Electronic Health Records

Adoption & Implementation News

KLAS foresees EHR replacement among ambulatory providers

By Kyle Murphy, PhD

- More than a quarter of ambulatory care providers are eyeing an EHR replacement as a means of achieving greater integration with neighboring systems and improving technical functionality while increasing return on investment, according to a new KLAS report.

Although more than 25 percent of large and small ambulatory practices are considering a replacement to their current EHR system, roughly half that number (12 percent) say they lack the financial or organizational support to make the switch a reality.

“There are different reasons for this shift,” Jared Dowland, the author of Ambulatory EMR Perception 2014: New Leaders Emerging as Market Shiftssaid in a public statement. “Larger practices are seeking to consolidate from multiple EMRs and tighten their relationships with nearby hospitals, while smaller practices are seeking to resolve functionality, support, and cost concerns.”

The findings come on the heels of another KLAS report noting the increasing competitiveness of the EMR market earlier this week between Epic Systems and Cerner Corporation following the latter’s acquisition of Siemens Health Services.

“For the past several years, Cerner has taken second place to Epic in the annual race to sign up new hospitals,” researcher Colin Buckley writes in a KLAS blog. “Each year, however, Cerner has progressively been closing the gap with Epic. Or have they? Certainly this is true when it comes to raw hospital counts, but some say not all hospitals are created equal.”

According to Buckley, the decline of Siemens over the years was the result of not being able to meet the needs of customers quickly enough.

“Over the years, providers have indicated that Siemens is too slow to achieve reliable go lives at customer sites, too slow delivering code fixes and upgrades, and too slow evolving their portfolio—most notably in producing an integrated Soarian ambulatory EMR,” he adds.

The end result was a boon for Epic which added a dozen former Siemens customers and along the way edged out Meditech for the top spot in terms of market share.

In the ambulatory space, the competition is open to many more players with the likes of athenahealth, Allscripts, and Practice Fusion being just a few of the frontrunners in the space.

In June, athenahealth announced that 59 percent of the 485 eligible providers successfully attesting to Stage 2 were customers even though just 3 percent of providers nationally using its services. Back in April, Practice Fusion maintained its spot atop the Black Book Rankings for primary care providers for the fifth year running. Meanwhile, Allscripts has apparently restored itself to its former glory under the leadership of its current CEO Paul Black.

For more on EHR replacement, the editors of EHRIntelligence.com put together this best practices guide.




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