Transcript TLC Raising Public Awareness to Achieve Sustainability

Panel Discussion
Moderators
Carol Selvey,
MHSA,FHIMSS
Carladenise Edwards, Ph.D.
• Principal for The Revere Group,
business and IT solutions
consulting firm
• Chief of Staff, Georgia
Department of Community
Health
• HIMSS Fellow, and member of
the HIMSS Board of Directors,
HIMSS Chapter Leader since
2000, served on Advocacy and
Public Policy Steering
Committee
• [email protected]
• HIMSS Chapter Leader,
Founding Executive Director,
South Florida Health Information
Initiative, Former Project
Coordinator and Technical
Writer, Florida HISPC project
• [email protected]
Learning Objectives
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).
Significance of Public Awareness
and Education
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
Florida HIMSS Chapters
Key:
Central and North Florida HIMSS
www.cfhimss.org
South Florida HIMSS
www.sfhimss.org
Florida Association of RHIOs (FAR)
http://www.fl-rhio.org
Panelists
• Christopher Sullivan, Ph.D. ([email protected])
– 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. ([email protected])
– Assistant Professor at Florida State University College of
Information; 10+ years Consulting (Medical Practice
Management, IT Implementation)
• William (Bill) Dillon, Esq. ([email protected])
– Legal Consultant, Florida’s Health Information Security and
Privacy Collaborative; Board Certified Health Law Attorney,
Messer, Caparello, and Self, P.A.
Panelists
• Zach Finn ([email protected])
– Project Director for the Big Bend RHIO; VP Operations for
Avocare, a healthcare IT company
• Lonnie Draper, MD ([email protected])
– 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 ([email protected])
– 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.
1: Combating Key Concerns with
HIE & EHR
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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
2: Explaining Value of HIE & Interoperability
Providers
Providers
The Value of Health Care Information Exchange and Interoperability" http://content.healthaffairs.org/cgi/content/full/hlthaff.w5.10/DC1, January 2005.
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
Where Do We Begin?
• Identify Target Audience, including but not
limited to:
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Patients and their Families
Health Care Providers
Government Officials
Professional Associations
Employers
Researchers
Educators
Policy Makers
Where Do We Begin?
• Identify Messages, including but not limited to:
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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
The Florida Health Information Network Begins
at the Local Community Level
The Florida Health Information Network (FHIN) is a
collaboration of Regional Health Information Networks
(RHIOs) funded in part by the FHIN Grants Program.
o Since 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.
o All grants funds are matched dollar for dollar at the local level,
indicative of a tremendous level of local passion and
volunteerism within Florida’s Regional Health Information
Organizations (RHIOs).
o Each RHIO is responsible for working with local providers to
initiate the exchange of medical records through its health
information exchange portal.
15
The Florida Health Information Network
FHIN Grants Program Funded Grantees from FY 2005 – 2008
Benefits of Government Participation
• 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
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 patient’s 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
Benefits of Private Sector Partnerships
• 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
Legal Work Group Findings
• Inconsistent state laws (FL)
– §395.3025 (hospitals)
– § 456.057 (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
Technology Barriers to
HIE Adoption
Zach Finn
VP Operations Avocare
The Wrong Implementation
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.
What Physicians Want
The Right Information at the Right Time
Lonnie Draper M.D.
CEO Avocare
Approach to Providers
• 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
Physician Perspective
The right information on the right patient at the right
time with one logon
• That Reduces Errors
• That’s 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
Physician Perspective
Community Collaboration
for HIE Adoption
Jose Lantigua
Northeast Florida Health Information Consortium
NEFHIC
Consortium Steering Committee Membership
JaxCare
Rhonda
Poirier,DrPH
NEFRHO
Mark
Renfro
President &
CEO
Francis
Koster, EdD,
C0-Chair
JHIN
Advisory
Committee
Jose
Lantigua
William
Carrier, MD
Duval Co.
Health Dept.
Robert Harmon, MD, MPH
Steering Committee Chairman and
FHIN grant Project Director
Bill Livingood, PhD
Steering Committee Vice Chairman and
FHIN grant Project Manager
Duval Co.
Medical
Society
Jay Milson,
Executive
Director
John Montgomery,
MD, Board Chairman
Potential other
participants
Hospitals
Other county health
departments
Other county
medical societies
Technology partners
Susan Coughlin
Research
Robert M.
Walters,
Co-Chair
JHIN
Advisory
Committee
Jesse Bradlee,
IS Manager
Employers
Radley Remo
Research
Norm Turnbull
IT
Catherine Berry
Legal
Health plans
Others
Consumer Support for Secure Electronic
Health Information Exchange
Consumer Support for HIE
Support Across Party Lines
http://www.ehealthinitiative.org/news/CommToolkit.mspx
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
Americans Eager for EHR Functionality
• 60% of Consumers
want Physicians to
provide online access
to medical records and
test results
1 in 4 people are willing
to pay more for online
access to medical
records and test results.
Deloitte’s 2008 Survey of Health Care Consumer:http://www.deloitte.com/dtt/article/0%2C1002%2Ccid%25253D192702%2C00.html
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 state’s 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?
Open Discussion
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