{"id":4235,"date":"2013-02-22T12:13:57","date_gmt":"2013-02-22T17:13:57","guid":{"rendered":"http:\/\/www.healthit.gov\/buzz-blog\/?p=4235"},"modified":"2026-01-06T04:46:05","modified_gmt":"2026-01-06T04:46:05","slug":"michigan-hie-bright-spots-improving-quality-health-care-efficiency-doctors-experience-exchanging-information-capacity-building","status":"publish","type":"post","link":"https:\/\/healthit.gov\/blog\/insights-updates\/michigan-hie-bright-spots-improving-quality-health-care-efficiency-doctors-experience-exchanging-information-capacity-building\/","title":{"rendered":"Michigan HIE Bright Spots: Improving Quality and Health Care Efficiency \u2014One Doctor\u2019s Experience with Exchanging Information and Capacity Building"},"content":{"rendered":"\n<p>Dr. Brian McCardel has been a practicing orthopedic surgeon in Lansing, MI, for more than 20 years.&nbsp; As both a physician and a son with caregiving duties for his parents, McCardel has witnessed how health care efficiency can reduce the frustration patients and their families feel when navigating today\u2019s healthcare system. In a recent discussion with ONC, McCardel described his parents\u2019 reaction to a follow-up appointment for a CT scan of his father\u2019s sinuses. When they arrived at the doctor\u2019s office, they were surprised to learn the doctor was unaware of the reason for their visit. Consequently, his parents had to wait in the exam room for the doctor to both request and then review the results of the CT scan.<\/p>\n\n\n\n<p>\u201cMy father felt like it was a waste of his time, and didn\u2019t want to go back again to see someone who was so clueless about their patient. Health care is a thing of trust \u2013 and once lost, it can be difficult for a provider to earn that trust back.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-improving-health-care-efficiency-with-hie\"><strong>Improving Health Care Efficiency with HIE<\/strong><\/h2>\n\n\n\n<p>As a native and lifelong Michigander, it\u2019s no wonder McCardel is committed to making sure that excellent and efficient health care is an everyday occurrence for his extended family and friends in the Lansing area and across Michigan. As he sees it, one vital component to ensuring that quality and efficiency is the exchange of health information.<\/p>\n\n\n\n<p>For the past two years, McCardel\u2019s practice has been a member of the Great Lakes Health Information Exchange (GLHIE), using HIE information exchange services to replace mail and fax for sending and receiving information about each patient he treats.<\/p>\n\n\n\n<p>GLHIE is one of five sub-state entities that received funding from the State of Michigan Department of Community Health and the Michigan Health Information Network (MiHIN) Shared Services, as a result of their ONC State HIE Cooperative Agreement. Expanding on previous investments made in health IT and HIE, the State used a portion of its cooperative agreement funds to help existing Michigan HIE entities expand services such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>e-prescribing<\/li>\n\n\n\n<li>electronic delivery of lab results<\/li>\n\n\n\n<li>exchange of care summaries, and<\/li>\n\n\n\n<li>public health reporting.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-capacity-building\"><strong>Capacity Building<\/strong><\/h2>\n\n\n\n<p>Michigan is also using these funds to help defray costs for Critical Access Hospitals (CAHs) and Federally Qualified Health Centers (FQHCs) to connect to Michigan HIE service providers.&nbsp; This strategic approach to expanding and enhancing exchange activity by funding or otherwise supporting existing exchange resources has been described by the Michigan HIE Program as \u201ccapacity building.\u201d<\/p>\n\n\n\n<p>Since Michigan\u2019s capacity building program began in May 2011, GLHIE has given an additional 2,000 providers, rural hospitals, FQHCs, and free clinics in Michigan the ability to share patient information with unaffiliated providers for free, reducing the financial barriers for these providers to exchange, and ultimately helping to improve health care efficiency.<\/p>\n\n\n\n<p>So far the capacity building program has been a great success. Carol Parker, Executive Director of GLHIE asserts,<\/p>\n\n\n\n<p>\u201cConnecting providers to our HIE infrastructure was by far the best thing we could have ever done with the funding we received from MiHIN\u2019s program. For providers that are currently investing their money in certified EHR software, allowing them to connect to exchange services for free helps them get one step closer to Stage 1 meaningful use.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-achieving-stage-1-meaningful-use-and-dr-mccardel-s-story\"><strong>Achieving Stage 1 Meaningful Use and Dr. McCardel\u2019s Story<\/strong><\/h2>\n\n\n\n<p>According to a November 2012 <a href=\"https:\/\/www.michigan.gov\/documents\/mdch\/11-14-2012_MI_HIT_Dashboard-Final_403917_7.pdf\">report<\/a> by the Michigan HIT Commission, more than 60 meaningful use eligible hospitals and 2000 eligible professionals have utilized sub-state Michigan HIE entities to achieve exchange requirements and attest to Stage 1 meaningful use.<\/p>\n\n\n\n<p>One of those providers who is benefitting from this program is Dr. McCardel. As EHR users, McCardel\u2019s office staff has integrated exchange into their workflows by looking up relevant patient information through GLHIE prior to patient visits and by requesting that results be delivered to his electronic inbox. This information includes imaging results and radiologist readings that could have an impact on his orders and recommendations for patients. &nbsp;Once a visit is complete, McCardel\u2019s nurses and staff update patient information via GLHIE so it can be shared with other exchange participants.<\/p>\n\n\n\n<p><em><strong>\u201cWhen care coordination comes together with timely health information exchange services, there is a level of efficiency created that allows for people to feel those caring for them are on top of their game. And that matters.\u201d &#8211; Brian McCardel, MD<\/strong><\/em><\/p>\n\n\n\n<p>According to McCardel, this process not only allows him to have a more complete picture of each patient he cares for, but it saves him time, as well as the time of his patients, his staff, and staff at other medical facilities, and ultimately improving the quality of care the patient receives from all providers and in all delivery settings.<\/p>\n\n\n\n<p>For more information about the HIE\u2019s capacity building approach that each state is taking and how that can lead to healthcare efficiency, check out the State HIE Program\u2019s Bright Spots <a href=\"https:\/\/statehieresources.org\/wp-content\/uploads\/2012\/12\/Bright-Spots-Synthesis_Capacity-Builder_Final_12212012.pdf\">synthesis<\/a>. More information about Michigan\u2019s strategy and success to date is also available in a recently released <a href=\"https:\/\/statehieresources.org\/wp-content\/uploads\/2013\/02\/MI-Capacity-Builder-Implementation-Brief_Final_021320131.pdf\">implementation brief<\/a>.<\/p>\n\n\n\n<p>Do you have a story to share of how an EHR has increased your practice\u2019s efficiency? Please share it below.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Brian McCardel has been a practicing orthopedic surgeon in Lansing, MI, for more than [&hellip;]<\/p>\n","protected":false},"author":619,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_selected_menu":"","_show_breadcrumbs":"true","_blog_show_featured_image":false,"footnotes":""},"categories":[1],"archived-category":[713],"featured":[],"topics":[408,454,418],"class_list":["post-4235","post","type-post","status-publish","format-standard","hentry","category-insights-updates","archived-category-state-hie","topics-care-continuum","topics-case-studies","topics-interoperability"],"acf":{"blog_authors":[{"blog_author_profiles":"198441"}],"hp_news_hide":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.8.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Michigan HIE Bright Spots: Improving Quality and Health Care Efficiency \u2014One Doctor\u2019s Experience with Exchanging Information and Capacity Building<\/title>\n<meta name=\"description\" content=\"Curious about how health information exchange can improve health care efficiency? 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