Assessing the Status and Prospects of State and Local Health Department Information Technology Infrastructure. Assessing the Status and Prospects of State and Local Health Department Information Technology Infrastructure : Table 12


: Table 12

SystemData Sources, Uses, & ManagementInterfaces and Data Capture
Michigan Care Improvement Registry (MCIR)A single, secure electronic database run by MDCH where providers and public health officials submit immunization data as well as other types of health data (e.g., BMI) through either a web-portal, batch transfer from EHRs, or paper scans. Providers also get special information on for Medicaid-enrolled children (such as need for EPSDT services based on administrative data) through MICR.MCIR is linked with other state systems such as Vital Records, Medicaid, WIC, Department of Education, and Lead Screening. MDCH is in the process of linking MCIR with Newborn Hearing and Newborn Metabolic Screening and building an interface between MCIR and the Great Lakes HIE (GLHIE)
Michigan Disease Surveillance System (MDSS)A web-based communicable disease reporting system, built by MDCH based on national data standards. MDSS captures communicable disease data through a combination of ELR, manual entry, and faxed reports. Incoming data is geocoded for jurisdiction and assigned to the work queue of the local agency for case investigation and follow-up.Efforts are ongoing to build an interface between MDSS and GLHIE. MDSS will also be linked to Medicaid administrative data through a larger data linking effort undertaken by MDCH’s Office of Medicaid and Health IT.
SpecimenGateMichigan uses SpecimenGate, a Perkin-Elmer system to capture and manage data related to newborn screening results.PH laboratory submits results to the Perkin-Elmer system. Michigan worked with Perkin-Elmer on developing a follow-up module as part of the system.
Michigan Syndromic Surveillance System (MSSS)MSSS is a web-based syndromic surveillance system monitoring chief complaints from emergent care settings. The system collects over 9000 registrations daily from 70 healthcare facilities across Michigan’s eight emergency preparedness regions.Currently, data are entered by emergency departments (EDs) and other providers. State supports direct exchange into MSSS from hospital systems to support Meaningful Use, but hospitals do not currently use this service.
NextGen Electronic Health RecordIngham County health department is in the process of adopting the NextGen EHR. They recently implemented NextGen in their FQHC and are working on defining workflow and requirements necessary to customize NextGen for use in maternal and child health clinics, home visiting programs and infectious disease clinics.County is working on building an interface to state databases for maternal and infant health program monitoring. However, interface efforts to date are limited due to plans for using GLHIE as a “hub” for populating public health databases.
Netsmart’s InsightSome LHDs in Michigan use Netsmart’s Insight software as a practice management and EHR software solution. To support public health programs, the Insight practice management system consists of modules geared towards patient registration, scheduling, encounter processing, and accounts; the EHR contains the patient’s medical records, tracks laboratory results, keeps an inventory of immunizations, and tracks follow-up needs.Some Insight modules allow for direct interfaces with clinical laboratories and immunization registries.
Vital Records RegistryState’s system for monitoring births and deaths.Vital Records data is linked to a variety of other state data sources, including newborn screening, Medicaid, PRAMS, and BRFSS. Michigan recently implemented electronic reporting of birth and death data to this registry.
Community Health Automated Medicaid Processing System (CHAMPS)Michigan’s Medicaid Management Information Systems that feeds data into a Medicaid data warehouse.Data from CHAMPS gets used as part of the data warehouse for public health purposes, including informing Medicaid providers when EPSDT services are indicated.
Cancer RegistryRegistry system with direct reporting of cancer cases from health-care providers.Data feeds into the Medicaid data warehouse.
Chronic Disease RegistryUnder development; will ultimately feed into the Medicaid data warehouse.Ultimately, will link to other state resources including Vital Records, Birth Defects, newborn screening and MDSS.
Environmental Health DatabasesIn-house databases maintained at local departments to track inspections and services related to food safety, sewage disposal, and water supply and to fulfill reporting requirements to the state.Does not automatically connect to MDSS to assist with epidemiology/outbreak tracking.