1. 1 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 Creating a Broader Vision for Public Health in the Nationwide Health Information Network

2. 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. 3  “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 Facts

4. 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. 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. 6 Florida DOH HMS Interfaces

7. 7 DOH Electronic Health Record Development Timeline

8. 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. 9 Northeast FL Health Informatics Consortium (NEFHIC) Officers Duval County Medical Society NE FL Regional Health Org. NE FL Health Information Exchange Duval County Health Dept. Univ. of FL College of Medicine- Jax Univ. of North Florida St. Johns River Rural Health Network NE FL Area Health Education Center Veteran’s Health System Naval Hospital Jax United Way Advisory Committee Tech Committee

10. 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. 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

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13. 13 Florida HIT Regional Extension Centers

14. 14 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

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16. 16 References & Links www.dchd.net www.nefhic.org www.fhin.net www.florida-hie.net www.healthit.hhs.govhealthit.hhs.gov robert_harmon@doh.state.fl.us 904-253-1010