Clinical Informatics Leadership: A Profound Discussion March 1, 2015

Transcription

1 Clinical Informatics Leadership: A Profound Discussion March 1, 2015 Carol Steltenkamp, MD, MBA, FAAP, FHIMSS, CMIO, University of Kentucky Healthcare; Executive Director, Kentucky Regional Extension Center Mark D. Sugrue, MSN, RN-BC, FHIMSS, CPHIMS, Chief Nursing Informatics Officer, Lahey Hospital & Medical Center

2 Conflict of Interest Carol Steltenkamp, MD, MBA, FAAP, FHIMSS and Mark D. Sugrue, MSN, RN-BC, FHIMSS, CPHIMS Have no real or apparent conflicts of interest to report.

3 Learning Objectives Evaluate the impact of interdisciplinary informatics leadership on the healthcare environment. Discuss the expanding role of clinical informatics and its role in influencing health policy to improve safety and efficiency Describe the move from clinical informatics 1.0 to 2.0 and what the next phase of informatics may look like.

4 Introducing our Panelists

5 Carol Steltenkamp

6 My That Informatics it will ever come into Journey general use, notwithstanding its value, is extremely doubtful because its beneficial application requires much time and gives a good bit of trouble, both to the patient and to the practitioner because its hue and character are foreign and opposed to all our habits and associations. from The London Times in 1934 Commenting on

7 825 beds; 2 campuses 40,000 Discharges 2015 (CMI 1.92) 102,000 ED visits 2015, Level I Trauma Center 500,000 Clinic Visits 2015 Centers of Excellence in Cardiology, Oncology, and Neurosciences Kentucky Children s Hospital - Level III NICU NCI Designated Cancer Center 80 specialized clinics, 150 outreach programs

8 Mark Sugrue

9 My Informatics Journey.

10 $160M Electronic Health Record Investment 2013

11 Facilitated Discussion

12 Describe the impact of interdisciplinary interprofessional informatics leadership on the healthcare environment.

13 Some profound questions? What is a CxIO Who do you report to? So you used to be a. What do you DO?

14 HIMSS - Realizing the Value of Health IT

15 Representation of TJC Top Performing Hospitals BY Number of Quality Metrics Excelling In, within each EMRAM Stage All hospitals within each EMRAM Stage 50% 40% 30% 20% 10% 0% 2.3% 0.4% 1.9% 6.5% 18.1% 16.3% 12.9% 6.2% 10.0% 1.7% 10.1% 8.1% 4.8% 10.6% 6.4% 6.4% 20.7% 12.8% 6.5% 7.9% 4.2% 39.8% 30.1% 9.7% Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Stage 6 Stage 7 3 or less 4 or more Source: HIMSS Analytics

16 Financial Performance (Profitability) Average Operating Margin 7.0% 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% -1.0% -2.0% 6.19% 4.91% 4.06% 3.91% 3.53% 2.84% 2.55% 2.35% 2.56% 2.32% 2.52% 2.20% 2.25% 1.53% 1.66% 1.62% 1.79% 1.47% 0.77% -0.43% -0.34% -0.58% -1.52% Stage 0 Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Stage 6 Stage 7 In 2008 In Source: HIMSS Analytics

17 Discuss the expanding role of clinical informatics and its role in influencing health policy to improve safety and efficiency

18 Medicare and CHIP Reauthorization Act (MACRA) Replacing the Sustainable Growth Rate formula in 2017 Focus more on quality reporting Drive toward improvements to informationsupported clinical decision making

19 Precision Medicine Initiative/Research and Development Data-driven initiatives that will rely on the data and data analytics to advance healthcare delivery Personalized medicine and research solutions will capture A LOT of data that needs to be analyzed All comes back to clean and useful data to support healthcare transformation

20 Early Clinical Informatics Leadership

21 Data to Wisdom Continuum (Nelson) Increasing Complexity Data Naming collecting organizing Information Organizing, Interpreting Knowledge Interpreting, Integrating Understanding Wisdom Understanding, applying, Applying with Compassion Increasing Interactions and Interrelationships

22 US HEALTHCARE TRANSFORMATION PROGRESS

23 % 20.4% 17.4% 18.7% 3.1% 0.5% 0.1% 0.0% EMRAM Stage

24 % 25.1% 19.3% 14.0% 2.2% 1.4% 0.8% 0.0% EMRAM Stage

25 % 35.7% 15.6% 11.5% 2.5% 2.5% 0.5% 0.3% EMRAM Stage

26 % 16.9% 11.5% 7.2% 7.4% 3.8% 1.6% 0.7% EMRAM Stage

27 % 10.1% 7.1% 14.6% 10.5% 4.5% 3.2% 1.0% EMRAM Stage

28 % 9.0% 5.7% 12.4% 13.2% 8.4% 5.2% 1.2% EMRAM Stage

29 % 8.4% 4.3% 10.7% 14.2% 14.0% 8.2% 1.9% EMRAM Stage

30 % 22.0% 15.5% 12.5% 5.8% 3.3% 7.6% 2.9% EMRAM Stage

31 % 21.0% 14.0% 17.9% 3.8% 2.0% 5.1% 3.6% EMRAM Stage

32 Q % 25.4% 17.3% 10.3% 3.1% 1.8% 3.4% 4.1% EMRAM Stage

33 EHR = Big Data?... I Don t Think So!! So if the average length of stay in a hospital is 4.8 Days One Year in the Life of our Patients.. Our EHR Data!!! 1.31% The other Days!! 98.69%

34 Describe the move from clinical informatics 1.0 to 2.0 and what the next phase of informatics may look like.

35 Regulatory changes Advances in technology Adopted from Gartner Hype Cycle

36 Realization Optimization Stabilization Implementation When is the TRANSFORMATION going to occur?

37 Continuity of Care Maturity Model

38 HIMSS Resources HIMSS Nursing Informatics Community The nursing Informatics webinar series targets key hot topics and emerging trends in regards to health information technology and informatics HIMSS Physician Community Physician Community members contribute to advocacy efforts, participate in education offerings, grow their own professional development, access practical tools and participate in networking opportunities. HIMSS Clinical Informatics Insights A source for timely and comprehensive articles on effective integration of informatics across the continuum of care. HIMSS Value Suite The HIMSS Health IT Value Suite highlights hundreds of examples of hospitals, physician practices, communities and accountable care organizations that have realized the full value of Health IT.

39 Questions Carol Steltenkamp Mark D. Sugrue - mark.d.sugrue@lahey.org