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MiHIN 101 Overview v4 04-08-15
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- 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 networkfor 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 DataHub 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 Networkof 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
- 9. Maximize SOM Resources 9 StateofMichigan Internal ExternalSTATEWIDE SHAREDSERVICES MDCH Data Hub MiHIN & the Qualified Data Sharing Organizations Transparency via HIT Commission Monitoring Shared Governance via MiHIN Board Copyright 2014 Michigan Health Information Network
- 10. 10 MiHIN Governance MiHIN Boardof 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 AdvisoryCommittee (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 UseCase #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-stateHIE 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 aUSE 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 UseCase 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 Ideawith 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 AssemblyLines 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 SecureTransport 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 PipelineExample 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 UseCase 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
- 24. - 2,000,000 4,000,000 6,000,000 8,000,000 10,000,000 12,000,000 14,000,000 MONTHLY MESSAGE COUNT Admit-Discharge-Transfer(ADT) Outbound (ADT) Copyright 2014 Michigan Health Information Network
- 25. Copyright 2014 MichiganHealth 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 ofCare 0 2000000 4000000 6000000 8000000 10000000 12000000 14000000 16000000 Admit-Discharge-Transfer (ADT) Outbound (ADT) Copyright 2014 Michigan Health Information Network
- 27. Statewide ADT UseCase 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 ProviderDirectory 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
- 31. Important Horizontal View 31 Eligible Hospitals Eligible Providers& PCMH Care Coordinators Specialty Providers Behavioral Health Specialists Critical Access Hospitals Patients & Families Copyright 2014 Michigan Health Information Network
- 32. Trusted Data Sharing Organization Trusted Data Sharing Organization StatewideADT 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 ActiveCare 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 UseCases • 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 Providerto 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
- 37. From: results@direct.lab.com To: someClinic_lab_results@direct.mihin.org System-to-system messaging Definitions HISP –Health Information Service Provider HISP HISP Federally-bridged digital security certificate as trust anchor Copyright 2014 - Michigan Health Information Network 37
- 38. The Role ofDIRECT & EHRs Copyright 2014 - Michigan Health Information Network 38
- 39. DirectTrust Members 39 39Copyright 2014- Michigan Health Information Network
- 40. Current DTAAP AccreditationRoster 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 • Configurationof 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 Copyright2014 - 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 InformationDirect 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 ExecutiveDirector pletcher@mihin.org Jeff Livesay Associate Director livesay@mihin.org Shelley Mannino Director mannino@mihin.org 48Copyright 2014 - Michigan Health Information Network Shared Services