Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 30
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87of potential impact and benefit. This equation will be finalized by the MiHIN Shared Services
Governance Board.
Each sub-state HIE will determine the methodology it will use to allocate their MiHIN Shared
Services fees across their customer base. This process will significantly simplify the MiHIN
Shared Services revenue administration activities, and will take advantage of the revenue
processes already in place in each sub-state Health Information Exchange.
Additionally, during this initial production period the MiHIN Shared Services may institute the
use of additional access and usage fees such as membership, subscription, sponsorship,
transaction, and fee-for-service fees to accommodate the addition of new customers and new
statewide shared services. This evolving fee structure and the growing customer base will
provide the sustaining revenue required to operate the MiHIN statewide shared services
network beyond the State HIE Cooperative Agreement funding period.
Sustainable Production Stage - Finally, beginning in 2014 at the end of the State HIE
Cooperative Agreement period, the MiHIN Shared Services will have established the statewide
shared services and the customer base to provide the sustaining revenues it requires for
operations without dependence upon additional grant funding or State of Michigan government
subsidies. While grant funding will no longer be required for operational support, it is anticipated
that additional grant funding will be sought to support the acquisition, deployment, and piloting
of new statewide shared services.
4.2.4 Financial Sustainability Modeling
The MiHIN Shared Services will utilize financial sustainability modeling in two distinct stages to
analyze, establish, and refine the fee structures required to generate the sustaining revenues.
The first stage was initiated to support the Strategic and Operational Plan development
processes. The second stage will be undertaken by the MiHIN Shared Services Governance
Board once it is established and upon receipt of notice of ONC approval of the MiHIN Shared
Services Strategic and Operational Plans and the associated funding.
Stage 1 modeling will utilize estimated operational and capital budgets generated from
information and knowledge obtained from the analysis of existing operational HIEs, information
obtained from an informal request for information process conducted with a few of the leading
HIE software vendors, and from information obtained through the practical experience of the
HIE consultants retained to facilitate this planning process. While these figures will certainly
change once the MiHIN Shared Services undertakes its initial steps toward startup and
implementation, they do provide a reasonable basis for these preliminary financial planning
activities. The results of the Stage1 modeling are displayed in the table shown below, this
includes operational and capital budget projections, and projections of the revenue required
from each funding mechanism for each of the six years included in the modeling.
MiHIN Strategic Plan
Page 24
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