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COMPREHENSIVE HEALTH INFORMATION SYSTEM (CHIS)

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COMPREHENSIVE HEALTH INFORMATION SYSTEM (CHIS)
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Meeting of the

Comprehensive Health Information System (CHIS) Advisory Council

Physicians Data Technical Workgroups



MINUTES



Date: March 29, 2006



Beginning Time: 10:10 a.m.



Venue: Face to Face at Tallahassee, Florida, and by teleconference



Members Present: Frank Astor, M.D., Blue Cross Blue Shield; James Bracher, J. Bracher &

Associates; Diane Godfrey, Florida Hospital; Mark Hauser, M.D.,

Baptist Hospital of Miami; Alma Littles, M.D., FSU College of

Medicine; Linda Quick, South Florida Hospital & Healthcare

Association; Lisa Rawlins, Agency for Health Care Administration; Kim

Streit, Florida Hospital Association; and Michael Wasylik, M.D., Florida

Medical Association



Members Present

by Teleconference: Brad Bjornstad, M.D., University Community Hospital Tampa



Members Absent: Larry McPherson, Department of Health.



AHCA Staff present: Cheryl Barfield; Penny Walker Bos; Arlesia Brock, PhD.; Cruz Conrad;

Beth Eastman; Michelle Johnson; Kevin Price; Beth Register;

Christopher Sullivan, PhD.; Gilmar Rodriquez; Jerome Todd; and

Carolyn Turner.



Other Participants: Nir Menachemi, FSU College of Medicine; R.H. Hahn, Vista Health

Plans; Marcos Lorenzo, TCH/FHA and Robert Wychulis, Florida

Association of Health Plans.



Other Participants

by Teleconference: Jim Puglise, Innovative Health Systems; Betsy Miller, HCA Health Care;

Tom Danzi, Tampa General Hospital; Mark Michelman, M.D., Florida

Medical Quality Assurance, Inc.; and Donald Gale, M.D. Winter Haven.



Materials Provided in Binder: Purpose and Roles for Hospital Acquired Infections Workgroup, Health

Plan Workgroup, Public Relations Workgroup and Health Care Facility Website/Ambulatory Surgery

Workgroup; Section 408.05 of Florida Statutes; CHIS Advisory Council Policies and Procedures; Role of

the Physicians Data Technical Workgroup; Massachusetts Health Quality Partners Website; DrScore.com

Frequently Asked Questions; UCompareHealthCare.com Frequently Asked Questions; Guiding Principles

for Physicians Data Website; AMA Measurement Sets; Physicians Data Website Wish List;

Ambulatory/Emergency Department Data Layout; Inpatient Data Layout; Ambulatory Care Quality

Alliance Pilot Project Press Release; Project Worksheet; Post Meeting Critique; Proposed Calendar for

2006.









-1-

Draft Minutes of the Teleconference Meeting of the

Comprehensive Health Information System (CHIS) Advisory Council

Technical Workgroups March 29, 2006





Materials Provided at Meeting: Recommended Starter Set Clinical Performance Measures for

Ambulatory Care; Statutory Authority for Physicians Data Collection.



Welcome, Introductions and Roll Call: Lisa Rawlins, SCHS Bureau Chief, welcomed the members on

behalf of the Agency and Secretary Levine, and gave an overview of the SCHS and CHIS Advisory

Council. She continued with a brief review of her background in health care and the legislature and

thanked all for participating in the new Physicians Data Workgroup. Lisa Rawlins then introduced Robert

Wychulis, current Chair of the CHIS Advisory Council, who recognized Kim Streit, past Chair of the

CHIS Advisory Council, and thanked the members for their participation in the workgroup. Lisa Rawlins

then asked each member to introduce themselves and give a bit of background information, which they

did. Ms. Rawlins then introduced Penny Walker Bos, CHIS Administrator.



Agency Update: Penny Walker Bos reviewed the Florida Statutes and the CHIS Advisory Council

Policies and Procedures. Ms. Bos also explained the Florida Sunshine Law and how it affects the

workgroup members. Ms. Bos then continued by reviewing the other CHIS workgroups and the purpose

and roles for each.



Discussion of Physicians Workgroup Roles, Affiliations and Purpose: Lisa Rawlins then reviewed the

roles and tasks of the Physicians Data workgroup. She explained that she envisioned a workgroup that

would work on building a consensus statewide. She stated that the roles and tasks were flexible, and were

drafted to simply get the ball rolling, and can be updated as the group desired. Penny Walker Bos then

read the four tasks the Advisory Council had charged the workgroup with. Kim Streit questioned the

fourth role and the inclusion of the phrase “charges, revenues and expenses,” stating that she felt that

including revenues was irrelevant for the purposes of consumer awareness. Lisa Rawlins answered,

explaining that Secretary Levine’s vision is to use current resources to report physicians data similar to

hospital charges. Dr. Wasylik stated charges can be misleading because charges do not accurately reflect

what gets paid. Lisa Rawlins explained that drugs are listed brand name versus generic. Even though

pricing may not directly affect patients, it is a tool for comparison by the public. Diane Godfrey stated

that “charges” are a valid reporting tool for consumers to compare. James Bracher then suggested that the

group take a look at the first three roles and that the fourth would come into line eventually, stressing that

he felt the group should focus on what that have access to at the moment.



MOTION: Kim Streit made a motion, seconded by Dr. Brad Bjornstad, to remove “revenues and

expenses” from the fourth topic to be examined by the workgroup. After a vote by the members, the

motion was passed.



AMENDED MOTION: Diane Godfrey then made a motion to amend the motion to add “charges” to the

fourth item of the list of roles to replace “revenues and expenses”. Dr. Alma Littles seconded the motion,

and after a brief discussion, a vote was held, with Linda Quick, James Bracher and Dr. Mark Hauser

voting nay, and the remaining voting aye, the motion was passed.



AHCA TASK: The House sub committee on hospital acquired infections had a meeting scheduled for

March 29, 2006. AHCA staff is requested to provide a copy of the Congressional testimony for the

workgroup at the next meeting.



Executive Business: Lisa Rawlins called for nominations for the election of a Chair person, and

nominated Dr. Michael Wasylik. Dr. Wayslik accepted the nomination, and there being no other

nominations, on a motion by Kim Streit, seconded by Dr. Brad Bjornstad, Dr. Wayslik was elected Chair

of the workgroup.







-2-

Draft Minutes of the Teleconference Meeting of the

Comprehensive Health Information System (CHIS) Advisory Council

Technical Workgroups March 29, 2006







Demonstration of Websites: Beth Eastman, AHCA, gave an overview of the three websites currently in

place, walking through each website demonstrating the various information, icons and links. Lisa

Rawlins pointed out the “practitioner profile” of the floridahealthstat.com website, and the credentialing

information, stating that it was not just doctors but ARNPs as well.



www.myfloridarx.com: Beth Eastman then reviewed the myfloridarx.com website, a collaborative effort

by AHCA and the Office of the Attorney General, and gave a demonstration on comparing prices for

prescriptions. She explained that it lists the top 50 drugs and generics and the retail prices submitted for

payment by Medicaid. Lisa Rawlins explained that there were some exclusions in the top 50 list. Penny

Walker Bos noted recent inquiries about our site from Texas and Colorado. Lisa Rawlins pointed out that

the website is a tool for consumers to encourage competition and is not a tool for fraud and abuse

oversight.



www.floridacomparecare.gov: Beth Eastman continued her review of the websites, focusing next on

floridacomparecare.gov by discussing the patient safety indicators, CMS SIP and Hospital Acquired

Infections. She pointed out that consumers can locate a facility by county or hospital name, and drill

down to get further information for that particular facility. Data updates are statutorily mandated

quarterly. Dr. Littles questioned the grade level of the information, and Ms. Eastman responded that the

site is written at a 10th grade level. Dr. Littles stated that this level was much higher than what is

recommended for consumer websites. Penny Walker Bos explained that the Public Relations Workgroup

was working on enhancements to the placement of links and information on the website, trying to expand

the outreach for feedback from consumer groups. Lisa Rawlins said that it was her vision that the website

be more of a navigational guide for consumers, with the goal to assist the consumer in navigating the

options available to their specific situation and diagnosis. She sees this website playing into the

physician’s website and connecting the information between the two. Beth Eastman continued her review

of the website, pointing out that Pediatrics will now be a separate search tool. Lisa Rawlins stated that

Florida is now the only state in the country to break out pediatric measures. She continued by saying that

one of the things this group will be looking at are suggestions for expanding the data collection sources

that currently exist. Members should look at legal issue that may prevent some data collection and see

how it can be expanded. Lisa Rawlins suggested that they may be able to look at Medicare and Medicaid,

as well as CMS for information. She suggested that Maine be used for presentation on physician’s

information process measures.



MOTION: Kim Streit made the motion to request for presentation of other state’s approaches to

Physician Data reporting. Dr. Littles suggested that this may be too much for the next meeting, and

requested that Staff provide a breakdown of other information available, including existing sources and

report back to the members. Kim Streit added that staff should include lessons learned. The motion was

seconded by Dr. Littles, and after a vote, was passed.



AHCA TASK: Research other states and health agencies that collect physician information to determine

what measures should be published on the website.



Demonstration of Massachusetts Health Quality Partners Website and other Sites: Michelle

Johnson gave a presentation of the HHQP website, noting that the website gave comparisons of doctors’

care. There was discussion about the site, and it’s features among the members. Dr. Hauser

recommended the Press Ganey Patient Satisfaction Poll, suggesting it may be a tool that could assist them

in determining how to display physicians data. He suggested that Staff research and provide members

with information on it and other customer satisfaction surveys.







-3-

Draft Minutes of the Teleconference Meeting of the

Comprehensive Health Information System (CHIS) Advisory Council

Technical Workgroups March 29, 2006







AHCA TASK: Research Press-Ganey, Galop, and other customer satisfaction surveys and review

customer satisfaction measures collected on physicians.



Guiding Principles for Physician Website: Penny Walker Bos reviewed the Proposed Guiding

Principles for Website Design. Dr. Hauser suggested adding to the list “motivate organizations to do

better.” After some discussion it was decided to add “encourage individuals and organizations to

improve quality”.



AHCA TASK: Add verbiage to Guiding Principles for Physician Website document (“encourage

individuals and organizations to improve quality”)



AMA Measurement Sets: Penny Walker Bos began a review of the AMA Measurement Sets, its

mission and vision. Dr. Wasylik then led the group in a discussion on performance measures / metrics as

provided by the AMA.



AHCA TASK: Research issues of non-compliance (patients not following doctor prescribed

recommendations).



Lisa Rawlins discussed the ARHQ measures and how they had been applied in the other websites and

expressed that she was very comfortable with the science behind the measures. Kim Streit provided

members with a handout outlining Recommended Start Set Clinical Performance Measures for

Ambulatory Care obtained from AQA. She explained that the 26 measures were based on claims data, and

led the group in a discussion of factors to be weighed when determining measures. Lisa Rawlins pointed

out that the group should take advantage of the “low hanging fruit” - that information which is readily

available to them – and start from there. They should report on information already being collected, she

continued, stating that reporting on volume of procedures, such as for hospitals on

www.floridacomparecare could be reported on the physician level as well. Ms. Rawlins suggested that

the AQA Starter be second tier of information, and asked that the members concentrate on information

data sets currently being collected by AHCA.



AHCA TASK: Report on procedure counts for primary care physicians by procedure.



AHCA TASK: Report on volume of procedures by physicians.



Kim Streit expressed her concern with outcomes data and felt that the issue needs further review. She

suggested that they ask Dr. Romano from California to provide some insight on charge data and

complication data and how to apply to the physician level. Dr. Astor said that he felt claims based

information can compliment the information collected by the state. Jim Bracher stated he would like to

see inpatient data for hospitals and see what it looks like at the physician level.



AHCA TASK: Verify physician license numbers in database by comparing with DOH.

Website Wish List: Lisa Rawlins asked the group to focus on their wish list for what they would like to

see on the physicians website. Once the list is determined, she can provide the member with the data.

Linda Quick asked the members to put on the wish list things that are actual decisions that consumers

would use, such as procedures that people would actually be making decisions about.



MEMBER TASK: E-mail recommendations for the Website wish list. Dr. Tom Danzi, a member of the

audience from Tampa General Hospital, asked the group if anyone had asked the consumer what they







-4-

Draft Minutes of the Teleconference Meeting of the

Comprehensive Health Information System (CHIS) Advisory Council

Technical Workgroups March 29, 2006





wanted to see on a website. Lisa Rawlins explained that in addition to the online survey currently in place

on all of the websites, the Public Relations workgroup are currently formulating a plan for focus groups

later in the year.



Jim Bracher suggested that the doctors in the group take a look at the information on the inpatient data

and look at what procedures could be utilized. He felt this would assist the workgroup in providing a list

sooner rather than later. When asked, Penny Walker Bos related that “inpatient data” would be to pull the

top 30 procedures where consumers select their physicians and have a list at the next meeting. Kim Streit

recommended using the volume information for elective procedures by ICD 9 codes that Carolyn Turner

did for the facilities and ambulatory surgery centers as a starting point. Beth Eastman referred the

members to the Ambulatory/Emergency Department Data Layout and Inpatient Data Layout as tools to

aid the members in determining what information is available. She provided suggestions such as volume,

primary procedures by CPT code, and APR-DRG. She suggested totals on high volumes on all to be

viewed by physician, which would be only “publicly reported physician data” and no quality statements,

allowing the consumer to determine from the information their own quality statement. Jim Bracher

suggested that there be a quality check to be sure that the correct physician data information is used.

Carolyn Turner stated that there could be a link with DOH to get specialty only, and run the data without

names.



Nir Menachemi, FSU College of Medicine suggested looking at diseases, which could follow a patient

through the entire procedure, and get information on all of the doctors involved in their care. Jim Bracher

requested that Staff talk to the legal department to determine if Medicare or Medicaid information is

available for use. Michelle Johnson stated that Medicaid encourages using the information as long as

they do not reveal private patient information.



Penny Walker Bos provided a handout of “Statutory Authority for Physician Data Collection” and

reviewed it with the members. She stated that this crosswalk provided a list of statutorily authorized

government agencies who collect health care data and what the law says about how that data can be used.

Dr. Astor offered that if the group could utilize the Medicaid and Medicare data, he could possibly

provide the algorithm, along with a list of the top 20 diagnosis that can be used as another list.



AHCA TASK: Research the availability of Medicaid claims based data for workgroup research.



MEMBER TASK: Research the availability of algorithm to research physician information using disease

categories.



Ms. Bos requested that the members email her with their ideas for the wish list, in addition to any other

suggestions or ideas for the workgroup.



AHCA TASK: E-mail members a reminder for wish list input with attached minutes, motions, and tasks.



Upon receipt, she will compile into one document and provide to the members along with a copy of the

minutes before their next meeting so that members could brainstorm on ideas to present at that meeting.



Meeting Evaluations: Penny Walker Bos reviewed the meeting evaluation critiques and urged members

to complete them and email them to her attention.



Next Meeting: Dr. Wasylik discussed potential dates for the upcoming meetings and suggested that the

next meeting be held some time in June. There was discussion among the members as to the location of







-5-

Draft Minutes of the Teleconference Meeting of the

Comprehensive Health Information System (CHIS) Advisory Council

Technical Workgroups March 29, 2006





the meetings, and it was determined that they would be held in Tallahassee, however, the possibility of

having the meetings elsewhere would be considered. Upon a motion and second, the meeting was

adjourned.









-6-


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