Supporting a More Equitable Health Care Experience for Tribal Communities
Health disparities among Native Americans are vast and persistent, but technology and the sharing of digital health records is helping improve outcomes among the 200,000 tribal members who are part of the 12 federally recognized tribes across Michigan.
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. That leads to poor care, delays and a lack of usable personal health records that can be shared among the various health care providers, clinics and even within families to ensure better outcomes.
As a tribal community member herself, Krystal Schramm, Sr. Technical Business Analyst, leads the MiHIN team in meeting one-on-one with tribes across the state to learn about each tribe’s respective patient populations, cultural needs, tribal clinics and clinical workflows and has been working with tribes to initiate utilization of MiHIN’s health information sharing dataflows to exchange data for tribal patients from both tribal and non-tribal facilities.
WHAT: Recently, MiHIN removed the requirement to provide SSN4 to search for/register a new Common Key.
WHY: It’s not uncommon for patients to not willingly provide their SSN when they present themselves at a hospital, or really anywhere that a SSN isn’t required. By removing this requirement, MiHIN made it possible for searching/registering every patient (with or without SSN) much easier.
WHAT: CKS interface now accepts SSN4, phone, or address.
WHY: Allowing organizations to match with SSN4, phone, or address will allow us to identity resolve more patients for more organizations without sacrificing accuracy and aligns us more closely with evolving industry best practices.
Please note: Altogether, we reviewed and updated deterministic rules based on best practice, current data analysis, as well as updated thresholds and scoring weights to align with the updated field change and new rules. Doing so resulted in an initial high volume of Common Keys being retired, as previous separate records were merged using the new scoring and accepted parameters.
Michigan Health Information Network and Shared Services (MiHIN) appreciated the opportunity to provide feedback on the proposed changes to requirements surrounding the sharing of 42 CFR Part 2 information.
The health interoperability landscape is dynamic and constantly evolving. To maintain relevance and sustainability, health information exchange organizations must regularly pivot the meet the multifaceted demands of customer needs, technological change, and regulatory requirements.
In large part, MiHIN and its stakeholders are extremely pleased with the release of the 42 CFR Part 2 proposed changes; however, in our role as the convener for many of our healthcare stakeholders, we gathered comments and feedback on improvements to be made. As a result, we have suggested ways to improve the proposed rule change even further.
The Department of Health and Human Services (HHS) through the Centers for Medicaid & Medicaid Services (CMS) released guidance on an opportunity for states to address health-related social needs for people with Medicaid coverage through the use of “in lieu of services and settings” in Medicaid managed care.
Making Choices Michigan (MCM), a strategic business unit of MiHIN, is a leader in Advance Care Planning (ACP) policy, conversation facilitation and training in the State of Michigan. MCM supports the community as a collaborative, neutral convener of ACP leaders throughout Michigan, offering facilitated ACP conversations & trainings for ACP facilitators, and serving as a resource for community members.
It is important to recognize that ACP is an ever-evolving field, and we are committed to evolving too so we can best support the health and community care professionals conducting this important work. This being said, MCM will be taking a productive pause of our offerings to conduct a series of Stakeholder Engagement Workshop sessions to gather recommendations on how best to move our mission forward.
A monthly webinar diving into the intersection of healthcare and technology.
In January, we presented a MiHIN 101.View the slides and recording HERE.
Upcoming Meeting:
February 15
10:00 AM - 11:00AM EST
Join MiHIN's The Download to learn about The Use Case Factory® - MiHIN’s formal, lean manufacturing-oriented methodology to modularize, prioritize, define, and advance data sharing on a large scale.
MiHIN CEO Tim Pletcher will be joined by Lisa Bari, CEO of Civitas Networks for Health to discuss "Leveraging HIE-powered Interstate Data Exchange to further Interoperability"
If your organization offers a community program or service that you would like to have featured here, please contact katelyn.lewis@mihin.org.
This educational series is taking am individualized patient centered approach to Breast Cancer Screening. Its focus will be on breast density education and an understanding of the challenges that come with imaging women with dense breast. The event will be held on Saturday, February 18, 2023 from 10am -2pm at the MSU Management Education Center located at 811 W Square Lake Road, Troy MI 48098.
The symposium's target audience is clinicians that commonly screen for breast cancer such as family medicine, internal medicine, and obstetrics & gynecology physicians as well as nurse practitioners and physician assistants in those fields. The symposium will provide an opportunity for 3 hours of continued medical education credit for physicians, nurse practitioners and physician assistance that attend.
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