Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 33
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Free clinical data from their silos, transform it and deliver it securely, rapidly and reliably
to the patient’s caregiver;
Aggregate and organize clinical data to inform physicians and other caregivers about the
patient’s complete history and treatment, thereby enhancing quality and patient safety;
Promote the development of statewide master patient and provider indices and a record
locator service (RLS)
Identify and develop HIT and HIE solutions for medically underserved areas, technology
challenged areas or areas falling between naturally occurring sub-state HIEs
Promote national standards to guide the sharing of information and electronic data
interoperability.
Safeguard privacy and security of personal health information.
Leverage existing health information systems.
4.3.1 Guiding Principles
This section contains an overview of the Guiding Principles and includes statements about how
the MiHIN Shared Services must fit into the existing business and technical environment. The
MiHIN Shared Services will be an open, scalable and extensible infrastructure that follows the
following guiding principles:
Be built from numerous vendor products which must interoperate
Be vendor agnostic
Support multiple communication protocols within reason (FTP, SOAP, Sockets, etc).
Be a hybrid architecture that will not be entirely federated or centralized
Comply with the latest interoperability standards but be practical enough to get
something working
Undertake an incremental approach to implementing a statewide architecture
Be consistent with national industry standards (web services, etc)
Focus on designing information exchange, not end-user applications
Interoperate with sub-state HIEs
Interoperate with existing state government systems like public health surveillance and
reporting
Use web services for real-time communications where feasible
Interoperate with the NHIN
Be highly secure and Health Information Portability and Accountability Act (HIPAA)
compliant for all external communication paths
Maintain the privacy of patient data
Be extensible (capable of adding new functions or services easily)
Be scalable (capable of adding more users, transactions, other volumes of work easily)
Support delegated user authorization, authentication & administration
Support auditing
Be able to support data and analytical capabilities
Be cost-effective to maintain
MiHIN Strategic Plan
Page 27
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