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Florida Health Information Systems Council

Minutes, February 25, 1998

Membership: (Chapter 97-286, Laws of Florida, Section 27)

The council shall be composed of the following members or their senior executive-level designees:

  • Secretary of the Department of Health (DOH)
  • Secretary of the Department of Business and Professional Regulation (DBPR)
  • Secretary of the Department of Children and Families (DCF)
  • Director of the Agency for Healthcare Administration (AHCA)
  • Secretary of the Department of Corrections (DC)
  • The Attorney General (AG)
  • Executive Director of the Correctional Medical Authority (CMA)
  • Two Representatives of County Health Departments (CHD)
  • A Representative of the Florida Association of Counties (FAC)
Council Members in Attendance:
  • John Burke, representing the Department of Corrections
  • Buddy Croft, representing the Department of Children and Families
  • Janice Hays, representing the Office of the Attorney General
  • Dr. John Heilman, representing Pinellas County Health Departments
  • Dr. Jim Howell, representing the Department of Health
  • Paula Jackson, representing the Office of the Attorney General
  • Cretta Johnson, representing the Florida Association of Counties
  • Cheryll Lesneski, representing Putnam County Health Department
  • Sean Pittman, representing the Department of Business and Professional Regulation
  • Ed Stivers, representing the Agency for Health Care Administration
Absent Council Member:
  • Correctional Medical Authority

Others in Attendance:

  • Judy Bentley, DOH
  • Lisa Cook, DOH
  • Mike Dagher, BC/BS
  • Karen Freeman, DOH
  • Jeff Gregg, AHCA
  • Bill Lucas, DOH
  • Becky Lyons, DCF
  • Wayne McDaniel, DOH
  • Allen Pearman, DOH
  • Pat Ryder, DOH
  • Lori Schultz, DCF
  • Jacki Seabrooks, DOH
  • Phyllis Siderits, DOH
  • Robbie Tootle, AHCA

I. Call to Order and Welcome: Dr. Jim Howell called the conference call to order and welcomed participants.

II. Roll Call: Ms. Lisa Cook performed a roll call of agencies named to the Council.

III.    Approval of Minutes: The minutes of the February 25, 1998 Florida Health Information Systems Council meeting were adopted as submitted.

(Agenda items are taken out of order.)

IV. Report on Legislative Review Workgroup: Mr. Jeff Gregg, Chair of the Legislative Review Workgroup, presented a report on the legislation tracked by the workgroup during the 1998 Legislative Session. The workgroups mission was to identify and track legislation with a potential impact on health data collection. Mr. Gregg briefly reviewed each bill tracked, responding to questions from participants. Dr. Howell expressed his appreciation to the workgroup for their time and efforts and to Mr. Gregg for leading the workgroup.

Dr. Howell stated that he felt it is necessary to contact each of the statutory members and identify specific areas of focus and to address concerns of their agency. He suggested that the Council discuss the creation of a review and approval process to ensure cooperative planning among agencies that collect or maintain health-related data. Currently, DOH staff is undertaking the necessary steps to bring these two items to the Council. A legislative proposal has been submitted to DOH Legislative Planning for consideration during the 1999 Legislative Session.

Next, Dr. Howell discussed the Council’s upcoming annual report. He noted several areas of information sharing currently underway, such as the legislation allowing CMS access to child abuse data, the movement of MQA to the PRAES (credentialing) system, and Title XXI data sharing. Mr. Gregg agreed that the Title XXI program is an excellent example of interagency information sharing and may provide an appropriate focus for the Council.

VI.    Discuss Proposed Changes to Legislation: Ms. Judy Bentley stated that comments have been made at previous meetings concerning the membership of the Council. She noted that the addition of the Department of Insurance has been suggested, as well as the removal of the Department of Business and Professional Regulation. Mr. Pittman stated that DBPR’s involvement has been general up to this point and with the transfer of MQA to DOH, the DBPR no longer holds data of interest to the Council. He noted, however, that the agency is willing to participate as needed. Dr. Howell agreed and thanked DBPR for its commitment to assist as necessary.

At this time, Dr. Howell solicited suggestions for additional members and proposed that the Council limit the scope of "health-related data" to include only human health and not environmental health. Entities offered for membership in the Council were the Department of Insurance, the University of Central Florida, School of Public Health, the Florida Agricultural and Mechanical University, Institute of Public Health (Birth Defects Registry) and the Florida Healthy Kids Corporation. Ms. Linda Keen suggested inviting these groups to attend a meeting to determine whether they feel they play a role in the mission of the Council. Ms. Cheryll Lesneski suggested recruiting participation at the Federal level. Dr. Howell asked that Ms. Bentley to prepare a letter to the Surgeon General’s Office expressing the Council’s interest in gaining input at the federal level. Dr. Howell requested that further suggestions regarding Council membership be provided to Lisa Cook.

VII. Governor’s Office Response to Draft Strategic Plan: Ms. Bentley reported that the instructions for completing the Draft Strategic Plan were provided after the Council’s plan was submitted. She stated that plan was prepared in cooperation with the Governor’s Office and submitted accordingly. However, the response to the plan requests that it be prepared in compliance with a very rigid set of instructions.

Ms. Bentley stated that one of the other entities created under the same legislation as the Council is currently working to bring their strategic plan into compliance and have recommended local consultants to facilitate the preparation of our strategic plan. Dr. Larry Gross and Dr. Tom Taylor, Florida Center for Public Management, have agreed to meet with staff to discuss the possibility of assisting the Council with its plan. Ms. Bentley reiterated that the funding and staff requested to support the Council were not appropriated and have been requested again in the 1999-2000 legislative budget requests. Funding for these facilitation services may be available from the DOH, Division of Information Resource Management.

Dr. Howell suggested that Council members meet with the consultant to provide information that might be helpful in the development of the Council’s mission and plan. He added that the Governor’s response to the draft plan indicated "high expectations" of this Council. Ms. Bentley agreed there is a great deal of interest in the potential of the Council and that a trained, independent facilitator will help to focus and solidify the Council’s mission. Dr. Howell reiterated the need to gather the specific needs of the agency heads and increase their interest and involvement in the Council.

VIII. Report on Standards Workgroup: Ms. Lesneski provided a brief review of the initial activities and membership of the Standards Workgroup. She noted that two of the workgroup members are new to the Council, Mr. Randy Carter a professor of biostatistics at the University of Florida and Dr. Mike Dagher with Florida Blue Cross and Blue Shield. Ms. Lesneski stated that the workgroup identified several areas of focus such as the conditions that restrict information sharing and current national efforts to standardize data. She noted that Mr. Meade Grigg has offered to research national efforts. Ms. Lesneski added that Dr. Dagher has been involved with the Massachusetts Health Data Consortium and has information to share regarding those efforts. The workgroup has also discussed the recommendation of a prototype data integration system, an effort to focus on one particular area of data integration. Ms. Lesneski expressed a desire to expand the membership of the Council and requested suggestions from Council members.

At this time, Mr. Wayne McDaniel joined the conference call. Mr. McDaniel and Dr. Howell revisited the previous discussion regarding Council membership and examples of interagency data sharing.

IX.  Report on Title XXI: Ms. Phyllis Siderits provided information on Title XXI.

She agreed that the Title XXI effort is a good example of data sharing among multiple agencies. She explained that there are four different programs and some inconsistency in collection and reporting of encounter-level data. She suggested that the Institute for Child Health Policy might be another stakeholder in the Council. Dr. Howell suggested extending an invitation to the Institute for Child Health Policy to participate in the Council’s next meeting as ad hoc members. In response to a question from Dr. Howell, Ms. Siderits stated that a data-oriented workgroup for the Title XXI efforts does not exist, although she agreed that it would be very useful. Dr. Howell suggested that the Council consider assembling an ad hoc group from the DOH, AHCA, DCF, and Florida Healthy Kids Corporation to focus on Title XXI data. This item will be placed on the agenda of the next Council meeting.

There being no further business, the meeting was adjourned at 2:51 p.m.

 Respectfully submitted,

Lisa Cook
Recording Secretary

   
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