Membership: (§381.90, F.S.)
The council shall be composed of the following members or their senior
Secretary of the Department of Health (DOH)
Director of the Agency for Healthcare Administration (AHCA)
Attorney General (AG)
Secretary of the Department of Business and Professional Regulation (DBPR)
Secretary of the Department of Children and Families (DCF)
Secretary of the Department of Corrections (DC)
Commissioner of Education (DOE)
Secretary of the Department of Elder Affairs (DOEA)
State Treasurer/Insurance Commissioner (DOI)
Secretary of the Department of Juvenile Justice (DJJ)
Executive Director of the Correctional Medical Authority (CMA)
Two Representatives of County Health Departments (CHD)
A Representative of Florida schools of public health chosen by the Board of Regents (BOR)
A Representative of the Florida Association of Counties (FAC)
A Representative of the Florida Healthy Kids Corporation
Council Members in Attendance:
Linda Nelson, representing the Department of Health
Rod Westall, representing the Department of Corrections
Robert Anderson, representing the Attorney General’s Office
Debra Gressel, representing the Agency for Health Care Administration
Lori Schultz, representing Department of Children & Families
George Hinchliffe, representing the Department of Juvenile Justice
Donald Bennett, representing the Correctional Medical Authority
Dr. John Heilman, representing Pinellas County Health Department
Larry Daniels, representing State Treasurer/Insurance Commissioner
Gay Williams, representing Florida Association of Counties
Steve Lyncker, representing the Department of Education
William Kerns, representing Florida schools of public health chosen by the Board of Regents.
Council Members Absent:
(Cheryl Lesnesky representing Putnam County Health Department, resigned)
Maureen Olson, representing the Department of Elder Affairs
Lee Cornman, representing the Department of Business and Professional Regulation
Rose Naff, representing the Florida Healthy Kids Corporation
Others in Attendance:
Linda Brady (DOH)
Allen Pearman (DOH)
Linda Husbands (AHCA)
I. Call to Order and Welcome:
Linda Nelson called the Florida Health Information Systems Council meeting to order at 2:30 pm and welcomed participants.
II. Roll Call:
A formal roll call was conducted and attendees identified themselves and the organization they represented. A quorum was established and attendance is reflected above.
III. Approval of Minutes:
The minutes of the Florida Health Information Systems Council meetings held March 29, 2002, and May 22, 2002, were presented. Upon a formal motion and second, the minutes were approved as presented.
IV. FHISC Strategic Plan Revisions and Update: Council Review and Approval Linda Nelson reviewed background information regarding the last meeting when a tentative review was done on the Strategic Plan revisions due to a lack of a quorum. Certain modifications were made to the draft document based upon comments made during the May 22, 2002 meeting.
Linda Nelson then reviewed the changes made to the strategic plan and these are summarized as follows:
· Added discussion of impact of bio-terrorism threats on data standardization, collection and sharing and move quotation by Donna Shalala to the “Trends and Conditions Analysis [pp. 7-8]
· Added discussion of extension of HIPAA transaction standards deadline [p.9]
· Modified strategic objective to reflect the extension of HIPAA transaction standards deadline [p.10]
· Noted that the Agency for Health Care Administration has established a HIPAA website consistent with a previously identified FHISC implementation strategy. [p. 10 & 14]
· Noted the State Health Data Catalog (Data Catalog) produced by Agency for Health Care Administration’s State Center for Health Statistics and its support of Council goals related to data sharing. [p.11]
· Added discussion of impact of bio-terrorism on data sharing and coordination efforts. [p. 11]
· Added discussion of impact of HIPAA privacy regulations on data sharing. [pp11-12]
· Added third strategic issue: “Share and coordinate use of analytical tools, systems, and expertise [pp. 14-15] [ It was noted that at the May meeting, the chair requested that council members look at Strategic Issue 3 and see if there is an actionable item that should be included in the strategic plan; how it would be included in the document as it stands, or if modification of the document is needed to meet this recommendation.]
· Statutory references updated to reflect current statutes. [pp.16-17]
· Corrected effective date for HIPAA privacy standards to April 14, 2003
Linda Nelson commented that a number of changes were primarily organizational changes in nature; not substantive changes but changes in format.
Allen Pearman then noted that another item that was added related information technology projects and initiatives. Two initiatives were specifically identified. The first project relates to the Health Insurance and Accountability Act compliance. It affects a number of state agencies. Secondly, during the last legislative session, “The Florida Health and Human Services Access Act” was passed which affects a number of agencies that are Council members. Given the direction that the act is taking and the involvement of a number of agencies represented on the council, it is hoped that the actions would be supportive of the strategic objectives contained in the plan.
Linda Nelson asked for a motion to accept the amended plan as presented.. The motion was made and seconded. There was no discussion and the motion was adopted without objection.
Linda Nelson then thanked the Council members for their contributions
V. Proposed revisions to section 381.90, Florida Statutes (implementing statute for the Health Information Systems Council):
The Chair is requesting approval for the Council to go forward with the “glitch” bill to cleanup the language related to the council and its activities. Due to governmental reorganization, agencies have changed names or organizational structure. Council members would be presented with any language amending current statutes for review and comment before any formal submission.. Linda Nelson asked for a motion for our initiative to proceed with the “glitch” bill. The motion was made and seconded. There was no discussion and the motion was adopted without objection.
Linda Nelson stated that as soon as draft language is prepared, it will be sent to the Council members for review.
Allen Pearman suggested that the proposed changes be shared with the legislative affairs offices of agencies that have undergone reorganization.
This will ensure that these offices are aware that this bill is moving forward and the reasons for any proposed changes
VI. Other Business:
There being no other items to bring to the attention of the council.
A motion was made and seconded to adjourn. Without objection, the meeting was adjourned at 2:50 p.m.
In closing, Linda Nelson announced that Cheryl Lesneski has resigned
from the Council. Steps will be under taken to name a replacement.
Summary of Pending Action Items:
1. Document approved by the council, will be forwarded to the State Technology Office on or before July 15, 2002. [Note: A draft Florida Health Information Systems Council Strategic Plan for Fiscal Years 2003-2004 through 2007-2008 was forwarded to the State Technology Office on May 31, 2002, to technically comply with the statutory deadline for submission of June 1. It was noted that due to an absence of a quorum, the council was not able to formally approve the revised strategic plan at the meeting held on May 24, 2002]
The statute (s. 186.022, F.S.) states that "... State Technology Office shall review each such strategic plan and shall determine whether each such plan is consistent with the State Annual Report on Enterprise Resource Planning and Management and statewide policies adopted by the State Technology Office, and by July 1 of each year shall develop and transmit to each such board and council a written expression of its findings, conclusions, and required changes, if any, with respect to each such strategic plan. If any change to any such strategic plan is required, each affected board and council shall revise its strategic plan to the extent necessary to incorporate such required changes and shall resubmit its strategic plan to the State Technology Office for final approval and acceptance."
Since the deadline for submission was extended to July 15, 2002, it is assumed that final approval and acceptance will be forthcoming from the State Technology Office (STO) on or about August 15, 2002 if no changes are required by the STO. Any changes or reactions to comments would require formal action by the council and would require that a meeting notice be published in the Florida Administrative Weekly. Realistically, it takes approximately a thirty-day lead-time to schedule and hold a formal council meeting.
Once formal approval and acceptance is received [and consistent with the provisions of Section 381.90 (7) (a), Florida Statutes], copies of the approved plan will be "...be transmitted electronically or in writing to the Executive Office of the Governor, the Speaker of the House of Representatives, and the President of the Senate." Absent other guidance, it is assumed that the council has the responsibility for final transmission of the approved plan.