1. New Jersey Health Information Technology Presentation to DV & NJ HIMSS September 22, 2010 Connecting Patients to a Greater State of Health

2. - 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 Pharmacies Labs 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 Medicaid Providers MCI Project Hospitals, Physicians FQHCs Health Insurance Payers Regulation Governor’s Office – Policy, Standards Project Governance HIT Workgroup – SMEs Data Governance Privacy & Security Project Management Office (PMO) Change Management & Communication Risk/Issue Management HCFFA Oversight of ONC funds Financing to grantees Regional Extension Centers (RECs) Physician Training Awareness Education MCI –Lead & Immunization Registries State HIT Commission HIT Steering Committee MMIS, ICD10, Health Care Reform, CASS, eHIT Office State Medicaid HIT Plan

3. - Governance

4. - 4 NJ Approach Health Information Exchanges

5. - HIT Architecture

6. - Provider Outreach 6

7. - 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 timelines 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.

8. - Special Things Happening In NJ HIE’s are really moving Bergen Regional Community – Behavioral Health Services NJ Health Care Innovation Center – St Barnabas and NJIT Meridian Health – Home Health Monitoring Children’s Patient Flow Dashboard Virtua - PHR 8

9. - Special Things Happening with Other States New Jersey – Pennsylvania Virtua Hospital – Fox Chase Medical Center Medicaid Medication History Immunization Joint Grant Applications New Jersey – New York Medicaid Medication History Immunization 9