Promoting Health Information Exchange at the State Level in Florida Thursday, March 5, 2009 Bethesda, MD



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Health Information Security and Privacy Collaboration (HISPC) National Conference Promoting Health Information Exchange Thursday, March 5, 2009 Bethesda, MD Christopher Sullivan, Ph.D. Diane Leiva, Ph.D.

Introduction to the Florida Experience Baseline: Collect information on barriers and persuasions to Electronic Health Records and Health Information Exchange Outreach and Partnering with Medical Associations Florida Crosswalk Tool and Website Florida Provider Education Toolkit Website

Our Goals: Awareness Interest Adoption

Outreach: Florida Medical Associations Identified 75 medical associations contacted 11 participated in conversations on membership 4 agreed to partner with Florida HISPC PET to disseminate the Provider Education Toolkit

Findings Main concerns or barriers to adoption Main social marketing techniques or persuasions to adoption Ideal communication channels: Electronic, face-to-face and physician champion Initial organization(s) to approach

Florida Outreach Results versus HISPC PET Collaborative Results by State

Barriers to Adoption of Electronic Health Record Cost of technology and return on investments Privacy and security concerns Work flow Age and medical culture

Persuasions to Adoption of Electronic Health Record Work flow efficiency Patient safety/quality Interoperability with health information exchange Support from medical associations and physician champions

Ideal Outreach to Physicians and Providers: Electronic media Face-to-Face Peer-to-Peer support Initial Medical Practice to Approach: Family Physicians

HISPC PROVIDER EDUCATION TOOLKIT: The Florida Experience Partner with medical associations Electronic media outreach Florida website to the HISPC PET e-blast Florida HISPC PET s internal evaluation Engage Multiple Stakeholders in Health Information Technology Florida Crosswalk Website Partnering with HISPC Harmonizing State Privacy Laws Collaborative

Partnering with Medical Associations Florida Medical Association (FMA) Florida Osteopathic Association (FOMA) Florida Academy of Family Physicians (FAFP) Florida Academy of Physician Assistants (FAPA)

Electronic media - Florida HISPC PET s Signature e-blast

Electronic Media Press Release

Electronic Media Florida PET Website http://www.fhin.com/psresourcectr/petoolkit.shtml

Face-to-Face Presentations University of Miami, School of Medicine, Department of Family Physicians Florida Academy of Physician Assistants Manatee County Medical Association Sarasota County Medical Association

Florida s Physician Champion: Robert Schwartz, MD Professor & Chair Department of Family Medicine and Community Health University of Miami Miller School of Medicine

Dr. Schwartz Testimonial on National Website Most patients have multiple physician encounters with different specialists, who often prescribe different medications and often don t communicate with each other. The dangers of such a system are well understood. This scenario makes having a common EHR that can be shared throughout the healthcare system a real imperative to providing excellent quality and safe care to those patients. December 2008

Strategy for HISPC PET Evaluation Tracking e-blasts read Tracking hits to the national website Tracking hits to the Florida PET website Tracking hits from Florida to the national website

Tracking e-blasts Read Count on Florida Osteopathic Medical Association s website as of 2/09/09: 190 (for e-blasts #1 and 2)

Tracking Hits to National Website from Florida s Website

Tracking Florida PET s Website 1 st e-blast

Page Views for Web Visits from Jan 17 Feb 16, 2009 National HISPC PET Website Florida HISPC PET Website

Florida s Contribution to the National HISPC PET Website

Engaging Multiple Stakeholders in Health Information Technology

Florida HISPC Crosswalk Tool website The Crosswalk initiative integrates the work of HISPC Harmonizing State Privacy Laws with the HISPC Provider Education Toolkit to create a web-based Crosswalk of HIPAA versus Florida Statutes The Crosswalk provides data from the Comparative Analysis Matrix developed by the HSPL and is presented on an interactive website developed by FL-PET

Crosswalk website screen shot

Summary of FL PET Project Demonstrated ability to collaborate with other states on a mutual project Created collaborative relationships with professional medical associations Reached target provider group with HISPC PET message Developed educational tool with the Crosswalk Website

Outcomes for Florida: Florida will continue to be at the forefront of EHR implementation and HIE Increased awareness and interest on the part of health care providers toward EHRs and HIE Continue outreach effort through federal grants that promote adoption of Health IT and exchange

Outcomes for Florida (cont d): Continue joint collaboration with private and public stakeholders in Health ITrelated efforts Crosswalk website will continue to serve health care providers Begin logging metrics of EHR adoption and use at state level

National Outcomes: Increased awareness and interest on the part of health care providers Increased media coverage Joint collaboration with state and national medical associations Increased collaboration between states geared toward EHR and HIE awareness, interest and adoption Enhanced national exposure

Conclusions: The degree of campaign success is contingent on the quality of the product Different ways to embrace health information technology Use of electronic messages in communication campaign can be effective Increased awareness and interest on the part of health care providers

Conclusions (cont d): Coordination of efforts among different states can result in a more effective outcome at a lower total cost

For more information on the Provider Education Toolkit Collaborative: Provider Education Toolkit Friday March 6, 2009 10:30-11:30 am Grand Ballroom