Call to Order, Welcome and Roll Call: Mr. Bracher, Chair, called the meeting to order, welcomed all attendees and called roll.

Transcription

1 DRAFT MINUTES State Consumer Health Information and Policy Advisory Council Meeting Date: June 11, 2013 Time: 10:00am 12:00 pm Location: Teleconference Members Present: James Bracher, Chair; Nikole Helvey, Vice Chair; Elizabeth Dudek, Secretary; Tom Joos (for Michael Anway); Laura Cantwell; Susan Douglas; Michael Wasylik, MD; Tom Herring (for Meade Grigg); Kim Streit; Jill Sumfest, MD; and Karlene Lucas (for Karen van Caulil, PhD). Members Absent: Diane Godfrey and Tom Zutell. Staff Present: Gloria Barker, Cruz Conrad, Beth Eastman, Marisol Fitch, Jeff Gregg, Adrienne Henderson, Patrick Kennedy, Molly McKinstry, Amanda Muller, Sarah Sheppard, Carolyn Turner, and Marsha Webb. Interested Parties Present: Mark Alexander, ISC; A.C. Burke, DOH; Adam Crandall, ISC; Evan Carter, Harris Corporation; Tammy Perdue, Associated Industries of Florida; and Steve Mindlin, Sundstrom, Friedman and Fumero, LLP Call to Order, Welcome and Roll Call: Mr. Bracher, Chair, called the meeting to order, welcomed all attendees and called roll. Review and Approval of Minutes: The Chair called for a review and approval of the March 15, 2013 draft minutes. A motion to approve the minutes was made by Kim Streit and seconded by Secretary Dudek. The Council voted to accept the minutes as printed with no objections. Agency Updates: Liz Dudek, Secretary of the Agency for Health Care Administration, provided the Agency updates. She began by updating the Council on the legislative session and that funding had been approved for several Agency projects, including: the Background Screening Clearinghouse, additional funding to address fraud and abuse, online licensing and Medicaid electronic record. Secretary Dudek briefly updated the Council on the Medicaid Managed Care, stating that the Agency signed with seven companies for Long Term Care Managed Care. In addition, the Agency is enrolling participants in District seven and will be live there on August 1, Districts eight and nine will follow. She stated that the Agency has responded to CMS on the 1115 waiver and anticipates approval. Secretary Dudek concluded by stating that the Agency received 25 proposals for Medicaid Managed Care ITNs and anticipates these decisions to be made by the end of summer. Mr. Bracher, Chair, inquired about HHS support that would enhance data collection for the states. Secretary Dudek stated she was not aware of this support and Mr. Bracher stated that he would forward the received regarding the information. Health Information Exchange Coordinating Committee (HIECC) Update: Nikole Helvey updated the Council on the meeting that was held May 17, Ms. Helvey stated that John Rancourt with the Office of the National Coordinator for Health IT was present at the meeting to conduct a program site visit. Ms. Heidi Fox announced at the meeting that 1

2 Florida Hospital/Adventist and UF & Shands completed on-boarding and are live on the Patient Look-Up Service. Ms. Helvey reported that Ms. Turner updated the committee on the Florida HIE Strategic and Operational Plan which was revised to include the three tiers for pricing health plans based on size rather than per member fees. Other updates included: a description of the Encounter Notification System, the Florida milestone timeline and privacy/security framework. Ms. Helvey stated that Dr. Gloria Deckard then presented the project evaluation interim report. Mr. Davidson James presented an update on the PLU User Group. Mr. James welcomed Community Health IT as a self-onboarding organization that would bring in ambulatory providers in north central Florida. Mr. James indicated that the scale of the Florida HIE PLU service is notable among state HIEs. Ms. Helvey noted that Ms. Gigi Cowart, Harris Project Manager, presented the quarterly HIE report. Ms. Cowart stated that three organizations achieved completion of the on-boarding process and went into production. Ms. Cowart indicated that all projects are on schedule for completion by October Ms. Helvey reported that Mr. Evan Carter presented on the Encounter Notification System pilot designed to provide a means to improve care coordination by providing information when it is actionable with DSM being used for alert delivery. Mr. Carter stated that the pilot would begin in June including two health plans plus 1-2 hospitals in South Florida and be completed in August. It was noted that Mr. Walt Culbertson did a presentation on the Southeast Regional HIT-HIE Collaboration initiative to connect with state-sponsored Direct exchange prior to the start of 2013 hurricane season and invited members of the committee to get involved with the initiative. Ms. Helvey concluded with Ms. Turner s update on the Agency s HIE activities including: 2013 PLU subscription agreements were sent to participants in April, DSM was at 3,437 registrants with 1,444 transactions in April 2013, twelve health plans (including third party administrators) have registered in DSM and e-prescribing for Q is at 50 percent. Ms. Helvey noted that the next HIECC meeting is scheduled for August 16, FloridaHealthFinder Quarterly Update: Beth Eastman updated the Council on FloridaHealthFinder.gov. She stated that Calendar Year 2012 hospital discharge data was just recently certified and should be updated soon on FloridaHealthFinder. Ms. Eastman noted that the site is on track for 2.4 million visitors this year. Ms. Eastman stated that an Assisted Living Facility landing page was live and that a Nursing Home and Hospital landing page were in development. She also stated that the Agency had gone live on several social media fronts including: Facebook, Twitter and YouTube. Ms. Eastman concluded with her travel plans to the SFHHA Annual Healthcare Summit later in the week to promote FloridaHealthFinder.gov. Marisol Fitch updated the Council on the newly launched webinar program. She stated that general webinars are held on the second and fourth Thursday of every month from two to three p.m. with additional webinars available by consumer request. She noted that since launch in mid-april, she has conducted five general and eight customized webinars, representing approximately 125 attendees (mostly from government agencies). 2

3 Ms. Fitch indicated that a press release would be forthcoming from the Agency regarding webinars as well as cross-promoting it with the FloridaHealthFinder.gov training seminar that would occur on July 11, Laura Cantwell indicated interest in working with Ms. Fitch to promote webinars at the AARP organization. Discussion: Public reporting of Healthcare Associated Infection (HAI) measures: A.C. Burke, HAI Prevention Program Manager for Department of Health, discussed the possibility of FloridaHealthFinder providing the HAI measures developed by the Centers for Disease Control and Prevention (CDC) and collected through the National Healthcare Safety Network (NHSN). She stated that the website could provide this information in a timelier manner than CMS currently does and that it would have no additional administrative burden for hospitals since they already report the information. Ms. Helvey, Vice-Chair, inquired how the HAI indicators differ from the ones currently being used. Ms. Burke responded that this data utilizes surveillance data, not billing data and that the standardized infection ratio would be easy to integrate. Kim Streit stated her support for the underlying approach of one-stop shopping but that the Council should use CMS as a source as the suggestion could provide an additional data burden. She also inquired whether timelier reporting would require a statutory or rule change in order for AHCA to obtain the data. Ms. Streit also questioned whether an estimate of AHCA time and manpower had been calculated. Ms. Burke responded that she believed a statutory and rule change would be required in order to obtain the same information as CMS but that the time burden on hospitals would be five to ten minutes. She did indicate that no specific data or timelines had been calculated for AHCA s time or manpower restrictions. Mr. Bracher, Chair, indicated that this suggestion should go through the Data Standards and Transparency Committee. He stated that he too would like more information on the timeliness factor versus AHCA s resources. In addition, he questioned whether AHCA would still need to collect the information we already collect. Dr. Jill Sumfest stated that this seems like a duplication of services and a link would best serve the information needs. She suggests attaching a link and tracking the number of hits in order to determine whether it is worth the investment of resources. Ms. Eastman indicated that FloridaHealthFinder has a link already to the CMS website, but we cannot direct that link to a particular place or facility which can make navigation more complicated. She stated that a crosswalk for Hospital Compare and FLoridaHealthFinder had been previously created and that it would be updated to reflect all measures being reported on both websites. Action Item: Mr. Bracher, Chair, requests that a Data Standards and Transparency Committee meet before the next Advisory Council meeting. Ms. Eastman stated that she will set one up in mid to late July/early August. Ms. Streit offered to host the meeting in Orlando. Ms. Eastman will also update the Hospital Compare/FHF crosswalk to reflect the most recent data reported on the websites. 3

4 Long Range Plan Update: Patrick Kennedy, Beth Eastman and Carolyn Turner updated the Council on the three portions of the 2013 Advisory Council Long Range Plan. Mr. Kennedy stated that meetings will proceed in the near future, despite earlier software glitches that prevented these meetings from moving forward. Ms. Eastman indicated that FHF is continuing to provide analytic reports to the Advisory Council as well as conducting training for the website through seminars, webinars and community outreach. Ms. Turner updated the Council on the progress of HIE, including increasing several goals as the unit has already achieved the goals set prior to Update on April s Advisory Council Presentations: Jeffrey Gregg presented some updates on the presentations that were conducted at the April Advisory Council Meeting. He stated that the Health Facility Regulation Bureau was looking at the information provided by Emergency Department Services presentation. Mr. Gregg indicated that the cardiovascular study information was very technical but useful and could be studied further and in more-depth at the Data Standards and Transparency Committee (DST). He stated that it might be helpful to contact BayCare Health System to present at that meeting on the more technical side of the information and how it could be utilized on FHF. Mr. Bracher, Chair, stated that it is not clear to him how FLoridaHealthFinder or the Advisory Council might advance the previous presentations and questioned the usefulness of future similar presentations. He would like to see less technical with more practical application to future Advisory Council presentations. Soliciting presentations about cloud-based health care data distribution: Jeffrey Gregg asked for the Council s reaction of the Agency soliciting companies to present, for information purposes only, on cloud-based health care data distribution. He noted that the previous legislative session brought this possibility up. Mark Alexander, with IS Consulting, stated that technically speaking that the information available on AHCA s website is already in the cloud but that there are avenues we could explore to make that information available or accessible in different ways i.e. to utilize or build different tools to interpret the current data. Mr. Bracher, Chair, questioned whether there is anything in the proposed but failed legislation from 2013 that the Advisory Council can enact now. Ms. Helvey, Vice-Chair inquired whether there might be a perception among the legislature that there is something the Advisory Council or website is not fulfilling for the public and how do we change or correct that perception? She also indicates the need to be proactive and able to respond during the next session. Molly McKinstry, Deputy Secretary of Health Quality Assurance for AHCA, stated that the Agency will look at it for the next AC meeting to see if the 2013 legislative intent could be clarified but indicated that the legislation should not be perceived as a lack of confidence in FloridaHealthFinder. 4

5 Action Item: Mr. Bracher, Chair, would like Mr. Gregg to find someone to specifically address the question about how data is housed and what options are available in the future for this data for a presentation. Data Standards and Transparency Meeting: Jim Bracher, Chair, wanted to look at possibilities for an agenda for the upcoming DST Meeting. Ms. Eastman suggested three agenda items, including: the hospital landing page, cardiology data and the HAI measures. The Chair called for any new business and opened the discussion for public comment. There being no further business or public comment, the Chair adjourned the meeting at 11:46 a.m. 5