from improved data to improved outcomes · controlling costs and improving outcomes are two of the...

Prepared For:

From Improved Data to Improved Outcomes

Presented by:Matt Schuchardt, Director, Business Development and Innovation, HIMSS Analytics

Enabling better health through information technology.

Now that we’re here, how do we get there?

From Improved Data to Improved Outcomes

Basis for Cross Metric ComparisonCMS distributes quality ratings on a smooth curve with a slight bias towards average scores. The distribution of EMRAM scores has a strong right skew as the US average for hospitals is now Stage 5.

n=3,577Data from HIMSS Analytics® LOGIC™

CMS Quality Rating Distribution

EMRAM Stage Distribution

Bending the Curve

1 2 3 4 5

Axi

s Ti

tle

CMS Overall Rating

1234

1 2 3 4 5A

xis

Title

CMS Overall Rating

567Higher

Overall Rating

Data from HIMSS Analytics® LOGIC™n=3,577

The distribution of quality ratings by EMRAM should mirror the distribution of Quality ratings. And for lower EMRAM hospitals it does. For higher EMRAM hospitals, the distribution skews towards higher quality ratings at a rate that increases with EMRAM Stage.

Higher EMRAM hospitals have higher quality ratings all other things being equal.

By comparing the ratio of above and below average hospitals by EMRAM Stage, the impact on quality is apparent. Stage 6 hospitals, which are more sophisticated EMR users than average, scores lift above the expected distribution.

EMRAM Impact on Quality

n=3,577 Comparing 2014 EMRAM Stage to Quality Measures recorded in 2015. Data from HIMSS Analytics® LOGIC™

Higher EMRAM Hospitals Have Higher CMS Quality Ratings

Expected Distribution

Quality Measures Improving with EMRAMControlling costs and improving outcomes are two of the primary drivers of global healthcare reform. With quality scores improving by EMRAM stage for these measures, it’s clear that technology makes a difference in reducing unnecessary medical imaging and increasing the effectiveness of care.

Data from HIMSS Analytics® LOGIC™

HIT impacts these quality measures but the connection between EMRAM and these quality measures isn’t as straight-forward. These measures illustrate the need to do more than just deploy an EMR but to leverage that investment effectively. The Continuity of Care Maturity Model addresses patient flow and ways patients connect with your system across the care environment. Healthcare organizations that mature through the stages of the CCMM will impact readmissions and patient experience.


Quality Measures Impacted by EMRAM

Quality Measures Impacted by EMRAMThere is a connection between HIT and quality here as well. Having an EMR helps, but using it effectively is how you impact these measures. Our Analytics Maturity Assessment Model helps organizations understand and increase the value of the data within your HIT systems. Maturing through the AMAM will help organizations leverage internal data and external data to increase safety and reduce complications.


Technology is not a cure-all

Technology isn’t a silver bullet. HIT is a central component of healthcare reform but we need to understand its limitations to address them and to make the right decisions. We’ll also need to evaluate the metrics used to measure success.

Data from HIMSS Analytics® LOGIC™n=3,347

How do we get there…and win doing it?

Moving Beyond the EMR to True Value Creation

$464,208,058

$402,864,516

$386,618,459$340,790,998

$923,408,974

HIT investment generated $2.5 Billion in Savings in 5 YearsHIMSS has documented $2,514,378,405 in recognized Value from HIT investments since 2012. 37% of those savings were reported in 2016.

Data from HIMSS Analytics® LOGIC™ and the HIMSS Value Database n= 292 Limited to cases approved by a research analyst.

Meaningful Use was the first driver of value for Patient Engagement.

Patient Portal and Patient Engagement have been the focus of value realization, averaging 25% and 39% of the value data in the first three years. Value from connecting with patients is now being realized by improving access, increasing education and ensuring patient compliance.

Patient Engagement Beachhead

Not yet – core market is still settling into shift to value based care

Are we ready for all that?

Regulation will Continue to Drive Practice Adoption

Targets for CY2020

The Rise of the Large Health System

69,90379,292

112,549

2014 2015 2016

In the last 24 months, the number of hospital beds in health systems with 25 to 49 hospitals has nearly doubled. While consolidation continues at health systems of all sizes, the rush of recent activity is focused on getting to $4 billion in net patient revenue.


Impact of Commercial Payers

Data from HIMSS Analytics® LOGIC™ n=2,901

Expect commercial payers to drive the next wave of adoption. The majority of Accountable Care Organizations are now operated by commercial payers.

Telemedicine Growth Continues…slowly

43% of respondents utilizing two-way video use it for physician to

physician communication

60 % of organizations with plans to invest

while do so within the next 12 months

2014 2015 2016

Telemedicine adoption Increased 3.5% annually from

2014 to 2016


Not quite – infrastructure needs a refresh

OK – Now we’re ready

High Level of Cloud Usage, but Mainly Limited to Specific Functions


Organizations Look for Flexibility and Scalability with IaaS

SaaS systems continue to grow both in add-on systems and in core clinical applications (64% in 2014)

Largest growth area from 2014 – 2016 is Infrastructure as a Service


Disaster Recovery, Cost and IT Expertise will Continue to Drive Future Cloud Adoption


111 14 15

22 24

150

2010 2011 2012 2013 2014 2015 2016

Hacking Incidents at US Healthcare Providers


The number of reported security breaches at healthcare providers increased 167% in the last year. Over the last 4 years the number of breaches increased 39% per year.

0

5,000,000

10,000,000

15,000,000

20,000,000

25,000,000

2010 2011 2012 2013 2014 2015 2016

Networks are the New Target

Paper/FilmsOtherNetwork ServerLaptopEmailElectronic Medical RecordDesktop Computer


Since 2011, 31 different health systems in the US have reported being breached multiple times by hackers. These 70 breaches impacted the privacy of 9 million patients.

Better Technology = Better Outcomes for Patients and Providers

Prove IT!

Leverage Data & Connect with Patients

Now we can get excited!

Investment Flowing Towards Value

Provider to Genome Engagement

The challenge is twofold: Integrating the necessary workflows into clinical systems and then integration of the genomic data for use within the clinical dataset.

Over 60% of respondents to the 2016 Precision Medicine Essentials Brief indicated the most significant challenge when conducting precision medicine is integration of data.


8 Years of Precision Medicine Deployment at US Hospitals

2009

2013

2011

2016Data from HIMSS Analytics® LOGIC™ n=1,066

Hub and Spoke: Precision Medicine DeploymentLess than 20% of US Hospitals have deployed Precision Medicine. But nearly 40% of US hospitals are in a health system with at least one precision medicine deployment.

3%

10%

17%

23%

42%

59%

Long Term Acute

Critical Access

Specialty

General Medical

Pediatric

Academic

Precision Medicine Usage by Hospital Specialty

Multi-Hospital Single

All Hospitals

More than 50%

Less than 50%

Breadth of Health System Precision Medicine Deployment


Will Population Health be the catalyst for Wellness?

Another 5% of hospitals are approaching the

investment inflection point

66 % of US hospital market is still greenspace.

1% of hospitals are actively buying


Stage 6 Stage 7Stage 5

"My interest is in the future because I am going to spend the rest of my life there.”

--C.F. Kettering

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from improved data to improved outcomes · controlling costs and improving outcomes are two of the...

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