Final 2022 Annual Report (2) - Flipbook - Page 10
2022 Programmatic Highlights, Cont.
Equitable and Culturally
Appropriate HIE for
Tribal Nations
Because each of the 12 federally recognized
tribes in Michigan is a sovereign nation, the
tribal health care system faces piecemeal,
disconnected and inconsistent data. These
data siloes lead to poor care, delays, and
disjointed coordination between health care
providers, clinics and even within families.
Medical providers serving tribal members in
Michigan face a host of challenges — including
the fact that many members live off traditional
reservations, and that reservations are often in
rural areas.
In 2022, MiHIN, lead by senior technical analyst
Krystal Schramm, also known as Miskwa Mishiki
Que or “Red Turtle Woman,” has legally
connected to 9 of the 12 tribes and the Urban
Indian Health Center to advance the sharing of
data on patients through admission, discharge,
transfer notifications and other health data
exchange use cases and services.
By enabling the flow of data through the MiHIN
network, health information for the tribal
communities can be shared quickly and
seamlessly between tribal and non-tribal
providers, therefore establishing order and
structure in the digital health ecosystem.
Equally as important is the data sharing
infrastructure to support a more equitable
health care experience for the tribal
communities.
Krystal is a relentless advocate for the Native
American
community
and
has
been
instrumental in fostering relationships, building
trust and effectively communicating why
interoperability is a necessary next step for
tribal health systems.
This
work
directly
supports
MiHIN’s
commitment to health equity, diversity and
inclusion and its overarching mission to
improve coordination of care and health
outcomes for all Michigan residents.
The Health Equity Project
The Health Equity Project aims to help 5
Michigan counties reduce health disparities
associated with pressing social needs by utilizing
data that is enhanced with performance
measurements and delivered through population
health reports.
Building off the work done in 2021 to capture all
patient pre-adjudicated claims data from Blue
Cross Blue Shield of Michigan, including
Medicaid, the MiHIN team developed an
automated process to extract clinical data from
the pre-adjudicated claims shared via the Health
Claims Use Case to enable the identification of
individuals for chronic disease registries.
Collaborative Quality Initiatives (CQI) consist of
hospitals and physicians across the state,
collecting, sharing and analyzing data on patient
risk factors, processes of care and outcomes of
care, to then design and implement changes to
improve patient care.
MiHIN worked with the Diabetes CQI to
understand the medical data abstraction needs
and criteria desired for a patient to become a
potential candidate for their type 2 diabetes
registry. We then mapped this criteria and
medical data abstraction needs for the diabetes
CQI to the claims and CCDA clinical data to
identify potential candidates for the diabetes
registry. The INHALE CQI provided their initial
criteria specification which defines both their
Asthma and COPD populations and mapping the
criteria to those data sources has begun and will
continue into FY23.
The top priority in FY22 was to make sure that
the clinical data sharing infrastructure was
established, before moving forward with the data
sharing coordination with community based
organizations.
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