4 responses

  1. Mark Hollis
    October 30, 2013

    You might note that EVERY vendor’s ONC Stage 1 certification for EVERY product expires 12/31/2013 and that the 2014 CEHRT certification that is so daunting is required for providers who are required to demonstrate MU Stage 1 as well as those who have already demonstrated Stage 1 for 2 years or more and must demonstrate Stage 2 to qualify for incentives.

    As for MacPractice, so my comment is not misinterpreted, we expect to have a new version with all the required features for submission for certification in mid-November. We will give that version to clients first, as we continually test it internally against the test requirements in preparation for our 3 days of certification testing. We will submit when we are confident that we can pass the first time. Some clients have already worked with our new version, as required.

    As NO EP is required to demonstrate for more than 90 days or one quarter of 2014, I expect most doctors to choose to demonstrate in the 4th quarter, or the 3rd at the earliest. Our clients should have a certified version of MP available to them in advance of the 1st quarter in case they want to be among the first who attempt to interoperate with the small number of other providers who have also chosen to do so in the 1st quarter, but I would recommend that they not be on the “bleeding edge.”

    Our hope is that the bar for certification is high enough in 2014 that there will be a shake-out of many of the vendors who are not financially self-sustaining. As someone who has been in this market for 30 years, it is my opinion that the market is clearly insufficient to support the current number EHR vendors if they are required to be viable, self-sustaining operations. The sooner the inevitable shake-out, the better for providers and for vendors who can be or are self-sustaining in my opinion.

    If a vendor’s or a vendor’s investors’ objective is to prepare a company for acquisition rather than to become self-sustaining, I would guess there is a better than even chance their users will be forced to abandon the software they adopted at great expense. The provider will most likely be given an “opportunity” to migrate to another software, not of their choice, or they will have to try to get their data out and get it into a new software, again at great expense and inconvenience to them. According to the October issue of Medical Economics that ranks the top 100 EHRs according to their annual revenue (MacPractice is 28th), doctors they spoke to are most concerned about the financial stability of vendors, as they should be.

    Mark
    ______________________________
    Mark Hollis, CEO
    MacPractice, Inc.
    (212) 683-2224
    http://www.MacPractice.com
    MarkHollis@MacPractice.com

  2. Tony McCormick
    October 30, 2013

    Try doing this as a Open Source Project!

    We were very successful with Stage 1 and are making good progress in stage 2, but the funding (donations in time and money) needed for Stage 2 are larger, by far. We are, however, confident that we will cross the bar this time as well. We have strong commitments from our contributors and have already handled the Direct messaging and are most of the way done with CCD related activities.

    We too see a drop off in Certified EMR that are white labeled OpenEMR versions. There were originally 10+, looks like we may be down to 4 by Stage 2.

    The thinning out of the EMR business is proceeding as expected…

    Tony, OEMR.org 501c3 President

  3. John Lynn
    October 30, 2013

    Mark,
    Thanks for sharing your perspective.

    Tony,
    I’m glad to hear that OEMR is going forward with it. It’s interesting that many of the white labeled ones won’t be going forward.

  4. AXEO Med
    November 4, 2013

    Mark,

    30 years??? I thought I was the most experienced here. :)

    “As someone who has been in this market for 30 years, it is my opinion that the market is clearly insufficient to support the current number EHR vendors if they are required to be viable, self-sustaining operations. The sooner the inevitable shake-out, the better for providers and for vendors who can be or are self-sustaining in my opinion.”

    Depends on stimulus. Not just HiTech/ARRA, but Bernanke and successor as well to an extent.

    The only “free” in free markets now is the handful of fremium PM/EMR systems.

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