1. Meridian Physician Summit Building and Connecting the Medical Neighborhood June 7, 2014

2. Topics TopicPresenterTime Jersey Health Connect  Membership  Phase 1 Meridian Connection Bob Radvanski 20 minutes RelayHealth Demonstration  Overview  Provider Portal  Patient Portal Alex Kesler40 minutes Integrating Clinical Information Steve Sakovits 15 minutes Questions & Answers 15 minutes

3. Jersey Health Connect (JHC) Non profit NJ Health Information Organization (HIO) established in 2010 Largest HIO in the state –4 th Largest transactional volume in the Nation Powered by technology from RelayHealth Provides access to both physicians and patients Meridian signed as a member - Feb 2014

4. Improve care coordination, access, outcomes and efficiencies through the use of technologies facilitating to real- time clinical exchange Comply with national standards related to privacy and security considerations Allow organizations to maintain individual technology strategies Provide consumers a consolidated view of their health information to encourage active and informed participation Electronic access to aggregated health information available whenever and wherever it is needed at the point of care.

5. Jersey Health Connect (JHC)

6. Hospitals Contributing Data 201220132014 Hamilton RahwayNew Brunswick OverlookMorristownNewton Saint Barnabas Medical Center Clara Maass

7. (serves 6 million patients in 10 counties)

8. 4 th Largest Directed Transactions In The Country State HIE GranteeMonthly Transactions Indiana14,532,368 Colorado5,011,816 New York3,322,812 JERSEY HEALTH CONNECT 2,295,636 Minnesota1,680,124 Vermont889,700 Delaware827,483 Washington138,422 Michigan98,976 Maryland48,655 Ohio35,359 Rhode Island29,627 California28,429 Alaska3,701 Utah2,482

9. Collaborative model to improve patient care Opportunity for patient engagement with Personal Health Record Ability to share and retrieve patient care data across healthcare systems and electronic records platforms

10. What are JHC members contributing? Patient demographics/Visit History Lab results Radiology results Transcribed documents CCD/CCDAs

11. What is a CCD? CCD stands for Continuity of Care Document  Contains a summary of the patient’s health status from an episode of care. May include  Allergies  Problems  Medications  Results  Procedures  Vital Signs  Past Medical Hx, Family Hx, Social Hx  Advance Directives  Insurance  Structured format

12. www.jerseyhealthconnect.org

13. Jersey Health Connect (JHC) Meridian Affiliation Network Connection Phase 1

14. Jersey Health Connect ….. powered by RelayHealth Physician Practices SOMC RMC OMC LTC JSUMC eClinicalWorks BCH GE Centricity Home Health Allscripts Pro Greenway Practice Fusion Vitera Acute Facilities & Emergency Depts Post Acute Facilities Implementation Underway – Phase 1 Meridian Affiliation Network

15. Meridian Affiliation Network Phase 1 Connections Timeline JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC Joined JHC Planning & Vendor Alignment Acute Care Patient (PHR) Ambulatory EMRs & Home Health Provider Portal Long Term Care

16. Jersey Health Connect ……………Powered by RelayHealth Jersey Health Connect ……………Powered by RelayHealth

17. 48M+ patient records managed 48M+ patient records managed 30M+ clinical transactions sent/month 30M+ clinical transactions sent/month 3M+ patients enrolled online 3M+ patients enrolled online 720k patient messages sent/month 720k patient messages sent/month 48k+ providers accessing data 48k+ providers accessing data 267 health systems & partners participating 267 health systems & partners participating 125+ healthcare IT vendors integrated 125+ healthcare IT vendors integrated 85+ HIEs nationwide powered by RelayHealth DOD 100+ MTFs 10K+ physicians 800K enrolled patients DOD 100+ MTFs 10K+ physicians 800K enrolled patients JHC 30 hospitals 1800 physicians 140K enrolled patients JHC 30 hospitals 1800 physicians 140K enrolled patients RelayHealth Clinical Platform Footprint

18. Key Capabilities of RelayHealth Secure Messaging –Provider to provider –Provider to patient ED Notification Results Delivery to EMR Exchange data between EMRs Provider Portal Embedded Personal Health Record (PHR)

19. RELAYHEALTH DEMONSTRATION

20. Questions & Answers

21. Meridian Physician Summit Integrating Clinical Information June 7, 2014

22. Meridian / Physician EMR Connectivity Update Connectivity progress over the last 6 months Hard at work on Cardiology Results

23. Meridian’s Integrated Health Care Delivery System Meridian’s Connected Continuum

24. Meridian’s Continuum Challenge Today data does not always flow between the systems that support our continuum of care –Each service uses a system from a different IT vendor –Inpatient data does not reside in the same database as Ambulatory data –Limited ability for advanced data analytics –Patient data from across the continuum is not easily available to physicians –Patients have often have identifiers that are unique to each computer system making it difficult to merge patient data across the continuum

25. Integrating Clinical Information Meridian has launched an initiative to evaluate the use of an Enterprise Data Warehouse (eDW) to integrate data from across the continuum of services to support the Clinically Integrated Network and Population Health Management. An enterprise data warehouse (eDW), is a database used for reporting and data analysis. Integrating data from one or more disparate sources creates a central repository of data. Our Process Built a Cross Functional Team Spoke to dozens of vendors, consultants and hospital systems and published our requirements Conducted numerous system demonstrations and technical reviews Down to two finalists used by leading health systems

26. Core Operational Systems SoarianCentricityLawsonInvisionCerner Sigma Care ETL, Data Warehousing & DSS Siemens Data Warehouse Meridian Enterprise Data Warehouse Analytical Systems Care Registries MedSeek CRM Contact Management Predictive Modeling Crimson ETL Engine Physician Access Relay Health HIE P.H. Analytics (TBD) CMS & Payer Data Meridian Enterprise Data Warehouse - Future State -Siemens Pharmacy -Sunquest Lab -Etc. -Disease Registry -Misc. Analytical Systems -Etc. -AllScripts -ECHO -Planning -Palliative Care -Etc. -Physician EMR CCD’s -Soarian CCD’s -Ext. Lab -Etc.

27. Enterprise Data Warehouse Benefits Aggregate, transform and reconcile data from cross the continuum of care Identify, score and project the risks of individual patients Disease Registries Physician scorecards Physician access to information on their population

28. Population Health Analytics - Registries Disease Registries –Identify high risk patients –Identify patients with care gaps –Provide consistent measurement of quality 1.Chronic Disease 1.Diabetes, Hypertension, Heart Failure, etc 2.Wellness 1.Pediatric, Adult, Senior & Maternity 3.Medications 1.Generic Dispense Rates 2.Medication Utilization –Support reporting requirements (ACO, HCQA, CMS, HEDIS, etc)

29. Attributed Population Auto- segmented into defined clinical Registries Specific to attributed Population

30. Real-time view of current performance Support PCMH, value based purchasing & visibility into care gaps

31. Scorecard reflects clinical, financial, and other performance metrics. Real-time, summary performance score calculated by the system

32. Drill-down to patient-centric view and performance against defined measures

33. Connecting with Community Physicians eDW vendors & HIE’s like Relay Health are developing their solutions for exchanging data with each other, but the capabilities are still evolving –We have had extensive conversations with Relay Health and the eDW vendors –Over 40 EMR’s in use by Meridian Physicians

34. Connecting with Community Physicians Your Logo eDW connectivity with community physicians is predicated on use of EMR’s & EMR CCD connectivity with an HIE –Meridian IT is working to connect physician EMR’s with the current HIE –We have connected 155 Physicians to the HIE for CCD’s –Many physicians do not use an EMR today

35. Mobile Apps Looking to roll out a Pilot this summer and enterprise wide deployment if successful HIPAA-Secure Messaging Receive admit & discharge notifications, critical values, exchange critical patient information including X-rays, EKGs & images with colleagues Easy-Access Member Directory Locate regional physicians by last or first name or by specialty Care Team Directory Physician created Care Team Pharmacy Search Find and map a local pharmacy, search by zip code, city, street name Physician Groups Search physicians by facility privileges or groups of which they are a member

36. The Connectivity Challenge & The Road Ahead Your Logo ICA HIE ACO Analytics Enterprise Data Warehousing and Advanced Analytics Lab, Radiology & CCD connections Jersey Health Connect HIE Mobile Apps with Admission, Discharge and Results

37. Thank You