HIMSS: Knowledge, Insights and Community

November, 2014

H. Stephen Lieber

HIMSS President & CEO

Introduce You To HIMSS

•Mission: Transform health through information technology

•Services: Education, events, analytics & consulting, media, communities

•Reach: – Operate in 20+ countries – Annually reach more than 600,000

professionals

Key IT Relationships

Quality– IT is a critical component to the creation

of a safe environment and quality patient outcomes

Value– IT produces significant value on a multi-

dimensional metrics

THE EUROPEAN EMR ADOPTION MODEL

… in 8 Stages to Highest Quality in Patient Care

Electronic diagnostic and pharmacy department information

A patient-centered electronic data repository

Clinical ordering and documentation – especially nursing care

Electronic order entry with decision support and result reporting

Completely electronic diagnostic image management

Full electronic clinical decision support, and highest medication safety

“Paperless” patient record environment for highest quality of care, data continuity & full HIE

EMR ADOPTION IN THE UK AND EUROPE

... based on HIMSS European EMR Adoption Model

Source: HIMSS Europe Database, Q3/2014 (data from 10/2012 – 09/2014) Status as of 10/1/2014

* Includes Austria (35), Belgium (1), Denmark (24), Finland (3), France (17), Germany (252), Ireland (1), Italy (400), Netherlands (69), Norway (3), Poland (3), Portugal (18), Slovenia (2), Spain (216), Sweden (1), Switzerland (8), Turkey (143)

EMRAM Scores, % of Hospitals, Q3/2014 (based on data from latest 24 months, no weighting etc. applied)

Stage United Kingdom Europe*

Stage 7 0.0% 0.2%

Stage 6 1.1% 2.9%

Stage 5 57.1% 24.4%

Stage 4 3.3% 5.5%

Stage 3 0.0% 3.1%

Stage 2 9.9% 29.8%

Stage 1 6.6% 12.0%

Stage 0 22.0% 22.1%

N 91 1,287

Mean 3.6 2.7

High Correlation: Advanced EMR Capabilities and

Quality.

EMRAM and QUALITY: Hospital MortalityQUESTION 1:

What is the association between EMR capabilities and hospital mortality?

• Paired HIMSS Analytics EMR Adoption Model (EMRAM) scores with Healthgrades’ hospital quality/mortality data.

In General… the more advanced the hospital’s EMR capabilities… the more likely the hospital is to have better risk-adjusted mortality rates when treating conditions like Heart Attack, Heart Failure, Stroke, several types of GI surgeries, Pneumonia, Sepsis and Respiratory failure.

US Hospitals with an "A" Leapfrog Hospital Safety Grade by EMRAM Stage

Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Stage 6 Stage 70.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

0.0%5.9%

12.8% 14.3%20.1% 21.8%

30.8%

62.6%

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Tipping Point

EMRAM and QUALITY: Staff PerceptionsQUESTION 2:

What is the association between EMR capabilities and staff perceptions of hospital safety?

• “Bumped” HIMSS Analytics EMR Adoption Model (EMRAM) scores against AHRQ’s Hospital Survey on Patient Safety Culture

In General… the more advanced the hospital’s EMR capabilities… the more positive the staff are about their hospital’s “patient safety culture”.

IT value can be measured on multi-dimensional metrics

HIMSS Value STEPS™ Model

HIMSS HIT Value Suite

• Collection of over 1200 examples of HIT value

• 900 unique organizations represented

• Examples identify:– Over 80 specific types of value in the HIMSS

Value STEPS™

– Methods to achieve benefits realization

– Lessons learned

Value Suite is Global

Value Suite is Local

Value Suite Case Studies

• Liverpool Heart and Chest Hospital NHS Foundation Trust

– Increased data sharing allows better management of disparate information

• St. Helens and Knowsley Teaching Hospitals NHS Trust

– Improved integration with other organizations

• University Hospital of Wales

– Continuous availability of patient data to nurse midwives

• South London and Maudsley NHS Foundation Trust

– Patients engaged through use of health status diary

STEVE LIEBER(SLIEBER@HIMSS.ORG)

Knowledge, Insights, Networking.Join the HIMSS Community at HIMSS.org.Thank You.