Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 37
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87MiHIN Shared Services is being designed with sub-state HIEs which provide “last mile”
connectivity to providers and State of Michigan systems that are connected to the shared
services bus for cross community interoperability and NHIN connectivity. This represents the
best, most viable short term architecture with the most sustainable long term benefits. For a
summary of alternative approaches considered, see Appendix 6.3 Alternative Approaches
Considered.
4.3.3.2 D
E
C
ATA
XCHANGE
OMPONENTS
NHIN Connectivity
This component provides communication to the Federal Government and other states. This
connectivity is effective for communicating outside the MiHIN Shared Services.
MiHIN Shared Services Bus
This component provides the shared services bus connectivity and state-wide services for sub-
state HIEs, ancillary data sources and connection to the NHIN.
Sub-state HIEs
Progress has already been made on establishing various models of sub-state HIEs in Michigan,
some supported by public funding and some through private investment.
Since the sub-state HIE is central to MiHIN Shared Services architecture it is critical that a set of
criteria be defined to designate an organization as a sub-state HIE. Designation as a sub-state
HIE will allow an organization that agrees to adhere with the strategic and operational plans and
optimize the use of statewide shared services to connect to MiHIN Shared Services.
Criteria were developed for each of the domains as follows:
•
Governance
•
A sub-state HIE shall have a governance structure which includes representative
members of participating stakeholder groups in the HIEs area of operations.
•
A sub-state HIE shall have a policy which addresses transparency and openness
of its proceedings and decision making with the stakeholders it serves.
•
A sub-state HIE shall have a strategic plan
•
Finance
•
A sub-state HIE shall agree to contribute on a monthly or otherwise designated
frequency the apportioned MiHIN access and usage fees comprising their MiHIN
Membership Fee.
•
A sub-state HIE shall provide MiHIN an annual report of its financial position
•
Business Operations
•
A sub-state HIE shall commit to National (ONC, CMS, etc.) directives, standards
and requirements regarding:
MiHIN Strategic Plan
Page 31
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