Connecting, collaborating and leading An insider’s view of HIMSS

1. Connecting, collaboratingand leadingAn insider’s view of HIMSS Iowa HIMSS Chapter Meeting, April 16th, 2004 Joyce Sensmeier MS, RN, BC, CPHIMS Director of Professional Services

2. HIMSS Vision & Mission Our Vision is advancing the best use of information and management systems for the betterment of healthcare. Our Mission is to lead the healthcare information and management systems field through knowledge sharing, advocacy, collaboration, and community affiliations.

3. HIMSS Changes • 1961 – Mgmt engineering personal membership society • 1980s – Added information services professionals • 2001 – Included corporate members (CHIM) • 2002 – Enhanced content expertise (CPRI-HOST) • 2003 – Expanded communities (MS-HUG, Sun users) • 2004 – New research-based subsidiary (Dave Garets CEO)

4. Society Today • 215+ Corporate Members • 14,000 Individual Members • 42 Chapters • 70 Staff • Locations: • Chicago, IL; Ann Arbor, MI; Washington, DC

5. Individual Member Profile • Professional level • CIOs/senior management 46% • Director/dept head 25% • Senior staff/managers 19% • Other 10% • Work site • Providers 80% • Vendors 11% • Consultants 9%

6. Today U.S. hospital enterprise focused Providers, Suppliers, Consultants Senior management: CXOs via CIOs IS/ME middle management & staff Military Future Non-enterprise based clinicians Ambulatory care Plans/employers LTC non-U.S. Life sciences Strategic Audiences

7. Today Legislative/Regulatory HIPAA, privacy, security, patient safety, emergency preparedness Efficiency/Effectiveness Revenue enhancement, cost reduction, clinical systems, CPOE, ROI, quality of care, Auto-ID & bar coding, standards, process improvement, project mgmt Enablers EHR, ERP/Supply Chain, PACs, best practices, wireless, outsourcing, system integration Future Legislative/Regulatory Genomics, national health information infrastructure Efficiency/Effectiveness Changing insurance models, worker shortages Enablers Robotics Strategic Subjects

8. What is our personality? The Six C’s - • Credible, not biased • Current, not dated • Change agents, not change resisters • Collective good, not self interest • Comprehensive, not concentrated • Connected, not exclusive

9. The HIMSS Model • Industry Intelligence • Provide credible industry intelligence that enables healthcare professionals and organizations to drive improvement, change and innovation

10. The HIMSS Model • Industry Affairs • The expertise and knowledge of healthcare information and management systems professionals frame and lead healthcare legislation, regulations, policies, standards, and practices

11. The HIMSS Model • Professional Development • Equip healthcare information and management systems professionals to achieve individual and organizational success

12. The HIMSS Model • Communities • Foster primary connecting points among healthcare professionals through HIMSS communities

13. What Have We Done? What Are We Planning?

14. Year Attendance # Exhibitors City 1992 2,500 169 Tampa 1993 4,700 195 San Diego 1994 6,300 245 Phoenix 1995 10,000 371 San Antonio 1996 12,870 435 Atlanta 1997 15,800 453 San Diego 1998 19,800 583 ORLANDO 1999 17,300 598 Atlanta 2000 17,600 645 Dallas 2001 19,400 637 New Orleans 2002 18,600 591 Atlanta 2003 19,300 686 San Diego Annual Conference History

15. Orlando 1998 2004 # Exhibitors 583 708 NSF Exhibit Space 165,000 281,000 Non Exhibiting Attendees 6,800 9,600 Total Attendees 19,800 20,950 Results…Orlando 2004

16. Hotels 44 Hotel room nights: 10,600 (Peak) 44,500 (total) Buses 216 Speakers 397 (including all education sessions) Exhibiting booths 2,850 Pounds of freight shipped 2,674,000 pounds (550 elephants) Gallons of coffee consumed 11,521 cups of coffee (576 gallons) Miles of carpet 16 (Twice the size of length Mackinac Island) Conference publications 180,500 AC web site views 1,521,775 (yes, that’s 1.5 million!) Average views per day (trend increasing) 52,475 Top 3 visited pages 1.Conference Home Page 2. Exhibition Home Page 3. Conference Exhibitor Guide Total trade shows conventions 13,400 per year !!! Staggering Statistics!!!

17. Annual HIMSS ConferenceFebruary 22-26, 2004, Orlando, FlEducation Sessions HIMSS Contact: Deb Clough, Joanne Bartley, Gail Rice Annual Conference Education Committee (ACEC) 150 + Education Sessions: • 85 sessions selected through the Call for Proposal Process • 30 Views from the Top and Invited Sessions • 30 CoSponsored Sessions • 10 Roundtable Discussions • 25 e-Sessions • 20 Workshops

18. Communications DepartmentProducts/Services • Public Relations/Media Relations • Press Releases (as needed) • E-News-Individual Members (weekly) • E-News-Corporate Members (weekly) • Journal of Healthcare Information Management (JHIM) • HIMSS Insider (monthly, as part of Healthcare IT News) • Books

19. Industry Affairs 2003 – 2004 HIMSS Staff

20. Ambulatory Care • Welcomed Mark Leavitt, MD, Ph.D, FHIMSS as Medical Director & Director of Ambulatory Care • Released Ambulatory Wireless Study • Ambulatory Care Committee launched • Environmental Assessment complete

21. The Full Spectrumof Care Settings Large Group Practices Hospital Outpatient Departments Small Physician Offices Inpatient Med/Surg Units Critical Care Units

22. Ambulatory Care vs Acute Care Large Group Practices Hospital Outpatient Departments Small Physician Offices Inpatient Med/Surg Units Critical Care Units Ambulatory Care Acute Care

23. 1 Billion Volume of Encounters (Annual, U.S.) $50,000 8 Million $500 Revenue per Encounter $50 Contrasts: Ambulatory Care vs Acute Care Large Group Practices Hospital Outpatient Departments Small Physician Offices Inpatient Med/Surg Units Critical Care Units Ambulatory Care Acute Care Sources: Health Affairs W4-79, 2003; NAMCS Report, CDC, 2002

24. $518 Billion6.4% growth $578 Billion8.6% growth *Includes physician services $339 Billion, 6.6% growth, plus prescription drugs/equipment $237 Billion, 11.5% growth Health Expenditures Comparison Strategic Bottom-Line: Ambulatory Care is as big as Acute Care and growing even faster Large Group Practices Hospital Outpatient Departments Small Physician Offices Inpatient Med/Surg Units Critical Care Units Ambulatory Care Acute Care Source: “Health Spending Projections,” Health Affairs W4-79, 2003

25. Electronic Health Record • National Health Information Infrastructure • National Preparedness & Response • Nicholas E. Davies Award Program • Continuity of Care Record • HL7’s Standard for the EHR • Patient Safety • Voluntary Patient Identifier

27. National Health Information Infrastructure • Task Force chaired by C. Martin Harris, MD of the Cleveland Clinic • Submitted ePrescribing grant proposal • Relationship with Health & Human Srvcs • Considering grant proposal opportunity through Robert Wood Johnson • NHII Survey underway

28. Privacy & Security • CPRI Security Toolkit v4.0 • Professional Certification Programs – Security, Privacy, and Privacy & Security • Security Features of the EHR Workgroup • CPRI Toolkit Workgroup • Medical Device Security Workgroup

29. Auto-ID and Bar Coding • Coming Soon! • Auto-ID Virtual Tour: Delivering Safe, Efficient and Effective Patient Care • A brief, interactive presentation, available on HIMSS’ Web site and via CD-ROM • www.himss.org/autoidbarcode • Implementation Guide for the Use of Bar Code Technology in Healthcare • Provides a general understanding of the use of bar coding technology in the healthcare enterprise • www.himss.org Go to Bar Coding Hot Topics

30. National Preparedness & Response • Task Force chaired by Col. Rosemary Nelson, RN (Ret.) • Resource Grid on our website • NPR Survey released this week • Coordination with Federal Gov’t and private sector

31. Nicholas E. Davies Awards • Organizational • 2004 Winner is Cincinnati Children’s Hospital • Primary Care • 2004 Winners are: • Roswell Pediatric Center • Evans Medical Group • Cooper Pediatrics • Public Health Launched in January

32. Patient Safety • Clinical Decision Support Workbook • Implementation Tools underway • Don’t Count the Errors – Prevent Them • ROI White Paper

34. Standards • Integrating the Healthcare Enterprise (IHE) • Making interoperability possible by bridging the gap between standards and their implementation • HIMSS is the Secretariat for ISO/TC 215 Health Informatics and Administrator for the U.S. TAG for TC 215 • International and national standardization in health informatics and communications technology

35. Integrating the Healthcare Enterprise • IHE is a joint initiative to improve systems integration • Process for coordinated adoption and implementation of standards • Clinicians/IT staff define needs • Vendors and IT Professionals develop solutions • Technical Framework • Professional societies supervise documentation, testing and demonstration/promotion • Vendors consistently deploy standards into products • Sponsored by HIMSS, RSNA and ACC • More info at: http://www.himss.org/IHE

36. IHE 2004 achievements and expanding scope Over 80 vendors involved world-wide, 4 Technical Frameworks 24 Integration Profiles, Testing at yearly Connectathons, Demonstrations at major exhibitions world-wide Provider-Vendor cooperation accelerates standards adoption

37. International Organization for Standardization (ISO) • ISO/TC 215 Technical Committee • Develops standards for health informatics • Comprised of 26 countries working together • Standards development areas • Health Records and Modeling Coordination • Messaging and Communications • Medical and Nursing Terminology • Privacy and Security • Smart Cards • Pharmacy

38. What is the U.S. TAG?Technical Advisory Group for ISO/TC 215 • Each member country represented on the Technical Committee organizes a TAG • The U.S. TAG develops U.S. positions and identifies the need for new work • HIMSS is the U.S. TAG administrator

39. HIMSS Connects You • Be a visionary • Use your knowledge and expertise to assist in the health information standards development activities • Be a change agent • Collaborate with national and international producers, vendors and end users in the health informatics domain • Be connected with HIMSS and 26 countries developing health informatics standards • Contact us at: iso.standards@himss.org

40. Public Policy • Two Branches: Legislative Affairs & Federal Affairs • Focus on Congress, DHHS, DoD, VA, and Homeland Security • White Papers, Position Papers, Draft Legislation, Testimony, Comments • Chapter Advocacy Liaison Roundtable

41. Advocacy Resources • Committees of Volunteers • Chapter Advocacy Liaison Roundtable (CALR) • HIMSS Government Relations (Diamond) Roundtable (HGRR) • Advocacy Committee • Special Projects Work Group • Chapter Outreach Work Group • Legislation/Regulation Work Group • Tools • Legislative Action Center • LegAlert • Speakers Bureau • eNews • Chapter Leaders Newsletter • Chapter Advocacy Workbook

42. Legislative Affairs

44. HIMSS Certification Programs CPHIMS Certified Professional in Healthcare Information and Management Systems AHIMA & HIMSS Collaboration Certified in Healthcare Privacy (CHP) Certified in Healthcare Security (CHS) Certified in Healthcare Privacy & Security (CHPS)

45. Professional Development Promotes healthcare information and management systems professionals by: • Recognizing individuals who meet the eligibility requirements and pass the exam • Encouraging continued personal and professional growth • Providing a national standard of knowledge

46. About the CPHIMS Exam • Designed to test a well-defined body of knowledge representative of professional practice. • Content was defined by a national role delineation study. • Developed through a combined effort of qualified subject-matter experts and testing professionals.

47. CPHIMS Self-Assessment Exam • New in 2004! Take the CPHIMS Self Assessment Exam (SAE) • 100-question online practice examination designed to match the cognitive and content areas of the CPHIMS examination. • Offered as a benefit of membership, the price of this online SAE is: • HIMSS Members $115 • Non-members $150

48. Renewal of CPHIMS Certification Attaining certification is an indication of mastery of a well-defined body of knowledge at a point in time. Renewal is required every three years. • Documentation of 45 contact hours of continuing professional education over the three-year period. Renewal fee: • HIMSS Members $100 • Nonmembers $175 • Successful re-examination

49. 558 Tested 465 Passed 93 Failed Director – 31% CxO – 19% Senior Staff/Manager – 23% Consultant – 4% Other Senior Staff – 12% RN 9% Who is taking the CPHIMS Exam?

50. CHP, CHS, & CHPS Certification • Demonstrates dedication to quality healthcare and to the high standards for managing confidential healthcare information. • Presents solid evidence to implement best practices and apply current technology solutions. • Sets a person apart from un-credentialed job candidates and augments career development. • Ensures current knowledge through continued education.