Upload
dorcas
View
42
Download
0
Embed Size (px)
DESCRIPTION
Integrating the Florida Health Information Network with Florida’s Regional Health Information Organizations. Presentation to the House Committee on Health Quality January 9, 2007. Lisa K. Rawlins, Bureau Chief Florida Center for Health Information and Policy Analysis - PowerPoint PPT Presentation
Citation preview
Florida Center for Health Information and Policy Analysis
Agency for Health Care Administration
Integrating the Florida Health Information Network with Florida’s Regional Health
Information Organizations
Lisa K. Rawlins, Bureau ChiefFlorida Center for Health Information and Policy Analysis
Agency for Health Care Administration
Presentation to the House Committee on Health Quality
January 9, 2007
Florida Center for Health Information and Policy Analysis 2
Agency for Health Care Administration
Health policy decisions in the Florida Legislature and Governor’s Office endorsing the Florida Health Information Network
Funding from the Legislature for grants to Regional Health Information Organizations
Leadership from the Governor’s Health Information Infrastructure Advisory Board
The Florida Health Information Network is the Result of:
Florida Center for Health Information and Policy Analysis 3
Agency for Health Care Administration
Health Policy Background to the Florida Health Information Network
and the FHIN Grants Program
Florida Center for Health Information and Policy Analysis 4
Agency for Health Care Administration
Select Committee on Affordable Health Care for Floridians, January 2004
Proposed promoting “compatible information technology that permits secure, private information sharing throughout health care” and the “use of technology to create a single medical record that belongs to the patient and families”
Florida Center for Health Information and Policy Analysis 5
Agency for Health Care Administration
Executive Order Initiates the Florida Health Information Network
Florida’s Governor Jeb Bush signed Executive Order Number 04-93 on May 4, 2004 addressing the need for state leadership in the area of health information technology infrastructure development
Florida Center for Health Information and Policy Analysis 6
Agency for Health Care Administration
Health Information Networks Included as an Innovative Idea
Idea 85 of Speaker Rubio’s 100 Innovative Ideas addresses health information exchange
“Improve patient care through technology by expanding electronic health records and regional health information networks.”
Florida Center for Health Information and Policy Analysis 7
Agency for Health Care Administration
The Governor’s Health Information Infrastructure Advisory Board
Advisory Board formed to create “a plan to promote the development and implementation of a Florida health information infrastructure”
The Board’s 2005 Interim Report of the GHIIAB called for the creation of the Florida Health Information Network
Florida Center for Health Information and Policy Analysis 8
Agency for Health Care Administration
Strategy for the Florida Health Information Network
Develop a network to enable the sharing of meaningful electronic patient data
Promote the exchange of electronic patient data on the network by: Driving the adoption of electronic medical records
systems by individual providers and Developing regional health information
organizations
Florida Center for Health Information and Policy Analysis 9
Agency for Health Care Administration
Building the Florida Health Information
Network
Florida Center for Health Information and Policy Analysis 10
Agency for Health Care Administration
Definition of the Florida Health Information Network
The Florida Health Information Network is the statewide network that will integrate the Regional Health Information Networks to enable statewide health information exchange
Florida Center for Health Information and Policy Analysis 11
Agency for Health Care Administration
Geography of the FHIN
1. BBRHIO
6. PBCCHA
9. SF HII
3.CHIO
8. SC HIN
5. Jax HIN
4. ESSHIN
7. Pinellas
RHIO
FHIN EMPI and
RLS Server
10. TB RHIO
2. CF RHIO
Florida’s Health Information Networks
1. Big Bend RHIO
2. Central Florida RHIO
3. Community Health Information Organization
4. Escambia HIN
5. Jacksonville Health Information Network
6. Palm Beach County Community Health Alliance
7. Pinellas RHIO
8. Space Coast Health Information Network
9. South Florida HII
10. Tampa Bay RHIO
Florida Center for Health Information and Policy Analysis 12
Agency for Health Care Administration
The Florida Health Information Network Begins at the Local Level
The Florida Health Information Network is being built from the local community up
An essential element of the strategic plan is to empower local stakeholder collaborations focused on health information exchange
The drivers of this plan are the Grants Program and Regional Health Information Organizations in the local community
Florida Center for Health Information and Policy Analysis 13
Agency for Health Care Administration
Legislation Passed in 2006 Authorizes a Health Information Network
House Bill 7073 amended § 408.05 (4)(a) 9, F.S. to address a statewide health information network, directing the Florida Center to:
Monitor innovations in health information technology, informatics, and the exchange of health information and maintain a repository of technical resources to support the development of a health information network.
Florida Center for Health Information and Policy Analysis 14
Agency for Health Care Administration
Legislation Passed in 2006 Authorizes Integration of Health Care Datasets
House Bill 7073 also directed AHCA to: … initiate, oversee, manage, and evaluate
the integration of health care data from each state agency that collects, stores, and reports on health care issues and make that data available to any health care practitioner through a state health information network.(§ 408.05 (4)(c), F.S.)
Florida Center for Health Information and Policy Analysis 15
Agency for Health Care Administration
Specifying the Network Architecture through a White Paper
The Florida Health Information Network White Paper was written to address: The technical architecture of the FHIN The requirements of interoperability among the
RHIOs and the FHIN The needed security precautions to ensure
confidentiality of data exchange in the FHIN For a copy of the White Paper, visit:
http://ahca.myflorida.com/dhit/FHIN_White_Paper.shtml
Florida Center for Health Information and Policy Analysis 16
Agency for Health Care Administration
Architecture of Florida Health Information Network
FHIN EMPI and
RLS Server
RHIO Server: Maintains Minimal Clinical Dataset,
Authenticates Users, Handles Queries
DOH Physician Licensing Database
Data
Provider EMR/EHR System
Clinical Data from Providers, Labs, Pharmacies, etc.
AHCA & DOH Databases
Data
Other RHIO 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 Center for Health Information and Policy Analysis 17
Agency for Health Care Administration
Developing Florida Regional Health Information Organizations
through the Grants Program
Florida Center for Health Information and Policy Analysis 18
Agency for Health Care Administration
2006 Legislation Authorizes the Grants Program
House Bill 7073 amended § 408.05 (4)(b), F.S., directing the Agency to:
… administer, manage, and monitor grants to not-for-profit organizations, regional health information organizations, public health departments, or state agencies that submit proposals for planning, implementation, or training projects to advance the development of a health information network.
Florida Center for Health Information and Policy Analysis 19
Agency for Health Care Administration
What is a Regional Health Information Organization?
Florida Center for Health Information and Policy Analysis 20
Agency for Health Care Administration
Grants Program to Develop Regional Health Information Organizations
Planning Grants: Support engaging local health care stakeholders to develop a strategic plan for health information exchange
Implementation Grants: Support projects that demonstrate health information exchange among two or more competing providers
Training Grants: Support practitioner training designed to increase physician and dentist use of electronic health record systems
Florida Center for Health Information and Policy Analysis 21
Agency for Health Care Administration
Grants Program, FY 2005-2006
The Agency awarded nine grants with $1.5 million in appropriation from the Legislature Five Planning Grants Three Implementation Grants One Training Grant
Florida Center for Health Information and Policy Analysis 22
Agency for Health Care Administration
Grants Program, FY 2006-2007 The Agency awarded seven grants with a
$2 million appropriation from the Legislature
Big Bend Regional Health Information Organization
Tampa Bay Regional Health Information Organization
Palm Beach County Community Health Alliance
South Florida Health Information Infrastructure
Escambia Health Information Network
JaxCare, Inc.
Community Health Information Organization
Florida Center for Health Information and Policy Analysis 23
Agency for Health Care Administration
An Example of a Florida Regional Health Information Organization:
Big Bend RHIOTallahassee, Florida
Florida Center for Health Information and Policy Analysis 24
Agency for Health Care Administration
Region Served by the Big Bend RHIO
Tallahassee
Florida Center for Health Information and Policy Analysis 25
Agency for Health Care Administration
Big Bend RHIO is Anchored in the Community Board members represent local providers
Most clinical Board members have sophisticated Electronic Medical Record systems in use
FSU College of Medicine, Tallahassee Community College included on Board
Capital Health Plan covers 37% of patients
Optical Fiber medical area network (pMAN), currently providing connectivity
Florida Center for Health Information and Policy Analysis 26
Agency for Health Care Administration
CRMC
Community Repository&
Record Locator
VPN
DisasterRecovery Site
Rx Claims
Big Bend RHIO RHIN Architecture
TMH
Small organizations can connect either directly to the RHIN or through a VPN gateway
Organizations can connect bi-directly to feed their data and receive data directly into their EMR
In the early Phases CHP, CRMC & TMH will provide a one way feed of their data. They have the largest repositories and the priority is to make their data available ASAP
CHP
FHIN Labs & Radiology
Florida Center for Health Information and Policy Analysis 27
Agency for Health Care Administration
Health Information Exchange Services
Big Bend RHIO will establish a community repository for the storage and retrieval of:
Demographic/encounter dataMedication claims data and e-prescribingDocument viewer including lab/radiologySecure messaging
Disaster recovery
Remote data backup outside service area
Florida Center for Health Information and Policy Analysis 28
Agency for Health Care Administration
Future of the Grants Program
Leverage the development of more Regional Health Information Organizations in Florida to create the base for health information exchange
Develop the Florida Health Information Network by interconnecting local health information networks
Florida Center for Health Information and Policy Analysis 29
Agency for Health Care Administration
Next Steps for the Florida Health Information Network
Establish a statutory entity, the Florida Health Information Network Corporation to implement the state level network
As a not-for-profit organization, the Florida Health Information Network Corporation would be accountable to the public and responsive to health care providers
Florida Center for Health Information and Policy Analysis 30
Agency for Health Care Administration
The Florida Health Information Network Corporation will:
Specify standards to ensure interconnectivity and maintain security
Develop uniform policies regarding confidentiality of patient records and patient authorization
As a public-private partnership, will develop the critical mass of information resources to achieve a sustainable statewide system of regional networks
Florida Center for Health Information and Policy Analysis 31
Agency for Health Care Administration
The Future of the Florida Health Information Network
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.
Florida Center for Health Information and Policy Analysis
Agency for Health Care Administration
Lisa K. Rawlins, Bureau Chief
Agency for Health Care AdministrationFlorida Center for Health Information
and Policy Analysis2727 Mahan Drive
Tallahassee, FL [email protected]