The 2018 OPEN MINDS Health & Human

Transcription

1 The Tech-Enabled Provider Organization: The 2018 OPEN MINDS Health & Human Services Technology Survey T h e O P E N M I N D S T e c h n o l o g y & I n f o r m a t i c s I n s t i t u t e O c t o b e r 2 3, : : 0 0 a m M o n i c a E. O s s, C h i e f E x e c u t i v e O f f i c e r, O P E N M I N D S Sponsored By 15 Lincoln Square, Gettysburg, Pennsylvania info@openminds.com

2 Top 10 Adopted Technologies By Specialty Provider Organizations, %, 2018 Electronic health record (EHR) Referral tracking/database eprescribing tools & technologies Practice management technologies & services Health information exchange Fundraising tools & technologies 53% 64% 63% 62% 57% 86% The Technologies Most Frequently Adopted By Specialty Provider Organizations, %, 2018 Telehealth/remote therapy Population segmentation/analytics/risk Clinical decision support technology 52% 5 46% Consumer health portal Consumer tech-enabled outreach/engagement tools 43% 43%

3 Technology Adoption By Specialty Provider Organization Type Technology Total, % Child, % Behavioral Health, % IDD & LTSS, % Primary Care, % Electronic health record (EHR) 86% 85% 96% 73% 8 Referral tracking, referral database 64% 67% 67% 49% 71% eprescribing tools and technologies 63% 55% 79% 36% 69% Practice management technologies and services 62% 51% 7 47% 76% Health information exchange 57% 49% 65% 46% 63% Fundraising tools and technologies 53% 67% 45% 56% 51% Telehealth/remote therapy 52% 44% 7 25% 53% Population health management segmentation, risk stratification, analytics 5 42% 57% 37% 57% Clinical decision support technology 46% 36% 57% 29% 53% Consumer health portal 43% 35% 5 24% 61% Consumer tech-enabled outreach/engagement tools 43% 38% 44% 29% 63% Dictation tools and services 37% 35% 46% 15% 47% Consumer disease state/medication management technologies and services 21% 2 14% 22% 39% Remote monitoring (i.e. smart home, wearable monitoring) 15% 5% 13% 29% 16% Consumer companion robots 5% 9% 1% 3% 1

4 Technology Adoption By Specialty Provider Organization Technology Total, % Less Than $10 Million, % $10-$50 Million, % More Than $50 Million, % Electronic health record (EHR) 86% 78% 93% 91% Referral tracking, referral database 64% 6 65% 72% eprescribing tools and technologies 63% Practice management technologies and services 62% % Health information exchange 57% 47% 6 78% Fundraising tools and technologies 53% 43% 59% 65% Telehealth/remote therapy 52% 4 59% 67% Population health management segmentation, risk stratification, analytics 5 42% 54% 59% Clinical decision support technology 46% 36% 51% 61% Consumer health portal 43% 32% 48% 65% Consumer tech-enabled outreach/engagement tools 43% 41% 4 57% Dictation tools and services 37% 26% 4 61% Consumer disease state/medication management technologies and services 21% 16% 21% 35% Remote monitoring (i.e. smart home, wearable monitoring) 15% 12% 17% 2 Consumer companion robots 5% 4% 3% 9%

5 EHR & Health Information Exchange Adoption, By Market, %, 2018 EHR & Health Information Exchange Adoption, By Market, %, Electronic health record (EHR) Health information exchange % 65% 85% 49% 73% 46% 8 63% 4 2 Behavioral Health Child Services I/DD & LTSS Primary Care 5

6 Consumer Portal & Engagement Tool Adoption, By Market, %, 2018 Consumer Portal & Engagement Tool Adoption, By Market, %, Consumer health portal Consumer tech-enabled outreach/engagement tools 61% 5 44% 38% 35% 29% 24% 63% 1 Behavioral Health Child Services I/DD & LTSS Primary Care 6

7 Telehealth & Remote Monitoring Adoption, By Market, %, 2018 Telehealth & Remote Monitoring Adoption, By Market, %, Telehealth/remote therapy Remote monitoring % 53% 3 25% 29% % 5% 16% Behavioral Health Child Services I/DD & LTSS Primary Care 7

8 Specialty Provider Organization IT Budgets, Less Than $10 Million In Revenue, %, 2018 Provider Organization IT Budget, Less Than $10 Million In Revenue, %, % % 2 1 4% 4% Under $100,000 $100,001-$500,000 $500,000- $1 Million More than $1 Million 8

9 Specialty Provider Organization IT Budgets, $10-$50 Million In Revenue, %, 2018 Provider Organization IT Budget, $10-$50 Million In Revenue, %, % % 12% 18% Under $100,000 $100,001-$500,000 $500,000- $1 Million More than $1 Million 9

10 Specialty Provider Organization IT Budgets, More Than $50 Million In Revenue, %, 2018 Provider Organization IT Budget, More Than $50 Million In Revenue, %, % % 21% Under $100,000 $100,001-$500,000 $500,000- $1 Million More than $1 Million 10

11 Number Of Full-Time Technology Employees In Specialty Provider Organizations With Less Than $10 Million In Revenue, %, Full-Time Technology Employees In Specialty Provider Organizations With Less Than $10 Million In Revenue, %, % Fewer than 1 Employee 21% 5% 6% 1% 2-3 FTEs 4-5 FTEs 6-10 FTEs 11 or more FTEs 11

12 Number Of Full-Time Technology Employees In Specialty Provider Organizations $10-$50 Million In Revenue, %, % Full-Time Technology Employees In Specialty Provider Organizations With $10-$50 Million In Revenue, %, % 3 25% 2 15% 16% 2 21% 1 9% 5% Fewer than 1 Employee 2-3 FTEs 4-5 FTEs 6-10 FTEs 11 or more FTEs 12

13 Number Of Full-Time Technology Employees In Specialty Provider Organizations With More Than $50 Million In Revenue, %, Full-Time Technology Employees In Specialty Provider Organizations With More Than $50 Million In Revenue, %, % % 2 1 Fewer than 1 Employee 9% 2-3 FTEs 4-5 FTEs 6-10 FTEs 11 or more FTEs 13

14 Key Takeaways 1. Technology adoption is uneven among specialty provider organization segment While 86% of specialty health and human services provider organizations have an electronic health record, only 57% are part of a health information exchange (HIE) and 5 have population health management capabilities. HIE and VBR will be a key differentiator in decision to keep/replace an EHR. Telehealth adoption is highest among behavioral health provider organizations at 7. Only 53% in primary care organizations with large growth expected there. 63% of primary care organizations are much more likely to use consumer engagement tools and 29% of LTSS organizations use remote monitoring. Adoption likely to increase across all types of specialty organizations with increasing VBR. 2. Overall, U.S. health care providers spend 3.5% and 4.3% of revenue on technology budget $350,000 to $430,000 per $10M in revenue. Is that the right benchmark? This figure is 7.2% in financial services and 5.8% in business services. 3. Specialty provider organizations are not at that benchmark amount. Under-investment in technology is a key issue in smaller specialty provider organizations. This is not true in other fields. National business survey found small and mediumsized for-profit companies often outspend larger ones. The average small company spends 6.9% of revenue on technology, while midsized companies spend 4.1%. Larger companies spent 3.2% of revenue. 4. Linking technology investment to strategy linkage is essential to success performance, competitive advantage, and sustainability.

15 The Tech-Enabled Provider Organization: The 2018 OPEN MINDS Health & Human Services Technology results will be available online courtesy of Credible Behavioral Health 15

16 Technology Definitions Term Electronic health record (EHR) Referral tracking/database eprescribing tools and technologies Practice management technologies and services Health information exchange Fundraising tools and technologies Telehealth/remote therapy Population segmentation/risk stratification/population analytics Clinical decision support technology Definition A digital version of an individual s health record that are available instantly and securely to authorized users. Most EHRs are tools that can be used to store information, communicate with other systems, offer clinical decision support, billing, etc. Software including customer relationship manager (CRM) that allows provider organizations to track information related to incoming and outcoming consumer referrals. Software and equipment used to facilitate the electronic prescribing of drugs. Software and technologies that assist with billing, revenue cycle management, dashboards, clinical and administrative workflows, etc. The electronic sharing of data across a defined network and geography Customer relationship management (CRM) tools, general fundraising platforms, marketing and tools, event management software, etc. The use of secure video or telephonic connection to provide health care services and to store and forward imaging. The use of data to divide consumers into different groups based on their health status, demographics, and other relevant characterstics. Electronic tools or software that enhance decisionmaking in the clinical workflow providing prompts, documentation templates, diagnostic support, reference materials, among others.

17 Technology Definitions Term Consumer health portal Consumer tech-enabled outreach/engagement tools Dictation tools and services Consumer disease state/medication management technologies and services Remote monitoring (i.e. smart home, wearable monitoring) Consumer companion robots Concierge health care services (i.e. medical retainers) Definition A secure online website that gives consumers access to their health information and often allows consumer to book appointments, request prescription refills, make payments, complete forms, etc. Apps, online programs, text messaging, and other tools that assist provider organizations and clinical professionals in engaging consumers in treatment. Software that converts audio recordings to text Pill dispensers, medication alerts, clinical decision support systems, computerized physician order entry, and other software designed to assist with the medication management activities. Digital technologies and tools that can collect data related to health care and activities of daily living and transmit them to one secure location to be viewed by clinical professionals. Robots that provide assistance with daily task, act as educational tools, and can help reduce loneliness. Consumers pay a fixed fee out-of-pocket for a physician to deliver primary care services usually with increased benefits such as longer appointments, easier access, and house calls.

18 Definition Of IT Budget IT budgets include hardware, software, networks, IT consultation services, outsourced projects/functionality, and information technology staff 18