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Chicago Health Executives Forum

Chicago Health Executives Forum. November 8, 2011. Introduction. John P Hoyt FACHE, FHIMSS Executive Vice President of HIMSS Responsible for HIMSS Analytics Previously: COO, CIO, IT Consultant What is HIMSS Analytics?

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Chicago Health Executives Forum

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  1. Chicago Health Executives Forum November 8, 2011

  2. Introduction • John P Hoyt FACHE, FHIMSS • Executive Vice President of HIMSS • Responsible for HIMSS Analytics • Previously: COO, CIO, IT Consultant • What is HIMSS Analytics? • A not-for-profit subsidiary of HIMSS dedicated to providing comprehensive healthcare data, analysis and research to lead health transformation through effective use of IT • Collects data related to IT product deployment and plans for deployment, IS department composition, costs and management metrics, healthcare trends and purchasing decisions • Support HIMSS Advocacy role, Thought Leadership, Research

  3. HIMSS Analytics EMR Adoption Model • Eight stage model (0 to 7) that tracks how hospitals adopt IT towards a paperless medical record • Stage 7 verification is a site visit by two CIOs and a CMIO – spend all day at the hospital • Visit nursing units to verify Closed Loop Medication Verification, Nurse charting, CPOE, physician documentation • Visit Pharmacy for order verification, bar coding, packaging • Visit Radiology for filmless verification • Visit ICU, ED • Visit HIM • 59 Stage 7 hospital in the US, 1 in Korean, 1 in Germany • Secret fact: At the HIMSS annual confernce ……. • Some example of success from Stage 7 hospitals

  4. Some Examples of Success From Stage 7 Hospitals • NorthShore University HealthSystem • Number of delays in administering medication has fallen by 70% • Omitted administration of drugs has dropped 20% • Almost half of ED patients have complete EMR records due to automation efforts in employed and independent doc offices • Seoul National University Bundang Hospital • Develop 246 protocols • 84% of patient admitted to a protocol, 68% discharged on that protocol • Sentara Health System • 22% increase in nurse-patient time • Time from med order written to order available to act on reduced 92% • UKE - Hamburg Germany • Negative operating margin 6 years straight; implemented EMR in year 4, made profit in year 7

  5. It’s a Strategy Issue Now • How do you get the CIO and the CEO to talk strategy using the same vocabulary? • What are the executive challenges to IT initiatives? • What are the barriers to the CEO’s ability to embrace technology as strategy? • How do you go about making decisions on topics for which you do not have a complete understanding? • How does the CIO help separate the technology facts from the technology fads? • What role should managers and other employees play in IT decision-making process? • Should the CIO be a “super techy”?

  6. Lessons Learned • Several large organizations, notably Kaiser, Nothshore, Sentara, UKE in Hamburg have embarked on a significant quality leap concurrent with significant IT investments • What are the key lessons learned from moving an organization to a data driven quality culture?

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