Free EMR Newsletter Want to receive the latest news on EMR, Meaningful Use, ARRA and Healthcare IT sent straight to your email? Join thousands of healthcare pros who subscribe to EMR and HIPAA for FREE!!

Study: Doctors Favor Integrated EMR, Practice Management System

Posted on September 13, 2013 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

While large institutions may not be jumping onto cloud-based technologies — or admitting it, in any event — the majority of doctors in a new Black Book survey are gung-ho on cloud solutions to their revenue cycle management dilemmas, according to a new piece in Healthcare IT News.

A new Black Book study, “Top Physician Practice Management & Revenue Cycle Management: Ambulatory EHR Vendors,” surveyed more than 8,000 CFOs, CIOs, administrators and support staff for hospitals and medical practices.

The research has concluded that 87 percent of all medical practices agree that their billing and collections systems need to be upgraded, HIN reports. And the majority of those physicians are in favor of moving to an integrated practice management, EMR and medical software product, Black Book concluded.

According to Black Book rankings, the revenue cycle management software and services industry just crossed the $12 billion mark, pushed up by reimbursement and payment reforms, accountable care trends, ICD-10 and declining revenues.

Forty-two percent of doctors surveyed said that they’re thinking about upgrading their RCM software within the next six to 12 months. And 92 percent of those seeking an RCM practice management upgrade are only planning to consider an app that includes an EMR, Healthcare IT News said.

It’s no coincidence that  doctors are trading up on financial tools. Doctors are playing catch-up financially in a big way, with 72 percent of  practices reporting that they anticipate declining to negative profitability in 2014 due to inefficient billing and records technology as well as diminishing reimbursements. (On the other hand, it’s not clear why doctors aren’t still seeking best-of-breed on both the EMR and PM side.)

While selecting an integrated PM/EMR system may work well for practices, it’s going to impose problems of its own, including but not limited to finding a system in which both sides are a tight fit with practice needs. It will be interesting to see whether doctors actually follow through with their PM/EMR buying plans once they dig in deep and really study their options.

EMR-Switching Physicians Demand Mobile EMR Apps

Posted on June 3, 2013 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

We already know that many physicians are considering dumping their current EMR, with up to one fifth telling research firm Black Book Rankings that they were considering a switch in 2013. Now,  Black Book says that it’s found a focus for the switch:  that physicians are looking for new EMRs to offer integrated mobile applications as front ends.

Seldom do you see as unanimous a decision as doctors seem to have made in this case. One hundred percent of practices responding to Black Book’s follow-up poll on EMR systems told the researchers that they expect vendors to allow access to patient data wherever physicians are providing or reviewing care, according to the firm’s managing partner Doug Brown.

Not surprisingly, vendors are responding to the upsurge in demand, which has certainly been building for a while. As part of the current survey, 122 vendors told Black Book that they plan to launch fully-functional mobile access and/or iPad-native versions of their EMR products by the end of this year, while another 135 say they have mobile apps on their near-term product roadmap.

Demand for core patient care functionality in mobile EMRs outpaces physicians’ interest in other types of mobile functionality by a considerable margin.

According to Black Book researchers, 8 percent of office-based physicians use a mobile device for electronic prescribing, accessing records, ordering tests or viewing result.  But 83 percent said they would jump on mobile EMR functions to update patient charts, check labs and order medications if their currrent EMR made them available.

When asked what  mobile EMR feature problems need to be addressed, current users of both virtualized and native iPad applications saw the same flaws as being the most important. Ninety-five percent of both groups said that the small screen of a smartphone was the biggest mobile EMR feature problem. Eighty-eight percent said difficulties with easy of movement within the chart was an issue, 83 percent said they wanted a simplified version of the EMR on their mobile screen and 71 percent wanted to see screens optimized for touch use.

For more info on EMR Switching check out this whitepaper called Making the Switch: Replacing Your EHR for More Money and More Control.

One-Fifth Of Physician Practices Might Switch EMRs

Posted on February 26, 2013 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Here’s yet more evidence that this is the year of the “big switch” in EMRs, at least among physicians. A new survey by Black Book Market Research has concluded that about 23 percent of practices with currently implemented EMRs are unhappy enough with their current system to consider switching to a different vendor.

According to a piece in Medical Economics, doctors’ concerns include a lack of interoperability, excessively complicated connectivity and networking and problems with mobile device integration.

The survey, which reached out to 17,000 doctors, found that internal medicine docs had the highest rates of satisfaction (89 percent), followed  by family practice (85 percent), general practice (82 percent) and pediatrics.

The unhappiest specialists were nephrologists (88 percent), followed closely by urologists (85 percent) and ophthalmologists (80 percent).

So if a practice is going to switch vendors, what are they looking for? The Medical Economics piece listed five “must-have” features doctors voted for in the Black Book survey:

* vendor viability

* data integration and network sharing

* adoption of mobile devices

* health information exchange support and connectivity

* perfected interfaces with lab, pharmacy, radiology, medical billing partners, and others

Unfortunately, they won’t find it easy to find all of these features in a single EMR.  Of course, you faithful editor isn’t the be-all and end-all when it comes to EMR products (who could be?) but it seems to me that if even pricier enterprise products seldom offer all of these options, it’s decidedly unlikely that ambulatory products will. (OK, vendor viability is a judgment call, but in a world where so many practices don’t like their EMR, it’s hard to imagine that vendors are at their strongest.)

Folks, the truth is that it looks like we’re coming to a market crash of some kind. Physicians aren’t getting what they need from EMRs, but vendors aren’t keeping up, especially in the realm of specialty EMRs.

As if that wasn’t enough, the threat of fines looms for practices that don’t get their Meaningful Use act together, something they may have trouble doing if they’re in the midst of EMR shopping, installation and adoption.

Time is getting tight, and customers aren’t happy. Ambulatory vendors, what’s your next move?