Serve as the Chartered Regional Value Exchange

In August of 2008, the Agency on Health Research and Quality (AHRQ) of the U.S. Department of Health and Human Services formally designated the Michigan Health Information Alliance as a Chartered Value Exchange (CVE).  This AHRQ supported program was initiated as part of the “Value Driven Health Care Initiative” started in 2006 by HHS Secretary Mike Leavitt to “provide information about the quality and cost of services delivered by health care providers”. 

MiHIA is one of only 25 multi-stakeholder organizations around the U.S. that have been selected for membership to this group.  A major benefit as a CVE member is access to AHRQ’s Learning Network; a virtual library filled with technical assistance, webinars, shared experiences and other resources on topics such as collaborative leadership and sustainability, engaging the public, quality and efficiency measurement, public reporting, provider and consumer incentives, capacity for quality improvement, and HIT/HIE.  Some of the Value Initiatives involved are: 

• Actively engage all four critical stakeholder groups: purchasers, health plans, providers and consumers in the community.
• Facilitate the collection of provider-level measurement across the six Institute Of Medicine performance domains (safe, timely, effective, efficient, equitable, patient-centered).
• Promote the use of performance measures for:
  • Public reporting of costs and consumer assessments
  • Rewarding and fostering better performance
  • Improvement by providers
• Foster collaboration across multiple stakeholders and serve as a hub for sharing information and dialogue.
• Support knowledge transfer and sharing lessons learned.
• Conduct ongoing evaluation and improvement of efforts.
• Use national provider performance measures effectively.

Develop a sustainable health information exchange (HIE).

• Provide or subcontract critical exchange services of high value to the MIHIA community of interest.
• Host and operate a formal data exchange mechanism capable of transmitting and brokering data among entities according to predefined standards, laws, and policies.
• Gateway data to external groups according to predefined standards, laws, and policies.
• Facilitate the linking of Emergency Departments within the region to share minimum patient history records according to predefined standards, laws, and policies.

•  Facilitate the linking and sharing of pharmacy fulfillment entities and providers within the region to improve patient safety within the region according to predefined standards, laws, and policies. 

Promote the broad and pervasive adoption of Health Information Technology (HIT) throughout the region.

• Identify areas within the region that have limited access to HIT.
• Seek assistance in financing electronic health records for the rural or underserved healthcare providers.
• Serve as a neutral fiduciary agent for financing Health Information Technology (such as electronic health records) for groups or subsets of organizations within the region.
• Aggregate the collective resources of groups or subsets of organizations within the region to leverage their combined capabilities to acquire HIT or associated services (e.g. Disaster Recovery).
• Improve patient access through the promotion of appropriate tele-health, and telemedicine services.

• Federal Government
• State of Michigan
• National Organizations and Associations
• Other Regional Health Information Organization