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HIMSS Analytics Recognizes Three-State Group of Ambulatory Clinics with Stage 7 Award

CHICAGO (April 11, 2013) – Since 2005, HIMSS Analytics has tracked progress of electronic medical record implementation with its EMR Adoption Model? (EMRAM) for hospitals. Now, HIMSS Analytics announces that 54 Essentia Health ambulatory clinics, located in Minnesota, North Dakota and Wisconsin, have reached Stage 7 on The Ambulatory EMR Adoption ModelSM (A-EMRAM).

Developed in 2011, the EMR Ambulatory Adoption Model provides a methodology for evaluating the progress and impact of electronic medical record systems for ambulatory facilities owned by hospitals in the HIMSS Analytics™ Database.  These facilities include physician practices, clinics, outpatient centers and specialty clinics. Tracking their progress in completing eight stages (0-7), ambulatory facilities can review the implementation and use of IT applications with the intent of reaching Stage 7, which represents an advanced electronic patient record environment.

Stage 7 ambulatory facilities:

  • Deliver patient care without the use of paper charts;
  • Use their EMR and patient portal to drive patient engagement, and thus, improved health status through better health maintenance;
  • Use their vast database of clinical information and evidence based practice guidance to improve  outcomes using business intelligence solutions; and
  • Are able to share patient information through private and public health information exchanges (HIE), which improves communications, speeds up appropriate care delivery, and ultimately, reduces unnecessary consumption.

The validation process confirms ambulatory facilities have reached Stage 7 with a site visit conducted by an executive from HIMSS Analytics and a Chief Medical Information Officer with ambulatory deployment experience to ensure an unbiased evaluation of the Stage 7 environments.  Visiting a representative ambulatory clinic or clinics that deployed the same EMR applications and software, the validation team conducts both a comprehensive system overview and an analytics review to ensure improved health status indicators and understanding of the effectiveness of their patient engagement strategy.

“Having a common electronic medical record that spans our integrated delivery system is a key strategy for Essentia Health.  As we focus on changing models of care, quality initiatives and new payment models, our EMR has been instrumental in allowing Essentia to adapt quickly to these trends,” says Dennis Dassenko, Chief Information Officer, Essentia Health System.

“Rich ambulatory health IT tools and real-time analytics have provided operational and clinical leadership the opportunity to change care models as we become an Accountable Care Organization (ACO).  It also allows us to improve patient care by closing care gaps and improving quality metrics,” says Thomas H. Wiig, MD, FACS, Chief Medical Informatics Officer, Essentia Health.  “Patient involvement on care councils and at medical section meetings has provided valuable feedback about optimizing our secure patient portal and other patient care tools, and adds to our goal of increased patient engagement.”

“Essentia operates in a paperless environment using its fully deployed, multi-specialty EMR as the backbone for its comprehensive analytics program, which is tied to a patient engagement strategy resulting in improved health status in asthma care and congestive heart failure,” says John P. Hoyt, FACHE, FHIMSS, Executive Vice President, HIMSS Analytics. “Serving a wide geographic area over several states, the Essentia clinics have adapted their program to fit a complex environment. With improved documentation, the claims denial rate has plummeted from the mid-teens to only 1 percent.”

As the current data on the A-EMRAM indicates, as of March 30, 2013, HIMSS Analytics has recognized only:

  • 1.10 percent of 19,234 ambulatory facilities at Stage 6; and
  • 0.9 percent of 19,234 ambulatory facilities at Stage 7.

An explanation of each stage appears on the HIMSS Analytics website. Visit the HIMSS Analytics website for more information on the A-EMRAM.

About HIMSS Analytics

HIMSS Analytics is a wholly owned not-for-profit subsidiary of the Healthcare Information and Management Systems Society. The company collects and analyzes healthcare data related to IT processes and environments, products, IS department composition and costs, IS department management metrics, healthcare trends and purchase-related decisions. HIMSS Analytics delivers high quality data and analytical expertise to healthcare delivery organizations, healthcare IT companies, state governments, financial companies, pharmaceutical companies, and consulting firms.  Visit www.himssanalytics.org/ for more information.

May 28, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Health IT Advances as HIMSS Analytics Names First Stage 7 Ambulatory Clinics

CHICAGO (April 09, 2013) – Since 2005, HIMSS Analytics has tracked progress of electronic medical record implementation with its EMR Adoption Model? (EMRAM) for hospitals. Now, HIMSS Analytics announces the ambulatory clinics of NorthShore University HealthSystem as the first group of ambulatory facilities to reach Stage 7 on The Ambulatory EMR Adoption ModelSM (A-EMRAM).

Developed in 2011, the EMR Ambulatory Adoption Model provides a methodology for evaluating the progress and impact of electronic medical record systems for ambulatory facilities owned by hospitals in the HIMSS Analytics™ Database. These facilities include physician practices, clinics, outpatient centers and specialty clinics. Tracking their progress in completing eight stages (0-7), ambulatory facilities can review the implementation and use of IT applications with the intent of reaching Stage 7, which represents an advanced electronic patient record environment.

Stage 7 ambulatory facilities:

  • Deliver patient care without the use of paper charts;
  • Use their EMR and patient portal to drive patient engagement, and thus, improved health status through better health maintenance;
  • Use their vast database of clinical information and evidence based practice guidance to improve  outcomes using business intelligence solutions; and
  • Are able to share patient information through private and public health information exchanges (HIE), which improves communications, speeds up appropriate care delivery, and ultimately, reduces unnecessary consumption.

The validation process confirms ambulatory facilities have reached Stage 7 with a site visit conducted by an executive from HIMSS Analytics and a Chief Medical Information Officer with ambulatory deployment experience to ensure an unbiased evaluation of the Stage 7 environments.  Visiting a representative ambulatory clinic or clinics that deployed the same EMR applications and software, the validation team conducts both a comprehensive system overview and an analytics review to ensure improved health status indicators and understanding of the effectiveness of their patient engagement strategy.

“It is an honor to be recognized by HIMSS Analytics as the first organization to achieve Stage 7 with its ambulatory clinics.  It is a testament to our leadership team and the work done by our clinicians and medical group, as well as our operations, information technology, analytics and training personnel,” said Steven Smith, Chief Information Officer at NorthShore.  “Their dedication and commitment to working together and improving the safety and quality of care for our patients is what differentiates NorthShore.”

As the current data on the A-EMRAM indicates, as of March 30, 2013, HIMSS Analytics has recognized only:

  • 1.10 percent of 19,234 ambulatory facilities at Stage 6; and
  • 0.9 percent of 19,234 ambulatory facilities at Stage 7.

An explanation of each stage appears on the HIMSS Analytics website.

”The ambulatory clinics at NorthShore University HealthSystem offer a fully deployed, multi-specialty EMR, which is utilized in a completely paperless environment with a comprehensive analytics program that combines demographics and disease occurrence for informing public health agencies. Combined with their acute care environment, these clinics represent a comprehensive view of the patient’s medical record to all caregivers in any clinic location. Their patient engagement strategy has proven to enhance market share and significantly reduce ‘patient leakage’ to other providers in the crowded Chicago market,” says John P. Hoyt, FACHE, FHIMSS, Executive Vice President, HIMSS Analytics.

Visit the HIMSS Analytics website for more information on the A-EMRAM.

About HIMSS Analytics

HIMSS Analytics is a wholly owned not-for-profit subsidiary of the Healthcare Information and Management Systems Society. The company collects and analyzes healthcare data related to IT processes and environments, products, IS department composition and costs, IS department management metrics, healthcare trends and purchase-related decisions. HIMSS Analytics delivers high quality data and analytical expertise to healthcare delivery organizations, healthcare IT companies, state governments, financial companies, pharmaceutical companies, and consulting firms.  Visit www.himssanalytics.org/ for more information.

April 30, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 5 blogs containing over 11,000 articles with John having written over 5500 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 18 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

HIMSS Analytics Introduces Framework for Ambulatory Health IT Adoption

In 2009, the National Ambulatory Medical Care Survey reported 1 billion visits to office-based physicians in the United States

CHICAGO (June 11, 2012) – With U.S. healthcare focused on improving care delivery with meaningful use of health information technology, HIMSS Analytics continues to track progress of electronic medical record implementation with its EMR Adoption Model (EMRAM) for hospitals, and now, for ambulatory facilities.  The Ambulatory EMR Adoption ModelSM (A-EMRAM) now tracks IT adoption in more than 28,000 ambulatory facilities in the HIMSS Analytics® Database that are part of a hospital or hospital system, such as physician practices, clinics, outpatient centers and specialty clinics.

HIMSS Analytics recognized the need for this evaluation tool, since more than 26 percent of healthcare expenditures relate to ambulatory care, according to the Centers for Medicare &  Medicaid Services.  “We want to identify the vital health IT systems, and best practices around the use of those systems, while at the same time, provide industry research to help guide ambulatory facilities as they strive to adopt health IT systems that improve outcomes and patient convenience,” says John P. Hoyt, FACHE, FHIMSS, Executive Vice President, HIMSS Analytics.

Software and healthcare providers reviewed the A-EMRAM during its development providing valuable feedback and guidance to HIMSS Analytics in establishing realistic and achievable metrics for each stage.  Just as with hospitals, HIMSS Analytics will conduct an on-site visit of ambulatory facilities to verify the Stage 7 ranking.

The A-EMRAM offers a framework for dialogue on IT implementation not only in the United States, but also, in Canada, Europe, the Middle East and Asia, where HIMSS Analytics will use this tool. “We want to ‘push the market’ because we believe ambulatory facilities should be able to reach Stage 7 with the health IT software now available in the marketplace. However, we also know it will take some time for these same facilities to achieve this level of sophistication, which requires participation in a health information exchange, use of a community medical record and analysis and application of clinical and business intelligence to help improve patient care.”

The A-EMRAM now measures those ambulatory facilities tethered to a hospital or hospital system, and it can be adapted to include independent physician practices and other un-tethered ambulatory sites.  As the current data on the A-EMRAM indicates, of the 9,247  ambulatory facilities now reporting data in the HIMSS Analytics database, none is at Stage 7 and 1.2 percent rank at Stage 6.  Just over one-third, or 34 percent, is at Stage 2 with almost half, or 48 percent, paper-chart based at Stage 0.  An explanation of each stage appears on the HIMSS Analytics website.

Like the acute care EMRAM, the basic A-EMRAM construct was devised before the final definition of Meaningful Use Stage 1 for Eligible Providers.  HIMSS Analytics will publish a more detailed white paper on the correlations between the current meaningful use Stage 1 regulations for eligible providers, knowing that it may change when meaningful use Stage 2 regulations are finalized later in 2012.  However, most likely, an A-EMRAM Stage 4 facility will meet the criteria to qualify for Stage 1 incentives for meaningful use for Core measures and for five of the Menu measures including the public health objectives.

Visit theHIMSS Analytics website for more information on the A-EMRAM.
About HIMSS Analytics

HIMSS Analytics is a wholly owned not-for-profit subsidiary of the Healthcare Information and Management Systems Society. The company collects and analyzes healthcare data related to IT processes and environments, products, IS department composition and costs, IS department management metrics, healthcare trends and purchase-related decisions. HIMSS Analytics delivers high quality data and analytical expertise to healthcare delivery organizations, healthcare IT companies, state governments, financial companies, pharmaceutical companies, and consulting firms.  Visit www.himssanalytics.org/ for more information.

June 26, 2012 I Written By