Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 48
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Reportable laboratory result to MDSS: a laboratory encounters a result that is
required to be reported to a public health agency. The laboratory sends the required
information to the required public health agency in a structured format suitable for
consumption by an electronic system. MDSS is the State of Michigan system for disease
surveillance.
Immunization history from MCIR: a provider queries for the immunization history of a
patient. Access and consent policies are applied. If allowed, MCIR provides the
requested history in a structured format suitable for consumption by an electronic
system.
4.4.2.2 C
LINICAL SUMMARY EXCHANGE FOR CARE COORDINATION AND PATIENT
ENGAGEMENT
Listed below are the use cases for the Clinical Summary Exchange for Care Coordination and
Patient Engagement service priority.
Continuity of Care Documents (CCD) to ED: a patient presents to the Emergency
Department (ED). For treatment purposes, the ED requests the patient’s longitudinal
health record from its sub-state HIE. The sub-state HIE aggregates patient medical
information available locally and via the MiHIN shared services, and then delivers it to
the ED via a CCD.
CCDs to Physician Offices: A provider requests an update to a patient’s longitudinal
health record from their sub-state HIE. The sub-state HIE aggregates patient medical
information available locally and via the MiHIN shared services, and then delivers it to
the provider via a CCD.
4.4.3 Medicaid Coordination
Currently, Michigan’s Medicaid EHR Incentive program operations and technical requirements
are being documented. Coordination between the MiHIN Shared Services and Michigan’s
Medicaid EHR Incentive program has been focused on educating on capabilities, leveraging
resources and exploring potential areas of mutual benefit. There is a high level of management
and staff cross-over between the two initiatives and that has facilitated a higher level of
collaboration.
A working group comprised of staff from the Michigan Department of Community Health, which
houses both Medicaid and public health, the Michigan Department of Technology, Management
and Budget has formed to continually assess the current state of coordination and to work
toward the most efficient and appropriate level of interaction with the MIHIN Shared Services.
4.4.4 Leveraging Existing HIE Capacity
Leveraging existing HIE capacity will begin by documenting capacities existing and under
development across Michigan. Periodic environmental scans of operational status and new
projects will be conducted.
MiHIN Strategic Plan
Page 42
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