Medicaid EHR Incentive Programs. A very high level analysis of technical capabilities
showed that 57 percent of respondents were utilizing a Certification Commission for HIT
(CCHIT) certified EHR. Nearly 64 percent of respondents indicated use of e-prescribing
functionality.
The second phase analysis included a detailed technical assessment sent to 27 organizations.
The recipients were indentified through both the results of the first survey and subsequent follow
– up interviews. Included were a diverse set of organization types (providers, payers, sub-state
HIEs, public agencies) and geographic locations, while including organizations serving as much
of the population as possible. The response pattern was consistent with the first survey’s finding
and determined that the majority of Michigan’s health information exchange capability resides in
collaboration with Michigan’s hospitals and health systems.
The details of this analysis are noted in the following “readiness” sections.
3.1.1 Clinical System HIE Readiness
MDCH awarded planning grants to seven organizations in 2007 and 2008. These initiatives
have been focused on convening stakeholders to develop a collaborative approach to
implementing regional HIE. Each of these initiatives is at a different stage of development.
Greater Flint Health Coalition: This planning HIE initiative was awarded a MiHIN planning
grant in 2007 and is focused on a three-county region in the Flint, Michigan area. This
initiative is facilitated by the Greater Flint Health Coalition.
Health Current: This region represents five counties in the mid-south area of the state and
Altarum Institute received a MiHIN planning grant from MDCH in 2008.
Michigan Health Information Alliance: This MiHIN planning grant was awarded in 2007 to
the Central Michigan University Research Corporation. This region comprises 11 counties in
mid-Michigan.
MiHIN Strategic Plan
Page 7
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