New Jersey files Letter of Intent with ONC for New Jersey Health Information Exchange Program Sept 11, 2009

New Jersey Health Information Exchange Program
Named and Filed
(pdf)
 on Sept 11, 2009
Along with states and territories across the country, New Jersey filed its Letter of Intent (pdf) to Office of National Coordinator about the Health Information Exchange Cooperative Agreement Program on September 11, 2009. The letter declared the state’s plan to develop the “New Jersey Health Information Exchange Program,” to include a “fully self-supporting statewide exchange” and  “the most comprehensive, promising, complete and clinically meaningful health information initiatives.” The state fully intends to supply both Strategic and Operational Plans to ONC by the October 16, 2009 deadline.

In addition to providing a history of HIT and HIE programs in the state, New Jersey’s leadership roles in the Health Information Security and Privacy Collaboration (HISPC), regional exchanges of Immunization Registry data with Pennsylvania and New York City, and State Level Health Information Exchange interstate initiative were described.

The letter also noted the state-wide health information network plan developed by New Jersey Hospital Association in 2007 could “be used as the basis of a more comprehensive model which will integrate the subsequent work of various regional health information exchanges that have or are being formed throughout New Jersey.”

The two signatories, Jed Seltzer, Executive Director of the NJ Health IT Commission, and William O’Byrne, State Coordinator of NJ Office of e-HIT,  led a guidance teleconference in the morning answering questions about the New Jersey State grant program for HIE projects within the state that could be folded into the October 16, 2009 filing.

The Letter of Intent was posted on the Health Information Exchange Grants page of the NJ 2009 Recovery and Reinvestment Plan Web site.

See prevous e-Healthcare Marketing post about New Jersey’s initiative to find the best HIE projects to fold within its statewide HIE program proposal to ONC. That internal program has a filing deadline of September 25, 2009 ahead of the October 16, 2009 federal ONC deadline.

Regional Health Data Networks Expanding Reach, Connectivity

Regional Health Data Networks Expanding Reach, Connectivity
iHealthBeat did a round up of four regional health information exchange networks on September 8, 2009:
Indiana and Ohio: Linking three existing health data networks–HealthBridge (Cincinnati, OH), Indiana Health Information Exchange (Indianapolis, IN), and HealthLinc (Bloomington, IN).
Louisiana: Joint program of Louisiania State University Health Science Center, Louisiana Rural Health Information Exchange, and the Louisiania Rural Hospital Coalition.
Delaware: Additional features being added to Delaware Health Information Network.
Tennessee: Mid-South eHealth Alliance (Memphis) to link to statewide health information exchange; Health Information Partnership of Tennessee to tap federal funds.

New Jersey Provides Guidance on Sept 11 Call-in

Additional Guidance to Be Provided on the RFA for Health Information Exchange Projects Tomorrow–Sept 11, 2009:
Phone-in details added
Per Press Release “The State of New Jersey will provide additional guidance on the request for applications seeking health-information exchange projects via a conference call on September 11, 2009.

DATE:           Friday, September 11, 2009
TIME:            10:30 am to 12 Noon
CALL-IN #:   866- 812-0464
CODE:           115300“The RFA solicits innovative, community-level health data exchange projects to submit to the federal government for potential grant funding, and is available at http://nj.gov/recovery/grant/

See earlier e-Healthcare Marketing post on NJ Grants.

New Jersey Health Information Technology Act (pdf)
NJ P.L. 2007, c.330: Approved January 13, 2008

ONC: Update to State HIE Cooperative Agreement Program; Drops Historic Expenditures

ONC Emails “Update to FOA for State HIE Cooperative Agreement Program”; Removes HIE Historic Expenditures Requirement
In an afternooon email on September 8, 2009, HHS’s Office of National Coordinator announced changes which impact Letter of Intent that States need to file by Friday, September 11, 2009. (FOA=Funding Opportunity Announcement)

“Due to the many questions we have received from applicants regarding the request to have states report historic expenditures on HIE, we have removed that requirement for the letter of intent due Friday, September 11, 2009.

“As such, we have also removed the 10% needs assessment factor from the funding formula, which would have been informed by the collection of historic expenditures.  The 10% set aside is now combined with the overall funding pool for distribution based on the four other equity factors noted in the FOA.  We have updated the originally posted FOA on grants.gov and on our website at healthit.hhs.gov.  Changes can be noted on pages 35 or 36 (depending on view) and 56 or 57 of the funding announcement. 

“Please let us know if you have questions.  We apologize for the late notice of this change, and if this email has already been received.  Our aim is to inform everyone as quickly as possible of this change.”

Regards,
Office of the National Coordinator for Health IT
U.S. Department of Health and Human Services

Go to the ONC’s State Health Information Exchange Cooperative Agreement Program site for complete information and updated documents.

See revision on e-Healthcare Marketing post on HIE questions for Letter of Intent.

HIT September 2009 Calendar

September 2009 Health Information Technology Calendar
National Dates
3:
CCHIT Town Call on New 2011 Certification:
               Presentation Materials Available
8: ONC: HIT Extension Program: Regional Centers:
              Prelimimary Application Due
10: HITSP Webinar on Medication Management Real World Sites
11: ONC: State Health Information Exchange Program:
               Letter of Intent Due

15: HIT Standards Committee Meeting
18: HIT Policy Commitee Meeting
21-25: National Health IT Week: One Voice, One Vision:
               Transforming Health and Care, Washington, DC.

22-23: HIMSS 8th Annual Policy Summit, Washington, DC.
29: ONC HIT Extension Program: Regional Centers:
               Preliminary Approval

New Jersey Dates
3:
NJ HIT Commission Meeting
10: NJ Senate Legislative Oversight Committee Hearing:
Electronic Medical Records: 10 am Meeting – Committee Room 4, 1st Floor, State House Annex, Trenton, NJ: The committee will meet to take testimony from invited guests on the issue of electronic medical records.  The committee will also hear from the Department of Health and Senior Services and the Department of Banking and Insurance on the implementation of the NJ Health Information Technology Act.

11: State of NJ HIE Project Grants: Guidance Conference Call 
               10:30am to noon. Call-in details to come.
23: HIMSS National Advocacy Day: NJ Chapter goes to Washington, DC.
25: State of NJ HIE Project Grant: Applications Due

Additional Dates to Come.

NJ Seeks Health Information Exchange Applications by Sept 25, 2009

New Jersey Seeks HIE Applications: Due Sept 25, 2009
(This post updated on Sept 17, 2009.)
Second Conference Call Set for
                                
DATE:           Friday, September 18, 2009
TIME:            1:30pm–2:45pm
CALL-IN #:   877-214-6371
CODE:           953415
Please note that the line can hold 125 people so if there is excess, the State will accept email questions.

See Sept 17, 2009 State of NJ Press Release.
Links to official documents below.

Federal Telemedicine News blog reported on September 2, 2009, that New Jersey issued a a Request for Applications ”seeking innovative health information exchange projects.” A conference call is scheduled for Sept. 11, 2009 from 10:30am to noon for guidance. Grant applications are due September 25, 2009 to be considered for possible inclusion in NJ’s State HIE  application to the Office of National Coordinator for Health IT in HHS, which is due by October 16, 2009.

As the Grant Criteria states, the state’s application to ONCHIT will “reflect the current state-of-the-art in New Jersey and priorities set forth by the state’s Health Information Technology Commission and Office of e-HIT(in the Department of Banking and Insurance).  As such, the application will include projects from around the State that hold the promise of establishing a more effective, efficient, sustainable, and interoperable exchange of clinically useful data across health-care provider organizations, cities, and regions. This RFA solicits projects to be incorporated into the State’s application.”

Excerpted from the Notice of Grant Availability
Grants will be used “To facilitate and expand the electronic movement and use of health information among organizations in New Jersey according to nationally recognized standards and in a manner consistent with the objectives” of ARRA of 2009.

Applicants must be “New Jersey organizations or governmental agencies that either provide health care, yield or store health-care information, or administer public-health services and that compile and store data electronically.”

To qualify “The organization or agency must be capable of exchanging health information, or be in the process of implementing systems that have the ability to exchange health information, between facilities according to nationally recognized standards of privacy and security and for the purposes of improving clinical outcomes and/or public health in New Jersey.”

The NJ Health Care Facilities and Financing Authority will officially submit the state’s HIE application to ONCHIT on or before October 16, 2009, according to the Grants Criteria.

The August 28, 2009 press release from NJ Department of Health and Senior Services entitled “Health Information Technology Advances in New Jersey State Seeks Proposals for Innovative Health Data Sharing Initiatives” (pdf) appears on New Jersey’s 2009 Recovery and Reinvestment Plan Web site.

The Health Information Exchange Grants program is listed under Featured State Grant Opportunities on NJ’s 2009 Recovery and Reinvestment Plan Web site: http://nj.gov/recovery/grant
NJ HIE Page: http://nj.gov/recovery/grant/hi_exchange.html
          Notice of Grant Availability [pdf 15kB]
          Application (Click to Download) [rtf 112kB]
          Grants Criteria Narrative [pdf 31kB]
          September 11th, 2009 Letter of Intent [pdf 1.47m]

These are only excerpts. Please go to the NJ Web site above and download official documents for complete information.New Jersey Hospital Association (NJHA) released message on August 26, 2009 entitled “ONC Gives States Health Information Exchange Grant Details,”  which said “NJHA will continue to work with DHSS and the N.J. HIT Commission and support their important HIE planning efforts.”

For context, you may want to review New Jersey’s Letter of Intention to ONC for NJ’s HIE Cooperation Agreement or LOIs from seven other States that have been published online.

ONC’s Initial Questions for State HIE Applicants

Required Content for Letter of Intent Due September 11, 2009
for ARRA 2009, State Grants to Promote Health Information Technology Planning and Implementation Projects
Below is an excerpt;  please go to ONC’s State Health Information Exchange Cooperative Agreement Program site for complete information.

Prospective applicants must submit a Letter of Intent that includes the following information. (For multi-state applications, only one letter of intent should be submitted. This letter should be submitted by the state or SDE that will act as the applicant on behalf of all states involved in the proposed project.):

  • Descriptive title of proposed project.
  • Indication of whether a State Plan already exists or will be developed during the life of this cooperative agreement.
  • Will the application submitted be for more than one state/territory? If so, which states/territories will be included?
  • Name, address, and telephone number of the primary Point of Contact.
  • Names of other key personnel.
  • Participating stakeholders.
  • Does the applicant for this program intend to apply to be a Regional Center as well?
  • Number and title of this funding opportunity.
  • (This sentence has been replaced 9/8/09: The total amount of expenditures to develop HIE capacity based on funded activities in the following domains:)  New wording: A brief description of your state’s progress in each of the domain areas below, as well as, a brief description of the state’s intentions to leverage existing regional efforts to advance health information exchange.
    See posting on change.

    • Legal and policy HIE capacity: Types of activities include but are not limited to expenses incurred to create: data use agreements, business associate agreements, vendor contracts, privacy policies and procedures, governance documents, employee policies and procedures, and legal opinions.
    • Governance capacity: Types of activities include but are not limited to expenses incurred to: convene health care stakeholders, create plans for statewide coverage of HIE services; provide oversight and accountability of health information exchange activities.
    • Business and Technical Operations capacity: Types of activities include but are not limited to expenses incurred to: develop and operate the technical services needed for health information exchange on a national, state and regional level, support activities including procurement, functionality development, project management, help desk, systems maintenance, change control, program evaluation, reporting and other related activities, legal and policy documents that support HIE enabled meaningful use criteria to be established by the Secretary through the rulemaking process.
    • Technical infrastructure capacity: Types of activities include but are not limited to expenses incurred to: developed the architecture, hardware, software, applications, network configurations and other technological aspects that physically enable health information exchange in a secure and appropriate manner that also meets overarching goals for a high performance health care system.
    • Finance capacity: Types of activities include but are not limited to expenses incurred to: develop and manage finance policies procedure and controls, sustainability plans, pricing strategies, market research, public and private financing strategies, financial reporting, business planning, and audits.
  • A brief description of your state’s progress in each of the areas above, as well as, a brief description of the state’s intentions to leverage existing regional efforts to advance health information exchange.
  • Explanation of how the proposed project will be in the public interest.

A letter of intent is not binding, and does not enter into the review of a subsequent application, the information that it contains allows ONC staff members to estimate the potential review workload and plan the review.

The letter of intent should be no longer than 5 pages and can be sent by the date listed in the Important Dates table above (Opportunity Overview).

Above is an excerpt; please go to ONC’s State Health Information Exchange Cooperative Agreement Program site for complete information.

See previous e-Healthcare Marketing post about State HIE Grant Program FAQs.

FAQs on State Health Information Exchange Program Released By HHS: Sept 11 Deadline

State HIE Cooperative Agreement Program: 
Frequently Asked Questions  (Main FAQ Page)

     
General Questions
      Questions for Potential Applicants
      September 11, 2009 deadline for State HIE Letter of Intent was reconfirmed in the 10 Questions and Answers about the State HIE Program posted in the FAQs on the ONC site as of September 1, 2009. ONC encourages users to check its FAQ page frequently since regular changes are expected.

      GENERAL QUESTIONS include purpose and goal of State HIE agreement, state role in “meaningful use” of EHRs by 2014, working relationship of states to federal government and private sector, and addressing differences in levels of HIE and EHR adoption between and within states.
      QUESTIONS FOR POTENTIAL APPLICANTS are used to explain who is eligible, describe application process; clarify deadline for Letter of Intent–September 11, 2009; explain rolling schedule for grant awards, describe ONC-State integration of existing State HIE plans within new HIE grants framework, and confirm that all states and territories will be funded for HIEs.

Facts-in-Brief
Deadline:
ONC reconfirmed that the  deadline for each state’s Letter of Intent is September 11, 2009.
Fund: ONC intends to provide each state and US territory an exclusive grant as an individual state or as part of a multi-state application that succesfully fufills the application requirements. Total of $564 million will be awarded on a rolling basis beginning in January 2010, including for planning purposes where necessary.
Exclusive: Only the State or a State-Designated Entity in each state or territory, either individually or as part of a multi-state program, will receive an award.  ONC will only accept one application per state or territory, though multi-state initiatives may apply. To ensure every state and territory is covered, ONC may eventually make award to another entity if an application is not submitted.
Three Level Evaluation: States must determine where they are in the process of implementing health information exchange: “no existing plan; non-compliant existing plan; compliant existing plan.” ONC will work with each state to integrate existing state plans with the requirements of “meaningful use.”
ONC Web site on State HIE Cooperative Agreement Program: The ONC page contains links to Announcement, location for official documents, Facts-At-A-Glance, and FAQs.

Prior e-Healthcare Marketing post with ONC State HIE Deadlines

REGIONAL CENTERS PROGRAM FAQ UPDATES CONTINUE
As ONC promised, FAQs on Regional Extension Centers Program will continue to be updated. Updates for Sept. 2, 2009 are occurring today. See prior e-Healthcare Marketing post for links, and remember to check back for both sets of FAQs. Or go directly to ONC FAQs about Regional Extension Centers Program.

States Move to Center Stage in Health IT: AHIMA, Spending, NASCIO, Medicaid

Health IT Focus Shifts To States:
HHS Awards AHIMA Foundation $1.2 Million for
State-Level Health Information Exchange Consensus Project

American Health Information Management Association (AHIMA) announced Sept. 1, 2009, that the Office of the National Health Coordinator (ONC) has awarded the AHIMA Foundation $1.2 million for one year “to continue the State-level Health Information Exchange (SL-HIE) Consensus Project to actively assist states with nationwide health information exchange (HIE) adoption, planning and implementation.”  “This project has been sponsored by ONC and managed by the AHIMA Foundation since 2006.”
Modern Healthcare’s HITS summary reported by Jessica Zigmond on Sept. 1, 2009.
SL-HIE Web site: http://www.slhie.org

New report pegs state, local government market for health IT at $9.6B by 2014
Healthcare IT News’s Bernie Monegain reported on August 28, 2009,
 ”Market research firm INPUT estimates that state and local government health organizations will increase their purchases of healthcare information technology from $7.6 billion in 2009 to $9.6 billion in 2014…” with electronic health records at public hospitals and health organizations being the key expense. Additional details are also available from INPUT, author of the report Health IT Transformation: FY2009-FY2014 State and Local Market Forecast.

More than 50% of state CIOs working on HIT: NASCIO report
Joseph Conn, HITS writer for Modern Healthcare, wrote on August 24, 2009, “Another indication that states—and not regions—may be the cornerstones of health information exchange is that so many state information technology officers are already involved in building exchanges within their jurisdictions, according to a professional association of state government IT officials.”
FederalComputerWeek’s Alice Lipowicz reported August 25, 2009, on “How state CIOs can help with Health IT.”

The National Association of State Chief Information Officers (NASCIO) report is called “Profiles of Progress III: State Health IT Initiatives.
NASCIO National Research Brief –August 2009 (pdf).

CMS Divulges Medicaid Health IT Plans at the 2009 MMIS Conference
On August 24, 2009, Kristine Mullhollan on INPUT’s Blog B2G Breaking Views reported “Denise Bazemore, a Project Officer at the Centers for Medicare and Medicaid Services (CMS), provided insights and details on the upcoming state Medicaid directors’ letter addressing how to proceed with HITECH,” focusing on planning activities and the need to separate different pools of money for MMIS  and Medicaid Health IT Advanced Planning Documents.

See August 7, 2009 post “State Experts Issue Recommendations for Implementing Electronic Health Information Exchange” for latest from State Alliance for e-Health.

Facts-At-A-Glance: ONC Grant Programs

HIT Extension Program and State HIE Program Facts-At-A-Glance
It’s worth rereading the two-page PDF (one page html) for each of these programs to gain perspective.

HIT Extension Program for Regional Centers:
20 Grants to Be Awarded in Oct-Dec 2009

With the 2010 federal fiscal year starting October 1, 2009, 20 grants are expected to be awarded in Q1 FY2010, 25 in Q3 FY2010, Balance (25 or more) in Q4 FY2010.
Facts-At-A-Glance  (html version)  (pdf version)

State Health Information Exchange Program
“The private sector will play an important role in providing innovative technological solutions to initiate, establish and maintain appropriate and secure HIE among health care providers at the state and national levels.”
Facts-At-A-Glance  (html version)  (pdf version)