IHE PCD 2008 Survey

PCD Face to Face Meetings

21-23 October, 2008

Survey data

• Survey open spring – summer 2008

• 70 respondents

• 85% user, 15% vendor

• Survey conducted by HIMSS Analytics

• 2006 Survey Data presented where applicable

0% 10% 20% 30% 40% 50%

2008

2006

Which statement best describes your knowledge of IHE? I had little or no knowledge of IHE prior to taking this survey

I am familiar with IHE and/or the goals of interoperability but no practical experience

I have manufactured/specified/ purchased/used devices or systems which are IHE compliant

I am actively involved with IHE through one of the domains or committees.

Your interest in device interoperability is as a…

0% 10% 20% 30% 40% 50% 60%

Vendor

Hospital based Clinical Engineer

Other

Other Hospital Based I.T. Professional

User of Medical Devices / Caregiver

Hospital Department Head

Hospital CIO

Regulator - Government or Other

2008

2006

Which statement best describes your institution?

0% 10% 20% 30% 40% 50%

300+ Bed Non Profit

University / Tertiary Care

100-299 Bed Non Profit

For Profit Chain

Municipal or State Instiution

Smaller Non Profit

Other2008

2006

Which statement best describes the importance of interoperability with medical devices in your work?

0% 10% 20% 30% 40% 50% 60%

Moving to compliance - w illing to pay a premiumfor interoperability

Prefer interoperable devices but not required

IHE compliance is a requirement for purchase ifit is available

Not a Priority 2008

2006

Which statements best describe your involvement with medical devices and clinical information software?

0% 10% 20% 30% 40% 50% 60%

Maintain Devices

Specify Devices forPurchase

Approve the Purchaseof Devices

Specify ClinicalSoftw are

Use Devices

Approve the Purchaseof Clinical Systems 2008

2006

Which statement best describes the relationship of clinical engineering and IT in your institution?

0% 10% 20% 30% 40% 50% 60% 70%

CE and IT are separate - w ork closely

Do not cross paths

CE is Part of IT

Do not know 2008

2006

Is clinical engineering outsourced in your organization?

0% 20% 40% 60% 80% 100%

No

Yes

Do not know2008

2006

Is any IT outsourced in your organization?

2008

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

All IT is In House

I do not know

IT Professional Staff

Hardware Only

IT Hardware and professional staff

2008

Which EMR system do you use?

0 1 2 3 4 5 6 7 8 9

Cerner

Siemens

McKesson

Epic

In House or Paper

Meditec

GE Centricity

BlueWare

Vista - Veterens' Affairs

Soarian

4 Rivers

Chartmax

2008

0% 20% 40% 60% 80% 100%

Vital Signs Reporting Devices

Physiological Waveform Monitors

Ventilators

Other -

Infusion Pumps

Fetal Monitors

Waveforms - EKG, BP, EEG

Anesthesia Systems

Neurologic Devices - Sampled Data

Intra-Aortic Balloon Pumps

Holter Monitors

Stress Test

pacemakers

Dialysis (acute / chronic)

Home Care from Rx Devices

Home Health Appliances

Enteral Feeding Pumps

2008

2006

How important is it for the following devices to become integrated within IHE processes?

Bed scales, PACS, ICDs, neurostimulators

0% 10% 20% 30% 40% 50% 60% 70%

Blood Glucose Devices –inpatient

Hemoglobin

BUN, Creatinine

Blood Glucose Devices–outpatient

Cholesterol

Fecal Occult Blood

Home Laboratory Monitors2008

2006

How important is it for the following point of care laboratory devices to become integrated within IHE

processes?

Rate each department in terms of the benefit of IHE medical device connectivity

0% 20% 40% 60% 80% 100%

ICU

Telemetry

Surgery

Pharmacy

ED

Cardiology

Other

Anesthesia

OB/GYN

Infusion Therapy

Neurology

General Med/Surg

Oncology

Intermediate Care

Doctor's Office

Home Health

Rehab Facilities

2008

2006

Radiology, heart failure clinics

What clinical applications would you like to see IHE target?

0% 20% 40% 60% 80%

Communicating physiologic measures to the EHR

Automatic Binding of Patient ID to device Information

Real-time medical error detection / mitigation

Real Time Clinical Decision Support

Alarm Communication Management

Drug Administration

Medication Management

Plug & Play - Device Management

Plug & Play Safety Interlocks / Closed Loop Control

Integration of live w aveform information into Clinical Systems

Remote view ing of w aveforms

Remote View ing of patient information on PDA or Tablet devices

Asset Utilization Management (Such as asset tracking, self-diagnosis / reportingsystems)

Remote Consultation

Data Mining

Home Health monitoring (Such as remote monitoring of key indicators, smarthealthcare appliances, etc.)

Wellness Monitoring (Such as non-clinical f itness activities)

Voice Recognition systems

Image Guided Surgery

2008

2006

What technological areas are the most important for Patient Care Device integration?

0% 20% 40% 60% 80% 100%

Common Terminology / DataStructures / Protocols

Cross-enterprise informationsharing

Security

Quality of ServiceManagement

RF Wireless2008

2006

What are the greatest Incentives for IHE integration?

0% 20% 40% 60% 80% 100%

Improved Patient Care and Safety

Long term cost reduction

Workflow simplification

Privacy and Security for Patients

Improved compliance process

Marketplace Demands for Interopoerability

Federal reimbursement incentives

Reduced complexity of purchasing process

Government Mandated Compliance

2008

2006

What do you see as the biggest barriers to IHE integration of patient care devices?

0% 10% 20% 30% 40% 50% 60% 70% 80%

Lack of Adopted TechnologyStandards

Expense/Cost

Lack of Knowledge of IHE

Vendor Entrenchment

Market still in “early adopter” phase

Lack of Provider Awareness ofInteroperability benefits

Fear of Litigation2008

2006