Electronic Health Records

EHR Adoption

Top 10 EHR Adoption Challenges

August 20, 2012 - Last month, in advance of its meeting this month, the Office of the National Coordinator’s Health Information Technology Policy Committee (HITPC) provided insight into what ails the adoption of electronic health records (EHRs) across the country. The group identified six factors impacting provider participation in federal and state initiatives regarding meaningful use: • Knowledge...


The Importance of EHR Adoption

Over the past decade, the EHR marketplace has become a burgeoning industry, with the number of EHR adopters increasing in parallel. Spurring and impacting the latter’s investment in EHR adoption are several pits of federal regulation and mandates.

The Office of the National Coordinator for Health Information Technology also plays a central role in physician and hospital EHR adoption, primarily through EHR certification. Under the Health Information Technology for Economic and Clinical Health (HITECH) Act, ONC was charged with establishing requirements for EHR certification which in turn CMS uses for meaningful use and other health IT-related programs.

Several industry stakeholders have cited the effect MACRA may have on increasing EHR adoption, including Beth Israel Deaconess CIO John D. Halamka, MD, MS. According to Halamka, MACRA could make a suitable replacement to achieve the goals of widespread EHR adoption upon which meaningful use was developed.

Some EHR Adoption Statistics

The latest data brief made available on the HealthIT.gov Dashboard puts the percentage of hospitals with CEHRT at 96 percent in 2015, down nearly a full percentage point from 2014's figure of 96.9 percent. Hospital adoption of basic EHR technology, meanwhile, rose from 75.5 percent in 2014 to 83.8 percent in 2015. All told, since 2008 hospital adoption of the latter rose by nearly nine times, from 9.4 percent to the current figure.

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Improving Provider Satisfaction in the Post-HITECH Era

by Kate Monica

A recent article in the New England Journal of Medicine examined the impact of the HITECH Act on EHR adoption and advised policymakers on ways to improve provider satisfaction and health IT innovation in the post-HITECH era.   Co-authors...

EHR Use Prevalent Among Skilled Nursing Facilities in 2016

by Kate Monica

A new ONC data brief exploring EHR adoption, use, and interoperability in skilled nursing facilities (SNFs) found 64 percent of facilities used EHRs to manage patient health data in 2016. The data brief marks a first at ONC in measuring SNF EHR...

HITECH Directly Responsible for Hospital EHR Adoption Spike

by Kate Monica

A recent study by Julia Adler-Milstein and Ashish K. Jha found HITECH to be primarily responsible for significant increases in hospital EHR adoption rates, suggesting the law should serve as a model for ways to influence technology adoption in...

Report Ranks Top Five Best, Worst States for EHR Adoption

by Kate Monica

A recent report by the Center for Data Innovation ranked each state based on its rate of EHR adoption and provided recommendations on how policymakers can enable more efficient data use. Data innovation—specifically in the healthcare industry—is...

EHR Use Nearly Universal in Hospital Outpatient Practices

by Kate Monica

EHR adoption is nearly universal in hospital-owned outpatient practices as of 2017, according to the latest research from HIMSS Analytics. The 9th Annual Outpatient PM and EHR Study pulled data from myriad sources, including a web-based survey...

CHIME to Take Over Annual Healthcare Most Wired Study

by Kate Monica

The College of Healthcare Information Management Executives (CHIME) will now be in charge of conducting the annual healthcare Most Wired hospitals study. CHIME will take over all aspects of the survey and benchmarking program starting next year....

EHR Use Shown to Negatively Impact Patient-Provider Relationship

by Kate Monica

A recent study by Pelland et al. found that while EHR use may reduce medical errors, the technology is also shown to complicate the patient-provider relationship. Researchers at Brown University performed a qualitative analysis of comments submitted...

Physicians Divided on Benefits of EHR Implementation, Use

by Kate Monica

Physicians across the healthcare industry continue to voice contradictory opinions on whether EHR implementation and use are beneficial or detrimental to patient care. Canadian physicians Drew Digney, MD and Ben Williams, MD recently penned an...

EHR Adoption Driving Need to Update Human Research Rules

by Kate Monica

The American Medical Informatics Association (AMIA) recently submitted a letter to HHS Secretary Tom Price, MD requesting the implementation of the updated Federal Policy for the Protection of Human Subjects (Common Rule) to keep pace with rapid...

EHR Use, Health Data Exchange to Thrive Despite ACA Repeal

by Kate Monica

A recent article in Harvard Business Review outlines opportunities for patients and providers to improve the healthcare system despite the imminent repeal of the Affordable Care Act (ACA). Among other observations, authors Frank Baitman and Kenneth...

POTUS Budget Proposes Eliminating AHRQ, Reducing ONC Funding

by Kyle Murphy, PhD

President Donald Trump’s proposed 2018 budget calls for major sweeping reforms at HHS in order to balance the federal budget, most notably repealing and replacing the Affordable Care Act and reforming Medicaid. Less eye-catching but equally...

2017 KLAS Report Names Epic, InterSystems Worldwide Frontrunners

by Kate Monica

EHR purchasing spiked worldwide with Epic Systems and InterSystems snagging more clients than their competitors in 2016, according to the most recent KLAS global EHR market share report. Research shows the factors fueling most global EHR purchasing...

Epic Implementation in Boston to Blame for Frustrated Docs?

by Kate Monica

In an op-ed to Boston’s WBUR, three doctors — two of whom are currently or once-affiliated with Massachusetts General Hospital — voiced concern about the effects of EHR adoption on doctor-patient relationships. The two cardiologists...

Epic, Cerner Beat Out MEDITECH in Small Hospital EHR Adoption

by Kate Monica

A new KLAS report on the small hospital EHR adoption landscape shows that organizations under 200 beds are scooping up electronic health records from Epic, Cerner, and athenahealth at a rapid rate.   According to the report, hospitals with...

VA Pours Resources into EHR, Health IT Modernization Efforts

by Kate Monica

The Department of Veterans Affairs (VA) is working diligently to modernize its health IT infrastructure as it prepares to select a new electronic health record system to replace its existing patient management tools.   Though VistA, VA’s...

Epic Trails Cerner, McKesson in Recent EHR Market Share Report

by Kate Monica

A recent Kalorama Information Report names Cerner Corporation, McKesson, and Epic Systemsas the top three EHR vendors dominating the market in 2017. While these EHR vendors hold a majority of the market share, researchers stated small competitors...

Arizona Health Information Exchange Rebrands to Continue Growth

by Kate Monica

Arizona Health-e Connection (AzHeC), a statewide nonprofit health information exchange operating since 2007, is relaunching under the new brand Health Current. The relaunch and new name are emblematic of the community-based HIE’s significant...

CDC Data Show Slight Increase in Physician EHR Use in 2015

by Kyle Murphy, PhD

According to the 2015 National Electronic Health Records Survey, 86.9 percent of all office-based physician use an EHR system, 53.9 percent a basic EHR system, and 77.9 percent a certified EHR system (i.e., certified EHR technology or CEHRT)....

EHR Technology a Key Contributor to Physician Burnout

by Kyle Murphy, PhD

A group of top healthcare CEOs is calling on their colleagues across the healthcare industry to address physician burnout as a public health crisis and identified EHR technology as a key contributing factor. “The spike in reported burnout...

Health Data Exchange Vital to Quality Care at Lower Cost

by Kyle Murphy, PhD

Health information technology, particularly capabilities tied to health data exchange, has an important role to play in the federal government’s push to improve the cost and quality American healthcare. Recently, the National Academy of...

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