MiHIN, DigiCert and Nitor Group Facilitate Secure Sharing of Interstate Health Records

MiHIN, DigiCert and Nitor Group Facilitate Secure Sharing of Interstate Health Records

Featured March 5, 2013digicert.comJeff Chandler, DigiCert, Inc.

Project supports MiHIN’s initiative to help improve healthcare quality and affordability for Michigan residents through fast, secure electronic exchange of health information; serves as model for other states

EAST LANSING, MI (March 5, 2013) — Today the Michigan Health Information Network (MiHIN) Shared Services announced an agreement with leading high-assurance digital certificate provider DigiCert and health information services provider (HISP) Nitor Group to use DigiCert’s federally bridged certificates for secure interstate sharing of electronic health information. This project, one of the first of its kind in the U.S., supports MiHIN’s mission to improve healthcare outcomes for Michigan residents by providing trusted means by which patients, providers and insurers can securely exchange private medical records across state boundaries. The announcement also serves as a model of an effective public-private relationship to other states working to implement and carry out the Meaningful Use stages.

The new solution allows MiHIN to issue federally bridged digital certificates from DigiCert to efficiently and securely transfer encrypted electronic health records of Michigan residents between accredited healthcare providers and insurers with respect to Michigan residents wherever they may receive treatment. This capability significantly shortens the time required to receive critical electronic records at the point of care and improve patient outcomes while also lowering costs. DigiCert is the first publicly trusted Certificate Authority to issue certificates that meet the Direct protocols for health information exchange and are cross-certified with the Federal Bridge Certification Authority. Given its prominent role in drafting the governance aspects of the Direct protocol that will be used in the DirectTrust community, DigiCert is lending its expertise and infrastructure in working with HISPs, insurers and state exchanges to support compliance across the country.

MiHIN Chief Security Officer Brian Seggie commented, “With DigiCert’s new federally bridged security certificates MiHIN is now able to go into full production with secure exchange of patient health information between Michigan and our five border states, our “snowbird” states in warmer climes, and other states that Michigan residents frequently visit where they sometimes receive treatment. In some sense, this is as exciting as building the interstate highway system, but for the timely and secure exchange of information between states that will improve patient outcomes and in some cases, potentially save lives.”

“DigiCert is pleased to be able to work with MiHIN and Nitor Group to advance this critical work on behalf of the state of Michigan and its residents and health providers,” said DigiCert VP of Government, Education Relations and Senior PKI Architect Scott Rea, who also serves on the board of DirectTrust. “As an organization, we’re committed to contributing our expertise within DirectTrust to help improve the quality and affordability of healthcare through the Direct initiative.”

MiHIN Senior Integration and Design Architect Jeff Shaw observed, “Using the Direct secure message technology and these new enhanced certifications allows MiHIN to transport health information while ensuring that the information remains securely encrypted between providers in Michigan and in other states. Using federally bridged certificates also allows exchange with federal agencies, such as the Center for Disease Control for public health issues and the Veterans Health Administration to ensure that those who served our country receive the best care possible. This secure means of sharing health information across state lines gives health professionals across the nation an easy-to-use platform that can also scale upwards to grow as health information sharing evolves.”

The Direct Project was initiated in early 2010 under the direction of the U.S. Department of Health & Human Services and the ONC with the goal of benefitting patients and providers by improving the transport of health information, making it faster, more secure and less expensive. The Direct Project establishes scalable standards and documentation to support simple scenarios of pushing data from point-to-point in a trusted way that improves interoperability by providing rules-based methods of interstate and interagency sharing. It also improves healthcare outcomes by moving this type of information sharing away from traditional mail and fax methods.

David C. Kibbe, MD, MBA, is the President and CEO of DirectTrust, a non-profit trade alliance created by and for Direct community participants to provide a national Security and Trust Framework. Dr. Kibbe believes that the MiHIN-DigiCert-Nitor Group agreement represents the future of healthcare informatics in providing the proper technological controls to ensure secure, timely information sharing to improve healthcare outcomes.

Said Kibbe, “The public-private collaboration that this program represents is a model for the way in which Directed exchange should bring standards based, inter-vendor and cross boundary electronic health information exchange to healthcare providers and patients alike in the U.S. Nitor and DigiCert will work with MiHIN to make Directed exchange easy, affordable, and ubiquitous, while making sure that the security and trust-in-identity the public demands is firmly in place.”

Nitor Group, a Direct-qualified HISP, facilitated this agreement. The company looks forward to its continued collaboration with DirectTrust and DigiCert to advance the interoperability and efficiency of state HIE’s.

Doug Hill, a Partner with the Nitor Group stated, “MiHIN’s agreements with Nitor Group and DigiCert show a dedication to security and privacy which are critical to the increased electronic exchange of health information.”

About Michigan Health Information Network Shared Services (MiHIN)
The Michigan Health Information Network (MiHIN) Shared Services is dedicated to improving the healthcare experience, improving quality and decreasing cost for Michigan’s people by supporting the statewide exchange of health information and making valuable data available at the point of care. MiHIN is a public and private nonprofit collaboration between the State of Michigan, the Office of the National Coordinator, sub-state Health Information Exchanges, insurers, payers, providers and patients. For more information please visit

About DigiCert, Inc.
DigiCert is a premier online trust provider of enterprise security solutions with an emphasis on authentication, PKI and high-assurance digital certificates. Headquartered in Lindon, Utah, DigiCert is trusted by a continually growing clientele of more than 60,000 of the world’s leading government, finance, education and Fortune 500® organizations. DigiCert has been recognized for its excellence in customer support and the workplace, and was applauded for its value-added product features with the 2011 Frost & Sullivan Customer Value Enhancement Award for SSL Certificates. For the latest news and updates on DigiCert,, like DigiCert on Facebook® or follow Twitter® handle @digicert.

About Nitor Group
Nitor, founded in 2007 and headquartered in Washington, DC, is an IT consulting firm passionate about creating practical solutions to difficult problems. Working both in government and commercial sectors, we take a very broad view of IT systems and strategies ensure customers identify and deploy the best possible solutions. Nitor has extensive experience with HIT interoperability standards and specifications, in developing CONNECT and DIRECT solutions, and operating the NwHIN exchange. Their product suite is easy, adaptable, and production ready and is cloud-based solution offered as either a SaaS solution or Enterprise Integration.

Jeff Chandler
DigiCert, Inc.
P: 801.701.9653