[click to watch website discussion part 1]

[click to watch website discussion part 2]

Mark Alexander:   Okay. Four ways to get your website update. So, the website's out there. And mainly what I'm going to do today is just walk through and tell you of some of what we've done and where we're at today. And show you some pictures of it.

So, one thing that Beth asked me to do is just kind of make sure everybody understood kind of the flow of the data and what my company's role is in this. Up here we've got facilities. Facilities provide data that goes to AHCA. And some of the data comes directly to my shop, some of it goes to Treo because, a lot of you know Bill Kelly who's come to a lot of meetings, and so they do some processing.

We compile a database and then we publish the websites, basically. And then you've got your internet users out here. So, our role is in accumulating all the data, getting the database together, getting the website where we publish all the data out onto the internet.

So, here's the outline of what I'm going to cover. This is just going to be a few minutes. What we've learned about the website, what AHCA intends for the website. Really when you are putting on your hats, what you need to be thinking is how you're going to provide your feedback to AHCA because they're the ones in-charge of this. And then, what we are planning to do to fulfill AHCA objectives with the website.

So, what we did, we conducted a website usability study. And we went to several locations throughout the State. We came up with some demographics based on age and race and gender and some other things like whether you've had some type of illness or not. And we went and we developed a methodology for the study. We consulted with a website usability, a health care website usability expert. She helped us develop a methodology for how to conduct the study. And we went and did that. And then we compiled all the results, we had a big report. We went through some of the results with the report at one of the required meetings with the website work group.

So, we had the website usability study. That gave us a lot of feedback about some good things about the website, some could use some improvement. We continued to collect information through surveys on the website. Really, AHCA, they get a report from us every month that has the survey results. They review that, we review it, so we know what people are saying when they come visit the site, if they take the set in the form of the survey. And then you guys, the people in the council make recommendations.

So, all of these stuffs pulled in to what we're planning to do with the website. So, usability study, there were some top issues that came out of that. One of the primary issues that people identified was that they didn't like the colors of the website.

Participant 1:   It matters.

Mark Alexander:   You guys were talking about all of these powerful ideas and they're not really lost. I went in one of the meetings where there was a discussion about community visits in the late times which I have just had gone couple of months before and taken my wife, who've had a migraine headache, to the emergency room.

And now, I've learned in that meeting, from you guys, that I shouldn't have done that. But I didn't know at that time I went there and we waited and we were there all day and it was horrible. So, I fully appreciate everything that you guys are talking about. But this is the type of thing that I'm going to cover in this presentation. It's real simple. It's colors - colors on the website. So, don't expect too much.

Participant 1:   What is the access on the left?

Mark Alexander:   What's that? Oh, it's the number of respondents that bought and these were things that needed improvement.

Participant 2:   So, that's 20 respondents?

Mark Alexander:   Yeah.

Participant 2:   About how many are you?

Mark Alexander:   About 20.

Participant 2:   So, everybody needed a color?

Mark Alexander:   Yes.

Participant 2:   What about content? Did they have questions about content?

Mark Alexander:   Well, what we did is we gave them things to do, to try to get them thinking and find out of they can find information.

Participant 2:   Okay.

Mark Alexander:   And a lot of this has to do with that. The tabs across the top, they didn't feel were effective navigation tools.

Participant 3:   So, this is about navigating in the website.

Mark Alexander:   Yes. So, there was a lot about navigation but I think a lot of this has to do with the design. And that's why I'm showing you these. These are factors that kind of influencing a redesign.

So, AHCA's priorities, now this is really from kind of out there to do this, but what they tell me, this is what I hear, is that we want the website to be consumer centered. Although not all the information on the website and on the AHCA website is for consumers, there is a consumer centered focus.

Visitors to the website should be able to find what they want really easily. So, we want to incorporate recommendations on the accounts. And we want to continue to implement the transparency initiatives. So, I will probably revise this now after listening to some extent. But basically what this point is that we want to be able to do all the things that you got to talk about.

So, for my team, these are our action items right now. These are the things that we're just under way and working on. So, we want to address the top issues that were identified in the website usability study. We want to provide educational information to consumers about initiative procedures. We want to use that and pull the action type of medical web on the website to try to help people find what they're looking for on the website. And we want to integrate all the content, have a more unified layout design.

When I say using a call to action, it's as simple as look up a medical condition. So, that's telling you to do something. So, if that speaks to you, if that's what you are interested in, you know right away what to do. So that's the basic idea on the website now is it's going to give you a call to action to get the information you want.

Participant 4:   And so, that will be the entry way?

Mark Alexander:   Well, this will be one call to action. With the design you'll see, as I get through the presentation. This is actually a little shot out of the website design that we've got, basically, the primary call to action for consumers. So, this is what we think is going to be the primary way that people are going to get in.

Participant 5:   Is that the color?

Mark Alexander:   That's the color.

Participant 5:   That's not the splash.

Participant 6:   It's a little restless.

Mark Alexander:   It doesn't look right on this setup thing. We'll leave it up on this computer and afterwards you can look at it. It looks kind of washed down from that side, faithful to the colors that we've got.

So, one of the action items is to provide educational information. So, what we're doing is we're incorporating the ADAM health encyclopedia. It's comprehensive, it's updated regularly. This health encyclopedia will be hardly AHCA more than compared to your or other main website.

It will be continuously updated so as the company ADAM's as they release updates, they'll be incorporated in the website automatically. That consists of diseases, conditions, symptoms, stats, surveys and more information. I'm going to go in a little bit about ADAM and what it provides and how it's come about.

It's written for the general consumer with an average level of health literacy. And that's something that has been talked about in a lot of the meetings that I've been in is making sure that the information speaks to the consumer so that they can understand it.

So, ADAM was founded in 1990. It's a publicly traded company and they've got medical administration team, they have a medical course team, technology expertise.

Participant 6:   Is it only available in English? Or is it English and Spanish? It's better if it was in Spanish too and we have talked about that.

So, what they do is they provide us content that other multiple customers can use and may provide the service. Their service basically, there's office subscription to their service, it is how the information is all going to be kept up to date regularly.

So, they have physician reviewers. All of the content that's going to be out on the website is reviewed through this network of physicians. Physicians review and write all the medical contents. So, it's reliable information. It's written for the audience that we're trying to target which is consumers.

These are some of the clients that ADAM have right now: institutions, hospitals, others. You can go out and do a search for ADAM Health Encyclopedia and take a look at it and you'll find some bits on that.

So, within health illustrated encyclopedia, which is the product that AHCA is subscribing to, it's got 3,600 health articles, lots of pages, lots of images, real user friendly, it’s got a search index and it's got the ability for us to integrate it into the website and do different things with it. Here are just some examples of some of their practice.

So, later on the third action item that we’ve got on my team is to integrate the content, create and design and this is a preview of it. What I'm going to do now is walk through just some of the basic navigation. This is the idea…

Participant 7:   This is new. This isn’t what we've had when we looked at it up until now.

Mark Alexander:   This is not what we've had. This is the new design. It's primarily a new webpage design. New navigation incorporated ADAM. So, this is going to be the page. So, you've got the primary call to action which is look up a medical condition. Some of the other things we've got here; locate facility.

The facility locator is currently on the AHCA website, is the most used piece of the website. So, that's a call to action as well. Find drug prices, we've got a mini demo side here, go to the left side. So, this is the more consumer-friendly, engaging blog. Again, I kind of urge you to look at it on the computer. It's got a lot of, I think, better color scheme than it looks like up here.

Participant 8:   So, the yellows are a little more obvious.

Mark Alexander:   Yes.

Participant 9:   My eyes go back to that find a physician is one of the call to action?

Mark Alexander:   Not currently. Not currently.

Participant 9:   But it could be.

Mark Alexander:   It could be. That would be under the design for the future. So, right now, the only real new component that we're bringing in is the ADAM health encyclopedia. But what we're doing is we're changing the navigation, improving it, improving the design so that it’s more effective for visitors to get the information they want.

Participant 8:   And the other thing we're doing, too, is really consolidating the information on my portal, rx.com, with the information on the portal caregive.gov and the information on the portal healthstat.com.

Mark Alexander:   Right. So, just a follow up with that, what that means is that all of the content from those, whether you're currently in those three websites, you'll be able get into this new website and navigate through the different information easily and they'll all be tied together in this same design.

So, what we've done to kind of deal with the issue of the fact that not all of the visitors to the website are consumers, we've got this tab right at the top. So, up here we've got a health care professional's tab and this is where the information such as the query tool, that's what we call it, where you can go in and download data, some of the other reports and other information that is more targeted towards health care professionals is provided through that tab.

Participant 10:   Can we stay on the Florida consumer tab, though, and get to that?

Participant 8:   Yes. You can just tab out.

Participant 10:   No, I'm just saying if you are in a Florida consumer page, I know you’re going to slice them up I didn't notice, do they have access as well?

Mark Alexander:   When you go to the website, I mean you did that, so let me do that. So you go to the website and you'll see this. And then you can just click back and forth…

Participant 10:   But then I got to know health care professionals, that's where they go for that, that's my point, they're going to say, "Hmm, I'm not a health professional…"

Mark Alexander:   The information that you get there, a lot of it, like on the query tool, I mean, it's a tool where you really have to know the BRG numbers that you’re interested in, things of that nature. It's really more geared towards people that know the data.

Participant 10:   Okay.

Participant 11:   I don't know if Carol will agree with me or not, when my wife goeson the site, she sees health care professional, she thinks that's to look up a doctor.

Participant 10:   Right.

Participant 8:   We changed it. It's researchers and professionals.

Participant 12:   But the front page didn't say that.

Mark Alexander:   Yeah. That was a mistake. That's a wrong screen shot on there.

Participant 8:   It's researchers and professionals.

Participant 11:   For the future, the ability for the consumer to go in and find information about something under the Florida consumer tab which then is associated with specific BRG's and appropriate under codes that would inform them on how to do this, that functionality, I think it starts to be more doable.

Participant 10:   Yeah, that's said very well, to make it seamless. But, because you're a consumer, you're not going to say, "I'm not a researcher or a professional, I am not equipped to do this," but we have talked about so many things today or over the last two days about having professionals to be, excuse me, consumers to come in and use some of this information.

Participant 8:   But it had to be changed. I don’t know if you've heard me out there, but -- no, it's okay -- there's no way that you're going to have your average consumer know that the BRG for vaginal delivery and we have to look it up. We will totally have to change the whole front end of it to make it usable. It's not usable to an average consumer as it is today.  

Participant 13:   If you don't want to use this professional one with research and professional, if you look at the list on the right it says help for Florida consumers, I guess either of them, the question becomes, when I'm looking on ADAM about heart disease, if I want to know who does open heart surgery or valve surgery, there's still not an automatic link --

Mark Alexander:   Well, that's something that I'm going to cover as I walk through this. These are some of the opportunities that we've got. And I don't have all the answers on what we're going to do yet, but that's an area of opportunity for improvement on the website that we're going to be focused on a lot. This is a website design process that we've just kicked off. So, these are just previous slides, that's why I made a mistake of having a bad screen shot in there with no title on this tab.

Participant 13:   We know you worked hard.

Mark Alexander:   This happen to be just being worked on now but that issue is exactly the area where we've got a big opportunity and where a lot of focus is going to be in the coming weeks. So, I'll move on to that.

So, basically you've got the little tab in your face. The primary page about the fault is targeting consumers. So then, the primary call to action is to look up the medical condition. And I'm just going to go to the web for what the list of topics looks like. So, this is basically an index into the ADAM content. It's also searchable, so this will be one navigational path that visitors can follow.

So then, they might type in a search for asthma. Quickly, I'll get the article on asthma from ADAM. So, what we're going to do is we're going to integrate this into the website to look and feel but we're going to integrate it into the other information that we've got available on the website. A prescription drug price is one opportunity and it compares the data, the outcome data that we worked on already, are two of the areas that we currently have information out on the website. So those are two opportunities, the third one you mentioned is physician information.

Participant 8:     So, if you click on a parent health outcomes do you get an outcome?

Mark Alexander:   Well… okay, so, here's the opportunity, you click on that. Right now here are the outcomes. Well, there may be some steps in between there but there is a lot of questions that--

Participant 10:   Okay, that answers my question. As a consumer, if you're going through it then you can get to this information. So, that's good.

Mark Alexander:    We can get to it. Now, on a researching professional's page, that's more like raw data. And I don’t know if you want consumers --

Participant 10:     No, this is good. This was what I was concerned about.

Mark Alexander:   So, let me get back. So, there are some questions we got and these are whether some opportunities is that they cross reference between the ADAM articles and their content and the conditions and procedures that we're providing the outcome data on.

Participant 8:   Just a comment. Our thought was we're shifting more to the, instead of provider specific, to consumer specific. So, if my child has been diagnosed with asthma, I'm going to be interested in treatment of asthma. So, the first screen that you'll see is, what information can you provide me about asthma; what does it mean to be diagnosed with asthma;  what are some of the treatments or symptoms associated with asthma; and what are some of the drugs for those treatments associated with asthma. 

So, our goal is to cross walk the information that we have on outcomes and in the future, the physicians that provide services or provides care for asthma, not only the hospital information but physician information, and then, the prescription drug information, if the protocol is to prescribe Albuterol for an asthma patient, then you could click on an Albuterol, find information about that drug.

And also, then perhaps, and these are some design issues that we're still working through, key in your zip code and you'll pull in that information from my portal or rx.com and tell you where you can buy Albuterol in your local pharmacy and for what cost. Similar to what we're doing with the hospital information as it relates to which hospitals are treating asthma, what's the average charge, the average time to stay and so forth.

Participant 11:   This is a perfect example for that distinction between fairly static profiles of situational instead of standard profile yield. Our consumer could have chosen earlier a profile and say, "I live in this zip code and I'm only interested in the hospitals within that zip code, pharmacies within that zip code." That can all become a background rather than the consumer --

Participant 8:    Debated and through their passport to the default too.

Participant 11:   If they choose.

Participant 8:     Right. If they choose.

Participant 12:   Now, I just have one quick question, I don't know if it's going to help at all; do you have a children's health section so there will be specialty diseases to children's health, so asthma could be in the children's health as opposed to under asthma.

Participant 13:   And these are broad categories to help, you know, "Gosh, I know I've got something that is related to my eyes. Gosh, I cannot remember what the doctor said I had."Those are general categories that are included under eyes, for example, or bring up a whole list of value diagnosis associated with eye conditions.

Participant 12:   That's kind of related to my question, I was going to ask how forgiving that is for spelling. You don't know how to spell asthma but you kind of know.

Participant 8:   You know, that's a good point.

Participant 9:   It is very forgiving and that's why they have to gointo this broad categories.

Mark Alexander:   Well, I think. Maybe we'll have some accommodations for that. I mean, I can't tell you exactly what search strings in there we're getting to hit you're looking for. But they do have some accommodations. What they've got, basically, they've got data structure, the whole med data about their articles which provides us the ability to integrate information in here. And then it includes the ability to have to search terms.

Participant 12:   What I'm asking is if there's somebody and they misspelled that, they put 'asma', because that's what it kind of sounds like.

Participant 13:   Is there not a search functionality A through Z, as well? I mean, this is just one straight shop and it gets to that, so you don't know how to spell it but you know the letter it starts with. There's also a searchabilty through A to Z.

Participant 12:   Is that a typo or you really out numbered it?

Participant 11:   There are common misspellings as well. So, if you put 'asma'it would likely get you there.

Participant 1:   Why don't we test it real quick so we can go on? And we'll tell you what happens.

Mark Alexander:   I don't know the answer on 'asma'.

Participant 12:   It's important, though, because some of these diseases, for some of us have not gone through.

Mark Alexander:   Right.

Participant 8:   There's no tab for middle health. Psychiatry is on that.

Participant 14:   Psychiatry is there. One of my questions is, is that the only term that you have like the middle health, counseling, because I'm not sure if everybody thinks of it? I just put a few more just to determine.

Participant 15:  Just a stand on the search thing just for a second, I know I'm related to AHCA search site, if you use the regular AHCA search site and put asthma, and you get a whole bunch of listings of stuff that it will be like individual things like a pdf on asthma, --

Mark Alexander:   Yeah, it could be anything.

Participant 15:   You need an article that has conventions of asthma in it, again in pdf form. And in terms of the consumer looking at it, I think it will be more helpful if it can come up like this: You put asthma in; it comes up with all of the ten or twelve things where you can click to find different things on asthma rather than the individual pdf or something that the person goes into. And then they have even difficulty coming out of it again.

Mark Alexander:   Well, in reality, when you do the search, you're going to get any hits on that term in the health illustrated encyclopedia. So, you won't get the same hits you get out of the AHCA website, but I would say that's another opportunity, that's something that would be possible to have to maybe broaden your search. This search itself is just on the encyclopedia.

Participant 14:   I guess that gets me to my other question, when will we, I mean because right now I know I can go to a State website and find a doctor using the database that the State has for physicians, by zip code, by specialty. So, it seems to me that to the extent that the State has that information, there ought to be a link to go to that.

Participant 13:   Right. And that will be a hyperlink that we could put in under health for Florida consumers, the DOH, the Department of Health maintains that physician.

Participant 14:   Find help with professional service.You go to that one now, but our main page, you didn't have that as a choice.

Participant 1 : For the first level provider that I'm the hospital, I still would argue that most of the time the physician select the hospital for me, I don't select the hospital but I do select the doctor.

Speaker 1: Let's run down that column and explain that a little better. Help for Florida consumers, the AHCA call center. We heard earlier today that it would be great if you could actually talk to a live person. You can talk to a live person today and that will provide the contact information.

The consumer brochures are the health literacy brochures that the Florida Center for Health Information and Policy Analysis produce. They are copies you can either download or read through on the internet or order them for your hospital physician office or emergency department. Emergency department care is in relationship to our discussion for the Advisory Council before that they don't give key issue to that.

Speaker 2: That's the information we just added. I'm trying to think what else is on it. At this point it's a lot of textual information, a lot of resources, information on emergency department care. When you should go to the emergency room, when maybe not.

Speaker 1: That help her into locations.

Speaker 2: Right, alternative locations.

Speaker 1: And then, under fine facilities is the functionality and the current that we have. We're looking for a hospital or even an ambulatory surgery center.

Speaker 2: A hospice..

Speaker 1: A hospice. A long term care facility. All that's under find a good facility. Under find the health care professional that's to Linda's question. It connects to the DOA's web site where you can look up a particular physician by county or by name.

Beth: That was a thought to, if people wanted to go to the data first. To give them different ways to get to the information. It's kind of a place holder at this point to see if that's the direction we want to go and just kind of start off and finding, say, mortality rates and then have it linked back up to the added tool and go in both direction.

Speaker 1: Under medical health resources, this is something that we've developed internally that addresses the questions about the uninsured. Where do the uninsured go for medical health or medical resources and in this medical health resources directory, we have all types of information.

Speaker 2: And also just more information on different prescription assistance programs that's currently under the pharmacy link.

Speaker 1: The senior health..

Speaker 2: The nursing home guide that we have out there. The information on Medicare links. Still a lot at the government sites for seniors.

Participant 1: Do you have permission to have a link at NRR? The department of Elder Affairs?

Speaker 2: Yes, definitely. Definitely at Elder Affairs.

Participant 2: Lisa? Two little slight notes on the uninsured...

Lisa: If it's a blank patio, I had to agree, yeah.

[Laughter]

Participant 2: It's what's weak and then we had to go with it.

Lisa: Okay, thank you.

Participant 2: In two ways. Two differentials. One is on the uninsured. I didn't access. I know you've collect a lot of work on that. I didn't hear and maybe it's already been dealt. I would strongly encourage you to ask for feedback because I think one of the things I've learned working in the uninsured world is the past is there resources that just flat six people know.

Participant 3: And it's highly volatile.

Lisa: Right. It changes all the time. Is that right?

Lisa: So under what's possible we would add health alert tagged to our concern.

Participant 4: Current things. I mean, this whole thing is about when it expires...

Harry: Their latest thing.

Lisa: And that could just be a hyperlink to the DOH where the site provides all that information.

Harry: To that specific part of that.

Participant 5: I love what I see. I think it is great. I think that in this format...my question is the process format. Because as I'm sitting here now that I see the layout, I see tweaks and ideas. I think that it would be nice if we could all have setup computers to be able to look at this. I think seeing it on the screen is great but when we thought ideas, are we just supposed to write them down and stick them up? Or, what is our best way?

After what we've seen. Like some of the stuff that Harry said and some of the stuff we've seen on the screen. Do you want us to see those words?

Peter: Write anything down and as soon as Martha is finished, we'll collect....

We can do all the tweaks we want to on how to look and feel but I think we've got from all the discussions we heard yesterday, I kept thinking if we're doing that, we're going to do that in this consolidated web site. This is a strategic planning meeting. I want to get beyond this. For today's meeting. We'll keep lists. You're initial feedback on this but certainly we can be as a group, an advisory group, to tweak this.

Speaker 3: I'd like to that. We just say now, once agree is an advisory. We're going to do this so we can get on to the next step because I don't want to lose the momentum and I feel like we're getting back down to minutia and I want to move back to where we need to be.

Participant 6 : The good news is a lot of the things that we talked about throughout the whole morning are that so that's fantastic.

Participant 7: That's the good new. The bad news is you got to get back to your board.

[Laughter]

Participant 6 : That's good, that's good. We didn't realize that a lot of these features had been modified. I agree with what was said, it was great. It really is.

Participant 8: Dr. Morgan?

Dr. Morgan: I think this is great and I'm going to ask a question. When the consumer goes to Google is this coming off from the list? How do we get it? So that it's fairly high on the list.

Lisa: How do we do that, Mark?

Mark: Well, right now it does come up high in the list. It depends on what you search for, though. I do have a Google AdWords account. We can create a campaign to put key words in there so that if the advisory group wants to recommend key words or if people search on those or a doctor wants to tell me, we can go ahead and make sure.

Participant 9 : Two quick things about search. One is it's probably appropriate to do the Google hours and this is getting down to minutia again but I'll just briefly say this. Also, it's important, I think, I'll call Beth or whoever is kind of managing this. They probably need to work with the ad people? find out.

There's a difference if this content is rendered in a real time manner. Like, as soon as somebody hits, like if the page asthma doesn't really exist until somebody hits on the asthma button, then it's not something that can necessarily indexed by Google. So, if there's a way that they are published and their updated on a 24H basis, then it creates a page that Google can then go ahead an index.

So if they do, if they search for Florida asthma that this is going to bubble up to the top. To another point on the search thing. Again, I'm not AdWord expert

Participant 10: Yeah, I would say the first step is to decide what type of search terms are you interested in having hits on. That would be the first step.

Moderator: We have a couple more questions then we're going to move on.

Participant 11: Going back and I think we could tackle this and again, I think it's wonderful. I guess, my creative juices have been tapped over the past day or so. I'm looking for some ideas for the long range plan and I know a component would be what additional data do we need to collect to build it out to what division that we discussed today is. I think that that might be part of what you want us to address then.

12:27

I'm just trying to get ideas. If we can do this now which is what we've been talking about for the past day-and-a-half. If we can do this now with some additional data. If you could give, at least, me some ideas of what you're thinking for the long range stuff then maybe I can jump start my thoughts again.

Beth: That's the tough question. I mean, that was the whole essence of getting together. Getting all the great power in one room is where do we go from where we've been. How do we get to that next step? A lot of the things that I see that were missing is the continuum of care.

Long term care -- we have laboratory, ancillary services. All that's missing from this. Beyond those ancillary services --really what does transparency mean? What does quality mean? And again, how do we compare ourselves on a national level? How do we communicate this information on a more personalized level to the individuals.

And you've got it somewhat personalized but you've heard a comment about a PHR. We heard comments about key in specific symptoms or indicators to then personalize the information that going to come to you beyond what's here.

I mean, that's my best stab at it and I'd be happy to entertain any call.

Participant 12: I think you're right and I think you can think long term, long range planning. I mean we really got to stay outside the box. I think it will take a simple, "Let's go to the ER." Today, you have you're morning to have. We're developing the ER hospital by going with a broken leg, this is what CR charge might be.

But I don't know the ER physician's charges. I don't know the radiologist's charges. I mean, there's a whole host of data that's missing to tie the whole units together.

Participant 13: Before we go there, a lot of people think strategic planning is getting all the answers out on the board and figuring out -- it's not. It's identified what we know and what we need to know and figuring out how we're going to get the answers to those questions.

So, to answer to your question, I think part of this afternoon's work is to take the work you did yesterday. I mean, you did one iteration. In some cases three. In some cases six. People at our table saying, "This is how we design it." We got some feedback this morning. I think I heard a lot of teams say, "This is just a start. This is just a beginning." In a way, the team over here said, "November 08, 2012."

So, we got to bring that there to here and figure out what are the steps that are going to get us to a capability that ties the patient and the provider together that facilitates that.. There were a lot issues again identified but what are the one or two things we could go nail this year by saying, "We just had this functionality online. We helped get people and physicians together." There some great stories around it. Those are the things that teams need to go back and work on.

It's taking the timeline and saying, "What are we really trying to get done in the near term?" But even more importantly, what is the purpose? What is the big goal? At Vanderbilt we talk about the tipping point and so, in our strategic plan, in January of 2008 we have a goal of providing first individualized systems of evidence based care. That's a big goal.It ties together a bunch of stuff.

That's the way, I think you need to start thinking about some of these things. What are the big goals? What are these things that you are going to go and tell people, right? The consumer wasn't sitting in here except for Jim. Thank you Jim, by the way. According to the Tampa Tribune, when are you going to tell them and say, "We are working for you and this is what we're doing for you."

This is, okay, now we got to do it. So, that's where we're headed. Linda?

Linda: As someone who uses the current system quite a bit, I want to say this. I've always thought this was very good. This looks even better. I would call them green hat. Just recommendations, however.

We've talked about maybe just the identification or the reciprocity of getting information from other organizations in the state. Under other resources for consumers. A list of a part potential..What's the word? Other stake holders, organizations and their web sites and then, I guess, the questions for this, for AHCA is -- do we have permission to identify your web site on our web site as a place for people to go for more information. Is there some authorization that we need?

Participant 14: You know, there's that triad. It's actually statutory requirement that all hospitals link to the provider and health plans.

Participant 15: The business coalition. It seems to me that AHCA needs to let people know that it does exist and we need to be able to let people know. And likewise, we we're trying that national. So, you all are doing whatever you can to be able to link people to the CMS information or the VA's information. So that under your list of, I guess, Mark, maybe it's on a future slide under other resources. We ought to be able to...

Participant 16: I think the national also campaigned for other..

Participant 17: On many sites they had acquaintances linked to this page and you go and there are all sorts of banners and widgets and buttons and you just have to copy and paste that code. It makes it very easy to link.