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From Improved Data to Improved Outcomes · Controlling costs and improving outcomes are two of the...
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From Improved Data to Improved Outcomes
Presented by:Matt Schuchardt, Director, Business Development and Innovation, HIMSS Analytics
Enabling better health through information technology.
Now that we’re here, how do we get there?
From Improved Data to Improved Outcomes
Basis for Cross Metric ComparisonCMS distributes quality ratings on a smooth curve with a slight bias towards average scores. The distribution of EMRAM scores has a strong right skew as the US average for hospitals is now Stage 5.
n=3,577Data from HIMSS Analytics® LOGIC™
CMS Quality Rating Distribution
EMRAM Stage Distribution
Bending the Curve
1 2 3 4 5
Axi
s Ti
tle
CMS Overall Rating
1234
1 2 3 4 5A
xis
Title
CMS Overall Rating
567Higher
Overall Rating
Data from HIMSS Analytics® LOGIC™n=3,577
The distribution of quality ratings by EMRAM should mirror the distribution of Quality ratings. And for lower EMRAM hospitals it does. For higher EMRAM hospitals, the distribution skews towards higher quality ratings at a rate that increases with EMRAM Stage.
Higher EMRAM hospitals have higher quality ratings all other things being equal.
By comparing the ratio of above and below average hospitals by EMRAM Stage, the impact on quality is apparent. Stage 6 hospitals, which are more sophisticated EMR users than average, scores lift above the expected distribution.
EMRAM Impact on Quality
n=3,577 Comparing 2014 EMRAM Stage to Quality Measures recorded in 2015. Data from HIMSS Analytics® LOGIC™
Higher EMRAM Hospitals Have Higher CMS Quality Ratings
Expected Distribution
Quality Measures Improving with EMRAMControlling costs and improving outcomes are two of the primary drivers of global healthcare reform. With quality scores improving by EMRAM stage for these measures, it’s clear that technology makes a difference in reducing unnecessary medical imaging and increasing the effectiveness of care.
Data from HIMSS Analytics® LOGIC™
HIT impacts these quality measures but the connection between EMRAM and these quality measures isn’t as straight-forward. These measures illustrate the need to do more than just deploy an EMR but to leverage that investment effectively. The Continuity of Care Maturity Model addresses patient flow and ways patients connect with your system across the care environment. Healthcare organizations that mature through the stages of the CCMM will impact readmissions and patient experience.
Data from HIMSS Analytics® LOGIC™
Quality Measures Impacted by EMRAM
Quality Measures Impacted by EMRAMThere is a connection between HIT and quality here as well. Having an EMR helps, but using it effectively is how you impact these measures. Our Analytics Maturity Assessment Model helps organizations understand and increase the value of the data within your HIT systems. Maturing through the AMAM will help organizations leverage internal data and external data to increase safety and reduce complications.
Data from HIMSS Analytics® LOGIC™
Technology is not a cure-all
Technology isn’t a silver bullet. HIT is a central component of healthcare reform but we need to understand its limitations to address them and to make the right decisions. We’ll also need to evaluate the metrics used to measure success.
Data from HIMSS Analytics® LOGIC™n=3,347
How do we get there…and win doing it?
Moving Beyond the EMR to True Value Creation
$464,208,058
$402,864,516
$386,618,459$340,790,998
$923,408,974
HIT investment generated $2.5 Billion in Savings in 5 YearsHIMSS has documented $2,514,378,405 in recognized Value from HIT investments since 2012. 37% of those savings were reported in 2016.
Data from HIMSS Analytics® LOGIC™ and the HIMSS Value Database n= 292 Limited to cases approved by a research analyst.
Meaningful Use was the first driver of value for Patient Engagement.
Patient Portal and Patient Engagement have been the focus of value realization, averaging 25% and 39% of the value data in the first three years. Value from connecting with patients is now being realized by improving access, increasing education and ensuring patient compliance.
Patient Engagement Beachhead
Not yet – core market is still settling into shift to value based care
Are we ready for all that?
Regulation will Continue to Drive Practice Adoption
Targets for CY2020
The Rise of the Large Health System
69,90379,292
112,549
2014 2015 2016
In the last 24 months, the number of hospital beds in health systems with 25 to 49 hospitals has nearly doubled. While consolidation continues at health systems of all sizes, the rush of recent activity is focused on getting to $4 billion in net patient revenue.
Data from HIMSS Analytics® LOGIC™
Impact of Commercial Payers
Data from HIMSS Analytics® LOGIC™ n=2,901
Expect commercial payers to drive the next wave of adoption. The majority of Accountable Care Organizations are now operated by commercial payers.
Telemedicine Growth Continues…slowly
43% of respondents utilizing two-way video use it for physician to
physician communication
60 % of organizations with plans to invest
while do so within the next 12 months
2014 2015 2016
Telemedicine adoption Increased 3.5% annually from
2014 to 2016
Data from HIMSS Analytics® LOGIC™
Not quite – infrastructure needs a refresh
OK – Now we’re ready
High Level of Cloud Usage, but Mainly Limited to Specific Functions
Data from HIMSS Analytics® LOGIC™
Organizations Look for Flexibility and Scalability with IaaS
SaaS systems continue to grow both in add-on systems and in core clinical applications (64% in 2014)
Largest growth area from 2014 – 2016 is Infrastructure as a Service
Data from HIMSS Analytics® LOGIC™
Disaster Recovery, Cost and IT Expertise will Continue to Drive Future Cloud Adoption
Data from HIMSS Analytics® LOGIC™
111 14 15
22 24
150
2010 2011 2012 2013 2014 2015 2016
Hacking Incidents at US Healthcare Providers
Data from HIMSS Analytics® LOGIC™
The number of reported security breaches at healthcare providers increased 167% in the last year. Over the last 4 years the number of breaches increased 39% per year.
0
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
2010 2011 2012 2013 2014 2015 2016
Networks are the New Target
Paper/FilmsOtherNetwork ServerLaptopEmailElectronic Medical RecordDesktop Computer
Data from HIMSS Analytics® LOGIC™
Since 2011, 31 different health systems in the US have reported being breached multiple times by hackers. These 70 breaches impacted the privacy of 9 million patients.
Better Technology = Better Outcomes for Patients and Providers
Prove IT!
Leverage Data & Connect with Patients
Now we can get excited!
Investment Flowing Towards Value
Provider to Genome Engagement
The challenge is twofold: Integrating the necessary workflows into clinical systems and then integration of the genomic data for use within the clinical dataset.
Over 60% of respondents to the 2016 Precision Medicine Essentials Brief indicated the most significant challenge when conducting precision medicine is integration of data.
Data from HIMSS Analytics® LOGIC™
8 Years of Precision Medicine Deployment at US Hospitals
2009
2013
2011
2016Data from HIMSS Analytics® LOGIC™ n=1,066
Hub and Spoke: Precision Medicine DeploymentLess than 20% of US Hospitals have deployed Precision Medicine. But nearly 40% of US hospitals are in a health system with at least one precision medicine deployment.
3%
10%
17%
23%
42%
59%
Long Term Acute
Critical Access
Specialty
General Medical
Pediatric
Academic
Precision Medicine Usage by Hospital Specialty
Multi-Hospital Single
All Hospitals
More than 50%
Less than 50%
Breadth of Health System Precision Medicine Deployment
Data from HIMSS Analytics® LOGIC™
Will Population Health be the catalyst for Wellness?
Another 5% of hospitals are approaching the
investment inflection point
66 % of US hospital market is still greenspace.
1% of hospitals are actively buying
Data from HIMSS Analytics® LOGIC™
Stage 6 Stage 7Stage 5
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--C.F. Kettering
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