Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 51

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sharing between healthcare providers, solving the problems of inadequate patient records,
resulting in better clinical outcomes.
In phase three, use cases six through eight will be implemented pending the identification of
alternative funding sources other than the State HIE Cooperative Agreement and State of
Michigan matching funds. The sixth use case, syndromic result to the Michigan Syndromic
Surveillance System (MSSS), enables the transmission of emergency department admission to
the MSSS. The seventh use case, lab results inquiry, enables a sub-state HIE to query across
all persisted lab results, providing a central registry of lab results and enabling the transmission
of the lab result from the repository to the sub-state HIE. The eighth use case involves the
transferring of Medicaid Eligibility information.
The use cases will be deployed using the sub-state HIEs as pilot sites. Criteria will be
developed by the MiHIN Shared Services Governance Board to select pilot participants. The
criteria will cover technical, operational, financial and policy factors.
Deployed use cases will be limited to the pilot organizations for the initial deployment period.
After three months of successful pilot operations, a six-month limited-production phase will
occur. During the deployment phase, organizations interested in implementing the piloted use
case will be solicited, evaluated, and selected for the subsequent phase, limited-production.
During limited-production, a small number (less than 6) of organizations will implement the use
case. This will allow the MiHIN to scale-up operations and test capacity before wide-scale
adoption. Successful completion of the limited-production phase will occur when six months of
critical-error-free operations have occurred. The use case and its deployed technologies will
then be considered production and will be available to any interested organization. Piloting
organization will receive funding to help offset the cost of implementing the use case.
The deployment strategy phases, implemented use cases and timelines are summarized in the
figure ten on the next page.
MiHIN Strategic Plan
Page 45

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