CLINICAL DECISION SUPPORT The CMS Mandate for Image Ordering Research Collected through the Research Cloud

Transcription

1 CLINICAL DECISION SUPPORT The CMS Mandate for Image Ordering Research Collected through the Research Cloud

2 EXECUTIVE SUMMARY There s nothing like a good old-fashioned government mandate to make a market interesting. Sometimes these federal interventions stifle the private sector, but often they become veritable windfall, as is the case around the Centers for Medicare & Medicaid Services (CMS) Appropriate Use mandate for imaging CDS suppliers. What was already a growth market of HIT, the mandate has supercharged, with two-thirds of radiology providers planning to pick up a solution before the end of the year. As a result, there are only two categories of suppliers in this space, winners and WINNERS. Over a short, two-week period we received direct feedback from more than 200 radiology leaders about their views and plans regarding the CMS mandate, such as: Do providers believe CMS will keep their updated deadline of January 1, 2018? Preparedness of providers for the requirement Adoption rates Adoption plans and timelines Reasons why imaging providers are not adopting Primary motivations for adopting imaging CDS Imaging CDS market presence Imaging CDS supplier ratings (NPS) Suppliers winning the windfall business Many would agree that improved measures when deciding to order a medical image is good for everyone: suppliers, patients, providers and the general public. In a previous study we conducted, called Unnecessary Imaging, we estimate that up to $12b of image orders is waste, not to mention the unnecessary exposure to radiation. So, we ll chalk this up as a win for the CMS when it actually takes effect. Note: As always, we want to give a massive thank you to the participants of this study. Without your willingness to offer a couple of minutes of your time to answer key questions, we would not be able to inform your peers and the industry on the topic. Above all, we hope our participants find value in the data. For questions and comments about this industry brief, contact Jeremy Bikman at jeremy.bikman@reactiondata.com

3 DEMOGRAPHICS 2% 3% 5% 7% 7% 218 PARTICIPANTS 12% 13% Clinical Informatics Manager Manager PACS Admin Chief of Radiology 50% Radiologist Radiology Manager Imaging Director Director of Radiology

4 DEADLINE What is the likelihood CMS will keep its current deadline of 1/11/18 for mandating Appropriate Use Criteria via Clinical Decision Support? extremely unlikely 1 4% % 18% % 20% 6 12% 7 8% extremely likely

5 DOES YOUR ORGANIZATION CURRENTLY USE CDS FOR IMAGE ORDERING? 26% yes 74% no Of providers who have not yet adopted an imaging CDS solution, 62% say they will pick up a vendor solution before year's end. This is what you might call a fast and furious, hyper-growth market that should peak over the next six months. ADOPTION PLANS 86% of participants plan to adopt CDS for imaging 62% of imaging departments plan to adopt CDS before the end of the year

6 WHY IMAGING CDS IS NOT ON PARTICIPANTS RADARS No one has initiated the process -Manager Not sure what it entails, not familiar with criteria -Director of Radiology Not cost effective for us to implement CDS... very low medicare medical outpatient volume -Director of Radiology Well, we didn t know anything about this... -Imaging Director Not on our radar -Radiologist

7 MARKET PRESENCE FOR IMAGING CDS SUPPLIERS 70% 20% of participants who currently have an imaging CDS solution, name National Decision Support Company and Nuance as their primary CDS solutions for image ordering and processing SUPPLIERS IN THE MIX FOR NEW BUSINESS 58% 20% 8% 6% 3% 3% 2%

8 SUPPLIER RATINGS (NPS) Since just two suppliers make up 90% of the market presence of this study, we wanted to highlight their ratings among current customers. We use the Net Promoter Score methodology, which is the gold standard in measuring overall customer satisfaction. Scores range from 100 to is considered positive, 0-30 is neutral and less than zero is...yes you guessed it...negative. However, it's extremely uncommon to see suppliers score higher than 29 in healthcare IT. In fact, the major across all segments fall below the zero baseline. Blame it on the complexity of HIT environments, or whatever other reason makes sense, but it s extremely difficult to meet providers' expectations. A few find ways shine consistently, but in most cases, if you can maintain a non-negative score, you're doing pretty well.

9 I A single solution for rapid market and customer intelligence. Stay current with our industry briefs and competitive intel Our data warehouse eliminates your need to manually store results For more specific business questions, deploy the only true B2B survey tool Track your data with bi-directional Salesforce integration Drill down to specific audiences within our network of 600,000+ healthcare leaders Discover insights through an advanced visualization dashboard questions? Contact Jeremy Bikman at jeremy.bikman@reactiondata.com