1. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 1
Advancing Quality Healthcare
Through National, State and Local Community Collaboration
MiHIN HIE Day: Sub-State Panel
Ann Arbor, MI
June 20, 2012

2. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 2
SEMHIE Organization & Membership
• Michigan non-profit membership corporation,
incorporated in 2008
• Filing for 501(c)(3) status
• Membership is diverse:
– six major health systems, payers, employers,
providers, medical societies, quality organizations,
safety-net providers, universities, governmental
entities and healthcare professional associations

3. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 3
SEMHIE Officers, Board, & Advisors
Officers Group
• Robert Jackson, MD, CMM, President
(Western Wayne Physicians)
• Jeanette Klanow, Vice-President (St.
John Providence Health System)
• Michael (Mick)Talley, Treasurer,
Project Manager (University Bank)
• Paula Smith, Secretary (Oakwood
Health System)
• Helen Hill, Immediate Past President
(Henry Ford Health System)
Board Members
• Lee Hawkins (Wayne County Medical
Society
• Julie Moran (Trinity Health)
Board Members (cont.)
• Gary Petroni (SEMHA)
• Carole Pritchard (Henry Ford Health
System)
• Dr. Gary Assarian (JVHL)
• Carla Smith (HIMSS)
Advisors
• Jackie Rosenblatt, MPRO
• Nancy Walker (MHIMA)
• Stephen Lange Ranzini, University
Bank
• Howard Burde, Legal Counsel

4. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 4
SEMHIE’s Mission and Vision
• The SEMHIE Consortium will advance the implementation of an
integrated, interoperable health information exchange across the
region, supporting the data needs of physicians, health systems/
hospitals, patients, employers, health plans and other regional
constituents
• The exchange will provide a platform for the delivery and sharing of
electronic health information in a secure and timely manner to
authorized users across organizational boundaries
• SEMHIE stakeholders are dedicated to:
– Enhancing patient care quality and safety
– Increasing effectiveness and efficiency of healthcare delivery
– Reducing healthcare costs

5. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 5
SEMHIE’s Objectives
• Establish a sustainable, self-sufficient business model for the
SEMHIE that aligns costs with benefits for the stakeholders
• Provide for secure, private, and efficient cross-institutional exchange
of clinical and administrative healthcare data
• Create a secure, ubiquitous, and interoperable health information
technology infrastructure consistent with recognized international,
state and federal standards/guidelines
• Link to national and regional efforts through use of a common trust
framework, business & operating rules, technical infrastructure, and
governance models for federated identity management and
interoperability
• Develop and maintain an environment of trust among stakeholders

6. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 6
Recent SEMHIE Accomplishments
SSA e-Disability Claims:
• Authorized NwHIN participant, certified NwHIN Gateway
• Certified C32 Standard CCD exchange between providers and SSA
– Patient Summary Information – structured demographics,
medications, labs, radiology & ancillary results, allergies,
problem lists, encounters, etc –
– Provides complete range of patient authorized dates of service
• Completing SSA contract July 6, 2012
• Designated as Pay-for-HIT site for SSA – ongoing funding source
NwHIN Coordinating Committee:
• Mick Talley named to Privacy-Security Committee
• Helen Hill named SEMHIE SSA Rep on Coordinating Committee

7. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 7
Recent SEMHIE Accomplishments
ONC Standards & Interoperability Framework:
• Designated as Reference Implementation Site for Transitions of
Care Discharge Summary Use Case
• Selected to demo in ONC Interoperability Showcase at 2012 HIMSS
Annual Conference, Las Vegas NV, Feb 2012
• Invited to demo at S&I Face-Face, Alexandria VA, April 2012
NSTIC:
• Mick Talley, Stephen Ranzini, Helen Hill invited to participate in
NSTIC Workshop at NIST, Gaithersburg MD, March 2012

8. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 8
Looking Ahead
Opportunities: Ability to Expand Better, Cheaper, Faster
• SEMHIE’s HIE infrastructure, hosting, tools & services allow
– Standard, flexible, rapid and cost-effective expansion
– Add more providers for SSA (Pay-for-HIT)
– Add more business services for SEMHIE members
• Further Develop and Expand Transitions of Care Service
• Member-Member Document Submission Service provides opportunity for
development / acquisition of many new member services following TOC
• Rules for data extraction are easily modified for additional use cases
(such as DoD/VA VLER; CMS Innovation projects; S&I Framework esMD,
Query Health, etc.)

9. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 9
Looking Ahead
Opportunities: Ability to Expand Better, Cheaper, Faster
• SEMHIE is authorized by ONC to provide NwHIN CONNECT services –
first HIE in state – business opportunities to be evaluated
• Provide Semantic Interoperability service (through Clinical Architecture)
to members, prospects
• Many privacy-security, mobile health, financial services opportunities

10. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 10
SEMHIE’s SSA e-Disability Claims Contract
Brief Overview

11. One of 12 National SSA e-Disability Contracts
1.Center for Healthy Communities, Wright State University,
Healthlink, Dayton, OH
2.Central Virginia Health Network / MedVirginia, Richmond, VA
3.Community Health Information Collaborative (CHIC), Duluth, MN
4.Douglas County Individual Practice Association, Roseburg, OR
5.EHR Doctors Inc., Pompano Beach, FL
6.HealthBridge, Cincinnati, OH Lovelace Clinic Foundation (LCF),
Albuquerque, NM
7.Marshfield Clinic Research Foundation, Marshfield, WI
8.Oregon Community Health Information Network (OCHIN),
Portland, OR
10.Regenstrief Institute, Inc, Indianapolis, IN
11.Science Applications International Corporation (SAIC), Reston,
VA
12.Southeastern Michigan Health Assoc. (South East Michigan
Health Information Exchange), Detroit MI

12. SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 12
HIE Core Services Delivered to SEMHIE thru SSA Contract
Portal (patient search, workflow processing, system monitoring)
Transaction engine
RLS and MPI
NHINConnect gateway
CCD creation capability (extract and share clinical data: results,
allergies, problem lists, medications, care summaries, etc.)
Semantic interoperability engine
Clinical terminology mapping engine/tools
XDS A&B repositories, registries
Service Oriented Architecture (SOA)
Hosting services w/24x7 support, security, backup/recovery
Secure message routing
Secure, encrypted exchange with NwHIN and a federal agency
Open source interoperability standards and run time software (model
driven messaging interoperability)

13. Improved Patient access to Healthcare:
Shortening the Determination Cycle With SSA e-Disability
Claims Process from 489 Days to 1-2 Weeks

14. SEMHIE SSA e-Disability Claims: Benefits
• Quicker eligibility determination for applicants in bad economy
– Reduces cycle from 459 day national average to under 1 week
– 40,000 disability claims await final determination in the Detroit area (Detroit Free Press
July 2010)
– Speeds access to needed healthcare, funding for approved patients
• Reduces provider & SSA time, labor, cost to get data for claims review
– Speeds payment for approved healthcare claims – 45% reduction in SSA time
– Retains current reimbursement for data gathering
– Ongoing funding stream for SEMHIE (Pay-for-HIT)
– SSA/MedVirginia study (Kay Center for eHealth Research) shows significant ROI to
providers ($2.1 million)
• Meets Stage 1 Meaningful Use Criteria for HIE Interoperability
• Provides funding to build SEMHIE’s health exchange infrastructure
• Demographics, allergies, problem lists, medications, labs, radiology and other ancillary
results, encounters and other key clinical data
– Connects to SSA and NwHIN through NHINCONNECT
• Available for extension to all state and regional healthcare providers