2. What Does HIE (verb) Do?
2
Adapted from Hripcsak et al. (2007)
Benefits
· Avoiding repeat diagnostic tests
· Enables a clinician to add or
remove a differential diagnosis
in a timely fashion
· Optimal choice of tests and
therapy
· More rapid response to a
contraindication or any
necessary refinements to a
given therapy
· Care coordination: helps ensure
that the next clinician involved
in the patient’s care will see the
relevant information about the
patient!
Prevent future or
fill known and unknown
knowledge
deficits
Copyright 2014 - Michigan Health Information Network
Shared Services
3. Statewide Coordination
3
Health
Plans
Physicians
Specialty
Providers
Hospitals & Clinics
Patients
& Families
Lab tests &
XRAYs
Medications
Public Health
Insurance
Companies
Physicians
Specialty
Providers
Hospitals & Clinics
Patients
& Families
Lab tests &
XRAYs
Medications
Public Health
Duplication of effort, waste, & expense
(N x N-1 connections)
Shared Services
(N connections)
Copyright 2014 Michigan Health Information Network
4. MiHIN is a
network for sharing health
information statewide
for Michigan
4Copyright 2014 Michigan Health Information Network
5. “One and Done”- Easier, Simplified,
Predictable Data Sharing
1. Sign once
• Common legal framework across the state
• Transparent data usage for each use case
2. Connect once
• MiHIN network includes all of health care: HIEs, HISPs,
health plans, the state and the federal agencies
3. Publish once
• Patient and provider delivery preferences easily registered
and centrally managed
4. Report once
• Messages can be routed to multiple destinations – no
duplicate interfaces or repeat reports
5. Log-on once
• Single sign-on across patient/member and provider portals
5Copyright 2014 Michigan Health Information Network
6. State-wide
Shared Services
MDCH Data Hub
Medicaid
MSSS
State
LABS
Doctors & Community
Providers
HIE QOs
(Qualified sub-state HIEs)
Network of Networks:
Data
Warehouse
6
Health Plan QOs
(more coming)
Single point of
entry/exit for state
Virtual QOs
Copyright 2014 Michigan Health Information Network
Pharmacies
(more coming)
Immunizations
Mi Syndromic
Surveillance System
Mi Disease
Surveillance System
Consumer QOs
(more coming)
Federal
7. MiHIN FAST FACTS
Network of Networks
(not an HIE)
Shared network of
multiple qualified
organizations (QOs)
for sharing data
Transparency via
Governor’s HIT
Commission
Strong state and
health plan
representation
Statewide
Approach
Driven by Use
Cases
Leverages public
health code &
Meaningful Use
Public-private model
vs. complete state
control
Accomplishments
(established
2010)
From zero to 100M+
production
messages since
inception
22 *O connections:
8 HIEs, 6 payers,
4 pharmacies, state,
3 others
Health Provider
Directory, certified
eHealth Exchange
node, EHNAC-
DTAAP Direct
Copyright 2014 Michigan Health Information Network
7
8. MiHIN Stakeholders
HIE QO
(HQO)
• Meets the QO requirements
• Plans to participate in at least 2/3 of Use Cases
• Voice in the MiHIN Advisory Committee (MOAC)
Plan/Payor QO
(PQO)
• Health Plan licensed in the state of Michigan
• Blue Cross, Michigan Association of Health Plans, & Priority Health have Board eligibility
Government QO
(GQO)
• Government Qualified Organization (i.e. Michigan Department of Community Health)
• Federal Agency (i.e. Social Security Administration, CMS, Veterans Affairs, DoD, CDC, etc.)
• Tribal Nations in Michigan
Consumer QO
(CQO)
• Participate in consumer-focused Use Cases (i.e. MiWay Statewide Consumer Directory)
• Supported & authorized consumer facing services (i.e. Patient Health Record, Patient
Portal) - an example is advance directives stored in Peace of Mind Registry
8Copyright 2014 Michigan Health Information Network
10. 10
MiHIN Governance
MiHIN Board of
Directors
MiHIN Management &
Core Staff
Executes the Operations Plan
MiHIN Operations Advisory Committee (MOAC)
oversees working groups that advise MiHIN
Health Information
Technology Commission
Copyright 2014 Michigan Health Information Network
11. MiHIN Operations Advisory Committee
(MOAC)
MiHIN Executive Management
Executes the operations plan
Tim Pletcher, Executive Director
Jeff Livesay, Associate Director
Provides monthly
MiHIN status report
Health Information Technology Commission
(HITC)
The Commission's mission is to facilitate and promote the design,
implementation, operation, and maintenance of an interoperable health
care information infrastructurein Michigan.
Pat Rinvelt
Representing Purchasers or Employers
Mark Notman, Ph.D.
Representing Schools of Medicine
Nick Lyon
Representing MDCH
Nick Smith
Representing Health Plans or Third Party Payers
Jill Castiglione
Representing Pharmacists
Gregory Forzley, M.D.- Chair
Representing Doctors ofMedicine
Michael G. Chrissos, M.D.
Representing Consumers
Robert Milewski
Representing Nonprofit HealthcareCorporations
Rod Davenport
Representing State of Michigan CTO
Orest Sowirka, D.O.
Representing Doctors ofOsteopathic Medicine
Jim Lee
Representing Hospitals
MiHIN Board of Directors
Michigan PublicHealth
Jim Collins
Southeast Michigan HIE
(SEMHIE)
Helen Hill
Michigan Pharmacist
Association
Larry Wagenknecht, Chair
Michigan Medicaid
Cynthia Green Edwards
Ex Officio
Tim Pletcher
Priority Health
Krischa Winwright
Blue CrossBlueShield
of MI (BCBSM)
Dr. Thomas Simmer
Jackson Community
Medical Record (JCMR)
Rick Warren, Vice Chair
Great LakesHealth Connect
Vacant
Ingenium
John Vismara, President
Upper PeninsulaHealth
Information Exchange (UPHIE)
Dennis Smith
S
e
t
P
o
l
i
c
i
e
s
A
c
t
o
n
t
h
e
P
o
l
i
c
i
e
s
MiHIN Governance
Vacant
Representing PharmaceuticalManufacturers
Irita B. Matthews
Represents Health Information Technology
2014Copyright 2011 - Michigan Health Information Network Shared Services
Meridian Health Plan
Thomas Lauzon
HITCommissioner
Nick Lyon
Copyright 2014 - Michigan Health Information Network 11
MiHIN Governance
12. Copyright 2014 - Michigan Health Information Network 12
MOAC Working Groups
Operations/
Production Support
Great Lakes Health Connect
Adam Gee
Mike Ayers
Upper Peninsula Health
Information Exchange (UPHIE)
Paula Hedlund, Dan Boyle
Jackson Community
Medical Record (JCMR)
Jeanne Wymer
Ingenium
John Vismara, E.D., Rusty
Mandle
MDCH/DTMB/SOM
Doug Witten – Co-Chair,
Tina Scott, Alan Darling, Larry
Ruble, Kevin Garnett, Therese
Hoyle, Bea Salada, Dave
Willhite, Brenda Coleman, Paul
Groll, Ed Hartwick, Jeff Shaw,
Doug Saylor, Craig Weaver,
Mike Potter, Soma Duppi,
Brendan O’Brien,
Jaya Tamrakar
MiHIN Shared Services
Brian Seggie, Rod Mach, Steve
Arnst, Aldan Beaubien
Integration and
Architecture
MDCH/DTMB/SOM
Doug Witten – Co-Chair,
Tina Scott, Alan Darling, Larry
Ruble, Kevin Garnett, Therese
Hoyle, Bea Salada, Dave Willhite,
Brenda Coleman, Paul Groll, Ed
Hartwick, Jeff Shaw, Doug Saylor,
Craig Weaver, Mike Potter,
Soma Duppi, Brendan O’Brien,
Jaya Tamrakar
MiHIN Shared Services
Brian Seggie, Co-Chair, Steve
Arnst, Rod Mach, Aldan
Beaubien
Security
Great Lakes Health Connect
Adam Gee, Rich Fish
Upper Peninsula Health
Information Exchange (UPHIE)
Paula Hedlund
Jackson Community
Medical Record (JCMR)
Jeanne Wymer
MDCH Data Hub/DTMB
Paul Groll,
Phil Kurdunowicz, Tairus Taylor
MiHIN Shared Services
Brian Seggie – Co-Chair
Jeff Livesay, Frank Cass
Issue Remediation
MDCH
Cynthia Green-Edwards –
Co-Chair,
Meghan Vanderstelt
MiHIN Shared Services
Dr. Tim Pletcher – Co-Chair
Use Case
MDCH/DTMB
Tina Scott– Co-Chair,
Paul Groll, Alan Darling, Rick
Mathews, Doug Witten, Bob
Swanson, Tairus Taylor, Phil
Kurdunowicz, Patty Clark, Therese
Hoyle, Jeff Haskell, Jim Collins,
Brendan O’Brien,
Jaya Tamrakar
MiHIN Shared Services
Rick Wilkening – Co-Chair
Michael Taylor
SEMHIE
Mick Talley
Great Lakes Health Connect
Heidi Newton, Mike Ayers
Great Lakes Health Connect
Carol Parker,
Douglas Dietzman
Upper Peninsula Health
Information Exchange (UPHIE)
Paula Hedlund, Dan Boyle
2014Copyright Michigan Health Information Network Shared Services
Great LakesHealth Connect
Doug Dietzman
Upper PeninsulaHealth
Information Exchange (UPHIE)
Paula Hedlund
Dan Boyle (alt.)
Jackson Community
Medical Record (JCMR)
Aaron Wootton
Rick Warren (alt.)
Ingenium
John Vismara
Wendy Linkimer (alt.)
MDCH/MDCH DataHub
Tina Scott, Co-Chair
Cynthia Edwards
MiHIN Shared Services
Jeff Livesay, Co-Chair
Dr. Tim Pletcher
Southeast Michigan HIE
(SEMHIE)
Helen Hill
Blue CrossBlueShield
of MI (BCBSM)
Wanda Brideau
Health AlliancePlan of
Michigan (HAP)
Jane Harper
Jackson Community
Medical Record (JCMR)
Jeanne Wymer
Ingenium
John Vismara, Rusty Mandle
SEMHIE
Vacant
Blue Cross Blue Shield
of MI (BCBSM)
Vacant
Health Alliance Plan of
Michigan (HAP)
Vacant
SEMHIE
Vacant
Blue Cross Blue Shield
of MI (BCBSM)
Vacant
Health Alliance Plan of
Michigan (HAP)
Vacant
Blue Cross Blue Shield
ofMI (BCBSM)
Vacant
Health Alliance Plan of
Michigan (HAP)
Jane Harper, Robert Keefer
Upper Peninsula Health
Information Exchange (UPHIE)
Paula Hedlund
Jackson Community
Medical Record (JCMR)
Aaron Wootton
Ingenium
John Vismara
SEMHIE
Helen Hill
Blue Cross Blue Shield
of MI (BCBSM)
John Bialowicz
Health Alliance Plan of
Michigan (HAP)
Vacant
Upper Peninsula Health
Information Exchange (UPHIE)
Paula Hedlund, Dan Boyle
Jackson Community
Medical Record (JCMR)
Aaron Wootton, Jeanne Wymer,
Rick Warren
Ingenium
Diane Slon, Wendy Linkimer
SEMHIE
Helen Hill, Mick Talley
Blue Cross Blue Shield
of MI (BCBSM)
John Bialowicz
Health Alliance Plan of
Michigan (HAP)
Deborah Spencer
Ingenium
Rusty Mandle
Ken O’Brien
Privacy
Upper Peninsula Health
Information Exchange (UPHIE)
Paula Hedlund
Jackson Community
Medical Record (JCMR)
Jeanne Wymer
MDCH/DTMB
Leslie Asman,
John Donovan-Co-Chair, Phil
Kurdunowicz- Co-Chair
MiHIN Shared Service
Jeff Livesay
Brandi Briones
SEMHIE
Mick Talley
Blue Cross Blue Shield
of MI (BCBSM)
Vacant
Health Alliance Plan of
Michigan (HAP)
Vacant
Ingenium
Rusty Mandle
Ken O’Brien
Great Lakes Health Connect
Rich Fish
Priority Health
Lee VanWagner
Priority Health
Vacant
Priority Health
Vacant
Priority Health
Vacant
Priority Health
Vacant
Priority Health
Vacant
Priority Health
Vacant
Meridian Health Plan
Tony Randolph
Thomas Lauzon
Meridian Health Plan
Vacant
Meridian Health Plan
Vacant
Meridian Health Plan
Vacant
Meridian Health Plan
Vacant
Meridian Health Plan
Vacant
Meridian Health Plan
Vacant
MiHIN Operations Advisory Committee (MOAC)
Great Lakes Health Connect
Adam Gee
Mike Ayers
MiHIN Operations Advisory Committee (MOAC)
13. Data Sharing Agreement
Use Case
#1
Use Case
#2
Use Case
#3
Legal Infrastructure for Data Sharing
13Copyright 2014 - Michigan Health Information Network
ORGANIZATION AGREEMENT
(QDSOA,VQDSOA, CQDSOA, SSOA,
SSSOA, PIHP QDSOA, other “OA”)
Basic Connection Terms
Basic BAA Terms
Minimal Operational SLA
Contracting & Payment
Definitions
Termination
Cyber Liability Insurance
14. Qualified
Sub-state HIE
or VQO
Qualified
Sub-state HIE
or VQO
Clear Chain of Trust
Copyright 2014 - Michigan Health Information Network
Shared Services 14
Covered
Entity
Business
Associate
Business
Associate
Business
Associate
Covered
Entity
Covered
Entity
15. Constituent Transparency
Copyright 2014 - Michigan Health Information Network
Shared Services 15
Use Case
Health
Plans
Physicians
Specialty
Providers
Hospitals & Clinics
Patients
& Families
Laboratories &
Diagnostic centers
Pharmacies
Public Health & CMS
Policy Makers
Communities
Employers
16. What is a USE CASE?
• Data sharing scenario with specific:
• purpose
• type of data exchanged
• description of interactions between people/ systems
• Each Use Case may have different:
• access restrictions
• rules for using the data
• cost recovery fees or charges
• technical requirements
16
Use Case Factory™
Copyright 2014 Michigan Health Information Network
17. Use Case Components
17
Use Case Summary explains purpose
and value proposition for sharing data
Use Case Agreement is a legal document that
covers expected rules of engagement
(all Qualified Organizations sign the agreements)
Implementation Guide is a
technical specification that
outlines standard format details
for data transmission & content
Copyright 2014 Michigan Health Information Network
18. http://mihin.org/about-mihin/resources/use-case-submission-form/
Use Case Factory
Idea with
Champion
Idea with
Sponsor
Plan & Develop
Pilot &
Refine
Technical
Planning
Conceptual
EvaluationDefine
Purpose
U seCaseSummary
ContainsTheB asicI deas
L aidOutinanE asyto
R eadDocumentforthe
B oardtoA pprove
Implement
Production
Status
Metrics
Adoption
Critical
Mass
Mass
Marketing &
Outreach
MiHIN Board
Successful
Adoption
Continuous
Improvement
Functional
Data-Sharing
Widget
18Copyright 2014 Michigan Health Information Network
19. Use Case Assembly Lines
Results Delivery
•Lab results
•Diagnostic imaging
•Other tests
•Hospital discharge
summaries
Public Health
Reporting
•Immunizations
•Chronic disease
registries
•Disease surveillance
•Syndromic
surveillance
•Birth & death
notifications
•41 new use cases
identified
Care Coordination
& Patient Safety
•Referrals
•Care summaries for
treatment history &
allergies
•Notification of
transitions of care (
Admit Discharge or
Transfer)
•Medication
reconciliation & therapy
change notices
•Clinical decision support
alerts
Quality &
Administrative
Reporting
•Registry Updates
•Physician Quality
Reporting measures
•Meaningful Use
reporting
•Electronic verification
•Patient satisfaction
•Eligibility
•Authorization
•Claims audit
Patient/Consumer
Engagement
•Instructions
•Health risk appraisals
•Medication Compliance
•Therapy Compliance
•Patient activation and
self determination
•Health literacy &
numeracy
•Consumer Preferences
and Consents
19
Copyright 2014 Michigan Health Information Network
20. Infrastructure Use Cases
Secure Transport Layer Services and
Digital Credentials
Master Person Index
(Common Key Service)
Active Care
Relationship
Service
Patient Opt-In
Preferences
Identity
Management
Federated
Identity
Management
(FiDM)
Health
Provider
Directory
Gateway
Services (e.g.
XCA)
20Copyright 2014 Michigan Health Information Network
21. Accelerating Use Cases
21
Policy &
Regulatory
Levers
Clinical
Endorsement &
Evidence
Financial
Incentives or
Disincentives
Copyright 2014 Michigan Health Information Network
22. Use Case Pipeline Example
22Copyright 2014 Michigan Health Information Network
Statewide Use Case Evolution
Planning & DevelopmentConceptual
Implementation
(Operational Adoption)
Mature Production
(> 65% Utilization)
Statewide ADT-IN
Submit Syndromics
Request Immunization
History/Forecast Submit Immunizations
Submit Data to Active
Care Relationship Service
(ACRS)
Death Registry
Advanced Directives
Health Provider Directory
Basic Query
Submit Data to Health
Provider Directory
Medication Reconciliation
Chronic Disease Registry
Health Provider Directory
Advanced Query
MiHealth Link(ICBR)
Provider Submission
Birth Registry
Convert Syndromics
Submit Newborn Screening-
CCHD
Health Provider Directory
Search Service
Single Sign On
Federated Identity
Management
Common Key Service
Health Risk Assessment
(HRA)
Submit Clinical Quality
Measures
Send/Receive Lab Results/
Orders
Submit Birth Defect
Notifications
eHealth Exchange Patient
Query
Cross-QO Patient Query
Submit Reportable Labs
VA Patient Query
CMS Electronic Submission of
Medical Documentation
SSA Disability Determination
Patient Look Up(Cross
Community Access XCA)
23. Benefits of Use Case Approach
23
• Manageable chunks so competitive or confidentiality
concerns can be addressed without “boiling the ocean”Reduces Complexity
• Standardized mechanism for scoping purpose, technical
requirements, costs, and limits on how data is usedConsistent Pattern
• Use Cases can be combined to create higher and higher
levels of functionalityModular (like Lego blocks)
• Incentives, regulations or policies can target specific Use
Case to foster or accelerate adoptionAligns Priorities
• Constituents can understand expected use of their data and
follow the common chain of trust across organizationsTransparent
• Aids focused monitoring and measurement of progress
Measureable
• Reduces variability and enables scalability
Faster & Cost Effective
Copyright 2014 Michigan Health Information Network
25. Copyright 2014 Michigan Health Information Network
-
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
3,500,000
4,000,000
MONTHLY MESSAGE COUNT
Syndromic Surveillance (SS)
Clinical Quality Measures (CQM)
Reportable Labs (ELR)
Immunizations (VXU)
Copyright 2014 Michigan Health Information Network
25
26. 26
Monitoring Transitions of Care
0
2000000
4000000
6000000
8000000
10000000
12000000
14000000
16000000
Admit-Discharge-Transfer (ADT)
Outbound (ADT)
Copyright 2014 Michigan Health Information Network
27. Statewide ADT Use Case Example
27
Active Care
Relationship Service
(ACRS)
Statewide
Health Provider
Directory (HPD)+ +
Copyright 2014 Michigan Health Information Network
28. Admit Discharge & Transfer (ADT)
Use Case
28
Copyright 2014 - Michigan Health Information Network
29. Statewide Health Provider Directory
29
• Contains Electronic
Service Information
(ESI) used to route
information to
providers
• Flexibility to maintain
multiple distribution
points for single
provider or single
distribution for
organization
• Manages
organizations,
providers and the
multiple relationships
between them
Copyright 2014 Michigan Health Information Network
30. ACRS™ Update – Version 2.0
Additional patient information to minimize false positives
30
Patient Information
Source Patient ID
First Name
Middle Initial
Last Name
Suffix
Date of Birth
Gender
SSN – Last 4 digits
Address 1 & Address 2
City, State, Zip
Home & Mobile Phones
Physician Information
NPI
First Name
Last Name
Practice Unit ID
Practice Unit Name
Physician Organization ID
Physician Org Name
Physician DIRECT Address
DIRECT Preferences
Copyright 2014 Michigan Health Information Network
32. Trusted Data
Sharing
Organization
Trusted Data
Sharing
Organization
Statewide ADT Notification
Active Care
Relationship
HPD Delivery
Preference
Lookup
1) Patient goes to the hospital, hospital sends a registration message
2) Check Active Care Relationships and identify three providers
3) Using the HPD, identify delivery preference for each provider
4) Notification is routed to providers based on preferences
Primary Care
Specialist
Care
Coordinator
32
Animation
Copyright 2014 Michigan Health Information Network
33. Other “Lego” Combinations
33
Active Care
Relationships
State-wide
Health Provider
Directory+ +
Active Care
Relationships
State-wide
Health Provider
Directory+ +
MED
REC
Care
Plan
Copyright 2014 Michigan Health Information Network
34. Some 2015 Use Cases
• Query for immunizations
• Newborn screening
• Social Security eligibility determination
• Medication Reconciliation-discharge push of Med Rec
• Trusted identities
• Provider single-sign-on
• Patient single-sign-on
• Statewide HPD query-direct client integration module
• Medication Information Direct Gateway (MIDIGATE®)
• Common Key Service– patient matching service
• ACRS Services-expose to beneficiaries
• Advance Directives - send to Peace of Mind registry
• Health Risk Assessment (HRA)
• Integrated Care Bridge Record (ICBR) - care plan
34
Ready Now!
Copyright 2014 Michigan Health Information Network
35. The Direct Project
• Simple, secure, scalable, standards-based
way to send encrypted information “directly” to
known, authenticated, trusted recipients
• Messages sent securely between end-points:
• person to person
• person to system
• system to system
• system to person
Copyright 2014 - Michigan Health Information Network
35
36. Dr. Jones
Dr. Smith
Provider to Provider Email
Definitions
HISP – Health Information Service Provider
HISP
HISP
Federally-bridged digital
security certificate as
trust anchor
Copyright 2014 - Michigan Health Information Network
36
40. Current DTAAP Accreditation Roster
January 15, 2014
• CareAccord
• Cerner Corporation
• DigiCert
• Infomedtrix
• ICA
• Inpriva
• MaxMD
• Surescripts
• MedAllies
• DataMotion
• Applied Research Works, Inc.
• Athenahealth
• Covisint
• EMR Direct
• GlobalSign, Inc.
• HIXNy
• Health Companion
• Health Connection CNY
• Health Info EXchange of NY
• iMedicor
• IOD Inc.
• Medicity
• NYeC
• RelayHealth
• Rochester RHIO
• Secure Exchange Solutions
• Simplicity Health Systems
• Truven Health Analytics
• Updox
• Utah Health Information Network
• Vitalz, Inc.
• West Virginia HIN
Fully Accredited and Audited Candidate Status
Copyright 2014 - Michigan Health Information Network
4040
41. MIDIGATE® Purpose
• Simplified & low cost data capture based
on DIRECT Secure Messaging protocols
• Fully secure for handling PHI
• Bridges the gap or “mitigates” transport
challenges, e.g. DIRECT to HL7 LLP
• Designed to support MiHIN Use Cases,
broad quality reporting requirements, and
custom data capture needs
Copyright 2014 - Michigan Health Information Network
41
42. Key Components
• Configuration of the base service that feeds data into the
existing virtual private network used to send data
• Captures attachments to published DIRECT addresses
• “Peels” off structured data and routes appropriately
• Establishment of one or more “catcher” modules
• Examples of common catcher modules:
• ADT’s
• Electronic clinical quality measures
• HEDIS reports
• Care Plan Updates
• Authorizations
• Etc.
Copyright 2014 - Michigan Health Information Network
42
43. “Catcher” Modules
Copyright 2014 - Michigan Health Information Network
43
HISP
Doctor offices &
Community
Hospitals
ADT
Catcher
Module
MiDIGATE
Handler ‘peels” off
attachments
Base Gateway
Service
44. Normal ADT Flow
Copyright 2014 - Michigan Health Information Network
44
MiHIN
TOC
Router
ADT
HIE QOs
(Qualified sub-state
HIEs)
Trusted Data
Sharing
Organization
Active Care
Relationships
HPD Delivery
Preference
Lookup
45. With ADT “Catcher” Module
Copyright 2014 - Michigan Health Information Network
45
MiHIN
TOC
Router
Trusted Data
Sharing
Organization
Active Care
Relationships
HPD Delivery
Preference
Lookup
adt@direct.mihin.org
HISP
MiDIGATE
Base Service
Handler
46. Lots of Potential “catchers”
Copyright 2014 - Michigan Health Information Network
46
adt@direct.mihin.org
labs@direct.mihin.org
meds@direct.mihin.org
immunizations@direct.mihin.org
47. 47
MDCH
Data Hub
HIE
QO/VQO
MiDiGate
Medical Information Direct GatewayTM
MiDiGateTM
for HIE QOs and VQOs
CQMData
Mart
Medicaid ADT
Repository
MCIR
MDSS
MSSS
SOM Data Warehouse
OutboundInbound
QRDA Cat III
QRDA
CAT III
MU Credit
Meaningful
Use
Database
QRDA
Any provider
organization
Physicians
Labs
Hospitals
HIEs
Correctional
Facility
Patients
EDRS
MCDR
MiHIN
Repository
HIE
Other States
Direct Email Convention Examples Using MiDiGate
& Health Provider Directory
Inbox
labs@direct.hieqo.org
deaths@direct.hieqo.org
immunizations@direct.hieqo.org
usecasename@direct.hieqo.org
birthdefects@direct.hieqo.org
cqms@direct.hieqo.org
adts@direct.hieqo.org
fostercarehealth@direct.hieqo.org
ccdas@direct.hieqo.org
Destination(s) .
Reportable Labs to MDSS
Electronic Death Registry System
Michigan Care Improvement Registry
Registry for that use case
Chronic Condition Registry
SOM Data Warehouse
Vital Statistics
Foster Kids Registry
Chronic Disease Registry
Description
Lab Results
Death Notices
Immunizations
Use Case Specific
Birth Defect Notices
Clinical Quality Measures
Admit, Discharge, Transfer
Foster Kids Care Summaries
Consolidated Clinical Document Architecture
Copyright 2014 - Michigan Health Information Network Shared Services
48. Questions?
Dr. Tim Pletcher
Executive Director
pletcher@mihin.org
Jeff Livesay
Associate Director
livesay@mihin.org
Shelley Mannino
Director
mannino@mihin.org
48Copyright 2014 - Michigan Health Information Network Shared Services