Digital Health Indicator Rapid Assessment
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Step 1/7
  • Start
  • Interoperability
  • Governance & Workforce
  • Person-Enabled Health
  • Predictive Analytics
  • Select Your Models
  • My Report

Measure your health system's digital health capabilities, identify your strengths and uncover opportunities to inform a comprehensive digital health strategy with this complimentary HIMSS DHI rapid assessment. Your pathway to increased health system capacity and improved population wellness begins now.

Step 2/7
  • Start
  • Interoperability
  • Governance & Workforce
  • Person-Enabled Health
  • Predictive Analytics
  • Maturity Models
  • My Report
Interoperability
Interoperability is the ability of different information systems, devices and applications ('systems') to access, exchange, integrate and cooperatively use data in a coordinated manner, within and across organizational, regional and national boundaries, to provide timely and seamless portability of information and optimize the health of individuals and populations globally. Health data exchange architectures, application interfaces and standards enable data to be accessed and shared appropriately and securely across the complete spectrum of care, within all applicable settings and with relevant stakeholders, including by the individual.

The DHI measures the foundational, structural, semantic and organizational features of interoperability. Rate your health system’s capabilities related to the following statements.

1.
Individuals have access to their personal health records, health system services, educational tools and health navigation tools to support health decisions, navigate access to care and services from their own homes. Includes fully integrated virtual care and remote patient monitoring with intervention.
Every individual has the choice of how they wish to engage with their care providers, virtually, remotely from their own homes, and/or use monitoring tools to track their progress towards health goals. Individuals and families have access to digital tools that support them to self manage their health and wellness.

Example: Patients can send any health information to provider teams remotely (using a smartphone) whenever needed, including their diagnostic imaging reports, blood work results, or biopsy reports. Patients can download apps or tools to help them track their diabetes care and outcomes – for example, blood sugar, blood pressure, wound care, exercise and food intake – which offer recommendations on ways they can improve their outcomes.
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2.
Clinicians use secure devices in daily practice routines, to enable collaboration with other clinicians, including secure messaging, consultations, and real time access to patient data, securely managed to protect privacy.
Care team communications leverage an integrated collaboration platform which provides streamlined collaboration, secure messaging, access to real-time patient data and secure, managed endpoints supporting regulatory compliance and privacy goals.

Example: A doctor is at the beside of a patient who has a very strange rash that cannot be explained. The doctor is able to securely message one of their colleagues, a specialist, to collaborate on what may be causing this rash, or what steps should be considered for assessing the patient.
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3.
Security breaches and alerts are tracked using machine learning technologies to identify accuracy and risk of alerts, cost to manage breaches, and track compliance with security legislation.
Healthcare organizations can proactively track risk of security breaches, accuracy of security breach alerts, cost to detect and respond to breaches, and compliance with security legislation (HIPAA, Hi-Trust, FDA, GDPR, etc.). Leveraging visibility and analytics to detect anomalies, scalable network segmentation for threat containment, a security posture based on an architectural approach – including threat protection and prevention - aligned to the corporate security risk and privacy position.

Example: An artificial intelligence tool tracks all suspected or real security breaches and “learns” what breaches are most often false positives and which ones are real. Algorithms track prevalence and source of breaches, the outcomes of the breach, and tracks cost of the breach based on staff time required to manage the breach.
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DHI Rapid Average
0%
Undeveloped
Strong
Step 3/7
  • Start
  • Interoperability
  • Governance & Workforce
  • Person-Enabled Health
  • Predictive Analytics
  • Maturity Models
  • My Report
Governance & Workforce
Governance & Workforce is the strategic leadership and oversight of digital health systems that ensures the policy and regulatory environment of health systems guards privacy, security, stewardship and accountability. Governance puts priority focus on a sustainable, high-performing workforce that is prepared to deliver digitally-enabled health services. The future of sustainable, high-performing digital health ecosystems requires unique governance structures to transform workplace environments. These digitally-enabled environments, in turn, enable care delivery models that are informed by data analytics, and guided by robust data stewardship, policy and decision-making processes.

The DHI measures stewardship, policy and decision-making, transparency, and workforce capacity and competency through the Governance & Workforce dimension of digital health. Rate your health system’s capabilities related to the following statements.

1.
Staff are accountable for supporting care that is personalized to the unique needs, circumstances, and choices of the individual informed by evidence of value and person reported outcomes.
Staff are provided with the digital resources, tools, and training to support Person-Enabled Health and wellness models of care. Staff are accountable for supporting engagement and activation of individuals in managing their health and wellness where care is personalized to their unique needs, circumstances and choices.

Example: Physicians have a personal dashboard that informs them of their performance on engagement of their patients in managing their health and wellness, compared to their peers. There may be incentives or bonuses for physicians who achieve or exceed benchmarks for patient engagement in managing health or improving patient experience.
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2.
Organizational strategy and performance outcomes are shared publicly to inform the community of impact and value achieved by the organization or health system.
Organizational strategy, performance outcomes, risk assessments, quality and safety reports with an associated improvement plan are shared publicly to inform the community of health system strategy, outcomes and impact of the organization/health systems.

Example: The health system (organization) reports their quality and safety outcomes to the public. For example, public reports identify prevalence of adverse events, falls, medication errors, infection rates, wait times in ED, patient satisfaction scores, and net promoter scores to the community/population they serve.
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3.
Organizational polices are responsive to value for patients, informed by patient participation at all levels of governance, to inform and support digital healthcare systems.
Polices are developed to be responsive to patient's values, perspectives, preferred type of engagement and participation at all levels of governance. Policy design is informed and co-designed by patients, families, community members and caregivers, who participate in the policy development and review processes. Leaders and policy makers collaborate to design the best way for the community to inform strategic outcomes for the organization or system. Patient representatives participate on board of directors and board committees that inform and influence the design of organizational policies.

Example: Patient and community representatives participate on the health system’s Board of Directors, or they participate in board committees such as quality and safety.
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DHI Rapid Average
0%
Undeveloped
Strong
Step 4/7
  • Start
  • Interoperability
  • Governance & Workforce
  • Person-Enabled Health
  • Predictive Analytics
  • Maturity Models
  • My Report
Person-Enabled Health
Person-Enabled Health focuses the health system on meeting and delivering on the individual's needs, values, and personalized health goals. It recognizes the value and importance of connectivity between people and their care teams, creating a partnership based on individual needs and choice. It leverages digital options (such as online tools, handheld devices for care anywhere approaches, or apps that enable on-demand health and wellness care), to support self-management of personal health and wellness goals, shaped by the unique life circumstances, preferences, health needs and choices of the individual.

The DHI measures personalized care delivery, proactive risk management and predictive population health through the Person-Enabled Health dimension. Rate your health system’s capabilities related to the following statements.

1.
Data is mobilized to track population health outcomes to inform personalized care strategies that support and sustain population health and wellness.
Health and wellness outcomes are proactively tracked at the individual level as well as the population level. Digital tools and dashboards support the management of care transitions, individual feedback informs system “learning” and improvement in performance.

Example: Predictive algorithms identify patients at risk for deterioration in their health. Examples include sepsis, risk of infection following surgery, and risk of heart failure. The algorithm alerts care teams to intervene to prevent infections, sepsis or heart failure before it happens.
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2.
Care delivery focuses on keeping people well by proactively intervening to reduce risk using predictive analytic tools.
Health and wellness outcomes are proactively tracked at the individual level as well as the population level. Digital tools and dashboards support the management of care transitions, individual feedback informs system “learning” and improvement in performance.

Example: Procedure trays and patient ID are scanned before a central line is inserted to create a port of chemotherapy. The point of care scan identifies a latex allergy for the patient so that the nurse can remove the latex gloves and ensure the central line catheter is latex free.
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3.
Individuals are the primary decision-makers and use digital tools to self-manage their health and wellness.
Personalized digital tools, technologies and platforms support people to self-manage their health and care, supported by meaningful communication with care providers (informal and formal). Individuals and families choose technologies, tools, and care approaches that best suit their personal preferences and unique life circumstances (eg. In person care settings, virtual, online, wearables) to support and enable self-management, access care providers when and where needed.

Example: Patients have a choice of whether they want to have a virtual visit with a clinician team, an in-person visit, or if they prefer to simply text/email with their care team to manage their health and wellness. For example, people managing their COPD can choose to use their smartphone to track risks by receiving automatic alerts when air quality is poor, which may inform their decision not go to work that day as a landscaper because that would place them at risk for exacerbation of their COPD (due to difficulty breathing).
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Fully Enabled
DHI Rapid Average
0%
Undeveloped
Strong
Step 5/7
  • Start
  • Interoperability
  • Governance & Workforce
  • Person-Enabled Health
  • Predictive Analytics
  • Maturity Models
  • My Report
Predictive Analytics
Predictive Analytics is the transformation of data into knowledge and real-world insights that inform decisions for individuals, health teams and health system leaders. Predictive Analytics brings together health system data, along with digital tools and population data, to inform care delivery and operations, creating personalized healthcare, prediction of risk to optimize outcomes and the tracking of population health proactively to support health and wellness.

The DHI measures personalized analytics, predictive analytics operational analytics through the Predictive Analytics dimension. Rate your health system’s capabilities related to the following statements.

1.
Analytic tools at the point of care track individual outcomes to inform care decisions that mitigate health risks and optimize health outcomes.
Prescriptive analytics track health and wellness outcomes at the individual level to inform care decisions to optimize personal health and wellness. Analytics consider multiple sources of data (e.g. clinical data, social, educational, environmental, behavioral, genomic) identifying evidence informed care approaches, potential outcomes, and the risk and probability of outcomes personalized to the unique circumstances of the individual.

Example: A woman who is pregnant can track her weight gain, blood pressure, stress levels, and heart rate from her smartwatch - and her exercise goals using her smartphone. Her app informs her of her progress to ensure she and her baby are healthy throughout the pregnancy. Her data is shared with the Obstetric team automatically who track her progress and call her if there is any change (for example, if her blood pressure increases) that may inform changes in her care routines.
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2.
Predictive analytic tools segment the population based on risks and outcomes for population segments to identify the conditions under which best outcomes are achieved, to inform proactive interventions that strengthen population health.
Predictive and prescriptive analytics track population health outcomes and risk to inform the development and deployment of health programs (e.g. preventive health screening, mother and baby health, healthy aging), to advance scalability of evidence based care pathways that advance population health solutions across multiple areas of the organization.

Example: Health system tracks (in real-time) who has received their flu shot and who hasn’t. Cohorts who are at greatest risk of poor outcomes of flu are contacted and appointments are offered online to ensure they get their flu shot.
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3.
Analytic tools track operational performance in real time to inform leadership decisions to strengthen quality, safety, and cost outcomes across the organization/system.
Predictive and prescriptive analytics track operational performance outcomes in real time (e.g. staffing models, supplies cost, labour cost, workflow, wait times, adverse events, access to care, care pathway outcomes) for leaders using digital tools/technologies. Performance outcomes tracking inform leadership decisions (e.g. CEO, executive level, and program level), analytics prospectively identifies risks and proactive strategies to reduce risks.

Example: Leaders can access their productivity and efficiency indicators on their smartphone – for example, how many patients are waiting in ED, how many beds are waiting for cleaning, how long patients are waiting to be admitted. Data is updated every 15-30 minutes and leaders can identify operational risks remotely on their smartphone or tablet.
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Fully Enabled
DHI Rapid Average
0%
Undeveloped
Strong
Step 6/7
  • Start
  • Interoperability
  • Governance & Workforce
  • Person-Enabled Health
  • Predictive Analytics
  • Maturity Models
  • My Report
Maturity Models

The HIMSS Maturity Models provide health systems the ability to focus, at a more granular level, on specific elements of the digital health ecosystem. With models ranging from electronic medical records with EMRAM and O-EMRAM to supply chain and digital imaging with CISOM and DIAM, the DHI adds points to the overall score for organizations who have reached and have been validated at Stage 6 or 7 on any model. Click the models your health system has been validated on.

Select The Models You Have Reached Stage 6 or 7
Maturity Model Details
Maturity Model Details
AMAM
CCMM
CISOM
DIAM
EMRAM
INFRAM
O-EMRAM
Maturity Models
Not Applicable

Step 7/7
  • Start
  • Interoperability
  • Governance & Workforce
  • Person-Enabled Health
  • Predictive Analytics
  • Select Your Models
  • My Report
My Report
With the DHI Rapid Report you will receive an estimated score, percentages toward achievement on the four dimensions of digital health and next best steps toward advancement.

To deliver the Rapid report including your personalized estimated DHI score (0-400 scale), click the Get My Report button.
MY REPORT
With the DHI Rapid Report you will receive an estimated score, percentages toward achievement on the four dimensions of digital health and next best steps toward advancement.

To deliver the rapid report including your personalized estimated DHI score (0-400 scale), click the Get My Report button.