2. The New Jersey Health Information Technology Act NJ HITC and Office for e-HIT by June 2010 must Deliver Report and make Recommendations to Governor and Legislature on:  Privacy and Security  Infrastructure  Funding – short term and long term (2015)  Interoperability  Governance  And all other issues

3. Building a State HIT Infrastructure (Continued) Financing mechanisms  Public and private contributions  Payers contributions  Providers use fees  Consumers access and use fees  Data exchange fees  Creative and innovative methods supported by NJ State Law Provider user support and technical Assistance  Regional Extension Centers for Technical Assistance and User Support  Medicaid user support  Others

4. October Submission to ONC  State Health IT Plan –Strategic and Operational  1 of 9 to seek implementation funds  HIE Grant Application (‘section 3013’)  $11.4 mln over four years—formula-based  4 regional/community HIEs selected through competitive RFA process: Health-e-Citi, SJHIE, Northern & Central HIE, Camden HIE

6. State Plan: http://nj.gov/health/bc/hitc.shtml Key Components:  Environmental Scan  Community HIE Readiness  Framework for HIT/HIE: Medicaid, Fed-funded state- based programs, Public Health, Use Cases  Key Stakeholders  Governance  Technology  Integration of other ARRA programs  Financing  Privacy & Security  Implementation Plan, including the four HIEs

7. State’s Responsibility in Building State HIT Infrastructure  HIT infrastructure development process  Identify Health information data sources  Establish Health Information Organizations  Build data exchange systems—MPI/RLS  Identify health information business associates  Identify most commonly used electronic health record systems  Clinical Data Repositories  Organize health information users community  HIT business and operational processes  Security and Privacy  Operations management and accountability  State designated authority  Governance  HIE Financial Sustainability  Long range HIT planning and development  Policy setting and removing barriers to health information exchange  Project and funding priority setting  Oversight