New Jersey Health Information Technology Presentation to HIT Commission August 5, 2010 Connecting Patients to a Greater State of Health

- State HIT Program Context 2 New Jersey Health Information Technology Program DHS State of NJ Department Influencers 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 Healthcare Influencers Patients NHIN HL7 HISPC HITSP WEDI Professional Associations Providers Other Payers Regional Extension Centers Community Health Information Exchanges Best Practices & Standards Federal Influencers 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 DHSS Department of Labor Office of Information Technology (OIT) State Treasurer State Statute, Policy & Guidelines Best Practices & Standards DOBI State Medicaid HIT Plan MCI Project HIE Hospitals, Physicians FQHCs eHIT Office Regulation Governors Office – Policy, Standards Project Governance HIT Workgroup – SMEsHIT Workgroup – SMEs Data GovernanceData Governance Privacy & SecurityPrivacy & Security Project Management Office (PMO)Project Management Office (PMO) Change Management & CommunicationChange Management & Communication Risk/Issue ManagementRisk/Issue Management HIT Steering Committee HCFFA Oversight of ONC funds Financing to grantees Regional Extension Centers (RECs) Training Education Awareness MCI –Lead & Immunization Registries State HIT Plan & Commission Sustainability of HIE

- Approach – Two Focus Areas – Multi-Track Operational Issues Meaningful Use Labs ePrescribing Summary of Care ONC Grant HIT Operational Plan HIEs 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

- Accomplishments FocusInitiative GovernanceHIT Coordinator Appointment HIT Commission Executive Director Statewide Governance Structure Established Regional Extension Centers (REC) – NJ HITEC Established HIT Steering, Financial Sustainability, Privacy,/Security and IT Arch/Data Standard Transformation PlanningNJ State HIT Plan State Medicaid HIT Plan Funding Received - Planning Funding Plan Pending – HIEs Funding Received – Regional Extension Center (REC) Implementation & Transformation SupportSharing Medication History Electronic Data Sharing Agreements Draft Stakeholder Analysis National InvolvementMulti-State Collaborative – Puerto Rico/Pennsylvania/Mid Altlantic – Immunization MMIS 2010 National Conference REC Conference Providence Technology & Business TransformationMaster Patient Index Enterprise Service Bus NJ State Blueprint - A centralise model (#4)– Contadins Patient & Document Locator Plus clinicat Content HIEsHelath eCiti Jersey Connect South Jersey Camden Other HIEs NHIN

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

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

- 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

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

- 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

- HIT Architecture

- 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.