Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 40

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connect to the Social Security Administration for disability benefits.
Tribal care
The MiHIN will identify the sub-state HIEs that can work directly with the local Indian
Health Services (IHS) providers to develop mechanisms for these providers to
connect to the MiHIN or perhaps to integrate this data by connecting to the NHIN.
This will be a longer term project and will depend on how the IHS decides to
integrate into nationwide HIE.
Public health
There are several use cases are under consideration for the MiHIN that will support
reporting
public health reporting. The Michigan Care Improvement Registry (MCIR) is a
secure web-based statewide immunization information system accessed by more
than 4,000 health care organizations. The Michigan Disease Surveillance System
(MDSS) is a secure web-based statewide integrated surveillance system. MDSS
has improved Michigan’s ability to identify and track emerging infectious diseases
and potential bioterrorism attacks.
Both of these systems are intended to integrate into the MiHIN. Over time, the
MiHIN will work with the federal government to use this system and the MiHIN to
connect to the CDC and other federal agencies.
Emergency
The Michigan Syndromic Surveillance System (MSSS) is a real-time surveillance
preparedness and
system tracking and monitoring the chief presenting complaints from emergent care
response
settings allowing public health officials and providers to rapidly detect and track
unusual outbreaks of illness that may be the result of bioterrorism, natural outbreaks
or other public health emergencies.
The Michigan Health Alert Network (MIHAN) is a secure, Internet-based,
communications and alerting system. The MIHAN contains a directory of over 4,000
participants from local health departments, hospitals, clinics and many other critical
first responders across the state. It also includes many of Michigan’s state
government agencies. The MIHAN recently received Public Health Information
Network certification from the CDC.
These systems are intended to integrate into the MiHIN. Over time we will work with
the federal government to use this system and the MiHIN to connect to the CDC
and other federal agencies.
Figure 7. Interoperability with Federal Systems
4.3.7 Interoperability with other States
The MiHIN will be designed using NHIN compatible standards and services which will allow us
to perform cross-community services both within the MiHIN and to other states. As stated above
we will support security, subject discovery, query for documents and retrieve documents
services which will facilitate significant capabilities for inter-state HIE.
4.3.8 Medicaid and other State Systems
There are several Michigan Department of Community Health (MDCH) systems that could be
connected to the MiHIN Shared Services. MDCH systems can be classified into two categories
that represent the degree to which they would benefit from, contribute to, and impact the MIHIN
Shared Services.
The first category is systems that should be early services on the MIHIN Shared Services.
These are MDCH systems that require interaction with a number of providers across the state
and benefit from two-way communication with those providers. These systems often provide
information back to providers or act as a gateway to federal government agencies such as the
MiHIN Strategic Plan
Page 34

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