Change Management

Increasing Interoperability Statewide Case Study

The Michigan Health Information Network Shared Services (MiHIN) is Michigan’s state-designated entity to improve healthcare quality, efficiency and patient safety by sharing electronic health information statewide, helping reduce costs for patients, providers and payers. MiHIN is a nonprofit, public-private collaboration that includes stakeholders from the State of Michigan, health information exchanges serving Michigan, health systems and providers, health plans/payers, pharmacies and the Governor’s Health Information Technology Commission. 

MiHIN, founded in December 2010, administers the technical and business operations of Michigan’s health information exchange activities under the direction of the Office of the National Coordinator for Health Information Technology’s State Health Information Exchange Cooperative Agreement program. This program tasked MiHIN with ensuring effective technology and data models are in place for the electronic exchange of health information as well as with the creation of a shared governance model that provides the legal framework and policy infrastructure to safeguard and standardize the transfer of health information.

This case study traces MiHIN’s journey toward greater interoperability, from ADT notifications, which serve as a “poke in the arm” to let providers know something has happened with a patient, to the genesis of the Coordinating the Care Coordinators (CCC) project in Michigan.