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Colleen Woods Health IT Coordinator State of New Jersey NJ HIMSS Spring Conference May 15, 2012

Connecting Patients to a Greater State of Health. New Jersey Health Information Technology. DRIVING QUALITY OF CARE WITH TECHNOLOGY Spring 2012 Conference. Colleen Woods Health IT Coordinator State of New Jersey NJ HIMSS Spring Conference May 15, 2012. www.nj.gov/njhit. Agenda.

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Colleen Woods Health IT Coordinator State of New Jersey NJ HIMSS Spring Conference May 15, 2012

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  1. Connecting Patients to a Greater State of Health New Jersey Health Information Technology DRIVING QUALITY OF CARE WITH TECHNOLOGY Spring 2012 Conference Colleen Woods Health IT Coordinator State of New Jersey NJ HIMSS Spring Conference May 15, 2012 www.nj.gov/njhit

  2. Agenda • NJ Health IT Program Update • Progress Report (2011 – 2012) • Statewide Measures and Benchmarks for Success • Program Focus for 2012+ • 2012 Highlights • Lessons Learned www.nj.gov/njhit

  3. NJ HIT Program Focus for 2012+ = Completed 2013 • Phase 7: • Personal and National • Disease Management • Syndromic Surveillance • Full EHR Adoption • Connect NHIN • Interstate Exchange • Meaningful Use Phase 3 • Phase 1: Strategy • Planning • Funding Request • Strategic Planning • Organizational Structure 2012 Q2-Q4 • Phase 6: • Focus on Exchange • Data Exchange and Analytics • State HIO • State Health Registries • Long term Care Integration • Behavioral Health Integration • Meaningful Use Stage 2 • Phase 2: Planning • Funding • Governance • HIO Initial Build • Policies • Initial Stakeholder Outreach • Operational Plan • State Medicaid HIT Plan Consumer & Stakeholder Outreach EHR Adoption Enabling New Jersey Health Information Exchange • Phase 5: Implementation • Implement Financial Sustainability • HIO Trust Agreements • Establish NJHIN • HIO Connection • Research pilots • PHR Focus • SHARE (State HIO) • Phase 3: Foundation • Standing Up Regional HIOs • Architecture & Standards • Quality Measures • Legal Framework • Use Cases for Care Coordination • Phase 4: Framework • Design Financial Sustainability • Medicaid Incentive Program and Meaningful Use Stage 1 • NJHIN Planning • Use Case Development #1-5 • Legislation and Regulation 2011 Q4 – 2012 Q4 2011 Q1 Q2 www.nj.gov/njhit 2011 Q2 –Q4

  4. Statewide Measures and Benchmarks for Success • EHR Incentive Program • EHR Adoption • Health Information Organizations (HIOs) • ePrescribing • Hospital and Independent Labs • Electronic Lab Orders and Results • Public Health Reporting www.nj.gov/njhit

  5. $216,000 in EHR Incentives Paid in NJ May 2011 No NJ Medicaid Payment Program www.nj.gov/njhit CMS, May 9, 2012

  6. $120,000,000 in EHR Incentives Paid in NJ • Total EHR Incentive Program Registrants: • Eligible Professionals = 5,604 • Eligible Hospitals = 56 www.nj.gov/njhit CMS, May 9, 2012

  7. Provider EHR Incentives Paid: $41+ mil. Medicaid EHR Incentive Program payments start Feb. 2012 www.nj.gov/njhit www.nj.gov/njhit CMS, May 9, 2012

  8. Hospital EHR Incentives Paid: $78+ mil. Medicaid EHR Incentive Program payments start Feb. 2012 www.nj.gov/njhit CMS, May 9, 2012

  9. NJ-HITEC Members: Eligible Professionals May 2011 • 1,578 Professionals Enrolled in NJ-HITEC May 2012 • 5,688 Professionals Enrolled in NJ-HITEC • 3,512 Live on EHRs • 708 Meaningful Users www.nj.gov/njhit NJ-HITEC: May 11, 2012

  10. Physician EHR Adoption BME: New Jersey Board of Medical Examiners AAMC: Association of American Medical Colleges, Estimate SK&A: Research Vendor County Health Rankings, NJ-HITEC www.nj.gov/njhit

  11. Hospital EHR Adoption www.nj.gov/njhit Source: EHR Incentive Program Registrations and NJHA survey

  12. FQHC EHR Adoption www.nj.gov/njhit Source: NJPCA Newsletter, Mar 2012

  13. Jersey Health Connect (McKesson RelayHealth) • Hospitals: • CentraState Medical Center • Children's Specialized Hospital • Clara Maass Medical Center • Hackensack University Medical Center • Holy Name Medical Center • Hunterdon Medical Center • JFK Medical Center • Morristown Memorial Hospital • Newton Memorial Hospital • Overlook Hospital • Robert Wood Johnson University Hospital (New Brunswick, Hamilton, Rahway) • Saint Barnabas Medical Center • Saint Clare's Hospital (Denville Campus, Dover General, Sussex) • Saint Peter's University Hospital • Somerset Medical Center • Trinitas Regional Medical Center • Physicians • Summit Medical Group • Central Jersey HIE Project (CHIEP) • Long Term Care • PARKER • Health-e-cITi-NJ (IGI Health / ORBIT) • Hospitals: • Christ Hospital • East Orange General Hospital • Jersey City Medical Center • Meadowlands Hospital Medical Center • Newark Beth Israel Medical Center • Saint Michael's Medical Center • St. Joseph's Hospital (Paterson, Wayne) • UMDNJ-University Hospital • Federally Qualified Health Centers: • Newark Community Health Centers, Inc. • Newark Homeless Health Care • Horizon Health Center • North Hudson Community Action Corporation Health Center • Metropolitan Family Health Network • Paterson Community Health Center • Home Health • Visiting Nurse Association of Central Jersey HIOs/IDNs Sussex Passaic Bergen Hudson Essex Morris Union Somerset Warren Hunterdon Middlesex Monmouth Mercer • Trenton Health Team (Covisint) • Public Health Department • City of Trenton • Hospitals: • Capital Health Regional Medical Center • Capital Health Medical Center – Hopewell • St. Francis Medical Center • Federally Qualified Health Center: • Henry J. Austin Health Center, Inc. Ocean • MOHIE (ICA) • Hospitals: • Bayshore Community Hospital • Community Medical Center • Jersey Shore University Medical Center • Kimball Medical Center • Monmouth Medical Center • Ocean Medical Center • Riverview Medical Center • Southern Ocean Medical Center • Federally Qualified Health Center: • Monmouth Family Health Center Burlington Camden • Camden (Noteworthy) • Hospitals: • Cooper University Hospital • Kennedy University Hospital (Turnersville, Cherry Hill, Stratford) • Lourdes Medical Center of Burlington County • Our Lady of Lourdes Medical Center • Underwood Memorial Hospital • Virtua Hospital (Berlin, Marlton, Memorial, Voorhees) • Federally Qualified Health Centers: • CAMcare Health Corporation • Project Hope, Inc. Gloucester Salem Atlantic Salem Cumberland Cape • Integrated Delivery Networks • Hospitals: • AtlantiCare Regional Medical Center (Atlantic City, Mainland Campus) • South Jersey Healthcare (Regional Medical Center, Elmer Hospital) May www.nj.gov/njhit

  14. HIO Participation Number of Participating Organizations www.nj.gov/njhit Mar. 2012

  15. Hospitals and HIO Activity Hospital Participants, Hospital Data Contribution, and Hospital Data Use – by HIO * * Physicians in these hospitals access data within their own hospitals only www.nj.gov/njhit

  16. ePrescribing www.nj.gov/njhit Surescripts, May 2012

  17. Electronic Lab Orders and Results www.nj.gov/njhit

  18. Public Health Reporting www.nj.gov/njhit

  19. 2012 Highlights • Healthcare providers • Federal awards received for ACOs and PCMH Initiatives • Consumers • Champion Program launched with over 200 champions participating from organizations across the state • HIO’s • HIO/HIO Exchange Plans – 2012 • Camden Coalition received national coverage on CNN • Philanthropy and Education • Nicholson Foundation and Robert Wood Johnson Foundation focus on public health IT projects • Rutgers application submitted for long term care www.nj.gov/njhit

  20. 2012 Highlights • Government • NJ SHARE showing significant state collaboration • POLST • HIT Vendor Community • Building and Connecting - Standards • State to State • EHR/HIE Interoperability Workgroup multi-state, multi-vendor initiative • ONC/RTI Multi-state Consortium with NJ, NY and PA • Fox Chase Cancer Center, CHOP looking to leverage exchange across state borders www.nj.gov/njhit

  21. Lessons Learned • Highest utilizers of HIOs – office staff, medical records staff, nurse practitioners • Social workers in the ED, using HIE, are making a real impact • Real cost savings seen in the administrative processes – referrals, prior authorization • Integration/Interoperability – hard • Consent – a bear www.nj.gov/njhit

  22. Lessons Learned • HIE to HIE and the NJHIN – slow • Trust agreements – difficult • Implementation – climb the wall, reenergize • Moving closer to the “tipping point” • New focus on accuracy • Collaboration is vital! www.nj.gov/njhit

  23. NJ Health IT Champion Program - At a Glance Kickoff & Intro to EHRs EHR Adoption Exchange & HIOs Privacy & Security Health IT Stories Care Coordination New Jersey Perspective www.nj.gov/njhit

  24. Questions? Reference: www.nj.gov/njhit www.nj.gov/njhit

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