HIMSS Europe ANNUAL SURVEY 2016

HIMSS Europe ANNUAL SURVEY 2016

TABLE OF CONTENT HIMSS EUROPE Who we are... page 3 Survey overview... page 4 Results Overall... page 10 Priorities in healthcare IT... page 11 Trends in healthcare IT... page 12 Challenges in healthcare IT... page 13 Patient safety and care... page 14 Financial efficiency... page 15 Digital maturity... page 16 Learn and share IT best practice... page 17 Organisations IT budget... page 19 Central direction and support... page 20 Transforming health through IT www.himss.eu 2

HIMSS EUROPE WHO WE ARE Who we are and what we do HIMSS Europe is a trusted coach, advisor and thought leader in health IT. HIMSS Europe is the European arm of HIMSS, the largest health IT membership organisation in the world. We are a one-stop- organisation for all health IT-related information, knowledge and advice, and offer an unrivalled perspective on what s happening in the world of health and care IT in Europe An unrivalled portfolio As an independent organisation, HIMSS Europe has an unrivalled portfolio of independent media news and hosts a full wide range of successful industry events at both a regional and a pan-european level. We also have a research and analytics arm, which acts as a barometer for the industry and can provide you with valuable insights into market trends and gap analysis at a local, national and international level. Transforming health through IT www.himss.eu 3

SURVEY OVERVIEW GENERAL Objectives o Gaining deeper and more detailed knowledge about what the European ehealth and health care sector is working on o Identifying the challenges the European ehealth and health care sector is facing o Evaluating trends and priorities in healthcare IT Study design o Structured qualitative online survey o Participation via personal e-mail invitation o Participation via shared public link on several HIMSS media channels Survey period o 23 May 30 September 2016 Target groups o Employees in health facilities (e.g. s, CIO s, CEO s, Nurses) o Employees in the ehealth related research sector o Employees in various ehealth related organisations (e.g. Industry representatives) 2016 Transforming health through IT www.himss.eu 4

SURVEY OVERVIEW QUESTIONS 1. Do you work in a health care organisation? 2. What is the biggest priority in healthcare IT at the moment in your organisation? 3. What do you think is the biggest trend in healthcare IT in your country in 2016/2017? 4. What are the main challenges you think healthcare IT is facing? 5. Is IT seen as an enabler to improved patient safety and care within your organisation? 2016 Transforming health through IT www.himss.eu 5

SURVEY OVERVIEW QUESTIONS 6. Is IT seen as enabler for improved financial efficiency within your organisation? 7. How would you rate your organisation in terms of digital maturity? 8. To what extent is there a mechanism for you to learn and share IT best practices with other organisations? 9. Do you think your organisation has sufficient IT budget for 2016/2017? 10.How would you describe the amount of central (governmental) direction and support you receive to progress your ehealth agenda? 2016 Transforming health through IT www.himss.eu 6

SURVEY OVERVIEW DEMOGRAPHIC Highest participation from the United Kingdom. Next largest feedback comes from the Nordic countries which include Denmark, Norway, Sweden and Finland. Country/Region n D-A-CH Region 89 97 28% 14% 18% 20% D-A-CH region Nordic countries Nordic Countries 104 69 United Kingdom 138 21% United Kingdom Total 497 The D-A-CH region stands for the countries Germany (D), Austria (A) and Switzerland (CH). 2016; without other countries Transforming health through IT www.himss.eu 7

SURVEY OVERVIEW PARTICIPANTS OCCUPATION Most of the participants work in an IT department (34%). Followed by other department or activities (23%), organisational and corporate governance (15%), physicians (12%), research (9%), quality management (3%), nursing (3%), and finally pharma (1%). Considered departments and activities 20% IT Department Participants who stated other department or activities work e.g. in the marketing or consulting department, as project manager, or business developer. 24% 56% Organisational and Corporate Governance From here on there will be only the three most frequent stated departments considered: these are the IT department, which does now determine 56% of the sample, the organisational and corporate governance (24%), and the physicians (20%) in regards to displayed job category. Department or activity (Total) 34% 23% 15% 12% 9% 3% 3% 1% IT Department Other Organisational and Corporate Governance Research Quality Management Nursing Pharma 2016 Transforming health through IT www.himss.eu 8

SURVEY OVERVIEW PARTICIPANTS OCCUPATION D-A-CH region Nordic countries Health care organisation 45% 63% 50% Other organisation 55% 37% 50% The majority of participants work in a health care organisation (57%). Only in the D-A-CH region the participation from other organisations (55%) is higher than those from health care organisations (45%). United Kingdom 65% 66% 35% 34% Health care organisations are e.g. hospitals, community or social care, medical practice etc. Total (Participants) 57% 43% IT Department 64% 36% Organisational and Corporate Governance 57% 43% 91% 9% As shown on the previous slide the majority of the participants are working in the IT department. 64% of them as well as more than nine out of ten physicians are employed in a health care organisation. 43% of the organisational and corporate governance is working in an other organisation. 2016; Total (Participants) without other countries Transforming health through IT www.himss.eu 9

OVERALL RESULTS The biggest priorities in the participants organisations are data exchange within the organisation and data exchange with external partners. The participants suggest the biggest trend in healthcare IT is health information exchange. The top 3 challenges health IT is facing in health care organisations are: funding, patient empowerment and self-management, and security. IT is seen as an enabler to improved patient safety and care as well as financial efficiency by the great majority of the participants working in a health care organisation. The health care organisationals digital maturity is rated quite high between 6 and 8 on a scale from 1 to 10 by most of their employees. The majority describes their opportunities to learn and share IT best practice with other organisations as average or good. Most of the participants do not think their organisation s IT budget is sufficient and they also describe the amount of central direction and support as inadequate. 2016 Transforming health through IT www.himss.eu 10

RESULTS PRIOROTY IN HEALTHCARE IT 2. What is the biggest PRIORITY in healthcare IT at the moment in your ORGANISATION? Data exchange within the organisation Data exchange with external partners D-A-CH region 18% 20% 29% 45% The left chart only shows the two biggest priorities as they where chosen by the participants. Nordic countries United Kingdom Total (Organisation type) IT Department 20% 31% 22% 23% 31% 22% 19% 39% 29% 24% The biggest priority in health IT is data exchange with external partners with 29% overall. This topic seems to be particularly important in other organisations (35%), the (45%), and for the organisational and corporate governance department (29%) as well. Org. and Corp. Governance 19% 29% 29% 28% The second biggest priority is data exchange within the organisation (23%). This is a priority especially in health care organisations (29%), (31%), and in the IT department (31%). Health care organisation Other organisation 25% 35% 29% 15% 13% 11% 7% 11% 8% 9% 6% 11% 7% 5% 5% 2% Data exchange with external partners Data exchange within the organisation IT infrastructure EHealth legislation Mobility Telemedicine Medication safety Archiving and documentation 2016; without I don t know ; Total (Participants) without other countries Transforming health through IT www.himss.eu 11

RESULTS TREND IN HEALTHCARE IT 3. What do you think is the biggest TREND in healthcare IT in your COUNTRY in 2016/2017? 54% Health information exchange D-A-CH region Nordic countries United Kingdom Health care organisation Other organisation IT Department Org. and Corp. Governance 62% 53% 61% 42% 58% 55% 53% 53% 58% 55% 19% Data analytics According to the participants health information exchange (Total: 54%) is by far the biggest trend in healthcare IT in 2016/2017, followed by data analytics (Total: 19%), mobile health (Total: 19%), and business intelligence (Total: 8%). Mobile health 19% 8% Business intelligence This frequency distribution is quite balanced in regard to the type of organisation (Health care organisation: 55%, Other organisation: 53%), as well as the department (IT department: 53%, organisational and corporate governance: 58%, physicians: 55%). The country specific frequency distribution shows more different results: health information exchange is not as present in (42%) as it is in the D-A-CH region (62%) or the Nordic countries (61%). 2016; without I don t know Transforming health through IT www.himss.eu 12

RESULTS CHALLENGES IN HEALTHCARE IT 4. What are the main CHALLENGES you think healthcare IT is facing? Funding Patient empowerment and self-management Security D-A-CH region Nordic countries 26% 25% 10% 35% 12% 31% 22% 36% 31% 33% 10% 14% The top 3 challenges health care organisation employed participants think healthcare IT is facing are: funding (34%), patient empowerment and self-management (26%), and security (23%). United Kingdom Total (Organisation type) IT Department Org. and Corp. Governance 55% 32% 37% 25% 40% 25% 23% 25% 21% 23% 18% 21% 26% 17% 16% Participants working in other organisations estimate the main challenges quite different: lack of political direction (30%), funding (29%), and interoperability standards (e.g. HL7, EFMI ) (29%). Funding seems to be most challenging in the United Kingdom (55%) and for the physicians (40%), patient empowerment and self-management in (36%) as well as the IT department (25%), security in (33%) and the IT department (26%). Health care organisation Other organisation 12% 10% 11% 7% 12% 12% 23% 18% 26% 19% 21% 29% 22% 30% 34% 29% Big data Inovation mhealth: Implementing the right tools Security Patient empowerment and self-management Interoperability standrads Lack of political direction Funding 2016; without Other and I don t know Transforming health through IT www.himss.eu 13

RESULTS PATIENT SAFETY AND CARE 5. Is IT seen as an enabler to improved patient safety and care within your organisation? [only participants who are working in a health care organisation] D-A-CH region Nordic countries United Kingdom 49% 51% 63% 67% 58% Yes Somewhat No 41% 43% 33% 27% 37% 10% 7% 4% 7% 4% IT is seen as an enabler to improved patient safety and care by the majority of participants regardless of organisation type, department or country. The great majority of participants working in health care organisation stated yes (62%) or somewhat (33%), only 6% do not share this opinion. Health care organisation 62% 33% 6% IT Department 62% 32% 6% Org. and Corp. Governance 70% 29% 2% 61% 33% 6% This is particularly shown in (yes: 67%, somewhat: 27%), the Nordic countries (yes: 63%, somewhat: 33%), and the United Kingdom (yes: 58%, somewhat: 37%). Meanwhile the frequency distribution is more balanced in the D-A-CH region (yes: 49%, somewhat: 41%) and the (yes: 51%, somewhat: 43%). The D-A-CH region also has the most participants who do not see IT as an enabler to improved patient safety and care (10%). In regard to the department the participants are working in the organisational and corporate governance (yes: 70%, somewhat: 29%) is fairly more convinced of this IT benefit than the IT department (yes: 62%, somewhat: 32%) or the physicians (yes: 61%, somewhat:33%) seem to be. 2016; only employed in a health care organisation Transforming health through IT www.himss.eu 14

RESULTS FINANCIAL EFFICIENCY 6. Is IT seen as enabler for improved financial efficiency within your organisation? [only participants who are working in a health care organisation] D-A-CH region 46% 38% Yes Somewhat No 33% 21% 49% 13% Again the majority of participants working in a health care organisation see the benefits of IT; this time as enabler for improved financial efficiency. Nordic countries 52% 42% 6% United Kingdom Health care organisation IT Department Org. and Corp. Governance 42% 43% 47% 44% 52% 31% 45% 39% 43% 32% 27% 12% 14% 13% 16% Though the frequency distribution is definitely more balanced between yes (47%) and somewhat (39%) as it was in regard to patient safety and care. Furthermore there are quite a few participants (14%) who do not see IT as enabler for improved efficiency. 42% 41% 18% Participants living in (yes: 42%, somewhat: 31%, no: 27%), the D-A-CH region (yes: 46%, somewhat: 33%, no: 21%), or working as physician (yes: 42%, somewhat: 41%, no: 18%) are the most skeptical in term of this IT benefit while the participants from the Nordic countries (yes: 52%, somewhat: 42%, no: 6%), the United Kingdom (yes: 43%, somewhat: 45%, no: 12%), or the IT department (yes: 44%, somewhat: 43%, no: 13%) seem to be more convinced of IT as enabler for improved financial efficiency. 2016; only employed in a health care organisation Transforming health through IT www.himss.eu 15

RESULTS DIGITAL MATURITY 7. How would you rate your organisation in terms of digital maturity? [only participants who are working in a health care organisation] 1 - not at all mature 2 3 4 5 6 7 8 9 10 - extremly mature D-A-CH region Nordic countries 20% 13% 27% 15% 31% 36% 13% 20% 23% 22% 25% 18% Participants who are working in health care organisations rate the digital maturity of their working place quite high. United Kingdom IT Department Org. and Corp. Governance 17% 17% 19% 27% 32% 31% 20% 22% 11% The majority of them (60%) state a value from 6 to 8 on a scale from 1 to 10. This is also observable for each department and each country. 14% 28% 15% While the majority of participants living in the United Kingdom (31%), (36%) and the Nordic countries (31%) as well as each department (IT department: 27%, organisational and corporate governance: 32%, physician: 28%) consider their organisations digital maturity at the value 7, most of the participants from the consider it slightly lower at 6 (27%) and participants from the D-A-CH region a little higher at 8 (23%). Health care organisation 1% 3% 6% 9% 11% 17% 24% 19% 6% 3% 1 - not at all mature 2 3 4 5 6 7 8 9 10 - extremly mature 2016; only employed in a health care organisation; without I don t know Transforming health through IT www.himss.eu 16

RESULTS LEARN AND SHARE IT BEST PRACTICE 8. To what extent is there a mechanism for you to learn and share IT best practices with other organisations? Good opportunities we do NOT utilise Poor opportunities Average opportunities Good opportunities we do utilise D-A-CH region Nordic countries 10% 12% 12% 17% 11% 12% 19% 16% 43% 30% 43% 43% 35% 40% 33% 21% Most of the participants consider their opportunities to learn and share IT best practices with other organisations as good or average. Only a minority think that their opportunities are poor or that there are good opportunities but they are not utilised. United Kingdom 18% 17% 42% 23% (35%) and the United Kingdom (35%) are the regions where the most participants are not satisfied with the available possibilities to learn and share IT best practices with other organisations. In contrast these opportunities seem to be better in the D-A-CH region and the Nordic countries. The majority of the participants from these regions rate their opportunities to learn and share IT best practices with other organisations as average (43%). In the Nordic countries 33% of the participants and in the D-A-CH region even 35% describe their opportunities as good that are utilised. The only country where the majority of participants stated their opportunities as good opportunities that are utilised are the (40%). 2016; without I don t know Transforming health through IT www.himss.eu 17

RESULTS LEARN AND SHARE IT BEST PRACTICE 8. To what extent is there a mechanism for you to learn and share IT best practices with other organisations? Good opportunities we do NOT utilise Poor opportunities Average opportunities Good opportunities we do utilise IT Department Org. and Corp. Governance Health care organisation Other organisation 11% 11% 21% 18% 11% 16% 13% 13% 14% 17% 40% 44% 42% 40% 40% 33% 31% 24% 29% 31% The results are quite similar for the organisation type, only a minority (Total: 30%) is not satified with their opportunities to learn and share IT best practice with other organisations: in health care organisations 69% of the interviewed employees think their opportunities are good or average, in other organisations there are slightly more (71%) who share that opinion. Total (Organisation type) 15% 15% 40% 30% With regard to the participants departments the results are still persistent: the most unsatisfied employees are the physicians, 34% of them think their opportunities are less than average, but yet the majority of 66% think they are average or even good. For the IT department the amount of participants describing their opportunities to learn and share IT best practices with other organisations rises to 73% and for the organisational and corporate governance even up to 75%. 2016; without I don t know Transforming health through IT www.himss.eu 18

RESULTS ORGANISATIONS IT BUDGET 9. Do you think your organisation has sufficient IT budget for 2016/2017? [only participants who are working in a health care organisation] 39% 40% 35% 10% 17% 61% 60% 65% 90% 83% Yes No The great majority of participants working in a health care organisation (68%) do not think their organisation has sufficient IT budget for 2016/2017. At this theme there are a few differences between the separate countries and departments. Interestingly more physicians (77%) are claiming an insufficient IT budget for 2016/2017 than IT department employees (67%). D-A-CH region Nordic countries United Kingdom Higher IT budgets seem to be most needed in, where 9 out of 10 participants working in a health care organisation describe their IT budget as insufficient and the United Kingdom where 83% are unsatisfied with their IT budget. Yes No 33% 42% 23% 32% 67% 58% 77% 68% In contrast the IT budgets appear way more appropriate in the, where 40% suggest their IT budget sufficient, or in the D-A-CH region, where 39% also consider having a adequate IT budget. IT Department Org. and Corp. Governance Health care organisation 2016; without I don t know ; only employed in a health care organisation Transforming health through IT www.himss.eu 19

RESULTS CENTRAL DIRECTION AND SUPPORT 10. How would you describe the amount of central (governmental) direction and support you receive to progress your ehealth agenda? Adequate Inadequate Most of the participants (68%) perceive the amount of central direction and support they receive to progress their ehealth agenda as inadequate. 29% 35% 44% 19% 34% 71% 65% 56% 81% 66% Again it is neither the IT (68%) nor the organisational and corporate governance (60%) departments, but the physicians who feel least supported (76%). D-A-CH region Nordic countries United Kingdom Similar to the last question the situation seems to be the worst in, where 81% describe the amount of direction and support as inadequate. In contrast 44% of the participants living in one of the Nordic countries think that the amount of direction and support they receive is adequate. Adequate Inadequate These results, as well as the results from the last question concerning the IT budget, are particularly interesting facing the fact that the majority of participants see the benefits of IT for the patient safety and care, as well as the financial efficiency, but obviously do not think they receive as much financial resources or central direction and support as they should and would need. 32% 40% 24% 34% 29% 32% 68% 60% 76% 66% 71% 68% IT Department Org. and Corp. Governance Health care organisation Other organisation Total (Organisation type) 2016; without I don t know Transforming health through IT www.himss.eu 20

Thank you!