The Great Lakes HIE (GLHIE) started in 2011 as a pilot program and is now fully operational. It connects over 40 organizations including hospitals, long term care facilities, and community health organizations. The GLHIE facilitates the sharing of clinical data such as admission/discharge/transfer information, lab results, radiology reports, and transcriptions among participating providers. Over 6.4 million messages have been exchanged to date, representing clinical information for 65% of the population in the state of Michigan. The GLHIE provides interfaces to connect to provider EMR systems and a virtual health record to query patient data. Developing use cases include public health reporting, immunization registry integration, and sharing medication and lab order information

1. MiHINSS Meeting
Great Lakes HIE Overview
June 20, 2012

2. Timeline Context
• Started as Capital Area RHIO –
SOM Implementation Grant
• Pilot 2/15/11-5/14/11
• Fully operational 5/15/11

3. Priorities
• Patient health and safety
• Quality improvement
• Administrative efficiency
• Cost Reduction

4. Participants
• Eight Hospitals
– Clinton Memorial Hospital
– CS Mott Children's Hospital
– Hayes Green Beach Memorial Hospital
– Ionia Hospital
– Sparrow Hospital
– St. Lawrence Hospital
– University of Michigan Medical Center
– Von Voigtlander Women's Hospital
• Around 40 organizations including long term care, urgent care,
local public health, and community mental health

5. GLHIE by the Numbers
Clinical Results
ADT
Lab
Radiology
Transcriptions
Query VHR
EMPI
Provider Directory
Monthly Message Volume
2.9 M
650,000
105,000
53,000
48,875
Totals to date
6.4 M  65% of SOM pop.
32,000 records

6. Connection to GLHIE
• Interface with EMR
– Normalizes data so multiple sources through
same interface
– Results ordered by or copied to physician
are routed through an interface
• Virtual Health Record
– All data routed through GLHIE available in
query for patient structure

7. Connection to GLHIE
• Subscribe to a patient
– All information routed through GLHIE
– Information can be sent through interface or
routed to a clinical inbox
• During interface development or for
practices without an EMR
– Clinical in-box for subscribe to a patient,
referral routing and other clinical messaging
– Virtual Health Record

8. Developing Use Cases
 Public Health Reporting through MiHIN
 Immunizations (MCIR) – submit and query
 Reportable Labs (MDSS)
 Notification of Inpatient/ER admits, discharges,
transfers
 Medication Feeds
 Lab Order Gateway
 Radiology Images
 Business Analytics support for Quality Improvement,
MU, PCMH and ACOs