Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 16

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solution enables the sharing of information from MAHP and MAHP members to their
respective provider communities and provides. The overall objective is to capitalize on
technology that will centralize common, non-competitive health plan related transactions
performed by physicians and their staff. The MAHP Connect will provide: portal capability for
providers to interface with multiple health plans; methods to increase the exchange of real-
time administrative data between health plans and providers; and methods for integration of
existing data exchange portals, practice management systems, and health plan websites to
help reduce the need for 'double entry'.
3.1.3 E-Prescribing Readiness
In a 2009 study by Surescripts, Michigan ranked third in the nation for e-Prescribing with nine
percent of Michigan prescriptions ordered through e-Prescribing. This percentage was more
than double Michigan’s 2007 rate. The following initiatives have played key roles in advancing
e-Prescribing in Michigan.
Southeastern Michigan E-Prescribing Initiative (SEMI): SEMI is a purchaser initiative
aimed at increasing the adoption of e-prescribing in Southeast Michigan. Implemented in
2005, it is sponsored and funded by the local auto industry, BCBSM, and Medco. More than
3,800 physicians are currently enrolled in the program. Since 2005, more than one million
prescriptions have been modified or cancelled due to adverse drug alerts.
e-Prescribing in Michigan Medicaid: In 2008, the Michigan Legislature enacted legislation
requiring MDCH to develop a three-year strategic plan for the implementation of electronic
prescribing within the state’s Medicaid program. The department’s resulting plan focuses on
two goals: (1) increase e-prescribing awareness and use in the Medicaid provider
community, and (2) develop system capabilities to track and report Medicaid e-Prescribing
transactions.
3.1.4 Other HIE Readiness
An analysis that solely focused on the healthcare related systems within the State of Michigan
government found a robust and well-functioning set of services and systems that will both
provide a benefit and receive a benefit from interoperating with a statewide HIE system like the
MIHIN Shared Services. The analysis evaluated a variety of systems, including public health
(systems used to record and monitor population health), health analytics (the MDCH data
warehouse, a system to aggregate data from various health-related systems and enable
analytics), and infrastructure (systems for security, electronic data transfer, identity
management, Extract Transfer Load (ETL) tools and Service Oriented Architecture platforms).
Public health systems surveyed included the Michigan Care Improvement Registry (MCIR), an
immunization history registry; the Michigan Disease Surveillance System (MDSS), a system
used to monitor lab results and process submission of reportable conditions; the Michigan
Syndromic Surveillance Systems (MSSS), which receives patient admission information from
emergency departments across Michigan to analyze reported chief complaints to detect
outbreaks; and the Bureau of Labs, the sole provider of many critical lab tests not done in the
private sector.
The MDCH data warehouse meets the challenge of tracking individual clients of more than 27
separate health related services administered through MDCH and providing decision support
MiHIN Strategic Plan
Page 10

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