1. MU Town Hall Meeting MiHIN Direct Presentation Copyright 2013 Michigan Health Information Network 1 December 17, 2013

2. The Direct Project Copyright 2013 Michigan Health Information Network 2 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 person system to system

3. Direct = secure SMTP Simple Mail Transfer Protocol 3 What is a Direct message? Direct = secure email Copyright 2013 Michigan Health Information Network

4. Direct messaging nationwide MI in pilot ‘13

5. Copyright © 2012-13 Michigan Health Information Network 5 Dr. Jones Dr. Smith Provider to Provider Email Definitions HISP – Health Information Service Provider HISP Federally-bridged digital security certificate as trust anchor

6. 6 From: results@direct.lab.com To: someClinic_lab_results@direct.mihin.org System-to-system messaging Definitions HISP – Health Information Service Provider HISP Copyright © 2012-13 Michigan Health Information Network Federally-bridged digital security certificate as trust anchor

7. mcir@direct.mihin.org 7 State of Michigan Data Hub Immunization Registry VPN into State Public Health Use Case: Immunizations via Direct Copyright © 2012-13 Michigan Health Information Network doctor@direct.florida.org doctor@direct.ohio.org doctor@direct.wishsin.org nurse@corrections.mihin.org

8. CQM - Problem Statement Meaningful Use (MU) Stage 2 requires Clinical Quality Measurement (CQM) reporting status quo: no standard way for providers to submit CQMs to state agencies providers must manually request MU credit limited ability to compare quality data within single clinics, within hospitals, across clinics Clinical Quality Measurement Recovery and Repository (CQMRR) Copyright 2013 Michigan Health Information Network 8

9. 9 Eligible Providers Eligible Hospitals CA Hospitals Data Peeler Cypress/DQA SOM Data Warehouse CQM Data Mart (Final) MDSSMCIR MSSS ELR’s Syndromics VXU’s CQMs@direct.mihin.org Valid QRDA VPN to SOM valid QRDA (CAT I & III) Health Provider Directory Meaningful Use Database Reports, Dashboards, Comparisons, Mining, NPI lookup State of Michigan Data Hub Valid QRDA CQMRR QRDA (CAT I & III) QRDA (CAT I & III)

10. Reports and Data Analysis: Cross Clinical Quality Comparison Copyright 2013 Michigan Health Information Network 10 skimming ‘la crème de la crème’ standard report generation cross clinical comparisons can identify best (and worst) clinics graphical dashboards (e.g. Tableau) data mining capabilities statistical analysis (e.g. SAS) other (tbd)

11. . Copyright 2013 Michigan Health Information Network 11

12. Copyright 2013 Michigan Health Information Network 12

13. state maps can show aspects of medical care and organize it by region Copyright 2013 Michigan Health Information Network 13

14. Copyright 2013 Michigan Health Information Network 14

15. MiDiGate™- Public Health/MU Copyright 2013 Michigan Health Information Network. 15

16. MidiGate™ for HIE QO & VQO Copyright 2013 Michigan Health Information Network. 16

17. MiDiGate™ for Health Plans 17 Copyright © 2012 Michigan Health Information Network. All rights reserved.

18. Michigan Direct HISP Activities In production with Public Health reporting: Immunization messages from other states Reportable Lab messages from Michigan HIEs or other states Syndromics messages from Michigan HIEs or other states In pilot with Meaningful Use Stage 2 reporting Clinical quality measures (CQM QRDA CAT III – aggregate/summaries) Adopting EHNAC-DTAAP (DirectTrust) accreditation in Direct Marketplace for Michigan (issued RFP to Direct vendors 12-05-13) http://mihin.org/mihin-rfp-2013-004/ http://mihin.org/mihin-rfp-2013-004/ Integrating with state-wide Provider Directory Federated Identity Management (FIdM) Pilot – Single Sign On (SSO) Copyright © 2012-13 Michigan Health Information Network

19. Questions? Contact: Jeff Livesay Associate Director livesay@mihin.org Copyright © 2012-13 Michigan Health Information Network