MATURITE DES SIH EN EUROPE

Transcription

1 MATURITE DES SIH EN EUROPE PAR MARION BOUTEMY-DENIAU, RESPONSABLE EUROPE DES RELATIONS CLIENTS HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 1

2 INTRODUCTION A HAE HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 2

3 HIMSS ANALYTICS EUROPE Successful HIT Adoption Data Adopted ehospital Census Data from >1,900 acute hospitals across 18 European countries Information Statistical analyses and reports Benchmarking tools: EMRAM >1,800 hospitals evaluated on EMRAM Intelligence Conclusions Decisions Strategies Cooperation with Healthcare Providers, National and Regional Health Authorities, Associations, HIT Vendors and System Integrators, Consultancies HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 3

4 L EMRAM HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 4

5 LE EMR ADOPTION MODEL en 7 étapes Paperless patient record environment for highest quality of care, data continuity & full HIE Full electronic clinical decision support, and highest medication safety Completely electronic diagnostic image management Electronic order entry with decision support and result reporting Clinical ordering and documentation especially nursing care A patient-centered electronic data repository Electronic diagnostic and pharmacy department information HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 5

6 COMPARATIF DE, IT, NL, ES, FR, UK HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 6

7 STATUT DU CIRCUIT DU MEDICAMENT EN BOUCLE FERMEE DE IT NL ES FR UK Pharmacy available 88.7% 98.9% 100% 98.2% 99.2% 100% Pharmacy IS 65% 92.2% 100% 97.3% 81.8% 84.6% eprescribing 28.4% 28.2% 85.2% 69.5% 60.8% 39.1% emar, of which 32.8% 21.6% 70.4% 74.3% 65% 38.3% available at PoC 20% 45.5% 80% 59.2% 100% 100% ADM for Unit-Doses 4% 9% 38.9% 33.5% 9.2% 7.1% Barcode / RFID, of which 80% 95% 94% 81% 44% 54% for medication administration 36% 29% 65% 25% 26% 7% CLMA 3.2% 11.1% 38.9% 30.2% 9.5% 0% Source: HIMSS Analytics Europe Database, 04/2013; data: FR (n = 126), UK (n = 50) data: DE (n = 377), IT (n = 551), NL (n = 62), ES (n = 225),. HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 7

8 STATUT DU CDSS 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 88% 75% 66% 62% 60% 61% 52% 46% 46% 47% 38% 40% 45% 39% 28% 27% 27% 28% 28% 24% 22% 26% 18% 5% Clinical Decision Support is still an unclear concept! DE IT NL ES FR UK eprescribing CPOE CWM CDSS Source: HIMSS Analytics Europe Database, 04/2013; data: FR (n = 126), UK (n = 50) data: DE (n = 377), IT (n = 551), NL (n = 62), ES (n = 225),. HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 8

9 STATUT DES SI POUR LA GESTION DES MALADIES CHRONIQUES 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 97% 100% 89% 71% 65% 64% 56% 56% 51% 48% 44% 39% 32% 31% 33% 20% 19% 10% DE IT NL ES FR UK Electronic Patient Record Telemedicine Chronic Disease Management System Source: HIMSS Analytics Europe Database, 04/2013; data: FR (n = 126), UK (n = 50) data: DE (n = 377), IT (n = 551), NL (n = 62), ES (n = 225),. HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 9

10 STATUT POUR LA GESTION DES IMAGES 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 96% 96% 86% 83% 85% 79% 76% 73% 58% 48% 50% 42% 42% 46% 28% 29% 25% 9% DE IT NL ES FR UK Cardiology PACS Radiology PACS Imaging Data Center Source: HIMSS Analytics Europe Database, 04/2013; data: FR (n = 126), UK (n = 50) data: DE (n = 377), IT (n = 551), NL (n = 62), ES (n = 225),. HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 10

11 LES INVESTISSEMENTS. DE IT NL ES FR UK 1st rank EMAR EPR ICU ICU CPOE RPAC 2nd rank RPAC DMS CIS PATHO OR ICU 3d rank NDS RPAC CPOE NDS DMS RIS 4th rank ICU OR EPR AIS EPR EMAR 5th rank CPAC RIS EPRES EPRES TEL IDC 6th rank PPORT EMAR NDS EDIS AIMS CPAC 7th rank RIS LIS ORD EPR DIC DSR 8th rank CWM NDS PHA EMAR EDIS DMS 9th rank CDSS AIMS AIMS LIS RPAC EPRES 10th rank DIC CPOE CPAC PHA IDC LDS Legend: EMAR - Electronic Medication Administration Record, NDS - Nursing Documentation, RPAC - Radiology PACS, ICU - Intensive Care, CPAC - Cardiology PACS, RIS - Radiology Information System, DMS - Document Management, PPORT - Physician Portal, CWM - Clinical Workflow Management System, DIC - Dictation, EPR - Electronic Patient Record, OR - Operating Room, LIS - Laboratory Information System, AIMS - Anaesthesia Information Management System, CPOE - Computerized Practitioner Order Entry, CIS - Cardiology Information System, EPRES - eprescribing, ORD - Order Entry, PHA - Pharmacy Management System, PATHO - Anatomical Pathology, AIS - Ambulatory IS, EDIS - Emergency Department Information System, TEL - Telemedicine, DSR - Dictation with Speech Recognition, IDC - Imaging Data Center, LDS - Obstetrical Systems, CDSS Clinical Decision Support System Source: HIMSS Analytics Europe Database, 04/2013; data: FR (n = 126), UK (n = 50) data: DE (n = 377), IT (n = 551), NL (n = 62), ES (n = 225),. HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 11

12 DEPENSES POUR LES SIH 4,5% 4,0% 3,5% 3,0% 4,2% 3,9% 3,6% 3,5% 3,0% 3,0% 2,8% 2,9% 2,5% 2,0% 1,5% 1,0% 0,5% 1,5% 1,6% 1,3% 1,3% 1,3% 1,2% 1,3% 2,2% 2,0% 2,1% 1,8% 0,0% DE IT NL ES US Small (<200 beds) Medium ( beds) Large (500+ beds) Total Source: HIMSS Analytics Europe ehospital Census (Basis report for DE = 2011, IT = 2012, NL = 2012, ES = 2011, US = 2012) HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 12

13 Marion BOUTEMY-DENIAU For further information visit: HIMSS Analytics Europe EMR Adoption and EHR Readiness in Europe - 13