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Min
neso
ta H
IE S
tudy
Re
ques
t for
Pub
lic C
omm
ent
Mee
ting
host
ed b
y th
e M
inne
sota
e-H
ealth
Initi
ativ
e HI
E W
orkg
roup
Oct
ober
6, 2
017
HIE
Wor
kgro
up
Co-C
hairs
:Pe
ter S
chun
aPr
esid
ent a
nd C
EO, P
athw
ay H
ealth
Ann
War
ner,
Inte
rim
Man
ager
, Dat
a En
gine
erin
g, H
ealth
East
Jeff
Benn
ing
(on
leav
e)Pr
esid
ent a
nd C
EO, L
ab In
tero
pera
bilit
y Co
llabo
rativ
e
Staf
f Con
tact
s:
Mel
inda
Han
son
and
Anne
Sch
loeg
el2
Agen
da
•W
elco
me
and
mee
ting
over
view
•Up
date
on
Min
neso
ta H
IE a
ctiv
ities
•Re
view
Min
neso
ta Le
gisla
tive
HIE
Stud
y
•In
stru
ctio
ns fo
r pro
vidi
ng fo
rmal
pub
lic co
mm
ents
•Ac
cept
form
al v
erba
l pub
lic co
mm
ents
•An
noun
cem
ents
and
adj
ourn
3
Min
neso
ta H
IE A
ctiv
ities
Upd
ate
•HI
E O
vers
ight
Pro
gram
:•
Four
HIO
s (Al
lina,
Kob
le-M
N, S
outh
Cou
ntry
Hea
lth A
llian
ce
(new
–Au
gust
8, 2
017)
and
Sou
ther
n Pr
airie
Com
mun
ity C
are
•Fi
fteen
HDI
s (ne
w c
ertif
icatio
ns in
the
past
yea
r: N
extG
en
Heal
thca
re a
nd O
rion
Heal
th)
•Tr
ansa
ctio
ns sh
ared
with
in H
IOs i
nclu
de: A
DT (t
o cr
eate
Mas
ter
Patie
nt In
dex
and
for a
lert
s), C
CDA,
ORU
, VXU
•HI
Os p
ropo
sed
shor
t and
long
term
mod
el fo
r rec
ipro
cal H
IO
serv
ices
–M
ay H
IE W
orkg
roup
mee
ting
4
Min
neso
ta H
IO C
onne
ctio
ns
•Da
ta in
clud
ed fr
om a
ll 4
HIO
s as o
f Aug
ust 1
, 201
7 •
Onb
oard
ing
stat
us o
f Not
Sta
rted
, In
Prog
ress
, Com
plet
e•
Dow
nloa
dabl
e Ex
cel v
ersio
n av
aila
ble
5ht
tp:/
/ww
w.h
ealth
.stat
e.m
n.us
/e-h
ealth
/hie
/cer
tifie
d/hi
ocon
nect
ions
.htm
l
Stat
e In
nova
tion
Mod
el (S
IM )
e-He
alth
and
HIE
& D
ata
Anal
ytic
s Gr
ant P
rogr
ams
Roun
d 1:
e-H
ealth
/HIE
Dev
elop
men
t or I
mpl
emen
tatio
n (O
ctob
er 2
014-
Sept
embe
r 201
7)
12 g
rant
s aw
arde
d ($
3.8
mill
ion)
to e
-Hea
lth C
omm
unity
Col
labo
rativ
es
-at l
east
two
orga
niza
tions
par
ticip
atin
g or
pla
nnin
g to
par
ticip
ate
in a
n AC
O o
r sim
ilar m
odel
-org
aniza
tion
from
one
of t
he fo
ur p
riorit
y se
ttin
gs-c
onne
ctio
n to
stat
e-ce
rtifi
ed H
IE se
rvice
pro
vide
r (HI
O o
r HDI
)
Roun
d 2:
e-H
ealth
/HIE
Impl
emen
tatio
n on
ly (A
ugus
t 201
5-Se
ptem
ber 2
017)
4 gr
ants
aw
arde
d(~
$1 m
illio
n) to
e-H
ealth
Com
mun
ity C
olla
bora
tives
-a
t lea
st tw
o or
gani
zatio
ns p
artic
ipat
ing
or p
lann
ing
to p
artic
ipat
e in
an
ACO
or s
imila
r mod
el
-org
aniza
tions
from
one
two
of th
e fo
ur p
riorit
y se
ttin
gs-c
onne
ctio
n to
stat
e-ce
rtifi
ed H
IE se
rvice
pro
vide
r (HI
O o
r HDI
)
Roun
d 3:
HIE
Impl
emen
tatio
n an
d/or
Dat
a An
alyt
ics (
Febr
uary
-Se
ptem
ber 2
017)
6 gr
ants
aw
arde
d(~
$1 m
illio
n) to
cur
rent
e-H
ealth
Com
mun
ity C
olla
bora
tives
or
Dat
a An
alyt
ics g
rant
ees (
or IH
P ap
plic
ant)
-con
nect
ion
to st
ate-
cert
ified
HIO
onl
y 6
8
SIM
e-H
ealth
and
HIE
& D
ata
Anal
ytic
s Gra
nt P
rogr
ams
14 co
mm
uniti
es (~
5.8
mill
ion
dolla
rs a
war
ded)
7
7
7
SIM
e-H
ealth
Gra
nt P
rogr
ams
HIE
Conn
ectio
ns
Tota
l #
# O
rgs u
sing
#O
rgs c
onne
cted
of
Org
san
HDI
/ H
IOto
an
HIO
Sout
hern
Pra
irie
Com
mun
ity C
are
2424
24O
tter
Tail
Coun
ty P
ublic
Hea
lth8
8N
W M
enta
l Hea
lth C
ente
r14
1414
MN
Com
mun
ity H
ealth
care
Net
wor
k 5
5FU
HN10
1010
Win
ona
Regi
onal
Car
e Co
nsor
tium
66
Beltr
ami P
ACT
1111
Inte
grity
Hea
lth N
etw
ork
1210
Luth
eran
Soc
ial S
ervi
ce o
f MN
77
Tota
ls Ro
unds
1, 2
& 3
9795
48%
of T
otal
98%
49%
Sour
ce: M
inne
sota
e-H
ealth
Gra
nt P
rogr
am 2
017
11
Ove
rall
HIO
con
nect
ions
are
incr
easin
g 9So
urce
: MDH
–OHI
T Su
rvey
dat
a 20
15, c
onne
ctio
n in
clude
s HIO
par
ticip
ator
y ag
reem
ent w
ith d
irect
and
/or q
uery
capa
bilit
y
Tota
l # o
f site
s To
tal #
of
% o
f Tot
al si
tes
% o
f Tot
al si
tes
conn
ecte
d sit
es
conn
ecte
d co
nnec
ted
by
Org
aniza
tion
Type
with
SIM
$
conn
ecte
dw
ith S
IM $
Pr
ovid
er T
ype
Clin
ic (n
=~ 1
400)
3718
021
%~1
3%
Hosp
ital (
n=~
145)
729
24%
~20%
Hum
an S
ervi
ces
66
100%
Men
tal H
ealth
16
1794
%
Publ
ic H
ealth
96
60%
Publ
ic H
ealth
/Hum
an
~25%
Serv
ices
1212
100%
Tota
l 82
254
33%
Not
e: 1
64 (6
5%) o
rgan
izatio
ns si
tes a
re a
par
t of t
he A
llina
HIO
/hea
lth sy
stem
Min
neso
ta L
egisl
ativ
e HI
E St
udy
10
Legi
slativ
e Di
rect
ive
•To
asse
ss M
inne
sota
's le
gal,
finan
cial
, and
regu
lato
ry
fram
ewor
k fo
r HIE
, inc
ludi
ng th
e re
quire
men
ts th
e M
N
Heal
th R
ecor
ds A
ct
•Mak
e re
com
men
datio
ns fo
r mod
ifica
tions
that
wou
ld
stre
ngth
en th
e ab
ility
of M
inne
sota
hea
lth ca
re p
rovi
ders
to:
•se
cure
ly e
xcha
nge
data
•in
com
plia
nce
with
pat
ient
pre
fere
nces
, and
•in
a w
ay th
at is
effi
cien
t and
fina
ncia
lly su
stai
nabl
e.
•Due
Feb
ruar
y 20
18
11
Defin
ition
s
•HI
E (th
e ve
rb) i
s the
ele
ctro
nic
tran
smiss
ion
of h
ealth
-rel
ated
info
rmat
ion
betw
een
orga
niza
tions
.
•As
sum
ing
the
pers
on h
as p
rovi
ded
cons
ent t
o sh
are
the
info
rmat
ion.
•HI
E (th
e no
un) i
s an
orga
niza
tion
that
faci
litat
es in
form
atio
n ex
chan
ge.
Min
neso
ta c
ertif
ies o
rgan
izatio
ns a
s:
•He
alth
Info
rmat
ion
Org
aniza
tions
(HIO
) ove
rsee
, gov
erns
, and
faci
litat
es H
IE a
mon
g he
alth
care
pro
vide
rs fr
om u
nrel
ated
hea
lth ca
re o
rgan
izatio
ns.
•He
alth
Dat
a In
term
edia
ries (
HDI)
prov
ide
the
tech
nica
l cap
abili
ties,
or r
elat
ed p
rodu
cts
and
serv
ices
, to
enab
le H
IE a
mon
g he
alth
care
pro
vide
rs fr
om u
nrel
ated
hea
lth ca
re
orga
niza
tions
(but
don
’t go
vern
the
info
rmat
ion)
.
•Ce
rtifi
ed H
IE se
rvic
es p
rovi
ders
are
at:
http
://w
ww
.hea
lth.st
ate.
mn.
us/e
-hea
lth/h
ie/c
ertif
ied/
inde
x.ht
ml
12
Wha
t We
Nee
d an
d W
ant f
rom
HIE 13
The
Prob
lem 14
Prov
ider
s in
our h
ospi
tal/
clin
ic ro
utin
ely
have
ne
cess
ary
clin
ical
info
rmat
ion
avai
labl
e el
ectr
onic
ally
Wha
t We
Have
Lea
rned
•Th
e “M
inne
sota
Mod
el” h
as n
ot e
volv
ed su
ffici
ently
to su
ppor
t HIE
acr
oss t
he st
ate.
•Fo
unda
tiona
l HIE
(inf
orm
atio
n flo
win
g w
ith th
e pa
tient
) is h
appe
ning
, but
it’s
not h
appe
ning
ac
ross
the
stat
e no
r acr
oss t
he ca
re co
ntin
uum
.
•M
any
larg
er h
ealth
syst
ems i
ndic
ated
they
do
not p
lan
to p
artic
ipat
e w
ith a
n HI
O fo
r fo
unda
tiona
l or r
obus
t HIE
.
•M
any
stak
ehol
ders
are
stru
gglin
g ju
st to
ach
ieve
foun
datio
nal H
IE a
nd a
re fe
elin
g le
ft ou
t, pa
rtic
ular
ly sm
all h
ealth
syst
ems a
nd p
rovi
ders
oth
er th
an cl
inic
s and
hos
pita
ls.
•Ro
bust
HIE
is ne
eded
to e
nabl
e un
heal
thy
peop
le to
get
hea
lthy,
and
for h
ealth
y pe
ople
to st
ay h
ealth
y.
•Th
e va
lue
that
opt
imal
HIE
can
offe
r to
all s
take
hold
ers i
s not
wel
l rec
ogni
zed.
•Bu
t som
e st
akeh
olde
rs se
e po
tent
ial f
or o
ptim
al H
IE to
mak
e a
diffe
renc
e in
the
heal
th o
f th
eir c
omm
uniti
es.
•M
inne
sota
nee
ds to
dev
elop
a co
ordi
nate
d an
d su
stai
nabl
e ap
proa
ch fo
r HIE
.
15
Curr
ent M
N H
IE M
odel 16
Exam
ple
Heal
th S
yste
m W
orka
roun
ds 17
A Pr
opos
ed S
olut
ion
Supp
ort f
or Im
plem
entin
g a
Coor
dina
ted
HIE
Infra
stru
ctur
e to
:
•Co
nnec
t fra
gmen
ted
care
by
offe
ring
a co
re se
t of c
oord
inat
ed se
rvic
es th
at su
ppor
t the
Tr
iple
Aim
and
adm
inist
rativ
e ef
ficie
ncy
for a
ll st
akeh
olde
rs.
•Su
ppor
t car
e co
ordi
natio
n fo
r peo
ple
with
man
y/co
mpl
ex n
eeds
.
•Al
low
app
ropr
iate
use
of i
nfor
mat
ion
to im
prov
e ou
tcom
es a
nd re
duce
har
m to
pat
ient
s.
•Re
duce
adm
inist
rativ
e in
effic
ienc
ies f
or h
ealth
syst
ems,
bui
ldin
g it’
s inh
eren
t su
stai
nabi
lity.
•Bu
ild o
n th
e su
cces
ses o
f cur
rent
HIE
act
iviti
es a
nd n
etw
orks
.
Be p
repa
red
for t
he fu
ture
!!
18
Prop
osed
“Con
nect
ed N
etw
orks
” Mod
el 19
Goal
s:•
Shor
e up
cra
cks i
n M
N’s
Foun
datio
nal H
IE•
Build
infra
stru
ctur
e fo
r Rob
ust a
nd O
ptim
al H
IE th
at p
rovi
des v
alue
to st
akeh
olde
rs
Valu
e Pr
opos
ition
for C
oord
inat
ed H
IE S
ervi
ces =
O
pera
tiona
l and
Adm
inist
rativ
e Ef
ficie
ncie
s 21
Opp
ortu
nity
to Im
prov
e th
roug
h Co
ordi
nate
dHI
E Se
rvic
es:
•Pa
tient
mat
chin
g•
Prov
ider
dire
ctor
y•
Cons
ent m
anag
emen
t•
Aler
ting
for E
D vi
sits,
hosp
ital a
dmits
/disc
harg
es•
Pres
crip
tion
mon
itorin
g•
Publ
ic h
ealth
repo
rtin
g•
Qua
lity
repo
rtin
g
“Con
nect
ed N
etw
orks
” Can
Ser
ve M
any
Nee
ds
By in
vest
ing
to d
evel
op a
coor
dina
ted
PRO
CESS
for H
IE:
•W
e ar
e be
tter
pre
pare
d to
iden
tify
and
resp
ond
to…
•Fu
ture
epi
dem
ics (
e.g.
, Ebo
la, Z
ika,
influ
enza
, tic
k-re
late
d in
fect
ion,
etc
.).
•W
orkf
orce
/fac
ility
shor
tage
s and
nee
ds.
•Di
seas
e/co
nditi
on tr
ends
and
hot
spot
s for
any
size
com
mun
ity a
nd ty
pe o
f sub
popu
latio
n,
supp
ortin
g ta
rget
ed in
terv
entio
ns.
•Di
sast
ers a
nd e
mer
genc
y ev
ents
.
•W
e ca
n de
velo
p be
tter
mea
sure
s to
info
rm…
•Q
ualit
y im
prov
emen
ts a
nd p
atie
nt o
utco
mes
•Th
e he
alth
of a
ll M
inne
sota
ns
•W
e ca
n bu
ild a
syst
em th
at su
ppor
ts p
artn
ersh
ips t
o al
low
com
mun
ities
to b
e ag
ile
and
resp
onsiv
e to
the
unkn
own
futu
re.
22
How
We
Get T
here 23
How
Thi
s Bui
lds U
pon
Past
Effo
rts
•M
inne
sota
is w
ell-p
oise
d be
caus
e of
:
•Si
gnifi
cant
e-h
ealth
inve
stm
ents
and
man
y le
sson
s lea
rned
.
•A
hist
ory
of st
rong
colla
bora
tion.
•Ac
coun
tabl
e he
alth
effo
rts d
evel
oped
with
SIM
fund
ing.
•M
any
com
mun
ities
acr
oss t
he st
ate
are
deve
lopi
ng c
ross
-sec
tor r
elat
ions
hips
to ta
ckle
th
eir h
ealth
issu
es.
•W
e kn
ow w
hat i
s nee
ded
to su
ccee
d an
d ca
n de
velo
p th
ose
into
the
plan
.
•Br
oad/
com
plet
e st
akeh
olde
r par
ticip
atio
n.
•HI
E se
rvic
es to
pro
vide
ong
oing
val
ue.
•Go
vern
ance
to m
ake
deci
sions
, est
ablis
h ru
les o
f the
road
, and
pro
vide
agi
le
man
agem
ent.
•Co
ntin
ued
colla
bora
tion.
24
Prel
imin
ary
Reco
mm
enda
tions
th
at ca
n be
impl
emen
ted
with
out l
egisl
ativ
e ac
tion
1.Es
tabl
ish a
task
forc
e, re
port
ing
to th
e M
inne
sota
e-H
ealth
Adv
isory
Co
mm
ittee
, to
deve
lop
a bu
sines
s pla
n fo
r and
est
ablis
h th
e “c
onne
cted
ne
twor
ks”
mod
el w
ith a
n in
itial
focu
s on
addr
essin
g th
e op
ioid
epi
dem
ic
use
case
. At a
min
imum
, the
task
forc
e w
ill a
ddre
ss h
ow to
:a.
Conn
ect e
xist
ing
HIO
s to
each
oth
er.
b.Es
tabl
ish fo
unda
tiona
l flo
w o
f pat
ient
info
rmat
ion
to su
ppor
t tra
nsiti
ons o
f car
e.
c.En
gage
Min
neso
ta’s
heal
th st
akeh
olde
rs a
roun
d th
e op
ioid
misu
se a
nd a
buse
epi
dem
ic to
id
entif
y th
e HI
E se
rvic
es n
eede
d to
add
ress
this
use
case
and
to p
rovi
de a
dditi
onal
st
akeh
olde
r val
ue.
d.De
term
ine
optio
ns fo
r inc
orpo
ratin
g th
e DH
S’ e
vent
ale
rtin
g sy
stem
into
a st
atew
ide
HIE
appr
oach
, sca
labl
e to
the
tota
l pop
ulat
ion.
e.As
sess
mar
ket a
ccep
tanc
e of
the
conn
ecte
d ne
twor
ks m
odel
bas
ed o
n th
eir p
artic
ipat
ion
in
the
opio
id e
pide
mic
use
case
.
f.De
velo
p an
app
roac
h fo
r ini
tial a
nd lo
ng-te
rm fu
ndin
g th
at is
sust
aina
ble,
shar
ed
acro
ss o
rgan
izatio
ns u
sing
and
bene
fittin
g fro
m th
e co
ordi
nate
d se
rvic
es.
25
See
Appe
ndix
C
Prel
imin
ary
Reco
mm
enda
tions
Req
uirin
g Le
gisla
tion
2.Su
ppor
t leg
islat
ion
that
will
ena
ble
use
of in
form
atio
n fo
r rob
ust,
valu
e-ad
ded
HIE
serv
ices
in c
ompl
ianc
e w
ith p
atie
nt c
onse
nt a
nd
pref
eren
ces.
Mod
ify th
e M
N H
ealth
Rec
ords
Act
to b
ette
r alig
n w
ith
HIPA
A an
d st
anda
rdize
und
erst
andi
ng a
nd im
plem
enta
tion
of c
onse
nt
acro
ss a
ll st
akeh
olde
rs, w
ithou
t cre
atin
g ne
w u
nint
ende
d co
nseq
uenc
es.
Opt
ions
dev
elop
ed b
y th
e M
N e
-Hea
lth In
itiat
ive’
s Priv
acy
and
Secu
rity
Wor
kgro
up in
clud
e fu
ll or
par
tial a
lignm
ent w
ith H
IPAA
.
See
Appe
ndix
D
links
to le
gisla
tive
lang
uage
at:
http
://w
ww
.hea
lth.st
ate.
mn.
us/e
-hea
lth/h
ie/s
tudy
/inde
x.ht
ml
26
Prel
imin
ary
Reco
mm
enda
tions
Req
uirin
g Le
gisla
tion,
co
ntin
ued
3.Up
date
Min
neso
ta’s
Heal
th In
form
atio
n Ex
chan
ge O
vers
ight
law
to
supp
ort t
he co
ordi
nate
d ne
twor
ks m
odel
, spe
cific
ally
rela
ting
to th
e ro
les o
f HIO
s and
HDI
s. Co
nsid
erat
ions
incl
ude:
•Ad
opt a
sim
plifi
ed re
gist
ratio
n pr
oces
s for
mar
ketin
g HI
E te
chno
logy
cap
abili
ties i
n M
N th
at
alig
ns w
ith th
e m
ost r
ecen
t Cer
tifie
d EH
R Te
chno
logy
stan
dard
s est
ablis
hed
by C
MS
and
the
Offi
ce o
f the
Nat
iona
l Coo
rdin
ator
for H
ealth
Info
rmat
ion
Tech
nolo
gy.
•Si
mpl
ify H
DI re
gist
ratio
n an
d pr
oces
s for
ven
dor d
isclo
sure
of s
ervi
ces a
nd e
nsur
ing
unde
rsta
ndin
g of
Min
neso
ta la
ws.
HIO
cert
ifica
tion
will
still
be
requ
ired.
•Ex
pand
HIO
cer
tific
atio
n to
incl
ude
anot
her l
evel
of r
equi
rem
ents
for s
yste
ms c
hoos
ing
to
conn
ect t
o th
e ne
twor
k di
rect
ly to
coor
dina
ted
serv
ices
rath
er th
an c
onne
ctin
g vi
a an
HIO
.
•En
able
a m
echa
nism
for s
take
hold
ers t
o re
port
misc
ondu
ct.
4.Ap
prop
riate
fund
s to
leve
rage
mat
chin
g fe
dera
l/oth
er fu
ndin
g op
port
uniti
es to
supp
ort t
he in
frast
ruct
ure
deve
lopm
ent o
f the
co
ordi
nate
d se
rvic
es. C
ost e
stim
ates
will
be
deve
lope
d by
the
prop
osed
task
forc
e.
27
Endo
rsem
ents
•M
N H
IE S
teer
ing
Team
(Aug
ust 2
9 m
eetin
g)
•En
dors
ed th
e co
nnec
ted
netw
orks
mod
el a
nd p
relim
inar
y re
com
men
datio
ns.
•Re
com
men
ded
that
the
mod
el in
itial
ly a
pplie
d to
the
cont
ext o
f Min
neso
ta’s
opio
id
misu
se a
nd a
buse
epi
dem
ic.
•M
N e
-Hea
lth A
dviso
ry C
omm
ittee
(Sep
tem
ber 7
mee
ting)
•En
dors
ed th
at th
e th
ree
leve
ls of
HIE
(fou
ndat
iona
l, ro
bust
, opt
imal
) are
ess
entia
l for
ac
hiev
ing
the
MN
e-h
ealth
visi
on.
•En
dors
ed th
e co
nnec
ted
netw
orks
mod
el a
nd p
relim
inar
y re
com
men
datio
ns to
be
rele
ased
for p
ublic
com
men
t, in
clud
ing
the
Stee
ring
Team
reco
mm
enda
tion
to a
pply
this
to th
e op
ioid
epi
dem
ic u
se c
ase.
28
Publ
ic C
omm
ent O
utre
ach
•M
inne
sota
e-H
ealth
Adv
isory
Com
mitt
ee, w
orkg
roup
s, a
nd p
roje
ct g
roup
s
•HI
E st
udy
inte
rvie
wee
s
•St
ate-
cert
ified
HIE
serv
ice
prov
ider
s
•M
inne
sota
e-H
ealth
Wee
kly
Upd
ate
•O
ther
Min
neso
ta n
ewsle
tter
s and
mai
ling
lists
(Hea
lth R
efor
m, S
IM, D
HS
prov
ider
s, Ru
ral H
ealth
)
•As
soci
atio
ns (M
HA, M
MA,
MAF
P, LP
HA)
29
Nex
t Ste
ps a
nd C
onta
ct In
form
atio
n
•Oct
31:
Pub
lic co
mm
ent p
erio
d en
ds
•Nov
17:
Upd
ate
to A
dviso
ry C
omm
ittee
, with
revi
sed
reco
mm
enda
tions
•Dec
8: F
inal
reco
mm
enda
tions
to A
dviso
ry C
omm
ittee
•Mid
-Dec
thro
ugh
Janu
ary:
MDH
Rev
iew
•Rep
ort d
ue F
eb 1
•Web
pag
e: ht
tp:/
/ww
w.h
ealth
.stat
e.m
n.us
/e-h
ealth
/hie
/stu
dy/in
dex.
htm
l
•Con
tact
: Kar
en S
oder
berg
, Kar
en.S
oder
berg
@st
ate.
mn.
usor
65
1-20
1-35
76
30
Que
stio
ns a
nd C
larif
icat
ions
•Th
e pr
ojec
t tea
m w
ill h
ear a
nd re
cord
que
stio
ns; r
espo
nses
will
be
prov
ided
w
hen
poss
ible
.
•Q
uest
ions
ask
ed a
t thi
s poi
nt a
re N
OT c
onsid
ered
form
al p
ublic
com
men
t.
•St
ate
your
nam
e
•In
-per
son
part
icip
ants
: use
the
mic
roph
one
so p
hone
par
ticip
ants
can
hea
r.
Que
stio
ns fo
r Pub
lic C
omm
ent –
See
Appe
ndix
A
A.
Requ
est f
or o
vera
ll co
mm
ents
Pl
ease
pro
vide
any
ove
rall
com
men
ts o
n th
e HI
E st
udy
findi
ngs,
prop
osal
, and
reco
mm
enda
tions
. Co
mm
ents
may
incl
ude
supp
ort,
conc
ern,
and
/or c
onsid
erat
ions
that
shou
ld b
e ta
ken
into
ac
coun
t sho
uld
the
reco
mm
enda
tions
mov
e fo
rwar
d to
impl
emen
tatio
n. To
the
exte
nt p
ossib
le,
orga
niza
tiona
l let
ters
or s
tate
men
ts o
f sup
port
are
enc
oura
ged
to b
ette
r gau
ge th
e le
vel o
f su
ppor
t by
stak
ehol
ders
in M
inne
sota
.
B.
Requ
est f
or sp
ecifi
c co
mm
ents
on
the
prop
osed
“con
nect
ed n
etw
orks
” m
odel
1.To
wha
t ext
ent d
o yo
u vi
ew th
is “c
onne
cted
net
wor
ks”
mod
el a
s hea
ding
in th
e rig
ht d
irect
ion
for M
inne
sota
? W
hat s
ugge
stio
ns ca
n yo
u of
fer t
hat w
ould
stre
ngth
en th
e co
ncep
t? If
you
ha
ve co
ncer
ns, w
hat v
iabl
e al
tern
ativ
es w
ould
you
sugg
est?
2.Th
inki
ng a
bout
you
r org
aniza
tion
(pro
vide
spec
ific e
xam
ples
):
a.W
hat g
aps d
oes t
his c
once
pt a
ddre
ss?
b.W
hich
coor
dina
ted
HIE
serv
ices
wou
ld b
e va
luab
le fo
r you
r org
aniza
tion?
Whi
ch o
f the
se
are
a hi
gher
prio
rity
for y
our o
rgan
izatio
n?
c.W
hat d
owns
ides
and
/or u
nint
ende
d co
nseq
uenc
es d
o yo
u se
e?
32
Que
stio
ns fo
r Pub
lic C
omm
ent,
cont
inue
d
C.Re
ques
t for
spec
ific c
omm
ents
on
Reco
mm
enda
tion
1: C
onve
ne a
task
forc
e to
de
velo
p a
deta
iled
plan
to im
plem
ent t
he “c
onne
cted
net
wor
ks” m
odel
1.W
hat o
rgan
izatio
n(s)
shou
ld b
e in
volv
ed in
lead
ing
this
effo
rt?
Wha
t ide
as o
r re
com
men
datio
ns d
o yo
u ha
ve to
act
ualiz
e th
is ta
sk fo
rce?
For
exa
mpl
e, w
hat
exist
ing
mod
els c
ould
we
build
this
from
?2.
Wha
t wou
ld y
ou a
nd/o
r you
r org
aniza
tion
com
mit
in o
rder
to d
evel
op a
pla
n to
im
plem
ent t
he re
com
men
ded
“con
nect
ed n
etw
orks
” mod
el?
Exam
ples
incl
ude
reso
urce
s, ex
pert
ise, l
eade
rshi
p, lo
gist
ic su
ppor
t, an
d st
affin
g.D.
Requ
est f
or sp
ecifi
c com
men
ts o
n Re
com
men
datio
n 2:
Mod
ify th
e M
inne
sota
Hea
lth
Reco
rds A
ct1.
Indi
cate
whi
ch, i
f any
, opt
ion
you
and/
or y
our o
rgan
izatio
n w
ould
supp
ort.
2.W
hat b
enef
its a
nd/o
r uni
nten
ded
cons
eque
nces
of a
ny o
f the
se o
ptio
ns d
o yo
u fo
rese
e fo
r you
r org
aniza
tion
or g
ener
ally
? (s
peci
fy th
e op
tion,
pro
vide
spec
ific
exam
ples
whe
n po
ssib
le)
33
Proc
edur
e fo
r Sub
mitt
ing
Publ
ic C
omm
ents 34
•To
pro
vide
form
al ve
rbal
com
men
t tod
ay:
•In
pers
on: R
ecor
d yo
urna
me
and
orga
niza
tion
to th
ePu
blic
Com
men
ts S
ign-
upSh
eeto
nth
ere
gist
ratio
nta
ble
inth
eba
ckof
the
room
.•
By p
hone
: em
ail y
our n
ame
and
orga
niza
tion,
indi
catin
g th
at y
ou w
ant t
o co
mm
ent,
to m
n.eh
ealth
@st
ate.
mn.
us
•Us
e th
e m
icro
phon
e(if
in th
e ro
om) a
nd si
t at t
able
des
igna
ted
for p
rovi
ding
ve
rbal
com
men
ts. I
ntro
duce
you
rsel
f and
the
orga
niza
tion
you
repr
esen
t.
•Co
mm
ents
will
belim
ited
to 3
min
utes
orle
ss,d
epen
ding
onth
enu
mbe
rof
peop
lew
hoha
ve si
gned
up.
•Co
mm
ents
shou
ldpe
rtai
nsp
ecifi
cally
to th
eHI
E st
udy
publ
ic co
mm
ent
docu
men
t (M
inne
sota
Hea
lth In
form
atio
n Ex
chan
ge Le
gisla
tive
Stud
y Re
ques
t fo
r Pub
lic C
omm
ent)
•M
DHst
aff i
srec
ordi
ngal
lque
stio
nsan
dco
mm
ents
•O
ppor
tuni
tyto
subm
itw
ritte
nco
mm
ents
thro
ugh
Oct
ober
31,
201
7.
Grou
nd R
ules 35
•Th
isis
afo
rmal
publ
ic m
eetin
g de
signe
dto
solic
it im
port
anti
nfor
mat
ion
from
form
alpu
blic
co
mm
ents
•Be
cour
teou
s.W
eas
k th
atyo
uno
thav
eco
nver
satio
nsin
the
mee
ting
room
.Ify
oune
edto
have
apr
ivate
conv
ersa
tion,
ple
ase
quie
tlyst
epou
tin
toth
eha
llway
•If
you
need
assis
tanc
e,pl
ease
cons
ultw
ithon
eof
the
MDH
staf
fmem
bers
.
Instr
uctio
ns fo
r Writ
ten
Publ
icCo
mm
ents
36
Writ
ten
Com
men
tcan
besu
bmitt
edby
:1.
Emai
lto:
mn.
ehea
lth@
stat
e.m
n.us
2.M
ailt
o:O
ffice
ofH
ealth
Info
rmat
ion
Tech
nolo
gyM
inne
sota
Depa
rtm
ento
fHea
lth85
Eas
tSev
enth
Plac
e,Su
ite22
0PO
Box
6488
2St
.Pau
l,M
N55
164-
0882
Mus
tbe
rece
ived
by5:
00 p
.m.C
DTon
Oct
ober
31,
201
7
Anno
unce
men
ts
37
•M
inne
sota
e-H
ealth
Adv
isory
Com
mitt
eeTh
ursd
ay, N
ovem
ber 1
7, 2
017,
from
1:0
0-4:
00 p
m
•M
inne
sota
e-H
ealth
Sum
mit
2018
Th
ursd
ay, J
une
14, 2
018
Earle
Bro
wn
Herit
age
Cent
er, B
rook
lyn
Cent
er