Use Cases in Pilot

Use cases currently in the process of piloting or in pre-pilot include:

Cancer Notifications:

The Cancer Notifications use case scenario allows hospitals, clinical laboratories, physician offices, dentists, and other healthcare providers to electronically send cancer information to the cancer registry without interrupting normal workflow.

Use Case Summary:

MiHIN UCSS Cancer Notifications v30 01-27-17


Common Key Service:

The Common Key Service Use Case provides a consistent and reliable way to match patients across multiple organizations, applications and services, ensuring patient safety and high data integrity when data is shared.

Use Case Implementation Guide:

MiHIN UCIG Common Key Service v20 06-23-17

Use Case Summary:

MiHIN UCS Common Key Service v20 04-19-17


Exchange Advance Directives:

The Advanced Directives (e.g.: living will) Use Case utilizes the Statewide Consumer Directory to provide point-of-care access to critical patient medical and directive information to enable efficient, safe treatment which incorporates the patient’s wishes by tying identified documents to the correct patient, and helping healthcare providers find advance directive documents when needed.

MiHIN UCS Exchange Advance Directives v13 09-29-15


Exchange Care Plan:

The Exchange Care Plan (or Exchange Integrated Care Bridge Record (ICBR)) use case allows care team members to exchange care plans and updates to care plans in order to more closely coordinate care. A care plan provides a comprehensive and detailed overview of a member’s physical health, behavioral health, long-term care, and relevant services and supports. Specifically, an ICBR contains a member’s history, conditions list, lab results, medications, assessments, Individual Integrated Care and Supports Plan (IICSP), specialty provider reports, referrals, progress notes, and status changes.

MiHIN UCS Care Plan-ICBR v20 9-2-16

MiHIN UCIG Care Plan-ICBR v19 07-21-16

Supplemental Implementation Guide for Integrated Care Bridge Record

HL7 Implementation Guide for CDA Release 2


Exchange Consumer Consent Information:

This Use Case addresses the statewide need for a standard, shared way to manage consumer consent forms and consent-related information in a Health Information Exchange environment. This Use Case helps organizations determine what information, if any, a consumer has consented to share and with which providers the information may be shared.

MiHIN UCS Consumer Consent Information v34 12-18-15


Exchange Continuity of Care Documents with VA:

The purpose of this Use Case is to set forth the requirements for VA to use HIN to provide a means for the Participating Organization to request and provide patient continuity of care information through HIN.

MiHIN UCS Exchange Health Information for Veterans v5 09-29-15

MiHIN UCS Exchange Health Information for Veterans v5 09-29-15 (1)


Exchange Death Notifications:

The Exchange Death Notifications use case helps providers to distribute timely and accurate death notifications to improve awareness of the event, avoid unnecessary and wasteful spending, preclude falsified insurance claims, and stop dispensation of prescribed medications. Death notifications may also indicates that the deceased was a doctor or healthcare professional to help pharmacies avoid filling counterfeit prescriptions.Other potential benefits of this use case are:

  • Informing researchers of a death if the person is involved in a study
  • Identifying intervention opportunities for suspected fraud and/or substance abuse
  • Improving home health, rehabilitation, and hospice organizations’ ability to reallocate resources and scheduling availability
  • Enabling better synchronization between State and Local Vital Records registries

MiHIN UCS Exchange Death Notifications v8 07-30-15


Non-Federal eHealth Exchange Patient Query:

The eHealth Exchange participant requesting patient information of a HIN QO Use Case occurs when an organization on the eHealth Exchange discovers a patient within one or more of HIN QOs, and queries and retrieves documents related to that patient.


Reportable Labs – Disease Surveillance

The Disease Surveillance use case offers a standard, consistent method to automatically and electronically send reportable lab results regarding disease reporting to the state of Michigan. Automating this process improves accuracy, completeness, and timeliness, and allows staff members at participating organizations to focus more time on their other duties.


Respond to CMS Electronic Submission of Medical Documentation (eSMD) Request for CCD:

The CMS Electronic Submission of Medical Documentation Use Case applies to CMS’s Electronic Submission of Medical Documentation (esMD) program. The purpose of this Use Case is to set forth the requirements for CMS esMD to use HIN to provide a means for the Participating Organization to provide patient medical information through HIN.


Respond to SSA Disability Determination Requests for CCD:

The purpose of this Use Case is to set forth the requirements for SSA to use HIN to provide a means for the Participating Organization to provide patient disability eligibility information through HIN.

MiHIN UCS Respond to Electronic Disability Determination Requests v4 09-29-15

MiHIN UCIG Respond to SSA for CCD PUBLISHED v5 02-26-15


Send Organ Donor Notifications:

The Send Organ Donor Notifications Use Case provides a method of electronic notification of hospital deaths to a federally-designated OPO as required by federal and state regulations.  The scope of this Use Case encompasses the transfer of specific data points on any deceased or near-death patient to an OPO through the statewide Health Information Network (HIN).

Because no phone call is required if the notifications are transmitted electronically, this Use Case allows hospital staff to focus more time on their other duties. Because the data is transferred directly, the desired information is available to the OPO in an accurate and timely manner.  Communication and transcription errors are reduced or eliminated.   Hospitals can better meet the CMS routine notification requirements for both completeness (no missed referrals) and timeliness (notification within one hour) — with much less use of hospital resources and improved outcomes for tissue and organ recipients.

MiHIN UCS Organ Donor Notifications v10 08-18-16


Statewide Health Provider Directory Use Cases:

MiHIN Health Provider Directory Implementation Guide v13 12-10-14

The Health Provider Directory Query Use Cases are designed to provide up-to-date Health Professional, electronic address and electronic service information, such as Direct addresses, to authorized Health Professionals to facilitate contact look-up and secure exchange of health information for the purpose of meeting operational, treatment or payment obligations as defined in the HIPAA privacy and security rules (information can not be stored within the querying organization).

MiHIN UCS Health Provider Directory Basic Query v12 11-11-14

MiHIN UCS Health Provider Directory Advance Query v9 11-11-14

The Submit Data to Health Provider Directory Use Case populates and maintains up-to-date Health Professional information for the purpose of building a reliable statewide Directory.  The Participating Organization will provide information about Health Professionals, including but not limited to name, contact information, organization(s), title(s), position(s), health plan network participation and other associated information as appropriate.  Authorized Health Professionals can use the Directory to look up Electronic Service Information (ESI), such as Direct Addresses, to facilitate secure exchange of health information.

MiHIN UCS Submit Data to Health Provider Directory v10 11-11-14


Submit Newborn Screening – Hearing Test

The Submit Newborn Screening – Hearing Test Use Case  defines electronic messages that contain newborn hearing test results to be transported from the hospital EHRs to MDHHS using HL7 message transmission through MiHIN. Eliminating paper newborn hearing test and screening results forms reduces the risk of error and streamlines the reporting workflow which lowers the burden on hospital staff. MDCH also benefits from more timely and complete reporting.

MiHIN UCS Submit Newborn Screening – Hearing v4 09-16-15

MiHIN UCIG Newborn Hearing v13 06-30-16


Submit State Lab Orders and Receive Lab Results from State Labs:

The Submit State Lab Orders and Receive Lab Results from State Labs Use Case allows for the use of Health Information Exchange (HIE) network and technology to rapidly and more efficiently deliver demographic information and test order information for specimens received for testing at the State Public Health Laboratory.  It expands on the business continuity of information transference through leveraged enterprise information technology architecture and serves to streamline the validation push/pull environment.

Submit Lab Orders and Receive Lab Results from State Labs v5 08-14-15


Submit Syndromics:

The Submit Syndromics Use Case sets forth the requirements for Participating Organizations to submit Syndromic Surveillance data through the Michigan Department of Community Health Data Hub (MDCH) to the Michigan Syndromic Surveillance System (MSSS). The Syndromic Surveillance System provides real-time situational awareness of potential public health threats and emergencies. The system sends alerts to Michigan public health officials when unusual increases in symptom presentations are detected, and MDCH epidemiologists can analyze findings, investigate further, and contact local public health agencies and providers.

MiHIN UCSS Syndromic Surveillance v12 08-17-16

MiHIN UCIG Syndromics Surveillance v7 6-30-16

MDCH MSSS Syndromic Submission Implementation Guide v1 05-01-13


Tobacco Free:

The Tobacco Free use case scenario supports creation of an electronic referral system that enables electronic coordination between case management systems and healthcare providers’ electronic health records (EHRs).

MiHIN UCSS Tobacco Free v27 01-25-17

MiHIN UCIG Tobacco Free v19 05-10-17