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Executive Order
[PDF version - 90KB]

STATE OF FLORIDA
OFFICE OF THE GOVERNOR
EXECUTIVE ORDER NO. 04-93

WHEREAS, the Institute of Medicine has estimated that medical mistakes cause as many as 98,000 preventable deaths in the United States each year; and

WHEREAS, the costs of healthcare are escalating at alarming rates while the nation's demographics are placing greater demands on the healthcare system; and

WHEREAS, in the absence of an effective system for sharing medical information among the provider community, healthcare providers are forced to order costly duplicative medical tests and procedures; and

WHEREAS, the healthcare system would benefit from reducing the time it takes to evaluate promising medical techniques, devices and drugs, and bringing the products and procedures that are proven safe and effective to the healthcare marketplace more quickly; and

WHEREAS, providing consumers with online access to computer-based tools that gather data from their medical records and assist in interpreting and monitoring the data in conjunction with their healthcare providers would permit them to become better informed and more proactive in managing their health and wellness, thereby reducing utilization and adding efficiencies to the healthcare system; and

WHEREAS, with the advances made in information technology and network computing, it is feasible to implement in the state an effective health information infrastructure capable of drawing together critical health information from multiple sources and presenting that information to authorized parties in a usable format to support sound decisions about health by providers, consumers, public health officials and researchers, when and where needed; and

WHEREAS, such a health information infrastructure is a necessary and important part of effectively addressing the challenges and opportunities referred to above; and

WHEREAS, ensuring the privacy and security of personal health information is of great importance to and in the best interests of the people of the State of Florida, and

WHEREAS, the creation and promotion of a cohesive and workable plan for the development and implementation of a Florida health information infrastructure is of vital importance to, and in the best interests of, the people of the State of Florida.

NOW THEREFORE, I, JEB BUSH, Governor of the State of Florida, by the powers vested in me by the Constitution and laws of the State of Florida, do hereby promulgate the following Executive Order, effective immediately:

Section 1.

  1. There is hereby created the Governor's Health Information Infrastructure Advisory Board ("Advisory Board") which shall be advisory in nature.
  2. The Advisory Board shall be composed of eleven members, to be appointed by the Governor. Membership shall include representatives of the provider community, information technology experts and health care policy experts.
  3. W. Michael Heekin shall serve as Chair of the Advisory Board.
  4. The members shall receive no compensation, but shall be entitled to per diem and travel expenses while attending meetings of the Advisory Board and otherwise on official Advisory Board business, to the extent allowed by Section 112.061, Florida Statutes.

Section 2.

  1. The Advisory Board shall advise and support the Agency for Health Care Administration ("Agency") as it develops and implements a strategy for the adoption and use of electronic health records and creates a plan to promote the development and implementation of a Florida health information infrastructure, including measures to promote greater adoption of electronic health record information systems among the state's healthcare providers;
  2. The Advisory Board shall identify obstacles to the implementation of an effective health information infrastructure in the state and provide to the Agency policy recommendations to remove or minimize those obstacles;
  3. The Advisory Board shall advise appropriate parties within the Executive and Legislative branches on issues related to the development and implementation of the health information infrastructure.
  4. The Advisory Board shall assist the Agency in ensuring that the strategy and plan preserve the privacy and security of health information, as required by state and federal law.

Section 3.

The Advisory Board shall act by a vote of the majority of its members. A quorum of at least seven (7) members shall be required for an act of the Advisory Board to have effect. No member may grant a proxy for his or her vote to any other member or member designee, except with the prior approval of the Chair. The Governor will fill by appointment any vacancy on the Advisory Board.

Section 4.

The Agency shall provide staff support to the Advisory Board and may enter into contracts as are necessary or proper to carry out the provisions and purposes of this order to support the Advisory Board in the performance of its duties. In addition, all agencies under the control of the Governor are directed, and all other agencies are requested, to render full assistance and cooperation to the Advisory Board.

Section 5.

The Advisory Board shall continue in existence until all of its objectives are achieved, but no later than June 30, 2007, unless extended by future Executive Order.

Section 6.

In addition to serving as Chair of the Advisory Board, W. Michael Heekin shall serve as senior policy advisor on the issues named herein, acting in an advisory capacity to the Governor and to the Secretary of the Agency.

IN TESTIMONY WHEREOF, I have hereunto set my hand and have caused the Great Seal of the State of Florida to be affixed this 4th day of May, 2004.

______________________________________
GOVERNOR

ATTEST:

________________________________
SECRETARY OF STATE