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The Tech-Enabled Provider Organization: The 2018 OPEN MINDS Health & Human

Services Technology SurveyT h e 2 0 1 8 O P E N M I N D S T e c h n o l o g y & I n f o r m a t i c s I n s t i t u t e

O c t o b e r 2 3 , 2 0 1 8 | 8 : 3 0 - 9 : 0 0 a m

M o n i c a E . O s s , C h i e f E x e c u t i v e O f f i c e r , O P E N M I N D S

Sponsored By

© 2018 OPEN MINDS

The Technologies Most Frequently Adopted By Specialty Provider Organizations, %, 2018

2

43%

43%

46%

50%

52%

53%

57%

62%

63%

64%

86%

0% 20% 40% 60% 80% 100%

Consumer tech-enabledoutreach/engagement tools

Consumer health portal

Clinical decision support technology

Populationsegmentation/analytics/risk…

Telehealth/remote therapy

Fundraising tools & technologies

Health information exchange

Practice management technologies& services

ePrescribing tools & technologies

Referral tracking/database

Electronic health record (EHR)

Top 10 Adopted Technologies By Specialty Provider Organizations, %, 2018

© 2018 OPEN MINDS

Technology Adoption By Specialty Provider Organization Type

Technology Total, % Child,

%

Behavioral

Health, %

IDD &

LTSS, %

Primary

Care, %

Electronic health record (EHR) 86% 85% 96% 73% 80%

Referral tracking, referral database 64% 67% 67% 49% 71%

ePrescribing tools and technologies 63% 55% 79% 36% 69%

Practice management technologies and services 62% 51% 70% 47% 76%

Health information exchange 57% 49% 65% 46% 63%

Fundraising tools and technologies 53% 67% 45% 56% 51%

Telehealth/remote therapy 52% 44% 70% 25% 53%

Population health management – segmentation, risk stratification,

analytics 50% 42% 57% 37% 57%

Clinical decision support technology 46% 36% 57% 29% 53%

Consumer health portal 43% 35% 50% 24% 61%

Consumer tech-enabled outreach/engagement tools 43% 38% 44% 29% 63%

Dictation tools and services 37% 35% 46% 15% 47%

Consumer disease state/medication management technologies

and services 21% 20% 14% 22% 39%

Remote monitoring (i.e. smart home, wearable monitoring) 15% 5% 13% 29% 16%

Consumer companion robots 5% 9% 1% 3% 10%

© 2018 OPEN MINDS

Technology Adoption By Specialty Provider Organization

Technology Total, % Less Than $10

Million, %

$10-$50

Million, %

More Than $50

Million, %

Electronic health record (EHR) 86% 78% 93% 91%

Referral tracking, referral database 64% 60% 65% 72%

ePrescribing tools and technologies 63% 50% 70% 80%

Practice management technologies and services 62% 60% 60% 72%

Health information exchange 57% 47% 60% 78%

Fundraising tools and technologies 53% 43% 59% 65%

Telehealth/remote therapy 52% 40% 59% 67%

Population health management – segmentation, risk

stratification, analytics 50% 42% 54% 59%

Clinical decision support technology 46% 36% 51% 61%

Consumer health portal 43% 32% 48% 65%

Consumer tech-enabled outreach/engagement tools 43% 41% 40% 57%

Dictation tools and services 37% 26% 40% 61%

Consumer disease state/medication management

technologies and services 21% 16% 21% 35%

Remote monitoring (i.e. smart home, wearable monitoring) 15% 12% 17% 20%

Consumer companion robots 5% 4% 3% 9%

© 2018 OPEN MINDS

EHR & Health Information Exchange Adoption, By Market, %, 2018

5

96%

85%

73%80%

65%

49%46%

63%

0%

20%

40%

60%

80%

100%

120%

Behavioral Health Child Services I/DD & LTSS Primary Care

EHR & Health Information Exchange Adoption, By Market, %, 2018

Electronic health record (EHR) Health information exchange

© 2018 OPEN MINDS

Consumer Portal & Engagement Tool Adoption, By Market, %, 2018

6

50%

35%

24%

61%

44%

38%

29%

63%

0%

10%

20%

30%

40%

50%

60%

70%

Behavioral Health Child Services I/DD & LTSS Primary Care

Consumer Portal & Engagement Tool Adoption, By Market, %, 2018

Consumer health portal Consumer tech-enabled outreach/engagement tools

© 2018 OPEN MINDS

Telehealth & Remote Monitoring Adoption, By Market, %, 2018

7

70%

44%

25%

53%

13%

5%

29%

16%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Behavioral Health Child Services I/DD & LTSS Primary Care

Telehealth & Remote Monitoring Adoption, By Market, %, 2018

Telehealth/remote therapy Remote monitoring

© 2018 OPEN MINDS

Specialty Provider Organization IT Budgets, Less Than $10 Million In Revenue, %, 2018

8

63%

29%

4% 4%

0%

10%

20%

30%

40%

50%

60%

70%

Under $100,000 $100,001-$500,000 $500,000- $1 Million More than $1 Million

Provider Organization IT Budget, Less Than $10 Million In Revenue, %, 2018

© 2018 OPEN MINDS

Specialty Provider Organization IT Budgets, $10-$50 Million In Revenue, %, 2018

9

18%

52%

12%

18%

0%

10%

20%

30%

40%

50%

60%

Under $100,000 $100,001-$500,000 $500,000- $1 Million More than $1 Million

Provider Organization IT Budget, $10-$50 Million In Revenue, %, 2018

© 2018 OPEN MINDS

Specialty Provider Organization IT Budgets, More Than $50 Million In Revenue, %, 2018

10

0%

13%

21%

66%

0%

10%

20%

30%

40%

50%

60%

70%

Under $100,000 $100,001-$500,000 $500,000- $1 Million More than $1 Million

Provider Organization IT Budget, More Than $50 Million In Revenue, %, 2018

© 2018 OPEN MINDS

Number Of Full-Time Technology Employees In Specialty Provider Organizations With Less Than $10 Million In Revenue, %, 2018

11

Full-Time Technology Employees In Specialty Provider Organizations

With Less Than $10 Million In Revenue, %, 2018

68%

21%

5%1%

6%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Fewer than 1Employee

2-3 FTEs 4-5 FTEs 6-10 FTEs 11 or more FTEs

© 2018 OPEN MINDS

Number Of Full-Time Technology Employees In Specialty Provider Organizations $10-$50 Million In Revenue, %, 2018

12

Full-Time Technology Employees In Specialty Provider Organizations

With $10-$50 Million In Revenue, %, 2018

16%

34%

20% 21%

9%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Fewer than 1Employee

2-3 FTEs 4-5 FTEs 6-10 FTEs 11 or more FTEs

© 2018 OPEN MINDS

Number Of Full-Time Technology Employees In Specialty Provider Organizations With More Than $50 Million In Revenue, %, 2018

13

Full-Time Technology Employees In Specialty Provider Organizations

With More Than $50 Million In Revenue, %, 2018

0%

9%

17%20%

54%

0%

10%

20%

30%

40%

50%

60%

Fewer than 1Employee

2-3 FTEs 4-5 FTEs 6-10 FTEs 11 or more FTEs

© 2018 OPEN MINDS

Key Takeaways

1. Technology adoption is uneven among specialty provider organization segment

While 86% of specialty health and human services provider organizations have an electronic health record, only 57% are part of a health information exchange (HIE) and 50% have population health management capabilities. HIE and VBR will be a key differentiator in decision to keep/replace an EHR.

Telehealth adoption is highest among behavioral health provider organizations at 70%. Only 53% in primary care organizations – with large growth expected there.

63% of primary care organizations are much more likely to use consumer engagement tools and 29% of LTSS organizations use remote monitoring. Adoption likely to increase across all types of specialty organizations with increasing VBR.

2. Overall, U.S. health care providers spend 3.5% and 4.3% of revenue on technology budget – $350,000 to $430,000 per $10M in revenue.

Is that the right benchmark? This figure is 7.2% in financial services and 5.8% in business services.

3. Specialty provider organizations are not at that benchmark amount. “Under-investment” in technology is a key issue in smaller specialty provider organizations.

This is not true in other fields. National business survey found small and medium-sized for-profit companies often outspend larger ones. The average small company spends 6.9% of revenue on technology, while midsized companies spend 4.1%. Larger companies spent 3.2% of revenue.

4. Linking technology investment to strategy linkage is essential to success –performance, competitive advantage, and sustainability.

© 2018 OPEN MINDS

The Tech-Enabled Provider

Organization: The 2018 OPEN MINDS Health & Human Services

Technology

results will be available online courtesy of

Credible Behavioral Health

15

© 2018 OPEN MINDS

Technology Definitions

Term Definition

Electronic health record (EHR) A digital version of an individual’s health record that are available instantly

and securely to authorized users. Most EHRs are tools that can be used to

store information, communicate with other systems, offer clinical decision

support, billing, etc.

Referral tracking/database Software including customer relationship manager (CRM) that allows

provider organizations to track information related to incoming and

outcoming consumer referrals.

ePrescribing tools and technologies Software and equipment used to facilitate the electronic prescribing of drugs.

Practice management technologies and services Software and technologies that assist with billing, revenue cycle

management, dashboards, clinical and administrative workflows, etc.

Health information exchange The electronic sharing of data across a defined network and geography

Fundraising tools and technologies Customer relationship management (CRM) tools, general fundraising

platforms, marketing and email tools, event management software, etc.

Telehealth/remote therapy The use of secure video or telephonic connection to provide health care

services and to store and forward imaging.

Population segmentation/risk stratification/population

analytics

The use of data to divide consumers into different groups based on their

health status, demographics, and other relevant characterstics.

Clinical decision support technology Electronic tools or software that enhance decisionmaking in the clinical

workflow providing prompts, documentation templates, diagnostic support,

reference materials, among others.

© 2018 OPEN MINDS

Technology Definitions

Term Definition

Consumer health portal A secure online website that gives consumers access to their health

information and often allows consumer to book appointments, request

prescription refills, make payments, complete forms, etc.

Consumer tech-enabled outreach/engagement tools Apps, online programs, text messaging, and other tools that assist

provider organizations and clinical professionals in engaging consumers

in treatment.

Dictation tools and services Software that converts audio recordings to text

Consumer disease state/medication management

technologies and services

Pill dispensers, medication alerts, clinical decision support systems,

computerized physician order entry, and other software designed to

assist with the medication management activities.

Remote monitoring (i.e. smart home, wearable monitoring) Digital technologies and tools that can collect data related to health care

and activities of daily living and transmit them to one secure location to

be viewed by clinical professionals.

Consumer companion robots Robots that provide assistance with daily task, act as educational tools,

and can help reduce loneliness.

Concierge health care services (i.e. medical retainers) Consumers pay a fixed fee out-of-pocket for a physician to deliver

primary care services usually with increased benefits such as longer

appointments, easier access, and house calls.

© 2018 OPEN MINDS

Definition Of IT Budget

18

IT budgets include

hardware, software,

networks, IT

consultation services,

outsourced

projects/functionality,

and information

technology staff