Electronic Health Records

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Epic Trails in Black Book Ranking of Inpatient EHR Vendors

By Vera Gruessner

Between system replacements, EHR interoperability issues, and ICD-10 implementation delays, the health IT landscape has been as complex as ever over the last year. In an effort to get the industry ready for coming challenges, Black Book Market Research conducted an inpatient EHR user survey to find out the top inpatient EHR vendors for 2015.

The survey focused on identifying EHR vendors that score highly in certification-required EHR capabilities, clinical workflow applications, documentation functionalities, connectivity, and accountable care data mandates.

Black Book polled 14,000 nurses and 5,000 hospital staff using EHR technology among 702 hospitals. The survey was taken from August 2014 to February 2015. One interesting finding from the poll shows that 74 percent of hospital CIOs and medical technology leaders claimed their selection of EHR systems consisted of “significant nursing input.”

“Black Book survey findings included a substantial improvement in reducing the gap between hospital nursing, physician, administrative, financial and technology stakeholder satisfaction, although there’s still a long way to go,” Doug Brown, Managing Partner of Black Book, said in a company press release.

Out of all nurses responding, 14 percent felt that clinicians’ perspectives were considered highly when selecting healthcare technology to improve workflow and care. About one in five hospital IT managers – 19 percent – state that the current EHR system used in their practice is not the best technology to operate in their facility.

Many find that their EHR systems are not meeting the needs of their facility including their EHR interoperability goals and cost-cutting strategies through expensive add-ons. The survey also illustrated that 69 percent of hospital technology leaders feel that nursing satisfaction has risen due to EHR system updates that occurred after implementation because of nurses’ concerns.

Only 10 percent find that the improvements in nursing satisfaction is due to training and adjustment in EHR use while 20 percent of respondents attribute it to enhancements in EHR functionalities and updates.

The Black Book survey uncovered the top three EHR vendors to be CPSI, Cerner, and Allscripts. Epic Systems was right behind Allscripts among hospitals with 250 beds or more. For the past three years, Epic had earned top client bestowed honors among academic teaching facilities and large hospitals.

CPSI received a nursing and clinician satisfaction rating of 90.2 percent and a technology and financial administrative satisfaction rating of 95.4 percent. Cerner’s satisfaction rating among nurses and clinicians hit 91 percent while the technology and financial administrative satisfaction rating was at 94.1 percent.

Allscripts had its nursing and clinician satisfaction at 83.2 percent with the technology and financial administrative satisfaction hitting 92 percent. Hospital CIOs and IT managers selected Cerner as their first choice for an EHR system suitable within the hospital setting. Other vendors that scored well include Epic Systems, GE Healthcare, Meditech, McKesson, and Siemens.

In order to ensure high physician and nursing satisfaction within the healthcare system, providers will need to implement top EHR systems capable of meeting the demands of the industry and being customized to fit physician practice needs.





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