New Jersey Health IT Champion Program

1. Connecting Patients to a Greater State of Health New Jersey Health IT Champion Program Call-in number +1-408-600-3600 Access code: 663 878 945 # Health IT Coordinator’s Office Champion Meeting #1 – Kickoff & Intro to EHRs January 18, 2011

2. Introductions • Colleen Woods – New Jersey Health IT Coordinator • Mike Squires – Champion Program Team • Lindsay Faust – Champion Program Team

3. Agenda • Overview of HIT Champion Program (20 minutes) • First Theme Introduction: EHR Basics (20 minutes) • Health IT in New Jersey (10 minutes)

4. Health IT Champion Program: Background The HIT Champion Program was created to achieve the goals and objectives contained in the Communications Plan and leverage the recommendations of the Consumer Advocacy & Quality Care Subcommittee. NJ HIT Communications Plan Consumer Advocacy & Quality Care (CAQC) Subcommittee Created objectives and goals to promote, reach, aware, educate, engage and excite all stakeholders Provided recommendations for the communication plan & quality dashboard NJ Health IT Champion Program Health IT Champions Consumer HIT Champion Program Promote Reach Aware Educate Engage Excite

5. After measurement revisit Information and Education Marketing Plan for improvements Objectives Audience Channels Messages Timing Feedback WHY WHO HOW WHAT WHEN MEASURE NJ Health IT (HIT) Communications Plan: Overview In order to achieve the objectives and goals of the Communications Plan, HIT Champions are needed to promote the NJ Health IT initiative. Objectives: • Educate all New Jerseyans about the benefits of maintaining and using Electronic Health Records (EHRs) and alleviate concerns about privacy and security. • Encourage all New Jersey consumers, professionals and organizations to adopt EHRs, PHRs, and HIT as these technologies become increasingly available. • Goals: • Promote consistent and regular two-way communication with all stakeholders • Reach each stakeholder group and ensure their questions and comments are received and addressed • Increase awareness and educate the healthcare constituents and broader New Jersey population on the importance and benefits of the HIT strategy • Engage and energize healthcare professionals, their healthcare colleagues, and state employees around the HIT initiative Promote Reach Aware Educate Engage Energize

6. NJ Health IT (HIT) Communications Plan: HIT Champion Program The Champion Program creates an opportunity to reach all stakeholders and ensure that all New Jerseyans are aware of the Health IT initiative. • HIT Champions represent nine stakeholder categories identified in the Communications Plan: • Healthcare Professionals (e.g. Physicians, Nurses, MSNJ, NJAFP) • Hospitals (e.g. Employees, CIOs, VP of Marketing, NJHA) • Consumers (e.g. New Jerseyans, New Jersey Citizen Action, SPAN) • Employers (e.g. Large Employers, Local Chambers of Commerce, NJBIA) • Health Information Organizations (HIOs) • Payers (e.g. Health Insurance Companies) • Life Sciences Business Partners (e.g. Pharmaceutical Companies, BioNJ) • Federal & State Agencies (e.g. ONC, CMS, NJ HITEC, NJ Medicaid) • Other Stakeholders (e.g. Additional associations/societies and influencers) NOTE: The nine stakeholder categories include medical societies, trade organizations/associations, and advocacy organizations within each grouping. A more comprehensive list can be found in the appendix within the Communications Plan document. This is for overview purposes only. Promote Reach Aware Educate Engage Energize

7. NJ Health IT Champions: Expectations HIT Champions should allocate a minimum of 3 hours per month to fully participate and be utilized as a Health IT resource within an organization. • Participate • Join conference calls • Join webinars • Educate and Energize • Promote and encourage webinar participation (i.e. post information on your website, send an email/include in existing communications) • Distribute informational “HIT KIT” materials (i.e. post information on your website, send an email/include in existing communications) • Give Feedback • Provide upcoming events or other communication channels within your organization that we can leverage (complete the survey!) • Offer suggestions for making this program more beneficial (complete the survey!) Promote Reach Aware Educate Engage Energize

8. NJ Health IT Champions: Component Parts The elements outlined below will be scheduled and/or conducted on a bimonthly/monthly basis according to the theme. Reoccurring Bimonthly Activities Bimonthly Theme* • Theme 1: Kickoff & Introduction to EHRs • Theme 2: EHR Adoption • Theme 3: Exchange & HIOs • Theme 4: Privacy & Security • Theme 5: Health IT Stories • Theme 6: Care Coordination • Note: Themes subject to change based on program stakeholder needs • Join HIT Champion Meeting • Promote public webinars (monthly) for all stakeholders • Distribute HIT KIT Materials • Provide Feedback • Survey • Stakeholder participation Engage Educate Awareness Promote Reach Aware Educate Engage Energize

9. NJ Health IT Champions: Next Steps to Get Started • Get to know our website: http://www.nj.gov/njhit/ • Join and promote our monthly public webinars • Introduction to EHRs: Wednesday, February 15, 12:00 Noon EST • Keynote: Dr. David Blumenthal, National Coordinator for Health IT, 2009-2011 with NJ Physician Panelists hosted by NJ Health IT Coordinator Colleen Woods • Package and disseminate HIT KIT materials (found on our website) 1. ONC / Federal Health IT Program Resources • HealthIT.gov - Federal consumer and physician website • 4 Informational brochures 2. NJ Health IT Program Resources • New Jersey Health IT Program Website • NJ-HITEC - New Jersey's Regional Extension Center for physicians • Program Information Sheet • New Jersey Health IT Basics 3. Theme 1 Resources: Introduction to EHRs • Archived Webcast, Kickoff Slides • Theme 1 Slides 4. Health IT Videos • A Check Up on Health Care IT by award-winning cartoonist Ed Stein • The Future of Health Care: Electronic Health Records Produced by Office of National Coordinator (ONC) for Health IT • The Meaningful Yoose Rap Promote Reach Aware Educate Engage Energize

10. Theme 1: Introduction to EHRs • This slide starts the first theme of the Health IT Champion Program • This theme will be the topic that we focus on for the next two months

11. Introduction to Health IT and Electronic Health Records Based on www.healthit.gov

12. Government and Health IT • Health Information Technology for Economic and Clinical Health (HITECH) Act 2009: Encouraging Use, Protecting Privacy, Supporting Research • Gives hospitals and doctors estimated $20 billion to support their installing and using EHRs. • Hospitals and doctors must demonstrate they are using EHR systems to actually improve care in specific ways per strict guidelines established by Office of the National Coordinator (ONC) for Health Information Technology. • ONC also promotes use of health IT in ways that improve care. Source: http://www.healthit.gov/patients-families/government-health-it

13. What Are Electronic Health Records? • Digital (computerized) versions of patients‘ paper charts with benefits of digitization. • Real-time, patient-centered records • “Whenever and wherever it is needed” • Everything about a patient's health in one place • Contains information about a patient's medical history, diagnoses, medications, immunization dates, allergies, radiology images, and lab and test results Source: http://www.healthit.gov/providers-professionals/learn-basics-ehrs

14. Features of EHRs • Access to evidence-based tools that helps providers make decisions about patient's care • Automates and streamlines providers' workflow • Provides single resource created, managed and consulted by authorized providers and staff across more than one health care organization. Authorized providers include: • Current and past doctors, emergency facilities, school and workplace clinics, pharmacies, laboratories, and medical imaging facilities. Source: http://www.healthit.gov/providers-professionals/learn-basics-ehrs

15. Benefits of EHRs and Health IT • Reduces patient and provider paperwork • Places PHI accurately into the hands of people who need it • Helps physicians coordinate care and protect safety • Reduces unnecessary tests and procedures. • Provides patients with direct access to health records Source: http://www.healthit.gov/patients-families/health-it-and-health-care-quality

16. Patient Story: Lilianne Wright My Type-1 Diabetes Could Be Managed More Effectively with EHRs Lilianne Wright is a mother of two from Tucson, AZ. After she survived a near-fatal diagnosis of Type-1 Diabetes in 2002, she found that one of the obstacles to managing her disease was an inaccessibility to her paper medical records. Today, her two children are benefiting from a new generation of medical tools: electronic health records (EHRs), technology she hopes her own providers will adopt. Read more about this story at: http://www.healthit.gov/patients-families/lilianne-wright Source: http://www.healthit.gov/patients-families/lilianne-wright

17. Physician Story: Dr. Jennifer Brull I Found Cancer in Patients Earlier Jennifer Brull, M.D., is a family physician in the rural town of Plainville, KS. Her EHR has allowed Dr. Brull to track quality measures to make sure that patients are getting the right screenings when they need it. “…we put a reminder in the EHR that automatically notifies me [if someone has not had the colon cancer screening test]. I am not perfect now, but I’m at about 81 percent, which is a lot better than 37 percent. “ Read more at: http://www.healthit.gov/patients-families/dr-jennifer-brull --Jennifer Brull, M.D. Source: http://www.healthit.gov/patients-families/dr-jennifer-brull

18. EHRs: Privacy and Security • Same Federal health information privacy protections that apply to paper records also apply to EHRs • Health Insurance Portability and Accountability Act of 1996 (HIPAA) • U.S. Department of Health and Human Services established standards for protecting privacy and security of certain health information, whether it is stored on paper or electronically. Source: http://www.healthit.gov/providers-professionals/privacy-security

19. EHRs: Privacy and Security • HIPAA Privacy Rule and HIPAA Security Rule provide Federal protections for individually identifiable health information called “protected health information” (PHI). • Privacy Rule protects paper, electronic, and oral information. • Security Rule applies only to information maintained in electronic form, sometimes referred to as e-PHI. This includes information in EHRs. Source: http://www.healthit.gov/providers-professionals/privacy-security

20. Health IT and Health Care Quality • Two studies support HIT goal to improve quality of care • Texas: More advanced health IT led to fewer deaths and fewer problems with care Texas Hospitals Study found hospitals with advanced health IT produced better patient results than hospitals with less advanced health IT. • Cleveland: EHRs led to more recommended care Better Health Greater Cleveland: Facilities using EHRs: 51% of patients with diabetes received all recommended care vs. facilities using paper-only records—7%. Source: http://www.healthit.gov/patients-families/health-it-and-health-care-quality

21. Health IT in New Jersey

22. Health IT in New Jersey • Helping Healthcare Providers Transition to EHRs • Establishing Health Information Organizations • Connecting through a Statewide/Nationwide Exchange

23. 1. Helping Healthcare Providers Transition to EHRs • Providing all New Jerseyans with electronic health records is the core mission of the New Jersey Health IT Program. • The New Jersey Health Information Technology Extension Center (NJ-HITEC), which was granted Federal funds to establish a statewide regional extension center, assists physician offices of ten physicians or less with the adoption and us of EHRs. • NJ-HITEC: www.njhitec.org • NJ-HITEC

24. 2. Establishing Health Information Organizations (HIOs)

25. 3. Connecting through a Statewide/Nationwide Exchange • New Jersey Health Information Network (NJHIN) will exchange health information to authorized physicians and hospitals across HIOs and with state databases such as Immunization. • The Network of networks within the state will also share information with authorized providers in other states across the country.

26. Federal and New Jersey State Resources on EHRs and Health IT

27. ONC/Federal Health IT Program Resources Talking to Your Patients About EHRs Health IT: Advancing America’s Health Care www.healthit.gov Protecting Your Privacy and Security Note: All four documents are available at www.nj.gov/njhit What Patients Need to Know About EHRs -- Trifold

28. NJ Health IT Program Resources www.njhitec.org www.nj.gov/njhit New Jersey Health IT Program Overview www.nj.gov/njhit/ehr

29. Health IT Champion Checklist

30. Questions and Comments?

31. Glossary of Terms About EHRs and Health IT

32. Important Health IT Terminology • Health information technology (IT) is the use of computer hardware and software to privately and securely store, retrieve, and share patient health and medical information. • Electronic health record (EHR) is a digital record of a patient’s health information (formerly kept in a paper format or “chart”) that can provide the patient’s health care team with comprehensive health information about the patient. More than just a computerized version of a paper medical chart, over time, it can allow a patient’s providers to share important information, across different health care settings, while maintaining EHR patient confidentiality in accordance with federal and state privacy and security requirements. The patient health information in an EHR includes allergies, radiology images, lab and test results, medical history, diagnoses, medications, and immunization dates. Today, a small but growing number of doctors and hospitals use EHRs—and more are converting to these systems every day. EHRs are growing in popularity in the health care industry, in part because they can be safer and easier to use than paper, and in part because the Federal government is giving doctors and hospitals incentives to use them to improve care. • Electronic medical record (EMR) refers to a digital version of a patient’s health information that is only located in one hospital or physician practice. • Health Information Exchange (HIE) is the movement of health information electronically across multiple organizations. Exchanging health information is important in order to make sure that a patient’s health care providers have access to the most up to date information about the patient so they can make more informed decisions about the patient’s care. HIE can improve the coordination of care for a person who is seeing multiple providers by enabling providers to share important health information. • Health Information Organization (HIO) is an organization that oversees and governs the exchange of health-related information among organizations according to nationally recognized and state standards. • Personal Health Record (PHR) is like an EHR, except a patient sets up and controls their information. The patient does not have to wait for their doctor to build an electronic system into his or her practice. Some health care or health insurance providers may already offer a PHR for patient use. A patient can also create a PHR through other software and online services. Much like the EHR, the PHR can be an electronic storage center for a patient’s most important health information, such as: emergency contacts, allergies, illnesses or conditions, medications, immunization dates, lab and test results. A PHR may also have its own "apps" – programs that are used on smartphones – that can help a patient monitor or improve their health by linking with other devices such as a web-enabled digital scale or pedometer. Ideally, a patient should be able to link their PHR with their doctor's EHR, making it a personal health care "hub," although most doctors may not be technologically ready for this quite yet. PHRs can be maintained in a variety of formats, such as a USB "memory stick" or on a password-protected Internet site.

33. Important Health IT Terminology (cont.) • Electronic PrescribingE-prescribing enables a doctor to enter a patient’s prescription into a computer database. The order for the medication is then sent over a network to the patient’s pharmacy, which can fill it immediately. Some larger hospitals already have e-prescribing. Many large drug store chains are getting ready to install systems or already have systems in place with this capability. E- prescribing requires that the doctor and pharmacy be linked electronically. Some doctors may not be able to do this today—but it is becoming increasingly common. • HIPAAPrivacy Rule, short forThe Health Insurance Portability and Accountability Act of 1996 Privacy Rule, provides patients with health information privacy rights. These rights are important for every patient to know. Patients can exercise these rights, ask questions about them, and file a complaint if a patient thinks their rights are being denied or their health information isn't being protected. A patient’s health information rights include:Right to access your health informationRight to an accounting of disclosures of your health informationRight to correct or amend your health informationRight to notice of privacy practicesRight to file a complaintThe HIPAA Privacy Rule gives every patient the right to inspect, review, and receive a copy of their health and billing records that are held by health plans and health care providers covered under HIPAA.The HIPAA Security Rule, short forThe Health Insurance Portability and Accountability Act of 1996 Security Rule, details the steps a patient’s health care providers and others must take to keep a patient’s electronic protected health information secure.