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Florida Health Information Exchange
Knowledge Management System

What is the Florida HIE Knowledge Management System?

Florida International University (FIU) has been awarded a contract from the Agency for Health Care Administration (Agency) for an independent evaluation of the implementation of the Florida Statewide Health Information Exchange (Florida HIE). As part of this evaluation, FIU has provided an assessment tool for the State to monitor the implementation and adoption of the Florida HIE by healthcare providers. This assessment tool is referred to as the Florida Health Information Exchange Knowledge Management System (KMS).

For more information on the State of Florida implementation of a statewide HIE please refer to the Agency's Florida HIE Website. Also, any of the Florida HIE logos on this webpage will take you to the Florida HIE website. Click here to see what Florida HIE means to patients.

What is the KMS for?

This Knowledge Management System (KMS) contains dashboards with key performance indicators and reports that the Agency can utilize for benchmarking. The metrics included as evaluation measures will focus particularly on the program priority areas of:

1) Laboratories participating in delivering electronic structured lab results

2) Pharmacies participating in electronic prescribing (e-Prescribing)

3) Providers exchanging patient summary of care records

The KMS includes both qualitative and quantitative data in order to:

Help identify opportunities for improvement throughout the implementation process
Allow the Agency to continuously modify the strategic and operational plan in order to address opportunities for improvement

These data will:

Help identify opportunities for improvement throughout the implementation process
Allow the Agency to continuously modify the strategic and operational plan in order to address opportunities for improvement
Provide and share lessons learned as feedback to the Office of the National Coordinator for Health Information Technology (ONC)

The KMS is aligned with the specific aims and research questions of the evaluation of Florida’s statewide HIE implementation, which are outlined in the following table.

Approach and Work plan:

AIM	Goal	Specific Research Questions
1. Stakeholder engagement/outreach	Identify the approaches and strategies for stakeholder engagement that encouraged health information exchange	Research Question 1a: How did the engagement with stakeholders support Florida’s strategy to increase exchange activity in each of the program priority areas? Research Question 1b: What is the status of participant adoption and use?
2. HIE performance and impact	Analyze HIE performance and impact in each of the key program priority areas.	Research Question 2a: How has HIE performance progressed in each of the key program priority areas? Research Question 2b: What is the impact of HIE on clinical outcomes, process outcomes, intermediate outcomes (e.g., provider adoption and attitudes, patient knowledge and attitude, impact on workflow), and financial outcomes?
3. Feedback/ continuous improvement	Provide feedback data from the evaluation that will allow the Agency to continuously modify the strategic and operational plan and to address opportunities for improvement in order to realize an appropriate and secure Florida HIE.	Research Question 3a: What key approaches and strategies contributed to progress in key program priority areas? Research Question 3b: Were there any unanticipated consequences (both positive and negative) of the HIE system’s implementation?