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A Vision for Creating a Connected State Subra Sripada
1. A Vision for Connected Healthcare
Connecting Michigan for Health 2013
June 5th
2013
Lansing Michigan
Becoming a “Connected State” Michigan’s Connected Dots Going Forward
3. Vision for a “Connected State”
• Healthcare data integrated across all
stakeholders in the care delivery continuum
• Critical clinical data available anywhere
anytime for any Michigander traversing the
state or beyond
• Effective population health management thru
data transparency & analytics
Do not compete on data
4. Where are we today..
• 7 state HIE’s at multiple levels of maturity
– Significant number of Healthcare Providers
represented
• Escalating use of EMR’s both in Acute care
facilities as well as Physician offices
– 11 Health major systems have the same EMR
– MU driving adoption
• Key stakeholders positioned to drive
integration
7. Clinician Access
• Ability to quickly find
out what is already
known about a patient’s
condition
• Ensure that other’s do
not need to repeat or
start over again
7
8. Alerting Clinicians!
• Automatically notify
doctors and their
clinical support teams
when significant health
care events happen to
their active patients
• Ensure the data
integrates to into the
workflow vs. creating
additional work
8
9. Reducing the Provider Burden
• Automate as much as
possible
• Reuse the same
infrastructure for
multiple purposes
• Leverage common
standards
• Take advantage of
functionality in certified
EHR‘s
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10. Consumer Engagement
• Encouraging patients to
access their own
medical information
• Enable patients to
capture, share, and
take action on their
data
10
11. Keeping Patient’s Trust
• Maintain patient
confidentially
• Comply with privacy and
consent management laws
and expectations
• Proactively implement
security mechanisms
11
16. Health Provider Directory
• Source of trusted provider
information for secure routing and
HIE information
• State-wide provider address book
• Direct
• Referrals
• Sets the stage for provider
relationship management
16
HPD
Direct Address
Book
Directory
Services
Provider Relationship
Management
Routing
Preferences
17. Qualified
Sub-state HIE
or VQO
Qualified
Sub-state HIE
or VQO
Qualified
Sub-state HIE
or VQO
Qualified
Sub-state HIE
or VQO
Transition of Care Notification
Patient to Provider
Attribution
Delivery
Preference
Lookup
1) Patient goes to the hospital, hospital sends a registration message
2) MiHIN checks for Patient to Provider Attribution and identifies three providers
3) Using the HPD, MiHIN identifies a Delivery Preference for each provider
4) Notification is routed to the providers based on their preference
Primary Care
Specialist
Care
Coordinator
Alerts &
Notification
17
Animation
18. State-wide
Record Locator
Service
Query for Patient History
18
HIE
HIE
HIE
1) Doctor see’s a new patient in the Emergency
Department (ED)
2) ED sends out a “patient discovery” request
for information about the patient
DoctorPatient
3) Sources that know the patient respond
4) ED queries for patient clinical information
5) Sources respond with clinical document(s),
typically CCDs
Care
Summary
Patient Found
Patient Found
Patient Not Found
Animation
19. How Does Michigan Become a
“Connected State”?
1. Healthcare organizations can get connected
to one of Michigan’s sub-state HIEs
2. Health plans can help incentivize care
coordination and cross organizational data
sharing
3. Government can work with organizations to
ensure that “meaningful use” reporting
requirements meet the multiple needs such
as public health and quality reporting
19
“ Find Dr. Waldo” and find out where does Dr. Waldo want information sent & how Additional Use Cases Giant address book for HIT applications Identity & role-based access support Mechanism to advertise services for referral or any information routing Core data for other provider centric tracking (program participation like ACO affiliation, workforce, credentialing, etc.)
Copyright 2013 Michigan Health Information Network. All rights reserved. MiHIN Confidential--Proprietary--Restricted
