IHE-PCD 2006 SurveyFinal Results

171 Responses•68 Vendors

•103 User Community

Survey by HIMSS AnalyticsReport Compiled by Ray Zambuto

0 5 10 15 20 25 30 35 40 45

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2

3

4

Demographics: Knowledge of IHE as a Percent of Total Respondents

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

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

I had little or no knowledge of IHE prior to taking this survey

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

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Respondent Demographics171 Individual Responses

0 10 20 30 40 50 60 70 80

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

Purchaser / Materials Mgr.

= Hospital Based

Vendor Demographics: Respondents’

Position /Department 68 Vendor Responses

0 5 10 15 20 25 30

Systems Integration -Compliance

Management

Device Design

Sales

Software Design

Technical Support

Not my department

Vendor Size (# of Employees) 68 Vendor Responses

0 5 10 15 20 25 30 35 40 45

Less than 10

10-100

100-1000

Over 1000

Vendor Position on IHE and Interoperability 68 Vendor Responses (Checking all that apply)

0 10 20 30 40 50

We do not currently provide connectivity optionsoutside of our own products/systems

We have proprietary connectivity solutions

We would use IHE based solutions if they wereavailable

We are designing IHE compliance into our productsas they emerge

Vendor Type - Device or Application Product

68 Vendor Responses

0 5 10 15 20 25 30 35 40 45

Applications

Devices

Both

Vendor Demographics: Vendor Products68 Vendor Responses

0 5 10 15 20 25 30

Monitors - Vital Signs

Other

Home Care

Anesthesia

Infusion Devices

POC Lab Devices

Ventillators

Dialysis

0 1 2 3 4 5 6

ECG

Imaging - PACS

Defibrillators

Laboratory

Ultrasound

Bone Density Scanner

Pharmacy

Women's Health

Demographics: User Organization Types77 Hospital Based Respondents*

*26 of the 103 Non-Vendor Respondents do not work in hospitals

0 5 10 15 20 25 30 35 40

Univer si ty / T er tiar y Car e

300+ Bed Non P r ofi t

Smal ler Non P r ofi t

Municipal or State Instiution

100-299 Bed Non P r ofi t

For P r ofi t Chain

Other

Relationship of Clinical Engineering and IT at Respondents’ Hospitals77 Hospital Based Respondents*

*26 of the 103 Non-Vendor Respondents do not work in hospitals

0 5 10 15 20 25 30 35 40 45

Do not know

CE is Outsourced

Do not cross paths

CE and IT are separate - work

closely

CE is Part of IT

Involvement in Purchasing Process77 Hospital Based Respondents

0 5 10 15 20 25 30 35 40 45 50

Approve the Purchase of

Devices

Specify Devices for

Purchase

Use Devices

Importance of Interoperability to Hospital Based Respondents

0 5 10 15 20 25 30 35 40

Not a Priority

Prefer interoperable

devices but not required

Moving to compliance -

willing to pay a premium

for interoperability

IHE compliance is a

requirement for purchase

if it is available

Survey Questions

Survey Questions were based on a 1-7 range of answers, with 7 being Extremely Important and 1 being not at all lmportant.

The responses were normalized to a single measure of importance by taking the sum of responses of 6 and 7 (very important/extremely important) less the sum of responses of 1 and 2 (very unimportant). This sum was then divided by the total number of responses in the respective groups, Vendor and User Community, to yield the percentage of respondents who considered the particular element to be important to them.

Survey Question: With respect to Medical Devices, how important is it for the following devices to become

integrated under the IHE?

= Users= Vendors

0 10 20 30 40 50 60 70 80

Dialysis (acute / chronic)

Intra-Aortic Balloon Pumps

Infusion Pumps

Anesthesia Systems

Ventilators

Physiological Waveform Monitors

Vital Signs Reporting Devices

Percent of respondents that consider it important

Survey Question: With respect to Lab Point of Care Devices, how important is it for the following devices to

become integrated under the IHE?

= Users= Vendors

0 10 20 30 40 50 60

Fecal Occult Blood

Blood Glucose Devices–outpatient

Hemoglobin

Blood Glucose Devices– inpatient

Percent of respondents that consider it important

Survey Question: Rate the importance to each department below in terms of the benefit from implementing IHE

= Users= Vendors

0 20 40 60 80 100

Home Health

Oncology

OB/GYN

Infusion Therapy

General Med/Surg

Anesthesia

Pharmacy

ED

Surgery

ICU

Percent of respondents that consider it important

Survey Question: Which clinical applications would you like to see IHE target?

= Users= Vendors

0 10 20 30 40 50 60 70 80

Wellness Monitoring (Such as non-clinical fitness activities)

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

Remote Consultation

Image Guided Surgery

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

Remote viewing of waveforms

Integration of live waveform information into Clinical Systems

Clinical Decision Support

Alarm Notification Management

Remote Viewing of patient information on PDA or Tablet devices

Drug Administration

Medication Management

Real-time medical error detection / mitigation

Communicating physiologic measures to the EHR

Percent of respondents that consider it important

Survey Question: Which technological areas are the most important for Patient Care Device integration?

= Users= Vendors

0 10 20 30 40 50 60 70 80 90

Quality of Service Management

RF Wireless

Security

Cross-enterprise information sharing

Common Terminology / Data Structures / Protocols

Survey Question: What are the greatest incentives for IHE integration?

= Users= Vendors

0 10 20 30 40 50 60 70 80 90

Federal reimbursement incentives

Reduced complexity of purchasing process

Privacy and Security for Patients

Improved compliance process

Long term cost reduction

Workflow simplification

Patient Safety

Percent of respondents that consider it important

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

= Users= Vendors

0 10 20 30 40 50 60 70 80

Fear of Litigation

Market still in “earlyadopter” phase

Expense/Cost

Lack of AdoptedTechnology Standards

Percent of respondents that consider it important