1. 1 www.nj.gov/njhit

2. 2 Based on www.healthit.govwww.healthit.gov www.nj.gov/njhit

3. 3 Health Information Exchange (HIE) Verb: The electronic sharing of health-related information among organizations Health Information Organization (HIO) Noun: An organization that provides services to enable the electronic sharing of health-related information. Sometimes referred to as an HIE. Source: http://www.healthit.gov/providers-professionals/health-information-exchangehttp://www.healthit.gov/providers-professionals/health-information-exchange www.nj.gov/njhit

4. 4 Salem 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. 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. Integrated Delivery Networks Hospitals: AtlantiCare Regional Medical Center (Atlantic City, Mainland Campus) South Jersey Healthcare (Regional Medical Center, Elmer Hospital) Integrated Delivery Networks Hospitals: AtlantiCare Regional Medical Center (Atlantic City, Mainland Campus) South Jersey Healthcare (Regional Medical Center, Elmer Hospital) 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 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 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 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 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 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 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. 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. Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Somerset Cape Union Passaic Sussex Warren Salem www.nj.gov/njhit

5. 5 Medical history Diagnoses Medications Immunization dates Allergies Radiology images Lab and test results Source: http://www.healthit.gov/patients-families/faqs/what-information-does-electronic-health-record-ehr-containhttp://www.healthit.gov/patients-families/faqs/what-information-does-electronic-health-record-ehr-contain An EHR may contain such information as: www.nj.gov/njhit

6. 6 Potential sources of information involving EHRs ----- ----- ----- - Medical History Allergies Diagnosis Medications Immunizations Medications Hospital Lab Imaging EHR Patient Physician Specialist HIO www.nj.gov/njhit

7. 7 EHRs may be connected to the community hospital Hospital Patient Nurse Practitioner Patient Physician Patient Physician Patient Physician ----- ----- ----- - EHR ----- ----- ----- - EHR HIO www.nj.gov/njhit

8. 8 Hospitals and physicians join together in HIOs HIO ----- ----- ----- - EHR ----- ----- ----- - EHR Hospital Patient Physician EHR www.nj.gov/njhit

9. 9 EHRs provide a single resource Created, managed and consulted by authorized providers and staff across more than one health care organization To improve coordination of care Information comes from all the providers involved in a patients care and links to information in other providers EHR systems To provide higher quality and safer care Information can move with the patientto the specialist, the hospital, the nursing home, the next state To allow information sharing beyond the health care provider who first collects information Information can be shared with patients and with other providers, such as labs and specialists To help provide patients with access to their health information Information can be viewed and updated by the patient www.nj.gov/njhit

10. 10 HIPAA Privacy Rule and HIPAA Security Rule provide Federal protections for individually identifiable health information called protected health information (PHI). Source: http://www.healthit.gov/providers-professionals/privacy-securityhttp://www.healthit.gov/providers-professionals/privacy-security 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. www.nj.gov/njhit

11. 11 Exchanging health information electronically is the foundation of efforts to improve health care quality and safety. HIE can provide: The connecting point for an organized, standardized process of data exchange across statewide, regional, and local initiatives The means to reduce duplication of services (resulting in lower health care costs) The means to reduce operational costs by automating many administrative tasks Governance and management of the data exchange process Source: http://www.healthit.gov/providers-professionals/health-information-exchangehttp://www.healthit.gov/providers-professionals/health-information-exchange www.nj.gov/njhit

12. 12 State Data Sources: Immunizations Medicaid Blood Screening Bio surveillance DMV Demographics Other registries Health Entity Directory Web Services Registry Provider Directory (supporting DIRECT) Provider Credentialing Certificate Authority NJHIN Core Services State Gateway Services Relay Service (External Queries) Patient Discovery & Document Exchange Statewide Data Aggregation GATEWAY NJHIO Nodes Pt Discovery & Document Exchange Gateways HIO-level MPI HIO-level Record Locator Consent Mgmt (interim) DIRECT Services Security Compliance Surescripts & Labs NJHIN Onboarding Security Compliance www.nj.gov/njhit

13. 13 HIO Area HIO Details Counties:Passaic, Essex, Hudson 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 FQHCs:Newark Community Health Centers, Inc. Newark Homeless Health Care Horizon Health Center North Hudson Community Action Corporation Health Center Metropolitan Family Health Network Other Key Partners:Horizon Health Center VNA of Central Jersey MONOC Visiting Nurse Association of Central Jersey Technology Vendor:IGI HighlightsImproving care to the significant Medicaid population served by the participating entities and providers in the greater Newark area. Facilitating HIE will improve quality, coordination of care, reduce costs, and result in measurable outcomes. Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Somerset Cape Union Passaic Sussex Warren Salem www.nj.gov/njhit http://healthecitinj.org/

14. 14 HIO Area HIO Details Counties:Bergen, Essex, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Somerset, Sussex, Union 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 FQHCs: Technology Vendor: Relay Health Highlights New Jerseys largest HIO Focused Personal Health Record roll-out to give patients access to their own health data Driven to improve care coordination, access, outcomes and efficiencies through the use of technologies that facilitate real-time clinical data exchange. Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Somerset Cape Union Passaic Sussex Warren Salem www.nj.gov/njhit http://www.jerseyhealthconnect.org /

15. 15 HIO Area HIO Details Counties:Burlington, Camden, Gloucester Member Health Systems and 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) FQHCs:CAMcare Project H.O.P.E. Technology Vendor: CompuGroup Medical (formerly Noteworthy) HighlightsGoverned by Camden Coalition of Healthcare Providers HIE used as a tool to provide more coordinated care, drive improved patient outcomes, and bend the cost curve HIE data filtered for Camden ZIP codes only (to start) Currently used by 100+ Camden healthcare providers to access patient information Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Somerset Cape Union Passaic Sussex Warren Salem www.nj.gov/njhit http://www.camdenhealth.org /

16. 16 HIO Area HIO Details Counties:Mercer Hospitals:Capital Health Regional Medical Center Capital Health Medical Center – Hopewell St. Francis Medical Center FQHCs:Henry J. Austin Health Center Other Key Partners: City of Trenton Greater Trenton Behavioral Health Catholic Charities Others (see http://trentonhealthteam.org)http://trentonhealthteam.org Technology Vendor: Covisint HighlightsBuilt on strong community partnership Focused on concentrated geography of 114,000 people within the City of Trenton Immediate aim is to address the 1,800 high- cost/high-utilizers Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Somerset Cape Union Passaic Sussex Warren Salem www.nj.gov/njhit http://trentonhealthteam.org/tht/

17. 17 HIO Area HIO Details Counties:Monmouth, Ocean Health Systems and 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 FQHCs:Monmouth Family Health Center Technology Vendor: ICA HighlightsMonomouth and Ocean counties have a very high long-term care patient base and see large seasonal fluxes in its population These factors provide compelling needs for: Model of statewide HIE Health information exchange across state lines Personal Health Records Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Somerset Cape Union Passaic Sussex Warren Salem www.nj.gov/njhit

18. 18 MetricsCamden Health- e-cITi Jersey Health Connect MOHIETrentonTotal Hospitals119208351 Other Acute Care Facilities 120003 FQHCs250119 Long-Term Care Facilities 011507 Labs – In House7888334 Labs – External001001 Radiology – In House7988335 Radiology – External020002 Number of Participating Organizations Mar. 2012 www.nj.gov/njhit

19. 19 Federal Health IT Website: http://www.healthit.gov/providers- professionals/compatibility-information-exchangehttp://www.healthit.gov/providers- professionals/compatibility-information-exchange National eHealth Collaboratives HIE Report: Health Information Exchange Roadmap: The Landscape and a Path Forward http://www.nationalehealth.org/hie-roadmaphttp://www.nationalehealth.org/hie-roadmap eHealth Initiative on Health Information Exchange: http://www.ehealthinitiative.org/issues/health-information- exchange-hie.html http://www.ehealthinitiative.org/issues/health-information- exchange-hie.html Camden Coalition Zakaria: 5% of U.S. patients account for 50% of health care costs http://globalpublicsquare.blogs.cnn.com/2012/03/15/zakaria-5-of-u-s- patients-account-for-50-of-health-care-costs/?iref=allsearch http://globalpublicsquare.blogs.cnn.com/2012/03/15/zakaria-5-of-u-s- patients-account-for-50-of-health-care-costs/?iref=allsearch Healthcare in our Camden Jail Video: http://www.cochs.org/health_reform/hie_conf/unseen_provider http://www.cochs.org/health_reform/hie_conf/unseen_provider www.nj.gov/njhit

20. 20 www.healthit.gov What Patients Need to Know About EHRs -- Trifold Talking to Your Patients About EHRs Health IT: Advancing Americas Health Care Protecting Your Privacy and Security Note: All four documents are available at www.nj.gov/njhit www.nj.gov/njhit

21. 21 www.nj.gov/njhit www.nj.gov/njhit/ehr www.njhitec.org New Jersey Health IT Program Overview www.nj.gov/njhit