1. Connecting Michigan for Health: Behavioral Health Information Exchange
to Support Integrated Health
Presented By: Jeff Chang
CEO, PCE Systems

2. Quick Introduction PCE Systems Project Categories
Health IT Vendor with focus on public behavioral health
MiHIN Trusted Data Sharing Organization (VQO)
Behavioral Health Information Exchange
Project Categories
Consent-managed community care coordination
Payer-provider data integration
Implementation of MiHIN Use Cases
Local integrated care and other health initiatives

3. What are we going to talk about today?

4. The Problem Data Integration is HARD
A lot of “marketing,” a lot less “doing”
Over-focus on technology, lack of focus on processes
Lack of integration between business / clinical needs and technological capability
Lack of expertise
Expensive (technology and business process)
Many stakeholders with completely different priorities

5. Buying into the Hype Felt late to the game
The problem was just the consent
Just implement the standards!
Unrealistic view of how far we had come
I thought my priorities was everyone else’s

6. Buying into the Hype Look behind the curtain
Find out what is actually being done
Understand what is in production
Understand the vision and direction
Understand the priorities
Adapt to where things are now
Keep an eye on where they’re going

7. Letting Technology Drive the Bus
Two conflicting, but dangerous mentalities
Shiny Object Syndrome
Tool Obsession: Maslow’s Hammer
Even worse when you combine them

8. Letting Technology Drive the Bus
Technology is the bus, it is not the driver
Better yet, technology is any vehicle
Do you need a bike, a car, a bus, or a jet?

9. Belaboring the analogy...
Every mode of transportation has its pros and cons
Infrastructure and limitations
How do you find good advice?
Meet your exchange partners where they are

10. Assuming Aligned Interests
Lab Interface from a medical center
Better care for the patient
Increased profits from more labs being ordered
Better workflows for the providers

11. Assuming Aligned Interests
Everyone, even within an agency, has different interests...
Some of them are reasonable
Some of them are not
ALL of them need to be addressed
Preparation and thought are key
Be realistic: not everyone cares about the same things you do.

12. How to achieve progress?

13. Find a Champion
Nothing will ever happen with out a champion / advocate
This person needs...
A clear understanding of what you’re doing and why
To be able to bring people together and solve problems
Clinical expertise
Some technical expertise
To be empowered to make a difference
Passion
(Note: this might need to be an interdisciplinary team)

14. Find the Right Partner Focus on the RIGHT partner
Shared passion
Shared vision
Aligned goals
“What’s in it for me?

15. Engage Stakeholders Engage stakeholders on both sides...
Clinical
Business / Financial
Quality / Compliance
Legal
Technical
Understand their unique needs and interests

16. Implement and Train Put the project into the workflows
Educate and train staff on both sides
Training goes beyond technology
Learn the new models of care

17. Other drivers toward success
Meet your partners where they are
Leverage the tools you have
Be practical
Be strategic
Keep it simple
Make it easy