1. Health Information Exchange with Michigan Medicine and Epic
June 9th, 2017

2. Agenda Michigan Medicine HIE Strategy
Current Epic Tools and Applications
Future Epic Tools and Applications
Questions

3. Overall HIE Strategic Goal at Michigan Medicine:
Enhance patient care and safety through sending, receiving and consuming all clinical data on the Michigan Medicine patient population in the most efficient, effective, and seamless manner

4. Strategic Goals: 1. Data Sharing 2. Data Acquisition
Focus and improve the work with HIE services that can transfer the most useful health information in the most efficient manner
2. Data Acquisition
Continue to acquire and integrate data which enables clinical departments to access outside information
3. Clinical Workflow Choice
Work with providers to integrate patient care data in the clinical workflow context, aligning with Michigan Medicine clinical goals
4. Incentives and Regulatory
Comply with HIE regulation(s)-based programs

5. Current Epic Tools and Applications

6. Care Everywhere Query Michigan Medicine went live in 2014
Connect with other organizations to pull their records
Conduit to reconciling Meds, Med Allergies, PSLs, and Imms

7. Care Everywhere Direct Messaging
Connected Epic instance with Great Lakes Health Connect (GLHC) Medicity HISP in 2014
Individual Direct Addresses for each provider, along with 22 departmental Direct Addresses
Michigan Medicine processes Direct Messages through a single workflow via HIM and M-Line
Discharges
Referrals
ED Project
In 2016, processed over 37,000 Direct Messages from over 150 organizations

8. Care Everywhere Auto-query
In 2015, Michigan Medicine went live with Auto-query
Configured to query other organizations who are near patient’s listed home and work address
3 days before an encounter it will automatically query to pull records from other Epic organizations
Significant improvement in matches

11. Care Everywhere Clinical Value
Research study conducted through Michigan Medicine’s Emergency Department
Compared Fax to HIE outcomes

12. EpicCare Link Michigan Medicine went live in 2014
Fill a need for external users being moved off CareWeb
To restrict unfettered data access
Read-only web-based view of Michigan Medicine Epic instance
Branded as the Provider Portal
Specific access for Research Users, Insurance Auditors

13. EpicCare Link Stats 13 User Types Currently Offered 3700+ Users
1100+ Unique Sites

14. GLHC Functionality Built into Epic1. 2. 3.

15. GLHC Functionality Built into Epic

16. MiHIN Functionality Built into Epic

17. MiHIN Functionality Built into Epic

18. MiHIN Functionality Built into Epic

19. Future Epic Tools and Applications

20. Need a Single View of Patient Data
Application
Location of Data
Care Everywhere Tab
Other Clinical Systems Tab
Written into HSDW
Media Tab
Media Tab and Paper
Radiology Information Systems
Few locations for outside records in the chart would be ideal

21. Happy Together is a design philosophy that creates views of patient data from both internal and external data sources
Clinical information from outside institutions are built into the provider context
Leverages the data received from Care Everywhere
Michigan Medicine considering how to expand data set (GLHC, MiHIN, etc.)

22. Michigan Medicine is in the process of implementing Carequality
Addresses issues with receiving non-Epic information from outside the state of Michigan
Built into the workflow of Care Everywhere
Allows for the auto-query of CCDAs

23. +
Michigan Medicine intends to implement the Surescripts National Record Locator Service
Addresses issues with finding where patients have gotten care
Leverages the prescription information to determine where patients have been seen and provides lists of visits
Built into the workflow of Care Everywhere

24. Questions?
Jeff Chin
Manager, Health Information Exchange and Interoperability
HITS Data, Reporting, and Analytics
(Office) 
Jeremy Akins
Epic Care Everywhere Technical Services