Creating a Broader Vision for Public Health in the Nationwide Health Information Network
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Creating a Broader Vision for Public Health in the Nationwide Health Information Network. Robert Harmon, MD, MPH Director, Duval County Health Dept./FL Dept. of Health Chair, FL DOH HMS EHR Exec. Steering Comm. Chair, NE FL Health Informatics Consortium

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Robert Harmon, MD, MPH Director, Duval County Health Dept./FL Dept. of Health

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Robert harmon md mph director duval county health dept fl dept of health

Creating a Broader Vision for Public Health in the Nationwide Health Information Network

Robert Harmon, MD, MPH

Director, Duval County Health Dept./FL Dept. of Health

Chair, FL DOH HMS EHR Exec. Steering Comm.

Chair, NE FL Health Informatics Consortium

Chair, NACCHO Public Health Informatics Work Group

Presented to APHA Annual Conference, Washington, DC

October 31, 2011


Overview

Overview

Duval CHD and its Institute for PH Informatics & Research

HIE projects

EHR projects, including REC

Statewide HIT projects

Note: I have no business relationships to disclose


Robert harmon md mph director duval county health dept fl dept of health

Duval CHD Facts

  • “Metro” CHD serving population of >864,000

  • Part of Florida Dept. of Health

  • ~670 state employees (down from 946 in 2008)

  • Revenue of $48.5 M (down from $61 M in 2008)

  • Academic, full-service public health agency

  • 19 clinic sites (including 6 mobile)

  • Largest provider of Medicaid services of all CHDs in FL


Duval chd institute for ph informatics and research iphir

Duval CHD Institute for PH Informatics and Research (IPHIR)

Administrator, Thomas Bryant, reports to DCHD Director

Contains Research & Evaluation, Health IT, and Quality Improvement units

FY 2010-11: FTE ~ 22; budget ~$2.0 M

Oversees ~ 24 research, demo & eval projects/yr: budget ~ $700K

Writes proposals for and staffs PH informatics projects


Duval chd iphir projects

Duval CHD/IPHIR Projects

Staffs NE FL Health Informatics Consortium (I’m the chair)

Provides data and manages the NE FL HIE/JHIN (I’m on the Board)

Conducts QI studies on NE FL HIE

Recruits participants for N&SW FL REC project

Oversees EHR pilots such as eRx

Writes reports and articles

Coordinates categorical HIT projects such as ESSENCE syndromic surveillance


Florida doh hms interfaces

Florida DOH HMS Interfaces


Doh electronic health record development timeline

DOH Electronic Health Record Development Timeline


Nefhic facts

NEFHIC Facts

Founded in 2007

Covers 6 counties in NE Florida: Baker, Clay, Duval, Nassau, Putnam, St. Johns

Involves large group of partners (see org chart)

Successful: won FHIN grant from AHCA ($407K) and demo project grant from CMS ($12M)

Includes operational exchange project (NEFHIE/JHIN powered by Cerner))

Partner in $10 M, 4-year REC project for 41 counties

Applicant for Beacon award


Northeast fl health informatics consortium nefhic

Northeast FL Health Informatics Consortium (NEFHIC)


Nefhic activities

NEFHIC Activities

Coordinates proposals for HIT grant funding, such as AHCA FHIN, REC, Beacon

Promotes EHR and HIE utilization

Shares best practices

Hosts vendor presentations

Serves as regional health information organization (RHIO) and advisory council to NE FL HIE

Promotes HIT educational conferences


Ne fl health information exchange nefhie

NE FL Health Information Exchange(NEFHIE)

Formerly JaxCare

New Board composed of six hospital CEOs plus Dean of UF COM/Jax, EVP of DCMS and Director of Duval CHD

Oversees HIE for NE FL (JHIN) and vendor (Cerner)

Pursuing upgrade and linkage to FL HIE


Robert harmon md mph director duval county health dept fl dept of health

Holmes

Jackson

Florida HIT Regional Extension Centers

Okaloosa

Santa Rosa

Escambia

Nassau

Gadsden

Walton

Washington

Hamilton

Leon

Jefferson

Madison

Calhoun

Duval

Bay

Columbia

Baker

Liberty

Wakulla

Taylor

Suwannee

Union

St. Johns

Clay

Franklin

Bradford

Gulf

Lafayette

The Center for the Advancement of Health IT          

(Community Health Centers Alliance, Inc.)

Gilchrist

Alachua

Putnam

Dixie

Flagler

Levy

Marion

Volusia

Lake

Citrus

Sumter

Seminole

PaperFree Florida (University of South Florida)

Hernando

Orange

Brevard

Pasco

Osceola

Polk

Hillsborough

Pinellas

Indian River

University of Central Florida College of Medicine

Hardee

Manatee

Okeechobee

St. Lucie

Highlands

De Soto

Sarasota

Martin

Glades

Charlotte

Hendry

Palm Beach

Lee

South Florida Regional Extension Center

Broward

Collier

Miami –

Dade

Monroe


Florida hie key concepts

Florida HIE Key Concepts

Oversight by FL Agency for Healthcare Administration (Medicaid agency) and HIE Coordinating Council. I’m a member.

Vendor is Harris Corp (www.harris.com)

Federated model

Initial priorities to be direct secure messaging, patient record lookup, and public health reporting

FL DOH and 67 CHDs to be early participants

Just getting started this year


References links

References & Links

www.dchd.net

www.nefhic.org

www.fhin.net

www.florida-hie.net

www.healthit.hhs.gov

[email protected]

904-253-1010


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