Quality and the Health Information Technology Movement: Could Louisiana Become A Leader in Technology Modernization Efforts? Quality and the Health Information Technology Movement: Could Louisiana Become A Leader in Technology Modernization Efforts?
Quality and the Health Information Technology Movement: Could Louisiana Become A Leader in Technology Modernization Efforts?
Quality and the Health Information Technology Movement: Could Louisiana Become A Leader in Technology Modernization Efforts?
Anthony KeckAnthony KeckBSI&OE, M.P.H.BSI&OE, M.P.H.Tulane University Tulane University School of Public School of Public Health & Tropical Health & Tropical MedicineMedicine
Panelists:Panelists:
Roxane A. Townsend, Roxane A. Townsend, M.D.M.D.
Deputy Secretary, LA DHHDeputy Secretary, LA DHH
Christopher B. Sullivan, Christopher B. Sullivan, Ph.D.Ph.D.
Administrator, Office of HITAdministrator, Office of HITFlorida Center for Health Florida Center for Health Information and Policy Information and Policy AnalysisAnalysis
Agency for Health Care Agency for Health Care AdministrationAdministration
Robert OlmedoRobert OlmedoDirector of TechnologyDirector of TechnologyPalm Beach County Community Palm Beach County Community Health AllianceHealth Alliance
Panel Moderator:Panel Moderator:
Creating A Healthy Future for Louisiana Through the Power of
Information
Health Information TechnologyHealth Information Technology
Develop systems for monitoring and Develop systems for monitoring and reporting quality of care using recognized reporting quality of care using recognized
standardsstandards
Health Information Health Information Technology Pre-Technology Pre-Katrina/RitaKatrina/Rita
InitiativesInitiatives
Health Information Technology SummitHealth Information Technology Summit
HIFA 1115 Waiver – HIT InfrastructureHIFA 1115 Waiver – HIT Infrastructure
RFP for e-PrescribingRFP for e-Prescribing
Electronic Medical RecordsElectronic Medical RecordsCritical Access Hospital’s GrantCritical Access Hospital’s Grant
Provider Decision Support ToolProvider Decision Support Tool
Louisiana PHIN (Public Health Louisiana PHIN (Public Health Information Network)Information Network)
DHH response to HHS/ONC RFP for NHINDHH response to HHS/ONC RFP for NHIN
Health Information Technology Health Information Technology SummitSummit
State CANNOT be the sole owner of the State CANNOT be the sole owner of the agendaagenda
State CAN provide leadership and State CAN provide leadership and directiondirection
State and Regional CollaborationState and Regional Collaboration
Must create a Value PropositionMust create a Value Proposition
Importance of assuring Importance of assuring privacy and security privacy and security
KATRINA…KATRINA…
Accurately Accurately linking data linking data
about a about a patientpatient
Methods for…Methods for…
The most challenging issues had nothing to do with The most challenging issues had nothing to do with technology and everything to do with challenges regarding…technology and everything to do with challenges regarding…
PolicPolicyy
LegalLegal
We were not prepared!We were not prepared!
BusinBusinessessTwo areas that need critical attention were Two areas that need critical attention were
validated…validated…
Securing Securing authenticatiauthenticati
onon
The The “shelter”“shelter” phase is very different from phase is very different from the the “community”“community” phase phase
Health Information in KatrinaHealth Information in Katrina
1.2 million people separated from their medical 1.2 million people separated from their medical historyhistoryMost being cared for by providers they’ve never Most being cared for by providers they’ve never previously seenpreviously seenEstimate 20% in shelters and emergency facilities Estimate 20% in shelters and emergency facilities with medical personnel available, dropping to 10% with medical personnel available, dropping to 10% within 2 weeks (i.e., majority of dislocated people within 2 weeks (i.e., majority of dislocated people will be getting care in the community)will be getting care in the community)Significant concerns about coverage, access to Significant concerns about coverage, access to current prescriptionscurrent prescriptionsLikely continued mobility across U.S.Likely continued mobility across U.S.Many will have other documentation problems Many will have other documentation problems (property titles, vital records, insurance) as well(property titles, vital records, insurance) as wellPhysicians from affected areas may start to Physicians from affected areas may start to practice elsewhere; most records lostpractice elsewhere; most records lostNo guarantee physicians or patients will return to No guarantee physicians or patients will return to affected areas affected areas Uncertain level of trust in first response servicesUncertain level of trust in first response services
Environmental Factors – Human…Environmental Factors – Human…
www.KatrinaHealth.orgwww.KatrinaHealth.org
KatrinaHealth.org allowed authorized KatrinaHealth.org allowed authorized health professionals with a secure health professionals with a secure means to assist Katrina evacuees means to assist Katrina evacuees who did not have access to or do who did not have access to or do not recall their medication historiesnot recall their medication historiesOnce authorized to use Once authorized to use KatrinaHealth.org, health KatrinaHealth.org, health professionals were able to access an professionals were able to access an evacuee's medication history from the evacuee's medication history from the following sources…following sources…
Louisiana and Mississippi Medicaid Louisiana and Mississippi Medicaid Commercial pharmacies Commercial pharmacies Pharmacy Benefit Managers Pharmacy Benefit Managers Veterans Health AdministrationVeterans Health Administration
PMACPMAC
LINKS: Unexpected LINKS: Unexpected SuccessesSuccesses
LINKS was successfully accessed from all 50 LINKS was successfully accessed from all 50 United States, Canada, Mexico, Ecuador, United States, Canada, Mexico, Ecuador, Guatemala and the United KingdomGuatemala and the United Kingdom
Over 56,000 records were successfully Over 56,000 records were successfully retrieved for Katrina evacuees OUTSIDE of retrieved for Katrina evacuees OUTSIDE of LouisianaLouisiana
The Houston Harris County Immunization Registry The Houston Harris County Immunization Registry (HHCIR) staff estimated that use of the HHCIR to (HHCIR) staff estimated that use of the HHCIR to retrieve LINKS data (via HL7 messaging) saved the retrieve LINKS data (via HL7 messaging) saved the Houston immunization program approximately $1.5 Houston immunization program approximately $1.5 million dollars in vaccinesmillion dollars in vaccines
Total estimate of over $6.3 million in savings for Total estimate of over $6.3 million in savings for vaccines due to the availability of vaccination vaccines due to the availability of vaccination records in LINKSrecords in LINKS
Health Information Health Information Technology Technology Post-Katrina/RitaPost-Katrina/Rita
InitiativesInitiatives
KatrinaHealth.orgKatrinaHealth.org
Louisiana Health Information Exchange Louisiana Health Information Exchange (LaHIE)(LaHIE)
Contract between HHS and LA DHHContract between HHS and LA DHH
Prototype for Interoperable Health Prototype for Interoperable Health Information Exchange Information Exchange
Gulf Coast Information Technology Task Gulf Coast Information Technology Task ForceForce
HISPCHISPC
Medicaid HIT Transformation Grant Medicaid HIT Transformation Grant
Louisiana Health Information Louisiana Health Information Exchange (LaHIE)Exchange (LaHIE)
Primary focus to Primary focus to recover and recover and recreate recreate medical medical histories for histories for Hurricane Hurricane EvacueesEvacuees
Contract between DHH and Contract between DHH and HHS/Office of National HHS/Office of National Coordinator Health Coordinator Health Information TechnologyInformation Technology
Develop a prototype Develop a prototype for health for health information information exchangeexchange
Awarded Contract on Sep 30, 2005Awarded Contract on Sep 30, 2005
One –Year Implementation TimelineOne –Year Implementation Timeline
Using Proven TechnologyUsing Proven Technology
Following all Standards and Following all Standards and Privacy PoliciesPrivacy Policies
Public, Private, and Educational Public, Private, and Educational Project TeamProject Team
Primary Focus – Primary Focus – Electronic Electronic HealthHealth RecordsRecords
NotNot Electronic Medical Records Electronic Medical Records
Start Small - 2 MarketsStart Small - 2 MarketsNew Orleans (Recovery)New Orleans (Recovery)
Baton RougeBaton Rouge
Louisiana Health IT Project Louisiana Health IT Project OverviewOverview
Project Will Demonstrate:Project Will Demonstrate:Health Information Exchange Health Information Exchange Between ProvidersBetween Providers
Timely Access to Patient Timely Access to Patient Continuity of Care InformationContinuity of Care Information
TraumaTrauma
Emergency RoomEmergency Room
Provider FacilitiesProvider Facilities
Long-Term – Personal Health RecordsLong-Term – Personal Health Records
First Functional Demonstration – Target July First Functional Demonstration – Target July 20062006
Begin Requirements Gathering – February Begin Requirements Gathering – February 20062006
Proven Provider CredentialingProven Provider Credentialing
Louisiana Health IT Project Louisiana Health IT Project OverviewOverview
Guiding PrinciplesGuiding Principles
Healthcare costs will be Healthcare costs will be reduced by minimizing waste reduced by minimizing waste and improving efficiencyand improving efficiency
Patients and their Patients and their doctors will retain doctors will retain control over how control over how their data is usedtheir data is used
Project GoalsProject Goals
To design, develop, and To design, develop, and implement the necessary implement the necessary infrastructure to demonstrate infrastructure to demonstrate functional interoperability in functional interoperability in collaboration with Louisiana collaboration with Louisiana healthcare providers through healthcare providers through the standardized the standardized exchange of exchange of patient information by patient information by September 30, 2006September 30, 2006
LA HIE High Level ArchitectureLA HIE High Level Architecture
Vendor Applications
BatonRougeMarket
NewOrleansRecovery
Record Locator
MPI
Privacy Mgr.
Consent
Account Mgr.
SSO
LSU/MCLBC/BS of Louisiana
PATH PartnersOchsner Health System
I/EDataCache
I/EDataCache
Our Lady of the LakeBaton Rouge General
Louisiana Medicaid Baton Rouge Primary Care
Consent App.
Core ElectronicHealth Record
Viewer
CDA Level 2Document
Louisiana MedicaidLouisiana Medicaid- - Pay for Performance -Pay for Performance -
Vaccines for Children ProgramVaccines for Children Program
Utilizing LINKS in the officeUtilizing LINKS in the office
Achieving State average for Achieving State average for toddler immunizationstoddler immunizations
Achieving National Achieving National average for toddler average for toddler immunizationsimmunizations
0
.1
.2
.3
.4
.5
.6
.7
.8
.9
1
Fract
ion
of
Pati
en
ts
Graph shows only CC PCPs with 10+ patientsoverall level = 65%, red = stat sig diff > .05 from overall level
symbol size proportional to # of patients, range 10 to 335
HbA1c Test in Past Year, HbA1c Test in Past Year, HEDIS, Adjusted Denominator: HEDIS, Adjusted Denominator: HEDIS Diabetes HEDIS Diabetes
Regional HgbA1c AveragesRegional HgbA1c Averages
0
20
40
60
80
100
120
RegionII
RegionIII
RegionIV
RegionVI
RegionVII
RegionVIII
RegionIX
HgbA1c < 7% HgbA1c > 7%
Health Information Health Information Security and Privacy Security and Privacy CollaborativeCollaborative
Awarded Contract from RTI in May Awarded Contract from RTI in May 20062006
Identifying barriers to electronic Identifying barriers to electronic health information sharinghealth information sharing
LegalLegal
Business PracticesBusiness Practices
PoliciesPolicies
Workgroups formedWorkgroups formed
Solutions to barriers being soughtSolutions to barriers being sought
Medicaid Transformation Medicaid Transformation GrantGrant
Goal…Goal…To provide incentives to physicians To provide incentives to physicians for HIT adoption for HIT adoption
Target New Orleans areaTarget New Orleans area
325 providers325 providers
Technical assistance with EMR Technical assistance with EMR adoptionadoption
Software and hardware purchaseSoftware and hardware purchase
Announcement of awards pendingAnnouncement of awards pending
Health Care Health Care Redesign Redesign CollaborativeCollaborative
Medical Home ModelMedical Home Model
Health Information Health Information TechnologyTechnology
Louisiana Quality ForumLouisiana Quality Forum
Anthony KeckAnthony KeckBSI&OE, M.P.H.BSI&OE, M.P.H.Tulane University Tulane University School of Public School of Public Health & Tropical Health & Tropical MedicineMedicine
Panelists:Panelists:
Roxane A. Townsend, M.D.Roxane A. Townsend, M.D.Deputy Secretary, LA DHHDeputy Secretary, LA DHH
Christopher B. Sullivan, Christopher B. Sullivan, Ph.D.Ph.D.
Administrator, Office of HITAdministrator, Office of HITFlorida Center for Health Florida Center for Health Information and Policy Information and Policy AnalysisAnalysis
Agency for Health Care Agency for Health Care AdministrationAdministration
Robert OlmedoRobert OlmedoDirector of TechnologyDirector of TechnologyPalm Beach County Community Palm Beach County Community Health AllianceHealth Alliance
Panel Moderator:Panel Moderator:
Developing the Florida Health Information Network through a Grants Program for Regional Health Information Organizations
The Florida Health The Florida Health Information Network is the Information Network is the Result of…Result of…
Funding from the Legislature for grants Funding from the Legislature for grants to to RRegional egional HHealth ealth IInformation nformation OOrganizations (rganizations (RHIORHIOs)s)
Leadership from the Governor’s Health Leadership from the Governor’s Health Information Infrastructure Advisory Information Infrastructure Advisory Board Board Policy Policy
DecisionsDecisionsFundingFunding LeadershiLeadershi
pp
Health policy decisions in the Florida Health policy decisions in the Florida Legislature and Governor’s Office Legislature and Governor’s Office endorsing the Florida Health endorsing the Florida Health Information Network (FHIN)Information Network (FHIN)
The Florida Health The Florida Health Information Network Information Network StrategyStrategy
Integrate the RHIOs with a state-level Integrate the RHIOs with a state-level server that will manage data exchange server that will manage data exchange among RHIOs and other state and federal among RHIOs and other state and federal databasesdatabases
Create a not-for-profit organization Create a not-for-profit organization to maintain the FHIN and set to maintain the FHIN and set standards of standards of interoperability for interoperability for the RHIOsthe RHIOs
Build out health information networks Build out health information networks using a grants program to leverage the using a grants program to leverage the development of local RHIOsdevelopment of local RHIOs
Executive OrderInitiates the
Florida Health Information Network
Florida’s Governor Jeb Bush Florida’s Governor Jeb Bush signed Executive Order signed Executive Order Number 04-03 on May 4, Number 04-03 on May 4,
2004 addressing the need 2004 addressing the need for state leadership in the for state leadership in the area of health information area of health information technology infrastructure technology infrastructure
developmentdevelopment
The Governor’s Health The Governor’s Health Information Infrastructure Information Infrastructure Advisory BoardAdvisory Board
The Board’s 2005 Interim Report of The Board’s 2005 Interim Report of the GHIIAB called for the creation of the GHIIAB called for the creation of the Florida Health Information the Florida Health Information Network Network
Advisory Board formed to create…Advisory Board formed to create…
““a plan to promote the development a plan to promote the development and implementation of a Florida health and implementation of a Florida health information infrastructure”information infrastructure”
Health Information Networks Health Information Networks Included as an “Innovative Included as an “Innovative Idea” in 2007Idea” in 2007
““Improve patient care Improve patient care through technology by through technology by expanding electronic health expanding electronic health records and regional health records and regional health information networks”information networks”
Idea 85 of Speaker Marco Idea 85 of Speaker Marco Rubio’s 100 Innovative Rubio’s 100 Innovative Ideas addresses health Ideas addresses health information exchangeinformation exchange
DefinitionDefinition
Florida Health Information Network - Florida Health Information Network -
the statewide network the statewide network that will integrate the that will integrate the Regional Health Regional Health Information Networks to Information Networks to enable statewide health enable statewide health information exchange information exchange
Functions of the Florida Functions of the Florida Health Information NetworkHealth Information Network
““The The Florida Health Florida Health Information NetworkInformation Network will will specify and maintain specify and maintain technical standards for technical standards for interoperability among interoperability among the RHIOsthe RHIOs
The The Florida Health Information NetworkFlorida Health Information Network will facilitate communications and data will facilitate communications and data exchange among the RHIOs by exchange among the RHIOs by coordinating requests for medical coordinating requests for medical records inside and outside of Florida records inside and outside of Florida
Florida Health Information Florida Health Information NetworkNetwork
FHIN EM PIand
RLS Server
RHIO Server:M aintains M inimalClinical Dataset,
Certifies Providers,Handles Queries
DOHPhysicianLicensingDatabase
Data
Provider EMR/EHR System
Clinical Data fromProviders, Labs,Pharmacies, etc.
AHCA & DOHDatabases
Data
OtherRHIO Servers
Data
Payor Databases
Desktop PCsPDAs
End-User Clinicians
Desktop PCs
Patients
Medicaid Florida Center
DOH SHOTsVital Statistics
Certification of Physicians with DOH Licensing
Database
Florida Health Information Florida Health Information NetworkNetwork
FHIN EM PIand
RLS Server
RHIO Server:M aintains M inimalClinical Dataset,
Certifies Providers,Handles Queries
DOHPhysicianLicensingDatabase
Data
Provider EMR/EHR System
Clinical Data fromProviders, Labs,Pharmacies, etc.
AHCA & DOHDatabases
Data
OtherRHIO Servers
Data
Payor Databases
Desktop PCsPDAs
End-User Clinicians
Desktop PCs
Patients
Medicaid Florida Center DOH SHOTs
Vital Statistics
Certification of Physicians with DOH Licensing
Database
1. Big Bend RHIO2. Tampa Bay RHIO3. Palm Beach
County Community Health Alliance
4. South Florida HII5. Escambia HIN6. JaxCare, Inc.7. Community
Health Information Organization
8. Central Florida RHIO
9. Pinellas RHIO10. Space Coast
RHIO
The Florida Health The Florida Health Information Network White Information Network White PaperPaper
Originally written to address…Originally written to address…The technical architecture of the Florida The technical architecture of the Florida Health Information NetworkHealth Information Network
The requirements of interoperability among The requirements of interoperability among the RHIOs and the Florida Health Information the RHIOs and the Florida Health Information NetworkNetwork
The needed security precautions to ensure The needed security precautions to ensure confidentiality of data exchange confidentiality of data exchange
Has become an ongoing strategic document Has become an ongoing strategic document to address new technical issues as they ariseto address new technical issues as they arise
Technical Standards for the Technical Standards for the FHINFHIN
RHIO Server: Maintains Minimal Clinical Dataset,
Certifies Providers, Handles Queries
Provider EMR/EHR System
Clinical Data from Labs, Radiology, Pharmacy, etc.
Desktop PCsPDAs
End-User Clinicians
Desktop PCs
Patients
FHIN EMPI and
RLS Server
DOH Physician Licensing Database
Credentialing of Florida Health Care Professionals via DOH Physician Licensing Database
Enterprise Master Patient Index (EMPI) and Record Locator Service(RLS)
Physicians Access Patient Records after Authentication by the local RHIO and Credentialing by the FHIN.
Access to records is via Business Associates Agreement with the RHIO or with Patient Consent.
Patients can access a Personal Health Record
Providers Contribute Patient Records for other Queries
Labs, Radiology, Prescription and Claims Data Could be Available via the RHIO
Web Services will enable data communication between the RHIO and the FHIN server.
Data exchange will occur across a secure, encrypted network.
Two Factor Authentication of Users
Transaction Auditing of All Queries
The RHIO Server will Support:1. Local MPI2. Local RLS3. Minimal Clinical Dataset4. Central Repository of Data
Data
Desktop PCsPDAs
End-User Providers
RHIO Server: Maintains Minimal Clinical Dataset,
Certifies Providers, Handles Queries
Provider EMR/EHR System
Clinical Data from Labs, Radiology, Pharmacy, etc.
Desktop PCsPDAs
End-User Clinicians
Desktop PCs
Patients
FHIN EMPI and
RLS Server
RHIO Server: Maintains Minimal Clinical Dataset,
Certifies Providers, Handles Queries
Provider EMR/EHR System
Clinical Data from Labs, Radiology, Pharmacy, etc.
Desktop PCsPDAs
End-User Clinicians
Desktop PCs
Patients
FHIN EMPI and
RLS Server
DOH Physician Licensing Database
Credentialing of Florida Health Care Professionals via DOH Physician Licensing Database
Enterprise Master Patient Index (EMPI) and Record Locator Service(RLS)
Physicians Access Patient Records after Authentication by the local RHIO and Credentialing by the FHIN.
Access to records is via Business Associates Agreement with the RHIO or with Patient Consent.
Patients can access a Personal Health Record
Providers Contribute Patient Records for other Queries
Labs, Radiology, Prescription and Claims Data Could be Available via the RHIO
Web Services will enable data communication between the RHIO and the FHIN server.
Data exchange will occur across a secure, encrypted network.
Two Factor Authentication of Users
Transaction Auditing of All Queries
The RHIO Server will Support:1. Local MPI2. Local RLS3. Minimal Clinical Dataset4. Central Repository of Data
Data
Desktop PCsPDAs
End-User Providers
The Florida Health The Florida Health Information Network Information Network Begins at the Local LevelBegins at the Local Level
An essential element of the An essential element of the strategic plan is to empower local strategic plan is to empower local stakeholder collaborations stakeholder collaborations focused on health information focused on health information exchangeexchange
The driver of this plan is the FHIN The driver of this plan is the FHIN Grants Program and Regional Grants Program and Regional Health Information Health Information Organizations in the local Organizations in the local communitycommunity
The Florida Health Information Network is The Florida Health Information Network is being built from the local community upbeing built from the local community up
What Is A Regional Health What Is A Regional Health Information Organization?Information Organization?
Web-Web-based Portalbased PortalClinical Source SystemsClinical Source Systems
Patient PortalPatient Portal
Physician PortalPhysician Portal
Business Convener
Security Management
Identity Management
Information Management
PhysicianPhysicians
InpatientInpatient
LabLab
RxRx
Bring together health care stakeholders. Bring together health care stakeholders. Manage Business Associate Agreements. Manage Business Associate Agreements.
Enable data-sharing among providers.Enable data-sharing among providers.
Certify providers to access health care Certify providers to access health care records. Authorize access to records. records. Authorize access to records.
Log record access activity.Log record access activity.
Identify patient records with MPA. Match Identify patient records with MPA. Match patient records with an RLS.patient records with an RLS.
Gathers patient data into Minimal Clinical Gathers patient data into Minimal Clinical Dataset. Provide data access through a Dataset. Provide data access through a Web-based portal. Provide access to the Web-based portal. Provide access to the
FHIN.FHIN.
RHIO InfrastructureRHIO Infrastructure
Grants Program to Develop Grants Program to Develop Regional Health Information Regional Health Information OrganizationsOrganizations
Implementation Grants:Implementation Grants: Support Support projects that demonstrate health projects that demonstrate health information exchange among two information exchange among two or more competing providers or more competing providers
Training Grants:Training Grants: Support Support practitioner training designed to practitioner training designed to increase physician and dentist use increase physician and dentist use of electronic health record systems of electronic health record systems
Planning Grants:Planning Grants: Support engaging local health Support engaging local health care stakeholders to develop a strategic plan care stakeholders to develop a strategic plan for health information exchangefor health information exchange
Grants Program … 2006-Grants Program … 2006-20072007
In 2006 the Agency awarded seven In 2006 the Agency awarded seven grants with another $2 million grants with another $2 million appropriated by the Legislatureappropriated by the Legislature
7 Implementation Grants7 Implementation Grants
In 2005 the Legislature appropriated $1.5 In 2005 the Legislature appropriated $1.5 million for grants which the Agency million for grants which the Agency awarded to nine projectsawarded to nine projects
5 Planning Grants5 Planning Grants
3 Implementation Grants3 Implementation Grants
1 Training Grant1 Training Grant
Geography of the FHINGeography of the FHIN
Florida RHIOs…1.Big Bend RHIO2.Central Florida
RHIO3. Community Health
Information Organization
4. Escambia HIN5. JaxCare, Inc.6. Palm Beach
County Community Health Alliance
7. Pinellas RHIO8. Space Coast RHIO9. South Florida HII10. Tampa Bay RHIO
1. BBRHIO
6. PBCCHA
9. SF HII
3.CHIO
8. SC RHIO
5. JaxCare
4. ESSHIN
7. Pinellas
RHIO
FHIN EMPI and
RLS Server
10. TB RHIO
2. CF RHIO
FHIN Server
Florida RHIAExample
All-Care All-Care Health Health Record Record SystemSystem
Palm Beach Palm Beach County County
Community Community Health Health
AllianceAlliance
GladesGladesWest Palm BeachWest Palm Beach
Palm Beach County Palm Beach County Community Health Community Health AllianceAlliance
PBC Community Health Alliance(An Alliance of Funders and Providers
Serving Health Care Consumers)
Care Expansion
LanguageAccess
CommonEligibility
Shared EHR
ProjectAccess
PrivateFunders
Hospitals
PublicFunders Health
Dept.
FreeClinics
SocialServices
Collaborative ProjectsCollaborative Projects
Western Palm Beach County Western Palm Beach County Health Information Health Information Infrastructure Operations and Infrastructure Operations and Evaluation ProjectEvaluation Project
28% uninsured 28% uninsured raterate
Glades General Glades General Hospital is only Hospital is only Acute Care facilityAcute Care facility
17,753 ER visits; 17,753 ER visits; 1,900 Medicaid 1,900 Medicaid discharges in 2002discharges in 2002
Prevent Prevent duplication duplication between hospital between hospital and clinicsand clinics
All-Care Shared Health All-Care Shared Health RecordRecord
Free clinics, Federally Qualified Free clinics, Federally Qualified Health Centers, Palm Beach Health Centers, Palm Beach County Medical Society Project County Medical Society Project Access and key competitor safety Access and key competitor safety net hospitals are participatingnet hospitals are participating
Viewable via the Web … after Viewable via the Web … after patients have signed patients have signed authorizationsauthorizations
Real-time electronic interface to Real-time electronic interface to existing data systems used by…existing data systems used by…
HospitalsHospitals
ClinicsClinics Mental Health Mental Health CentersCenters
Other safety net Other safety net providersproviders
All-Care Clinical Data All-Care Clinical Data ListList
Date of Visit and Encounter Date of Visit and Encounter TypeType
Clinic and Provider NamesClinic and Provider Names
Diagnosis and CPT code(s)Diagnosis and CPT code(s)
(Hospital) Discharge code(Hospital) Discharge code
Prescribed and Filled drugsPrescribed and Filled drugs
Lab resultsLab results
Radiology ResultsRadiology Results
All-Care Encounter All-Care Encounter SummarySummary
All-Care Encounter All-Care Encounter SummarySummary
Next Steps for the Florida Next Steps for the Florida Health Information Health Information NetworkNetwork
As a not-for-profit organization, As a not-for-profit organization, the Florida Health Information the Florida Health Information Network Corporation would be Network Corporation would be accountable to the public and accountable to the public and responsive to health care responsive to health care providersproviders
Establish a statutory entity …Establish a statutory entity …
Florida Health Information Network Corporation Florida Health Information Network Corporation
to implement the state level networkto implement the state level network
The Florida Health The Florida Health Information Network Will…Information Network Will…
Specify standards to ensure interconnectivity and maintain securityDevelop uniform policies regarding confidentiality of patient records and patient authorizationAs a public-private partnership, will develop the critical mass of information resources to achieve a sustainable statewide system of regional networks
The Future of the The Future of the Florida Health Information Florida Health Information NetworkNetwork
The Florida Health Information Network vision will integrate clinical health information exchange in Florida through a network architecture that will empower physicians to access timely and accurate medical records in order to deliver high quality medical care for their patients
Christopher B. Sullivan, Ph.D.Christopher B. Sullivan, Ph.D.
Agency for Health Care AdministrationAgency for Health Care AdministrationFlorida Center for Health Information and Policy Florida Center for Health Information and Policy
AnalysisAnalysisOffice of Health Information TechnologyOffice of Health Information Technology
2727 Mahan Drive2727 Mahan DriveTallahassee, FL 32309Tallahassee, FL 32309
Anthony KeckAnthony KeckBSI&OE, M.P.H.BSI&OE, M.P.H.Tulane University Tulane University School of Public School of Public Health & Tropical Health & Tropical MedicineMedicine
Panelists:Panelists:
Roxane A. Townsend, M.D.Roxane A. Townsend, M.D.Deputy Secretary, LA DHHDeputy Secretary, LA DHH
Christopher B. Sullivan, Ph.D.Christopher B. Sullivan, Ph.D.Administrator, Office of HITAdministrator, Office of HITFlorida Center for Health Florida Center for Health Information and Policy Information and Policy AnalysisAnalysis
Agency for Health Care Agency for Health Care AdministrationAdministration
Robert OlmedoRobert OlmedoDirector of TechnologyDirector of TechnologyPalm Beach County Community Palm Beach County Community Health AllianceHealth Alliance
Panel Moderator:Panel Moderator:
Questions and AnswersQuestions and AnswersQuestions and AnswersQuestions and Answers