Comprehensive Analysis of HIE Environment in Florida
Conducted by North Highland, this study delves into the current landscape of Health Information Exchange (HIE) in Florida, identifies the ideal state for HIE infrastructure and services, and provides recommendations to enhance implementation and adoption. Areas of focus include assessing the current state, prioritizing opportunities, and developing a roadmap for achieving the future state of the HIE program.
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Presentation Transcript
GOALS FOR THE HIE STUDY A study of the HIE environment in Florida conducted by North Highland, includes an assessment of the current state and recommendations for achieving an ideal state. Areas of interest for this assessment included Understanding of the Current Landscape of HIE in Florida Identify the Ideal State for HIE Infrastructure and Services Recommend Solutions which Positively Impact Implementation and Adoption Roadmap to Ideal Future State of HIE Program
Completed Future 1 2 3 4 ALIGN FOCUS & DESTINATION DIAGNOSE CURRENT STATE PRIORITIZE OPPORTUNITIES ROADMAP INITIATION Conduct As Is Assessment to determine current state of HIE. Stakeholder interviews Electronic Survey Begin Environmental Scan Analyze As Is Assessment to reveal gaps in current state and define ideal state, document relative impact, and provide recommendations. Comprehensive Environmental Scan Initiative Development Implement solutions around high priority opportunity areas, understand organizational impacts and needed changes. Finalize timelines & priorities Communicate HIE Study outcomes to stakeholders Pursue Initiatives Foster long-term stakeholder engagement Confirm focus areas, gain leadership alignment on success, craft future state vision. Visioning Sessions Workgroups
As Is Assessment - Methods Stakeholder Interviews Environmental Scan Electronic Survey Electronic Survey Stakeholder Interviews Environmental Scan All stakeholder groupings Market Scan All stakeholder groupings Association distribution Request for Information (RFI) In-person and telephone 272 unique responses Literature Review 45 interviews conducted
HIE ADOPTION Widespread adoption of HIE remains low, particularly when compared to EHR adoption levels. LEADERSHIP & GOVERNANCE Leadership role for AHCA to set and clearly articulate the vision and goals for HIE in Florida. HIE UTILIZATION Few fully utilize HIE due to workflow and integration challenges. eFax & paper methods remain prevalent. CULTURAL ISSUES Pervasive culture of fear and distrust prevents more willing and expanded exchange of data. VALUE PROPOSITION Lackluster demonstration of HIE value propositions & value-add deter the decisions to adopt/utilize HIE. REGULATORY ENVIRONMENT Competing priorities in an ever-changing regulatory landscape. Public Health/ HHS siloed & disjointed. COST & COMPLEXITIES The financial & organizational resource burdens and trade-offs to adopt/use HIE is too high for some. ACCESS Insufficient access to meaningful, timely data. Haphazard application of privacy/consent & standards. AWARENESS & EDUCATION Inadequate awareness & understanding of HIE. More proactive stakeholder engagement & education INTEROPERABILITY Limited exchange across the continuum of care coordination. Further inclusion is strongly desired.
NOW JUNE 2018 Budget authority for activities under 90:10 funding. April 2019 Agency Legislative Budget Request Could request funding approval for projects that fall within existing authority Submit new funding request to CMS for 90:10 funding For large scale initiatives Effective (funding available) July 2019 Effective (funding available) October 2019 Effective (funding available) October 2018
