Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 5
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87Table of Contents
1
Stakeholder Approval........................................................................................................................ 1
2
Executive Summary........................................................................................................................... 1
2.1
Historical Perspective....................................................................................................1
2.2
Michigan’s Approach .....................................................................................................2
2.3
Strategy Highlights ........................................................................................................3
2.3.1
Governance...............................................................................................................3
2.3.2
Technical Strategy.....................................................................................................4
2.3.3
Budget and Sustainability Strategy ...........................................................................5
2.3.4
Business and Technical Operations..........................................................................6
2.3.5
Legal and Policy ........................................................................................................6
3
General Components ........................................................................................................................ 7
3.1
Environmental Scan ......................................................................................................7
3.1.1
Clinical System HIE Readiness.................................................................................7
3.1.2
Administrative HIE Readiness...................................................................................9
3.1.3
E-Prescribing Readiness.........................................................................................10
3.1.4
Other HIE Readiness ..............................................................................................10
3.2
HIE Development and Adoption ..................................................................................11
3.2.1
MiHIN Vision & Goals..............................................................................................11
3.2.2
MiHIN Strategy ........................................................................................................12
3.3
Medicaid Coordination.................................................................................................12
3.4
Coordination with other Federally Funded and ARRA Programs................................14
4
Domain‐Specific Components......................................................................................................... 15
4.1
Governance.................................................................................................................15
4.1.1
Guiding Principles ...................................................................................................15
4.1.2
Governance Model ..................................................................................................16
4.1.3
Accountability and Transparency ............................................................................20
4.1.4
State Government HIT Coordinator.........................................................................21
4.2
Finance........................................................................................................................22
4.2.2
Financial Sustainability Strategy .............................................................................23
4.2.3
Financial Sustainability Approach ...........................................................................23
4.2.4
Financial Sustainability Modeling ............................................................................24
4.3
Technical Infrastructure...............................................................................................26
4.3.1
Guiding Principles ...................................................................................................27
4.3.2
Technical Infrastructure Strategy ............................................................................28
4.3.3
Proposed Conceptual Architecture..........................................................................28
4.3.4
Interoperability.........................................................................................................32
4.3.5
NHIN........................................................................................................................33
4.3.6
Interoperability with Federal Systems .....................................................................33
4.3.7
Interoperability with other States .............................................................................34
4.3.8
Medicaid and other State Systems..........................................................................34
4.3.9
Cross Community Interoperability ...........................................................................36
MiHIN Strategic Plan
Page ii
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