Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 28
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874.2 Finance
The combined efforts of the Michigan Departments of Community Health and Technology,
Management and Budget and the many Michigan Health Information Exchange stakeholders
have resulted in the establishment of the guiding principles, the overriding strategy, and the
underlying approach to the financial sustainability of the MiHIN Shared Services. This
foundation not only guided the decisions and efforts that were required to develop the Strategic
and Operational Plans for the MiHIN Shared Services, but will provide the ongoing guidance for
financial decision making by the MiHIN Shared Services Governance Board.
4.2.1.1 F
S
G
P
INANCIAL
USTAINABILITY
UIDING
RINCIPLES
The Guiding Principles provide the fundamental framework for financial decision making for
MiHIN, these are meant to shape all financial decisions for the MiHIN Shared Services through
and beyond the State HIE Cooperative Agreement Program funding period, and in addition,
these will influence other critical MiHIN business, technical, and operational decisions.
Multi-stakeholder collaboration is needed for success
The MiHIN Shared Services must be self-sustaining
The MiHIN Shared Services business model must balance cost, value, & risk
Stakeholders must see value to justify the investment
The MiHIN Shared Services should leverage existing private and public HIT and HIE
investments, and to the extent possible not duplicate these existing or planned
investments
Grants should be used to enable the launch and evaluation of a new value added
service, but should not be relied upon for the long term sustainability of a service or for
the MiHIN Shared Services itself
Revenue should not be sought disproportionately from any one stakeholder or group of
stakeholders; the Sub-state Health Information Exchanges and Healthcare Payers will
be the initial and primary customers of the MiHIN Shared Services
Those who benefit should participate in paying the costs; long-term sustainability will be
dependent upon fair contribution from those who benefit including all who realize
benefits such as those related to improvements in care, quality, patient safety, patient
and provider satisfaction, reduced disparity in care, reduced redundancy in tests,
admissions, visits and procedures, and improved communications resulting in cost
reduction or avoidance
The MiHIN Shared Services should be attractive to a broad range of stakeholders and
be implemented in phases, as necessary, to deliver early results to promote adoption
The MiHIN Shared Services must encourage adoption by being an open and non-
proprietary network
The MiHIN Shared Services must support participant access to non-MiHIN supplied HIT
and HIE applications hosted by other participants or service providers
MiHIN Strategic Plan
Page 22
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