MiHIN Statewide Consumer Directory Overview - Direct Workgroup v4 03-09-15
- 1. Statewide Consumer Directory Giving consumers a voice in handling their personal health information 1Copyright 2015 Michigan Health Information Network Shared Services
- 2. Overview • Michigan’s HIE landscape • Status quo • Statewide Consumer Directory (SCD) approach • Initial use cases • Summary 2Copyright 2015 Michigan Health Information Network Shared Services
- 3. MiHIN Statewide Shared Services MDCH Data Hub Medicaid MSSS State LABS Doctors & Community Providers HIE QOs (Qualified sub-state HIEs) Network of Networks: Data Warehouse 3 PIHPs Health Plan QOs (more coming) Single point of entry/exit for state Virtual QOs Pharmacies (more coming) Immunizations MI Syndromic Surveillance System MI Disease Surveillance System Consumer QOs (more coming) Federal Copyright 2015 Michigan Health Information Network Shared Services
- 4. Fragmentation – Data Everywhere • Personal Health Records (PHRs) e.g. Microsoft HealthVault, NoMoreClipBoard, Lucy, PHIM, Humetrix • Patient/Member Portals attached to EHRs e.g. MyChart (Epic), athenahealth, FollowMyHealth (Allscripts), myHealthButton/Portal (MI Medicaid) • Specialized Registries for Consents such as: • Advance Directives (e.g. living wills, do not resuscitate, etc.) • Organ Donor • Behavioral health and SUD types of information (e.g. standard consents) • Clinical trials • Active Care Relationships (and ability to dispute provider attributions) • Language of preference • Literacy issue – language at 6th grade level • Patient Navigator 4Copyright 2015 Michigan Health Information Network Shared Services
- 5. Problem Statement • National push for consumers to manage their own health information • Consumers need to control access to their data • Start with Medicaid beneficiaries • No consistent electronic place today where consumers can specify preferences regarding how and where to share patient-controlled data • Providers have no central service to retrieve consumer preferences • Fragmentation will increase without a unifying service 5Copyright 2015 Michigan Health Information Network Shared Services
- 6. Mint.com “money sharing” paradigm 6Copyright 2015 Michigan Health Information Network Shared Services
- 7. Solution: take control of your healthcare data… and how it is shared • Patient-Provider attributions • In Case of Emergency (ICE) • Family support information Key Relationships • Patient-controlled data • Where is PHI storedPointers • Behavioral Health/SUD • Advance Directives • Who can access data Consents Copyright 2015 Michigan Health Information Network Shared Services
- 8. Interaction with other services 8Copyright 2015 Michigan Health Information Network Shared Services Medicaid Member Portal / App (myHealthPortal / myHealthButton) Personal Health Records Patient Portals Consumer Apps Advance Directives Shared Object Model Consumer Directory Provider Directory Services Directory Person Matching Patient- Provider Attributions Organ Donors Identity Services Master Person Index Identity Credentialing and Access Management (MICAM, HICAM) Peace of Mind Registry Gift of Life Registry
- 9. Persona-driven scenarios 9Copyright 2015 Michigan Health Information Network Shared Services
- 10. Consumer’s view 10Copyright 2015 Michigan Health Information Network Shared Services
- 11. Advance Directives Use Case 11Copyright 2015 Michigan Health Information Network Shared Services
- 12. Statewide Consumer Directory 12Copyright 2015 Michigan Health Information Network Shared Services One place for consumers Identify your care team Indicate preferences for consent Specify how and where to share data Define where your health data is stored One place for providers Find a patient’s care team Recognize patient’s wishes Locate critical patient documents Identify where to send patient data
- 13. Questions 13Copyright 2015 Michigan Health Information Network Shared Services Jeff Livesay Associate Director livesay@mihin.org Rick Wilkening Director wilkening@mihin.org Amy Grasso Project Manager grasso@mihin.org