Transcript FHIN: Florida Health Information Network

Group 12
Christine Olano
Aldrin Enriquez
Chase Campbell
Anthony Williams
Jiyangyi Hu
Andrew Wilson
Jerome Mongomery
Background

Vision/Goals
 HIE
 Decision Support Systems
 Natural Disasters
 Another Form of Storage

Reasons for Needing FHIN
Background Cont.

Other State HIE systems
 Kansas
 California
 New Mexico

Progress
How it Works

There are two components that are required
to start the FHIN
 Successful establishment of RHIOs
 Infrastructure that will support and connect the
RHIOs
Adoption of EMR technology
Analyzed data within the FHIN will support
DSS
 Centralized Model
 Federated Model
 Hybrid Model


How it Works
ROI
NHIN
Phase 4
FHIN
Public Health
Terrorism
Population Stats
Phase 3
Data Mining/Knowledge
Info Exchange
RHIOs
Phase 2
Information Analysis
Data Exchange
EMRs
Phase 1
Capturing Data
Limited Exchange
Randeree ©
EMR – Electronic Medical Records
RHIO – Regional Health Information Organization
FHIN – Florida Health Information Network
NHIN – National health Information Network
Timeline
FHIN - RHIOs
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
Costs

Start-up Costs
 staff salaries, office and support expenses
 legal and project management expenses
 costs of computer hardware and software needed to
implement the health information exchange

Sustaining Costs





Keeping information exchanges up to date
maintaining system security
training clinical users
providing help to users
Total Costs
 $3 million for each RHIO and the state office
Active Florida RHIOs
THEN
NOW
Current Status

FHIN Grants Program
 2005: $1.5 m for 9 projects, 3 types of
grants
 2006: $2 m for 6 grants
 2007- 2008: $2 m
 2008- 2009: lack of funds for FY

ARRA to the rescue!
 $13 billion in funds to cover the next 3 years.
Current Status

EHR adoption
 Florida Information Technology Regional
Extension Centers
 DOL Grant Proposal for the Health Care Sector
and Other High Growth Emerging Industries
 Medicaid
○ Point of Care Model EHR Grants Program
○ PHR
Current Status

Broadband to rural areas
 BTOP
 FCC Rural Broadband Health Care Pilot
Project
E-prescribing
 Electronic Public Health Reporting

 Florida SHOTS

The main goal is to secure and protect sensitive data on the
network, in order to maintain the integrity of electronic information
exchange and defend against security breaches. The idea is to
prevent unauthorized access, and minimize security incidents on
the network.

Common methods of security include: biometrics, encryptions,
passwords, and other advanced technology to keep information
confidential.

Areas of concern are: authentication methods, information
transmission security, patient and provider identification,
information audits, physical security safeguards, information use
and disclosure policies, and how to protect electronic records

Major organizations formed to protect the exchange of information
by implementing policies, laws, and industry standards include the
HISPC(Health Information Security Privacy Collaboration),
HITSP(The Healthcare Information Technology Standards Panel),
and the HSPL(Harmonizing State Privacy Law).
FHIN Security & Privacy

Organizations and comities managing security and Health
information exchange:

HISPC- Health Information Security Privacy Collaboration,
provides security for hospitals, clinics, medical associations,
universities, and of course the consumer.

HISPC is an ongoing project to help develop Florida information
infrastructure, improve electronic health standards, and to
educated/raise awareness about the issues.

HSPL- Harmonizing State Privacy Laws, is a committee to analyze
state laws and review regulations. They have proposed and
passed laws to accommodate HIE and help standardize the
current structure into one common platform.

The HSPLs goal is to organize a way to guide other states
undertaking similar initiatives involving IT in healthcare, in order to
move from a statewide standard to a national one.

The HSPL reviews current laws with the goal of modifying them on
a universal level, and uniting individual states that have common
interests.
FHIN Security & Privacy

Organizations and comities managing security and Health
information exchange:

HITSP- Healthcare Information Technology Standards Panel is a
partnership between public and private sectors, to harmonize and
integrate standards of HIE among organizations and systems.

HITSPs goal is to enable interoperability in the healthcare industry.
A few areas where specifications have been made are:
Biosurveillence, Consumer Empowerment, Medication
Management, Personalized Healthcare, Immunizations and
Response Management, and Remote Monitoring.

HITSP itself does not develop standards, instead the Panel
members work together to identify which ones can be modified
using Interoperability Specifications (IS) and then applied to the
industry.
FHIN Security & Privacy
Questions?