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

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Presentation on theme: "Panel Discussion. Moderators Carol Selvey, MHSA,FHIMSS Principal for The Revere Group, business and IT solutions consulting firm HIMSS Fellow, and member."— Presentation transcript:

1 Panel Discussion

2 Moderators 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 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

3 Learning Objective 1 Benefits of developing collaborations among regional health information exchanges. Learning Objective 2 Engaging public and private entities in the promotion of HIE. Learning Objective 3 Designing 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). Learning Objectives

4 Need patients/consumers involved in the use electronic records Create demand (supply and demand theory) Influence public policy to improve incentives Empower patients to be engaged in health and wellness Significance of Public Awareness and Education

5 Florida HIMSS Chapters Key: Central and North Florida HIMSS South Florida HIMSS

6 Florida Association of RHIOs (FAR)

7 Panelists Christopher Sullivan, Ph.D. –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. ( –Assistant Professor at Florida State University College of Information; 10+ years Consulting (Medical Practice Management, IT Implementation) William (Bill) Dillon, Esq. –Legal Consultant, Floridas Health Information Security and Privacy Collaborative; Board Certified Health Law Attorney, Messer, Caparello, and Self, P.A.

8 Panelists Zach Finn –Project Director for the Big Bend RHIO; VP Operations for Avocare, a healthcare IT company Lonnie Draper, MD –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 –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.


10 1: Combating Key Concerns with HIE & 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

11 2: Explaining Value of HIE & Interoperability Providers The Value of Health Care Information Exchange and Interoperability" January 2005.

12 3: Empowering Consumers and Increasing Transparency Giving Consumers information leads 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

13 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?

14 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?

15 15 The Florida Health Information Network Begins at the Local Community Level oSince 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. oAll grants funds are matched dollar for dollar at the local level, indicative of a tremendous level of local passion and volunteerism within Floridas Regional Health Information Organizations (RHIOs). oEach 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.

16 The Florida Health Information Network FHIN Grants Program Funded Grantees from FY 2005 – 2008

17 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 Participation

18 Approach 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 patients 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

19 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 Partnerships

20 Inconsistent state laws (FL) –§ (hospitals) –§ (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 Findings

21 Technology Barriers to HIE Adoption Zach Finn VP Operations Avocare

22 The Wrong Implementation

23 How 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.

24 What Physicians Want The Right Information at the Right Time Lonnie Draper M.D. CEO Avocare

25 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 Providers

26 Physician Perspective That Reduces Errors Thats 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

27 Physician Perspective

28 Community Collaboration for HIE Adoption Jose Lantigua Northeast Florida Health Information Consortium

29 Jose Lantigua NEFHIC Consortium Steering Committee Membership Bill Livingood, PhD Steering Committee Vice Chairman and FHIN grant Project Manager NEFRHODuval Co. Health Dept. Duval Co. Medical Society Potential other participants Mark Renfro Susan Coughlin Research Radley Remo Research Norm Turnbull IT Jay Milson, Executive Director Hospitals Other county health departments Other county medical societies Technology partners William Carrier, MD Catherine Berry Legal John Montgomery, MD, Board Chairman Employers Health plans Others Robert Harmon, MD, MPH Steering Committee Chairman and FHIN grant Project Director JaxCare Rhonda Poirier, DrPH President & CEO Francis Koster, EdD, C0-Chair JHIN Advisory Committee Robert M. Walters, Co-Chair JHIN Advisory Committee Jesse Bradlee, IS Manager



32 Consumer Support for Secure Electronic Health Information Exchange Support Across Party Lines

33 Americans 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

34 Americans Eager for EHR Functionality 60% of Consumers want Physicians to provide online access to medical records and test results Deloittes 2008 Survey of Health Care Consumer: 1 in 4 people are willing to pay more for online access to medical records and test results.

35 Questions 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 states 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?

36 Open Discussion one laptop per child PLEASESUPPORT http//

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