Electronic Medical Passport for Foster Children Background The goal of our Electronic Medical Passport System is to facilitate the storage and sharing of information for the coordination of care of foster children using secure, web-based technology. Our system combines data from the Department of Children and Families, claims data of psychotropic medicines prescribed to foster children, school performance data and data gathered by the Our Kids nurse case management team. Program History The Electronic Medical Passport project was a team effort of Our Kids of Miami-Dade and Monroe, Inc, The Florida Department of Children and Families, Florida Agency for Healthcare Administration, Miami Dade Public School System and FollowMe, Inc. FollowMe is a personal health record company committed to using technology to improve health outcomes for vulnerable populations. The site began to enroll children in the site in the summer of 2011. Purpose All children in foster care are eligible for Medicaid. While a number of programs and services are available to meet the needs of the some 800,000 children who spend time in foster care each year in the United States, children in foster care tend to have worse health status, higher average health costs, and less access to needed health services than other children. With fifty percent of children in foster care having chronic medical problems and spending on average 28 months in out of home care, typically in four to five homes, the need for a client/care provider access to a child’s medical records is critical. On average, according to data gathered in 2001, states expended considerably more on foster children—$4,336 per child—than on all nondisabled children enrolled in Medicaid ($1,315). Unfortunately, the vast majority do not receive minimally adequate medical care or screening. The costly, yet inadequate, care delivered to children in foster care is due in part to placement instability, combined with limited coordination and information-sharing between service providers. The lack of access to medical records often plays a role in incorrect diagnosis, replicated tests and overmedication. Having a portable and accessible summary of general medical information will be helpful in coordinating effective ongoing care. Privacy We have examined relevant Federal and state statutes, policies and regulations identifying the specific data and information elements to be shared; at what key decision points the information and data will be shared; with whom that data and information will be shared; and detail how it will be protected from further disclosure. The Electronic Medical Passport uses the emerging Continuity of Care (CCR) electronic health information exchange standards so it can be exchanged with the Regional Exchange Center or other providers at the point of service. It can also be printed and hand-delivered to a provider who prefers paper to electronic records. It will be designed so that protected confidential information will be re-disclosed to only those people with express and statutory consent to view the data. Our Kids of Miami-Dade and Monroe, Inc. Our Kids is the non-profit lead agency for Community Based Care in Miami-Dade and Monroe Counties. Since May 2005, Our Kids has provided foster care, adoptions and related services in Miami and the Florida Keys. We currently serve 3,500 children and their families. We are proud of our unique Community Leadership Model. The members of our Board of Trustees were specifically selected to represent the community and are completely divested and independent of our network of direct service providers. Our Kids has received numerous local, State and national awards for achievement and innovations in technology.

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