Switching EHRs, The Trends And What To Consider

The following is a guest blog post by Winyen Wu, Technology and Health Trend Blogger and Enthusiast at Stericycle Communication Solutions as part of the Communication Solutions Series of blog posts. Follow and engage with them on Twitter: @StericycleComms
Winyen Wu - Stericycle
In recent years, there has been a trend in providers switching Electronic Health Record (EHR) systems: according to Software Advice, the number of buyers replacing EHR software has increased 59% since 2014. In a survey by KLAS, 27% of medical practices are looking to replace their EHR while another 12% would like to but cannot due to financial or organizational constraints. By 2016, almost 50% of large hospitals will replace their current EHR. This indicates that the current EHR products on the market are not meeting the needs of physicians.

What are the reasons for switching EHRs?

  • Complexity and poor usability: Many physicians find that it takes too many clicks to find the screen that they need, or that it is too time consuming to fill out all the checkboxes and forms required
  • Poor technical support: Some physicians may be experiencing unresponsive or low quality support from their EHR vendor
  • Consolidation of multiple EHRs: After consolidating practices, an organization will choose to use only one EHR as opposed to having multiple systems in place
  • Outgrowing functionality or inadequate systems: Some current EHRs may meet stage 1 criteria for meaningful use, but will not meet stage 2 criteria, which demand more from an EHR system.

Which companies are gaining and losing customers?

  • Epic and Cerner are the top programs in terms of functionality according to a survey by KLAS; cloud-based programs Athenahealth and eClinicalWorks are also popular
  • Companies that are getting replaced include GE Healthcare, Allscripts, NextGen Healthcare, and McKesson; 40-50% of their customers reported potential plans to move

What are providers looking for in choosing an EHR?

  • Ability to meet Meaningful Use standards/criteria: In September 2013, 861 EHR vendors met stage 1 requirements of meaningful use while only 512 met stage 2 criteria for certification, according to the US Department of Health and Human Services. Because stage 2 criteria for meaningful is more demanding, EHRs systems are required to have more sophisticated analytics, standardization, and linkages with patient portals.
  • Interoperability: able to integrate workflows and exchange information with other products
  • Company reliability: Physicians are looking for vendors who are likely to be around in 20 years. Potential buyers may be deterred from switching to a company if there are factors like an impending merger/acquisition, senior management issues, declining market share, or internal staff system training issues.

Is it worth it?
In a survey conducted by Family Practice Management of physicians who switched EHRs since 2010, 59% said their new EHRs had added functionality, and 57% said that their new system allowed them to meet meaningful use criteria, but 43% said they were glad they switched systems and only 39% were happy with their new EHR.

5 Things to consider when planning to switch EHRs

  1. Certifications and Compliance: Do your research. Does your new vendor have customers who have achieved the level of certification your organization hopes to achieve? Does this new vendor continually invest in the system to make updates with changing regulations?
  2. Customer Service: Don’t be shy. Ask to speak to at least 3 current customers in your specialty and around your size. Ask the tough questions regarding level of service the vendor provides.
  3. Interoperability: Don’t be left unconnected. Ensure your new vendor is committed to interoperability and has concreate examples of integration with other EHR vendors and lab services.
  4. Reliability and Longevity: Don’t be left out to dry. Do digging into the vendor’s financials, leadership changes and staffing updates. If they appear to be slimming down and not growing this is a sign that this product is not a main focus of the company and could be phased out or sold.
  5. Integration with Current Services: Don’t wait until it’s too late. Reach out to your current providers (like appointment reminders) and ensure they integrate with your new system and set up a plan for integrating the two well in advance.

The Communication Solutions Series of blog posts is sponsored by Stericycle Communication Solutions, a leading provider of high quality telephone answering, appointment scheduling, and automated communication services. Stericycle Communication Solutions combines a human touch with innovative technology to deliver best-in-class communication services.  Connect with Stericycle Communication Solutions on social media:  @StericycleComms

About the author

John Lynn

John Lynn

John Lynn is the Founder of the HealthcareScene.com, a network of leading Healthcare IT resources. The flagship blog, Healthcare IT Today, contains over 13,000 articles with over half of the articles written by John. These EMR and Healthcare IT related articles have been viewed over 20 million times.

John manages Healthcare IT Central, the leading career Health IT job board. He also organizes the first of its kind conference and community focused on healthcare marketing, Healthcare and IT Marketing Conference, and a healthcare IT conference, EXPO.health, focused on practical healthcare IT innovation. John is an advisor to multiple healthcare IT companies. John is highly involved in social media, and in addition to his blogs can be found on Twitter: @techguy.

6 Comments

  • I didn’t see MEDITECH mentioned in this article. I’ve been working with this vendor for 23 years, consulting the last 13 and I’m not finding any new implementation engagements, only backfill support while those hospitals switch to either Epic or Cerner.

    Has anyone seen a similar trend in the industry or is it just the consulting companies with whom I contract not getting the work?

  • Larry,
    They’ve had a few new bookings, but certainly not many. I think many were interested to see whether MEDITECH could produce a proper ambulatory solution (something they waited too long to do). Now they have one. I haven’t seen the industry response to the quality of the solution yet though. I know they have made a few sales, but not too many. We’ll see if they can stem that tide.

  • @Larry Meredith: Great point. Many MEDITECH clients remain on older MAGIC or CS versions as MEDITECH is stable, reliable and cost effective – especially for critical access or rural hospitals that cannot afford the high costs of Epic and Cerner. That said, traditionally an acute setting player, MEDITECH introduced their web-based ambulatory EHR solution to compete with the likes of Epic (one database approach) and facilitate seamless coordinated care between inpatient and outpatient settings for those HCOs who already have MEDITECH on the acute side. We take a deeper dive into this strategy as well as the current state of the MEDITECH market in a recent blog article: http://blog.galenhealthcare.com/2016/06/30/meditech-6-x-infographic-meditech-clients-face-transition-decision/

  • @Larry Meredith: See also the following article (emphasis my own) https://www.healthcareittoday.com/2016/06/23/has-electronic-health-record-replacement-failed/
    “The optimization path is much more pronounced with MEDITECH clients, where a large percentage of their base remains on the legacy MAGIC and C/S platforms.

    Denni McColm, a hospital CIO, told healthsystemCIO why many MEDITECH clients are watching and waiting before they commit to a more advanced platform:

    “We’re on MEDITECH’s Client/Server version, which is not their older version and not their newest version, and we have it implemented really everywhere that MEDITECH serves. So we have the hospital systems, home care, long-term care, emergency services, surgical center — all the way across the continuum. We plan to go to their latest version sometime in the next few years to get the ambulatory interface for the providers. It should be very efficient — reduced clicks, it’s mobile friendly, and our docs are anxious to move to it,” but we’ll decide when the time is right, she says.”

  • Switching EMRs isn’t easy I guess all the doctors would know that. Its better to take help from a consultant for implementing it,

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