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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



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




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


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


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





Desktop PCsPDAs

End-User Clinicians

Desktop PCs

Patients

FHIN EMPI and

RLS Server





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

[email protected]

mailto:[email protected]








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




Questions and AnswersQuestions and AnswersQuestions and AnswersQuestions and Answers

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