MINUTES OF MIS FORUM MEETING March 16, 2016

Michigan Association for Local Public Health

Members Present: Alex Parrish, Monroe County HD Barton Maas, Livingston County Brent Helm, Lapeer County HD Bethany Jacques, Saginaw County HD John Meyers, Ottawa County HD Rich Estill, Ingham County

Taresa Lucas, Barry-Eaton Theresa Fisher, Branch-Hillsdale-St. Joseph Teleconference:

Bob Avery, Kalamazoo County HD Jason Howard, Central Michigan DHD Gerard Castaneda, Macomb County HD Annette Thompson, Macomb County HD Rich Pantano, Grand Traverse County Tony Benjamin, Ottawa County

Shaunta Bosanic, LMAS Terri Curtis, Jackson County

Others Present: Karen McGettigan, MCIR

Call to Order: Brent Helm called the meeting to order at 10:00 a.m. and introductions were made. Approval of Minutes:

The minutes of January 20, 2015 were reviewed. A motion was made by Bethany Jacques, supported by John Meyers, to approve the minutes as submitted. Motion carried. Minutes will be posted on the MALPH website.

Treasurer’s Report:

Theresa Fisher reviewed the Treasurer’s Report. Currently have a balance of $768.12. There were 2 deposits totaling $315.00 for membership dues and there were no withdrawals as the invoice for January room rental has not yet arrived.

Department Reports: MDCH: No Report

MIHAN/OPHP: No Report

Medicaid Provider Relations Unit: No Report

MCIR: Karen McGettigan

There are a total of 2120 HL7 sites in production and 141 sites approved but pending go live (see attached

sheet). Karen also provided a new recall criteria tip sheet (see attached) https://www.mcir.org/wp-

content/uploads/2014/08/Recall-tip-sheet.pdf.

A bug has been created for the issue brought up in the January MIS Forum meeting about the transfer

summary reports showing up with errors. If you would like to track the but the number assigned is

11541/2661.

There was another new release of MCIR last night. This morning some sites had reported getting access

denied errors when trying to print but a fix has already been rolled out and this should be resolved. The new

release fixed a few issues identified from the prior release. The Immunization status key has been reinstated

and there were some small changes to the working on the lead printouts.

Macomb County reports that they are no longer able to print landscape and in portrait mode they are not

getting the second page. Karen will look into this and report it as a new bug.

There was additional discussion about the cost associated with sending data to MCIR via HL7. Rich from

Ingham County stated that he did not believe there was additional costs over the initial connection fees to the

HIE and John from Ottawa County agreed. Ingham county is using the GLHC HIE.

Spectrum Hospital went live last week with bidirectional data transfer but Karen had not heard how the

project was going. Lakeland is also bidirectional and Henry Ford has sites that are live and running smoothly.

Karen will try to get us in touch with the person who is in charge of the bidirectional project for an update.

At the current time, MCIR is scheduled to transition away from the SSO to the new sign on platform by the end

of July.

CSHCS EZLink Update:

Macomb County is reviewing their letter of agreement to get things started; however, the front end viewer is

not part of the package. Gerard from Macomb County stated that to get the front end viewer would cost

$8,000 and that the cost could be shared between all the agencies that wished to utilize it. Macomb is looking

for other agencies that may want to use the viewer that might share this cost.

LMAS reported that they had signed the letter of agreement but had KL&A make changes and agree to give

them the metadata in .csv file, as they had no way of using the mongodb.

Tony from Ottawa County reported that they had found a way to export from mongo to .csv and would be

willing to share the script with anyone who needed it.

Brent will reach out to Kim Ivey from KL&A to see if she would be willing to attend the next meeting.

MALPH Update: Brent Helm

There was a lot of discussion about another potential water problem near the old Air Force base in Oscota

County. They seem to be experiencing a lot of the same issues that happened in Flint with delays and

miscommunication around the issue.

There was also discussion about a new concept of grocery/restaurant where people are able to buy meats at

the location and have them prepared for them. There needs to be ongoing discussion with environmental

health on how this was going to be regulated to keep the public safe as they move forward.

Health Information Exchange: -

Rich from Ingham County reports that Sparrow Hospital is working to start a project to query all users of the

HIE for data that can be brought back to the EMR through HL7.

Committee Reports

Premier Public Health Conference Planning: - The date on the call for presentations has been extended. If you

have an idea please submit.

Old Business:

Meaningful Use:

Gerard from Macomb County reported that they have been working on meaningful use. Looking forward it is

believed that in 2019 Medicare reimbursement rates will move toward a merit based system. It is uncertain what

quality measures will be used for determining the reimbursement rates but it has been suggested that it could be

the 2017/18 performance measures from meaningful use. There is a push to get early adopters and Macomb

County is looking into the Great Lakes Practice Transformation Network (see attached flyer).

ICD 10:

No one had anything to add at this time. The transition seemed to go smoothly and this item will be removed from

future agendas.

Membership Update:

Dues are continuing to roll in. At the present time 10 agencies have paid.

New Business:

EHRs – Visual Health Net:

Macomb County, as well as 2 other counties in Michigan are using Visual Health Net from Mitchell &

McCormick. They have been using the system for 15 years and are generally pleased with it.

Within the system there are 2 primary areas, the central registry and a clinician focused area. The central

registry hold information about demographics, insurance information, and other like items. In the clinician

focused area you will find the service encounters and it is more of a workflow type system. The workflow is

customizable and as you complete items check marks show up on the left hand side of the screen so you know

what is complete. There are also customizable assessment forms so you can customize the software to your

needs.

Macomb county is currently using the system to send information to MCIR via HL7, unidirectional but they

hope to move to bidirectional in the future. They are already bidirectional with labs. They also use signature

pads and scanners that feed data directly into the system. The card scanners not only scan an image of the

insurance cards and drivers licenses but read the cards and upload the data to the corresponding field in the

database. They also use Crystal Reports for reporting.

Rich from Grand Traverse reports that they also us Mitchel & McCormick and like it however they do not use

HL7 yet and are using network scanning instead of direct scanning due to cost.

For more information visit the website below:

http://www.mitchellandmccormick.net/home.html

Dues and Room Rental:

There was discussion on if the forum could go to a strictly teleconference basis eliminating the need for room

rental, which would eliminate the need for dues. Several people felt that the actual face to face meeting was

important for those who can come. As we are halfway through a dues cycle, it was decided that we would

possibly look into this in the future. Rich from Ingham County did offer to potentially host the meeting

eliminating the need for dues as well.

John Meyers Retiring:

John Meyers from Ottawa County is retiring. The Forum would like to thank him for his years of service,

dedication, and leadership. John will be greatly missed.

Future Agenda Items:

The Chair-Elect position is still open.

Adjournment: Moved to adjourn by Bethany Jacques supported by John Meyers to adjourn. Motion Carried. The

meeting adjourned at 11:46 am.

Respectfully submitted,

Theresa Fisher

Secretary/Treasurer

Submitted by: Theresa Fisher, Treasurer

3/9/2016

MIS THE MICHIGAN ASSOCIATION FOR LOCAL PUBLIC HEALTH

MANAGEMENT INFORMATION SYSTEMS FORUM

Treasurer’s Report

For Period January 1 – February 29, 2016

Balance January 1, 2016 $453.12

Deposits

2/5/16 Dues

Saginaw 35.00

Sanilac 35.00

Central Michigan 35.00

Benzie-Leelanau 35.00

Jackson 35.00

Lenawee 35.00

Barry-Eaton 35.00 $245.00

2/23/16 Dues

Grand Traverse 35.00

Northwest Michigan 35.00 $70.00

Withdrawals

January room rental (Still

waiting to receive bill)

0 $0.0

Balance as of February 29, 2016 $768.12

03/11/2016

Local Health Departments Live With MCIR HL7 Data Submission

Site Name County SSHIE EHR Vendor EHR Product Go-Live Date Huron County Health Department Huron GLHC Insight Netsmart 1/14/2013

Monroe County Health Department Monroe UPHIE Insight Netsmart 6/26/2013

Midland County Health Department Midland GLHC Allscripts Professional 1/10/2014

Allegan County Health Department Allegan UPHIE Insight Netsmart 3/31/2014 Tuscola County Health Department Tuscola GLHC Insight Netsmart 9/8/2014

Central MI DHD Isabella Isabella UPHIE Insight Netsmart 1/13/2015

Central MI DHD Arenac Arenac UPHIE Insight Netsmart 1/13/2015

Central MI DHD Clare Clare UPHIE Insight Netsmart 1/13/2015

Central MI DHD Gladwin Gladwin UPHIE Insight Netsmart 1/13/2015

Central MI DHD Osceola Osceola UPHIE Insight Netsmart 1/13/2015

Central MI DHD Roscommon Roscommon UPHIE Insight Netsmart 1/13/2015

DIDHD - Dickinson Dickinson GLHC eClinicalWorks 1/28/2015

DIDHD - Iron Iron GLHC eClinicalWorks 1/28/2015

Calhoun County Public Health Dept. Calhoun UPHIE Insight Netsmart 2/15/2015

Calhoun County Public Health Dept. Albion Calhoun UPHIE Insight Netsmart 3/6/2015

Macomb County Health Department Mt Clemens Macomb UPHIE

Mitchell and McCormick 6/1/2015

Macomb County Health Department SW Macomb UPHIE

Mitchell and McCormick 6/1/2015

Macomb County Health Department SE Macomb UPHIE

Mitchell and McCormick 6/1/2015

Ingham County Health Department River Oak Ingham GLHC NextGen 7/13/2015

Ingham County Health

Department IMMS Ingham GLHC

NextGen 7/29/2015

Western UP Health

Department Houghton GLHC

eClinicalWorks

10/30/2015

Wayne County Dept of

Public Health Wayne GLHC

eClinicalWorks

11/5/2015

ICHD-Eastern Health Center Ingham GLHC

NextGen 12/21/2015

03/11/2016

Mid-Michigan DHD-Gratiot

GBO Gratiot UPHIE

Insight Netsmart 01/18/2016

Mid-Michigan DHD-Clinton

CBO Clinton UPHIE

Insight Netsmart 01/18/2016

Mid-Michigan DHD-

Montcalm MBO Montcalm UPHIE

Insight Netsmart 01/18/2016

LMAS Alger Alger GLHC

EClinical Works 02/24/2016

LMAS Mackinac Mackinac GLHC

EClinical Works 02/24/2016

LMAS Schoolcraft Schoolcraft GLHC

EClinical Works 02/24/2016

LMAS the Camp Luce GLHC

EClinical Works 02/24/2016

LMAS Luce Luce GLHC

EClinical Works 02/24/2016

MCIR Helpdesk at MPHI 3/16/2016 1

Michigan Care Improvement Registry (MCIR) Recall Criteria Guide

Vaccines that will generate a recall

DTP/DTaP/DT/Td/Tdap

Hib

Polio

MMR

Hepatitis B

Varicella

Rotavirus

Pneumococcal Conjugate

Meningococcal Conjugate

HPV

Vaccines that will not generate a recall

Hepatitis A

Seasonal Influenza

Additional Criteria

Recalls start at 6 months of age

Doses must be at least 30 days overdue

County, zip code, region or other population based recall:

o Must have at least 2 doses recorded in the MCIR. This is to weed out inactive records that have not been marked as MOGE.

A person remains unrecallable for 60 days after they have been included in a “mailed” recall.

o Remember just because a recall has not been done at the provider level in the last 60 days does not mean the patient hasn’t been recalled at the county, regional or state level.

Excluding Factors

If a person has not responded to 3 consecutive notices issued in the past year,

If the person is Moved or Gone Elsewhere (MOGE), receives care outside of Michigan, or has selected to not receive notifications,

If the person does not have a valid address.

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