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Theme 3: Exchange and Health Information Organizations

Theme 3: Exchange and Health Information Organizations This slide starts the third theme of the Health IT Champion Program This theme will be the topic that we focus on for the next 2 months. www.nj.gov/njhit. Introduction to Exchange and Health Information Organizations.

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Theme 3: Exchange and Health Information Organizations

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  1. Theme 3: Exchange and Health Information Organizations This slide starts the third theme of the Health IT Champion Program This theme will be the topic that we focus on for the next 2 months www.nj.gov/njhit

  2. Introduction to Exchange and Health Information Organizations Based on www.healthit.gov www.nj.gov/njhit

  3. Health Information Exchange or Health Information Organization • 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 www.nj.gov/njhit

  4. 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 • 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 HIOs/IDNs Sussex Passaic Bergen Hudson Essex Morris Union Somerset Warren Hunterdon Middlesex Monmouth Mercer • 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. Ocean • 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 Burlington Camden • 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. Gloucester Salem Atlantic Salem Cumberland Cape • Integrated Delivery Networks • Hospitals: • AtlantiCare Regional Medical Center (Atlantic City, Mainland Campus) • South Jersey Healthcare (Regional Medical Center, Elmer Hospital) May www.nj.gov/njhit

  5. What's in an Electronic Health Record (EHR)? An EHR may contain such information as: • Medical history • Diagnoses • Medications • Immunization dates • Allergies • Radiology images • Lab and test results Source: http://www.healthit.gov/patients-families/faqs/what-information-does-electronic-health-record-ehr-contain www.nj.gov/njhit

  6. Where Does Information Come From/Go? Potential sources of information involving EHRs Patient Medical History Allergies Diagnosis Medications Immunizations ---------------- ---------------- Physician Medications EHR Lab Specialist Medical History Imaging Hospital HIO www.nj.gov/njhit

  7. Where Does Information Come From/Go? EHRs may be connected to the community hospital Patient Patient Patient Patient ---------------- ---------------- ---------------- ---------------- ---------------- ---------------- ---------------- ---------------- Physician Physician Physician Nurse Practitioner EHR HIO EHR Hospital EHR EHR www.nj.gov/njhit

  8. Where Does Information Come From/Go? Hospitals and physicians join together in HIOs Patient ---------------- ---------------- ---------------- ---------------- ---------------- ---------------- ---------------- ---------------- Hospital Physician EHR Hospital EHR EHR HIO Hospital EHR Hospital www.nj.gov/njhit

  9. Why do EHRs Share Information? • 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 care • Information 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 care • Information 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

  10. EHRs: Privacy and Security • HIPAA Privacy Rule and HIPAA Security Rule provide Federal protections for individually identifiable health information called “protected health information” (PHI). • 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. Source: http://www.healthit.gov/providers-professionals/privacy-security www.nj.gov/njhit

  11. Why Health Information Exchange Is Important • 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 initiatives • The means to reduce duplication of services (resulting in lower health care costs) • The means to reduce operational costs by automating many administrative tasks • Governance and management of the data exchange process Source: http://www.healthit.gov/providers-professionals/health-information-exchange www.nj.gov/njhit

  12. NwHIN, Health Plans Conceptual Technical Architecture Full Operation • NJHIN • Onboarding • Security Compliance State Gov’t HIO • State Data Sources: • Immunizations • Medicaid • Blood Screening • Bio surveillance • DMV Demographics • Other registries GATEWAY • Health Entity Directory • Web Services Registry • Provider Directory • (supporting DIRECT) • Provider Credentialing • State Gateway Services • Relay Service (External Queries) • Patient Discovery & Document Exchange • Statewide Data Aggregation NJHIN Core Services Certificate Authority Health-e-cITi Camden Trenton Health Team MOHIE Jersey Health Connect Surescripts & Labs Physician Office IDN Hospital Long Term Care EMS EMS Home Health • NJHIO Nodes • Pt Discovery & Document Exchange Gateways • HIO-level MPI • HIO-level Record Locator • Consent Mgmt (interim) • DIRECT Services • Security Compliance Hospital Assisted Living Behavioral Health Physician Office www.nj.gov/njhit

  13. Health-e-cITi-NJ HIO: Snapshot Sussex Passaic Bergen http://healthecitinj.org/ Hudson Essex Morris Union Somerset Warren Hunterdon Middlesex Monmouth Mercer Ocean Burlington Camden Gloucester Salem Atlantic Cumberland Cape May www.nj.gov/njhit

  14. Jersey Health Connect: Snapshot Sussex Passaic http://www.jerseyhealthconnect.org/ Bergen Hudson Essex Morris Union Somerset Warren Hunterdon Middlesex Monmouth Mercer Ocean Burlington Camden Gloucester Salem Atlantic Cumberland Cape May www.nj.gov/njhit

  15. Camden HIE: Snapshot Sussex Passaic Bergen http://www.camdenhealth.org/ Hudson Essex Morris Union Somerset Warren Hunterdon Middlesex Monmouth Mercer Ocean Burlington Camden Gloucester Salem Atlantic Cumberland Cape May www.nj.gov/njhit

  16. Trenton Health Team: Snapshot Sussex Passaic Bergen http://trentonhealthteam.org/tht/ Hudson Essex Morris Union Somerset Warren Hunterdon Middlesex Monmouth Mercer Ocean Burlington Camden Gloucester Salem Atlantic Cumberland Cape May www.nj.gov/njhit

  17. MOHIE HIO: Snapshot Sussex Passaic Bergen Hudson Essex Morris Union Somerset Warren Hunterdon Middlesex Monmouth Mercer Ocean Burlington Camden Gloucester Salem Atlantic Cumberland Cape May www.nj.gov/njhit

  18. HIO Participation Number of Participating Organizations www.nj.gov/njhit Mar. 2012

  19. Tools • Federal Health IT Website: http://www.healthit.gov/providers-professionals/compatibility-information-exchange • National 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 www.nj.gov/njhit

  20. ONC/Federal Health IT Program Resources Talking to Your Patients About EHRs Health IT: Advancing America’s Health Care www.healthit.gov Protecting Your Privacy and Security Note: All four documents are available at www.nj.gov/njhit What Patients Need to Know About EHRs -- Trifold www.nj.gov/njhit

  21. NJ Health IT Program Resources www.njhitec.org www.nj.gov/njhit New Jersey Health IT Program Overview www.nj.gov/njhit/ehr www.nj.gov/njhit

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