Group+8

Group 8 Evan Henson eph09d@fsu.edu

Naaman Butler nmb10d@fsu.edu

Drew Roberts atr07c@fsu.edu

Max Beggelman mdb07@fsu.edu

Arthur Cooper asc08j@fsu.edu

Anthony McClurkin ajm10@fsu.edu

Outline for Paper due 10/10

GROUP 8 Health Information Exchange (HIE) & Regional Health Information Organizations (RHIOs)

**Introduction: -Naaman**
 * What is HIE?
 * Health information exchange is the digitization and the mobilization of health records. It allows the patient information to be electronically transferred between clinicians, while maintaining data integrity and accuracy. The goal of HIE is to facilitate access to and the retrieval of information and clinical information and to provide SEPTEE;


 * What is a RHIO?
 * RHIO’s are multi stake holder organizations that are responsible for the implementation of HIE systems under the health system. RHIO’s or Regional Health Information Organizations, were implemented to try and cut cost in the medical industry, and improve the accuracy and safety of health records. This is one of the first major pushes of information technology in the health care field.

**Current state of RHIOs. -Anthony**
 * Current state of RHIOs in general
 * Current successes
 * Specific examples
 * Why success?
 * Current Failures
 * Why failure?
 * Big Bend Rhio
 * What is it?
 * Successful?
 * Compare to successes and failures
 * Next step?

**HIE success -Evan** <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">**Problems with privacy (RHIOs) -Max**
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">State level – FHIN
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">what is FHIN?
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Florida Health Information Network
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Current state
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">July 2009, Governor Crist designated the HIECC to lead stimulus funds directed to HIT initiatives.
 * <span style="display: block; font-family: 'Times New Roman',Times,serif;">HIECC organized by the Florida Agency for Health Care Administration to develop and support a strategy that establishes a privacy-protected, secure, and integrated statewide network for the exchange of electronic health records among authorized physicians.
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Compare to RHIOs
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Promotes sharing of information between RHIOs of Florida
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Big Bend Regional Healthcare Information Organization
 * <span style="display: block; font-family: 'Times New Roman',serif;">Community Health Information Network of Escambia and Santa Rosa Counties
 * <span style="display: block; font-family: 'Times New Roman',serif;">Northeast Florida Health Consortium
 * <span style="display: block; font-family: 'Times New Roman',serif;">Palm Beach County CHA/Health Network of the Palm Beaches
 * <span style="display: block; font-family: 'Times New Roman',serif;">South Florida Health Information Initiative
 * <span style="display: block; font-family: 'Times New Roman',serif;">Suncoast RHIO
 * <span style="display: block; font-family: 'Times New Roman',serif;">Central Florida Regional Health Information Organization
 * <span style="display: block; font-family: 'Times New Roman',serif;">Greater Ocala Health Information Trust
 * <span style="display: block; font-family: 'Times New Roman',serif;">Space Coast Health Information Network
 * <span style="display: block; font-family: 'Times New Roman',serif;">Tampa Bay RHIO
 * <span style="display: block; font-family: 'Times New Roman',serif;">Polk County HIE
 * <span style="display: block; font-family: 'Times New Roman',serif;">Northeast Florida Regional Health Organization
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Future of FHIN
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Other states?
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Delaware Health Information Network
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">MedVirginia
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">New York eHealth Collaborative
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">North Carolina Healthcare Information and Communications Alliance, Inc.
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">West Virgina Health Information Network
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">National level - National Health Information Network (NHIN)
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">What is it?
 * <span style="display: block; font-family: 'Times New Roman',Times,serif; line-height: normal;">developed to provide a secure, nationwide, interoperable health information infrastructure that will connect providers, consumers, and others involved in supporting health and healthcare.
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Why it should be saught after.
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Current state?
 * <span style="display: block; font-family: 'Times New Roman',serif;">Trial Implementations
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">What's required for it?
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Everyone on a list
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Possible Abuse
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Possible Fraud
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Conspiracy
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Distrust of Govt

<span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">**Problems with security (RHIOs) -Drew**
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Information is valuable and saught after
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Data is not centralized in an aggregated database
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Cannot Contract Away Liability and the RHIOs are not found at fault if there is a breach since it is a business associate
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Requirement for security jobs ($)
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Foreign dangers

<span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">**Possible solutions of problems. -Arthur (may integrate this into each before-mentioned problem)** <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Solutions to problems within:
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Adoption
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Expansion
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Privacy
 * <span style="display: block; font-family: 'Times New Roman',serif; margin-bottom: 0in;">Security

LINKS [] [] [] []

"Public health information infrastructure." []

"US Regional Health Information Organizations and the Nationwide Health Information Network"