"Enterprise Imaging (EI)" - EI Use and Awareness in European Healthcare - HIMSS Europe
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
„Enterprise Imaging (EI)“
EI Use and Awareness in
European Healthcare
www.himss.eu/analytics 1
Results, July 2018
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018
TABLE OF CONTENT
• Introduction & methodology page 3
• Survey questions page 4
• Results
Key Findings page 5
Enterprise Imaging awareness page 7
EI as strategic priority page 9
EI usage page 10
EI plans page 11
EI products and services page 12
Clinicians’ abilities page 13
Top EI vendors page 14
Biggest EI benefits page 15
Business expectations page 18
2
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018
HIMSS ANALYTICS – WHO WE ARE
HIMSS Analytics in Europe provides healthcare organisations, governments and industry with extensive data resources and services
about the adoption and use of Information and Technology. HIMSS Analytics’ offerings include market intelligence, research and IT
adoption assessments for topics like Electronic Medical Records, Medical Imaging or Continuity of Care. These offerings are designed to
provide eHealth professionals with insights and guidance on their digital transformation journey.
EHEALTH TRENDBAROMETER – METHODOLOGY
Objectives o Continuous evaluation of trends and issues in the European eHealth sector:
2 – 4 survey waves per year, with both varying and recurring topics
o Provide insights into current and desired states of eHealth in Europe
o Enable discussions within the European eHealth community
Study design o Structured quantitative online survey
o Quick completion (time-to-complete is < 5 min)
o Survey language(s): English, German
o Participation via personal email invitation or via public link on www.himss.eu and other channels
Target audience Key audience: eHealth professionals from several European countries, especially:
and participants o IT staff, administrative staff, and clinicians from health facilities (e.g. CIO’s, CEO’s, Physicians, Nurses)
o Professionals from health-IT related software and consulting companies
o Professionals from other eHealth related sectors (e.g. health authorities, research, journalism)
Number of participants: approx. 300 – 500 per survey wave
Survey period o Typical field time: Approx. 2 months
o Specific field time for „Enterprise Imaging“ Trend Barometer: Access all eHealth Trend Barometers here:
May – June 2018 www.himss.eu/healthcare- 3
providers/ehealth-trends
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018
SURVEY QUESTIONS
Main Topic: „Enterprise Imaging“
1. What type of organisation are you working for?
2. How familiar are you with the concept of Enterprise Imaging (EI)?
3. Is Enterprise Imaging a strategic priority in your organisation?
4. Do you already use a dedicated Enterprise Imaging solution in your organisation?
5. Do you have plans to purchase a dedicated EI solution?
– If not, why do you think Enterprise Imaging is not important?
6. Please let us know if clinicians in your organisation can…
7. From the top of your mind, what are the top 3 Enterprise Imaging vendors you’d recommend to a friend or colleague?
8. In your opinion, which are the biggest benefits of using Enterprise Imaging?
9. How will the environment for eHealth innovation and investment in your country develop over the next 12 months?
Enterprise Imaging in this study is defined as…
… Enterprise Imaging refers to a set of strategies, initiatives and workflows implemented across a healthcare
enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange, analyze
and make full use of all clinical imaging and multimedia content to enhance the electronic health record.[1]
[1] Source: Roth CJ, Lannum LM, Persons KR. A Foundation for Enterprise Imaging: HIMSS-SIIM collaborative whitepaper. J Digit Imaging 2016; with minor edits made by the DIAM workgroup for Enterprise
Imaging.
4
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018
KEY FINDINGS
eHealth Business climate: The business trend for eHealth continues to be positive, the outlook has even
increased since the beginning of 2018.
5 Lessons on Enterprise Imaging (EI)
Lesson 1: Enterprise Imaging is a concept many eHealth professionals are aware of – but not very well!
Many professionals indicate to know something about Enterprise Imaging, but only about one out of three respondents claims to know much about it. There’s
much opportunity left to educate and shape this market space before it will mature. Companies, but also individuals, that are able to fill this gap with ideas,
knowledge, or products will be able to reap the benefits of their efforts.
Lesson 2: Healthcare providers are just starting to use dedicated Enterprise Imaging platforms.
Only 26% of healthcare facilities in (mostly Western) Europe currently use dedicated Enterprise Imaging platforms. But many more have already made EI a
strategic priority in their organisation, with a good share having dedicated investment plans over the next 2 – 3 years. This will be a growing market segment.
Lesson 3: EI is expected to increase efficiency levels, improve care collaboration and add value for the patient.
Similar to the motto of the Olympic Games (faster, higher, stronger), Enterprise Imaging promises to be faster (access to images/information), richer (more
images/information) and safer (supports collaboration and to take more informed decisions). But unlike the Olympic Games it also promises to be cheaper
(thanks to efficiency gains). Well, some of this perhaps still needs to be proven over time… but the promises sound convincing and expectations are certainly
optimistic.
Lesson 4: EI’s sweet spots – longitudinal image history of a patient and device-agnostic access capabilities.
Yes, many clinicians already have access to images from patients that are treated within their healthcare organisation. No, this access doesn’t always work
through a single user interface / the main application in use. An USP compared to the currently most prevalent model to capture, store and access images is to
enable clinicians to see all the images (and videos, waveforms etc.) of a patient in context of related information and documents, chronologically listed, with
the ability to easily compare them and be able to easily use mobile devices, where appropriate.
Lesson 5: The most often recommended Enterprise Imaging solution vendors in Europe are…
… Agfa Healthcare, Siemens Healthineers and Carestream! But there are quite significant differences between regions and countries, for example Visus in the
D-A-CH Region and Sectra in the Nordic Countries was named third most frequent. 5
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018
SAMPLE DISTRIBUTION – SURVEY PARTICIPANTS
Respondents’ occupation
Geographic distribution
Health Facility (49%)
Governmental Health Authority (11%) • Chief Information Officer (CIO) (26%)
• Manager, Head of Department (38%) • IT Staff (20%)
• Consultant (21%) • Medical Profession (Physician) (17%)
• Digitial/Enterprise Architect (15%) • Corporate Governance (10%)
n=421
• Not classified (26%) • Medical Profession (Nurse,
Pharmacist...) (7%)
• Researcher/Scientist (4%)
• Others, e.g. CMO, CEO, QM, HR (16%)
Country n Consulting Companies (10%)
Germany 70 • Consultant, Manager, Business
Spain 51 Development (50%)
Switzerland 41 • Partner, Director,
Netherlands 35 Owner (30%) n=421
Italy 33 • Not classified (20%)
Countries or regions Norway 26
with more than 30 Austria 25
participants are shown Sweden 17
individually. United Kingdom 17 Other Companies (14%)
Belgium 16
• Academic Sector (30%) Software Vendor (16%)
*„Other“ respondents Denmark 15
• Journalism & Public Relations (14%) • Sales/Marketing Professional (47%)
are from: United States, Finland 12
Other* 34
• Hardware Vendor (5%) • Other position (47%)
Bulgaria, Estonia…
Ireland 11 • Marketing Company (5%) • Software Developer (7%)
France 9 • Pharmaceutical Company (2%)
Greece 9 • Not classified (43%)
Total 421
6
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018AWARENESS ABOUT ENTERPRISE IMAGING BY COUNTRY
Enterprise Imaging (EI) is not on everybody’s mind. While everybody has heard about Electronic Medical Records or PACS, a fair share of
eHealth professionals doesn’t know much about medical imaging beyond Radiology. There are only few differences between different
countries or regions.
How familiar are you with the concept of Enterprise Imaging (EI)?
[Scale from 1 “not at all” to 5 “I am an expert”; total including “other”; labels only shown when >2% ]
1 – Not at all I am an expert – 5 Mean
D-A-CH Region 3.0
n=117
Italy 3.1
n=31
Netherlands 3.1
n=30
Nordic Countries 3.0
n=64
Spain 3.2
n=44
Total 3.1
n=370
Enterprise Imaging in this study is defined as…
… Enterprise Imaging refers to a set of strategies, initiatives and workflows implemented across a healthcare
enterprise to consistently and optimally capture, index, manage, store, distribute, view, exchange, analyze
and make full use of all clinical imaging and multimedia content to enhance the electronic health record.[1]
[1] Source: Roth CJ, Lannum LM, Persons KR. A Foundation for Enterprise Imaging: HIMSS-SIIM collaborative whitepaper. J Digit Imaging 2016; with minor edits made by the DIAM workgroup for Enterprise 7
Imaging.
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018AWARENESS ABOUT EI BY ORGANISATION AND POSITION
It’s not surprising Software vendor employees say they are quite familiar with the concept of Enterprise Imaging. Same for CIO’s, no
matter for what kind of organisation they are working for. In contrast, professionals working for governmental health authorities or in a
position as organisational and corporate governance appear to know the least about Enterprise Imaging.
How familiar are you with the concept of Enterprise Imaging (EI)?
[Scale from 1 “not at all” to 5 “I am an expert”; labels only shown when >3%; only overall top 5 positions shown]
1 – Not at all I am an expert – 5 Mean
Health facility 3.2
n=180
Organisation
Consulting company
3.3
n=40
Governmental health authority
2.9
n=38
Software vendor 3.4
n=59
Chief Information Officer (CIO)
3.5
n=51
IT Staff 3.2
Position
n=39
Medical Profession (Physician)
2.8
n=24
Medical Profession
(Nurse, Pharmacist…) 2.8
n=12
Organisation and
2.7 8
Corporate Governance
n=19 © HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018ENTERPRISE IMAGING AS STRATEGIC PRIORITY
The majority of eHealth professionals working in health facilities declares that EI is a strategic priority in their organisation (61%), either
financially supported (42%) or not (19%). Compared by country it appears that Italian and Spanish health facilities do most often have a
dedicated EI strategy. Within the D-A-CH region nearly half of the professionals surveyed are either not aware or declare that their
organisation has not yet made Enterprise Imaging a strategic priority.
Is Enterprise Imaging a strategic priority in your organisation?
[Only participants working in a health facility; total including “other” countries]
Total By country
Italy
n=10
Nordic Countries
n=24
D-A-CH Region
n=203 n=80
Netherlands
n=16
Spain
n=23
9
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018USAGE OF AN ENTERPRISE IMAGING SOLUTION
Only about a quarter of health facilities use dedicated EI solutions. A similar share relies on heterogeneous image management
solutions that are integrated and behave similar in many aspects to a consolidated environment. Most facilities still rely on multiple
departmental solutions that are not very well integrated with each other (45%), disabling their clinicians to be more efficient and
provide better care to their patient. This rather non-ideal environment is mostly prevalent in the D-A-CH region.
Do you already use a dedicated Enterprise Imaging solution in your organisation?
[Only participants working in a health facility; total including “other” countries, excl. “don’t know”]
Total By country
Italy
n=10
Nordic Countries
n=19
D-A-CH Region
n=170 n=64
Netherlands
n=15
Spain
n=21
Yes, we use a dedicated EI platform Yes, we use various solutions that are fully integrated and enable enterprise-wide
access and sharing for all types of images, videos, waveforms etc.
No, we have several departmental imaging 10
solutions that are not fully integrated We use something else
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018PLANS TO PURCHASE EI SOLUTIONS
A majority of health facilities (69%) not yet using dedicated EI solutions have plans to invest into such products. Most investment plans
will not be realised immediately, but within the next 2-3 years. Those who have no plans to invest typically don’t have funds available,
wait until after they purchase a new EMR or are relatively satisfied with their status quo.
Do you have plans to purchase a dedicated EI solution? If not, why do you think EI is not important?
[Only participants working in a health facility who are not using a dedicated Enterprise Imaging platform; total including “other” countries]
“Current solution is
“It is important, sufficient for now.
“This will become monetary issues are Other priorities are
“Because nobody deals with it, important soon, but the problem. We have selected currently.”
“It is important, but there’s a kind of "allotment will be implemented other urgent
my hospital has even garden mentality" (i.e. each dependent of the mandatory
more pressing needs department works on its own)” choice of EHR.” investments to make.”
that take priority over
this.”
Yes, we use a dedicated EI
platform
Yes, we use various solutions
No, we have several
departmental imaging
solutions
We use something else
11
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018EI PRODUCT AND SERVICE OFFERINGS
A relatively high proportion of representatives from software vendors and consulting companies taking this survey indicate to offer, or
plan to offer, Enterprise Imaging solutions or services. Whereas this is not a representative study for the European eHealth vendor and
consulting sphere, it still suggests that many companies perceive EI to be a lucrative and growing market segment – which might be
right when looking at the investment plans from healthcare providers on the previous slide.
Do you provide products or consultative services with regard to Enterprise Imaging?
[Only participants working for an IT software vendor or consulting company]
“Yes, but only to
launch projects
“Data related to enterprise
management imaging (strategy)”
“As a partial systems”
aspect”
12
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018IMAGE ACCESS AND VIEWING CAPABILITIES
Most health care professionals are able to access almost all images directly through the EMR (64%), with the Netherlands leading in this
area (nearly 90% of Dutch clinicians have this capability). This might also explain why some eHealth professionals don’t really feel the
pressure to improve the situation. However, simple access is not everything, in more than half of all cases multiple applications need to
be opened in order to access images and associated documents. The real sweet spot for further efficiency gains and EI product and
consulting offerings appears to lie in enabling seamless access, with the capability to easily see a longitudinal image history of patients,
incl. the possibility to do this by using mobile devices.
Please let us know if clinicians in your organisation can…
[Only participants working in a health facility; multiple answers possible; total including “other” countries]
Total Average number of capabilities per country
n=188
0 5
…access more or less all images,
Italy
waveforms, videos, documents etc. IT NL
n=9
patient-specific directly through the EMR
Nordic Countries
…access images from outside n=22
IT NL
the organisation, i.e. remotely D-A-CH Region
n=73
…easily view images and
DACH IT Netherlands
related reports, notes
n=16
through the same application
Spain
…easily see a longitudinal EI n=21
DACH NORDIC Sweet
image history of their patients
Spot?
…access images from
mobile devices such as ES NL Total
tablets and smartphones n=188 13
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018MOST RECOMMENDED ENTERPRISE IMAGING VENDORS
Out of 484 responses from 196 respondents, Agfa Healthcare (105), Siemens Healthcare (57) and Carestream Health (55) are the top 3
most recommended Enterprise Imaging vendors in Europe.
From top of your mind, what are the top 3 Enterprise Imaging vendors you’d recommend to a friend or
colleague? Sectra (28%)
[Free text entry; overall top 10 answers (table) and overall top 3 answers (chart); total including “other”] Agfa Healthcare (20%)
Netherlands
Agfa Healthcare (24%)
Countries
D-A-CH Siemens Healthineers (13%)
Region
Nordic
Spain
Total
Italy
Sectra (17%)
Philips Healthcare (14%)
Agfa Healthcare 21% 22% 24% 20% 22% 22%
Agfa Healthcare (22%) Agfa Healthcare (21%)
Siemens Healthineers 11% 10% 5% 13% 13% 12% Visus (13%)
Siemens Healthineers
Carestream Health 10% 25% 5% 11% 12% 11% (13%) Siemens Healthineers (11%)
Philips Healthcare 9% 10% 14% 6% 10% 10% Carestream Health/GE
Healthcare (12%)
Sectra 5% 4% 17% 28% 1% 9%
GE Healthcare 4% 4% 2% 11% 12% 8%
Carestream Health (25%)
Fujitsu 0% 14% 2% 0% 3% 4%
Agfa Healthcare (22%)
Visus 13% 0% 2% 0% 0% 3% Fujitsu (14%)
Synedra 10% 0% 0% 0% 0% 2%
Telemis 1% 0% 2% 0% 0% 1%
14
N answers 115 51 42 71 68 484
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018ENTERPRISE IMAGING BENEFITS – BY ORGANISATION
Clinicians, using an EI platform and programme, will benefit from having all images in one place, with faster access to more images from
almost everywhere and the capability to collaborate easily with relevant stakeholders. This will also be beneficial for patients, especially
because they as well will have better access to more types of images and can rely that their care providers are able to take better
informed decisions. Overall, benefits related to efficiency gains (especially saving time and money) are mentioned most frequently.
In your opinion, which are the biggest benefits of using Enterprise Imaging?
[Categorized free text entry; total including “other”]
Total Consulting Governmental Heath IT Software
Company Health Authority Facility Vendor
n=213 n=26 n=21 n=105 n=35
Efficiency (cost reduction, less paper,
performance improvement, time
saving, real time information)
Accessibility (access for all users to
information, easier management,
higher security, less dependencies)
Collaborate / Share / Communicate
(interoperability, cross-organisational
sharing, telemedicine, base for HIE)
Patient benefit (avoid double
radiation and exams, improve patient
safety and satisfaction, quality of care)
All in one place (longitudinal patient
record, comparability, consilidated
diagnotic, one vendor)
Other (standardisation, improved
workflows, data security, usabilty, 15
big data analysis)
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018ENTERPRISE IMAGING BENEFITS – BY COUNTRY
Health professionals from the Nordic region expect increased patient benefits (like reduced radiation and exams, improved patient
safety) from using EI (23%). In southern European countries like Spain and Italy the largest benefits are expected in the areas of
efficiency gains and better sharing and collaboration capabilities between healthcare providers.
In your opinion, which are the biggest benefits of using Enterprise Imaging?
[Free text entry; overall top 2 answers; total including “other”] Accessibility (23%)
D-A-CH Region
Netherlands
Patient benefit (23%)
Countries
Nordic
Spain
Total
Italy
Efficiency (29%)
All in one place (25%)
Efficiency 24% 24% 29% 16% 32% 25% Efficiency (24%)
Collaborate / Share /
Accessibility 16% 6% 13% 23% 25% 16% Communicate (17%)
Efficiency (32%)
Collaborate / Share Accessibility (25%) Other (17%)
17% 24% 13% 10% 7% 15%
/ Communicate
Patient benefit 10% 18% 13% 23% 11% 15%
Other 17% 24% 8% 10% 18% 15% Collaborate / Share /
Communicate (24%)
All in one place 16% 6% 25% 19% 7% 14% Efficiency (24%)
Other (24%)
N Answers 63 17 24 31 28 213
16
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018ENTERPRISE IMAGING BENEFITS – SELECTED QUOTES
The ability to access all the information regarding medical image, no matter what the
origin is, from X-Ray to MR, even ECG or Dermatology-grade pictures.
A standardized handling of all multimedia objects
across disciplines and hospitals. Ability to use machine learning/AI to generate
provisional diagnosis quickly.
Easier & cheaper cyber security to protect images in one single repository.
Availability of picture
Cost reduction through
along its life cycle with
elimination of multiple
VNA.
image stores and solutions. Greatly reduces the use of paper for
requests and reporting.
Break down
application siloes by
splitting
functionality and
data. Images can be exposed to the patients, as part
Clinical benefits thanks to the link to the clinical
of their EMR.
pathway.
17
Selected quotes related to the question: “In your opinion, which are the biggest benefits of using Enterprise Imaging?”
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018RESULTS – BUSINESS EXPECTATIONS
Business prospects for the eHealth sector continue to be very positive, in-100
fact at a slightly higher level than in+100
the beginning of 2018. In
total only 5% believe the situation will become worse (9% in Q1 2018). While to be interpreted with caution (low response rate) eHealth
professionals from Finland are particularly optimistic (92% expect an improvement).
From a general perspective: How will the environment for eHealth innovation and investment in your country
develop over the next 12 months?
[Score for “Balance of business expectations” = (percentage “improve” – percentage “worse”)*100]
Results by country (2018 – Q3)
Very positive expectations
Worse Steady Improve N
Balance of business expectations*
Austria 8% 38% 54% 24
Denmark 13% 40% 47% 15
Finland 0% 8% 92% 12
-6 Germany 4% 33% 63% 67
2015 – Q2 2015 – Q3 2016 – Q2 2016 – Q3 2016 – Q4 2017 – Q2 2017 – Q3 2018 – Q1 2018 – Q3 Italy 6% 52% 42% 33
Netherlands 0% 25% 75% 32
Norway 0% 31% 69% 26
Spain 2% 34% 64% 47
Very negative expectations Sweden 0% 33% 67% 15
Switzerland 17% 46% 37% 41
All countries 5% 36% 60% 402
18
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018Thank you for your participation!
HIMSS Analytics
Office Leipzig
Schwägrichenstraße 9
04107 Leipzig
Germany
www.himss.eu/analytics
www.himssanalytics.org
Join the European eHealth community panel
research@himssanalytics.eu
19
© HIMSS Analytics | eHealth TRENDBAROMETER Q3/2018You can also read
