Embed Size (px)
Citation preview
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe
Mastering the Key Challenges in EMR Adoption - From Patient Administration to Clinical Decision Support
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 2
Agenda
11/22/2011
• An introduction to the European EMR Adoption Model –
a generic step-by-step roadmap to a paperless EMR
environment
• Key challenges in EMR Adoption – the essential
elements of Clinical Decision Support Systems and
achieving highest medication administration safety
(Closed Loop Medication Administration)
• Preliminary findings on EMR adoption in Norway
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 3 11/22/2011
The European
EMR Adoption
Model by HIMSS Analytics Europe
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 4
European EMR Adoption Model … in 7 Stages to Highest Quality in Patient Care
11/22/2011
Electronic diagnostic and pharmacy
department information
Compiled in a patient-centered electronic
record repository
Complemented by other clinical
documentation
Filled by electronic order entry with
decision support and result reporting
Completely electronic image management
Automated clinical decision support;
closed loop medication administration
Paperless patient record environment and
data continuity for highest quality of care
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 5
Clinical Decision Support … 3 levels – from error checking to pathway optimisation
11/22/2011
Level 3: rules engine
triggered by physician /
clinical documentation
proposes pathways
Level 2: rules engine
firing during order entry
Level 1: conflict checking
during order entry
System: low - OrderComm checks for duplicate
orders, and order components within group orders
User: low – if no alternative orders are accepted
Level Requirements
System: medium - CPOE with rules engine
populated with purchased or user developed clinical
rules for prescriptions, appropriate sequencing, etc.
User: medium – user friendliness (one GUI – no
switching between systems); avoid “alert fatigue”
System: high – CPOE supports single and multiple
clinical pathways – pathways generate workflow
through inter-disciplinary orders; Physician
documentation in structured templates provides
clinical guidance such as suggested orders and
discrete data elements from medical devices feeds
rules engine to generate possible predictive alerts
User: high – trust based on involvement and clinical
evidence; IT follows process – not vice versa
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 6
Closed Loop Medication … key components and challenges
Medication orders pass CDS
and flow to Pharmacy
and/or Ward
Validation of order
and dispensing
of Unit Doses
(e.g. by ADM) with bar code or
complete prescription information
NB: compounded vs. packaged med.
ADM Secure identification of nurse,
patient and medication at POC by
bar code scanning or RFID
POC registration in eMAR
dual signature for critical meds
POC Administration
eMAR Update and availability
for review, override
management and
future CDSS
interactions
Pharmacy /
Nurse
optional
CPOE and/or
e-prescribing
11/22/2011
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe
Economic Impact of EMR Adoption
… What are the main ROI points?
• Reduction in “hard costs” of
– Duplicate medical orders
– Length of stay
– Adverse Drug Events (ADEs)
– Paper-based processing
• Transcription
• Scanning
• Storage
• “Soft costs and benefits”
– Reduction of cost of medical errors
– Workflow improvements
– Increase in medical staff satisfaction
– Increase in family and patient satisfaction
11/22/2011 7
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 8 11/22/2011
EMR Adoption in
Norway
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 9
Gap Analysis … EMRAM-critical Systems
Software Application Relevant for
Stage…
Missing in x of
11 hospitals
Pharmacy Management System 1 3
Order Communication 3 3
Electronic Medication Administration
Record (EMAR)
3 5
Computerized Practitioner Order Entry
(CPOE)
4 4
ePrescribing 4 6
Clinical Decision Support (CDSS) 6 6
Clinical Workflow Management System 6 5
Key gaps and recommended order of deployment:
11/22/2011
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 10
Contact at Helse Sør-Øst RHF
11/22/2011
For more information on our collaboration – please get in touch:
Terje Wistner
Leder, programområder og leverandørstyring
Chief Program Officer
Helse Sør-Øst RHF
Mobil: +47 414 76 974
Epost: [email protected]
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 11
Questions & Answers
Uwe Buddrus Managing Director
HIMSS Analytics Europe
Schwägrichenstraße 9
04107 Leipzig, GERMANY
e-mail: [email protected]
phone: +49 341 333 95 111
For further information please visit: www.himssanalytics.eu
11/22/2011
For anything else – please get in touch:
Benchmarking HIT Adoption in European Healthcare Organisations
© Copyright by HIMSS Analytics Europe 12
HIMSS Europe Events
11/22/2011
Join HIMSS Europe at:
20 – 22 November, 2011 I Geneva, Switzerland
7 – 9 May, 2011 I Copenhagen, Denmark
