Electronic Health Records

MiHIN completes onboarding to eHealth Exchange

The Michigan Health Information Network Shared Services (MiHIN) today announced completion of the onboarding process with Healtheway to the eHealth Exchange, opening a path for any Michigan qualified data sharing organization to securely share electronic healthcare information with participants in the nationwide eHealth Exchange network, including the Social Security Administration (SSA), the Veterans Health Administration (VHA), and other states.

The eHealth Exchange is a group of organizations operating together to improve patient care, streamline disability benefit claims, and improve population health. The system matches patients to their data without a national patient identifier, sends health information to other participating organizations, finds and requests patient information from other participating organizations where permitted by law and policy, and subscribes to receive updates to patient information all within a secure exchange.

“Enabling Michigan’s healthcare providers to exchange information electronically with federal organizations and other participants in the eHealth Exchange community will help improve patient care, through information availability, and expedite payment of benefits for the disabled,” said Mariann Yeager, Executive Director of Healtheway.

MiHIN is a first on many fronts.  It is the first state-designated entity for exchanging health information to complete onboarding to the eHealth Exchange with the new testing and onboarding process as guided by the Certification Commission for Health Information Technology (CCHIT).

MiHIN is also the first organization in the United States to onboard to the eHealth Exchange using the Consolidated Clinical Document Architecture (C-CDA), a requirement under Stage 2 Meaningful Use regulations, and is being implemented across the country under those regulations as a standard format to support health information exchange (HIE).

MiHIN also expanded the type of health information used during the process.  “We worked closely with a Michigan behavioral health data sharing organization, PCE Systems, to test and complete the onboarding process,” said Tim Pletcher, Executive Director of MiHIN. “There’s an impression that the focus of HIE has centered on physical health, but this pioneering support of a behavioral health data sharing organization reflects Michigan’s commitment to integrated coordination of care between behavioral and physical health providers.

PCE Systems, a Michigan data sharing organization, provided its HIE platform using CONNECT 4.2 to allow the MiHIN Common Gateway to communicate with the automated test lab, the Developers Integration Lab (DIL), during the testing process. PCE Systems also utilized their Electronic Medical Record (EMR) as an “edge” system to initiate and respond to CCHIT test transactions through the MiHIN Common Gateway.

The MiHIN Common Gateway, developed with Nitor Group and used for the onboarding process, allows data sharing organizations to send and receive Patient Discovery, Document Query, Document Retrieve, and Document Submission messages in multiple protocols including NwHIN SOAP and XCA to and from other eHealth Exchange participants.

When Michigan data sharing organizations agree to exchange information through MiHIN, they can choose from a number of Common Gateway use cases, including options to exchange information with Veterans Health Administration (VHA), the Social Security Administration (SSA), Centers for Medicare and Medicaid Services Electronic Submission of Medical Documentation System (CMS esMD), non-federal eHealth Exchange participants, or other organizations that have entered into Michigan’s legal structure for data sharing.

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