1 . 2 Based on .

1www.nj.gov/njhit

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Based on www.healthit.gov

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Health Information Exchange (HIE)Verb: The electronic sharing of health-related information among organizations

Health Information Organization (HIO)Noun: An organization that provides services to enable the electronic sharing of health-related information. Sometimes referred to as an HIE.

Source: http://www.healthit.gov/providers-professionals/health-information-exchange

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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

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Medical historyDiagnosesMedicationsImmunization datesAllergiesRadiology imagesLab and test results

Source: http://www.healthit.gov/patients-families/faqs/what-information-does-electronic-health-record-ehr-contain

An EHR may contain such information as:

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Potential sources of information involving EHRs

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Medical History

Medical HistoryAllergies

DiagnosisMedications

Immunizations Medications

Hospital

Lab

Imaging

EHR

Patient

Physician

Specialist

HIO

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EHRs may be connected to the community hospital

Hospital

Patient

Nurse PractitionerPatient

Physician

Patient

Physician

Patient

Physician

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EHR

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EHR

EHR

EHR HIO

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Hospitals and physicians join together in HIOs

HIO

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EHR

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EHR

EHR

Hospital

Hospital

Hospital

Hospital

Patient

Physician EHR

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EHRs provide a single resource Created, managed and consulted by authorized providers and staff across more than one health care organization

To improve coordination of careInformation comes from all the providers involved in a patient’s care and links to information in other providers’ EHR systems

To provide higher quality and safer careInformation can move with the patient—to the specialist, the hospital, the nursing home, the next state

To allow information sharing beyond the health care provider who first collects information

Information can be shared with patients and with other providers, such as labs and specialists

To help provide patients with access to their health information

Information can be viewed and updated by the patient www.nj.gov/njhit

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HIPAA Privacy Rule and HIPAA Security Rule provide Federal protections for individually identifiable health information called “protected health information” (PHI).

Source: http://www.healthit.gov/providers-professionals/privacy-security

Privacy Rule protects paper, electronic, and oral information. Security Rule applies only to information maintained in electronic form, sometimes referred to as e-PHI. This includes information in EHRs.

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Exchanging health information electronically is the foundation of efforts to improve health care quality and safety. HIE can provide:

The connecting point for an organized, standardized process of data exchange across statewide, regional, and local initiativesThe means to reduce duplication of services (resulting in lower health care costs)The means to reduce operational costs by automating many administrative tasksGovernance and management of the data exchange process

Source: http://www.healthit.gov/providers-professionals/health-information-exchange

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State Data Sources:•Immunizations•Medicaid•Blood Screening•Bio surveillance•DMV Demographics•Other registries

Health Entity Directory•Web Services Registry•Provider Directory (supporting DIRECT)•Provider Credentialing

Certificate Authority

NJHIN Core Services

State Gateway Services •Relay Service (External Queries) •Patient Discovery & Document Exchange •Statewide Data Aggregation

GATEWAY

NJHIO Nodes•Pt Discovery & Document Exchange Gateways•HIO-level MPI•HIO-level Record Locator•Consent Mgmt (interim)•DIRECT Services•Security Compliance

Surescripts & Labs

NJHIN•Onboarding•Security Compliance

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HIO Area HIO Details

Counties: Passaic, Essex, Hudson

Hospitals: Christ HospitalEast Orange General HospitalJersey City Medical CenterMeadowlands Hospital Medical CenterNewark Beth Israel Medical CenterSaint Michael's Medical CenterSt. Joseph's Hospital (Paterson, Wayne) UMDNJ-University Hospital

FQHCs: Newark Community Health Centers, Inc.Newark Homeless Health CareHorizon Health CenterNorth Hudson Community Action Corporation Health CenterMetropolitan Family Health Network

Other Key Partners: Horizon Health CenterVNA of Central JerseyMONOCVisiting Nurse Association of Central Jersey

Technology Vendor: IGI

Highlights • Improving care to the significant Medicaid population served by the participating entities and providers in the greater Newark area.

• Facilitating HIE will improve quality, coordination of care, reduce costs, and result in measurable outcomes.

Atlantic

Bergen

Burlington

Camden

May

Cumberland

Essex

Gloucester

Hud

son

Hunterdon

Mercer

Middlesex

Monmouth

Morris

Ocean

Somerset

Cape

Union

PassaicSussex

Warren

Salem

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HIO Area HIO Details

Counties: Bergen, Essex, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Somerset, Sussex, Union

Hospitals: CentraState Medical CenterChildren's Specialized HospitalClara Maass Medical CenterHackensack University Medical CenterHoly Name Medical CenterHunterdon Medical CenterJFK Medical CenterMorristown Memorial HospitalNewton Memorial HospitalOverlook HospitalRobert Wood Johnson University Hospital (New Brunswick, Hamilton, Rahway)Saint Barnabas Medical CenterSaint Clare's Hospital (Denville Campus, Dover General, Sussex)Saint Peter's University HospitalSomerset Medical CenterTrinitas Regional Medical Center

FQHCs:

Technology Vendor:

Relay Health

Highlights • New Jersey’s largest HIO• Focused Personal Health Record roll-out to give

patients access to their own health data• Driven to improve care coordination, access, outcomes

and efficiencies through the use of technologies that facilitate real-time clinical data exchange.

Atlantic

Bergen

Burlington

Camden

May

Cumberland

Essex

Gloucester

Hud

son

Hunterdon

Mercer

Middlesex

Monmouth

Morris

Ocean

Somerset

Cape

Union

PassaicSussex

Warren

Salem

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HIO Area HIO Details

Counties: Burlington, Camden, Gloucester

Member Health Systems and Hospitals:

Cooper University HospitalKennedy University Hospital (Turnersville, Cherry Hill, Stratford)Lourdes Medical Center of Burlington CountyOur Lady of Lourdes Medical CenterUnderwood Memorial HospitalVirtua Hospital (Berlin, Marlton, Memorial, Voorhees)

FQHCs: CAMcare Project H.O.P.E.

Technology Vendor:

CompuGroup Medical (formerly Noteworthy)

Highlights • Governed by Camden Coalition of Healthcare Providers

• HIE used as a tool to provide more coordinated care, drive improved patient outcomes, and “bend the cost curve”

• HIE data filtered for Camden ZIP codes only (to start)

• Currently used by 100+ Camden healthcare providers to access patient information

Atlantic

Bergen

Burlington

Camden

May

Cumberland

Essex

Gloucester

Hud

son

Hunterdon

Mercer

Middlesex

Monmouth

Morris

Ocean

Somerset

Cape

Union

PassaicSussex

Warren

Salem

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HIO Area HIO Details

Counties: Mercer

Hospitals: Capital Health Regional Medical CenterCapital Health Medical Center – HopewellSt. Francis Medical Center

FQHCs: Henry J. Austin Health Center

Other Key Partners:

City of TrentonGreater Trenton Behavioral HealthCatholic CharitiesOthers (see http://trentonhealthteam.org)

Technology Vendor:

Covisint

Highlights • Built on strong community partnership• Focused on concentrated geography of

114,000 people within the City of Trenton• Immediate aim is to address the 1,800 high-

cost/high-utilizersAtlantic

Bergen

Burlington

Camden

May

Cumberland

Essex

Gloucester

Hud

son

Hunterdon

Mercer

Middlesex

Monmouth

Morris

Ocean

Somerset

Cape

Union

PassaicSussex

Warren

Salem

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HIO Area HIO Details

Counties: Monmouth, Ocean

Health Systems and Hospitals:

Bayshore Community HospitalCommunity Medical CenterJersey Shore University Medical CenterKimball Medical CenterMonmouth Medical CenterOcean Medical CenterRiverview Medical CenterSouthern Ocean Medical Center

FQHCs: Monmouth Family Health Center

Technology Vendor:

ICA

Highlights • Monomouth and Ocean counties have a very high long-term care patient base and see large seasonal fluxes in its population

• These factors provide compelling needs for:• Model of statewide HIE• Health information exchange across state lines• Personal Health Records

Atlantic

Bergen

Burlington

Camden

May

Cumberland

Essex

Gloucester

Hud

son

Hunterdon

Mercer

Middlesex

Monmouth

Morris

Ocean

Somerset

Cape

Union

PassaicSussex

Warren

Salem

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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

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Federal Health IT Website: http://www.healthit.gov/providers-professionals/compatibility-information-exchangeNational eHealth Collaborative’s HIE Report:Health Information Exchange Roadmap: The Landscape and a Path Forward http://www.nationalehealth.org/hie-roadmap eHealth Initiative on Health Information Exchange: http://www.ehealthinitiative.org/issues/health-information-exchange-hie.html Camden Coalition

Zakaria: 5% of U.S. patients account for 50% of health care costshttp://globalpublicsquare.blogs.cnn.com/2012/03/15/zakaria-5-of-u-s-patients-account-for-50-of-health-care-costs/?iref=allsearch Healthcare in our Camden Jail Video: http://www.cochs.org/health_reform/hie_conf/unseen_provider

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www.healthit.gov

What Patients Need to Know About EHRs -- Trifold

Talking to Your Patients About EHRs

Health IT: Advancing America’s Health Care

Protecting YourPrivacy and Security

Note: All four documents are available at www.nj.gov/njhit

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www.nj.gov/njhit

www.nj.gov/njhit/ehr

www.njhitec.org

New Jersey Health IT Program Overview

www.nj.gov/njhit