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2 Premium Content Report This quick report is available to anyone at no cost. However, our full comprehensive reports (including the underlying data) are only available to participating healthcare providers and their organizations and peer60 clients. See below for more information about obtaining our full reports. The premium content for this report includes: Hospitals opinions on their EHR vendors partnership style--strategic or transactional? This includes a discussion of the job titles vendors are focusing on in their partnership efforts. An analysis of the biggest hurdles providers face with their EHR systems, including a breakdown by provider job titles. A discussion of providers progress toward meaningful use stage 2 attestation. A much deeper look into the vendors that lead in market share and mind share, segmented by hospital size. Data on which specific vendors are being replaced by smaller community hospitals. An analysis of those hospitals currently planning a merger or planning to be acquired. A list of the healthcare facilities that provided the data in this report. The following are eligible to receive our comprehensive reports: 1. Clients of peer60 with an active license. For more information about obtaining a license contact Taylor at tmadsen@. 2. Healthcare provider organizations and their associated networks (Including: hospitals, clinics and practices) do not need a license to receive our full, comprehensive reports. To be eligible, at least one relevant employee must participate in the associated 60-second, webbased research initiative. We value participation from all caregivers, support personnel and leadership. Visit for more information. 2
3 Vendors in this Report Services/Ambulatory/Electronic-Health- Records-EHR
4 Other Vendors Mentioned in this Report 4
5 Introduction In the wake of the HITECH Act, the Affordable Care Act, and the introduction of federal Meaningful Use guidelines, the EHR market in the United States has grown exponentially. The US is expected to remain the largest EHR market globally, and will total $9.3 billion by the end of this year. 1 Meaningful use has also brought with it the need for more documentation to be done by physicians, placing a strain on providers time and causing frustration when EHR systems do not meet workflow needs. With the quick adoption and proliferation of EHRs, some providers have found that usability and functionality were not attended to as vendors developed their systems. As the EHR market has matured, and providers have faced the reality of meaningful use, some hospitals have decided to replace their EHR. peer60 recently gathered feedback from 277 providers in community hospitals, and nearly 20% of those hospitals are actively looking to replace their EHR vendors. Though a steady stream of hospital consolidation over the past several years may account for some of the shift, a solid 7% were currently going through a merger or acquisition at the time of this study. It should be noted, however, that fully 54% were unhappy with the usability of their EHR system. So which vendors are top of mind to meet providers needs? The current community hospital EHR market is fragmented with a larger number of vendors holding relatively small, individual shares of the market. Mind share is much more consolidated toward Epic, Cerner, and Meditech. The following section shares some key findings on the current state of the community hospital EHR market. 1 Global Market for Electronic Health Records (EHR) Expected to Reach $22.3 Billion by the end of 2015, According to Accenture. billion-by-the-end-of-2015-according-to-accenture.htm Feb 24, Accessed July 2,
6 Hospitals Undergoing a Merger or Acquisition - Overall 6
7 Key Findings 53% of providers have attested for stage 2 meaningful use, but a sizeable portion of hospitals said they were still in the middle of attesting. 11% had not yet started attesting for stage 2 meaningful use. Of those that had not yet attested, reasons varies. Some said they were still attesting stage 1, some said their hospital was not ready to attest for stage 2 and a handful said their vendor was simply not ready. Providers that have Attested for Meaningful Use - Overall 7
8 Providers identified their biggest EHR challenges. Reliability and uptime was rarely an issue for providers, and service was meeting providers needs the majority of the time. Most providers felt that they were getting support for strategic objectives from their EHR vendor. However, usability was an issue across the board, and many providers felt that their system was missing functionality. Biggest EHR Challenges - Overall 8
9 Overall Meditech is clearly the market share leader. Others with solid market share include Healthland, McKesson, and Cerner. Epic tops the list in mind share, which is not surprising considering their dominance in the large hospital EHR market. Cerner and Meditech were also leaders in mind share. Community Hospital Market Share Leaders - Overall Evident (CPSI) Others Mentioned: eclinicalworks, Prognosis, e-md s, Practice Fusion, Siemens, Vista, CSS/ORMED 9
10 Community Hospital Mind Share Leaders - Overall Evident (CPSI) Others Mentioned: eclinicalworks, Prognosis 10
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