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Florida Health Information Systems Council

Minutes, October 22, 2003

Membership: (§381.90, F.S.) 
The council shall be composed of the following members or their senior executive-level designees:
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:

David Taylor, representing the Department of Health
Carolyn Turner, representing the Agency for Health Care Administration
Dennis Gillette, representing University of South Florida, College of Public Health
Belynda Shadoan, representing The Chief Financial Officer
Gay Williams, representing Florida Association of Counties
Rod Westall, representing the Department of Corrections
Ed Youngblood, representing the Attorney General’s Office
George Hinchliffe, representing the Department of Juvenile Justice
Walter Schmitt, representing Pinellas County Health Department
Lisa Gill, representing the Florida Healthy Kids Corporation
Donald Bennett, representing the Correctional Medical Authority
John Wurtele, representing the Department of Elder Affairs

Council Members Absent:

Lee Cornman, representing the Department of Business and Professional Regulation
Danny Jordan, representing the Department of Children and Families
Vacancy, representing the Commissioner of Education
Vacancy, representing the County Health Departments

Others in Attendance: 
Kim Shafer, Bureau of EMS (DOH)
Stephanie Daugherty, Bureau of EMS (DOH)
Allen Pearman (DOH)
Linda Husbands (AHCA)

I. Call to Order and Welcome: 
David Taylor, Chief Information Officer, Department of Health, called the Florida Health Information Systems Council meeting to order at 2:10 p.m. and welcomed all participants.

II. Roll Call:
 
A formal roll call was conducted and attendees identified themselves and the organization they represented. Attendance is reflected above. An absence of a quorum was noted.

III. Approval of Minutes: 
The minutes of the Florida Health Information Systems Council meeting held June 18, 2003, were reviewed and approved with one correction noted.

IV.
FHISC Strategic Plan Review and Revisions (Due November 1, 2003)
Allen Pearman

Allen Pearman noted that comments had been received from the State Technology Office (STO) on the council’s draft strategic plan. Comments were both technical and substantive in nature.

Allen Pearman reviewed the specific changes and modifications made to the draft strategic plan document in response to STO comments that changes to the plan include an explanation for the change. Proposed changes included the following (with changes in bold):

1. Modified membership to reflect legislative action conforming Florida Statutes to amendment of Article IV, Section 4, of State Constitution, in which functions of former positions of Comptroller and Treasurer were combined into Office of Chief Financial Officer.

2. Modified start date to annually identify and prioritize data needs for Florida entities collecting or maintaining health-related data to permit sufficient time for the council to develop mechanisms for identification and prioritization of health-related data needs.

3. Added discussion of Emergency Room Patient Data Collection to reflect proposed data collection activity development in consultation with other state agencies in support of possible future data-sharing between state agencies.

4. Modified strategic objective to reflect the extension of HIPAA transaction standards deadline to October 16, 2003

5. Modified strategic objective to reflect need for on going monitoring of state agency compliance with HIPAA privacy requirements resulting from implementation of certain HIPAA rule requirements.

6. Modified discussion of HIPAA security regulations to reflect publication of final regulations with corresponding effective date.

7. Minor editorial changes were made to update text and to clarify meaning.

8. Added reference to State Technology Office HIPAA Web site and appointment of statewide HIPAA coordinator to more fully reflect nature and scope of state activities related to HIPAA compliance.

9. Statutory references updated to reflect current statutes.

The proposed technical changes were adopted without objection.

The issue of substantive changes was then reviewed. Specifically, the comments from the STO suggested that the council’s strategies be modified to include specific milestones and deliverables in support of stated issues. Council members were asked to review all strategies and suggest modification. No comments or suggested changes were received by the October 14, 2003, deadline established when request for review was forwarded to council members. It was noted that revisions resulting in modification of specific milestones and deliverables are likely to require commitment of member agency resources beyond those currently committed to council activity. The council was not comfortable in making additional changes. It felt that no changes should be made at this time due to the issues raised previously. The council will continue to review its strategies in anticipation of making further revisions in next year’s strategic plan.

Upon a motion and second, the recommendation that changes not be made at this time and that the sense of the council be transmitted to the STO was adopted without objection.

V. Other BusinessInitial discussion focused on the scheduling of the next council meeting.  It was noted that the council normally meets quarterly.  The next meeting of the council would normally take place sometime in the January through March quarter of 2004.  No specific date has been set.  The council could meet sooner if there are specific issues for the council to consider.           

The discussion then focused on specific agenda items for the next council meeting.  One item suggested for inclusion on the next agenda was a status report on agency data-sharing initiatives and experiences.  In addition, it was suggested that a status report be provided on the Comprehensive Health Information System (CHIS) Advisory Committee.

 It was noted that suggestions for specific agenda items would be requested at the time that draft minutes for this meeting are distributed to council members.

VI. Adjournment: Without objection, the meeting was adjourned.

   
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