AAMC EMR Adoption Model Comparisons. June 30, 2011 Prepared by HIMSS Analytics

Transcription

1 AAMC EMR Adoption Model Comparisons June 30, 2011 Prepared by HIMSS Analytics

2 Introductions John Hoyt, Executive Vice President, Organizational Affiliates, HIMSS Michelle Glenn, Senior Director, Product Management Patti Harris, Senior Director, Data Collection and Quality Lisa Pilolla, Project Manager, Product Management Source: HIMSS Analytics Database

3 AAMC and HIMSS Analytics Collaboration Joint interest in collecting and analyzing data to assist AAMC hospitals with benchmarking amongst their peers in the following areas EMR Adoption Model Comparisons IS Department Cost Statistics IS Department Full-Time Equivalent Comparisons IS Department Workload Statistics Source: HIMSS Analytics Database

4 Objectives of 2011 Analysis This year s focus will be on Technology portfolio comparisons across peers and key segments Technology penetration trends are especially insightful since the release of the ARRA Meaningful Use Stage 1 measures Source: HIMSS Analytics Database

5 Analysis Includes EMR Adoption Model (EMRAM) comparisons across segments and trended Vendor Market Share comparisons across AAMC members, all hospitals and EMRAM stages 6 and 7 Technology penetration rates across AAMC hospitals and key segments Likelihood of hospitals achieving Stage 1 Meaningful Use Measures across all hospitals Source: HIMSS Analytics Database

6 The HIMSS Analytics Database HIMSS Analytics Database Consists of: 2,538 Health Systems 491 are Integrated Delivery Systems (2 or more hospitals) 5,273 Hospitals 2,571 Sub Acute Care Facilities 24,555 Ambulatory Facilities 2,294 Home Health Care Facilities 401 Data Centers Source: HIMSS Analytics Database

7 2010 AAMC Hospitals 358 Hospitals 355 Trended Hospitals ( ,Q1 87 Single Hospitals Health Systems 155 Multi-Hospital Systems Source: HIMSS Analytics Database

8 EMR ADOPTION MODEL Comparison of EMRAM Scores Across Segments

9 Stage 7 Stage 6 Stage 5 Stage 4 Stage 3 Stage 2 Stage 1 Stage 0 EMR Adoption Model SM Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS Closed loop medication administration CPOE, Clinical Decision Support (clinical protocols) Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable Ancillaries Lab, Rad, Pharmacy All Installed All Three Ancillaries Not Installed 2009 Final 0.7% 1.6% 3.8% 7.4% 50.9% 16.9% 7.2% 11.5% 2010 Final 1.0% 3.2% 4.5% 10.5% 49.0% 14.6% 7.1% 10.1% N = 5235/5281

10 Stage 7 Stage 6 Stage 5 Stage 4 Stage 3 Stage 2 Stage 1 Stage 0 EMR Adoption Model SM 2010 Final 2011 Q1 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS Closed loop medication administration CPOE, Clinical Decision Support (clinical protocols) Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable Ancillaries Lab, Rad, Pharmacy All Installed All Three Ancillaries Not Installed 2010 Final 1.0% 3.2% 4.5% 10.5% 49.0% 14.6% 7.1% 10.1% 2011 Q1 1.0% 3.5% 5.9% 10.7% 48.4% 14.1% 6.7% 9.6% Data from HIMSS Analytics TM Database N = 5281/ HIMSS Analytics

11 Stage 7 Stage 6 Stage 5 Stage 4 Stage 3 Stage 2 Stage 1 Stage 0 EMR Adoption Model SM 2010 Final 2011 Q1 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS Closed loop medication administration CPOE, Clinical Decision Support (clinical protocols) Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable Ancillaries Lab, Rad, Pharmacy All Installed All Three Ancillaries Not Installed AAMC Q1 3.4% 16.5% 8.1% 28.2% % 0.3% 0.0% 2011 Q1 1.0% 3.5% 5.9% 10.7% 48.4% 14.1% 6.7% 9.6% Data from HIMSS Analytics TM Database N = 358/ HIMSS Analytics

12 AAMC 2008 Q1,2011 Trended Hospitals (n=355) EMRAM Stage Qty of Hospitals Q1, 2011 % of Qty of % of Qty of Hospitals Hospitals Hospitals Hospitals % of Hospitals Stage % 5 1.4% % Stage % % % Stage % % % Stage % % % Stage % % % Stage % % % Stage % 0 0.0% 1 0.3% Stage % 1 0.3% 0 0.0%

13 AAMC Stage 7 Hospitals Hospital Name Children's Hospital Boston, Boston, MA Children's Medical Center of Dallas, Dallas, TX Evanston Hospital, Evanston, IL Glenbrook Hospital, Glenview, IL Highland Park Hospital, Highland Park, IL Kaiser Permanente - Oakland Medical Center, Oakland, CA Sentara Norfolk General Hospital, Norfolk, VA Skokie Hospital, Skokie, IL St. Mary's Hospital, one of Mayo Clinic's hospitals in Rochester, MN Stanford Hospital & Clinics, Stanford, CA Tucson Medical Center, Tucson, AZ University of Wisconsin - Hospital & Clinics, Madison, WI

14 AAMC Stage 6 Hospitals -*To be validated Name of Hospital Name of Hospital OU Medical Center & The Children's Hospital at OU Medical Center, Oklahoma, Advocate Lutheran General Hospital, Park Ridge, IL City, OK Akron General Medical Center, Akron, OH* Our Lady of the Lake Regional Medical Center, Baton Rouge, LA Baystate Medical Center, Springfield, MA Rhode Island Hospital - Hasbro Children's Hospital, Providence, RI Ben Taub General Hospital, Houston, TX* Roger Williams Medical Center, Providence, RI Brigham & Women's Hospital, Boston, MA Roswell Park Cancer Institute, Buffalo, NY* Carilion Roanoke Memorial Hospital, Roanoke, VA Ruby Memorial Hospital, Morgantown, WV Children's Mercy Hospital, Kansas City, MO* Rush University Medical Center, Chicago, IL Emory University Hospital, Atlanta, GA Sinai - Grace Hospital, Detroit, MI Emory University Hospital Midtown, Atlanta, GA St. Elizabeth s Medical Center of Boston, Brighton, MA Fletcher Allen Health Care, Burlington, VT St. Francis Hospital & Medical Center, Hartford, CT Hennepin County Medical Center, Minneapolis, MN* St. John's Mercy Medical Center - St. Louis, MO Indiana University Health Arnett Hospital, Lafayette, IN St. Louis Children's Hospital, St. Louis, MO* Indiana University Health North Hospital, Carmel, IN Stamford Hospital, Stamford, CT Indiana University Health West Hospital, Avon, IN The Children's Hospital at Montefiore, Bronx, NY Jersey Shore University Medical Center, Neptune, NJ The Henry & Lucy Moses Division of Montefiore Medical Center, Bronx, NY John Dempsey Hospital, Farmington, CT* The Mount Sinai Hospital, New York, NY* Johns Hopkins Bayview Medical Center, Baltimore, MD Truman Medical Center - Hospital Hill, Kansas City, MO Magee-Women's Hospital of UPMC Health System, Pittsburgh, PA UC Davis Medical Center, Sacramento, CA Main Line Health Lankenau Medical Center, Wynnewood, PA* UCSD Medical Center - Hillcrest, San Diego, CA Maine Medical Center, Portland, ME University Hospital, San Antonio, TX Medical University Hospital, Charleston, SC University Hospital, Columbia, MO Memorial Health University Medical Center, Savannah, GA University of Alabama Hospital - Birmingham, AL* Memorial Hermann Katy Hospital, Katy, TX University of Iowa Hospitals & Clinics, Iowa City, IA Memorial Hermann Southeast Hospital, Houston, TX University of Virginia Hospital, Charlottesville, VA* Memorial Hermann Sugar Land Hospital, Sugar Land, TX UPMC Mercy, Pittsburgh, PA Miami Valley Hospital, Dayton, OH UPMC Presbyterian Shadyside, Pittsburgh, PA Miriam Hospital, Providence, RI Vanderbilt University Hospital, Nashville, TN Nationwide Children's Hospital, Columbus, OH* Weiler Division of Montefiore Medical Center, Bronx, NY North Carolina Baptist Hospital, Winston Salem, NC Yale-New Haven Hospital, New Haven, CT OSF St. Francis Medical Center, Peoria, IL Source: HIMSS Analytics Database

15 Mean and Median EMRAM Comparison Across Segments

16 CLINICAL DATA REPOSITORY Vendors Installed

17 Clinical Data Repository Market Share All Hospitals Compared to Stage 7 All Hospitals Stage 7 All Hospitals (n=4984) AAMC Hospitals (n=357) All Hospitals (n=56) AAMC Hospitals (n=12) Name Qty of Installs % of Qty of Installs % of Qty of Installs % of Qty of Installs % of (4997) Installs (360) Installs (58) Installs (13) Installs CERNER CORPORATION % % 2 3.4% 1 7.7% Epic % % % % SIEMENS HEALTHCARE % % 2 3.4% 1 7.7% ALLSCRIPTS % % MCKESSON % % GE HEALTHCARE % % 2 3.4% 1 7.7% MEDITECH % % 1 1.7% SELF-DEVELOPED % % QUADRAMED % % OTHER % %

18 Clinical Data Repository Market Share All Hospitals Compared to Stage 6 All Hospitals Stage 6 All Hospitals (n=4984) AAMC Hospitals (n=357) All Hospitals (n=208) AAMC Hospitals (n=59) Name Qty of Installs % of Qty of Installs % of Qty of Installs % of Qty of Installs % of (4997) Installs (360) Installs (208) Installs (59) Installs CERNER CORPORATION % % % % Epic % % % % SIEMENS HEALTHCARE % % % 5 8.5% ALLSCRIPTS % % 5 2.4% 4 6.8% MCKESSON % % 4 1.9% 2 3.4% GE HEALTHCARE % % 5 2.4% 4 6.8% MEDITECH % % % 5 8.5% SELF-DEVELOPED % % 4 1.9% 5 8.5% QUADRAMED % % 1 0.5% OTHER % % 4 1.9% 1 1.7%

19 Market Penetration Rates Key Technology Areas Compared Across Segments Nursing Documentation CPOE Physician Use of CPOE Electronic Medication Administration Record (EMAR) Bar Coding Full Radiology PACS Physician Documentation Source: HIMSS Analytics Database

20 Percent of Market with Nursing Documentation EMRAM Stage 3

21 Percent of Market with CPOE EMRAM Stage 4

22 Percent of Market with Physicians Entering Orders Using CPOE EMRAM Stage 4

23 Percent of Market with Electronic Medication Administration Record (EMAR) EMRAM Stage 5

24 Percent of Market with Med Admin Bar Coding for The Patient and The Medication EMRAM Stage 5

25 Percent of Market with Full Radiology PACS EMRAM Stage 6

26 Percent of Market with Physician Documentation EMRAM Stage 6

27 AAMC Market Penetration Across Technologies (n=358)

28 MEANINGFUL USE STAGE 1 MEASURES Preliminary Findings Based on 502 Participating Hospitals

29 Percent of Hospitals Currently Capable of Achieving 10 or More Core Measures (n=502) Data collected January 1, 2011 May 31, 2011

30 Percent of Hospitals Currently Capable of Achieving 5 or More Menu Measures (n=502) Data collected January 1, 2011 May 31, 2011

31 To Participate For 2011 If you have not received an or phone call from HIMSS Analytics, please contact: Patti Harris, Senior Director, Data Collection and Quality (312) Source: HIMSS Analytics Database

32 Discussion and Questions Michelle Glenn Senior Director, Product Management (312)