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 ww.nj.gov/njhit DRIVING QUALITY OF CARE WITH TECHNOLOGY Spring 2012 Conference
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 .
Dec 27, 2015
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Colleen WoodsHealth IT CoordinatorState of New Jersey
NJ HIMSS Spring ConferenceMay 15, 2012
Connecting Patients to a Greater State of Health
www.nj.gov/njhit
DRIVING QUALITY OF CARE WITH TECHNOLOGY Spring 2012 Conference
2
NJ Health IT Program UpdateProgress Report (2011 – 2012) Statewide Measures and Benchmarks for Success
Program Focus for 2012+2012 HighlightsLessons Learned
www.nj.gov/njhit
3
Phase 4: FrameworkDesign Financial SustainabilityMedicaid Incentive Program and Meaningful Use Stage 1 NJHIN PlanningUse Case Development #1-5•Legislation and Regulation
= CompletedPhase 7:
Personal and National•Disease Management•Syndromic Surveillance•Full EHR Adoption•Connect NHIN•Interstate Exchange•Meaningful Use Phase 3
Phase 1: StrategyPlanningFunding RequestStrategic PlanningOrganizational 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 FundingGovernanceHIO Initial BuildPoliciesInitial Stakeholder OutreachOperational PlanState Medicaid HIT Plan
Consumer & Stakeholder Outreach
Enabling New Jersey
Health Information Exchange
Phase 3: FoundationStanding Up Regional HIOsArchitecture & StandardsQuality MeasuresLegal FrameworkUse Cases for Care Coordination 2011 Q1 Q2
2011 Q2 –Q4www.nj.gov/njhit
4
EHR Incentive ProgramEHR AdoptionHealth Information Organizations (HIOs)ePrescribing Hospital and Independent LabsElectronic Lab Orders and ResultsPublic Health Reporting
www.nj.gov/njhit
5
$216,000 in EHR Incentives Paid in $216,000 in EHR Incentives Paid in NJ NJ May 2011May 2011
Medicare EHR Incentive Payments
Provider TypeProvider
CountMedicare Incentive Payment Amount
Eligible Professionals
12 216,000
Eligible Hospitals 0 0
Total: $216,000
NJ Medicaid EHR Incentive PaymentsProvider Type
Provider Count
Medicaid Incentive Payment Amount
Eligible Professionals
0 0
Eligible Hospitals 0 0
Total: $0
No NJ Medicaid Payment Program
www.nj.gov/njhit
CMS, May 9, 2012
6
Medicare EHR Incentive Payments
Provider TypeProvider
CountMedicare Incentive Payment Amount
Eligible Professionals
1,626 29,256,292
Eligible Hospitals 14 37,070,065
Total: $66,326,357
NJ Medicaid EHR Incentive PaymentsProvider Type
Provider Count
Medicaid Incentive Payment Amount
Eligible Professionals
560 11,843,336
Eligible Hospitals 33 41,690,406
Total: $53,533,742
CMS, May 9, 2012
Total EHR Incentive Program Registrants: • Eligible Professionals = 5,604• Eligible Hospitals = 56
www.nj.gov/njhit
7CMS, May 9, 2012
Medicaid EHR Incentive Program payments start Feb. 2012
www.nj.gov/njhit
www.nj.gov/njhit
8CMS, May 9, 2012
Medicaid EHR Incentive Program payments start Feb. 2012
www.nj.gov/njhit
9
May 20111,578 Professionals
Enrolled in NJ-HITEC
May 20125,688 Professionals Enrolled in NJ-HITEC3,512 Live on EHRs 708 Meaningful Users
www.nj.gov/njhit NJ-HITEC: May 11, 2012
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Physician EHR Adoption
Physicians TotalEHR
Adoption #EHR
Adoption %
Total Licensed Physicians 33,840 8,330 25%
Active Physicians 25,629
Active Patient Care Physicians 21,958
Hospital-Based 3,428
Target Priority: Office-Based 18,530 6,411 35%
Primary Care Physicians 10,726 3,305 31%
Specialists 7,804 3,106 40%
BME: New Jersey Board of Medical ExaminersAAMC: Association of American Medical Colleges, EstimateSK&A: Research Vendor County Health Rankings, NJ-HITEC
www.nj.gov/njhit
11Source: EHR Incentive Program Registrations and NJHA survey
Hospital EHR Adoption
Hospitals Count EHR Adoption EHR Adoption %
Total Hospitals 111 63 57%
General Acute Care 71 61 86%
Comprehensive Rehabilitation 14 1 7%
Special 15 1 7%
Psychiatric 11 -- --
www.nj.gov/njhit
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FQHC EHR AdoptionMetric Actual Total %
FQHCs that have installed and are using an EHR
16 20 80%
FQHCs that have initiated registration for the EHR Incentive Program
14 20 70%
FQHCs that are registered members of NJ-HITEC
20 20 100%
www.nj.gov/njhit Source: NJPCA Newsletter, Mar 2012
13
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 NetworksHospitals: • AtlantiCare Regional Medical Center (Atlantic City,
Mainland Campus)• South Jersey Healthcare (Regional Medical Center,
Elmer Hospital)
Integrated Delivery NetworksHospitals: • 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 CenterFederally 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 CenterFederally 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 HospitalFederally 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 CenterHome 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 HospitalFederally 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 CenterHome 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 CenterPhysicians• 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 CenterPhysicians• Summit Medical Group• Central Jersey HIE Project (CHIEP)Long Term Care• PARKER
Trenton Health Team (Covisint)Public Health Department•City of TrentonHospitals:• 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 TrentonHospitals:• 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
Hud
son
Hunterdon
Mercer
Middlesex
Monmouth
Morris
Ocean
Somerset
Cape
Union
PassaicSussex
Warren
Salem
www.nj.gov/njhit
14
Metrics Camden Health-e-cITi
Jersey Health
ConnectMOHIE Trenton Total
Hospitals 11 9 20 8 3 51
Other Acute Care Facilities
1 2 0 0 0 3
FQHCs 2 5 0 1 1 9
Long-Term Care Facilities
0 1 1 5 0 7
Labs – In House 7 8 8 8 3 34
Labs – External 0 0 1 0 0 1
Radiology – In House 7 9 8 8 3 35
Radiology – External 0 2 0 0 0 2
Number of Participating Organizations
Mar. 2012www.nj.gov/njhit
15
*
* 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
16Surescripts, May 2012www.nj.gov/njhit
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Hospital Electronic Lab Results Exchange
Metric %
Hospitals sharing laboratory results electronically with:providers outside their system
46%
Hospitals sharing laboratory results electronically with:hospitals outside their system
17%
Hospitals sharing laboratory results electronically with:ambulatory providers outside their system
39%
Physician Electronic Lab Orders and Results
Metric %
Office-based physicians able to:view lab results electronically
55%
Office-based physicians able to: send lab orders electronically
22%
www.nj.gov/njhit
18
Hospital and ED Public Health Reporting (for Meaningful Use)
Metric # %
Hospital emergency departments sending syndromic surveillance data in MU Compliant HL7 Format
60 77%
Hospitals sending immunizations in MU Compliant HL7 Format 14 18%
Hospitals sending ELR (Electronic Laboratory Reporting)(in HL7 2.3.1, not MU Compliant)
9 12%
www.nj.gov/njhit
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Healthcare providersFederal awards received for ACOs and PCMH Initiatives
ConsumersChampion Program launched with over 200 champions participating from organizations across the state
HIO’sHIO/HIO Exchange Plans – 2012Camden Coalition received national coverage on CNN
Philanthropy and EducationNicholson Foundation and Robert Wood Johnson Foundation focus on public health IT projectsRutgers application submitted for long term care
www.nj.gov/njhit
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GovernmentNJ SHARE showing significant state collaborationPOLST
HIT Vendor CommunityBuilding and Connecting - Standards
State to StateEHR/HIE Interoperability Workgroup multi-state, multi-vendor initiativeONC/RTI Multi-state Consortium with NJ, NY and PAFox Chase Cancer Center, CHOP looking to leverage exchange across state borders
www.nj.gov/njhit
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Highest utilizers of HIOs – office staff, medical records staff, nurse practitionersSocial workers in the ED, using HIE, are making a real impactReal cost savings seen in the administrative processes – referrals, prior authorizationIntegration/Interoperability – hardConsent – a bear
www.nj.gov/njhit
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HIE to HIE and the NJHIN – slowTrust agreements – difficult Implementation – climb the wall, reenergize Moving closer to the “tipping point”New focus on accuracyCollaboration is vital!
www.nj.gov/njhit
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Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
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
New Jersey Perspective
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Reference:www.nj.gov/njhit
www.nj.gov/njhit
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