Wednesday, August 31, 2011

Ambulatory EMR Market Snapshot

For its report, KLAS surveyed 394 provider organizations involved in EMR purchasing decisions to get their perceptions of the market and an understanding of what data they’re basing their purchasing decisions on. Overall, 35% of the providers interviewed are replacing their existing EMR, and that percentage increases as practice size increases: more than 40% of 100+ physicians practices are looking for a new solution.

No Middle Ground on Practice Management

KLAS found that practice management systems either provide an entry for a vendor’s further sales or decreases the chance because of negative experiences. Rarely is it neutral. The report found AdvancedMD and PCC were the best at retaining PM clients for EMR sales.

100+ Physician Groups Scrutinizing the EMR Market

In large physician practices, 43% of EMR purchases are new and 43% are replacement. Fifty percent of the practices cited integration issues with hospital and PM systems as their primary reason for replacing an EMR. The report found Epic is the front-runner in this segment.

26–100 Physician Groups Missing Something

Thirty percent of practices in this size range are replacing their systems because of missing functionality. Fifty-two percent are buying new EMRs, and the lion’s share of these groups (67%), are purchasing client-server solutions. As with larger practices, the report found Epic is ahead of the competition for this segment.

6–25 Physician Groups Worried About Meaningful Use

Sixty-one percent are buying their first EMR, and 35% are replacing an existing one. Approximately 20% of practices surveyed in this segment are replacing their EMR either because the vendor is slow to update or from concern over meaningful use certification. NextGen was pegged as the leading vendor in this arena.

Small Practices Considering Options

Sixty-nine percent of groups with 1-5 physicians are considering vendors that are regional, specialty niche, start-up, or other various qualities, much higher than other group segments. Sixty-seven percent of small groups are purchasing EMRs for the first time. KLAS found Allscripts to be the leading vendor in the small practice market.

Don’t Know Much About HIE

Even though a key component of the meaningful use incentive program is exchanging data with other community caregivers, KLAS found that 71% of respondents said they either have no health information exchange strategy or are looking to their vendor for a solution. Further, most providers had little to no awareness of the requirement, nor thoughts on how this would happen or the costs involved.

Health Data Management

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