1. www.altarum.org A L T A R U M P R E S E N T A T I O N 2 0 0 7 Altarum and Planning Grant Overview Stakeholder Kick Off Meeting – September 27, 2007

2. A L T A R U M P R E S E N T A T I O N 2 0 0 7 2 Agenda Who We Are Altarum History and Health Informatics Defining Health Systems Research Why Altarum? MiHIN / State of Michigan Planning Grant Altarum’s Role SEMHIE Project Guiding Principles Interim Governance Structure Work Breakdown Structure

3. A L T A R U M P R E S E N T A T I O N 2 0 0 7 3 Who We Are Altarum is a nonprofit research institute, working to become the nation’s preeminent provider of objective health systems research and solutions Our Mission: Altarum serves the public good by solving complex systems problems to improve human health – integrating research, technology, analysis and consulting skills.

4. A L T A R U M P R E S E N T A T I O N 2 0 0 7 4 Altarum History Altarum evolved from two University of Michigan research “spin-offs” Environmental Research Institute of Michigan founded in 1946 Vector Research, Incorporated founded in 1969 Merged as Altarum in 2001 as a nonprofit research institute

5. A L T A R U M P R E S E N T A T I O N 2 0 0 7 5 Health Informatics What we do: Support improvement of health and healthcare through effective use of information technology. How we do it: –Portfolio management (selection process, ROI analysis, acquisition management, benefit realization) –Policy assessment –System design and development –Program management Health Informatics Policy, Planning & Design Public Health Systems

6. A L T A R U M P R E S E N T A T I O N 2 0 0 7 6 Defining Health Systems Research Health systems research is the study of the many interdependent factors that influence the performance of our nation’s health care delivery and financing activities and, ultimately, determine our nation’s health status. As solutions-driven researchers, we seek to optimize the interaction of these dynamic components and develop systems that value health, expand access, improve quality and reduce cost.

7. A L T A R U M P R E S E N T A T I O N 2 0 0 7 7 Why Altarum? Independent, trusted nonprofit partner State and Federal contacts, projects, expertise and influence Dedicated to success in Southeast Michigan Significant Health Informatics experience –American Health Information Community (AHIC) –Office of the National Coordinator for Health Information Technology (ONC-HIT) –Department of Defense –Department of Veterans Affairs –Department of Health & Human Services, including: Assistant Secretary for Planning and Evaluation Centers for Medicare & Medicaid Services Agency for Healthcare Research and Quality Health Resources and Services Administration –State-based public health departments

8. A L T A R U M P R E S E N T A T I O N 2 0 0 7 8 MiHIN / State of Michigan Planning Grant On June 29, 2007, the Michigan Departments of Community Health (MDCH) and Information Technology (MDIT) announced $4.5 million (fiscal year 2007) in grants awarded to promote health information technology exchange The funding of this initiative was first recommended in December 2006 when MDCH released a Michigan Health Information Network (MiHIN) report that outlined a plan to improve the quality, safety and efficiency of health care delivery by accelerating adoption and use of health information technology and health information exchange. Funding will create a statewide infrastructure for healthcare information exchange that will streamline the sharing of medical information throughout Michigan. The grant funding also funds the creation of the state's MiHIN Resource Center, which assist regional HIE efforts across the state, focusing on daily activities in order to increase the adoption rate and successful implementation of regional HIEs across Michigan.

9. A L T A R U M P R E S E N T A T I O N 2 0 0 7 9 Regional HIE Grant Awards Following a comprehensive application to MDCH, Altarum was awarded a $1.1M planning grant ($658,356 in the fiscal year 2007 budget) to further the SEMHIE project to plan and implement a health information exchange for the residents, providers and organizations of southeast Michigan. Other Regional partners awarded grant funding in the state’s first cycle include: Alliance For Health (includes Mason, Lake, Osceola, Oceana, Newaygo, Mecosta, Montcalm, Muskegon, Ottawa, Kent, Ionia, Barry, and Allegan Counties) - $379,565 Capital Area Health Alliance (includes Ingham, Eaton, Clinton Counties) - $775,350 Central Michigan University Research Corporation (includes Clare, Gladwin, Arenac, Isabella, Midland, Bay, Gratiot, Saginaw, Bay, Tuscola, Sanilac, and Huron Counties) - $304,900 Greater Flint Health Coalition (includes Genesee, Lapeer, and Shiawassee Counties) - $359,475 Marquette General Health System (includes all Upper Peninsula Counties) - $756,119 Michigan State University (Formation of HIE Resource Center) - $999,971 North Central Council of the MHA (includes all counties in the northern Lower Peninsula) - $267,648

10. A L T A R U M P R E S E N T A T I O N 2 0 0 7 10 Altarum’s Role As the SEMHIE planning grant lead agent, Altarum: Facilitates the planning process –Navigate competitive tendencies & maintain balance across stakeholders Provides subject matter expertise & consulting support –Governance structure and bylaws –Assessment of community HIT assets –Prioritization of implementation –Requirements development –ROI analyses / sustainable business model –Formulate privacy and security policies / data use agreements –Organization launch Pursues Federal, State and other funding

11. A L T A R U M P R E S E N T A T I O N 2 0 0 7 11 SEMHIE Project Guiding Principles Community benefit Alignment with State and Federal activities Stakeholder value Consumer empowerment Sustainability

12. A L T A R U M P R E S E N T A T I O N 2 0 0 7 12 Interim Governance Structure

13. A L T A R U M P R E S E N T A T I O N 2 0 0 7 13 Work Breakdown Structure