maturity model workshop reform health globally through · experience score percent of hospitals...

John H. Daniels, CNM, FACHE, FHIMSS, CPHIMS

Global Vice President

HIMSS Analytics

Digital Transformation Journey: Let’s Stimulate Your Thinking

MATURITY MODEL WORKSHOP

Reform health globally through information and

technology.2


If you can’t measure it, you can’t improve it

3

Improve

Manage

Control

Measure

William Thomson, Lord Kelvin

If you can’t measure it, you can’t manage itPeter Drucker

“


4

Analytics MaturityAdoption Model

Determining how to leverage data for better care and

process optimization.

Continuity of Care Maturity Model

Assessing levels of care coordination, systems

integration, and patient

engagement.

Digital Imaging Adoption Model

Evaluating maturity of IT supported processes in

medical imaging in hospitals

and diagnostic centers.

Clinically Integrated Supply Outcomes Model

Transforming clinical environments to support

quality, safety and

sustainability.

Electronic Medical Record Adoption Model

Measuring EMR capabilities and impact on systems, and patients.

Outpatient EMR Adoption Model

Scoring healthcare clinics on the maturity of their EMR environments.

Infrastructure Adoption Model

Improve care delivery, reduce risk, and create a pathway for

infrastructure development.


HIMSS Maturity Models

• Provide aspirational roadmaps

• Convey a vision of transformation

• Encourage teamwork

• Help learn from others experiences

5


“

The best design is the

simplest one that works.

Albert Einstein

6

• Healthcare specific

• Capability oriented

• Vendor, solution, and standard agnostic

• Universal … Globally applicable

• “By the people, for the people”

• Prescriptive, clear, and informative

• Simply stated criteria

• Industry standard terminology

Key Features


Digital Transformation

Strategy

7


The use of digital tools,

technologies and services

that offer a highly integrated,

seamless, and accessible

health care system that

connects and empowers

global citizens to manage

their health and wellness,

within a high performing,

sustainable health system.

Digital Strategy

8


Maturity Models Assembled Into A Connected Framework

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Integrated Workforce: Clinicians, date science,

supply chain, AI, analytics, population health


Digital Health Index

10


Something toThink About

11


12

Medscape National Physician

Burnout, Depression & Suicide

Report 2019

CIO CMIO to CEO

CMO & Board

https://www.medscape.com/2019-lifestyle-burnout

Drivers of Physician Burnout

Physicians were asked: “What

contributes most to your burnout?”


13

Drivers of Physician BurnoutPhysicians were asked: “What contributes most to your burnout?”

16%

17%

20%

20%

23%

29%

30%

32%

34%

59%

0% 20% 40% 60% 80% 100%

Lack of respect from patients

Emphasis on profits over patients

Feeling like just a cog in a wheel

Government Regulations

Lack of control/autonomy

Insufficient compensation/reimbursement

Lack of respect from administrators/employers, colleagues or staff

Increased computerization of practice (EHRs)

Spending too many hours at work

Too many bureaucratic tasks (e.g., Charting, paperwork)

Poor workflow, lack of input how the system could be of benefit to the clinician.

Governance – having a voice.

Documentation doesn’t support higher levels of reimbursement.

Source: https://www.medscape.com/2019-lifestyle-burnout


14

Incredible Variation

Organization Net EMR Experience Score (EMR Satisfaction)

68% Dissatisfied!

88% Satisfied!

Overall Arch Collaborative Trends

What are these organizations doing . . .

. . . different from these organizations?


The Danger Zone

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Doctors are introduced to CPOE

and Documentation

at Stages 4 & 5.

The hybrid medical record is a mix of

online and paper documentation.

It may provide only rudimentary

clinical decision support.


A 2019

KLAS-HIMSS

Collaboration

16


17

Data Sources Used

• HIMSS Analytics publically available list of Stage 6 & 7 organizations (US Only)

• KLAS Arch Collaborative survey data (MDs responses only)

Method

• Matching organizations in the Arch Collaborative to HIMSS Stage 6 & 7 organizations

HIMSS EMRAM

Stage

Count of Unique

Hospitals

Count of Physicians

Surveyed

Physician Net EHR

Experience Score

Percent of Hospitals

with Positive

Physician Net EHR

Experience Score

US Hospitals Not

on Stage 6/7

Validated List63 3,769 6.6 67%

Stage 6 Hospitals 145 14,528 17.5 74%

Stage 7 Hospitals 65 5,226 33.8 95%


What Drives Higher Satisfaction

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• Having better tools to deliver care

• Having better functionality

• Having better integration

People and Processes• Training

• EHR personalization

• Better teamwork


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Correlation Between Stage 7 & Physician Satisfaction

Taylor Davis, KLAS

VP of Innovation

“Of the 65 stage 7 hospitals,

95% of them had a positive

Net EHR Experience Score—

that is really amazing to us.”

“Only included hospitals which had more than 15 physician responses, and we only included physician responses.”

0

5

10

15

20

25

30

35

40

60

70

80

90

100

Not Validated Stage 6 Stage 7

Positive MD Responses Net EHR Exp Score


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Correlation Between Stage 7 & Nursing Satisfaction


How Does the Index Guide Decision Making?

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1

2

3

Detailed understanding of peer-group capabilities across

DHI dimensions

4

How do I compare with peers?

Where am I strong & where are

there opportunities?

Identification of strengths and gaps against DHI dimensions

at a high level and deep facility level understanding

through the Maturity Models

How does this align with our

strategic plan?

How can we address areas of

opportunity & what is impact?

Detailed, context-specific initiative roadmapping, aligned

to strategic plans, based on global best practices with

analysis of benefits realization

Ensure go-forward-plans are both grounded in global best

practice through the Maturity Models and based on

organization specific Digital Health Strategy


Hospital PrivadoUnversitarioDe Corboda(Argentina)

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Where there’s a will… There’s a way!


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Children’s Hospital Of Fudan University(China)


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Ödemis Public Hospital(Turkey)


Do you have the will?

25

Thank You!

maturity model workshop reform health globally through · experience score percent of hospitals...

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