Michigan Office of Administrative Hearings and Rules  
MOAHR-Rules@michigan.gov  
AGENCY REPORT TO THE  
JOINT COMMITEE ON ADMNINISTRATIVE RULES (JCAR)  
1. Agency Information  
Agency name:  
Health and Human Services  
Division/Bureau/Office:  
Public Health Administration  
Name of person completing this form:  
Talisa Gauthier  
Phone number of person completing this form:  
517-241-0048  
E-mail of person completing this form:  
gauthiert1@michigan.gov  
Name of Department Regulatory Affairs Officer reviewing this form:  
Mary Brennan  
2. Rule Set Information  
MOAHR assigned rule set number:  
2022-24 HS  
Title of proposed rule set:  
Chronic Disease Reporting  
3. Purpose for the proposed rules and background:  
MCL 24.242 and 24.245  
Agency Report to JCAR-Page 2  
These new rules are intended to address reporting requirements for chronic conditions. Establishing  
this requirement is necessary for MDHHS to leverage electronic health record (EHR) data that is  
already shared between Michigan health systems and health information exchanges (HIEs). The ADT  
messages will populate the ‘Chronic Disease Registry Leveraging Electronic Health Record  
Data’ (CHRONICLE) housed within the Michigan Disease Surveillance System (MDSS).  
Chronic conditions impact the quality of life for millions of Michigan residents. In 2018, more than  
60,000 Michigan deaths, among all ages, could be attributed to chronic diseases (MDHHS Vital  
Records). Currently, MDHHS relies on dated and siloed data systems for chronic disease surveillance  
that limit our understanding of population health and our evaluation and intervention capacity for  
addressable chronic conditions. CHRONICLE will leverage existing electronic health record data  
passed between our health systems to produce timelier and more reliable chronic disease data while  
consolidating data systems and establishing a valuable source of longitudinal records for Michigan’s  
populations with disparate disease burden. These rules will establish a MDHHS board entrusted to  
review and grant proposals for requiring the reporting of various chronic conditions. Proposed  
chronic conditions, such as stroke events, diagnosed hypertension, and diabetes, will be assessed by  
this MDHHS led review board on a case-by-case basis. With approval, MDHHS will have the  
authority to receive real-time EHR data for a given condition that are exchanged between our health  
systems and facilitated by our HIEs. With the institution of reporting requirements for chronic  
conditions, CHRONICLE is expected to significantly improve chronic disease surveillance capacity  
for MDHHS and our partners and will have other public health applications as the system is further  
expanded or additional conditions are approved.  
4. Summary of proposed rules:  
These new rules are intended to address reporting requirements for chronic conditions. Establishing  
this requirement is necessary for MDHHS to leverage electronic health record (EHR) data that is  
already shared between Michigan health systems and health information exchanges (HIEs). The ADT  
messages will populate the ‘Chronic Disease Registry Leveraging Electronic Health Record  
Data’ (CHRONICLE) housed within the Michigan Disease Surveillance System (MDSS). With the  
institution of reporting requirements for chronic conditions, CHRONICLE is expected to significantly  
improve chronic disease surveillance capacity for MDHHS and our partners and will have other  
public health applications as the system is further expanded or additional conditions are approved.  
5. List names of newspapers in which the notice of public hearing was published and  
publication dates:  
Oakland Press, 12/15/2023; Battle Creek Enquirer, 12/18/2023; Marquette Mining Journal,  
12/30/2023.  
6. Date of publication of rules and notice of public hearing in Michigan Register:  
1/15/2024  
7. Date, time, and location of public hearing:  
1/17/2024 09:00 AM at Rooms 1K/1L , 333 South Grand Avenue, Lansing MI 48933  
8. Provide the link the agency used to post the regulatory impact statement and cost-benefit  
analysis on its website:  
https://ARS.apps.lara.state.mi.us/Transaction/RFRTransaction?TransactionID=1383  
MCL 24.242 and 24.245  
Agency Report to JCAR-Page 3  
9. List of the name and title of agency representative(s) who attended the public hearing:  
Beth Anderson, Chronic Disease Epidemiology Section Manager; Olivia Barth, Chronic Disease  
Informatics Epidemiologist; Mary E. Brennan, DHHS Regulatory Affairs Officer.  
10. Persons submitting comments of support:  
No comments submitted.  
11. Persons submitting comments of opposition:  
No comments submitted.  
12. Persons submitting other comments:  
Diane Valade, Director of Health Policy, on behalf of Jerome Finkel, Senior Vice President and Chief  
Primary Health Officer-Henry Ford Hospital.  
13. Identify any changes made to the proposed rules based on comments received during the  
public comment period:  
Name &  
Organization public hearing  
Comments made at Written  
Comments  
Agency Rationale Rule number  
for Rule Change & citation  
and Description changed  
of Change(s)  
Made  
1
14.Date report completed:  
2/8/2024  
MCL 24.242 and 24.245  
;