Webinar: HIMSS Analytics gauges hospitals' progress on meaningful use

In a survey to assess hospitals' adoption of health IT and meeting meaningful use, 27 percent of 442 hospitals are expecting to achieve all 14 core meaningful use measures by May 2012, according to John P. Hoyt, executive vice president of organizational services at the Health Information Management and Systems Society (HIMSS) during a webinar this week concerning public policies and health IT adoption.

Hoyt’s participation helped frame the health IT adoption environment. “Eight percent [of these 442] are capable of achieving all 14 core measures today,” stated Hoyt during the HIMSS-sponsored webinar. An additional 17 percent expect to achieve all 14 core measure by the end of 2011, he said.

The 27 percent relates to a survey respondent sample size of 442 hospitals that participated and submitted data as part of an ongoing HIMSS Analytics Study (which seeks to track hospitals’ readiness for achieving stage 1 meaningful use measures and reporting progress quarterly) since the release of the final meaningful use regulations. Since the collection period began in May 2010, 999 hospitals have participated; “about 19 percent of the entire acute care hospital market of the U.S.,” said Hoyt.

HIMSS Analytics broke down hospitals’ likelihood of achieving Stage 1 meaningful use measures into three categories:
  • Most Likely – Hospitals with the capability to achieve 10 or more core measures and five or more menu measures;
  • Likely – Hospitals with the capability to achieve five to nine core and five menu measures or 10 or more core and three to four menu measures;
  • Least Likely – All other hospitals.

Out of the 999-hospital sample (those who submitted data before the final regulations were issued), 25 percent of hospitals are “most likely” to achieve stage 1 meaningful use measures. Nineteen percent are “likely” while 56 percent “are least likely to make it unless they [do] work to do to catch up, which can happen certainly if they’re in the middle of an implementation.”

Tracking data from all hospitals in the U.S. since 2005 for HIMSS Analytics’s EMR Adoption Model, Hoyt mentioned that “there is continued movement from stages 0, 1 and 2 up into the higher levels. Stage 3 has the preponderance of the American hospitals now [with 49 percent].” There have also been notable changes in stage 4 for physician order entry where in 2009, the figure of 7.4 percent of U.S. hospitals with complete deployment has grown to 10.5 percent today. “That’s nearly 40 percent growth in that stage. Hospitals are moving up the scale,” said Hoyt.

Currently, 1 percent of U.S. hospitals are at stage 7, 3.2 percent are at stage 6 and 4.5 percent are at stage 5.

Following the finalization of meaningful use stage 1 process measures, HIMSS Analytics has collected 442 hospitals’ survey information. In this group, 127 hospitals are in the “most likely” realm while 85 are “likely.” Two hundred and thirty hospitals are “least likely.”

Hospitals reporting that they expect to achieve all 14 core measures indicated that they are also capable of achieving five or more menu measures, according to Hoyt.

Of the 442 hospitals, 67 percent of respondents expect to achieve five or more measures by May 2012. “Forty-seven percent are capable of achieving five or more menu measures today,” stated Hoyt, pointing out that an additional 15 percent expect to achieve five or more menu measures by the end of 2011.

“That’s a lot of data …but the key thing here is that we projected about 25 percent [of U.S. hospitals] are most likely to meet all 14 core and five menu measures and [from our forward data of 442 hospitals], we show that 27 percent look like they’ll meet all 14 core measures by May 2012,” concluded Hoyt. “That’s looks like a fairly consistent number at this point and we’re confident with that.”

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