MiHIN’s Integrated Technology Platform (ITP) Migration

Future-Proofing our Technological Infrastructure

Michigan’s Health Information Technology 5 year Roadmap calls for enhancements to our state’s Health Data Utility (HDU), the shared data services that support vital information exchange functions. Our is a valued public infrastructure requiring continual maintenance and enhancements to meet the needs of residents.

To catalyze the Health Data Utility, MiHIN is actively consolidating and integrating all legacy technology and interface engines to optimize and streamline our processes. This undertaking illustrates MiHIN’s unwavering drive to establish a forward-looking and market-responsive HIE, facilitating the seamless integration of clean, actionable data, real-time quality measures, point-of-care clinical insights, and more.

The transition began in the fall of 2022 and aims to be complete in 2025, with all participants being upgraded to the new Integrated Technology Platform (ITP), an open standards ecosystem built on AWS cloud-native computing and SMILE’s FHIR-friendly clinical data repository. With every step we take, minimizing impact to our members is our top priority.

Next Level Capabilities

Our ecosystem demands next level capabilities, supported by new standards and technologies, that enable the collection, aggregation, and analysis of clinical and non-clinical data from multiple types of data sources. By embracing interoperability through our network, our participants can foster a more open and inclusive digital ecosystem that promotes user choice and data portability. When the transition is complete, the new Integrated Technology Platform will provide:

Highest quality data supported by best-of- breed FHIR strategy in cooperation with Smile Digital Health and Availity Fusion for clinical data up-cycling, and proven and scalable FHIR conversion and streaming

Advanced, event-driven, real-time data exchange

Enhanced user-experience through a new longitudinal clinical patient record viewer

Improved system performance by redesigning capabilities to take place beyond an integration engine and de-duplicating legacy processes

Compliance with existing and upcoming patient access regulations

Robust security and privacy protection

Our future-proofed infrastructure and population-based routing are being designed to support robust data exchange for patient centered decision making, care coordination, price transparency, quality & value and compliance.

Why is MiHIN Migrating to an Integrated Technology Platform?
  • To improve data quality
  • To modernize infrastructure
  • To eliminate duplicative legacy systems
  • To increase reliability and responsiveness of service
  • To create the path for required FHIR transformations
  • To bridge existing payer and future provider FHIR environments
  • To provide a cloud native environment that’s optimized and has the highest levels of modern security
What is changing?

We are making the slow, steady migration away from the legacy environments that support some of our current solutions.

Participants utilizing HealthConnect (ie:VIPR, Results Delivery via Inbox, Solution Center, etc.) will be migrated to the Integrated Technology Platform and transitioned to a new Smart on FHIR longitudinal record viewer application.

Included in this new technology are multiple ways to query for patient information.


When is this happening?

Our slow and steady transition began in the Fall of 2022 and aims to be completed in 2025.

What can I expect from MiHIN?

Migration is a complex process. To mitigate impacts and risks, we will be using the following guiding principles:

  • Commitment to communication and transparency
  • Designing for optimal, least stakeholder/client disruptive processes
  • Mitigating risk of downtime happening at wide scale by validating our migration procedure by beginning with a test feed (i.e. using synthetic patient data to test whether the environment is working)
  • Providing opportunities for early adopters to pilot and kick the tires
  • Understanding the best ways/means/time to deploy from our clients’ unique perspectives
  • Lining up with stakeholders’ Smart on FHIR strategy
  • Trainings and change management

Migration Milestones

MiHIN is working to complete this work in phases. During implementation, the legacy environment and ITP are running in parallel, which eliminates downtime and operational interruptions. Processes running in real-time can keep data continuously migrating and reduce risks.

Phase 1

Participant feeds flow directly into the new integrated technology platform and back out to the
customer’s historical interfaces. The client sends to the same connection point and continue to receive data from the same interface engine.

No VPN or Firewall changes  required by customers.

A different type of ACK (an acknowledgement message) is to be received when sending data to MiHIN.

Phase 2

Our new clinical data (FHIR resource) repository, is installed in our development environment. Data flows are being validated.

Phase 3

Designing an upgraded longitudinal record viewer which is natively based on our FHIR repository and aggregates clinical data across our network, accelerating data analytics and meeting Cures Act regulations.