1. State HIE Cooperative Agreement Program: Michigan’s Response Beth Nagel, HIT Coordinator Michigan Department of Community Health October 15, 2009 www.michigan.gov/mdch

2. 2 State HIE Cooperative Agreement Program Key Information

3. 3 States will be expected to use their authority, programs, and resources to:  Develop and implement Strategic and Operational Plans  Develop state level directories and enable technical services for HIE within and across states.  Remove barriers and create enablers for HIE, particularly those related to interoperability across laboratories, hospitals, clinician offices, health plans and other health information trading partners.  Convene health care stakeholders to ensure trust in and support for a statewide approach to HIE.  Ensure that an effective model for HIE governance and accountability is in place.  Coordinate an integrated approach with Medicaid and state public health programs to enable information exchange and support monitoring of provider participation in HIE as required for Medicaid meaningful use incentives.  Develop or update privacy and security requirements for HIE within and across state borders. State HIE Cooperative Agreement Program State Roles & Responsibilities

4. 4 State HIE Cooperative Agreement Program Michigan’s Approach  A Project Abstract  A Project Narrative  Strategic Plan (submitting Conduit to Care but not as a final strategic plan)  Operational Plan  Four separate 1-year budget narrative/justification  Letters of Commitment from key stakeholders  Letter from Governor

5. 5 State HIE Cooperative Agreement Program Michigan’s Approach First Deliverable: Strategic & Operational Plans  Strategic plan It will be updated Expanded information will be consistent with the “5 Essential Domains”  Michigan is working on an operational plan Work must be consistent with the “5 Essential Domains” Needs stakeholder input (equivalent to the Conduit to Care process) to fill in and finalize

6. 6 State HIE Cooperative Agreement Program Michigan’s Approach What needs to be done to have a complete approach for Michigan?  Technical Architecture  Business & Technical Operations Plan  Financial plan  Functioning governance structure  Privacy & Security policies for system development, use  Stakeholder engagement, feedback, input and buy-in on all components of strategic & operational plan

7. 7 Current State of HIE Capacity in MI:  MiHIN Conduit to Care  Michigan HIT Commission  HISPC  Broadband (FCC and ARRA)  MiHIN Grant Program 9 MiHIN Regions MiHIN Resource Center  Community HIEs State HIE Cooperative Agreement Program Key Details

8. 8 Current State of HIE Capacity in MI  Electronic Eligibility & Claims BCBSM EDI Clearinghouse CHAMPS  E-Prescribing Initiatives SEMI CIPA Medicaid State HIE Cooperative Agreement Program Key Details

9. 9 Current State of HIE Capacity in MI  Public Health Reporting MCIR MDSS Laboratory Information Management System Michigan Electronic Death Registry Michigan Syndromic Surveillance System Web Electronic Birth Certificates  Quality, Care Coordination and Patient Engagement Medicaid Warehouse BCBSM PGIP Michigan Primary Care Consortium State HIE Cooperative Agreement Program Key Details

10. 10 Self Assessment  Michigan has made significant progress  Continued Planning must occur to meet ONC criteria  Michigan needs an updated Strategic Plan  Michigan needs an Operational Plan State HIE Cooperative Agreement Program Key Details

11. 11 Proposed Project Strategy  Build upon groundwork of state programs  Leverage & add value to private investments  Enable achievement of “meaningful use”  Extensive stakeholder engagement State HIE Cooperative Agreement Program Key Details

12. 12 Strategic & Operational Planning  Now through March 2010  Must finalize Strategic & Operational Plans before receiving implementation funding  Must work through specific milestones in five domains: Governance Technical Architecture Business and Technical Operations Finance Legal/Policy State HIE Cooperative Agreement Program Key Details

13. 13 Implementation & Ongoing Efforts  Technology “stood up”  At least two pilots with at least two priority services  Security services implemented  Testing  Measurement State HIE Cooperative Agreement Program Key Details

14. 14 State HIE Cooperative Agreement Program Key Details Spending by Year Year 1 No Match Until Oct. 2010 Year 2 10% Match Year 3 14% Match Year 4 33% Match

15. 15 State HIE Cooperative Agreement Program Key Details

16. 16 Nearly 60 letters of support  HIE Initiatives, Providers, Organizations/Associations, Universities and Colleges of Medicine Letter from Governor Letter from MDIT Letter from M-CEITA State HIE Cooperative Agreement Program Key Details

17. 17 Stakeholder Engagement A wide array of stakeholders must be engaged to give input throughout all aspects of the project  Engage the MiHIN Regional entities to build on their significant progress  Form structured workgroups to get focused, detailed input  Hold public review and input sessions to ensure consideration of all perspectives  Utilize tools for transparency such as an online work space where all documents and information are readily available

18. 18 Finalized Strategic & Operational Plans Due ~ April 2010 Letter of Intent Due September 11 Workgroup Informational Session September 18 Applications Due October 16 Notice of Awards December 15 Cooperative Agreement Signed January 15, 2010 SeptemberOctoberNovemberDecember 20092010 Continuous, in-depth planning to meet April 2010 Due Date Michigan’s Timeline HIT Commission September 10 HIT Commission October 15 Workgroup Kickoff November 10

19. 19 Workgroup Formulation Principles Open & Inclusive  Meetings are open to the public Transparent  Meeting information will be readily available to anyone Diverse  Workgroups will include membership from diverse representation Scalable & Feasible  Workgroups may need to be scaled to an efficient number of voting members. Web-ex and Teleconference will be used where appropriate.  Clinical and Technical workgroups co-chairs are part of Governance/Finance Fair  Technology vendors that participate in any workgroups will not be eligible to bid on any component of the technical solution(s)

20. 20 Work Groups Governance Workgroup  Finance sub-group  Measurement sub-group Technical Work group  Privacy & Security sub-group Business Operation (formerly Clinical)

21. 21 Save the Date… November 10, 2009 MiHIN Kick Off Lansing Details TBD

22. 22 For More information… www.michigan.gov/mihinworkgroups http://healthit.hhs.gov