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Florida Health Information ExchangePamela King, MBA, Florida HIE Outreach Coordinator1
20112010-112010CooperativeAgreementwith Office ofthe NationalCoordinatorfor Health IT(ONC)Agency issuesInvitation toNegotiate (ITN)and selects HarrisCorp. asvendor/partnerAgency and Harrisinitiateimplementation ofFlorida HIE2012First network“nodes” go liveSept. 30, 2013ONC CooperativeAgreement ends.Agency contractsHarris Corp. tomaintain HIEoperations2
Florida HIE Governance The Agency for Health CareAdministration is the governingbody of the Florida HIE Harris Corporation, as the HIEvendor, operates the Florida HIEservices and the gateway to theeHealth Exchange The Florida HIE is sustained by userfees3
Florida HIE ServicesPatient Look Up(PLU) Connects existinghealth care providernetworks to exchangehealth informationacross a statewideinformation highway A Hybrid version isavailable to connectto the PLU networkthrough the use ofDirect Messaging.Direct MessagingService(DMS) HIPAA compliant emailservice that allowsparticipants to sendand receive messagesand attachmentscontaining a patient’sclinical data Providers do not needto have an active EHRto use this serviceEvent NotificationService(ENS) Provides alerts tohealth plans abouttheir members’hospital encounters The health plan thennotifies the patient’sprimary care providerfor care coordination4
Patient Look-Up (PLU) Service PLU connects regional HIEs through a federated model Provides transport only - no centralized database Each participating organization:– maintains its own records– ensures required safeguards are in place– is responsible for vetting user access Participants can audit to verify that users of the PLUservice are in compliance with the consent policy5
PLU Participants Ten health care systems are live with PLU, covering 23% of all hospitalbeds in Florida. These systems are made up of approximately 522 different health careorganizations, which include hospitals, clinics, and long-term careproviders. PLU also enables cost effective participation in the nationwide e HealthExchange6
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PLU Options Health care organizations have the opportunity toparticipate in PLU by signing up with one of ourparticipating organizations:– Strategic Health Intelligence– Tampa Bay Regional Health Information Organization Hybrid PLU allows providers to query the PLU networkwithout onboarding to PLU– Hybrid PLU is limited to prescribing physicians only– All PLU policies, including patient consent and auditing policies, applyto Hybrid PLU– Hybrid services are offered by PLU participating organizations. Pricesare set by these organizations8
eHealth Exchange Formerly the Nationwide Health Information Network– An initiative for the national exchange of health care information The Florida HIE is connected to the eHealth Exchange– Health care providers participating in the Florida HIE can exchange healthinformation with eHealth Exchange participants for disabilitydetermination or access to records for emergency department patients Florida law requires explicit consent to access certainpatient information; eHealth Exchange partners mustcomply with this requirement9
Direct Messaging A simple standards-based way to send and receiveauthenticated and encrypted health information overthe Internet, regardless of location or ElectronicHealth Record system in use by exchanging parties Direct messaging is now an integral component ofStage 2 Meaningful Use objectives and measures thateligible providers must meet to receive payments Certified EHRs support direct exchange10
Florida HIE’sDirect Messaging Service Operated by Inpriva under contract with Harrisfor the Florida HIE– Inpriva is accredited by Direct Trust Enables exchange of messages by users of anyDirect Trust accredited vendor EHR integration is available11
Event Notification Service The Event Notification Service (ENS) providestimely notice of a patient’s hospital encounter to thepatient’s health plan ENS can benefit hospitals, patients, and health plans– Enhanced post-discharge care coordination– Supports efforts to shift the setting of care fornon-urgent conditions from the emergencydepartment to primary care– Reduced readmissions ratesfor hospitals12
How ENS Works13
How ENS Works Participating hospitals provide the Florida HIE with noticeof patient hospital encounters as they occur Health plans subscribe by providing the Florida HIE with alist of active members for whom they'd like notifications ENS compares hospital notices to the health plan memberlists; if a match is made, notice of the patient’s hospitalencounter is securely delivered to the subscribing plan– Matching is based on patient demographics (name, DOB, etc.), notself-reported health plan membership– No database exists for ENS – either the notice passes throughto the subscribing plan or the notice is discarded14
ENS Hospital Participants206200 ENS covers over80% of all Floridahospital beds161Number of Hospitals "Live" on ENS Over 200 hospitalsare providing patienthospital encounterdata through ENS17715012810067435032224015
ENS Health Plan Subscribers Over half a million patients are currently being served through theconnections made by subscribed Florida’s health plans– Integral– Molina– Sunshine State Health Plan– WellCare Health Plans16
Florida Health Information ExchangePatient Data Flow1. Hospital sends encounteralert to health plan viathe Event NotificationServiceHealth Plan2. Health plan3. Health Care Professionalrequests patient record fromhospital via PLU Hybrid AccessHospitalHybrid Access4. PLU Hybrid Access deliverspatient record to HealthCare Professional5. Health CareProfessional sendsDirect Message withpatient record toHealth Care FacilityHealth Care Facilitysends alert toHealth CareProfessional
Learn More Contact us:FLHII@ahca.myflorida.comPamela King (850) 412-3762Connect with us through Social ps://www.facebook.com/AHCAFlorida@AHCA FL18
Ten health care systems are live with PLU, covering 23% of all hospital beds in Florida. These systems are made up of approximately 522 different health care organizations, which include hospitals, clinics, and long- term care providers. PLU also enables cost effective participation in the nationwide e Health Exchange . 6
