This year marks the 15th anniversary of Health Care’s Most Wired Survey. In that time, hospitals and health care systems have made great strides in establishing the basic building blocks for creating robust clinical information systems aimed at improving patient care. This includes adopting technologies to improve patient documentation, advance clinical decision support and evidence-based protocols, reduce the likelihood of medication errors, and rapidly restore access to data in the case of a disaster or outage.
“Health Care’s Most Wired was achieved by implementing many facets of health information system technology and aligning that technology to what our patients and care teams will need now and in the future. Rush Memorial Hospital purchased a fully integrated Health Information System (HIS) and other advanced technology, which allows Rush Memorial the ability enter and retrieve structured data that is vital to patient care, thus allowing us to grow with Healthcare Reform and adapt to new technology as it becomes available,” said Jim Boyer, RMH Chief Information Officer. “In addition, our employees utilize all the systems functionalities, which brought Rush Memorial Hospital to a Health Care’s Most Wired award. Continuing past 2013, Rush Memorial Hospital will continue to improve and invest in technology, the meets or exceeds the Health Care’s Most Wired standards.”
“This year’s Most Wired organizations exemplify progress through innovation” says Rich Umbdenstock, president and CEO of the American Hospital Association. “The hospital field can learn from these outstanding organizations ways that IT can help to improve efficiency.”
Among some of the key findings this year:
• Sixty-nine percent of Most Wired hospitals and 60 percent of all surveyed hospitals report that medication orders are entered electronically by physicians. This represents a significant increase from 2004 results when only 27 percent of Most Wired hospitals and 12 percent of all hospitals responded, “Yes.”
• Seventy-one percent of Most Wired hospitals have an electronic disease registry to identify and manage gaps in care across a population compared with 51 percent of total responders.
• Sixty-six percent of Most Wired hospitals share patient discharge data with affiliated hospitals, in comparison to 49 percent of the total responders. Thirty-seven percent of Most Wired hospitals do so with non-affiliated hospitals versus 24 percent of total responders.
“The concept of health information exchange is absolutely correct. We need to do it and do it in a robust, refined way,” states Russell P. Branzell, president and CEO of the College of Healthcare Information Management Executives. “The answer here is standards, standards, standards. We need to standardize the entire process, which we’ve done in almost every other business sector.”
The 2013 Most Wired Survey also covered some new areas such as big data analytics and patient generated data. An emerging practice, big data analytics looks at large amounts of data to uncover patterns and correlations.
• 32 percent of Most Wired hospitals conduct controlled experiments or scenario-planning to make better management decisions.
“Meaningful use has been a top priority for CIOs and hospital executives, but understanding all of the data will be critical as new relationships continue to evolve,” says Rose Higgins, vice president, strategic solutions, RelayHealth, McKesson’s connectivity business unit. “Data analytics will be essential to helping hospitals balance quality of care and cost requirements in a new environment of risk-based reimbursement and evidence-based medicine.”
• 41 percent of Most Wired hospitals provide a patient portal or Web-based solution for patient-generated data.
“The bottom line is that care must be connected and continue wherever the patient is - whether that’s in the hospital or the doctor’s office or in the home,” said Dr. Geeta Nayyar, MD, MBA, chief medical information officer for AT&T. “The healthcare industry has lagged behind other industries, such as banking and travel, in tapping technology that can engage the patient and connect the continuum. We are finally seeing real progress as an industry, but there is still more to do.”
Health Care’s Most Wired Survey, conducted between Jan. 15 and March 15, asked hospitals and health systems nationwide to answer questions regarding their IT initiatives. Respondents completed 659 surveys, representing 1,713 hospitals, or roughly 30 percent of all U.S. hospitals.
The July H&HN cover story detailing results is available at www.hhnmag.com.
“Rush Memorial Hospital didn’t get to this stage over night,” said Brad Smith, RMH President/CEO. “This took several years of commitment and investment from our Board of Trustees and Administration. In addition, strong leadership from Jim Boyer, CIO at Rush Memorial Hospital played an integral role in laying out the vision for us to follow. His knowledge about technology and systems and how it benefits patient care is exceptional. In my opinion, Jim is one of the best in his field.” Smith concluded, “It’s an honor to receive this prestigious award. This is just another example of how Rush Memorial continues to strive for the best.”
The AHA is a not-for-profit association of health care provider organizations and individuals that are committed to the health improvement of their communities. The AHA is the national advocate for its members, which includes nearly 5,000 hospitals, health care systems, networks, other providers of care and 43,000 individual members. Founded in 1898, the AHA provides education for health care leaders and is a source of information on health care issues and trends. For more information, visit the AHA Web site at www.aha.org.
The 2013 Most Wired Survey is conducted in cooperation with McKesson Corp., AT&T, the College of Healthcare Information Management Executives, and the American Hospital Association.
About the Sponsors
McKesson Corp., currently ranked 14th on the FORTUNE 500, is a health care services and information technology company dedicated to making the business of health care run better. The company partners with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, health care information technology, and business and clinical services. For more information, visit www.mckesson.com
AT&T is connecting healthcare in exciting, efficient new ways to help you enhance clinical collaboration, improve patient engagement and care outcomes, lower costs, and move to value-based care. AT&T ForHealthSM is developing and delivering advanced IT solutions in four areas: mHealth solutions; care collaboration and health information exchange platforms; telehealth solutions; and cloud-based services and applications. From health plans to hospitals to physician offices to patients’ homes, we’re connecting stakeholders across the continuum of care, using smart networks and mobile technologies that help create a healthier world. For more information, visit www.corp.att.com/healthcare/solutions
The College of Healthcare Information Management Executives (CHIME) is an executive organization dedicated to serving chief information officers and other senior health care IT leaders. With more than 1,400 CIO members and more than 85 health care IT vendors and professional services firms, CHIME provides a highly interactive, trusted environment enabling senior professional and industry leaders to collaborate; exchange best practices; address professional development needs; and advocate the effective use of information management to improve the health and health care in the communities they serve. For more information, visit http://www.cio-chime.org.