MiHIN is Michigan’s statewide network of connected hospitals and physicians, allowing for the secure sharing of healthcare information between organizations.  In 2012, partnered with SEMHIE, we joined the MiHIN group of approved Quality Organizations (QOs). As a QO, we provided interconnectivity and messaging services for a number of Physician Organizations (POs), providing ADT Notifications, Statewide Lab Notifications and Medication Reconciliation Services. These services continue to run for select POs, now thirteen years later, and have totaled hundreds of millions of HL7 messages and CCD documents.

As openAirWare, we also worked directly with MiHIN as external interoperability and subject matter expert consultants. Some of the projects completed with MiHIN were a CCD Trimmer service, allowing for the removal of unauthorized portions of a CCD document; a CCD to Blue Cross Gaps-in-Care conversion service (a pre-cursor to our Alchemy service); and Diretto, their secure healthcare messaging service.

This press release from MiHIN describes some of the potential of Alchemy.

The ADT Notification module of PhysBeeMD (PAN) application supports the State-wide ADT Notification Service, as well as any entity which has access to one or more hospital ADT feeds. The PAN converts ADT events and data into useful, readable clinical information so health care professionals can make decisions with a more complete view of their patients.

The Lab Reporting module of PhysBeeMD (LRS) application supports the State-wide Lab Reporting Service, as well as any entity which has access to one or more Lab feeds. The LRS converts HL7 Lab events and data into useful, readable clinical information so health care professionals can make decisions with a more complete view of their patients.

TPA began as a user of the Michigan Health Information Network (MiHIN) Use Cases for ADT Notification, Lab Notification and Medication Reconciliation via the SouthEast Michigan Health Information Exchange (SEMHIE).

This relationship continued as we then provided additional custom services. Soon after, we found that their existing Population Registry would not accept CCD/CDA as a source input. We described how Alchemy was able to accept this and any other format that they required, and store it all in Arcana. Arcana became their new Reporting source, being considered an Electronic Health Record, a requirement by their partners, as well as a Registry for monitoring Physician Metrics and Outcomes.

MNO began as a user of the Michigan Health Information Network (MiHIN) Use Cases for ADT Notification via the SouthEast Michigan Health Information Exchange (SEMHIE).

We were then approached to perform a system review and analysis, at which point we recommended some automated systems to alleviate their then manual-and-buggy process. We continued providing custom software and architecture consulting services. This included a full web-based rewrite of a custom proprietary coding application, which still operates today.