Healthcare Mobility Perception Webinar 2011

Providers’ Perceptio

nsMobility in Healthcare

Providers' Perceptions Series: Mobility in Healthcare

Wednesday, June 8, 2011

Sponsored by:



Cynthia Porter

President

Porter Research

Moderator



Guy McAllisterCIOTift Regional Medical Center

Allison Norfleet Vice President of Business Development Porter Research

Guest Speakers

Lisa Reichard, RN Director of Business DevelopmentBillian's HealthDATA



About the Research

Porter Research and Billian’s HealthDATA fielded a primary market research

program aimed at understanding providers’ perceptions regarding Mobility in

Healthcare• Fielded May 2011

• Web-based survey designed by Porter Research

• Select titles targeted and pulled from Billian HealthDATA’s 150,000+ database of hospital decision makers

• Participants represent hospitals and healthcare systems



Respondent Involvement

• Most respondents (88%) were involved in the evaluation and selection process of Mobile Technology Solutions for Clinical applications

• Fifty-six percent play a role in the selection of solutions for Administrative, Revenue Cycle, and Supply Chain applications

Q: “Are you involved in the evaluation and/ or selection of mobility solutions

to support any of the following functions of your hospital or health system?”

Administrative/Supply Chain/Revenue CycleManagement

12%



Connotations of Mobility

Q: “What does the term “mobile technology” mean to you?”

How Providers Define Mobility –

In summary, there are a WIDE VARIETY of perceptions in the marketplace today of what the word “mobility” means

A wide spectrum of definitions exists from the very simple surrounding devices to the more complex – actionable receipt and use of data on mobile devices at the point of care.

Top mentions included:

• Wireless, Portable Devices / WiFi• Remote Access to Data – anywhere, anytime• Devices that access Clinical or Hospital Information Systems• Technology at the bedside or point of care, including clinical documentation



Enterprise Mobility Strategy

• Approximately two-thirds (62%) of respondents indicated their organization has an enterprise mobility strategy in place today – with a quarter (25%) indicating their strategy has been in place for more than 3 years

• A quarter of respondents indicated they plan to develop a strategy

8%

4%

25%

10%

10%

17%

25%

No Plans to Develop

Unsure

Plan to Develop

< 12 Months

12 - 24 Months

24 - 36 Months

> 36 Months

Q: “How long has your organization's enterprise mobile strategy been in place?”



Issues Impacting Mobile Strategy

• The most significant issue impacting mobile strategies are “Internal Pressures”, with half (52%) of respondents rating the issue as having a high degree of impact (rated 4 or 5)

• More than a third (38%) of respondents rated “Meaningful Use” and the “HITECH Act” as having a high impact

52%

38%

28% 28% 26%

Internal Pressures(administration,

physicians)

ARRA/ HITECH/

Meanginful Use

Org. Changes

(adoption of new delivery models such as ACO or

PCMH)

Competitive Pressures

Patient/ Consumer Pressures

Q: “Please use a scale from 1 (No Impact) to 5 (Significant Impact) to indicate what level of impact each of the following issues will have on your mobile technology solution strategy.”



Key Business Drivers Motivating Adoption

• Mobile technology adoption is driven primarily by the following business

drivers within provider organizations by:

Q: “What are the key drivers motivating your organization’s adoption of mobile technology?”



Changing Importance of Mobility

Q: “On a scale from 1 (Much Less Important) to 5 (Much More Important), how has the importance of mobile technologies changed for your hospital or health system over the last year?”

• Most respondents – 80% - indicated that mobile technology has become more important to their organization in the past year

34%

46%

7% 9%5%

Rated 5 (Much More Important)

Rated 4 Rated 3 Rated 2 Rated 1 (Much Less Important)



Mobile Technology Adoption Barriers – Open Ended

Q: “What are the organization’s greatest concerns as it relates to mobile technology?”

8%

8%

15%

15%

17%

40%

52%

Connectivity/Access to Network

User Adoption

Usability/Functionality

Support

Implementation

Data Security

Cost to Deploy

Other mentions:

• Reliability• Clinician Efficiency• Impact to Patient Safety

• Overall, the greatest two perceived adoption barriers for providers were “cost to

deploy” and “data security” followed by concerns regarding “implementation,”

“support” and “usability”



Mobile Technology Adoption Barriers

Q: “Please use a scale from 1 (Not at all Concerning) to 5 (Significant Concern) to indicate how great a concern each of the following is in your implementation of mobile technology solutions.”

• Almost two-thirds (60%) of providers viewed security concerns – including confidentiality – as their most significant, concerns (rated either 4 or 5)

• Funding, Connectivity/ Bandwidth, and Integration with Existing Infrastructure were also rated as very concerning by over half of our providers

23%

28%

34%

38%

46%

48%

52%

54%

56%

60%

Mobile device mgmt/ network mgmt

Stakeholder buy-in/culture change - user adoption

Physical connectivity

Technology obsolescence

General performance

Interoperability/ integration among mobile solutions

Interoperability/ integration w/ existing infrastructure

Connectivity/ Bandwidth

Funding

Security concerns - i.e. confidentiality



Tangible Benefits of Mobile Technology – Open Ended

• Enhanced Productivity/ Efficiency was most often mentioned as a tangible benefit of mobile technology, followed by Improved Patient Care/ Quality.

Q: “What does your organization perceive to be the tangible benefits of deploying mobile technologies?”



Tangible Benefits of Mobile Technology

• Improvements in “Patient Safety” (57%) and “Patient Care Quality” (55%) were most commonly rated as being “highly beneficial” (4 or 5)

55%

40% 38% 37%33% 32%

57%

IncreasedCompliance for quality reporting measures

ImprovedCommnication

/ visibility

ImprovedPatient Safety

ImprovedPatient Care

Quality

Reduced manual errors

ImprovedEmployee

Productivity

IncreasedCompliance

with regulatory requirements

Q: “Please use a scale from 1 (Not at all Beneficial) to 5 (Of Significant Benefit) to indicate how beneficial you believe mobile technology will be as it relates to the following.”



Types of Mobile Devices Deployed

52%

54%

60%

67%

79%

83%

85%

90%

Mobile Laptops/ Netbooks

Handheld Bar-Coding Devices

Computer on Wheels

Portable Medical Monitoring i.e.,

ultrasound devices

Smart PhonesAndroid, Blackberry, iPhone, Windows, etc.

Traditional Mobile Phones

Tablets Android, iPad, etc.

Wireless Voice-Over-WiFi

• Ninety-eight percent of all

participants selected at least one

device type

• Computers-on-Wheels were the

most common, selected by ninety

percent of participants

• More modern devices – including

smart phones and tablets – were

both selected by more than half of

the respondents

Q: “Is your facility utilizing any of the following types of mobility devices today for work purposes?”



Who’s Using Mobile Solutions?

“What user communities are utilizing mobile solutions in their daily workflow?”

• Nearly all respondents (96%) selected nursing

• At 69%, Physicians were also very common, followed by Pharmacy and Supply

Chain/ Materials Management – both over 50%

96%

69%

56% 52%

27% 27%19%

Quality/ Risk Management

Patient Financial Services

Nursing Physicians Pharmacy Supply Chain/ Materials

Management

Patient Access



Current State Clinical Mobility Solutions - Deployed

14%

31%

36%

36%

36%

40%

43%

45%

45%

45%

48%

50%

52%

55%

62%

64%

69%

74%

76%

81%

Medication Administration

Portable medical devices

Images

EMR - Patient Information

Formularies

C linical Documentation

Medication Reconciliation

Inpatient C linical Alerts/Surveillance

CPOE

Charge Capture

C linical Analytics

C linical Content

Document Management

VoIP /telephony

E-prescribing

Home Health

Patient-Facing C linical Mobility Solutions

Referential Content

Telemedicine/Telehealth

Health Information Exchange



Future Clinical Mobility Purchase Plans

12%

12%

17%

19%

21%

21%

24%

29%

29%

29%

31%

31%

33%

33%

36%

40%

43%

43%

48%

55%

Medication Administration

Portable medical devices

Images

EMR - Patient Information

Formularies

C linical Documentation

Medication Reconciliation

Inpatient C linical Alerts/Surveillance

CPOE

Charge Capture

Clinical Analytics

C linical Content

Document Management

VoIP /telephony

E-prescribing

Home Health

Patient-Facing C linical Mobility Solutions

Referential Content

Telemedicine/Telehealth

Health Information Exchange

• Interestingly, HIE Mobility solutions which were currently deployed by only 14% of participants – was the top mention for planned deployment.



Current State - Administrative/Revenue Cycle/Supply Chain Mobility Solutions

7%

15%

19%

22%

26%

30%

37%

56%

Patient Check-In and Check-Out

Supply/ Inventory Management

Personal Contacts/ Calendars

Financial Analytics

Patient Scheduling

Patient-Facing Administrative Mobility Solutions

i.e., Self-Scheduling

Patient Access - Financial Counseling

RTLS - Asset Tracking, Patient Tracking, Staff Tracking

Mobility Solutions Deployed

• As you would expect, mobility solutions have been for personal contacts/ calendars/email followed by supply chain management mobility solutions.



Future Administrative/Revenue Cycle/Supply Chain Mobility Purchase Plans

22%

26%

33%

33%

37%

37%

44%

63%

Patient Check-In and Check-Out

Supply/ Inventory Management

Personal Contacts/ Calendars

Financial Analytics

Patient Scheduling

Patient-Facing Administrative Mobility Solutions

i.e., Self-Scheduling

Patient Access - Financial Counseling

RTLS - Asset Tracking, Patient Tracking, Staff Tracking



Perceived Market Leaders

6%

6%

8%

8%

10%

10%

21%

40%

Meditech

Apple

Unsure

McKesson

Cerner

Epic

IBM

Verizon

• Forty-percent (40%) of respondents were unsure

• Apple received the most recognition at twenty one percent (21%)

Q: “When you consider all of the vendors (hardware, software, carrier, etc.) that you're aware of that provide mobile technology solutions, who do you consider to be the market leaders?”

• There are many vendors that are focused on providing offerings in this space. However, there is no predominant player or leader perceived by providers.



Market Channel Preference

• Overall, just over half of all respondents selected a “Vendor Solely Focused on

Developing Mobility Solutions”

• Forty-two percent of respondents selected “Current Acute/ Ambulatory EHR

Vendor or Core HIS Vendor”

52%

42% 42%

19%

Vendor Solely Focused on

Mobility Solutions

Current Acute or Ambulatory Care

EHR Vendor

Current Core HIS Vendor

Unsure

Q: “What type of organization would you like to obtain mobile technology

solutions from?”



Key Technology Vendor Attributes

Q: “What are the key attributes you will look for in a vendor when selecting mobile technology solutions?

• The attributes perceived as “most important” to providers for a mobility vendor relationship are: “track record / proven solution” and “price”

Followed by – “reliability”, “integration/interoperabilty”, and “support”



Decision Makers

17%

21%

25%

27%

33%

60%

69%

71%

CNO

CIO/ CTO

CEO

CFO

Leadership Representing End Users of the Mobile Technology

COO

CMO

Supply Chain/ Materials Management Leadership

• Over two thirds (71%) of

participants selected the

CEO as most influential

decision maker, closely

followed by CIO/CTO at

sixty-nine percent (69%)

• Supply Chain/ Materials

Management Leadership

received relatively low

consideration, at seventeen

percent (17%)

Q: “Which of the following roles within your organization have final purchase/ decision-making power regarding mobile technology purchases?”



Key Business Drivers Motivating Adoption

• Mobile technology adoption is driven primarily by the following business

drivers within provider organizations by:

Q: “What are the key drivers motivating your organization’s adoption of mobile technology?”



TRMC’s Mobility Environment Today

• Fixed Wireless Technologies

Bluetooth bar code scanners – meds administration RFID - temperature monitoring and asset tracking Supply chain/inventory control system – wireless handheld scanners Smart pumps - data uploaded to pump library by wireless technology)

• Mobile Wireless Technologies

Smartphones (Blackberry, Droid, iPhone) iPads for managers – (email, ED Tracking Board, Physician Portal) Mobile carts for bedside registration in ER and OB Telehealth on mobile carts Dash monitors for portable telemetry - mobile devices used for patient

monitoring Accucheck devices - mobile devices used to check the patient’s blood

sugar when docked transmits results to lab



TRMC’s Mobility Direction for the Future

• Ultimately, “unified communications” and “collaboration” – first user community target is Nursing

• Integration of real-time communication services, such as

Instant messaging (chat) Presence information Telephony (including IP telephony) Video conferencing Data sharing (including web connected

electronic whiteboards aka IWB's or Interactive White Boards)

Call control and speech recognition with non-real-time communication services such as unified messaging (integrated voicemail, e-mail, SMS and fax).



QUESTIONS?Submit your question to today’s speakers by typing your question into the box on the left side of your screen and then hitting ‘submit.’

If you have news or comments on this topic for the editors of Healthcare IT News, please email [email protected]

Sponsored by:



Let’s continue the conversation…

Please submit any questions not answered during the Q&A to:

Sponsored by:

Allison [email protected]

omVP Business Development

Porter Research

Cynthia [email protected]

PresidentPorter Research

Lisa Reichard, [email protected]

Director Business DevelopmentBillian’s HealthDATA

Healthcare Mobility Perception Webinar 2011

Health & Medicine

Transcript of Healthcare Mobility Perception Webinar 2011