June 02, 2016
Practices that see a high volume of finite diagnoses have significantly benefited from the templates offered to support a more disparate cross-section of patients who require more individualized documentation according to 93% of all specialists surveyed.
89% of specialists confessed to have scurried to implement their original system before incentive deadlines, and failed to fully vet their original EHR vendor.
79% also state their meaningful use incentive payments did not offset capital and personnel costs associated with the EHR implementation.
Recent EHR replacement changes have been fueled by specialist workflow and productivity complications that left no time for physicians to customize their generic, multi-use EHR according to 92% of survey respondents.
"Purchasing a specialty-driven system was the most effectual path to resolve ultra-specific functions and financial support," said Doug Brown, Managing Partner of Black Book
29% of specialists switched EHRs from their original implementations because they perceived limited market sized EHRs may lead to compromised growth and stability in their practices.
In 2010, 80% of specialist physicians found the system configurability and flexibility was moderately to highly unsatisfactory. "Specialty-specific EHRs didn't offer the reliability and flexibility of the robust multi-use and primary care-centric EHRs," said Brown.
Improvements in web-based EHRs including implementations, updates, usability and customization have reversed overall EHR satisfaction in small practices from barely 13% meeting or exceed expectations in 2012, to 84% overall contented specialty-driven EHR users in Q2 2016.
Lack of interoperability with other providers, particularly inpatient facilities, continues to be an apprehension for 88% of specialist physicians as many specialty-specific EHRs have not fit well within hospital-networked and regional public health information exchanges, rendering them unable to compete with the large multi-specialty EHRs.
"The finding is that specialty-driven, not necessary specialty-specific EHRs are on the fast track for specialist system replacements," said Brown. "Notably, well-constructed multi-specialty EHRs with strong market presence have accommodated dozens of specialties through flexible functioning and incorporated plugins."
The bigger issues of interoperability and population health outcomes, quality of care reporting and ICD-10 have framed the third generation EHR vendor, and the majority (77%) of small specialty practices plan to increase their investment in the advancements made by their current EHR vendor.
"As risk sharing increases, so will the demand for meaningful, vigorous data sharing between specialist providers and payers regardless of the model EHR employed." Brown added. "If the interfaces for interoperability between the HIE and stakeholders is too difficult to evaluate and analyze risk, the more likely we will see another round of EHR replacements, cloud and server based."
85% of specialist physicians agree that first generation EHRs have not lived up to expectations, particularly dissatisfied with cost add-ons, affected workflows, and lost time with patients.
Current 2016 satisfaction and loyalty among specialty-driven EHRs has improved to 80% moderately-to-highly contented users with their replacement system.
48% of all specialty practices that switched EHRs between June 2014 and April 2016 report the financial burden of changing EHRs has put the practice in an unstable financial position. 66% of specialists changing systems report only reviewing cloud-based EHRs in 2016-2017 for the cost factors.
The highest ranked vendors in forty-four medical and surgical specialties the 2016 Black Book Ambulatory EHR user survey for customer satisfaction and loyalty are
Allergy & Immunology: CareCloud
Ambulatory Surgery Centers: SIS Amkai
Behavioral Health: Valant
Chiropractic: Platinum EMR
Colon & Rectal Surgery: Cerner
Critical Care Medicine: Epic Systems
Dermatology: Modernizing Medicine
Diagnostic Imaging/Radiology: athenahealth
General Surgery: Allscripts
Home Health & Hospice: Axxess
Infectious Disease: Epic Systems
Internal Medicine:Practice Fusion
Long Term Care: AOD Software
Neonatal Perinatal: Cerner
Nuclear Medicine: Epic Systems
Obstetics Gynecology & Reproductive Medicine: Greenway
Oncology & Hematology: McKesson IKNOWMED
Ophthalmology: SRS Soft
Orthopedic Surgery/Hand/Spine: IBM Merge
Osteopathic Physicians: iPatientCare
Otorhinolaryngology: Modernizing Medicine
Pain Management: Phreesia
Pediatric Surgery: Cerner
Pediatrics: SRS Soft
Physical Medicine & Rehab: Cedaron
Plastic Surgery: Modernizing Medicine
Podiatry: Genius Podiatry
Primary Care: Allscripts
Psychiatry: ICA Notes
Pulmonary Medicine: TSI Healthcare
Sleep Centers: TSI Healthcare
Sports Medicine: Exscribe
Thoracic & Vascular Surgery: e-MDs
Urgent Care & Occupational Medicine: DOCUTAP
More detailed information is available at http://www.blackbookmarketresearch.com/ambulatory-alternate-site-ehr/
About Black Book™
Black Book Market Research LLC, provides healthcare IT users, media, investors, analysts, quality minded vendors, and prospective software system buyers, pharmaceutical manufacturers, and other interested sectors of the clinical technology industry with comprehensive comparison data of the industry's top respected and competitively performing technology vendors. The largest user opinion poll of its kind in healthcare IT, Black Book™ collects over 550,000 viewpoints on information technology and outsourced services vendor performance annually. Black Book was founded in 2000, is internationally recognized for over 15 years of customer satisfaction polling, particularly in technology, services, outsourcing and offshoring industries.
Black Book™, its founders, management and/or staff do not own or hold any financial interest in any of the vendors covered and encompassed in this survey, and Black Book reports the results of the collected satisfaction and client experience rankings in publication and to media prior to vendor notification of rating results. Follow Black Book on Twitter at http://www.twitter.com/blackbookpolls
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