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Healthcare CIO: Final Report

Bar coding, clinical information systems, EMRs and CPOE continue to be the top applications of the future.

Bar coded medication management was the IT application that was cited most frequently by survey respondents as being the healthcare application area they considered to be important to their organization in the next two years. The 52 percent of respondents who identified this issue in 2004 represents a six-percentage point increase compared to those who selected this item in 2003.

The second most frequently cited areas were clinical information systems and an EMR, each identified by 52 percent of respondents. For EMRs, this represents an increase of nearly 11 percent compared to 2003.

In third place are computer-based practitioner order entry (CPOE) systems, identified by half of the respondents. This is down from the 64 percent of respondents who identified this as a top application in 2003.

Digital Picture Archiving and Communications Systems (PACS) were identified by 43 percent of respondents as an application of importance over the next two years.

The number of survey respondents identifying web-based applications as important to their facility in the next two years has declined for the fifth consecutive year. Identified as a top application by 18 percent of survey respondents in 2004, this was identified by 70 percent of those individuals responding to the 2000 survey.

Despite a shift in terminology from computer based patient record (CPR)5 to EMR6, installation rates of EMRs are nearly identical to those reported in 2003. However, an effort was made to keep the definitions compatible so that the data could be compared from one year to the next. Approximately 19 percent of the healthcare IT executives responding to this survey indicate that their organization has a fully operational EMR system in place. By survey definition, this means that healthcare facilities are electronically maintaining information about an individual's lifetime health status in a completely paperless fashion. Additionally, 37 percent of respondents report that their organization is presently installing EMR hardware and software, while 23 percent report a plan to implement an EMR. Only 21 percent of respondents report that they have not yet begun to plan for the implementation of an EMR.

5A CPR is electronically maintained information, derived from multiple sources, about an individual's lifetime health status and healthcare. A CPR supports clinical decision-making and replaces the paper medical record as the primary source of information about a patient's care.

6An EMR is electronically originated and maintained clinical health information, derived from multiple sources, about an individual's lifetime health status and healthcare. An EMR is supported by clinical decision systems and replaces the paper medical record as the primary source of patient information.

 

Figures:

Figure 13. Most Important Applications (Next Two Years)
Figure 14. Status of Electronic Medical Record Implementation

 


 
       
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