The Value of HIT Latest insights from HIMSS and HIMSS Analytics

Transcription

1 The Value of HIT Latest insights from HIMSS and HIMSS Analytics May 2014

2 Learning Objectives Describe the HIMSS HIT Value-Suite model (STEPS) Identify at least three positive benefits of HIT in a healthcare organization Identify at least two HIT industry opportunities.

3 The Value of HIT Is Being Questioned

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6 The HIMSS Health IT Value Suite

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10 Value Overview As of early January providers STEPS Categories # of Providers Percentage Satisfaction % Treatment/Clinical % Electronic Information/Data % Prevention/Patient Education % Savings %

11 SATISFACTION As of early January providers Satisfaction Patient Satisfaction Improved Communication with staff Overall increased provider satisfaction Improved quality of life Improved communication with other providers Provider Satisfaction Increased in overall patient satisfaction and/or survey score Increased use of patient portal Staff Satisfaction Increased staff morale/job satisfaction Overall improved internal communication Other Satisfaction Other Satisfaction Benefits # of 273 Providers Percentage % % 78 29% 50 18%

12 SATISFACTION

13 SATISFACTION

14 TREATMENT/CLINICAL As of early January providers Satisfaction Efficiencies Increased efficiency in scheduling patients Other efficiencies Increased use of e-prescribing (Orders and refills) Improved accessibility of lab/x-ray reports Overall increased efficiencies Decreased redundancy in testing (labs/x-ray) Real time/remote access to health records Increased time for patient interaction # of 495 Providers Percentage % Quality of Care % Safety % Other Treatment/Clinical 35 7%

15 TREATMENT/CLINICAL (cont d) As of early January providers Satisfaction # of 495 Providers Percentage Efficiencies % Quality of Care Reduction in hospital acquired infections Other quality of care benefits Decreased response time to patient requests Overall improved quality of care Reduction in readmissions Increased information sharing between providers Improved continuity of care Reduction in hospital acquired pneumonia Improved management of diabetes Other Treatment/Clinical benefits % Safety % Other Treatment/Clinical 35 7%

16 TREATMENT/CLINICAL (cont d) As of early January providers Satisfaction # of 495 Providers Percentage Efficiencies % Quality of Care % Safety Improved clinical documentation Improved use of clinical alerts Reduction in medical errors Other safety benefits Overall improved patient safety Reduction in medication related errors % Other Treatment/Clinical 35 7%

17 TREATMENT/CLINICAL

18 TREATMENT/CLINICAL The Joint Commission Top Performing Hospitals There is a positive association between EMR capabilities (as measured by EMRAM) and The Joint Commission s Top Performing Hospital measures Advanced EMRAM Stages have a higher proportion of THC Top Performing Hospitals than EMRAM Stages with lower EMR capabilities

19 TREATMENT/CLINICAL Representation of TJC Top Performing Hospitals within each EMRAM Stage (2013) All hospitals within each EMRAM Stage 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 2.3% 6.5% 39.8% 16.3% 18.1% 20.7% 10.6% 12.9% EMRAM Stage TOP HOSPITAL ALL OTHER HOSPITALS

20 TREATMENT/CLINICAL The Joint Commission Top Performing Hospitals The number of quality measures a hospital excels in is related to the hospital s EMR capabilities

21 TREATMENT/CLINICAL Representation of TJC Top Performing Hospitals BY Number of Quality Metrics Excelling In, within each EMRAM Stage (2013) All hospitals within each EMRAM Stage 50.0% 45.0% 40.0% 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 1.7% 0.4% 1.9% 4.8% 6.2% 10.0% 10.1% 8.1% 30.1% 12.8% 6.4% 6.4% 4.2% 6.5% 7.9% 9.7% EMRAM Stage 3 or less 4 or more

22 ELECTRONIC INFORMATION/DATA As of early January providers Electronic Information/Data # of 290 Providers Percentage Data Sharing and Reporting Improved quality measures reporting Improved claims management Other Data Sharing & Reporting Overall increased data sharing/improved data recording Increased clinical trends tracking Increased population health reporting Improved security of patient records. Evidence Based Medicine Improved access to data for research Increased # of patients tracked/included in data warehouse Improvement in medical education % 79 27%

23 ELECTRONIC INFORMATION/DATA

24 OPPORTUNITY 1: Physician Related Applications can be a Bottleneck to EMR Adoption Top five applications acquired/installed each year in U.S. hospitals Application Computerized Practitioner Order Entry (CPOE) Physician Documentation Electronic Medication Administration Record (EMAR) Nursing Documentation Order Entry (Includes Order Communications) AVG RANK Higher market demand Lower market demand

25 PREVENTION & PATIENT EDUCATION As of early January providers Prevention/Patient Education # of 154 Providers Percentage Patient Education Improvement in disease surveillance Overall improvements in prevention Increased immunizations Increased cancer screenings Increased disease tracking Longitudinal patient tracking Longitudinal patient analysis Other Prevention benefits % Prevention 78 51%

26 PREVENTION & PATIENT EDUCATION As of early January providers Prevention/Patient Education # of 154 Providers Percentage Patient Education % Prevention Improved patient engagement Increase in distribution of patient educational Improved patient compliance Overall improved patient education Increased patient awareness of disease symptoms Other Patient Education benefits 78 51%

27 PREVENTION & PATIENT EDUCATION

28 OPPORTUNITY 2: Patient Portals as a means to Engage Patients Change in the number of EMR related HIT vendors servicing at least one U.S. hospital Patient Portal Nursing Documentation CPOE Clinical Data Warehousing/Mining emar RPACS Physician Documentation CDSS Radiology Information System Pharmacy Management System -2.0% Order Entry -2.5% Clinical Data Repository -7.3% Laboratory Information System-13.7% 25.0% 19.4% 16.7% 11.4% 8.9% 2.9% 0.0% 0.0% 54.8% -20% -10% 0% 10% 20% 30% 40% 50% 60% Change in N of Vendors ( )

29 SAVINGS As of early January providers Savings Efficiency Savings Reduction in transcription costs Improved workflow/practice efficiency Reduced patient wait times Reduction in emergency department admissions Overall increased efficiency Other efficiency savings # of 371 Providers Percentage % Financial/Business % Operational Savings %

30 SAVINGS As of early January providers Savings # of 371 Providers Percentage Efficiency Savings % Financial/Business Increased coding accuracy Increased patient revenue Reduction in days in accounts receivable Other Financial / Business benefits Reduction in length of inpatient stay Overall improved financial results % Operational Savings %

31 SAVINGS As of early January providers Savings # of 371 Providers Percentage Efficiency Savings % Financial/Business % Operational Savings Improved use of space Other operations savings Improve inventory control Reduction in FTEs or employee hours Improved business recovery planning (e.g. disaster preparedness) Reduction in overtime %

32 SAVINGS

33 SAVINGS Financial Performance (Profitability) 10% 9.4% 8% Average Operating Margin 6% 4% 2% 0% -2% -0.9% -1.52% 1.2% -0.58% 3.3% 0.77% 1.6% 1.79% 2.4% 1.47% 3.7% 2.55% 3.1% 2.20% 4.91% -4% Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Stage 6 Stage 7 In

34 OPPORTUNITY 3: Clinical & Business Intelligence Tools Percent of hospitals using Self-Developed solutions Physician Portal Clinical Data Warehousing/Mining Clinical Business Intelligence Patient Portal Physician Documentation Clinical Data Repository Order Entry Nursing Documentation CPOE emar CDSS Laboratory Information System Radiology Information System Pharmacy Management System Radiology Barcoding - printing/scanning Laboratory Barcoding - printing/scanning RPACS Pharmacy Barcoding - printing/scanning 0.6% 0.5% 0.5% 0.0% 0.0% 0.0% 0.0% 6.0% 4.9% 4.4% 4.4% 3.3% 2.6% 2.3% 13.2% 11.3% 10.5% 15.8% 0% 2% 4% 6% 8% 10% 12% 14% 16% 18% Percent of hospitals using Self-Developed solutions

35 How to use the HIMSS Health IT Value Suite Visit the website: Review the continuing website development HIMSS Health IT Value STEPS description Examples and tools for providers Share provider and patient stories Share your story Link Primary contacts Pat Wise, Vice President, HIS, for HIMSS at (to request information from the Value Suite) Rod Piechowski, Sr. Director, HIS at

36 Thank You Lorren Pettit Vice President, Market Research HIMSS Analytics