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Special Topics in Vendor-Specific Systems
Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory and Inpatient Care Settings
This material (Comp14_Unit1) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.
Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory
and Inpatient Care SettingsLearning Objectives
2
By the end of this lecture, you will be able to:
1. Describe the mission and vision of HIMSS and KLAS and how their respective resources can be used to research EHR systems.
2. Describe common and distinguishing features of common EHR systems.
Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
HIMSS
3Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
HIMSS (cont.)
4Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
HIMSS (cont.)
5Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
HIMSS Member Demographics
6Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
HIMSS “Products”
7Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
KLAS: Quick Facts
8Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
KLAS (cont.)
9Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
KLAS:How They Do It
10Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
How Providers use KLAS Findings
• Understand products’ & vendors’ strengths & weaknesses
• Screen prospective vendors• Create influential proposals with KLAS research
that supports your buying decision• Manage risk and exposure: be informed on
price, contract issues & common complaints• Set realistic expectations for your organization
and your vendor• Save research time and money
11Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
KLAS Research Focus
12Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
KLAS Methodology
13Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
• Contracting experience • Product works as promoted • Money’s worth • Avoids nickel and diming • Quality of implementation • Implementation on time • Quality of training • Overall product quality• Delivery of new technology• Ease of use• Product response time• Supports integration goals• Product has needed
functionality
• Quality of phone/web support• Proactive service• Executive involvement • Lives up to expectations• Keeps promises• Part of long term plans• Overall communication• Recommend to peer/friend • Overall satisfaction • Forecasted overall satisfaction• Would you buy again• Ranked client’s best vendor
14Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
KLAS Methodology (cont.)Criteria in Evaluations:
KLAS Ratings
15Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Top 10 Acute Care EHR:Over 200 Beds
Vendor Product Overall Score
Epic EpicCare Inpatient EHR 87.59
Cerner CareNet 78.06
McKesson Paragon Clinicals 75.49
MEDITECH MAGIC Patient Care Inquiry 73.41
Siemens Soarian Clinicals 73.09
MEDITECH C/S Enterprise Medical Record 72.85
Cerner PowerChart/Powerorders/CareNet 72.79
Eclipsys Sunrise Clinical Manager 72.76
Cerner PowerChart/Powerorders 72.50
McKesson Horizon Expert Orders/Documentation
70.89
Table 1.1
16Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Top 10 Acute Care EHR: Under 200 Beds
Vendor Product Overall Score
McKesson Paragon Clinicals 81.11
MEDITECH C/S Enterprise Medical Record 78.01
Siemens Soarian Clinicals 71.39
MEDITECH MAGIC Patient Care Inquiry 70.97
Cerner PowerChart/Powerorders/CareNet 70.78
Eclipsys Sunrise Clinical Manager 70.49
Cerner PowerChart/Powerorders 70.15
HMS HMS Clinicals 68.28
Siemens MedSeries4 Clinicals 67.76
CPSI CPSI Clinicals 67.70Table 1.2
17Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
KLAS Ratings
18Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Top 10 Ambulatory EHR:Over 100 Physicians
Vendor Product Overall Score
Epic EpicCare Ambulatory EHR 88.75
NextGen NextGen EHR 73.68
GE Centricity GE 70.97
Cerner PowerChart/Powerorders/CareNet 66.66
Eclipsys Sunrise Ambulatory Care Manager 63.95
Allscripts Enterprise EHR 62.91
MED3000 IC-Chart 60.97
eClinicalWorks eClinicalWorks EHR 60.52
McKesson Horizon Ambulatory Care 59.71Table 1.3
19Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Top 10 Ambulatory EHR:26 - 100 Physicians
Vendor Product Overall Score
Epic EpicCare Ambulatory EHR 84.01
Sage Intergy EHR 78.82
Cerner PowerChart Office/ PowerWorks EHR
75.16
athenahealth athenaClinicals 72.29
Greenway Medical PrimeSuite EHR 72.19
Allscripts Professional EHR 69.54
NextGen NextGen EHR 68.49
MED3000 IC-Chart 67.51
LSS LSS (Meditech) MPM 67.32
GE Centricity GE 67.24
Table 1.4
20Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Top 10 Ambulatory EHR:6 - 26 Physicians
Vendor Product Overall Score
Greenway Medical PrimeSuite EHR 89.80
SRSoft SRSoft hybrid EHR (Lite EHR) 89.32
athenahealth athenaClinicals 83.87
e-MDs e-MDs Chart 83.61
LSS LSS (Meditech) MPM 79.01
Optimed CHARTCARE EHR (CLINICARE) 79.01
Allscripts Professional EHR 76.91
Sage Intergy EHR 76.06
NextGen NextGen EHR 68.49
gMed gCage Partner EHR 75.84Table 1.5
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Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Summary of Inpatient Vendors
22Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Epic
23Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Epic
24Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Epic
25Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Cerner
26Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Cerner
27Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
McKesson’s Vision
28Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
McKesson
29Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Meditech
30Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Meditech
31Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
• http://www.meditech.com• 40 years developing, installing, and supporting
health care information systems• Founded in 1969 by the developers of MUMPS
– A. Neil Pappalardo and Curt W. Marble develop MUMPS technology on a DEC PDP at Mass General Hospital from 1964 to 1968
• Markets: United States, Canada, United Kingdom, Ireland, South Africa, Latin America, Mexico, Spain
• 2,200 customers worldwide• 2,900 staff members• Revenue (2008) $397 million• 5A1 Dun & Bradstreet credit rating• Privately-held
Eclipsys
32Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Eclipsys
33Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
• Incorporated: 1995 with more than 40-years of healthcare IT solutions experience
• Headquarters Atlanta, GA• Employees: 2,800+ worldwide• Clients: 6,000 hospitals, healthcare systems,
clinics and physician practices• Stock Symbol (NASDAQ): ECLP• Revenue (2008) $515.8 million • Allscripts announced on 6/9/10 that it would buy
Eclipsys for $1.35B
Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory
and Inpatient Care Settings Summary
• HIMSS is a valuable starting resource to acquire detailed information about features and functions of EHR technology
• KLAS is resource that can be used to assist with selecting a specific EHR system
• There is wide variation in the corporate history and product offering of commercial EHR system vendors
34Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs
Common Commercial Electronic Health Record (EHR) Systems Used in Ambulatory
and Inpatient Care Settings References
References
1. Epic Systems. Retrieved June 20, 2010, from http://www.epic.com
2. Cerner. Retrieved June 20, 2010 from http://www.cerner.com
3. Meditech. Retrieved June 20, 2010 from http://www.meditech.com
4. Eclipsys. Retrieved June 20, 2010 from http://www.eclipsys.com
5. HIMSS. Retrieved June 20, 2010 from http://www.himss.org
6. KLAS. Retrieved June 20, 2010 from http://www.klasresearch.com
Chart, Tables and Figures
1.1 Table: Sidelli, R. (2010). Top 10 acute care EHR: over 200 beds. Department of Biomedical Informatics, Columbia University Medical Center.
1.2 Table: Sidelli, R. (2010). Top 10 acute care EHR: under 200 beds. Department of Biomedical Informatics, Columbia University Medical Center.
1.3 Table: Sidelli, R. (2010). Top 10 Ambulatory EHR: over 100 physicians. Department of Biomedical Informatics, Columbia University Medical Center.
1.4 Table: Sidelli, R. (2010). Top 10 Ambulatory EHR: 26- 100 physicians. Department of Biomedical Informatics, Columbia University Medical Center.
1.5 Table: Sidelli, R. (2010). Top 10 Ambulatory EHR: 6-26 physicians. Department of Biomedical Informatics, Columbia University Medical Center.
35Health IT Workforce Curriculum Version 3.0/Spring 2012
Special Topics in Vendor-Specific Systems Commonly Used Commercial EHRs