CHIME's Most Wired survey highlights progress, gaps in health IT adoption
- Interoperability is improving in healthcare, but providers still have a ways to go to achieve the kinds of operational and workflow efficiencies envisioned with health information technologies, according to an analysis of CHIME’s latest Most Wired survey.
- Nearly all organizations report at least 95% of their clinicians regularly access clinical information electronically. Respondents report also nearly all of their doctors electronically access their EHR, medical images, clinical guidelines and other references.
- Yet only about half of physicians can tap into those resources using mobile applications and many lack access to secure messaging, the survey finds. CHIME presented the survey results this week at its Fall CIO Forum in San Diego.
Major gaps also persist in integrating EHRs with patient monitoring equipment, the report shows. For example, just one-fourth of respondents report sending data from IV pumps directly to EHRs, and only one in 10 organizations send data from in-bed scales.
Tracking of hospital-acquired infections also has room for improvement. While 59% of organizations integrate such data with their EHR, 33% store the data electronically and 8% still rely on manual processes.
Meaningful Use certification has helped to drive interoperability and data exchange. More than nine in 10 (94%) of respondents are able to receive information from continuity of care documents and 97% can contribute to them, in most cases from external hospitals and physician practices.
The report also looks at progress in a range of areas, including patient engagement, security and disaster recovery, population health management and value-based care, patient engagement and telehealth.
Despite cybersecurity threats to hospital networks and connected medical technologies, just 29% of organizations have a comprehensive security program, the report shows. Of those, however, nearly a third (31%) do not meet with their executive committee or meet less than once a year to discuss current security concerns.
Basic authentication and health IT safeguarding procedures are also lacking at many organizations. Among survey respondents, 10% lack mobile device management, 12% lack unique use identifications or physical device locks, 14% lack encryptions for removable storage devices and 18% lack encryption for backups.
Other key survey findings:
- 57% percent of healthcare organizations use claims data and a health information exchange to identify gaps in care, yet only about 25% use such resources are able to access registry data at the point of care.
- Most organizations’ population health initiatives target major ailments like heart disease and hypertension, as opposed to behavioral health, sickle cell anemia or end-stage renal disease.
- Roughly a quarter of organizations have adopted real-time patient engagement, with patient portals and secure messaging being the most common vehicles. While a third support patient engagement-related staff activities, less than one-third engage patients on issues like dietary restrictions and discharge planning.
- Just over one-fourth of organizations (27%) provide consumers with pricing information for common procedures.