Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 23
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87commission to the Michigan Department of Community Health (MDCH). The legislation creating
the HIT Commission states that it will facilitate and promote the design, implementation,
operation, and maintenance of an interoperable health care information infrastructure as well as
advance the adoption of health information technologies throughout the state’s health care
system.
The law creating the HIT Commission includes the requirement for 13 members that represent
specific Michigan healthcare stakeholders including; Consumers, Doctors of Medicine, Non-
profit Healthcare corporations, purchasers or employers, pharmaceutical manufacturers,
schools of Medicine, the HIT industry, third party payers, Doctors of Osteopathic Medicine,
hospitals, pharmacists and representatives from the Michigan Department of Community Health
and the Michigan Department of Information Technology. The HIT Commissioners are
appointed by the Governor.
The HIT Commission will uphold the tenants of transparency and inclusion since it is, by statute,
subject to the Michigan Open Meetings Act of 1976. As such, the Michigan HIT Commission
holds all meetings in a public location with the opportunity for public comment on each agenda
and widely publishes the meeting schedule, meeting minutes and agendas. The Michigan HIT
Commission must provide the legislature with an annual report.
Leveraging the establishment and experience of the Michigan HIT Commission is a natural
choice for specific roles and responsibilities for Michigan’s Governance model. Since its
involvement and integral guidance in Michigan’s Health IT and Health Information Exchange
projects since 2006, the HIT Commission brings experience and sustainability to the
coordinated governance structure as well as transparency and a level of trust among
stakeholders.
Under the coordinated governance model, the HIT Commission is responsible for the more
expansive roles of the MiHIN governance related to HIE and HIT development and adoption,
including, building consensus on principles, development of public policies, overseeing
statewide performance, aligning the statewide and national vision and monitoring
implementation.
In addition to the Michigan HIT Commission, a new governance board will be created to perform
a specific set of roles and responsibilities, which will complete the coordinated governance
model. This new entity will be a 501(c)(3) corporation established as the State Designated
Entity accountable for the implementation of the MiHIN Strategic and Operational Plans. The
new board will enable close alignment with the existing and emerging sub-state HIEs where
health information exchange begins. This new entity of the coordinated governance structure
will be accountable for the more focused roles including day to day business and technical
operations, coordination with state programs including public health and Medicaid, building the
statewide technical infrastructure for shared services and implementing sustainable finance
structures for the MiHIN activities.
The table below illustrates a high-level division of the roles and responsibilities in the
coordinated governance structure. The Michigan HIT Commission has a broad and diverse role
MiHIN Strategic Plan
Page 17
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