New Jersey Health Information Technology Presentation to HIT Commission August 5, 2010

1. New Jersey Health Information TechnologyPresentation to HIT CommissionAugust 5, 2010 Connecting Patients to a Greater State of Health

2. State HIT Program Context State of NJ Department Influencers • Department of Labor • Office of Information Technology (OIT) • State Treasurer • State Statute, Policy & Guidelines • Best Practices & Standards • NJ HIT Act 2007 • HIT Commission • Office for e-HIT • NJ Health Information Network (NJHIN) • NJAMHA • Department of Medical Assistance and Health Services State HIT Plan • Department of Children & Families New Jersey Health Information Technology Program Governor’s Office – Policy, Standards • ARRA Act • HHS • ONC • CMS • MITA • HIPAA • HRSA • CHIPRA • SAMHSA • NIST • AHRQ. • FHA • X.12 • NCPDP • IHE – Integrating Healthcare Enterprise • Federal Financial Participation (FFP) • Federal Statute • Federal Policy • Federal Guidelines DOBI DHSS DHS • Patients • NHIN • HL7 • HISPC • HITSP • WEDI • Professional Associations • Providers • Other Payers • Regional Extension Centers • Community Health Information Exchanges • Best Practices & Standards Hospitals, Physicians eHIT Office State Medicaid HIT Plan Healthcare Influencers FederalInfluencers FQHCs Regulation MCI Project MCI –Lead & Immunization Registries Sustainability of HIE HIE State HIT Plan & Commission • Training • Education • Awareness Regional Extension Centers (RECs) • Oversight of ONC funds • Financing to grantees HCFFA Project Governance • HIT Workgroup – SMEs • Data Governance • Privacy & Security • HIT Steering Committee • Project Management Office (PMO) • Change Management & Communication • Risk/Issue Management

3. Approach – Two Focus Areas – Multi-Track Operational Issues Meaningful Use Labs ePrescribing Summary of Care ONC Grant HIT Operational Plan HIE’s Start up REC Vendor Preference List REC Training State Medicaid HIT Plan Subcommittees Strategic Alignment Governance Stakeholder Engagement Establishing HIT Core Tenets Vision Sessions Program Kick off Innovation Summit – NJIT Center Future Grants

4. Accomplishments

5. HIT Program Governance (Direction & Policy) Governor’s Office State HIT Coordinator Colleen Woods Program Coordination Implementation Oversight HIT Commission Office for eHIT Development Financial & Grants Management Program Management Legislative Legal Change Management Standing Committees HIT Steering Committee Privacy & Security Architecture & Data Standards Consumer Advocacy & Quality Care Providers Financial Sustainability Economic Development

6. HIT Program Work Streams Governor’s Office State HIT Coordinator Colleen Woods Program Coordination Implementation Oversight HIT Commission HIT Steering Committee Office for eHIT Development Legislative Legal Financial & Grants Management Program Management Change Management Operation Focused Efforts Implementation Focused Efforts HIT Planning State HIT Strategic Plan, State HIT Operational Plan Medicaid SMHP, IPP, MMIS Replacement, ICD-10, 5010, NCPDP, CASS Change Management Communication, Education, Marketing, Branding, Web Site Health Information Exchange (HIE) HIE Planning, HIE Implementation, MPI Regional Extension Center (REC) REC Planning, REC Deployment Pilot Projects Multi-State Immunization, NJ/Puerto Rico

7. Subcommittees HIT Steering Committee – Chairs Colleen Woods Jim Cavanugh Establish NJ Blueprint and focus operational issues, MU Privacy and Security – Chair Helen Oscislawski Develop a NJHIT Legal Framework by December 2010 Financial Sustainability – Chair Hall Gregg Develop a NJHIT Statewide Financial Sustainability Plan by December 2010 IT Architecture& Data Standards – Chair Emmanouil Skoufos Establish data standards and protocols addressing MU first

8. Other Subcommitees - TBD Consumer Advocacy and Quality Care Economic Development Providers

9. Regional Extension Center Outreach & Education Programs Needs Assessment, Practice & Workflow Design Vendor Selection Process Interoperability and HIE Training & Assistance Implementation Support Privacy & Security Information Programs Meaningful Use Training & Achievement Documentation Workforce Development Training CRM Focus 5,000 Physicians – First Target

10. HIT Architecture

11. Considering Core Tenets Federal Framework Overall improvement of the quality, safety and efficiency of healthcare HITECH – Advance the design, development and operation of a nationwide health information technology infrastructure that allows for the electronic use and exchange of information. Achieve Meaningful Use through 3 stage gates Each person in the US has a health record by 2014 Align to all Federal Privacy Requirements as outlined in HITECH Core NJ Healthcare Tenets New Jersey will be a national leader in HIT NJ will exceed all federal guidelines of meaningful use NJ wants to reduce healthcare costs through HIT HIT vision achieved in 3 years Public health monitoring – Leverage data to monitor health status Population health protection – Leverage data to protect population Retool and develop job market based on HIT Providers will experience increase in reimbursements due to state savings Fully integrate Behavioral Health and Addiction Services data with clinical data NJ will highlight/focus on care of the elderly – long term care NJ will highlight/focus on pediatric care NJ citizens will have full access to their medical data and an electronic interaction with their providers.