Heath Information Technology Commission Report - Fy2010 Appropriation Bill - Michigan Department Of Community Health Page 55
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guidance from the ONC, GAO
, NGA’s State Alliance for eHealth
and other recognized federal
policy committees and workgroups, along with relevant federal and state laws that will be
utilized as tools to assist in reviewing and analyzing State laws. The main focus of the
Workgroup was to set foundational concepts in place, along with identifying risks and benefits
so that ongoing Workgroup bodies have a clear understanding of the work already completed.
The framework will help the workgroup build consumer trust by laying very clear principles
confirming the critical role of consumer privacy and security, and more specifically that
information will only be shared for purposes permitted or required by law or otherwise
authorized by the consumer.
General framework principles:
Acknowledge that consumer privacy, security and confidentiality are paramount to health
information exchange but that consumer empowerment and control will occur over time
Balance legal and regulatory barriers with the sharing of electronic health information
Facilitate statewide consensus of legal opinion
Provide guidance and minimum standards for HIEs in Michigan
Promote safe and secure intrastate and interstate exchange of electronic health
information
Establish a MiHIN Privacy Committee to focus on legal and policy related issues
Establish a MiHIN Security Committee to focus on technical and security related issues
4.5.4.1 I
NTRASTATE
MiHIN Shared Services will work with existing HIEs and other organizations and associations
within the state to ensure the legal framework is reasonable and broad enough to embrace all of
Michigan’s Statewide HIE efforts. The workgroup will recommend Privacy and Security Officers
from all of the existing sub-state HIEs actively participate in the ongoing work Privacy and
Security work of the MiHIN.
Plans to address intrastate HIE include:
Reviewing HIEs in other states
Utilization of existing relationships within Michigan through other multi-state
organizations and associations
Update, review and analysis of Michigan’s Comparative Analysis Matrix
Continued drafting and updating of Privacy and Security policies for Michigan’s sub-state
HIEs that connect to the MiHIN Shared Services
4. Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identifiable Health Information
Exchange. Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human
Services. Dec. 15, 2008
.
5
Electronic Personal Health Information Exchange: Health Care Entities’ Reported Disclosure Practices and Effects on Quality
of Care. United State Government Accountability Office Report to Congressional Committees. February 2010.
6. Policy Strategies for Advancing Interstate Health Information Exchange: A Report to the State Alliance for e-Health.
October, 2009.
MiHIN Strategic Plan
Page 49
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