UIHP Health Information Technology 2010

Welcome to the UIHP HIT Survey 2010 Results Page

Introduction

This survey was created as part of our continuing efforts to both provide customized technical assistance for our members and to educate policy makers on specific needs.  The Annual NCUIH Conference 2010 will provide a space for all Urban Indian Health Programs to discuss (among ourselves and with Federal Officials) important and multi-disciplinary issues, such as the introduction and implementation of Health Information Technology (HIT) projects.


Results


Fifty Eight Percent  (58%) of UIHPs reported having  T1 or ISDN, while 42% reported Broadband 

Only seventeen percent (17%) of UIHPs Surveyed reported that they are connected to a Hospital or another provider's system, 
while  79% reported  they were not.
Of UIHPs Surveyed
a)       92% reported Email
b)       79% reported Practice Management System 
c)       29%  reported EHR
d)       No one endorsed E-prescribing
e)       75% reported Document Scanning
f)        67% reported Registries of patients with specific diseases
g)       21% reported E-laboratory
h)       4% reported None 

Of UIHPs reporting Using EPMS:

a)       84% reported Registration (n=16)
b)       90% reported Scheduling (n=17)
c)       47% reported Billing (n=9)
d)       10% reported Other (n=2)
Qualitative Responses: Medical and Dental; Reporting

Of UIHPs Surveyed
83% reported using RPMS, while
17% reported Not using RPMS  at all

Of UIHPs Surveyed
  Only 10% reported using RPMS for billing, 
while the majority of programs are not
  using RPMS for billing 

Of UIHPs Surveyed:
19% reported using another EHR in addition to RPMS

Of UIHPs Surveyed:
79% reported that they are looking to implement EHR

Of those programs planning to implement EHR,
79% reported  they plan to do so in 0-2 years;
16% report 3-5 years, and 
5% reported  are not Sure


88% reported Cost of implementing new technologies as a barrier 
88% reported training of staff and implementation of system 
29% reported lack of IT culture 
67% reported  lack of technical proficiency of staff 
38% reported lack of physician champion 
13% reported lack of organizational support 
No programs reported 
29% reported Other

Other barriers included cost with hardware software and T-1 lines; IHS; Lack of area support for RPMS; Lack of training/process by IHS; Needs more IT input unfamiliar with the system; No medical services; Unable to maintain IT crew w/ proper skills

Very Important=4
Not  Important= 0

Has your UIHP ever installed an electronic medical record in the past and then de-installed the electronic medical record? 

12.5% reported they had to de-install an EMR



BEHAVIORAL HEALTH/HIT


96% reported  they do provide behavioral health services 

Of UIHPs providing behavioral services
20% reported these services ar provided using a paperless system

Are the behavioral and medical records integrated? 

43.5% of UIHPs providing BH services reported  that these services are integrated with the medical department 

Is billing centralized for both medical and behavioral? 

54.5% reported UIHPs providing BH services reported  that tbilling is centralized for both  medical and behavioral health services

Can your behavioral program access medical information such as diagnosis or prescriptions (medication list) from your medical E.H.R electronically?        

30% reported  that the behavioral health program can access medical EHR electronically, while the vast majority ( 70%) reported no access. 

Introduction

This survey was created as part of our continuing efforts to both provide customized technical assistance for our members and to educate policy makers on specific needs.  The Annual NCUIH Conference 2010 will provide a space for all Urban Indian Health Programs to discuss (among ourselves and with Federal Officials) important and multi-disciplinary issues, such as the introduction and implementation of Health Information Technology (HIT) projects.


Results

Fifty Eight Percent  (58%) of UIHPs reported having  T1 or ISDN, while 42% reported Broadband 

Only seventeen percent (17%) of UIHPs Surveyed reported that they are connected to a Hospital or another provider's system, 
while  79% reported  they were not.
Of UIHPs Surveyed
a)       92% reported Email
b)       79% reported Practice Management System 
c)       29%  reported EHR
d)       No one endorsed E-prescribing
e)       75% reported Document Scanning
f)        67% reported Registries of patients with specific diseases
g)       21% reported E-laboratory
h)       4% reported None 

Of UIHPs reporting Using EPMS:

a)       84% reported Registration (n=16)
b)       90% reported Scheduling (n=17)
c)       47% reported Billing (n=9)
d)       10% reported Other (n=2)
Qualitative Responses: Medical and Dental; Reporting

Of UIHPs Surveyed
83% reported using RPMS, while
17% reported Not using RPMS  at all

Of UIHPs Surveyed
  Only 10% reported using RPMS for billing, 
while the majority of programs are not
  using RPMS for billing 

Of UIHPs Surveyed:
19% reported using another EHR in addition to RPMS

 

Of UIHPs Surveyed:
79% reported that they are looking to implement EHR

Of those programs planning to implement EHR,
79% reported  they plan to do so in 0-2 years;
16% report 3-5 years, and 
5% reported  are not Sure

88% reported Cost of implementing new technologies as a barrier 
88% reported training of staff and implementation of system 
29% reported lack of IT culture 
67% reported  lack of technical proficiency of staff 
38% reported lack of physician champion 
13% reported lack of organizational support 
No programs reported 
29% reported Other

Other barriers included cost with hardware software and T-1 lines; IHS; Lack of area support for RPMS; Lack of training/process by IHS; Needs more IT input unfamiliar with the system; No medical services; Unable to maintain IT crew w/ proper skills

Very Important=4
Not  Important= 0

Has your UIHP ever installed an electronic medical record in the past and then de-installed the electronic medical record? 

12.5% reported they had to de-install an EMR

 

BEHAVIORAL HEALTH/HIT


96% reported  they do provide behavioral health services 

 

Of UIHPs providing behavioral services
20% reported these services ar provided using a paperless system

Are the behavioral and medical records integrated? 

43.5% of UIHPs providing BH services reported  that these services are integrated with the medical department 

Is billing centralized for both medical and behavioral? 

54.5% reported UIHPs providing BH services reported  that tbilling is centralized for both  medical and behavioral health services

Can your behavioral program access medical information such as diagnosis or prescriptions (medication list) from your medical E.H.R electronically?        

30% reported  that the behavioral health program can access medical EHR electronically, while the vast majority ( 70%) reported no access.