Female Speaker: We have to make a distinction between our group and the group that’s personalizing the presentation of the AHCA data and as we talk more and more about personal health, we started to sound more and more like DOH or CDC and Prevention or Healthy Lifestyle and that kind of thing. And, our goal is a healthier Florida because we are talking about personal responsibility, health and they can’t really see it way down here but we would like our state to be number 30 instead of 49 by 2010.

00:41

So, that’s our ultimate goal. Actually, it is before that one. I’m sorry.

[Laughter]  

Female Speaker: Okay, we talked about a lot of things that Jerome eluded to with the silos and the different agencies within the state of Florida doing different things. As Don said, right now at the exact same time, there is a similar group meeting to try and talk about, you know, DOH or DOE leading to AHCA's great websites.

01:14

So, we need to be able to some research to figure out what everybody else is doing. Ultimately, we want to have a statewide health web portal, myhealthyflorida.com, and the AHCA’s website is behind it.

01:29

DOH has a lot of neat stuff. We have for sure that the Department of Elder Affairs is working on the aging and disability resource directory, kind of a one-stop shop approach as well right out of the gate. We've got to get a somewhat set of staff and R&D that can investigate that and figure out where the different agencies are. We need to get finance from them right away to be able to work together so that we’re not redundant, so that we aren’t wasting the state’s resources and energy.

01:58

And, another way to ensure that we have that kind of buy-in is to write some legislative language to expand the membership of this advisory council so that we do have the secretary of these various agencies at the table with us so that we’re doing this together. And, we had the Department of Education, Department of Health, Elder Affairs, the DCF and the Disabilities Director and in that mix.

02:26

So, that’s kind of the large over-arching but speaking directly about AHCA’s website and some of the things that we had talked about yesterday, we’re so happy to see you today and a lot of those things have already been taken care of or in the works, and a lot of the suggestions today will move that along. But, there are four things, four modules if you will, that we thought we could do more with. We talked about having our own virtual community; whether that’s a moderated bulletin board or what have you, a health assessment profile developed in the plan.

03:00

We talked about that yesterday. Two new ones that came up today were, you know, patients are just so aggravated to go to the doctor’s offices and fill the same information that the primary care, in the absence of an electronic health record, of course. You go the specialist and you fill it up. Well, maybe in the meantime, wouldn’t it be nice if you have something on the AHCA website like you fill it out, they print it or they can save it or they email it to their doctor, bring it with them, whatever.

03:30

Just to facilitate that because it will save time, frustration, maybe it will decrease wait time, who knows. But to have that resource and to come to consensus about that, make sure you have family history in there, what meds you’re on and so on and so forth. So, a simple module. Another function is to put on how to budget your healthcare, maybe put some information in about what drug you’re taking for your diabetes and then, you know, the software will be able to come back and say, “Well, you could actually save some money if you switch to generic or to this pharmacy instead.”

04:06

Maybe build in a price finder function to help you with budgeting your healthcare and maybe help with some eligibility. Maybe the forms for KidCare, Medicaid. So, we talked about those four functions. We know that a lot of good stuff is out there already that we may not have to, you know, start from the very, very beginning. So, let’s get the R&D folks to look and see what’s out there.

04:30

Come back to us, the advisory board and let us know what’s out there. We might have to adapt. We might have to tweak it a little bit. You know, we might have to design what we are envisioning. Either way, we’re going to have to identify some money beyond the budget that R&D has to do this research. At the same time though, we talked about really needing to do a different kind of consumer survey than we’ve done before.

04:58

And, that would be to ask if the consumers across the state, do it, you know, big enough sample size? I think, that word didn’t come over. But, where do you go to get your information right now to make your medical and healthcare decision-making? And, are you satisfied with that information? What information is missing? What are your barriers to getting it? You know, what are your expectations? So, to be able to do, you know, a descent enough sample size so that you could cut it by race, ethnicity and gender, age and maybe medical conditions, the insured and uninsured.

05:31

So, we need to do that at the same time to gather some information about what people might need. So, we’re going to have to design pilots of these four different modules that we’re talking about, get them going. At the same time, we’re trying to find out what the other agencies are doing, get that buy-in. On a short term basis, ideally, we’re going to adapt and link right away by licenses to get these four modules up and running and test them out,

06:03

Get the feedback from that, to make any changes or decide may be this isn’t something that’s working. You know, let’s stop it if it’s not of any value. We’re going to start with alternative track-ware. It will lengthen our timetable for a year, we’re estimating, if we have to design our own solutions to meet the needs that come up though the consumer surveys. So, it’s kind of a very short version of it.

06:30

So, in ’07, we’ve got the research that we need. We need to develop budgets for the pilots, for the survey, for any additional licenses that we’ve made be to purchase to do this. We need to do the legislative language to add those additional members. We also talked about having additional consumer slots which I neglected to mention.

06:56

We have the consumer survey starting in, you know, whether you contract out or do that in-house, that would have to be a decision that you would make, get that going in a way so we have this information for design and implementation. The pilots would be in place in ’08, we hope, unless we have to redesign and pick all this off over here. So, we didn’t duplicate that. The expanded advisory council is happening. We got the collaboration with the other agencies and starting to design that web portal. We threw out myhealthyflorida.com just for fun.

07:32

But, that’s not too terribly creative, just we will keep working on that. Once we have the information back on these pilots, probably a six-month pilot is what we estimated, we’ll make that to the decision whether if we’re going to keep going with this? Are we going to adapt it? Are we going to stop? So, that’s in this phase. So, full implementation. We have the web portal and we have a healthier Florida. So, that’s where we [07:54 XX]

[Applause]

08:02

Female Participant: Don, could you…

Tom Lloyd: So, 30 by 10, is that, I mean…

Female Speaker: 30 by 10, yes.

Tom Lloyd: So…

Female Speaker: Rally the way up to #30.

Tom Lloyd: I am trying to understand how big a gap that is?

Female Speaker: Well, we are in the bottom 40s.

Tom Lloyd:  Okay.

Female Speaker: Well, I don’t know. What was the latest one? 41?  47, 49…

Female Participant: With the commonwealth thing, we were 43.

Female Speaker: ...43 and such.

Female Participant: That was last week.

08:30

Female Speaker: The other one I heard was lower. So…

Tom Lloyd: So, there may be a way to rephrase that, you know, doubling our health or getting this…

Female Speaker: Probably right. But, but…

Tom Lloyd: The idea is to keep going though.

Female Speaker: And, what’s making that happen is that we got the goals of educating people on the front end these new changes that you’ve got right away. You’ve got maybe some nutrition education resources on there. People are getting plugged into care that they didn’t know. You know, where to go for care and so, you know, it’s very ambitious to be 30, you know, by 2010 but we can’t be below that. No more.

Tom Lloyd: Alright. Great.

 [Applause]