FHIN: FLORIDA HEALTH

INFORMATION NETWORK

Group 12

Christine Olano

Aldrin Enriquez

Chase Campbell

Anthony Williams

Jiyangyi Hu

Andrew Wilson

Jerome Mongomery

Background

Vision/GoalsHIEDecision Support Systems Natural Disasters Another Form of Storage

Reasons for Needing FHIN

Background Cont.

Other State HIE systemsKansasCaliforniaNew Mexico

Progress

How it Works There are two components that are required to

start the FHINSuccessful establishment of RHIOsInfrastructure 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

Randeree ©

Phase 1Capturing Data

Limited Exchange

Phase 2Information Analysis

Data Exchange

Phase 3Data Mining/Knowledge

Info Exchange

Timeline

ROI

RHIOs

Standardization

Phase 4Public Health

TerrorismPopulation Stats

EMRs

FHIN

NHIN

EMR – Electronic Medical RecordsRHIO – Regional Health Information Organization

FHIN – Florida Health Information NetworkNHIN – National health Information Network

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 expensescosts of computer hardware and software needed to

implement the health information exchange

Sustaining CostsKeeping information exchanges up to datemaintaining system securitytraining clinical usersproviding help to users

Total Costs$3 million for each RHIO and the state office

Active Florida RHIOsTHEN NOW

Current Status

FHIN Grants Program2005: $1.5 m for 9 projects, 3 types of

grants2006: $2 m for 6 grants2007- 2008: $2 m2008- 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 areasBTOPFCC Rural Broadband Health Care Pilot

Project E-prescribing Electronic Public Health Reporting

Florida SHOTS

FHIN Security & Privacy

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.

Questions?