- Healthcare systems utilizing EHR-centric vendors and single-source solutions reported higher satisfaction ratings, with Allscripts EHR coming home with the highest ranking in Black Book Research’s Q1 2018 poll.
The majority of hospital network users – 86 percent – with a single-source vendor EHR, revenue cycle management (RCM), and population health products said they were confident with being prepared for value-based care. Eighteen percent of IDNs and hospitals utilizing a siloed EHR, RCM, population tools, or health information exchanges (HIEs) reported the same.
Black Book polled 490 US corporate, chain and IDN hospitals for the rankings, gathering feedback on client experience and customer satisfaction on 18 key performance indicators. Researchers wanted to find how the integration of documentation, population health operations, and RCM impacted organizations.
Of the hospitals reporting using disparate EHR, RCM, and population health products, 79 percent stated they had unresolved issues with product integrations, interoperability and lower utilization of the tools.
The poll also found that smaller organizations have not yet made a decision on a full system EHR technology suite or set of products to invest in. Sixty-three percent of network and chain hospitals under 150 beds are not yet finalized in choosing a product to meet their value-based care, clinician usability, interoperability, and coordinated billing and claims needs.
Furthermore, 70 percent of those system buyers said they are vetting single source vendors in Q2 2018, with over one-third saying they will likely choose a product by the end of 2018.
An earlier Black Book report found that EHR interoperability issues were causing difficulties for medical record administrators.
Approximately one-third of surveyed admins stated they had trouble with health data exchange. However, there was still a decrease in such issues occurring, with 41 percent of medical record administrators reporting the same EHR interoperability problems in 2016.
"In 2018, 57 percent of hospital network physician practices operating on assorted EHRs report they continue to lack the financial and technical expertise to adopt complex interoperability which are compulsory to attain higher reimbursements built into value-based care initiatives by both public and private payers," Black Book Research Managing Partner Doug Brown stated.
Twenty-seven percent of respondents also said transferred patient data was not presented in a useful format, an increase from the 22 percent who stated the same issue in 2017.
Having disparate systems between providers can also be problematic for respondents that need to view data. One-third of responding admins said that they cannot trust the data that is available to them because of systems not being able to work well together.
Allscripts has been making moves recently though to ensure that it is offering improved EHR usability options to users.
At HIMSS18, Allscripts launched a cloud-based machine learning EHR system that would reduce time spent on clinical documentation and boost EHR usability.
Called Avenel, the EHR system integrates clinicians’ treatment patterns to generate reminders of preferences to providers for more efficient clinical documentation and clinical decision-making.
“This new solution is not simply an iteration of legacy systems,” Allscripts Solutions Development Executive Vice President Jim Hewitt explained in a statement. “It is an entirely new approach to the EHR. Our objective with Avenel is to get the technology out of the way, so clinicians can focus on the patient.”
Avenel’s interface is tablet-friendly, has customizable dashboards, and was built on Microsoft Azure.
Allscripts CEO Paul Black stated that the company wanted something “that drove a stake into the heart of clinicians’ frustrations about EHRs.”
“We spent a great deal of time meeting with clients and industry leaders to better understand why providers have been so unhappy with the first wave of EHRs,” he said. “They want technology that works like they work, and thinks like they think.”