1. 1 Colleen Woods Health IT Coordinator State of New Jersey NJ HIMSS Spring Conference May 15, 2012 Connecting Patients to a Greater State of Health www.nj.gov/njhit DRIVING QUALITY OF CARE WITH TECHNOLOGY Spring 2012 Conference

2. 2 NJ Health IT Program Update Progress Report (2011 – 2012) Statewide Measures and Benchmarks for Success Stage 2 Meaningful Use Update Program Focus for 2012+ 2012 Highlights Lessons Learned www.nj.gov/njhit

3. 3 Phase 4: Framework Design Financial Sustainability Medicaid Incentive Program and Meaningful Use Stage 1 NJHIN Planning Use Case Development #1-5 Legislation and Regulation = Completed Phase 7: Personal and National Disease Management Syndromic Surveillance Full EHR Adoption Connect NHIN Interstate Exchange Meaningful Use Phase 3 Phase 1: Strategy Planning Funding Request Strategic Planning Organizational Structure Phase 5: Implementation Implement Financial Sustainability HIO Trust Agreements Establish NJHIN HIO Connection Research pilots PHR Focus SHARE (State HIO) Phase 6: Focus on Exchange Data Exchange and Analytics State HIO State Health Registries Long term Care Integration Behavioral Health Integration Meaningful Use Stage 2 2013 2012 Q2-Q4 2011 Q4 – 2012 Q4 Phase 2: Planning Funding Governance HIO Initial Build Policies Initial Stakeholder Outreach Operational Plan State Medicaid HIT Plan Consumer & Stakeholder Outreach EHR Adoption Enabling New Jersey Health Information Exchange Enabling New Jersey Health Information Exchange Phase 3: Foundation Standing Up Regional HIOs Architecture & Standards Quality Measures Legal Framework Use Cases for Care Coordination 2011 Q1 Q2 2011 Q2 –Q4 www.nj.gov/njhit

4. 4 EHR Incentive Program EHR Adoption Health Information Organizations (HIOs) ePrescribing Hospital and Independent Labs Electronic Lab Orders and Results Public Health Reporting www.nj.gov/njhit

5. 5 Medicare EHR Incentive Payments Provider Type Provider Count Medicare Incentive Payment Amount Eligible Professionals 1,62629,256,292 Eligible Hospitals1437,070,065 Total: $66,326,357 NJ Medicaid EHR Incentive Payments Provider Type Provider Count Medicaid Incentive Payment Amount Eligible Professionals 56011,843,336 Eligible Hospitals3341,690,406 Total: $53,533,742 CMS, May 9, 2012 Total EHR Incentive Program Registrants: Eligible Professionals = 5,604 Eligible Hospitals = 56 www.nj.gov/njhit

6. 6 CMS, May 9, 2012 Medicaid EHR Incentive Program payments start Feb. 2012 www.nj.gov/njhit

7. 7 CMS, May 9, 2012 Medicaid EHR Incentive Program payments start Feb. 2012 www.nj.gov/njhit

8. 8 2011: Spring NJ HIMSS 1,578 Provider Members 2012: Spring NJ HIMSS 5,688 Providers Enrolled in NJ-HITEC 3,512 Live on EHRs 708 Meaningful Users www.nj.gov/njhit NJ-HITEC: May 11, 2012

9. 9 Physician EHR Adoption PhysiciansTotal EHR Adoption # EHR Adoption % Sources Total Licensed Physicians33,8408,33024.6% BME Active Physicians25,629 AAMC Active Patient Care Physicians21,958 AAMC Hospital-Based3,428 AAMC, SK&A Target Priority: Office-Based 18,530 6,41134.6% AAMC, SK&A Primary Care Physicians 10,726 3,30530.8% County Health Ranking, NJ- HITEC Specialists 7,804 3,10639.8% (estimated) BME: New Jersey Board of Medical Examiners AAMC: Association of American Medical Colleges SK&A: Research Vendor www.nj.gov/njhit

10. 10 * Based on EHR Incentive Program Registrations and NJHA survey Hospital EHR Adoption HospitalsCountEHR Adoption*EHR Adoption % Total Hospitals1116356.8% General Acute Care71 6185.9% Comprehensive Rehabilitation14 17.1% Special15 16.7% Psychiatric11TBD Measure EMRAM Score U.S. RankNotes / Last Updated Hospital EMR Adoption Model (EMRAM) Score for New Jersey 3.4399 (out of 7.0) 19 th (out of 50 states) HIMSS Analytics™ Database, Q1 2012. www.nj.gov/njhit

11. 11 FQHC EHR Adoption MetricActualTotal%Notes / Last Updated FQHCs that have installed and are using an EHR 162080% NJPCA Newsletter, Mar 2012 FQHCs that have initiated registration for the EHR Incentive Program 142070% NJPCA Newsletter, Mar 2012 FQHCs that are registered members of NJ-HITEC 20 100% NJPCA Newsletter, Mar 2012 www.nj.gov/njhit

12. 12 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

13. 13 MetricsCamden Health- e-cITi Jersey Health Connect MOHIETrentonTotal Hospitals1192083 51 Other Acute Care Facilities 12000 3 FQHCs250119 Long-Term Care Facilities011507 Labs – In House78883 34 Labs – External001001 Radiology – In House79883 35 Radiology – External020002 Number of Participating Organizations Mar. 2012 www.nj.gov/njhit

14. 14 * * Physicians in these hospitals access data within their own hospitals only Hospital Participants, Hospital Data Contribution, and Hospital Data Use – by HIO www.nj.gov/njhit

15. 15 Surescripts, May. 2012 www.nj.gov/njhit

16. 16 Hospital Electronic Lab Results Exchange Metric%Source Hospitals sharing laboratory results electronically with: providers outside their system 45.50% AHA, 2010 Hospitals sharing laboratory results electronically with: hospitals outside their system 16.73% AHA, 2010 Hospitals sharing laboratory results electronically with: ambulatory providers outside their system 38.80% AHA, 2010 Physician Electronic Lab Orders and Results Metric%Source Office-based physicians able to: view lab results electronically 54.77% NAMCS, Nov 2011 Office-based physicians able to: send lab orders electronically 21.47% NAMCS, Nov 2011 www.nj.gov/njhit

17. 17 Hospital and ED Public Health Reporting (for Meaningful Use) Metric#% Notes / Last Updated Hospital emergency departments sending syndromic surveillance data in MU Compliant HL7 Format 6076.9% Dept. of Health, Apr. 2012 Hospitals sending immunizations in MU Compliant HL7 Format 1417.5% Dept. of Health, Apr. 2012 Hospitals sending ELR (in HL7 2.3.1, not MU Compliant) 911.5% Dept. of Health, Apr. 2012 www.nj.gov/njhit

18. 18 Renewed and Increasing Focus on Sharing and Exchanging Data Clinical Quality Measures Patient Engagement www.nj.gov/njhit

19. 19 Champion Program launched with over 200 champions participating from organizations across the state Camden Coalition received national coverage on CNN Federal awards received for ACOs and CMS Project NJ SHARE showing significant state collaboration POLST Nicholson Foundation and Robert Wood Johnson Foundation focus on public health IT projects Rutgers Application submitted for long term care www.nj.gov/njhit

20. 20 EHR/HIE Interoperability Workgroup multi-state, multi-vendor initiative New Jersey and other founding members: California, Colorado, Maryland, Massachusetts, New York, and Oregon ONC/RTI Multi-state Consortium with NJ, NY and PA Fox Chase Cancer Center, CHOP looking to leverage exchange across state borders www.nj.gov/njhit

21. 21 JanFebMarAprMayJunJulAugSepOctNovDec Champion Program Activities Champion Mtg: 1/18, 11am EST Public Webinar: 2/15, Noon EST Champion Mtg: 3/21, 11am EST Public Webinar: 4/25, Noon EST Champion Mtg: 5/16, 11am EST Public Webinar: 6/20, Noon EST Champion Mtg: 7/18, 11am EST Public Webinar: 8/15, Noon EST Champion Mtg: 9/12, 11am EST Public Webinar: 10/17, Noon EST Champion Mtg: 11/14, 11am EST Public Webinar: 12/19, Noon EST Kickoff & Intro to EHRs EHR Adoption Exchange & HIOs Health IT Stories Privacy & Security Care Coordination www.nj.gov/njhit National Perspective New Jersey Perspective

22. 22 Highest utilizers of HIOs are office staff, medical records staff, nurse practitioners Social workers in the ED, using HIE, are making a real impact Real cost savings seen in the administrative processes – referrals, prior authorization Integration/Interoperability – hard Consent – a bear www.nj.gov/njhit

23. 23 HIE to HIE and the NJHIN – slow Trust agreements – difficult Implementation – climb the wall, reenergize Moving closer to the “tipping point” New focus on accuracy Collaboration is vital! www.nj.gov/njhit

24. 24 Reference: www.nj.gov/njhit