1. Introduction to HIMSS and EMRAM October 2015

2. INTRODUCTION TO HIMSS

3. HIMSS WORLDWIDE AT A GLANCE Mission: Thought leadership for better health engagements and care outcomes through information technology Not-for-profit organization founded in 1961, headquartered in Chicago Providing global leadership for the use of information technology (IT) for the betterment of healthcare Represents 54,000 individual and 600 corporate members, plus 250 not-for-profit partner organizations with a presence in 200+ countries all over the world

4. EMRAM EVALUATIONS ACROSS THE GLOBE Since 2005 the EMRAM has been used in more and more countries 2005 2010 2011 Core EMRAM country (strong focus by HIMSS) EMRAM used by many healthcare providers (medium focus by HIMSS currently) EMRAM used by few healthcare providers (some focus by HIMSS currently) US + CN: >6.000 hospitals Europe: >2.000 hospitals ASPAC: >800 TR: >140

5. THE EUROPEAN EMR ADOPTION MODEL … in 7 Stages to Highest Quality in Patient Care Electronic diagnostic and pharmacy department information A patient-centered electronic data repository Clinical ordering and documentation – especially nursing care Electronic order entry with decision support and result reporting Completely electronic diagnostic image management Full electronic clinical decision support, and highest medication safety “Paperless” patient record environment for highest quality of care, data continuity & full HIE

6. Stage 0Low clinical value; mainly patient administration and hospital management Stage 7Paperless environment enabling data continuity to deliver and manage patient care for all hospital services and s upporting data sharing with all care delivery stakeholders  Optimised quality of care and patient safety  Optimised clinical operational and business process efficiency Stage 6Optimised diagnostic and care delivery efficiency by standard treatment protocols; Further reduction / elimination of medical errors  improved patient safety; Reduced / eliminated paper-based documentation and dictation and transcription costs; Improved billing and coding Stage 5Elimination of film reduces costs and need for storage space, image sharing works faster and more efficiently, redundant imaging can be avoided Stage 4Improved care delivery efficiency and reduced medical errors Stage 3Optimised collection of nursing and clinical information; Standardized care delivery  first improvements of care quality Stage 2Optimised access to diagnostic results, sharing of patient-information Stage 1Improved key dept. operations and access to diagnostic information CARE IMPROVEMENT BY EMR ADOPTION … clinical value potential of each stage

9. THE CLMA PROCESS  The ideal process and its key components

10. … weitgehend vermeidbar Error Potential in the Medication Process … mostly avoidable Source: D W Bates, D J Cullen, N Laird, et al., “Incidence of Adverse Drug Events and Potential Adverse Drug Events: Implications for Prevention”, JAMA, 247 (1995), pp. 29-34

11. … a process overview highlighting the key challenges Closed Loop Medication Process Medication orders pass clinical decision support @ the point-of-care Validation of order and dispensing of Unit Doses (e.g. by ADM) Automated Dispensing Machines (ADM) Secure identification of nurse, patient and medication at Point-of- Care (PoC) PoC Administration eMAR Complete medication administration documentation Pharmacy / Nurse CPOE and/or e-prescribing Medication Reconciliation Medications at admission and discharge

12. FROM DATA SILOS TOWARDS DATA CONTINUITY … how does the EMRAM fit in? PHR HIE Primary Care (e.g. GP practice) Patient Health authorities Other Stake- holders Insurance Tertiary Care (e.g. Long term rehab center) Secondary Care (e.g. hospital) The Healthcare EcosystemHealth Record Concepts EMR EHR PHR

13. FROM DATA SILOS TOWARDS DATA CONTINUITY … how does the EMRAM fit in? PHR HIE Primary Care (e.g. GP practice) Patient Health authorities Other Stake- holders Insurance Tertiary Care (e.g. Long term rehab center) Secondary Care (e.g. hospital) The Healthcare EcosystemHealth Record Concepts EMR EHR PHR HIE ready EHR capable

14. For further information visit: www.himss.euwww.himss.eu Edmundo Ramirez Country Manager Spain THANK YOU..! HIMSS Europe Lennéstrasse 9 10785 Berlin, GERMANY e-mail: eramirez@himssanalytics.eu phone: +49 341 333 95 311