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@himssjohn
Digital Maturity ModelsProviding Roadmaps to excellence
John Rayner
HIMSS Regional Director - EMEA
Infrastructure Adoption Model
Analytics Maturity Adoption Model
Continuity of Care Maturity Model
Digital Imaging Adoption Model
Outpatient EMR Adoption Model
EMR Adoption Model
Improving
Patient Care &
Organizational
Efficiency
Coming soon
World patient population impacted by healthcare institutions
using the standards of HIMSS Maturity Models
776,000,000+
Maturity Model Impact: A Global View
Maturity Models Expand and Global Reach
©HIMSS Europe GmbH
Its important to identify a starting position….
©HIMSS Europe GmbH
Traveling on the Tube….
©HIMSS Europe GmbH
©HIMSS Europe GmbH
Traveling on the Tube….
©HIMSS Europe GmbH
Other Maturity Models are available….
©HIMSS Europe GmbH
• No money
• No map
• No friends
Stuck or Lost…..
©HIMSS Europe GmbH
• Strong leadership
• Clinical engagement
• A willingness to invest
3 important characteristics of digital success
©HIMSS Europe GmbH
• Strong leadership
• Clinical engagement
• A willingness to invest
The success factors….
© HIMSS Analytics 2016
Governmental projects (example)
The Turkish Ministry of Health has signed a five-year plan with HIMSS to boost digital excellence in hospitals. The agreement will run through 2024 and
sets out a commitment to employ HIMSS Analytics maturity models (EMRAM, AMAM, O-EMRAM, CCMM) across Turkey’s healthcare system.
©HIMSS Europe GmbH
• Strong leadership
• Clinical engagement
• A willingness to invest
The success factors….
©HIMSS Europe GmbH
• Strong leadership
• Clinical engagement
• A willingness to invest
The success factors….
©HIMSS Europe GmbH
Over time….
© HIMSS Analytics 2016
EHealth Priorities / Challenges
Priorities
DE
IT NL
No
rdic
s
ES CH
UK
Tota
l
EMR implementation 24% 14% 3% 8% 6% 23% 12% 15%
Integration and use of patient-generated data
7% 13% 15% 14% 15% 8% 11% 11%
Improve patients’ access to information
6% 11% 24% 12% 14% 8% 14% 11%
Improve clinicians’ access to information
6% 11% 6% 11% 11% 8% 17% 10%
IT security 15% 14% 7% 10% 10% 9% 8% 10%
Data exchange with external partners 7% 2% 21% 9% 7% 17% 9% 9%
Reorganisation of health systems 4% 11% 5% 13% 9% 10% 9% 9%
Use of mobile devices 8% 7% 6% 7% 9% 6% 2% 7%
Telemedicine 7% 7% 2% 9% 8% 1% 3% 6%
Medication safety 4% 5% 5% 4% 6% 3% 5% 5%
n 99 47 54 103 56 54 32 566
Challenges
DE
IT NL
No
rdic
s
ES CH
UK
Tota
l
Funding 12% 7% 10% 9% 16% 12% 22% 12%
Interoperability standards (e.g. HL7, XML…) 11% 9% 13% 8% 10% 15% 19% 10%
IT security 14% 10% 9% 11% 9% 9% 8% 10%
Finding and hiring sufficiently skilled employees 12% 7% 9% 5% 4% 9% 14% 8%
Struggles with EMR implementation 8% 9% 4% 11% 3% 7% 6% 8%
Lack of leadership 4% 7% 9% 12% 7% 11% 5% 7%
Lack of political direction 8% 9% 6% 8% 10% 8% 2% 7%
Mobile health: Implementing the right tools 7% 9% 12% 8% 10% 10% 1% 7%
Resistance from clinical staff to use eHealth solutions 5% 9% 14% 7% 3% 11% 5% 7%
Patient empowerment and self-management 3% 9% 13% 11% 11% 5% 7% 7%
n 99 47 54 103 56 53 31 568
Top 3 answers
What are the main eHealth priorities / challenges healthcare providers currently face?
Source: Annual European eHealth Survey 2018
Infrastructure Adoption Model
Analytics Maturity Adoption Model
Continuity of Care Maturity Model
Digital Imaging Adoption Model
Outpatient EMR Adoption Model
EMR Adoption Model
Improving
Patient Care &
Organizational
Efficiency
Coming soon
© HIMSS Analytics 2016
A strategic framework to guide continuity of care
implementation
The Continuity of Care Maturity Model (CCMM) is an eight stage (0-7) model that
demonstrates the evolution of communication between clinicians in different settings
with limited or no electronic communication to an advanced, multi-organizational,
knowledge driven community of care.
Why CCMM?
Modern healthcare is challenging organizations to deliver pervasive coordinated care
across multiple care settings, and has presented concerns surrounding efficiency and
accuracy. Continuity between care settings is increasingly crucial to clinical and financial
success.
Enhance and expand the coordination of care across multiple settings with HIMSS
Analytics assessment and strategy.
- Build and improve critical capabilities needed for coordinated patient care, including
health information exchange, patient engagement and advanced analytics
- Identify and align actions from three critical stakeholder groups: 1)
Governance/Administrative leaders; 2) Clinical leaders; and 3) IT leaders
- Gauge your performance in each of the stakeholder groups across each care setting in
the care community to measure and enhance coordinated care
Continuity of Care Maturity Model
©HIMSS Europe GmbH
CCMM……
© HIMSS Analytics 2016
CCMM projects (examples)
Country: NetherlandsTarget population : 280KNo. of assessed care settings : 2
Country: SpainTarget population : 250KNo. of assessed care settings : 4
Country: SpainTarget population : 360KNo. of assessed care settings : 6
Country: United KingdomTarget population : 0.8MNo. of assessed care settings : 5
Country: SpainTarget population : 154KNo. of assessed care settings : 2
Country: GermanyTarget population: 2.8MNo. of assessed care settings: 5
Country: ItalyTarget population : 217KNo. of assessed care settings : 5
Country: FinlandTarget population : 130KNo. of assessed care settings : 5
Country: United KingdomTarget population : 2.0MNo. of assessed care settings : 5
Infrastructure Adoption Model
Analytics Maturity Adoption Model
Continuity of Care Maturity Model
Digital Imaging Adoption Model
Outpatient EMR Adoption Model
EMR Adoption Model
Improving
Patient Care &
Organizational
Efficiency
Coming soon
© HIMSS Analytics 2016
Electronic Medical Record Adoption Model
Why EMRAM?
For over a decade HIMSS Analytics has guided healthcare organizations around the globe
in electronic medical record (EMR) adoption and implementation. You could be the next to
join this elite group of over 350 Stage 7 EMRAM organizations globally.
Improve care delivery through better use of technology with HIMSS Analytics
assessment and strategy services.
- Analyze your current level of EMR adoption
- Chart your progression and accomplishments
- Compare your EMR capabilities against other healthcare providers
- Evaluate and implement what you need to achieve Stage 7
A strategic roadmap for effective EMR adoption and
maturity
The Outpatient Electronic Medical Record Adoption Model
(O-EMRAM) is an eight stage (0-7) model that measures the adoption and utilization
of EMR functions required to achieve a near paperless environment that harnesses
technology to support optimized patient care.
©HIMSS Europe GmbH
EMRAM….
(data from January 31st, 2019)
Austria 1
Belgium 2
Denmark 1
Germany 2
Ireland 1
Italy 6
Netherlands 4
Norway 1
Portugal 3
Russia 1
Slovenia 1
Spain 7
Switzerland 1
Turkey 164
United Kingdom 3
TOTAL: 198
• Izmir Tire Develet Hastanesi• Yozgat Şehir Hastanesi
• RadboudUMC• St Jansdal
• Hospital Cascais Dr. José de Almeida
EMRAM Stage 6 / 7 Awards - Europe
EMRAM Stage 6 / 7 Awards | Middle East
Egypt 1
Qatar 2
Saudi Arabia 28
United Arab Emirates 9
TOTAL: 40
(data from 1st September 2019)
• King Khaled Eye Specialist Hospital
• Cleveland Clinic Abu Dhabi
Infrastructure Adoption Model
Analytics Maturity Adoption Model
Continuity of Care Maturity Model
Digital Imaging Adoption Model
Outpatient EMR Adoption Model
EMR Adoption Model
Improving
Patient Care &
Organizational
Efficiency
Coming soon
© HIMSS Analytics 2016
Why AMAM?
From actively managing population health, to reducing readmissions and their associated
costs, digitized medical data is helping healthcare organizations enhance the value of care.
A strong analytics foundation ensures that data can drive and inform the decision making
process in a significant way.
Improve operations, enhance quality of care and see increased return on your health
IT investment with HIMSS Analytics assessment and strategy services.
- Structured, prescriptive assessment to assist in developing and advancing your
analytics strategy
- Clearly defined framework that is defensible, flexible and vendor neutral
- Determine your own path to analytics maturity with guidance from industry experts
Adoption Model Analytics Maturity
A holistic framework and strategic roadmap to analytics
maturity
The Adoption Model for Analytics Maturity (AMAM) is an international eight stage (0-
7) model measuring the capabilities your organization has gained from technology
and surrounding processes. Our AMAM services are designed to progressively
measure and advance your organization’s analytics capabilities to improve
healthcare delivery.
©HIMSS Europe GmbH
AMAM….
©HIMSS Europe GmbH
Maturity Models are…Aspirational and drive the market
Create Roadmaps
Learn from others experiences
Convey a vision of desired target state
Encourages everyone to work collectively
Global benchmarking
Vendor agnostic
Key Features
• Healthcare specific
• Capability oriented
• Prescriptive, clear, and informative
• Simply stated compliance
requirements
• Industry standard terminology
and detailed references
The International Maturity Models….
Assessing healthcare providersDigital Profile – Baseline
We provide self-assessment tools as
well as other additional sources (e.g.
customised add-on questions) to
determine the current status of an
organisations maturity.
Assessing healthcare providersDigital Profile – Goal
Discuss with key stakeholders
where they want to be / where they
should be within a specific time
period.
Engaging clientsDigital Profile – Strategy
By compare the start point with the
desired goals we can develop a digital
transformation strategy by using the HA
maturity models as roadmaps and a
guideline for prioritisation.
This is not about reaching Stage 7 in
each model, but improving capabilities
and maximising technology investments
and resources available.
©HIMSS Europe GmbH
Don’t get scared – Get started……
©HIMSS Europe GmbH
• Know your start point on the
roadmap by using a maturity
model
• Agree the end point
• Build and prepare for the
journey
• Understand the impact
• Create buzz
• Act
The Take aways……