WEDI 2015 Health Information Exchange Value and ROI Survey

Transcription

1 Welcome to the Workgroup for Electronic Data Exchange (WEDI) 2015 Health Information Exchange Value and ROI Survey. WEDI is a multi-stakeholder coalition dedicated to solving the most critical problems in healthcare. The leading authority on the use of Health IT to improve information exchange and thereby enhance quality of care, improve efficiency, and reduce costs, WEDI was named in the 1996 HIPAA legislation as an official adviser to the Secretary of Health and Human Services (HHS). Additional information about WEDI is available on our website. This survey is in response to the roadmap recently released by the Office of the National Coordinator of Health IT, and is intended to take the pulse of current electronic information exchange efforts among health plan, provider, and vendor organizations. Results of the survey will be de-identified and aggregated before being publicly shared to document progress and inform policy. The survey should take no more than 15 minutes to complete. Thank you in advance for sharing your perspectives on this important topic. NOTE: This document is intended for review purposes before being programmed into an instrument online through SurveyMonkey. Skip logic will be applied to answers from Question #1 to create tracks for 3 primary stakeholder groups, each of whom will be asked a different number of questions. You may click the hotlinks below to go directly to each section. Several other questions also use skip logic throughout the survey, each of which is indicated in red with a hotlink back to the original question. References to Likert indicate that a ratings scale will be programmed online for respondents to select from a range of options. PROVIDER TRACK... 2 HEALTH PLAN TRACK... 8 VENDOR TRACK OTHER TRACK... 16

2 DEMOGRAPHICS 1. Type of organization a. Commercial health plan b. State or federal Medicaid plan c. Ambulatory practice d. Hospital e. Independent practice association f. Integrated delivery system g. Long-term and post-acute care (home health, hospice, skilled nursing facilities, etc. h. EHR vendor i. PM vendor j. Other health IT vendor: k. Other: PROVIDER TRACK 2. (IF YES TO 1C, E, G) Please indicate the size of your organization according to the number of employed practitioners. a. Small (1-20) b. Medium (21-100) c. Large (more than 100) 3. (IF YES TO 1D OR F) Please indicate the size of your organization according to the number of beds. a. Small ( beds) b. Medium ( beds) c. Large (more than 500 beds) PATIENT MATCHING AND SECURITY 4. Approximately what percentage of electronic patient records from nonaffiliated organizations are able to be successfully matched electronically on the first pass without manual intervention? a. (Enter as a percentage) b. Unknown c. N/A 5. In addition to current first and last name, please rate the following data attributes below in terms of importance in electronically matching patient records at your organization. (Likert, 1, extremely unimportant, 2 somewhat unimportant 3 neither unimportant nor important; 4 somewhat important 5, extremely important, Unknown, N/A) a. Current middle/second given name

3 b. Previous last/family name c. Suffix d. Data of birth e. Current address f. Historical address g. Current phone number h. Gender i. Social security number 6. How often are the following used by for your organization for locating and/or linking electronic patient records? (Likert, 1, always, 2 often 3 sometimes, 4 rarely, 5 never, Unknown, N/A) a. Master patient index (MPI) b. Record locator service (RLS) c. Cross-community patient discovery (XCPD) d. Patient identity cross-reference adds/updates (PIX) e. Patient demographic query (PQQ) f. Other: 7. What is your organization s level of support for a universal patient identifier? (Likert, 1, strongly oppose, to 3, neither oppose or support, 5, strongly support) 8. How would a universal patient identifier impact the following issues at your organization? (Likert, 1, Likely to significantly hinder, to 3, No impact likely, to 5, likely to significantly improve, Unknown, N/A) a. Access to and exchange of accurate electronic health information b. Cost c. Coordination of care d. Safety e. Efficiency of care f. Security g. Other: 9. Please indicate the approximate percentage of electronic health data that is encrypted in the states below (0-25%, 25-50%, 50-75%, %, Unknown) a. At-rest b. Internal (in-transit) c. External (in-transit) 10. Do security concerns deter your organization from electronically exchanging health data in the following contexts? (Likert, 1, Yes, very much so, to 3, Somewhat, 5, No, not at all) a. Within your organization b. Outside your organization to affiliated organizations

4 c. Outside your organization to non-affiliated organizations 11. Do you have other comments on the encryption and security of data being electronically exchanged between organizations? a. DATA EXCHANGE ACTIVITY 12. How often are the following methods used to electronically exchange health information within your own organization? (Likert, 1, Never, to 3, Occasionally, to 5, Routinely; Unknown, N/A) a. Direct (secure electronic messaging) b. Query (retrieval of data from centralized repository) c. End-to-End Integration (interfaces automatically push information without requiring user initiation) d. Open RESTful API (web-based Representational State Transfer architecture) e. Other: 13. How often are the following methods used to electronically exchange health information with non-affiliated organizations? (Likert, 1, Never, to 3, Occasionally, to 5, Routinely; Unknown, N/A) a. Direct (secure electronic messaging) b. Distributed query (retrieval of data from independently hosted system) c. Centralized query (retrieval of data from centralized repository) d. End-to-End Integration (interfaces automatically push information without requiring user initiation) e. Other: 14. Please indicate the level of difficulty with which your organization is able to send clinical information electronically to the following non-affiliated healthcare organizations (Likert scale, 1, easy, 2, medium, to 3, difficult; Unknown, N/A) a. Physician or dental offices b. Health information exchange organizations (state, community, and/or regional) c. Health plans d. Hospital or health systems e. Imaging centers f. Laboratories g. Long-term and post-acute care h. Patients and caregivers i. Pharmacies j. Public health departments (local, city, county, and/or state)

5 k. Other: 15. Please indicate the level of difficulty with which your organization is able to receive clinical information electronically from the following non-affiliated healthcare organizations (Likert scale, 1, easy, 2, medium, 3, difficult; Unknown, N/A) a. Physician or dental offices b. Health information exchange organization (state, community, and/or regional) c. Health plan d. Hospital or health system e. Imaging centers f. Laboratories g. Long-term and post-acute care h. Patients and caregivers i. Pharmacies j. Public health department (local, city, county, and/or state) k. Other: 16. Please rate the level of difficulty with which your organization is able to perform the data activities below (Likert scale, 1, easy, 2, medium, 3, difficult; Unknown, N/A) a. Collect data electronically from different sources (EHR, devices, portal, etc.) b. Locate and link patient health records c. Integrate different types of electronic data (administrative, claims, patient-reported, etc.) without manual entry or review d. Blend structured and unstructured electronic data 17. Has your organization participated in the Meaningful Use EHR Incentive Program? a. Yes, we are currently participating b. Yes, we participated in Stage 1 and 2 but are dropping out c. Yes, we participated in Stage 1 but then dropped out d. No, we are eligible but have not participated e. No, we are not eligible and have not participated DATA EXCHANGE IMPACT AND BARRIERS 18. Please rate the level of financial challenges to electronic data exchange for the following at your organization. (Likert scale, 1 significantly challenging, to 3, somewhat challenging 5, not a challenge at all, N/A) a. Infrastructure costs b. Connection and set-up fees c. Ongoing transactional fees for exchanging data

6 d. Ongoing membership fees for participating in a Health Information Exchange network e. Training of staff f. Other: 19. If your organization is currently electronically exchanging health information, how have the areas below been impacted? (Likert scale, 1, significantly worsen, to 3, no impact, to 5, significantly improve; Unknown; N/A) a. Flow of information b. Efficiency of care (wait time, referrals, e-prescribing, etc.) c. Coordination of care d. Cost of care e. New payment models f. Provider satisfaction g. Population health management h. Quality of care i. Safety of care j. N/A My organization is not electronically exchanging data 20. If your organization plans to improve interoperability of electronic health information exchange in the next year, how are the areas below expected to be impacted? (Likert scale, 1, significantly worsen, to 3, no impact, to 5, significantly improve; Unknown; N/A) a. Flow of information b. Efficiency of care (wait time, referrals, e-prescribing, etc.) c. Coordination of care d. Cost of care e. New payment models f. Provider satisfaction g. Population health management h. Quality i. N/A My organization is not planning to improve interoperability. 21. (IF YES TO 23I ) Why is your organization electing not to focus on improving the interoperability of electronic health information exchange? a. 22. Are there any other significant benefits or challenges to interoperable health data exchange at your organization that this survey did not address? a. Benefits: b. Challenges:

7 Disclaimer: The information below is collected for internal purposes only to validate responses received from organizations. Individual responses will NOT be publicly shared, and all results will be de-identified and aggregated. 23. If you d like to receive a copy of your survey responses or be notified when results are released, please enter your contact information below: a. Name b. Title c. Organization name d. e. Phone

8 (IF YES TO QUESTION #Error! Reference source not found. ) HEALTH PLAN TRACK 2. Please estimate how many lives are covered by your organization: a. Very small (1-250,000) b. Small (250, ,000) c. Medium (500,001-2 million) d. Large (2 million - 5 million) e. Very large (more than 5 million) PATIENT MATCHING AND SECURITY 3. What is your organization s level of support for a universal patient identifier? (Likert, 1, strongly oppose, to 3, neither oppose or support, to 5, strongly support) 4. How would a universal patient identifier impact the following issues at your organization? (Likert, 1, Likely to significantly hinder, to 3, No impact likely, to 5, likely to significantly improve, Unknown, N/A) a. Access to and exchange of accurate electronic health information b. Cost c. Coordination of care d. Quality e. Efficiency f. Security g. Other: 5. Do security concerns deter your organization from electronically exchanging health data in the following contexts? (Likert, 1, Yes, very much so, to 3, Somewhat, to 5, No, not at all) a. Within your organization b. Outside your organization to affiliated organizations c. Outside your organization to non-affiliated organizations 6. Do you have other comments on the security of data being electronically exchanged between organizations? a. DATA EXCHANGE ACTIVITY 7. Please indicate if your organization currently participates in the following health information exchange organizations (check all that apply) a. Health information exchange organization (regional, state, or multistate)

9 b. Commonwell Health Alliance c. Healtheway ehealth Exchange d. Other: 8. Please indicate the level of difficulty with which your organization is able to send electronic information to the following healthcare organizations (Likert scale, 1, easy, to 2, medium, 3, difficult; Unknown, N/A) a. All-Payer claims database b. Physician or dental offices c. Hospital or health systems d. Health information exchange organizations (state, community, and/or regional) e. Imaging centers f. Laboratories g. Long-term and post-acute care h. Patients and caregivers i. Pharmacies j. Public health departments (local, city, county, and/or state) k. Other: 9. Please indicate the level of difficulty with which your organization is able to receive electronic information from the following healthcare organizations (Likert scale, 1, easy, 2, medium, 3, difficult; Unknown, N/A) a. All-Payer claims database b. Physician or dental offices c. Hospital or health systems d. Health information exchange organizations (state, community, and/or regional) e. Imaging centers f. Laboratories g. Long-term and post-acute care h. Patients and caregivers i. Pharmacies j. Public health departments (local, city, county, and/or state) k. Other: 10. Please rate the level of difficulty with which your organization is able to perform the data activities below (Likert scale, 1, easy, 2, medium, 3, difficult; Unknown, N/A) a. Collect data electronically from different sources (EHR, devices, portal, etc.) b. Locate and link patient health records c. Integrate different types of electronic data (administrative, claims, patient-reported, etc.) without manual entry or review

10 d. Blend structured and unstructured electronic data DATA EXCHANGE IMPACT AND BARRIERS 11. Please rate the level of financial challenges to electronic data exchange for the following at your organization. (Likert scale: 1 significantly challenging, to 3, somewhat challenging, 5, not a challenge at all, N/A) a. Infrastructure costs b. Connection and set-up fees c. Ongoing transactional fees for exchanging data d. Ongoing membership fees for participating in a Health Information Exchange network e. Training of staff f. Other: 12. If your organization is currently electronically exchanging health information, how have the areas below been impacted? (Likert scale, 1, significantly worsen, to 3, no impact, 5, significantly improve; Unknown; N/A) a. Flow of information b. Claims adjudication and processing c. Coordination of care d. New payment models e. Population health management f. Cost (duplicative testing, etc.) g. Member/patient engagement h. Provider satisfaction i. N/A My organization is not electronically exchanging data 13. If your organization plans to improve interoperability of electronic health information exchange in the next year, how are the areas below expected to be impacted? (Likert scale, 1, significantly worsen, to 3, no impact, to 5, significantly improve; Unknown; N/A) a. Flow of information b. Claims adjudication and processing c. Coordination of care d. New payment models e. Population health management f. Cost (duplicative testing, etc.) g. Member/patient engagement h. Provider satisfaction i. N/A My organization is not planning to improve interoperability. 14. (IF YES TO 14I ) Why is your organization electing not to focus on improving the interoperability of electronic health information exchange?

11 a. 15. Are there any other significant benefits or challenges to interoperable health data exchange at your organization that this survey did not address? a. Benefits: b. Challenges: Disclaimer: The information below is collected for internal purposes only to validate responses received from organizations. Individual responses will NOT be publicly shared, and all results will be de-identified and aggregated. 16. If you d like to receive a copy of your survey responses or be notified when results are released, please enter the information below: a. Name b. Title c. Organization d. e. Phone f. Demographic Information i. Type of operation/activity a. Consumer-oriented and operated (co-op) plan b. Group health plan (e.g. health plan offered by an employer/employee organization providing coverage to employees and their families) c. Local/regional plan d. Statewide plan e. Multi-state plan ii. Number of contracted providers, clinics, and hospitals partnered with your organization a b c d. More than 500 iii. Number of value-based care partnerships (e.g. accountable care organizations, bundled payments, etc.) in which your organization participates a. 1-5 b c d e. More than 40 f. N/A

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13 (IF YES TO Q#Error! Reference source not found. ) VENDOR TRACK 2. What market segment(s) does your organization primarily serve? a. Ambulatory / outpatient care b. Inpatient care c. Behavioral healthcare d. Long-term and post-acute care (home health, hospice, skilled nursing facilities, etc. e. Health information exchange organization (HIO) f. Health insurance plans VENDOR: CAPABILITIES 3. Does your system (self-built or in partnership with another vendor) currently facilitate the external exchange of the data types below with other IT products? (Yes, it s generally available or released; No, it s in development or testing; No it s on our long-term roadmap; No, there are no plans to incorporate. N/A) a. Advance directive b. Allergy list c. Behavioral health data (not including substance abuse) d. Care plan e. Demographics f. Hospital admission, discharge, and transfer data g. Imaging h. Immunization history i. Insurance enrollment/eligibility status and benefits j. Lab/test results k. Medication/problem list l. Patient-reported data m. Problem list n. Procedures performed o. Summary of care record for transitions and/or referrals p. Vital signs 4. Does your system (self-built or in partnership with another vendor) allow patients to view, download, and/or share their medical records through the platforms below? Yes, it s generally available or released; No, it s in development or testing; No it s on our long-term roadmap; No, there are no plans to incorporate. N/A) a. Web portal b. Mobile app

14 5. Please rate the level of customer demand from your customer base requesting to share electronic health data between healthcare organizations (Likert, 1, Very low demand, to 3, mixed demand, to 5, very high demand) 6. What is your organization s level of support for a universal patient identifier? (Likert, 1, Very low support, to 3, mixed support, to 5, very high support) VENDOR: DATA EXCHANGE CAPABILITIES 7. Is your organization s solution (self-built or in partnership with another vendor) able to exchange the data below? (Yes, Somewhat, No, Unknown, N/A) a. Structured clinical data b. Unstructured clinical data c. Structured administrative data d. Unstructured administrative data 8. Does your solution (self-built or in partnership with another vendor) support the following exchange capabilities? (Yes, Somewhat, No, Unknown, N/A) a. Direct (secure electronic messaging) b. Query (retrieval of data from centralized repository ) c. Per IHE profile (XDR, XDS, XDM) d. End-to-End Integration (interfaces automatically push information without requiring user initiation) 9. Does your organization s solution (self-built or in partnership with another vendor) support the standards below? (Yes, we currently support; No, but we re currently developing support; No, but it s on our long-term roadmap; No, there are no plans for support. Unknown; N/A) a. DICOM b. FHIR c. HL7 v.3.x d. RESTful e. S/MIME or SMTP standards f. SOAP g. XD* (XDR, XDS, XCA) 10. What is your revenue model for providers to send and/or receive electronic health information from non-affiliated organizations? a. Transactional fee b. Monthly fee c. Annual fee d. Other: e. N/A

15 VENDOR: BARRIERS 11. Please rate the following as barriers to the electronic exchange of health information. (Likert 1, significant barrier, to 3, somewhat of a barrier, to 5, Not a barrier at all, and N/A) a. Lack of interoperability with other vendor systems b. Lack of interoperability among other vendor systems with your product(s) c. Lack of trained staff at client sites d. Lack of consensus around required data standards, protocols, and formats e. Cost of development f. Lack of cost-savings for client g. Lack of customer demand h. Lack of stable market 12. Please rate the following as challenges to the developing of an interoperable health IT solution by your company (Likert 1, significantly challenging, to 3, somewhat challenging, to 5, Not a challenge at all, and N/A) a. Lack of industry consensus around required data standards, protocols, and formats b. Lack of cooperation with other vendors c. Lack of guidance from the federal government d. Lack of demand from clients e. Cost 13. Are there any other significant benefits or challenges to interoperable health data exchange at your organization that this survey did not address? a. Benefits: b. Challenges: Disclaimer: The information below is collected for internal purposes only to validate responses received from organizations. Individual responses will NOT be publicly shared, and all results will be de-identified and aggregated. 14. If you d like to receive a copy of your survey responses or be notified when results are released, please enter your contact information below: a. Name b. Title c. Organization d. e. Phone

16 (IF YES TO Q#11.k.) OTHER TRACK PATIENT MATCHING AND SECURITY 2. What is your organization s level of support for a universal patient identifier? (Likert, 1, strongly oppose, to 5, strongly support) 3. How would a universal patient identifier impact the following issues at your organization (Likert, 1, Likely to significantly hinder, 3, no impact, to 5, likely to significantly improve) a. Access to and exchange of accurate electronic health information b. Cost c. Coordination of care d. Quality e. Efficiency of care f. Security g. Other: 4. Please indicate the approximate percentage of electronic health data that is encrypted in the states below (0-25%, 25-50%, 50-75%, %, Unknown) a. At-rest b. Internal (in-transit) c. External (in-transit) 5. Do security concerns deter your organization from electronically exchanging health data in the following contexts? (Likert, 1, Yes, very much so, 3, Somewhat, to 5, No, not at all) a. Outside your organization to affiliated organizations b. Outside your organization to non-affiliated organizations 6. Do you have other comments on the encryption and security of data being electronically exchanged between organizations? a. 7. Please rate the level of difficulty with which your organization is able to perform the data activities below (Likert scale, 1, easy, 2, medium, 3, difficult; Unknown, N/A) a. Collect data electronically from different sources (EHR, devices, portal, etc.) b. Locate and link patient health records c. Integrate different types of electronic data (administrative, claims, patient-reported, etc.) without manual entry or review

17 d. Blend structured and unstructured electronic data 8. Please rate the level of financial challenges to electronic data exchange for the following at your organization. (Likert scale, 1 significantly challenging, to 5, not a challenge at all; N/A) a. Infrastructure costs b. Connection and set-up fees c. Ongoing transactional fees for exchanging data d. Ongoing membership fees for participating in a Health Information Exchange network e. Training of staff f. Other: 9. If your organization is currently electronically exchanging health information, how have the areas below been impacted? (Likert scale: 1, significantly worsened, to 3, No impact, 5, significantly improved) a. Flow of information b. Efficiency of care (wait time, referrals, e-prescribing, etc.) c. Coordination of care d. Cost of care e. New payment models f. Provider satisfaction g. Population health management h. Quality of care i. Safety of care j. N/A My organization is not electronically exchanging data 10. If your organization plans to improve interoperability of electronic health information exchange in the next year, how are the areas below expected to be impacted? (Likert scale, 1, significantly worsen, to 3, No impact, to 5, significantly improve) a. Flow of information b. Efficiency of care (wait time, referrals, e-prescribing, etc.) c. Coordination of care d. Cost of care e. New payment models f. Provider satisfaction g. Population health management h. Quality i. N/A My organization is not planning to improve interoperability. 11. (IF YES TO 10I ) Why is your organization electing not to focus on improving the interoperability of electronic health information exchange? a.

18 12. Are there any other significant benefits or challenges to interoperable health data exchange at your organization that this survey did not address? a. Benefits: b. Challenges: Disclaimer: The information below is collected for internal purposes only to validate responses received from organizations. Individual responses will NOT be publicly shared, and all results will be de-identified and aggregated. 13. If you d like to receive a copy of your survey responses or be notified when results are released, please enter your contact information below: a. Name b. Title c. Organization name d. e. Phone