Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Warren Cape Union

Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Warren Cape Union Camden Counties: Camden Hospitals: Cooper Lourdes Virtua Underwood Kennedy (To come) FQHC: Camcare Project Hope Technology Vendor: Noteworthy Technology Solution:

The Camden Coalition of Healthcare Providers (CCHP) is a strategic initiative designed to improve the quality, capacity, and accessibility of the healthcare system for vulnerable populations in the City of Camden. Activities of the CCHP include: -Community Outreach & Health Education -Case Management of High Needs Patients -Health Provider Education -Practice Management Capacity Building -Data Collection and Evaluation Camden HIE

The CCHP, under the leadership of Dr. Jeffrey Brenner, created and implemented the Camden Health Information Exchange. This effort is supported by Cooper Hospital, Our Lady of Lourdes Hospital, and Virtua Health. The Camden HIE is one component of a broader set of initiatives to improve health & healthcare in Camden led by the CCHP. The goal of the Camden HIE is to expand access to health information across the City of Camden to: -Decrease Cost -Improve Access -Improve the Quality of Care Camden HIE

Stage:Operational since November, 2010 Vendor:Noteworthy Medical Systems Population:Residents of the City of Camden Use Cases:ADT Discharge Summaries Lab Results Radiology Results Camden HIE

Next Steps: Phase 2:Expansion of the HIE by adding: -Underwood Memorial Hospital -Kennedy Health System Addition of Medication Data from: -SureScripts -Medicaid Addition of Lab Results from: -LabCorp -Quest Connections to Other HIEs: -Virtua HIE -Kennedy HIE -Trenton HIE Camden HIE

Next Steps: Phase 3: Development and Activation of “managed care” and analytical functions within the HIE technology to support care coordination and other longitudinal-based care management. Phase 4: Medicaid Accountable Care Organization – The CCHP intends to meet the requirements of this legislation, in part, by use of the HIE technology. -Quality Driven Registries -Health Utilization Metrics -Patient Experience (HCAHPS) Camden HIE

Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Warren Cape Union Health-e-cITi-NJ Counties: Passaic Essex Hudson Hospitals: Newark Beth Israel Medical Center St. Michael’s Medical Center East Orange General Hospital Meadowlands Hospital Christ Hospital University Hospital St. Joseph’s Healthcare System Jersey City Regional Medical Center FQHC: Newark Community Health Center Technology Vendor: Technology Solution:

Health-e-cITi-NJ Health Information Exchange Update June 1, 2011

Mission Statement The mission of Health-e-ciTIi-NJ, Inc. is to significantly improve health care for people in the community we serve by employing appropriate exchange of health information to improve quality of, and access to, healthcare, with particular attention to the traditionally underserved persons and the elimination of disparities.

HIE Conceptual Model 12 Federally Qualified Health Center HIE Administrators Shared Services Applications: Clinical Portal Patient Portal Applications: Clinical Portal Patient Portal Exchange Intel SOAE Exchange Intel SOAE Data Server NJIIS NJ Medicaid NHIN Exchange Hospital Staff & Residents Internet

Accomplishmsnets 13 Active pilot exchanging data between NBI, MMIS, NJIIS, FQHC Vender/solution selection complete Testing underway for all members – complete for most Approved Bylaws Incorporated – awaiting 501c3 designation Board of Directors and subcommittees meeting regularly Active participation with NJ State and other HIEs Worked with NJ HCFFA to secure ONC funding

Next Steps 14 Finalize member agreements Complete all testing Complete Consent Management rules and processes Approved Bylaws Incorporated – awaiting 501c3 designation Begin sharing among meme Begin sharing between members

Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Warren Cape Union Jersey Health Connect Counties: Bergen Hunterdon Middlesex Morris Somerset Sussex Union Warren Hospitals and Other Organizations: Atlantic Health CentraState Children's Specialized Hospital CJHIEP (Physician Organization) Hackensack University Medical Holy Name Medical Center Hunterdon Healthcare Parker Memorial Home (LTC) Robert Wood Johnson Health System Robert Wood Johnson – Hamilton Robert Wood Johnson- Rahway Saint Barnabas Health Care System Saint Clare’s Health Services Saint Peter’s Healthcare System Solaris Health System Somerset Medical Center Summit Medical Group Trinitas Regional Medical Center VISTA Health System, IPA Technology Vendor: McKesson Technology Solution: Relay Health

Goals - Jersey Health Connect Ensure health information is available when and where it is needed both locally and nationally –Accelerate members’ current health information exchange activity Collaborative organizations currently have over 1700 connected physicians Increase provider reach to upwards of 5,500 providers within Northern and Central New Jersey –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

Governance Structure Jersey Health Connect February 1, Certificate of Incorporation Jersey Health Connect By-Laws approved 1/17/11 Board of Trustees –Linda Reed, Chairperson –Lou Hermans, Vice Chair –Dave Dyer, Vice Chair –Judy Comitto, Secretary –Bob Irwin, Treasurer Jersey Health Connect Board consists of 21 seats –All founding members have a seat on the Board

Governance Structure Jersey Health Connect Active Committees –Executive Committee Leadership and decision making –Governance and Regulatory Patient Privacy/Security Sensitive Data Policies and Procedures –Finance Committee Contractual discussions Budget Financial management of Jersey Health Connect –Communication/Outreach Website development/content Marketing and Physician Outreach SharePoint management –Technology Committee Vendor Relation and development Strategic Roadmap for development and deployment

Governance Structure Jersey Health Connect “Committees in Waiting” –Evaluation Committee Reporting Clinical Advisory Sub-Committee –Proof of concept –Clinician feedback –Grant Committee Sub-Committee linked to Finance Committee –Project Management Committee Organizational Representation

Governance Structure Jersey Health Connect – State Representation HIT Steering Committee –Lou Hermans and Glenn Mamary Sustainability Sub-Committee –Bob Irwin and/or Linda Reed Technology Sub-Committee –Judy Comitto HIT Commission and NJHITEC (Board seat) –Dave Dyer

Technologies Jersey Health Connect Solution Provider Determined Relay Health – Hosted Solution Service Offering Record Locater Personal Health Record Messaging (colleague messaging and patient messaging) Results Management Coordinated Care Document Sharing

Technologies Jersey Health Connect Phase I: complete Exchange of Test Data among existing Relay Health Clients Phase II: Finalize and sign participation agreements Validation of methodology with Clinical Advisory Sub- Committee Connect all organizations/hospitals to Relay Health Begin deployment to new physicians FHQC Integration Plainfield and New Brunswick CCD, Lab, pharmacy, and radiology,transcribed documents data integration strategy

Use Cases Jersey Health Connect Jersey Health Connect Use Case – emergency Department Physician access to patient data Adopt “Use Case” State-driven Scenarios Adapt to the technology of NJHIN (once determined)

Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Warren Cape Union Trenton Health Team Counties: Mercer Hospitals/Entities: Capital Health System City of Trenton St. Francis Medical Center Underwood FQHC: Henry J. Austin Health Center Technology Vendor: Noteworthy Technology Solution:

Atlantic Bergen Burlington Camden May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Warren Cape Union MOHIE Counties: Monmouth, Ocean Hospitals: Bayshore Community Hospital Community Medical Center Jersey Shore University Medical Center Kimball Medical Center K. Hovnanian Children’s Hospital Monmouth Medical Center Ocean Medical Center Riverview Medical Center Southern Ocean Medical Center FQHC: Monmouth Family Health Center Technology Vendor: ICA Technology Solution:

MOHIE Formed May of 2009 Applied for 501(3)C Status To Serve Ocean and Monmouth County residents 1.4M Made up of eight hospitals from two different Health Care Systems Created a vision, by-laws, and a governance structure

Where we are Today! Selected a vendor (ICA) Redefined Scope –Pilot proof of concept (by summer end) Focus on sharing clinical information within our ED’s Lab, radiology, and physician note Funding?