More than 300 Vendors Share Ambulatory-care EHR Market.

Remember those old sword-and-sandal historical epics, with their “cast of  thousands” hacking and clubbing at each other in hand-to-hand combat?

To the hordes of vendors of electronic health-record systems designed for office-based physicians, those struggles may seem like halcyon days.

Three-hundred-and-thirty-three vendors of complete EHRs for  ambulatory care have battled for market share and had at least one customer  attest to having met the meaningful-use criteria under the Medicare EHR  incentive payment program, according to a federal database.

Such a wide  variety of choices makes the task of finding and selecting the right system a  struggle for the practitioners, too.

“Really, what I need is just  somebody to tell me what I need to get,” said Dr. Terri Strassburger, who is  retired from her own practice but manages a two-physician pulmonary and  critical-care office-based practice in Alexandria, Va., for her husband and his  partner. Her duties include helping them pick an EHR system.

By waiting a  bit to enter the fray, Strassburger and her husband can avail themselves to data  on what has worked for others. Some of that is data about their peers who have  used various EHR systems to meet the meaningful-use  goals established through the Medicare EHR incentive payment program. The  information can be gleaned from a database that is a mix of CMS statistics on  attested meaningful users and the Office of the National Coordinator for Health  Information official list of certified EHR systems.

According to the  federal data, from April 2011 through August of this year, 90,295 physicians and  other eligible professionals working in ambulatory care have used complete EHRs  to attest to having met the Medicare meaningful-use criteria. (Data from the  Medicaid EHR incentive programs is not yet available from the states.)

The top 10 vendors in the CMS/ONC database account for 68% of  attestations in the physician and EP/ambulatory/compete EHR market niche, but  that leaves the remaining 323 vendors sharing nearly one-third of the attesting  providers.

Picking an EHR system has “always been on the back burner since the government  talked about conversion,” Strassburger said. The CMS began receiving  attestations under the Medicare EHR incentive payment program in April  2011.

Now, Strassburger said, with some fellow physicians in the region  talking about their systems and incentives, EHR adoption seems to have “taken on  a movement of its own. We feel like we kind of need to catch up.”

But  finding an EHR that’s the right fit, can integrate with the practice’s  management system, is not controlled by the hospital and won’t require a lot of  hardware and network expertise, and fit within the practice’s budget is a  challenge.

“We’ve only just started looking into everything, and we’re  trying to talk to as many people as possible,” Strassburger said. So far, word  of mouth hasn’t been very helpful.

“People have been pretty unhappy,”  she said, adding, “the amount of money that people are asking for is more than  we can manage.”

According to a Modern Healthcare analysis of the CMS/ONC  database, Epic Systems, based in Verona, Wis., leads the pack among vendors of  complete EHR systems designed for physicians/EPs in ambulatory care, with 22% of  that market niche. Others in the top five in that niche, along with their market  percentage, are Allscripts, 12%; eClinicalWorks, 9%; NextGen Healthcare, 7%; and  GE Healthcare, 6%.

Remaining vendors in the top 10 are Greenway Medical  Technologies, 3%; athenahealth, 3%; Practice Fusion, 3%; e-MDs, 2%; and  Community Computer Service, 2%.

More than a few physicians and eligible  professionals in ambulatory care—6,682 to be precise—have pieced together an EHR  and achieved meaningful use. Cerner Corp. is the dominant player with 36% market  share. It is followed by Allscripts, 19%; Jardogs, 8%; MedCPU, 6%; and Dr.  First, 5%.

Also, 1,325 physicians and other eligible professionals have  met meaningful-use targets using modular systems in the inpatient environment.  Cerner holds 31% of market share and is followed by Epic, 25%; Allscripts, 20%;  Meditech, 13%; and McKesson, 3%.

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This entry was posted in CDC, Centers for Medicare & Medicaid Services (CMS), CSC, EHR Adoption, HIT Implementation, Latino health trend, Latino HIT, LISTA, LISTA Global EHR, mHealth, National Latino Alliance on Health Information Technology, Office of the National Coordinator for Health IT (ONC), Primary care physicians, Secretary Kathleen Sebelius, Stage 2, telehealth, UnitedHealth. Bookmark the permalink.

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