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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

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

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  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. Florida DOH HMS Interfaces

  7. DOH Electronic Health Record Development Timeline

  8. 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

  9. Northeast FL Health Informatics Consortium (NEFHIC)

  10. 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

  11. 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

  12. 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

  13. 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

  14. References & Links www.dchd.net www.nefhic.org www.fhin.net www.florida-hie.net www.healthit.hhs.gov robert_harmon@doh.state.fl.us 904-253-1010

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