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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%
All
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MR
AM
Sta
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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([email protected])
Knowledge, Insights, Networking.Join the HIMSS Community at HIMSS.org.Thank You.