EAST LANSING, Michigan – Michigan Health Information Network Shared Services (MiHIN) maintains its position as a leader in data exchange with efforts of Clinical Document Architecture (CDA) national experts, openAirWare. openAirWare recently developed MiHIN’s intelligent CCD/CDA parser that interprets and transforms a wide range of CDA messages allowing the extraction of specific information such as medications.
"This intuitive middleware provides faster integration of data from CCD or CDA sources
and allows MiHIN to pull key data out of large CCD/CDA documents so that only the
data needed for a particular use case is shared," said Jeff Livesay, Associate
Director, MiHIN. "This capability increases the value of vital use cases like
medication reconciliation. It uses proven standards that simplify seamless sharing of data,
allowing us to quickly and easily assess, validate and integrate new source systems."
"Additionally, we can pull data out of CCD/CDA documents and put the data into FHIR
resources. We are heavily committed to FHIR and this very advanced, state-of-the-art parser
developed for us by openAirWare will accelerate our FHIR
MiHIN was attracted to openAirWare's proven
expertise as seen in their medication reconciliation work and comprehensive population
health and EMR applications. "Years of innovation keep us at the forefront of
healthcare," acknowledges openAirWare CEO Mark Brown.
"Our expertise continues to support the State of Michigan as a national leader in the
exchange of health information and data sharing. We tackle the toughest initiatives to
ensure the advancement of HIT across the U.S."
About openAirWare, LLC
openAirWare creates solutions that allow entities to share
and view medical data more completely and securely, and have done so for over twenty years.
With an unmatched understanding of HL7, Clinical Document Architecture and healthcare data,
their expertise was well demonstrated with their success in the Social Security
Administration's E-Disability Claims Filing. They are experts in HIT solutions for
Enterprises and their most important assets, providers and patients.
About Michigan Health Information Network Shared Services (MiHIN)
The Michigan Health Information Network Shared Services (MiHIN) is Michigan's
state-designated entity to improve health care quality, efficiency, and patient safety by
sharing electronic health information statewide, helping reduce costs for patients,
providers, and payers. MiHIN is a non-profit, public-private collaboration that
includes stakeholders from the State of Michigan, Health Information Exchanges that serve
Michigan, health systems and providers, health plans/payers, pharmacies, and the
Governor's Health Information Technology Commission. For more information visit
South East Michigan Health Information Exchange (SEMHIE) Completes Contract With U.S. Social Security Administration for E- Disability Claim Filing
July 24, 2012
ANN ARBOR, Michigan - The South East
Michigan Health Information Exchange (SEMHIE) announced today that it has officially
completed all milestones under its multi-million dollar contract to provide its E-Disability
Claim Filing Service to the U.S. Government's Social Security Administration (SSA).
The infrastructure of this health information exchange can provide the basis for
creating a comprehensive health information exchange for Southeast Michigan in the
Under this contract, SEMHIE has automated the process of filing Social Security
disability insurance claims in the Detroit Metro Region, accelerating the process from
an average of 457 days by paper to 6 hours electronically. SEMHIE's service
automatically pulls health records and creates a comprehensive set of medical
information that populates a Continuity of Care Document (CCD). Once the CCD is
sent to SSA over the Nationwide Health Information Network (NwHIN) of which
SEMHIE is an approved member, decisions on these claims are being made by SSA,
providing disabled citizens financial support on a much more timely basis and bringing
increased federal dollars to the Detroit area. SEMHIE has been informed by SSA that it
has met all key Milestones under the contract for its E-Disability Claim Filing Service.
SEMHIE's service is in full production and since June 1st has processed 5% of all
claims as required by the final milestone of its contract with SSA.
"Using health information technology will improve our disability programs and provide
better service to the public," said Michael J. Astrue, Commissioner of Social Security.
"We've seen a significant increase in disability applications. To process them, the
agency sends more than 15 million requests annually for medical records to healthcare
providers. This largely paper-bound workload is generally the most time-consuming
part of the disability decision process. The use of health IT will dramatically improve
the speed, accuracy, and efficiency of this process, reducing the cost of making a
disability decision for both the medical community and the American taxpayer." The
contract awards are funded through the American Recovery and Reinvestment Act
Dr. Rob Jackson, the Chairman of SEMHIE, stated, "This is very exciting for SEMHIE
to have achieved. We have the foundation to offer more business services of benefit to
SEMHIE's service, with a patient's authorization, sends SSA the specific electronic
medical records required by SSA through the Nationwide Health Information Network
(NwHIN). The NwHIN is a safe and secure method for receiving access to the discrete
data elements, values and text over the Internet. The NwHin is an initiative of the
Department of Health and Human Services supported by multiple government
agencies and private sector entities.
For the past year, SEMHIE has been working with the Social Security Administration to
successfully integrate SEMHIE's Service Oriented Architecture (SOA/Cloud) and
infrastructure into the NwHIN to respond to an SSA query for information obtained from
Electronic Medical Records systems (EHRs).
The funds from this contract award enabled Oakwood Healthcare System, a major
hospital system that is a collaborative partner member of SEMHIE, to link its systems
to the NwHIN. Ultimately, when additional funding is procured, it is anticipated that the
other major hospital systems in the Detroit Metro area will perhaps use the same
infrastructure to provide a similar service.
SEMHIE's service is now validated on the NwHIN and can process an electronic
medical record in the CCD (Continuity of Care Document) format required through the
NwHIN and from there, into SSA's data center. With the completion of all milestones
under the contract, SSA has officially validated the SEMHIE service's ability to perform
as designed. SEMHIE's Project Manager for the SSA Contract Michael M. Talley
noted, "This is huge for the State of Michigan and is an indicator of the caliber of the
work being done in our state in health information exchange."
Paula Fusco Smith, SVP & CIO of Oakwood Healthcare System and the Vice
Chairman of the board of SEMHIE, stated, "This is a great step for Southeast Michigan
and the SEMHIE organization. Oakwood is excited about being one of the leading
health systems to initiate the health information exchange between the healthcare
providers and Social Security Administration."
The SEMHIE CCD NwHIN gateway service interoperates with the web-services
systems at Oakwood Healthcare System, so that the health system can transmit a
patient's electronic medical records that are required to complete a "query for
information" application for social security disability with SSA. Patients have a strong
incentive to use the service, because they won't have to wait the typical year and a half
to have their application adjudicated by SSA. The health system will reduce the
amount of uncompensated care by participating in this gateway, since most applicants
for social security disability insurance are unable to work and are unemployed.
SEMHIE's strategic IT collaborative partners in the SSA project are CNSI and CSC.
These are two of the four entities which built the NwHIN for the U.S. Department of
Health and Human Services. Architects and technicians at CSC and CNSI worked with
SEMHIE's experts, including Program Manager Michael M. Talley and Clinical
Architecture, openAirWare and Dr. Gary Assarian to architect the solution proposed to
Cathy Cimino, CSC Project Manager, stated, "The completion of the final milestone is
a tremendous achievement for SEMHIE. It demonstrates the successful leveraging of
technology in a way that helps a large number of people. CSC is proud to be part of
CNSI's Senior Vice President Sharif Hussein stated, "CNSI is proud to have served as
a strategic partner and systems integrator to SEMHIE. Our team led the development
and implementation of the solution which will improve access to healthcare services
across the State of Michigan. We are excited about taking our Health Information
Exchange solution and leveraging this technology nationwide for agencies and
organizations to take the first step in creating a secure health records exchange."
About South East Michigan Health Information Exchange (SEMHIE)
Southeast Michigan Health Information Exchange is a diverse member driven nonprofit
multi-stakeholder consortium whose membership includes major health systems
in the Detroit Metro Region (including Beaumont Hospitals, Detroit Medical Center, St.
John Health System, Oakwood Healthcare System, and Trinity Health), payers,
employers, providers, quality organizations, safety-net providers and healthcare
professional associations. SEMHIE is leveraging existing and additional technologies
across health care settings to improve information process flow, continuity of care, and
to accelerate improvement in the quality and safety of care. By decreasing costs while
improving the quality of care, SEMHIE will become a self-sustaining health information
exchange serving Southeast Michigan.