State of NJ lagging behind in HIE planning Failed attempt to kick start an HIE initiative Group of hospitals that have been discussing data exchange Some success at Atlantic Health with data exchange to physicians Looming meaningful use criteria for data exchange A number of other hospitals using the same HIE vendor Trust between a group of CIO’s that have known each other for years

January Eleven north and central hospitals and two large physician groups got together to begin discussions about data sharing – becomes North Central NJ HIE February American Recovery & Reinvestment Act September State requests Applications for the Health Information Exchange Grants in NJ September Northern Central New Jersey Health Information Exchange Collaborative submits grant application October NCNJHIEC receives notification of $3.4 M ONC Grant Award

Ensure health information is available when and where it is needed both locally and nationally 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 with their health information and encourage active and informed participation

 Integrate hospital results into 3 rd party ambulatory EMR  Ability to share allergy and medication information  Ability to distribute reports  Ability to provide a viewer if no EMR  Ability to implement quickly  Ability underpin any EMR

Definition of HIE (between vendors/between HIE’s) Buy or build (how much hands on) Agreement on use cases (where to start) Funding sources and member contributions Members current technology and level of adoption Physician office technology or lack of (how to connect) Disclosure and consent across member hospitals

Governance – By laws – Participation Agreements – Membership – Representation – Cost/Accounting/Financial Oversight Establishing legal entity – D & O Insurance – Cyber Insurance Operating Policies Technology Roadmaps – Who Goes When

Going Live! – Live Plan – Consent Policies – Notice of Privacy Policies – Opt Out Process – Hospital Registrar Training – Privacy and Security Officer – Patient Merging Process – Updating Existing Participants – Patient Education Materials – Website Updates – Toll Free Phone Number – Physician Education – ED Education – EMR Integration

Jersey Health Connect Atlantic Health Overlook Hospital Morristown Memorial Newton Memorial CentraState HealthCare System CJHIEP (physician group) Francis E. Parker Memorial Home Hackensack University Medical Center Holy Name Hunterdon Healthcare Robert Wood Johnson University Health System RWJUH at New Brunswick RWJUH at Hamilton RWJUH at Rahway Children’s Specialized Hospital Barnabas Health St. Barnabas Medical Center Clara Maass Medical Center Saint Clare’s Health Services Saint Peter’s Health System Solaris Health System Somerset Medical Center Trinitas Regional Medical Center Summit Medical (physician group) VISTA Health System (IPA) Health-e-cITi-NJ Newark Beth Israel Medical Center East Orange General Hospital St. Michael's Medical Center UMDNJ St. Joseph’s Healthcare System Meadowlands Jersey City Medical Center Monmouth-Ocean HIE Meridian Monmouth Medical Center Kimball Medical Center Community Medical Center Camden HIE Lourdes Health System Cooper University Hospital Virtua Camden EMRX-SJ AtlantiCare South Jersey Health System Shore Memorial Hospital Cape Regional Medical Center SeaShore Gardens (Nursing Home) Trenton Capital Health St. Francis Organizations participating in Jersey Health Connect serve 6 million patients in 10 counties*

© 2011 RelayHealth and/or its affiliates. All Rights Reserved. Proprietary and Confidential. 12 Jersey Health Connect Powered by P Minimum 50 Physicians Provisioned Per Facility P P P P Transcribed Results Radiology Results Lab Results ADT CCD c Patient PHR Colleague Messaging

Building the Data Repository – Atlantic Health System* – JFK Health System* – Barnabas Health* – Saint Peter’s University Hospital* – Hackensack University Medical Center – Somerset Medical Center – Robert Wood Johnson – New Brunswick – Holy Name Medical Center – Saint Clare’s *Previously connected members

Start DateJuly 1, 2011October 1, 2011January 1, 2012April 1, 2012July 1, 2012 GroupsInitial 5Group AGroup BGroup CGroup D Hospitals:OverlookRWJ New BrunswickHoly Name MCTrinitasClara Maas MorristownSomersetCentra StateRWJ HamiltonNewton JFK HackensackSt. Clare'sRWJ RahwayHunterdon Saint Peter's Saint Barnabas Children's Specialized

Finalizing opt out processes Each organization completing “go-live” check-list – NPP’s – Consents – Registrar Education – Patient Education – Physician Education Each member organization designing marketing materials for key stakeholders Interoperability discussion with key EMR vendors

1,296 physicians 65,019 patients 1.3 million patient records 3,061 secure messages were initiated by patients 9,601 secure messages were initiated by physicians 16,179 secure messages were initiated by physician staff 30,003 ePrescriptions sent to 2,296 connected pharmacies 2.7 million clinical transactions **based upon already active members

Affiliation Go-Live for active organizations Deployment activities to hospital selected physicians Participate in the State sponsored two-day “Use Case” design session Meeting with potential new members

Patients Reference Labs Home Health Services Employed Physicians JHC Hospitals Affiliated Physicians Ancillary Providers PatientRecord Network Identity Management Patient Consent Interoperability Data Aggregration Terminology Mapping

Working together – has created a bond Meet Meaningful Use Requirements – Data exchange of key clinical information – Patient Engagement Reduced interoperability costs for EMR integration (pre-negotiated) Opportunity for physician alignment via JHC offering Opportunity for patient engagement with Personal Health Record

As one of New Jersey’s first RHIOS, JHC is a leader in the evolving state-level HIE effort and is well-positioned to be an early participant in the National Health Information Network (NHIN). JHIM, Winter 2011, Volume 25 / Number 1