2017 Inpatient Telemedicine Study

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1 2017 Inpatient Telemedicine Study

2 Enabling better health through information technology.

3 Telemedicine Study Introduction The concept of telemedicine - meaning the transfer of medical information via telecommunication (both synchronous and asynchronous) technology or specially designed medical devices for the purpose of delivering healthcare services and clinical information - is not new to healthcare. Healthcare organizations and clinicians have been doing this for years. But the level of data and the technology used to facilitate telemedicine has changed dramatically. This research represents the fourth iteration of the telemedicine study. The trending information it contains highlights a positive outlook for the adoption of telemedicine to provide patient care and enhance physician communication while continuing to move technological advancements in the space forward. Whether urban or rural hospital, academic medical center or critical access facility, organizations are finding new and creative ways through telemedicine to offer new services and engage patients. While the future direction of telemedicine is encouraging, it is not without hurdles. Many healthcare organizations have gone through a significant wave of IT investment and are not yet ready to add another technology that may alter physician workflow. Other organizations have yet to understand how reimbursement and liability pertains to telemedicine which is potentially slowing the rate of net investments. Providing care through telemedicine technology may not be for everyone; each organization needs to evaluate what works best for them and their patient populations. However, with the move toward value versus volume, population health and more personalized care delivery, incorporating telemedicine solutions and services can offer benefits to physicians and patients not previously seen in healthcare.

4 Study Demographics Methodological Approach: Web based survey Dates of Data Collection: March 21, 2017 to April 6, 2017 Target Audience(s): C-Suite, IT professionals, clinicians, department heads Number of Respondents: 136 Methodological Approach: HIMSS Analytics LOGIC Dates of Data Collection: March 31, 2017 Target Audience(s): U.S. Hospitals Number of Respondents: 5,460 Other 12% Critical Access or Rural hospital or health system 57% Academic Medical Center or Urban hospital or health system 31% The 2017 Inpatient Telemedicine Study leverages data from web-based study respondents and from HIMSS Analytics LOGIC The demographic breakdown is similar to years past, with roughly 31 percent of study respondents self-identifying their organization type as an Academic Medical Center (AMC) or Urban hospital or health system; and roughly 57 percent of study respondents identifying themselves as Critical Access or Rural hospital or health systems. N= HIMSS Analytics

5 Telemedicine Adoption Do you currently utilize a telemedicine solution/service? Definition: For the purposes of this study, Telemedicine is being defined as the transfer of medical information via telecommunication (both synchronous and asynchronous) technology or specially designed medical devices for the purpose of delivering healthcare services and clinical information. Unsure 2.3% Adoption of telemedicine solutions or services has surged since this study was first conducted in 2014 from roughly 54 percent in 2014 to 71 percent in After consistently growing 3.5 percent annually based on study results adoption has increased roughly 9 percent since No 27.1% Yes 70.5% Additionally, the level of study respondents who were unsure if their organization utilized telemedicine solutions or services shrank significantly over the years, from nearly 18 percent in 2014 to just over 2 percent in The increase in adoption and the decrease in the level of uncertainty from this most recent study signifies a clear indicator that healthcare organizations are working to incorporate new telemedicine technology and services to help facilitate patient care, communicate with clinical colleagues and provide patients and consumers better access to care. N= HIMSS Analytics

6 Hub and spoke model continues to support telemedicine infrastructure How would you describe the telemedicine solutions and services your organization employs? (please select all that apply) Hub and spoke model (audio/visual only between originating sites) Patient portal or applicationfocused patient engagement (services delivered via portal with mobile or desktop access) Concierge services (evisits, online consults, and consumer oriented consults) Remote patient monitoring - clinical grade (services delivered into the home) Unsure Remote patient monitoring - consumer grade (data collected from off the shelf devices) Other 29.2% 26.9% 20.0% 12.4% 9.7% 15.9% 7.9% 8.3% 5.5% 7.9% 11.7% 4.5% 2.8% 5.5% 59.6% 55.2% 57.2% 47.2% 49.7% 49.7% The Hub and Spoke model for telemedicine still remains the most widely adopted and utilized model of care for telemedicine solutions and services. Participation in this model has remained in the 55 percent to 59 percent in the last three years. Additionally, patient portal usage has remained steady as well with adoption of a patient portal or an application-focused patient engagement services hovering around 47 percent to 49 percent in the last few years. The most model growth over the last three years has been seen in the area of concierge services, with nearly 30 percent of respondents leveraging the model for their needs in 2017 versus 20 percent in % 10% 20% 30% 40% 50% 60% 70% N= HIMSS Analytics

7 Telemedicine solutions/services leveraged Which of the following telemedicine solution(s)/service(s) are currently utilized at your organization? (please select all that apply) Two-way video/webcam Image sharing technology PREMIUM 31.5% ESSENTIALS As improvements are made to new BRIEF technology and healthcare Video conferencing 38.1% (group) policies adapt to these enhancements, organizations will 35.2% 35.5% continue to find a way to leverage the usage of these Medication management technology 80.0% DATA AND 72.0% INSIGHT 69.5% 57.8% 33.7% 41.7% versus 72 percent in % AVAILABLE 44.1% IN 48.3% 54.0% 45.3% 55.5% 22.5% 28.8% 29.7% 31.3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% Two-way video/webcam continues to be the most widely adopted technology that organizations are using to meet their telemedicine needs, up to 80 percent of study respondents The continued increase in this product area is significant when coupled with the decreases in and video conferencing. technologies to provide better access in a more streamlined approach. N= HIMSS Analytics

8 Potential shift in telemedicine investment driver What was the primary driver for your organization s investment in telemedicine solution(s)/service(s)? Ability to offer DATA care AND 27.4% INSIGHT for which services were not otherwise available 26.8% 23.4% AVAILABLE 35.6% telemedicine IN solutions or services. Filling gaps in patient care 41.1% 40.5% While filling gaps in patient care has traditionally Increase access to care 12.4% been top of mind for telemedicine investments, (24/7) 9.6% organizations now seem to be considering PREMIUM ESSENTIALS BRIEF investments to offer care for services not otherwise available. With the increase in the effectiveness of Remove patient barriers to receiving care (distance, bed bound) 27.0% 29.2% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% N= HIMSS Analytics 9.6% 1.1.6% 13.5% 15.2% Healthcare organizations are have long seen the benefits of investing in technology to supplement care. However there seems to be a slight shift in what organizations feel is the primary reason for investing in telemedicine solutions and services, healthcare organizations may be focused on expanding services.

9 Plans to invest grow, uncertainty remains high Do you have any plans to invest in telemedicine solutions/services within the next 24 months? DATA AND INSIGHT Regardless of current telemedicine investment, all study respondents were asked around plans to make future investments in telemedicine solutions/services. Overall, roughly 27 percent of respondents in 2017 Yes 27% indicated plans to make future investments versus 24 percent in AVAILABLE IN However, when segmented roughly 30 percent of those respondents that had made previous investments plan to make additional investments in telemedicine solutions/services with the level of uncertainty remaining PREMIUM ESSENTIALS high at 55 percent. Only 19 percent of respondents BRIEF without a previous investment plan to invest in the next two years with 52 percent uncertain. While many organizations have seen the benefits in telemedicine Unsure 55% No 18.0% solutions/services, the market still contains a healthy level of opportunity. N= HIMSS Analytics

10 Uptick in planned investment for mobile applications Which of the following telemedicine solution(s)/service(s) do you plan to consider? (please select all that apply) DATA AND INSIGHT Planned investments in two-way video/ 58.1% 67.1% webcam remains essentially unmoved from a year ago at nearly 65 percent of 29.4% 33.3% respondents looking to make an AVAILABLE 25.6% IN 27.4% investment in the next two years. 32.4% Mobile application for 31.5% The uptick in adoption of mobile concierge services 25.6% applications for concierge services PREMIUM ESSENTIALS continues BRIEF with those looking to make 20.6% 25.9% investments in this area as well. While the 34.9% 23.3% year over year comparison is minimal, plans to invest are up from roughly % 22.2% percent in 2015 to 32 percent in Two-way video/webcam Image sharing technology Medication management technology Remote patient monitoring via consumer devices (patient generated patient data) 64.7% 65.0% 0% 18% 35% 53% 70% N= HIMSS Analytics

11 HIMSS Analytics Toolkit Health IT Actionable Insights LOGIC CapSite Market Insight Unique Relationships Built collaboratively with Healthcare Organizations. Industry Expertise Contracts you need for transparency in pricing and effective go-to-market strategy Deep Data Proprietary data blended with the best available partner sources and data exhasut. Advisory Services Consultative Insight More than just theory. Executive insights HIMSS Analytics

12 We drive the health IT market in the direction it needs to go EMR Adoption Model Outpatient EMR Adoption Model Analytics Maturity Adoption Model Improved Patient Care and Health IT Insights Continuity of Care Maturity Model 2017 HIMSS Analytics

13 Get all the insights in the Premium Essentials Brief Highlights from the 2017 Inpatient Telemedicine Study include: Trending telemedicine data from 2014 to 2017 Current and future adoption rates of telemedicine solutions/services Insight into dedicated virtual care facility construction Purchase the Study

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