Jan 5 2010
According to a survey released today by CSC (NYSE:CSC) titled “Are
Hospitals Ready for Meaningful Use of EHRs?” U.S. hospitals are only
halfway to qualifying for government incentive payments aimed at
controlling healthcare costs while improving the quality and effective
delivery of patient care. Under the American Recovery and Reinvestment
Act of 2009 (ARRA), hospitals will receive payments from Medicare and
Medicaid starting in October 2010 for the successful implementation and
effective use of electronic health records (EHRs). The goal is for
hospitals to increase use of comprehensive EHR systems from 10 percent
in 2009 to 55 percent by 2014, and the incentive payments are
substantial: a typical 275 bed hospital would be eligible for
approximately $6 million. Hospitals that do not meet federal guidelines
by 2015 face reductions in Medicare reimbursement.
“In
addition to getting substantial monetary rewards, meaningful use
criteria will enable our nation’s hospitals to reap the full benefit of
EHRs and provide the safest level of care while reducing costs of
delivering, reporting and paying for care.”
The United
States Department of Health and Human Services (HHS) released draft
rules on the EHR incentive plan today that revealed broad gaps between
government expectations and the healthcare industry’s ability to meet
those expectations. The CSC report shows only two-thirds of hospitals
have even taken the first step: Identifying gaps in their current
systems to meet the requirements for meaningful use. One quarter of
hospitals meet at least 70 percent of the readiness criteria from the
survey. Hospitals have the highest readiness scores for privacy and
security protection, while the use of required EHR capabilities is
furthest behind.
“The definition of ‘meaningful use’ is a very important step in the
process of transforming healthcare with better information for better
decisions,” said Deward Watts, president of CSC’s Healthcare Group. “In
addition to getting substantial monetary rewards, meaningful use
criteria will enable our nation’s hospitals to reap the full benefit of
EHRs and provide the safest level of care while reducing costs of
delivering, reporting and paying for care.”
Hospitals do not necessarily need to purchase additional hardware or
software to move forward. For instance, CSC’s survey shows 70 percent of
hospitals have systems capable of supporting Computerized Physician
Order Entry (CPOE), but only eight percent have CPOE throughout the
hospital with at least 75 percent of orders being entered by physicians.
No hospital under 100 beds had CPOE up and running in even two units,
and none of the midsized hospitals (100 - 300 beds) had the system up
and running throughout the hospital.
Additional findings include:
-
Smaller hospitals have lower readiness scores especially for use of
required applications and quality reporting;
-
54 percent are using the latest software version of their EHR product,
which indicates upgrading might be required to meet the criteria for
meaningful use;
-
Although 89 percent report on core quality measures, only half capture
the majority of the required data from their EHR system;
-
The majority (98 percent) have a policy in place to limit the
disclosure of protected health information, but only 52 percent employ
encryption technologies to render data unreadable or unusable in the
case of unauthorized access;
-
Only 40 percent report that there is clear and broad awareness of the
new civil and criminal penalties under the ARRA.
These findings came from a survey of executives from 58 hospitals and
integrated health delivery networks of all sizes across the U.S.
conducted by CSC. The respondents reported their readiness for HITECH
incentives based on 50 indicators grouped into five general categories:
Use of a certified product, current use of capabilities required for
meaningful use, standards adoption, quality management and reporting,
and privacy and security protection. To get a representative sample of
hospitals, CSC collaborated with two state hospital associations and one
hospital alliance to distribute the survey to their members. Additional
surveys were obtained from CSC clients. All questions generated a “Yes”
or “No” response and results were self-reported using a paper form or an
online survey instrument.
http://www.csc.com/