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IHE PCD 2008 Survey
PCD Face to Face Meetings
21-23 October, 2008
Survey data
• Survey open spring – summer 2008
• 70 respondents
• 85% user, 15% vendor
• Survey conducted by HIMSS Analytics
• 2006 Survey Data presented where applicable
0% 10% 20% 30% 40% 50%
2008
2006
Which statement best describes your knowledge of IHE? I had little or no knowledge of IHE prior to taking this survey
I am familiar with IHE and/or the goals of interoperability but no practical experience
I have manufactured/specified/ purchased/used devices or systems which are IHE compliant
I am actively involved with IHE through one of the domains or committees.
Your interest in device interoperability is as a…
0% 10% 20% 30% 40% 50% 60%
Vendor
Hospital based Clinical Engineer
Other
Other Hospital Based I.T. Professional
User of Medical Devices / Caregiver
Hospital Department Head
Hospital CIO
Regulator - Government or Other
2008
2006
Which statement best describes your institution?
0% 10% 20% 30% 40% 50%
300+ Bed Non Profit
University / Tertiary Care
100-299 Bed Non Profit
For Profit Chain
Municipal or State Instiution
Smaller Non Profit
Other2008
2006
Which statement best describes the importance of interoperability with medical devices in your work?
0% 10% 20% 30% 40% 50% 60%
Moving to compliance - w illing to pay a premiumfor interoperability
Prefer interoperable devices but not required
IHE compliance is a requirement for purchase ifit is available
Not a Priority 2008
2006
Which statements best describe your involvement with medical devices and clinical information software?
0% 10% 20% 30% 40% 50% 60%
Maintain Devices
Specify Devices forPurchase
Approve the Purchaseof Devices
Specify ClinicalSoftw are
Use Devices
Approve the Purchaseof Clinical Systems 2008
2006
Which statement best describes the relationship of clinical engineering and IT in your institution?
0% 10% 20% 30% 40% 50% 60% 70%
CE and IT are separate - w ork closely
Do not cross paths
CE is Part of IT
Do not know 2008
2006
Is clinical engineering outsourced in your organization?
0% 20% 40% 60% 80% 100%
No
Yes
Do not know2008
2006
Is any IT outsourced in your organization?
2008
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
All IT is In House
I do not know
IT Professional Staff
Hardware Only
IT Hardware and professional staff
2008
Which EMR system do you use?
0 1 2 3 4 5 6 7 8 9
Cerner
Siemens
McKesson
Epic
In House or Paper
Meditec
GE Centricity
BlueWare
Vista - Veterens' Affairs
Soarian
4 Rivers
Chartmax
2008
0% 20% 40% 60% 80% 100%
Vital Signs Reporting Devices
Physiological Waveform Monitors
Ventilators
Other -
Infusion Pumps
Fetal Monitors
Waveforms - EKG, BP, EEG
Anesthesia Systems
Neurologic Devices - Sampled Data
Intra-Aortic Balloon Pumps
Holter Monitors
Stress Test
pacemakers
Dialysis (acute / chronic)
Home Care from Rx Devices
Home Health Appliances
Enteral Feeding Pumps
2008
2006
How important is it for the following devices to become integrated within IHE processes?
Bed scales, PACS, ICDs, neurostimulators
0% 10% 20% 30% 40% 50% 60% 70%
Blood Glucose Devices –inpatient
Hemoglobin
BUN, Creatinine
Blood Glucose Devices–outpatient
Cholesterol
Fecal Occult Blood
Home Laboratory Monitors2008
2006
How important is it for the following point of care laboratory devices to become integrated within IHE
processes?
Rate each department in terms of the benefit of IHE medical device connectivity
0% 20% 40% 60% 80% 100%
ICU
Telemetry
Surgery
Pharmacy
ED
Cardiology
Other
Anesthesia
OB/GYN
Infusion Therapy
Neurology
General Med/Surg
Oncology
Intermediate Care
Doctor's Office
Home Health
Rehab Facilities
2008
2006
Radiology, heart failure clinics
What clinical applications would you like to see IHE target?
0% 20% 40% 60% 80%
Communicating physiologic measures to the EHR
Automatic Binding of Patient ID to device Information
Real-time medical error detection / mitigation
Real Time Clinical Decision Support
Alarm Communication Management
Drug Administration
Medication Management
Plug & Play - Device Management
Plug & Play Safety Interlocks / Closed Loop Control
Integration of live w aveform information into Clinical Systems
Remote view ing of w aveforms
Remote View ing of patient information on PDA or Tablet devices
Asset Utilization Management (Such as asset tracking, self-diagnosis / reportingsystems)
Remote Consultation
Data Mining
Home Health monitoring (Such as remote monitoring of key indicators, smarthealthcare appliances, etc.)
Wellness Monitoring (Such as non-clinical f itness activities)
Voice Recognition systems
Image Guided Surgery
2008
2006
What technological areas are the most important for Patient Care Device integration?
0% 20% 40% 60% 80% 100%
Common Terminology / DataStructures / Protocols
Cross-enterprise informationsharing
Security
Quality of ServiceManagement
RF Wireless2008
2006
What are the greatest Incentives for IHE integration?
0% 20% 40% 60% 80% 100%
Improved Patient Care and Safety
Long term cost reduction
Workflow simplification
Privacy and Security for Patients
Improved compliance process
Marketplace Demands for Interopoerability
Federal reimbursement incentives
Reduced complexity of purchasing process
Government Mandated Compliance
2008
2006
What do you see as the biggest barriers to IHE integration of patient care devices?
0% 10% 20% 30% 40% 50% 60% 70% 80%
Lack of Adopted TechnologyStandards
Expense/Cost
Lack of Knowledge of IHE
Vendor Entrenchment
Market still in “early adopter” phase
Lack of Provider Awareness ofInteroperability benefits
Fear of Litigation2008
2006
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