KLAS: One Quarter of Ambulatory EHRs Could be Replaced | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

KLAS: One Quarter of Ambulatory EHRs Could be Replaced

August 26, 2014
by Rajiv Leventhal
| Reprints

More than 25 percent of both large and small ambulatory practices report that they are considering replacing their electronic health record (EHR), according to the latest KLAS report on ambulatory EHR perception.

The report further finds that another 12 percent would like to replace their system but cannot do so for financial or organizational reasons. As part of this study, KLAS interviewed more than 400 large and small practices across the country about their EHR solutions.

Of respondents who recently switched EHRs, more moved away from GE Healthcare and NextGen than any other vendors. Looking forward, Allscripts, GE Healthcare, McKesson, and NextGen stand to lose more customers than other vendors, as 40-50 percent of their responding customers reported potential plans to leave. Additionally, the report found that customer satisfaction with McKesson, NextGen, Allscripts, and GE Healthcare is relatively low, and customers report less confidence in these vendors’ meaningful use readiness.

Inpatient and outpatient integration is driving change on the larger end of the market, as providers replace acute/ambulatory EHRs simultaneously or deploy their acute EHR vendor’s solution to clinics. Midsize practices report swapping over usability reasons or to standardize from multiple EHRs to fewer. Smaller practices are driven to change over usability issues, poor support, and cost constraints.

Further, the KLAS report found that size does highly influence providers’ health IT plans. Smaller practices not yet tapped out financially are considering lower-cost technologies like kiosks and patient portals. Large practices are focused on population health–related tools, followed by health information exchanges (HIEs) and kiosks. Midsize practices fall in between, with about 20 percent considering patient portals, HIEs, and population health tools.

As larger practices have tightened their relationships with nearby hospitals for population health considerations, Epic’s and Cerner’s integrated platforms have benefitted most in mindshare. While providers have long considered Epic a viable ambulatory EHR option, Cerner has made significant progress recently with their ambulatory solution, and providers now consider it a legitimate option. athenahealth and Allscripts—who was once the mindshare leader—are next most considered, though well behind, by affiliated entities.

Independent practices, which tend to be midsize to smaller practices, mention a myriad of vendors, but give top consideration to athenahealth and eClinicalWorks, followed by Epic and Greenway, in their quest to resolve functionality, support, and cost concerns.

Since 2011, increased demand for acute/ambulatory integration helped Cerner more than triple in mindshare and Epic more than double. Independent practice considerations helped athenahealth’s mindshare quadruple. McKesson’s mindshare grew thanks to the upcoming Paragon ambulatory product, the report found.

Get the latest information on Meaningful Use and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Former Health IT Head in San Diego County Charged with Defrauding Provider out of $800K

The ex-health IT director at North County Health Services, a San Diego County-based healthcare service provider, has been charged with spearheading fraudulent operations that cost the organization $800,000.

Allscripts Touts 1 Billion API Shares in 2017

Officials from Chicago-based health IT vendor Allscripts have attested that the company has reached a new milestone— one billion application programming interface (API) data exchange transactions in 2017.

Dignity Health, CHI Merging to Form New Catholic Health System

Catholic Health Initiatives (CHI), based in Englewood, Colorado, and San Francisco-based Dignity Health officially announced they are merging and have signed a definitive agreement to combine ministries and create a new, nonprofit Catholic health system.

HHS Announces Winning Solutions in Opioid Code-a-Thon

The U.S. Department of Health and Human Services (HHS) hosted this week a first-of-its-kind two-day Code-a-Thon to use data and technology to develop new solutions to address the opioid epidemic.

In GAO Report, More Concern over VA VistA Modernization Project

A recent Government Accountability Office (GAO) report is calling into question the more than $1 billion that has been spent to modernize the Department of Veterans Affairs' (VA) health IT system.

Lawmakers Introduce Legislation Aimed at Improving Medicare ACO Program

U.S. Representatives Peter Welch (D-VT) and Rep. Diane Black (R-TN) have introduced H.R. 4580, the ACO Improvement Act of 2017 that makes changes to the Medicare accountable care organization (ACO) program.