SI Benchmarking Data Elements

Transcription

1 Introductory data Participant Agreement Are you willing to be identified to peer organizations for more in-depth, one-on-one discussions? Organization ID number (entered by SI) What fiscal year does this submission represent? What month does your fiscal year end? Does your organization include one or more hospitals? Does your organization include an academic medical center? Organization Contact Information This information is not released outside SI. Organization Name Primary Benchmarking Contact Name Primary Benchmarking Contact Title Primary Benchmarking Contact address Primary Benchmarking Contact Phone CIO Name CIO address How did you hear about our IT Benchmarking Program? Section 1 - Organization Information a. Organizational operating expense (including labor fringe benefits) b. Organizational capital expense (exclude capital carry-forward from the prior year) c. Capital expense threshold d. Organizational depreciation e. Gross patient revenue f. Gross inpatient revenue g. Net patient revenue h. Number of Staffed Beds i. Annual Inpatient Days j. Outpatient Visits (exclude ED visits) k. ED Visits l. Number of inpatient locations m. Number of ambulatory/outpatient locations n. Total organizational FTEs (FTE is Full time Equivalents, not employees. For example: two halftime employees would make up one FTE) o. Is the depreciation in line 7 included in operating expense reported in line 4 above?

2 Section 2 - IT Information a. IT Operating Expense (include fringe benefit costs for direct IT labor, consulting costs and operating expense portion of IT capital projects) b. IT Capital (include IT capital from other departments) c. IT Depreciation d. Number of employed IT FTEs in IT budget e. Number of outsourced IT FTEs in IT budget f. Other IT-focused staff (FTEs) outside IT but not included in 2a above ("Shadow" IT people in other departments who primarily have IT-related duties or titles and who's salary, benefits, etc., are charged to their home departments.) g. Expense for Other IT-Focused FTEs outside IT identified in 2f above (include fringe benefits) h. Any other IT expense that is included in other department's budget. i. Corporate IT Expense Allocation to your IT budget, if applicable (This and the following two questions refer to any allocation to your organization by a corporate parent and may not apply to you.) j. Corporate IT Capital Allocation to your IT budget, if applicable k. Corporate IT FTEs Allocated to your IT budget, if applicable l. Total number of employees supported by IT m. Total number of users supported by IT n. Is the depreciation in 2c above included in the operating expense reported in 2a? o. If you have a corporate parent organization, do they allocate IT expenses, capital and FTEs to your organization which IS included in your IT budget? p. If you have a corporate parent organization, do they allocate IT expenses, capital and FTEs to your organization which IS NOT included in your IT budget, but IS included in your organization's budget? q. Do you have an active IT Steering Committee? r. Do you have internal service level agreements or other formal service metrics?

3 Section 3 - Selected IT Information If an item is in the IT budget, please provide the operating expense and number of FTEs associated with a. PACS Maintenance (Cardio/Rad) b. Bio Medical Engineering c. Communications (including voice and data communications support, switchboard operations, video conferencing and any other communications costs except telephone bills) d. Telephone bills e. HIM f. Information Privacy and Security g. CMIO/Medical Director of IT h. Vendor Hardware/Software Support Fees i. Disaster Recovery (hot sites, vendor contracts, labor, etc.) j. Clinical Informatics Department k. Web Patient Portal (patient access to results, appointments, etc.) l. Web Physician Portal (Physician access to patient data, medical records completion, etc.) that item.

4 m. Web Consumer Portal (an organizational website providing consumer information) Section 4 - IT Maturity a. For the following items, from the dropdown list, please select the statement that best reflects the state of your organization's major technology or clinician adoption. a1. Barcode point of care med admin with "5 rights" checking in use Live over one year w/use >50% a2. ED documentation in use Live less than one year w/use >50% a3. Acute patient care/rn documentation in use Implementing/partially installed w/use <50% a4. Multidisciplinary care plans Not Started a5. Document imaging a6. ICU documentation in use a7. Physician inpatient CPOE in use a8. Physician documentation (notes) captured electronically a9. Ambulatory prescribing/orders/documentation in use a10. RFID/RTLS (asset/people tracking) b. If available, please enter your HIMSS Analytics EMR Adoption Model (EMRAM) score. c. Do you have a substantially paperless supply chain across the organization? d. Do you run redundant core systems to ensure clinician system availability? e. Please estimate the percentage of your overall organization's space (square footage) covered by your wireless network(s).

5 Section 5 - Functions Supported by IT a. Health Plan b. Number of Members c. Transitional Care/Nursing Home d. Number of staffed beds e. Ambulatory Clinics/Owned Physician Practices f. Number of Physicians g. Independent Physician Practices h. Number of Physicians i. Teaching Hospital(s) j. Total Number of interns k. Home Health/Hospice Care l. Number of annual visits m. MSO (yes/no only - number not applicable) n. Social Service Agencies, Centers o. Number of agencies supported p. Ambulatory Surgery Center q. Number of annual patient visits r. Inpatient Behavioral Health Care s. Number of annual patients t. Ref. Laboratory u. Number of annual tests v. Specialty Hospitals (If more than one of any type, please report the total staffed beds for that type and provide detail in the Comments item.) v1. Children's v2. Number of staffed beds v3. Cancer v4. Number of staffed beds v5. Heart v6. Number of staffed beds v7. Rehab v8. Number of staffed beds v9. LTAC v10. Number of staffed beds v11. Other Specialty Hospital (Please identify type in Comments) v12. Number of staffed beds

6 Section 6 - Primary Vendor Please also indicate if remote hosted a. Core Inpatient Clinical Vendor(s) Drop down vendor/vendor-rh list b. Core Outpatient/Ambulatory/MD Office Clinical Vendor(s) c. Core Inpatient Financial Vendor(s) d. Core Outpatient/Ambulatory/MD Office Financial Vendor(s) e. Core ERP Vendor(s) Section 7 - Meaningful Use a. Have you attested meeting Stage 1 criteria? b. If no, what year do you expect to attest? c. When do you anticipate meeting Stage 2 criteria? d. Did you use outside resources (beyond your primary clinical software vendor and internal staff) to guide your Stage 1 effort? e. Did you use any additional software beyond your core clinical vendor? f. Did you, or do you expect to, complete a major upgrade or vendor change to meet Stage 2 requirements? g. What percentage range of your meaningful use related costs do you expect to recover through meaningful use incentive payments? None, 25% ranges, >100% h. Have you documented any of the following benefits? Clinical workflow/efficiency Patient outcomes Patient Safety Revenue generation Cost savings Other (identify in comments section) None i. How difficult will achieving the following Stage 2 criteria be for your organization? More than 60% of orders entered through CPOE Already doing Summary of care at transitions in care Minor Challenge Medication reconciliation Major Challenge Electronic medication administration record (emar) Patient access to and downloading of their electronic health data Submission of immunization, reportable lab result and syndromic surveillance data. j. What percentage range of the data for quality reporting is captured directly from your IT systems? None, 25% ranges, 100%