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Friday, August 29, 2014

Health IT today. Where do we stand?

Relative market shares, in the context of Meaningful Use attestation through Q1 2014.

Recent article by Becker's Hospital CIO:
50 Things to Know About Epic, Cerner, MEDITECH, McKesson, athenahealth and Other Major EHR Vendors
Written by Helen Gregg, July 14, 2014

"To improve the quality of our healthcare while lowering its cost, we will make the immediate investments necessary to ensure that, within five years, all of America's medical records are computerized." — President-elect Barack Obama, Jan. 8, 2009

Five years later, billions have been poured into the transition to electronic health records. As of May, CMS has paid out a total of $14.6 billion in incentive payments to hospitals and health systems for the adoption and use of EHRs. These incentive payments, coupled with the looming threat of financial penalties for non-adopters and a need to better coordinate care have driven providers to rapidly adopt EHRs over the past few years. The EHR market is expected to reach $9.3 billion annually by the end of 2015.

As the EHR market has matured, a once-crowded field of vendors has narrowed significantly. At the end of 2013, 10 EHR vendors accounted for about 90 percent of the hospital EHR market, based on meaningful use attestation data from CMS: Epic, MEDITECH, CPSI, Cerner, McKesson, Healthland, Siemens, Healthcare Management Systems, Allscripts and NextGen Healthcare.

According to a KLAS report, just three of these vendors expanded their market share in 2013 — Epic, Cerner and MEDITECH — which together account for more than half of the acute-care EHR market.

Several of the big players in the EHR market are led by big personalities, from Judy Faulkner, who founded Epic (and wrote the software's original code) in 1979, kept the company private and is now worth an estimated $3 billion; to Cerner's Neil Patterson, known for his passionate, involved leadership style; to athenahealth's outspoken Jonathan Bush, an advocate for disruptive technologies in the healthcare industry.

Recently, the EHR market has seen an infusion of providers seeking replacements for their current systems. Surveys suggest between 12 and 30 percent of providers are dissatisfied with their EHR. Girish Navani, CEO and co-founder of eClinicalWorks, said in 2013 more than half of his company's new clients came from another vendor.

The 50 points below offer additional facts and insights into the EHR market and some of the most prominent companies. (EHR vendors below are arranged alphabetically.)...
Read on. Very interesting.
Is the Electronic Health Record Defunct?
Jerome Carter, MD
What do you think?
Medscape Medical News
EHR Replacement Trends Reveal Winners and Losers
Robert Lowes, August 28, 2014

Twenty-seven percent of medical practices are looking to replace their current electronic health record (EHR) system, according to a new survey suggesting that some well-known programs are fading in the marketplace.

In addition, another 12% of practices polled by KLAS, a healthcare information technology research firm, said they would like to replace their EHR but can't because of financial or organizational constraints.

These findings speak to more than the animus that many physicians feel toward digital charts, which are criticized for being too click-intensive and time-consuming. Forty-four percent of the 406 practices in the KLAS survey are owned by or tightly affiliated with a hospital. Such groups have little or no choice but to give up their EHR system, even if they like it, for the one deployed by the "Big House" to achieve standardization and integration, said study author Jared Dowland...

Nice piece just up on THCB:

Is It Possible That All Healthcare Needs to Know We All Learned In Kindergarten?
Fun post. Wish it were all that simple.
  • Share everything – In healthcare, this means share ALL the data, all the information, all the acquired wisdom. Interoperable systems are essential.
Yeah. Goes to my ongoing "interoperababble" rant.

CMS Officially Pushes Meaningful Use Stage 3 To 2017, Offers Flexibility In 2014
It’s happened again. Late on a Friday afternoon — right before a long weekend, no less — a federal agency has dropped a rulemaking on an unsuspecting public.

Today, at 4:15 pm EDT, the Centers for Medicare and Medicaid Services finalized its modifications to Stage 2 of the electronic health records incentive program known as Meaningful Use.

From a cursory first read, it looks like, as previously proposed, Stage 3 is officially delayed until 2017 and providers will be able to use technology certified to 2011 standards to meet Stage 2 requirements this year only. Starting next year, only EHRs certified to 2014 standards will be acceptable...
Stage 3 at 2017? We may have a GOP President by then, and MU could get scuttled.


$24.666 billion paid out. Not a lot of movement in the reimbursement total relative to the last monthly report. To be expected, given the time of year.


apropos of Labor Day, I guess. Next post.


More to come...

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