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:
MCL 24.242 and 24.245