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New Jersey Health Information Technology Presentation to HIT Commission August 5, 2010 . Connecting Patients to a Greater State of Health. State HIT Program Context. State of NJ Department Influencers. Department of Labor Office of Information Technology (OIT) State Treasurer

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New Jersey Health Information TechnologyPresentation to HIT CommissionAugust 5, 2010

Connecting Patients to a Greater State of Health


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State HIT Program Context

State of NJ Department Influencers

  • Department of Labor

  • Office of Information Technology (OIT)

  • State Treasurer

  • State Statute, Policy & Guidelines

  • Best Practices & Standards

  • NJ HIT Act 2007

  • HIT Commission

  • Office for e-HIT

  • NJ Health Information Network (NJHIN)

  • NJAMHA

  • Department of Medical Assistance and Health Services State HIT Plan

  • Department of Children & Families

New Jersey Health Information Technology Program

Governor’s Office – Policy, Standards

  • ARRA Act

  • HHS

  • ONC

  • CMS

  • MITA

  • HIPAA

  • HRSA

  • CHIPRA

  • SAMHSA

  • NIST

  • AHRQ.

  • FHA

  • X.12

  • NCPDP

  • IHE – Integrating Healthcare Enterprise

  • Federal Financial Participation (FFP)

  • Federal Statute

  • Federal Policy

  • Federal Guidelines

DOBI

DHSS

DHS

  • Patients

  • NHIN

  • HL7

  • HISPC

  • HITSP

  • WEDI

  • Professional Associations

  • Providers

  • Other Payers

  • Regional Extension Centers

  • Community Health Information Exchanges

  • Best Practices & Standards

Hospitals, Physicians

eHIT Office

State Medicaid HIT Plan

Healthcare Influencers

FederalInfluencers

FQHCs

Regulation

MCI Project

MCI –Lead & Immunization Registries

Sustainability of HIE

HIE

State HIT Plan & Commission

  • Training

  • Education

  • Awareness

Regional Extension Centers (RECs)

  • Oversight of ONC funds

  • Financing to grantees

HCFFA

Project Governance

  • HIT Workgroup – SMEs

  • Data Governance

  • Privacy & Security

  • HIT Steering Committee

  • Project Management Office (PMO)

  • Change Management & Communication

  • Risk/Issue Management


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Approach – Two Focus Areas – Multi-Track

Operational Issues

Meaningful Use

Labs

ePrescribing

Summary of Care

ONC Grant

HIT Operational Plan

HIE’s Start up

REC Vendor Preference List

REC Training

State Medicaid HIT Plan

Subcommittees

Strategic Alignment

Governance

Stakeholder Engagement

Establishing HIT Core Tenets

Vision Sessions

Program Kick off

Innovation Summit – NJIT Center

Future Grants



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HIT Program Governance

(Direction & Policy)

Governor’s Office

State HIT Coordinator

Colleen Woods

Program Coordination

Implementation Oversight

HIT Commission

Office for eHIT Development

Financial & Grants Management

Program Management

Legislative

Legal

Change Management

Standing Committees

HIT Steering Committee

Privacy & Security

Architecture & Data Standards

Consumer Advocacy & Quality Care

Providers

Financial

Sustainability

Economic

Development


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HIT Program Work Streams

Governor’s Office

State HIT Coordinator

Colleen Woods

Program Coordination

Implementation Oversight

HIT Commission

HIT Steering Committee

Office for eHIT Development

Legislative

Legal

Financial & Grants Management

Program Management

Change Management

Operation Focused Efforts

Implementation Focused Efforts

HIT Planning

State HIT Strategic Plan, State HIT Operational Plan

Medicaid

SMHP, IPP, MMIS Replacement, ICD-10, 5010, NCPDP, CASS

Change Management

Communication, Education, Marketing, Branding, Web Site

Health Information Exchange (HIE)

HIE Planning, HIE Implementation, MPI

Regional Extension Center (REC)

REC Planning, REC Deployment

Pilot Projects

Multi-State Immunization, NJ/Puerto Rico


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Subcommittees

HIT Steering Committee – Chairs Colleen Woods Jim Cavanugh

Establish NJ Blueprint and focus operational issues, MU

Privacy and Security – Chair Helen Oscislawski

Develop a NJHIT Legal Framework by December 2010

Financial Sustainability – Chair Hall Gregg

Develop a NJHIT Statewide Financial Sustainability Plan by December 2010

IT Architecture& Data Standards – Chair Emmanouil Skoufos

Establish data standards and protocols addressing MU first


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Other Subcommitees - TBD

Consumer Advocacy and Quality Care

Economic Development

Providers


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Regional Extension Center

Outreach & Education Programs

Needs Assessment, Practice & Workflow Design

Vendor Selection Process

Interoperability and HIE Training & Assistance

Implementation Support

Privacy & Security Information Programs

Meaningful Use Training & Achievement Documentation

Workforce Development Training

CRM Focus

5,000 Physicians – First Target



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Considering Core Tenets

Federal Framework

Overall improvement of the quality, safety and efficiency of healthcare

HITECH – Advance the design, development and operation of a nationwide health information technology infrastructure that allows for the electronic use and exchange of information.

Achieve Meaningful Use through 3 stage gates

Each person in the US has a health record by 2014

Align to all Federal Privacy Requirements as outlined in HITECH

Core NJ Healthcare Tenets

New Jersey will be a national leader in HIT

NJ will exceed all federal guidelines of meaningful use

NJ wants to reduce healthcare costs through HIT

HIT vision achieved in 3 years

Public health monitoring – Leverage data to monitor health status

Population health protection – Leverage data to protect population

Retool and develop job market based on HIT

Providers will experience increase in reimbursements due to state savings

Fully integrate Behavioral Health and Addiction Services data with clinical data

NJ will highlight/focus on care of the elderly – long term care

NJ will highlight/focus on pediatric care

NJ citizens will have full access to their medical data and an electronic interaction with their providers.