National Academy of Medicine

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Martha Bates
7 years ago
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1 National Academy of Medicine Digital Learning Collaborative Thursday, February 18, 2016 Chantal Worzala, PhD American Hospital Association

2 Progress and Remaining Challenges 2015 American Hospital Association

3 Hospitals show marked improvement in information exchange with care partners outside their system. Percent of hospitals that electronically exchange clinical/summary of care record in any format, 2011 versus % 72% 71% 77% 57% 60% 37% 22% Hospitals in your system Ambulatory care providers in your system Hospitals outside of your system Ambulatory care providers outside of your system *All data findings preliminary. Analysis of 2014 AHA Annual Survey Health Information Supplement

4 Hospitals employ multiple means to share summary of care records with care partners. Percent of hospitals that routinely send a summary of care record though indicated channel, 2014 Secure messaging 87% efax using EHR 82% Health information exchange 78% Provider online portal 70% *All data findings preliminary. Analysis of 2014 AHA Annual Survey Health Information Supplement

5 Hospitals have greatly increased patients online access to their health information. Percent of hospitals where patients are able to perform the indicated services online, 2012 and % 80% 71% 66% 65% 56% 43% 30% 35% 43% 40% 30% 31% 13% View information from medical record Download information from medical record Request change to medical record Pay bills Transmit data to 3rd party Request refills for prescriptions Schedule appointments *All data findings preliminary. Analysis of 2014 AHA Annual Survey Health Information Supplement

6 Hospitals face many barriers to the exchange of information necessary to efficiently manage patient care. Percent of hospitals reporting issues when trying to electronically send, receive, or find patient health information with other care settings, 2014 Intended recipient does not have an EHR or other system capable of receiving the data Other providers have an EHR, but is not capable of receiving information electronically Difficult to find provider's electronic address Those receiving summary of care records do not find them useful Cumbersome workflow to send information from EHR system Extra cost incurred to send/receive data Difficult to match or identify patients between systems 30% 29% 28% 27% 46% 62% 60% Hospital cannot electronically receive patient health information Hospital cannot electronically send patient health information Hospital does not typically share patient data 7% 12% 18% *All data findings preliminary. Analysis of 2014 AHA Annual Survey Health Information Supplement

7 2015 American Hospital Association AHA Report on Interoperability AHA formed a 24-member advisory group to better understand member priorities for information sharing, barriers to interoperability, and specific actions that the public and private sectors could take to move forward. The nation must make rapid progress on developing secure, efficient sharing of health information, not only for improving care, but also for engaging patients and supporting new models of care.

8 Principles and Priorities for Health Information Exchange 2015 American Hospital Association 2015 American Hospital Association Principles: Priorities: 1. Health information exchange should be promoted to improve care 2. IT should be used to maximize individuals participation in their health and care 1. Share information to support care and patient engagement 2. Gather and use information to support new models of care 3. Standards for interoperability should be harmonized and operationalized

9 Imperatives to Share Information 2015 American Hospital Association

10 Requirements to Share Information 2015 American Hospital Association

11 Challenges in Sharing Information

12 2015 American Hospital Association Barriers to Interoperability Insufficient infrastructure Technology challenges Policy issues Immature and insufficient standards No reliable, consistent patient identifier Few reliable, efficient exchange mechanisms Inconsistent standards use Insufficient testing of products Little integration of medical devices Poor usability Limited resources Legal barriers to hospital-physician collaboration Legal ambiguities re: medical record Inconsistent privacy and security requirements

13 2015 American Hospital Association

14 Contact Chantal Worzala, PhD Director, Policy American Hospital Association (202)

2014 AHA Annual Survey Information Technology Supplement Health Forum, L.L.C.

2014 AHA Annual Survey Information Technology Supplement Health Forum, L.L.C. Please return to: AHA Annual Survey Information Technology Supplement 155 N. Wacker Chicago, IL 60606 Please Note: This year