24th Annual HIMSS Leadership Survey            March 4, 2013
Panelists•   Steve Lieber     –   CEO HIMSS•   Willa Fields, DNSc, RN, FHIMSS     –   Professor in the School of Nursing, ...
Methodology• Data collected from December 2012 to February 2013   – Web-based survey• 298 respondents   – Senior IT execut...
Survey Headlines• Healthcare organizations are making strong progress  towards federal mandates   – Two-thirds have alread...
FEDERAL INITIATIVES
Business Issue with Most Impact on                      Healthcare                     Healthcare Reform                  ...
Primary Clinical IT Focus                 Fully Operational EHR in Place                                           19%    ...
Area that IT Can Most Impact Patient Care              Improving Quality Outcomes                                         ...
Top IT Priority – Next Two Years             Achieving Meaningful Use                                        28%          ...
Percent of Organizations that Expect to       Qualify for Meaningful Use Stage 1                   Have Already Attested  ...
Level of Investment Made by Healthcare     Organizations in Meaningful Use Stage 1               No Investment Made       ...
Expected Return on Investment From                Meaningful Use Stage 1                 Less than $2 Million             ...
Expected Timeline to Qualify for Meaningful                 Use Stage 2                      2014                    75%  ...
Expected Timeline to Qualify for Meaningful                 Use Stage 2             No Additional Funds                   ...
Expected Return on Investment From                Meaningful Use Stage 2                 Less than $2 Million             ...
Primary Financial IT Focus                      Implementing ICD-10                       47%                             ...
Preparedness to Meet ICD-10                Deadline in 2014                      Yes               87%                    ...
Level of Investment in ICD-10 Conversion               No Additional Funds         4%                    Under $250,000   ...
IT STAFFING
Most Significant Barrier to Implementing IT                  Lack of Staffing Resources                             21%   ...
IT Staffing Change – Next 12 Months                                            51%                    Increase            ...
Top Ten IT Staffing Needs            Clinical Application Support                          34%          Network/Architectu...
IT BUDGETS
Key Business Objective               Sustain Financial Viability                                               21%        ...
Change In IT Budget                                                      47%          Definitely Increase                 ...
Reason for Budget Increase                      Overall Growth in Systems                                 58%             ...
OTHER HEADLINES
Primary Infrastructure IT Focus                          Security Systems                                               22...
Security Breach                               10%          In Last Six Months                                     13%     ...
Top Security Concerns      Securing Information on Mobile Devices                                           36%           ...
HIE Adoption                Dont Know What an HIE Is     3%                                              2%               ...
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HIMSS slides: IT leaders show MU, ICD-10 progress but fear staff shortages

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HIMSS slides: IT leaders show MU, ICD-10 progress but fear staff shortages

  1. 1. 24th Annual HIMSS Leadership Survey March 4, 2013
  2. 2. Panelists• Steve Lieber – CEO HIMSS• Willa Fields, DNSc, RN, FHIMSS – Professor in the School of Nursing, San Diego State University – HIMSS Board Chair• Mitzi Cardenas – Sr. VP Strategy, Business Development/CIO, Truman Medical Center• Milisa Rizer, MD – CMIO, Ohio State University• Mike Rozmus – VP & CIO, RMH Healthcare• Steve Fanning – Vice President, Healthcare Industry Strategy, Infor• Jennifer Horowitz – Senior Director, Research
  3. 3. Methodology• Data collected from December 2012 to February 2013 – Web-based survey• 298 respondents – Senior IT executives – Represent nearly 600 hospitals in the United States
  4. 4. Survey Headlines• Healthcare organizations are making strong progress towards federal mandates – Two-thirds have already qualified for Meaningful Use Stage 1 – Three-quarters expect to qualify for Stage 2 in 2014 – 87 percent expect to complete ICD-10 conversion on time• IT staffing is still a concern – 21 percent are concerned they won’t be able to secure IT staff – Need is greatest for clinical applications – 51 percent plan to increase staff in the next year
  5. 5. FEDERAL INITIATIVES
  6. 6. Business Issue with Most Impact on Healthcare Healthcare Reform 37% 40% Financial Considerations 16% 14% Policy Mandates 14% 23% Health Information Exchange 8% 8% Shifting Healthcare Landscape 7% 3% Technology Considerations 4% 5% Consumer Considerations 4% 3% Privacy/Security Issues 4% 3% Staffing Issues 2% 2% Hospital Infrastructure Needs 1% 0% 2013 2012N = 298
  7. 7. Primary Clinical IT Focus Fully Operational EHR in Place 19% 25% Focus on Physician Systems 16% 16% Linking Clinical Systems to Quality Measures 16% 15% Installing CPOE 10% 16% Data Warehouse/Clinical Analytics 10% 9% Creating Continuity of Care Record 7% 0% Closed Loop Medication Administration 3% 3% Establishing Clinical Protocols 3% 2% Certification of EHR 2% 4% Installing/Upgrading CDR 2% 2% Installing/Upgrading Ancillary 2% 1% Focus on Consumer Technology 2% 2013 Not Applicable Focus on Nursing Systems 2% 2% 2012N = 298
  8. 8. Area that IT Can Most Impact Patient Care Improving Quality Outcomes 31% 38% Reducing Medical Errors 25% 22% Standardizing Clinical Care 12% 16% Supporting Staff Productivity 8% 7% Sharing Information Externally 7% 5% Enabling Remote Access of Data 5% 3% Providing Competitive Advantage 4% 6% Providing Remote Monitoring of Patients 3% 0% Improving Patient Access to Information 2% Not Applicable Ensuring that Data is Secure/Private 1% 0% 2013 2012N = 298
  9. 9. Top IT Priority – Next Two Years Achieving Meaningful Use 28% 38% Optimizing Use of Current Systems 20% 12% Leveraging Information 17% 13% Focus On Clinical Systems 11% 15% Completing ICD-10 Conversion 9% 11% Interoperability 6% 3% Exchange Info with Other Entities 2% 1% Healthcare Consumer Issues 2% 1% Focus on Ambulatory Systems 2% 2% Securing Patient Information 1% 1% 2013 Integration of IT and Medical Devices 1% 0% 2012N = 298
  10. 10. Percent of Organizations that Expect to Qualify for Meaningful Use Stage 1 Have Already Attested 66% Will until by 2013 to Attest 24% Expect to Attest by end of 2012 4% Not Planning to Attest 1% Dont Know 5%N = 297
  11. 11. Level of Investment Made by Healthcare Organizations in Meaningful Use Stage 1 No Investment Made 5% 5% Under $250,000 14% 14% $250,000 to $499,999 9% 11% $500,000 to $999,999 10% 7% $1 Million to $2 Million 17% 14% $3 Million to $4 Million 11% 13% $5 Million to $9 Million 6% 10% $10 Million to $19 Million 6% 4% $20 Million or More 5% 3% Prefer Not to Disclose 7% 8% Not Applicable 3% 2% Dont Know 7% 8% 2013 2012N = 297
  12. 12. Expected Return on Investment From Meaningful Use Stage 1 Less than $2 Million 30% $2 Million to $3 Million 23% $4 Million to $5 Million 16% $6 Million to $7 Million 5% $8 Million to $9 Million 3% $10 Million or More 7% Not Applicable 1% Prefer Not to Disclose 9% Dont Know 6%N = 255
  13. 13. Expected Timeline to Qualify for Meaningful Use Stage 2 2014 75% 2015 15% 2016 or Later 1% No Plans 4% Dont Know 6%N = 297
  14. 14. Expected Timeline to Qualify for Meaningful Use Stage 2 No Additional Funds 11% Under $250,000 14% $250,000 to $499,999 15% $500,000 to $999,999 9% $1 to $2 Million 12% $3 to $4 Million 6% $5 to $9 Million 6% $10 to $14 Million 1% $15 to $19 Million 0% $20 Million or More 0% Prefer Not to Disclose 6% Dont Know 17% Not Applicable 3%N = 297
  15. 15. Expected Return on Investment From Meaningful Use Stage 2 Less than $2 Million 38% $2 Million to $3 Million 18% $4 Million to $5 Million 7% $6 Million to $7 Million 3% $8 Million to $9 Million 2% $10 Million or More 4% Prefer Not to Disclose 9% Not Applicable 1% Dont Know 17%N = 255
  16. 16. Primary Financial IT Focus Implementing ICD-10 47% 67% Upgrading Financial Analytics Systems 15% Not Applicable Upgrading Patient Billing System 12% 6% Upgrading Patient Access System 4% 2% Implementing Enterprise Scheduling 4% 1% Medical Necessity Checking Solutions 2% 1% Web Enabling Registration Process 2% 2% Eligibility Transactions with Payers 1% 1% Web Enabling Patient Scheduling 1% 1% Upgrading Encoding System 0% 0% Direct Claims Transactions 0% 0% 2013 2012N = 298
  17. 17. Preparedness to Meet ICD-10 Deadline in 2014 Yes 87% No 4% Dont Know 9%N = 298
  18. 18. Level of Investment in ICD-10 Conversion No Additional Funds 4% Under $250,000 21% $250,000 to $499,999 8% $500,000 to $999,999 10% $1 Million to $2 Million 9% $3 Million to $4 Million 4% $5 Million to $9 Million 2% $10 Million to $14 Million 1% $15 Million or More 0% Not Applicable 1% Prefer Not to Disclose 6% Dont Know 33%N = 296
  19. 19. IT STAFFING
  20. 20. Most Significant Barrier to Implementing IT Lack of Staffing Resources 21% 21% Lack of Adequate Financial Support 15% 14% Vendor Inability to Deliver Product 13% 12% Difficulty in End User Acceptance 7% 9% Lack of Time Commitment from… 6% 7% Lack of Strategic IT Plan 4% 3% Lack of Interoperable Systems 4% 4% Lack of Clinical Leadership 4% 6% Difficulty Proving ROI 4% 4% Constraints at a Regional Level 3% 4% 2013 2012N = 298
  21. 21. IT Staffing Change – Next 12 Months 51% Increase 61% 38% No Change 32% 7% Decrease 5% 2013 2012N = 296
  22. 22. Top Ten IT Staffing Needs Clinical Application Support 34% Network/Architecture Support 21% Clinical Informatics 18% IT Security 18% System Integration 14% Process/Workflow 12% PC/Server Support 12% Clinical Transformation 12% Database Administration 10% Help Desk 10% User Training 10%N = 298
  23. 23. IT BUDGETS
  24. 24. Key Business Objective Sustain Financial Viability 21% 15% Improve Patient Care 19% 21% Improve Operational Efficiency 17% 13% Achieve Meaningful Use 15% 24% Accountable Care Organization 9% 8% Increase Market Share 9% 12% Improve Patient Satisfaction 4% 4% Grow Through Acquisition 4% Not Applicable Attract Qualified Staff 1% 1% 2013 2012N = 298
  25. 25. Change In IT Budget 47% Definitely Increase 56% 29% Probably Increase 19% 15% No Change 12% 6% Probably Decrease 5% 2% Definitely Decrease 2% 2013 2012N = 298
  26. 26. Reason for Budget Increase Overall Growth in Systems 58% Additional Staffing Needed 52% Overall Budget Increases 42% Need to Comply with Regulatory Changes 42% Need to Upgrade IT Infrastructure 40% Increase in Long-Term IT Plan 23% Addition of Facility 18% Merger/Partnership 10% Partnership with another organization 9% Competitive Market Threats 9% Ability to Prove ROI 8% Business Requirements to Invest in E-Business 5%N = 298
  27. 27. OTHER HEADLINES
  28. 28. Primary Infrastructure IT Focus Security Systems 22% 16% Servers/Virtual Servers 18% 19% Mobile Devices 16% 18% Storage and Backup 12% 8% Desktops/Virtual Desktops 10% 16% Cloud Computing 5% 3% Wired/Wireless Networking 3% 7% Telemedicine 3% 2% Deploying Vendor Neutral Archive 3% Not Applicable Other 6% 9% 2013 2012N = 298
  29. 29. Security Breach 10% In Last Six Months 13% 19% In Last 12 Months 22% 2013 2012N = 298
  30. 30. Top Security Concerns Securing Information on Mobile Devices 36% 6% Compliance with HIPAA and CMS Regulations 28% 34% Internal Breach of Security 27% 32% Data Leakage 16% 12% External Breach of Security 10% 13% Limits of Existing Technology 8% 10% Inadquate Funding for Security Systems 8% 13% Patients Lack of Confidence in Security… 6% 4% Unauthorized Use by Third Parties 5% 7% Connecting IT at Remote Locations 4% 5% Inadequate Security Systems in Place 4% 32% Lack of Compliance with BAA 0% 3% No Concerns 3% 4% 2013 2012N = 298
  31. 31. HIE Adoption Dont Know What an HIE Is 3% 2% No Plans to Participate 25% 26% HIE in our Area/Dont Participate 21% 22% Required to Participate 6% 6% Participate in HIE 51% 49% Participated in Failed HIE 3% 4% Dont Know 2% 2% 2013 2012N = 298

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