Panel Discussion. Moderators Carol Selvey, MHSA,FHIMSS Principal for The Revere Group, business and IT solutions consulting firm HIMSS Fellow, and member.

Panel Discussion

ModeratorsModerators

Carol Selvey, MHSA,FHIMSS

• Principal for The Revere Group, business and IT solutions consulting firm

• HIMSS Fellow, and member of the HIMSS Board of Directors, HIMSS Chapter Leader since 2000, served on Advocacy and Public Policy Steering Committee

• [email protected]

Carladenise Edwards, Ph.D.

• Chief of Staff, Georgia Department of Community Health

• HIMSS Chapter Leader, Founding Executive Director, South Florida Health Information Initiative, Former Project Coordinator and Technical Writer, Florida HISPC project

• [email protected]

Learning Objective 1Benefits of developing collaborations among regional

health information exchanges.

Learning Objective 2Engaging public and private entities in the promotion of HIE.

Learning Objective 3Designing a public awareness and education campaign to increase consumer understanding of and support for electronic health records, personal health records, and to increase physician adoption of health information exchange (HIE).

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Need patients/consumers involved in the use electronicrecords• Create “demand” (supply and demand theory)• Influence public policy to improve incentives• Empower patients to be engaged in health and wellness

Significance of Public AwarenessSignificance of Public Awarenessand Educationand Education

Florida HIMSS ChaptersFlorida HIMSS Chapters

Key: Central and North Florida HIMSSwww.cfhimss.org

South Florida HIMSS www.sfhimss.org

Florida Association of RHIOs (FAR)Florida Association of RHIOs (FAR)

http://www.fl-rhio.org

PanelistsPanelists

• Christopher Sullivan, Ph.D. ([email protected])– Administrator of the Office of Health Information Technology in

the Agency for Health Care Administration (AHCA); Steering Committee for the State Level Health Information Exchange Project of the American Health Information Management Association (AHIMA); RHIO Co-Chair for the Central and North Florida HIMSS Chapter

• Ebe Randeree, MBA, PH.D. ([email protected])– Assistant Professor at Florida State University College of

Information; 10+ years Consulting (Medical Practice Management, IT Implementation)

• William (Bill) Dillon, Esq. ([email protected])

– Legal Consultant, Florida’s Health Information Security and Privacy Collaborative; Board Certified Health Law Attorney, Messer, Caparello, and Self, P.A.

PanelistsPanelists

• Zach Finn ([email protected])

– Project Director for the Big Bend RHIO; VP Operations for Avocare, a healthcare IT company

• Lonnie Draper, MD ([email protected])– CEO of Avocare, a medical software and hardware company;

Practicing Emergency Physician at Tallahassee Memorial Hospital; Professor of Emergency Medicine at Florida State University College of Medicine

• Jose Lantigua ([email protected])

– Community volunteer and IT Committee Co-Chairman with the Northeast Florida Health Information Consortium; Former Executive Vice President of Enterprise Banking Solutions Systems; Founder of Veritec Solutions, a financial transaction authorization and processing company.

1: Combating Key Concerns with1: Combating Key Concerns withHIE & EHRHIE & EHR

• HIPAA• Patient consent, privacy and control• Policy and procedures• System security and reliability• Access to patient records

The simple fact is you face these same concerns in the paper world and the sharing of electronic medical records is safer and more compliant than paper

2: Explaining Value of HIE & Interoperability2: Explaining Value of HIE & Interoperability

Providers Providers

The Value of Health Care Information Exchange and Interoperability" http://content.healthaffairs.org/cgi/content/full/hlthaff.w5.10/DC1, January 2005.

3: Empowering Consumers and Increasing 3: Empowering Consumers and Increasing TransparencyTransparency

• Giving Consumers informationleads to:– Consumer empowerment and engagement in

managing their health care.– Reduced health care spending.– Improved coordination of care– Increased accountability among health care

providers – Competition among payors and providers

• Identify Target Audience, including but not limited to:– Patients and their Families– Health Care Providers– Government Officials – Professional Associations– Employers – Researchers– Educators– Policy Makers

Where Do We Begin?Where Do We Begin?

• Identify Messages, including but not limited to:– Rules governing HIE – Benefits of electronic HIE and E-Prescribing– Consumer rights and obligations – Enhancements to the quality of care– Demystifying HIPAA– Cost benefit of EMR adoption and HIE – Concerns related to data privacy and security– Create demand among consumers that will drive

provider adoption

Where Do We Begin?Where Do We Begin?

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The Florida Health Information Network BeginsThe Florida Health Information Network Beginsat the Local Community Levelat the Local Community Level

o Since 2005 the FHIN Grants program has provided funds for Planning Grants, Operations Grants and Training Grants to promote and develop health information exchange in Florida.

o All grants funds are matched dollar for dollar at the local level, indicative of a tremendous level of local passion and volunteerism within Florida’s Regional Health Information Organizations (RHIOs).

o Each RHIO is responsible for working with local providers to initiate the exchange of medical records through its health information exchange portal.

The Florida Health Information Network (FHIN) is a collaboration of Regional Health Information Networks (RHIOs) funded in part by the FHIN Grants Program.

The Florida Health Information NetworkThe Florida Health Information NetworkFHIN Grants Program Funded Grantees from FY 2005 – 2008FHIN Grants Program Funded Grantees from FY 2005 – 2008

• Creates access to key policy makers at the local, state, and federal level

• Ability to formulate public policy that will raise awareness

• Capacity to organize regional and statewide initiatives through local delegations

• Access to public sector resources that will advance the messages and initiatives

• Most RHIOs are government funded creating incentive for RHIO collaboration

Benefits of Government ParticipationBenefits of Government Participation

Approach to Patients/ConsumersApproach to Patients/Consumers

• Key concerns about HIE:– Privacy and Security of Data– Access and portability of health information– Raising costs of health care and transparency

• Solutions:– Educate them on the differences and similarities between paper

and electronic health records and allow them to make their own decision

– Offer realistic solutions to a patient’s need and desire to have access to their personal health information or the PHI of a loved one

– Promote existing efforts to increase transparency and reduce health care costs using technology

• Creates access to financial resources and human capital

• Increases access to a broad range of consumers who are affiliated or have an affinity for the private entity

• Capacity to organize local, state, and national initiatives through associations, chambers of commerce, and other business affiliates

• Increases visibility and credibility

Benefits of Private Sector PartnershipsBenefits of Private Sector Partnerships

• Inconsistent state laws (FL)– §395.3025 (hospitals)– § 456.057 (providers) – broader approach to permitting consent– §458 and §459 (Medicine and Osteopathy)

• Inconsistent federal laws– 42 CFR Part 164 less stringent than– 42 CFR Part 2 (substance abuse)

• Lack of education at every level of health care

• Misconception that HIPAA is the only HIE law

• Need for a single comprehensive statutory resource

Legal Work Group FindingsLegal Work Group Findings

Technology Barriers to Technology Barriers to HIE AdoptionHIE Adoption

Zach Finn VP Operations Avocare

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How Technology Can Drive HIE AdoptionHow Technology Can Drive HIE Adoption

• Introduce the use of electronic records to healthcare providers & staff.

• Model services to lineup with the prerequisites required for EMR implementation.

• Provide simple to use affordable technology that solves a specific business need.

• Support a community driven ground up approach that engages the local users of the system.

What Physicians WantWhat Physicians WantThe Right Information at the Right Time

Lonnie Draper M.D. CEO Avocare

• Key Concerns about HIE– Costs of adopting technology– Data Security and Integrity– Loss of control in terms of patient population and communication

of health care information with payors, patients, and other providers

• Solutions– Offer educational seminars on affordable technologies– Promote EMR adoption incentive plans among policy makers– Compare paper to electronic transmission of data and breaches

of security and risk to provider– Create demand among consumers that will drive provider

adoption

Approach to ProvidersApproach to Providers

Physician PerspectivePhysician Perspective

• That Reduces Errors

• That’s Compliant

• That Improves Productivity

• That Saves Dollar$

• That Makes Patients and Staff Happy

• Increases Patient Convenience

• Reduces Time to Diagnosis

• Reduce Frustration

• Prevent Repetitive Testing

The right information on the right patient at the right time with one logon

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Community CollaborationCommunity Collaborationfor HIE Adoptionfor HIE Adoption

Jose LantiguaNortheast Florida Health Information Consortium

Jose Lantigua

NEFHICNEFHICConsortiumConsortium Steering Committee MembershipSteering Committee Membership

Bill Livingood, PhDSteering Committee Vice Chairman and

FHIN grant Project Manager

NEFRHO Duval Co. Health Dept.

Duval Co. Medical Society

Potential other participants

Mark Renfro

Susan CoughlinResearch

Radley RemoResearch

Norm TurnbullIT

Jay Milson, Executive Director

Hospitals

Other county health departments

Other county medical societies

Technology partners

William Carrier, MD

Catherine BerryLegal

John Montgomery, MD, Board Chairman

Employers

Health plans

Others

Robert Harmon, MD, MPHSteering Committee Chairman and

FHIN grant Project Director

JaxCare

Rhonda Poirier,DrPHPresident &

CEO

Francis Koster, EdD,

C0-Chair JHIN

Advisory Committee

Robert M. Walters, Co-Chair

JHIN Advisory

Committee

Jesse Bradlee, IS Manager

Consumer Support for Secure ElectronicConsumer Support for Secure ElectronicHealth Information ExchangeHealth Information Exchange

Consumer Support for HIE

http://www.ehealthinitiative.org/news/CommToolkit.mspx

Support Across Party Lines

Americans Eager for PHR FunctionalityAmericans Eager for PHR Functionality

• More than seven in ten Americans (72 percent) are eager for the new functionalities PHRs offer

McInturff, B (2005) Public Opinions Strategies; Markle Foundation, RWJ Foundation and Connecting for Health

Americans Eager for EHR FunctionalityAmericans Eager for EHR Functionality

• 60% of Consumers want Physicians to provide online access to medical records and test results

Deloitte’s 2008 Survey of Health Care Consumer:http://www.deloitte.com/dtt/article/0%2C1002%2Ccid%25253D192702%2C00.html

1 in 4 people are willing to pay more for online access to medical records and test results.

Questions for PanelistsQuestions for Panelists

• What are the patients’ concerns that can be addressed in a PA&Ed campaign?

• What legal barriers can be addressed?

• What do providers need to know about HIE to increase adoption?

• What is the state’s responsibility in promoting HIE and raising awareness?

• How can we use technology to promote the use of HIT?

• How do we foster meaningful public-private partnerships aimed at raising public awareness and education?

Open DiscussionOpen Discussion

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