By the Numbers
For The Record
Vol. 31 No. 7 P. 34
According to a Leapfrog Group report, this percentage of hospitals fully meet Leapfrog’s standard for bar code medication administration (BCMA) standards. They require hospitals to have a BCMA system connected to an electronic medication administration record in 100% of medical/surgical units, labor and delivery units, and ICUs (achieved by 98% of hospitals); scan both a patient’s wristband and medication when administering medication at bedside at least 95% of the time (achieved by 70% of hospitals); implement decision supports to flag wrong patient, wrong medication, wrong dose, wrong time, vital sign check, patient-specific allergy check, and second nurse check needed (achieved by 63% of hospitals); and have at least six of eight best practices in place to prevent dangerous workarounds that impede the safety of the BCMA system (achieved by 78% of hospitals).
A study published in JAMA Network Open, “Assessment of Employee Susceptibility to Phishing Attacks at US Health Care Institutions,” found that phishing e-mails present a major cybersecurity risk to hospitals. More than 2.9 million simulated e-mails were sent to employees at six hospitals, with a median click rate of this percentage. However, repeated phishing campaigns were associated with decreased odds of clicking on a subsequent phishing e-mail.
In a CynergisTek cybersecurity survey, this fraction of the organizations reported having conducted an incident response exercise only once or never.
In 2017, the Medicare and Medicaid Electronic Health Record Incentive Programs required hospitals to provide 50% or more of their unique discharged patients with timely access to view, download, and transmit their health information, but the Office of the National Coordinator for Health Information Technology found only this percentage of hospitals reported that 50% or more of patients had activated access to their patient portals.
According to a Leapfrog Group report, this percentage of hospitals fully met the Leapfrog standard for computerized physician order entry (CPOE), which requires hospitals to enter at least 85% of their inpatient medication orders via a CPOE system and prove that at least 60% of medication orders triggered the appropriate warning. Those hospitals that fully meet CPOE standards are more likely to be teaching than nonteaching (72% vs 62%) and more likely to be urban than rural (68% vs 47%).
According to the Department of Justice, Sutter Health LLC, a California-based health care services provider, and several affiliated entities have agreed to pay this amount to resolve allegations that the affiliated entities submitted inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage Plans, which resulted in the plans and providers being overpaid.
In the EHR market, this percentage of the large, 500-plus bed hospital space is controlled by Epic (58%) and Cerner (27%); the pair command 54% of the market of all acute care hospitals in the United States, with Epic claiming 28% and Cerner 26%, according to Healthcare Dive.