Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 32
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87formal request for proposal process and from the implementation and ongoing support of the
planned HIE pilot projects. This modeling is an ongoing process that will allow all factors
including those listed below to be fully analyzed and periodically reviewed to ensure that the
funding mechanisms remain aligned with the financing strategy and guiding principles, and that
they continue to produce the required sustaining revenue.
The impact, appropriateness, acceptability, and timing of each of these funding
mechanisms as it relates to each stakeholder group
The size and number of participants in each stakeholder group
The timing of the delivery of each of the identified service priorities
The extent to which the value of a given service can be determined and associated with
one or more stakeholder groups
The extent to which a given service has a directly associated ROI that can be associated
with one or more stakeholder groups
Stage 2 modeling will enable MiHIN Shared Services Governance Board to finalize its initial
revenue targets and establish the appropriate fee structures that will be incorporated into the
stakeholder trust agreements thereby establishing the formal basis for financial support of
MiHIN. Additionally, this modeling activity will allow MiHIN Shared Services Governance Board
to develop a business plan that details the financial sustainability strategy and approach and
submit it to ONC by the February 10, 2011 deadline.
4.3 Technical Infrastructure
The overarching goal of the MiHIN Technical Architecture is the secure and efficient exchange
of patient’s health care information to improve operational efficiency and patient care. The
MiHIN Shared Services is designed as a network of networks with local providers connecting to
sub-state HIEs which connect to the MiHIN Shared Services Bus (SSB) and then to the NHIN.
The technical architecture is designed to satisfy the following goals:
Put current and comprehensive patient information in the hands of practitioners at the
point of care.
Electronically exchange clinical information between disparate health care information
systems (e.g., hospitals, laboratories, physician offices, ambulatory treatment centers,
and pharmacies) while maintaining the integrity and meaning of the information being
exchanged.
Facilitate delivery, access and retrieval of clinical data to provide safe, timely, efficient,
effective, equitable, patient-centered care.
Drive quality improvements and be patient-centered as opposed to driven by efficiency
or cost reduction.
Make HIE and HIT compatible and interoperable
Institute business process and behavior changes at the provider level to facilitate the
sharing of information.
Align HIE and HIT incentives for the adoption of such technologies
MiHIN Strategic Plan
Page 26
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