Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 47
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874.4 Business and Technical Operations
Well thought-out and carefully considered Business and Technical Operations of the MiHIN
Shared Services will be integral to success. The following section describes the Business and
Technical Operations strategies that will be carried out to successfully implement the technology
required to provide the HIE service priorities on a statewide basis and to run the day-to-day
operations of the MiHIN Shared Services.
4.4.1 Business Technical Operations Strategy
The selection of use cases for initial implementation on the MiHIN was the result of deliberation
of the stakeholders in the MiHIN Business and Technical Operations Workgroup. The initial
focus was on prioritizing the HIE service priorities documented by the ONC in the Funding
Opportunity Announcement. Several factors in the prioritizing of these services were analyzed
including the degree to which each service improved healthcare outcomes and the healthcare
workflow. Also, each priority was evaluated based on the size of the population of Michigan that
it would affect, whether it supported the proposed Meaningful Use criteria in 2011, if there were
known financial sustainability models or if the service is needed to develop HIE capacity in
Michigan.
With careful review, data collection, an environmental scan, and debate by numerous
stakeholders, the ranking of the HIE Service Priorities is:
1. Electronic clinical laboratory ordering and results delivery
2. Electronic public health reporting
3. Quality Reporting
4. Clinical summary exchange for care coordination and patient engagement
5. Electronic eligibility and claims transactions
6. Electronic Prescribing and refill requests
7. Prescription fill status and/or medication fill history
4.4.2 HIE Service Priorities
Based on funding constraints and other factors, only the top two service priorities were assigned
use cases. The prospective use cases were developed based on a ranking that included
several factors: such as clinical value, prevalence, stakeholder interest and the degree to which
there were already existing technical standards.
In the top two HIE service priorities the following use cases were selected for implementation in
the initial stages of the MiHIN Shared Services:
4.4.2.1 E
LECTRONIC PUBLIC HEALTH REPORTING
Listed below are the use cases for the Electronic Public Health Reporting service priority.
Immunization event to MCIR: a provider has administered a reportable vaccine. The
information is reported electronically to MCIR, the State of Michigan system for
immunization tracking.
MiHIN Strategic Plan
Page 41
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