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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.
8. Please cite the specific promulgation authority for the rules (i.e. department director,
commission, board, etc.).
Department Director.
A. Please list all applicable statutory references (MCLs, Executive Orders, etc.).
By authority conferred on the department of health and human services by sections 2221, 2226,
and 2233 of the public health code, 1978 PA 368, MCL 333.2221, 333.2226, and 333.2233, and
Executive Reorganization Order No. 2015-1, MCL 400.227.
B. Are the rules mandated by any applicable constitutional or statutory provision? If so, please
explain.
The rules are not mandated by any applicable constitutional or statutory provision.
9. Please describe the extent to which the rules conflict with or duplicate similar rules,
compliance requirements, or other standards adopted at the state, regional, or federal level.
The rules do not conflict or duplicate similar rules, compliance requirements, or other standards
adopted at the state, regional, or federal level.
10. Is the subject matter of the rules currently contained in any guideline, handbook, manual,
instructional bulletin, form with instructions, or operational memoranda?
The subject matter of the proposed rules is not currently contained in any guideline, handbook,
manual, instructional bulletin, form with instructions, or operational memoranda.
11. Are the rules listed on the department’s annual regulatory plan as rules to be processed
for the current year?
The rules are on the annual regulatory plan for 2022-23.
12. Will the proposed rules be promulgated under Section 44 of the Administrative Procedures
Act, 1969 PA 306, MCL 24.244, or under the full rulemaking process?
Full Process
MCL 24.239