Big Data and Health: The New Jersey Context April 4, 2014

Transcription

1 Big Data and : The New Jersey Context April 4, 2014

2 Agenda HIT & Clinical Data HIE HIE Partners Regional HIOs New Jersey Information Network (NJHIN) HIE Accomplishments HIT & Public Data y NJ 2020 Care Quality - Prevention Quality Indicators Regional Planning and

3 HIT & Clinical Data and

4 Information Exchange information exchange (HIE) is the mobilization health information electronically across organizations within a region or community. HIE : Facilitates access to & retrieval patient information to provide safer, timely, patient-centered care Improves patient safety & quality care Reduces expenses : Duplicate tests Finding & recovering missing patient information Scanning & faxing documents Copying & mailing entire patient charts Phone calls to locate or verify patient chart information, referrals & test results and

5 DOH HIE Goals Deliver on HIT promises: Framework for HIE Regional HIO coverage throughout NJ Statewide HIE Spend down ARRA grant funds Maximize federal incentive funding for providers Enhance Access to Patient Information Improve Quality Care Improve Outcomes for Patients Reduce Delivery System Costs and

6 DOH HIE Partners HCFFA NJIT NJHIN Advisory Council State HIE Partners Office Information Technology (OIT) Banking & Insurance Human Children & Families Labor care Stakeholders HIT Office Federal Influencers HIOs Patients Providers care facilities Payers Biotech Pharma Pharmacies Labs Pressional Associations DHS Medicaid State Medicaid HIT Plan Mental & Addiction Medicaid Provider EHR Incentive Program DOH NJ Information Network (NJHIN) NJHIN Advisory Council Medicare & Medicaid Provider EHR Incentive Program (PH registries) Hospitals, FQHCs & other Licensed care Facilities DOBI Insurance Payers ehit Office OIT CTO for Affinity Group Strategy ARRA HIPAA OBRA ONC HHS NJ-HITEC Physician Training Awareness Education HCFFA Oversight ONC funds Financing to grantees and

7 DOH HIE Partners Virtua System HIO Children s Hospital Philadelphia Kennedy Cherry Hill Kennedy Stratford Kennedy Washington Township Virtua Berlin Virtua Burlington Virtua Marlton Virtua Voorhees NJSHINE Cape Regional Medical Center Inspira Underwood Inspira South Jersey Regional Inspira Bridgeton Inspira Elmer Hospital Inspira Vineland Center Shore Medical Center Trenton Team Capital Medical Center-Hopewell City Trenton, Public Henry J. Austin Center, Inc. St. Francis Medical Center and

8 DOH HIE Partners Highlander (formerly -e-citi) Camden Barnabas Newark Beth Israel Medical Center Cooper University Hospital Christ Hospital Lourdes Medical Center Burlington East Orange General Hospital Our Lady Lourdes Medical Center Horizon Center Virtua Hospital ED Liberty Jersey City Medical Center CamCare Corporation Meadowlands Hospital Medical Center Project Hope Inc. Metropolitan Family Network Newark Community Centers Newark Homeless Care North Hudson Community Action Corp Center St. Joseph s Paterson St. Joseph s Wayne St. Michael s Medical Center UMDNJ-University Hospital Visiting Nurse Association Central New Jersey and

9 DOH HIE Partners Jersey Connect Atlantic Chilton Atlantic Hackettstown Atlantic Morristown Memorial Hospital Atlantic Newton Memorial Hospital Atlantic Overlook Hospital Barnabas Kimball Barnabas Monmouth CentraState Medical Center Central Jersey HIE Project Children s Specialized Hospital Clara Maass Medical Center Englewood Hackensack Pascack Valley Hackensack University Medical Center Holy Name Hospital Hunterdon Medical Center JFK Medical Center Edison Meridian Bayshore Meridian Brick Meridian Neptune Meridian Red Bank Meridian Southern Ocean Palisades Medical Center Parker Raritan Bay Old Bridge Raritan Bay Perth Amboy RWJ Hamilton RWJ University Hospital RWJ Rahway Saint Clare s Hospital Boonton Saint Clare s Hospital Denville Saint Clare s Hospital Dover Saint Clare s Hospital Sussex St. Peter s University Hospital Somerset Medical Center Summit Medical Group Trinitas Regional Medical Center Valley Hospital and

10 Camden HIO -e-citi Jersey Connect Trenton HIO June 2012 and

11 St Mary s Hospital Bergen Regional Medical Center March 2014 Camden HIO Highlander Jersey Connect St Luke s Warren Hospital Mountainside Hospital Bayonne Hospital Center Hoboken University Medical Center Christ Hospital University Medical Center at Princeton Trenton Team Virtua HIO NJSHINE Unaffiliated Hospitals Memorial Hospital Salem County AtlantiCare Regional City Campus & Mainland Campus and

12 Phase 1: NJHIN Architecture 2014 NJHIN Core State Registries Node Camden HIO Jersey Connect Virtua Highlander NJSHINE Trenton HIO Legend Information Organization (HIO) Physician s Office Hospital FQHC Behavioral Provider Long-Term Care Provider Patient (Access to PHR) Radiology Laboratory Social Local Public Rehabilitation (Physical) and

13 List Available Patient Info Web Directory NJHIN Core Certificate/Registration Authority Patient Info Patient Info Camden HIO Here is the Patient Info we need Jersey Connect 1. Facesheet 2. Discharge Summary 3. History & Physical 4. Continuity Care Summary 5. Progress Notes NJSHINE Here is the list Patient Info we have 1. Facesheet 2. Discharge Summary 3. History & Physical 4. Continuity Care Summary 5. Progress Notes 6. Nurses Notes Jersey Connect & NJSHINE respond to Camden HIO: Here is the patient info we have for John Doe. and

14 HIE Accomplishments $11.6M ARRA Grant for health information exchange (HIE) spent down 99.23% grant by 3/14/14 $9.8M awarded to HIOs $1.6M for NJ Information Network (NJHIN) $200K for ONC required evaluation Expanded Regional HIOs to statewide coverage Facilitated achievement meaningful use & award $515 + M in federal EHR incentive funds to NJ providers Invested in Immunization Information System modernization to expedite achievement meaningful use by providers Provided 3 ways to achieve meaningful use for providers DOH Immunization registry DOH Electronic lab reporting DOH Syndromic surveillance and

15 HIE Accomplishments Medicare EHR Incentive Payments Provider Type Provider Count Medicare Incentive Payment Amount Providers 7,153 $ 140,966, Hospitals 7 $ 32,493, Dual (Hospitals ) 55 $ 203,163, Total: $ 376,623, New Jersey Medicaid EHR Incentive Payments Provider Type Provider Count Medicaid Incentive Payment Amount Providers 1,871 $ 43,643, Hospitals 2 $ 3,948, Dual (Hospitals ) $ 91,300, Total: $ 138,892, and 15

16 HIE Accomplishments NJHIN Progress: Simplified NJHIN Architecture Developed & piloted NJHIN Successfully tested exchange immunizations & continuity care patient information between HIOs Phase 1 implementation in process & will be complete by June 2014 Facilitated development a single Data Use & Reciprocal Support Agreement for use by all NJ HIOs Interstate Work Group to facilitate border patient information exchange and

17 HIT & Public Data and

18 HNJ2020 Goals Attain high quality, longer lives free preventable disease Achieve health equity, eliminate disparities Create social & physical environments that promote good health Promote quality life, healthy development, healthy behaviors across life stages Importance Collaboratively sets public health goals for NJ Provides a valuable data source baseline+ Emphasizes public health priorities Facilitates collaboration and

19 HNJ2020: Topic Areas Access to Cancer Chronic Kidney Disease Diabetes Environmental care-associated Infections Hearing/Other Sensory or Communication Disorders Heart Disease and Stroke HIV Immunization and Infectious Diseases Injury and Violence Prevention Maternal, Infant, and Child Nutrition and Weight Status Occupational Safety and Older Adults Physical Activity and Fitness Preparedness Public Infrastructure Respiratory Diseases Sexually Transmitted Diseases Substance Abuse Tobacco Use and

20 y NJ 2020: Leading Indicators 1. Access to primary care - Increase proportion adults with health care provider - Baseline (2011): 83.5%/Target: (2020): 90% 2. Birth outcomes - Reduce infant death rate - Baseline (2007): 5.1 per 1,000 births /Target: (2020): 4.8 per 1,000 births 3. Childhood immunization - Increase % children (19 to 35 months) who received recommended vaccinations - Baseline (2010): 74%/ Target: (2020): 80% 4. Heart disease - Reduce coronary heart disease - Baseline (2007): per 100,000 /Target: (2020): per 100, Obesity - Prevent an increase in proportion population that is obese - Baseline Adults (2011): 23.8%/Target Adults (2020): 23.8%, - HS students (2009): 10.3% /Target HS students: 10.3% and

21 HNJ2020 online and

22 Prevention Quality Indicators nj.gov/health/healthcarequality/pqi.shtml and

23 Prevention Quality Indicators 109,000 preventable hospitalizations (2011) Top 4 14 preventable admissions: Congestive Heart Failure - 24,890 Chronic Obstructive Pulmonary Disease - 21,809 Bacterial Pneumonia - 17,917 Urinary Tract Infection -12,849 Based on 2011 hospital discharge data and

24 Regional Planning and

25 Regional Planning NJ has 3 Efforts: Trenton Team, Greater Newark Care Coalition, & Camden Coalition care Providers All 3 Initiatives share Common Goals: Organizational non-prits status Competitors & non-traditional partners joined together to form 501c3 For ex., competing hospitals, FQHCs, local public health, visiting nurses, behavioral health are some the providers represented on boards Active Information Exchange to ensure patient info is in the hands provider at the time patient is in front provider Communicating with each other & their communities through the use Community Advisory Boards & community health advocates and

26 Regional Planning All 3 Initiatives share Common Goals: Develop policies & a plan informed by data to: Target specific conditions for improvement health outcomes (e.g., diabetes, asthma) Collaborate on care (ambulatory, acute, behavioral, social services) to manage and improve the health outcomes for residents with specific conditions, such as asthma & diabetes Collaborate on care (ambulatory, acute, behavioral, social services) to manage ED utilization and ED super-utilizers Collaborate on wellness initiatives for residents (e.g., immunizations by THT) and

27 and