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GE Centricity Advance Ceasing Operations

Posted on January 26, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Yesterday I had the opportunity to talk with the people from GE who briefed me that GE is in the process of shutting down their GE Centricity Advance product line. This was pretty big news to me since I remember just last year at HIMSS meeting with GE and hearing that for the small practice (I believe 1-10 docs) GE Centricity Advance was where they were putting all their effort. You could see the energy they had behind it. In fact, their iPad EHR app was built on top of the GE Centricity Advance solution (which is now being moved to their other EHR product lines).

You might remember that the GE Centricity Advance solution was actually created out of the purchase of MedPlexus in March 2010. At the time, MedPlexus had 100 employees out of California with the development team out of India. At the time of purchase it seemed GE’s acquisition would provide a SaaS based EHR option to the independent physician market. Plus, MedPlexus (which became GE Centricity Advance) also provided an integrated Practice Management System with the EHR.

The GE Centricity Advance website is already forwarding to the Centricity Practice Solution website and a letter was sent out to all Centricity Advance customers informing them that the product line was ceasing operation. I’ve asked for a copy of that letter and if I get it, I’ll add it to this post (or if you’re a customer that received it and doesn’t mind sharing we’d welcome it).

I was told that GE is offering Centricty Advance users a free transfer to their Centricity Practice Solution EHR software. From what they told me it seems this will include data migration, training on the new system and a license for Centricity Practice Solution. Of course, Centricity Advance was paid on a subscription model so they’ll have to continue paying the monthly fee. As with most data migrations, I don’t think we’ll know how good GE is at migrating the data from GE Centricity Advance to Centricity Practice Solution until they start to do them.

Since both Centricity Advance and Centricity Practice Solution have ONC-ATCB complete EHR certification, there shouldn’t be any problems for those that transfer to Centricity Practice Solution when it comes to EHR stimulus money. Those not wanting to move to the Centricity Practice Solution will have this as part of their decision on what to do once Centricity Advance is no longer supported. I expect there will be many in this situation since while Centricity Practice Solution is available through GE’s partners as a “SaaS” offering, I think many will want to find a true from the ground up web based SaaS EHR offering.

I asked how many providers would be effected by the end of the Centricity Advance product line, but it’s GE’s policy to not comment on those numbers.

Where does this leave GE Centricity EMR software?
GE Healthcare IT still does a couple billion dollars of business and still has three EMR software offerings:
*Centricity Practice Solution – The replacement for Centricity Advance and will be GE’s EMR offering for the 1-100 provider practices.
*Centricity EMR – Still ambulatory EMR, but for the 100+ provider practices.
*Centricity Enterprise – Acute care EMR

I’m sure that many will wonder how good the Centricity Practice Solution will do in the small practice arena. Will this basically mean that GE is no longer a player in the small 1-10 provider practices? It’s hard to say for sure, but I’ll be interested to see how the Centricity Practice Solution EHR does in this market. There must have been a reason they purchased what became Centricity Advance instead of going with Centricity Practice Solution in the first place.

On the other hand, I could see people making the argument that this is a sound strategy by GE since movements like accountable care organizations (ACO’s) and related initiatives are putting the small practice in jeopardy. We know that many hospital systems are purchasing up group practices as they prepare to become an ACO among other reasons. While we still have many small group practices, it’s worth considering how many of them will survive the changing landscape. If not many survive, then this strategy by GE could end well for them. Although, I personally believe that practice consolidation is cyclical and so I’m not ready to announce the death of small group practices yet.

Another trend that might make this a good decision on GE’s part is what I call the Smart EHR. Our current phase of EHR adoption is basically converting paper to electronic. Once doctors start requiring EHR software to do things far more advanced (see Artificial Intelligence and Genomics EHR), it will require a new kind of EHR. Maybe Centricity Advance wasn’t prepared to make this shift. We’ll see if GE’s other EHR software is ready for it.

Many have argued that EHR consolidation is inevitable. I guess I shouldn’t be surprised that part of that EHR consolidation is happening within the same EHR company. I’m sure there are more on the way as we see which EHR companies survive the meaningful use winter and come out on the other side and which EHR companies close up shop.

Update: I asked GE for some more clarification on when GE Centricity Advance would be sunset and which data they’ll be migrating as part of the data migration process. Here are their answers:
Sunset Period: We have announced that we will cease operations of Centricity Advance on June 30, 2012. The data will be available in read-only mode until December 31, 2012.

Data Migration: We are working with our partners and customers to figure out the best way to migrate data. We have told customers that we will migrate the following data:
a. Patient Demographics, Patient Insurance data, Fee Schedules, Appointments
b. Patient Summary
c. Patient chart
We will migrate all clinical data. We are working with our partners to determine which financial information should be automatically migrated.

HIMSS11 EMR Company and EMR Market Wrap Up

Posted on February 25, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

It’s going to take a couple weeks to really process all that I saw and heard at HIMSS 2011. In fact, there’s no doubt that much of the content I publish over the next month or two will be things I learned from the people I learned from at HIMSS or influenced by what I saw and heard. However, after a good night’s sleep in my own bed I’m really happy with my experience at HIMSS. The energy and passion for healthcare IT that was found at HIMSS was really powerful and wonderful to be apart of.

I think those people out there that are asking if we’re in a healthcare IT bubble right now are on the mark. There’s very little doubt in my mind that we’re in a healthcare IT bubble. It’s a feature of $36+ billion in EHR incentive money being given out by the government. I can’t remember the size of the EMR market numbers off the top of my head, but $36 billion in money coming into what is a relatively small market is going to change things dramatically. So, it makes sense that this type of infusion of money would create a bubble of sorts.

One person in their comments that we’re in a healthcare IT bubble asked if the bubble would pop before HIMSS 12 in Las Vegas. I believe we have at least one or two more years before the healthcare IT bubble pops. In fact, if you thought that HIMSS 11 in Orlando was big, I predict that HIMSS 2012 in Las Vegas will be even bigger. The EHR incentive money will have started flowing and the trench battles will be in full swing as the 300+ EMR vendors battle each other for customers.

EMR software was obviously my focus at the conference and despite my comments about the lack of innovation by EMR vendors and the future of EMR, I think there are a ton of really interesting EMR approaches that in aggregate are going to impact the EMR world in really dramatic ways. Here’s some examples:

  • Azzly described a meeting of EHR vendors they attended with ONC. The question was asked which EHR vendors in the room started development after the HITECH act was announced. Azzly was the only one to raise their hand. I’m sure there’s other EHR vendors in that same boat, but it will be interesting to see an Azzly EHR that was built post incentive go up against the legacy EHR software.
  • ClearPractice was the first native iPad EMR (called Nimble) that I’d seen and there’s no doubt they’ve made a big play in that space. Will that combined with the backing of John Doerr and their internet driven sales change EMR as we know it?
  • Will larger companies like Greenway and Sage continue to gain market share as they go after the EMR market while maintaining their customer experience? Or will they head the way of the Misys of the world and be bought up by other EMR vendors?
  • What about NaviNet‘s entrance into the EMR world? Can they leverage their existing connections with so many providers to be a major player in not just interoperability but in EMR as well?
  • Even the big behemoth of a company, GE surprised me when I visited with them. There was a polish and a professionalism that I loved about my visit with GE and GE’s Centricity Advance people. I think there’s a fair comparison with Microsoft. Something about the nature of the US loves the underdog and hates the big name player. Yet, the big company just keeps executing their vision and many doctors are going to happily buy and use their products.
  • What about Ingenix‘s multiple EMR offering strategy? Will it just be confusing to clinicians or will they effectively differentiate their various offerings while providing a backbone for interoperability as well? Is the future large EMR vendor one that aggregates a bunch of niche specific EMR companies?
  • What impact will the transcription based EMR vendors have on the market? I wrote about the change from transcription company to EMR vendor earlier this week. Watch for the names MD-IT, FutureNet, Intivia, and MxSecure.
  • Many people probably don’t recognize the name MedPlus. However, everyone knows the company behind the MedPlus Care360 EMR: Quest Diagnostics. There’s something powerful about being able to turn on an EMR in a medical practice with basically the flip of an electronic switch. That’s what MedPlus can do since Care360 is already being used in so many clinics that use Quest for their lab work. Add in their existing lab sales staff that already have relationships with large numbers of clinics and they’re going to be a very interesting player in the EMR space.
  • Free EMR is a really compelling marketing tool. There’s a reason that Practice Fusion and Mitochon Systems free EMR offerings get so much press and so many doctors evaluating their EMR offerings. While many might disagree with their model or even believe that it will fail, these companies have and will have an interesting impact on the EMR landscape.
  • MicroMD offers an interesting approach. First, because of their existing LONG term practice management clients. Second, because of the interesting integration with the supply side of their company. Not to mention, the executives that I met with were some of the most realistic people and well thought out people I met at HIMSS.
  • Props to EMR company MIE that could use a fake EMR company (Extormity) to launch themselves into the EMR discussion while also helping to open up the discussion as well.  If I were a doctor, I’d want to demo their EMR just so I could see if I could find any Extormity features in their EMR.  Although, maybe that’s just the blogger in me.

I could keep going on, but that gives you a bit of flavor of some interesting EMR vendors and their market approaches. Plus, this is just 16 of the 300+ EMR companies that are working in this space. Each one with their own interesting story.

The most exciting thing for an EMR nerd like myself is that we’re really only at the beginning. Wait until we get beyond 15-25% adoption and reach 50% adoption. Then, the fun really begins.

Full Disclosure: Practice Fusion, MD-IT, MxSecure, and Mitochon Systems are all advertisers on this site. EMRandHIPAA.com’s HIMSS11 coverage was also sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.

HIMSS11 Thoughts – Day 2

Posted on February 21, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Hopefully none of you were expecting Meaningful Use Mondays. We’re taking the week off thanks to HIMSS, but there will certainly be some meaningful use discussion in my day 2 experience at HIMSS11.

I must admit that my morning was a little disappointing. I’d wanted to see Reich speak, but it ended up being too early for me. So, I followed what he said on Twitter. I’m afraid to say that following it on Twitter might possibly have been better than being there. There’s something really cool about the Twitter back channel conversation at a conference.

I was excited to go to the session Dr. No: The Response to HITECH, but it was a dud for me. Maybe it means I’m just too involved with the HITECH act that she didn’t offer me much to chew on. Plus, the presentation was pretty dry and flat. Oh well, at least I could enjoy the interesting Twitter chatter about the social media session by Mayo Clinic. Makes sense that Twitter would go wild during a social media session.

Next I attended the HIT X.0 presentation with John Glaser and Aneesh Chopra. Aneesh brought the rock star energy like usual, but John Glaser was pretty terribly boring. It’s not a good sign when the most memorable part of their presentation was Aneesh calling him Johnny G. I also was glad that they had the Twitter comments on screen. Too bad they were too strict with the filter of it, but baby steps.

Lots of interesting content from my meeting with GE healthcare. I loved how organized and professional they were about it all. Plus, their government liaison made an interesting comment about how the time frame for delivering meaningful use stage 2 details (Summer 2012 I think) and when hospitals need to show meaningful use stage 2 (October 2012 I think) is too compressed.

I also got a chance to look at the GE Centricity Advance iPad app. They’re following the same iPad EMR strategy I suggested previously where you only implement a subset of the EMR functionality on the iPad and as native iPad app that maximizes the iPad interface. I see most EMR vendors doing the same.

I had a very interesting chat with Jonathan Bush from Athena Health. I was excited to meet with him since you never know what’s going to come out of his mouth. I took a video of him where I did a “Tell me something I don’t know” with the most common HIMSS buzzwords. Once I get home, I’ll upload the video and post it on the blog.

After that I met with Rohit Nayak, from MedPlus (Quest Diagnostic’s EMR company that offers the Care360 EMR). Another day I’ll do a post to talk more about the Care360 positioning and what makes them unique. It’s really fascinating to see how a lab company is attacking the EMR market. It’s pretty unique.

Care360 recently made an announcement about Care360’s participation with Microsoft HealthVault and the Direct Project. Aneesh actually made the prediction in the session mentioned earlier that by the end of 2012 80% of doctors will have a direct project address. Rohit agreed that it was possible and that Care360 would be playing a major part. He even said that Aneesh was considering a leaderboard for which company assigns the most direct project addresses. I’d be very interested to see that happen. It’s amazing how having your name on a leaderboard will motivate companies.

After this I met with a whole set of people from Henry Schein (which offers the MicroMD EMR). The dynamics of a large successful company with an EMR division (similar to Quest) I find really interesting. Plus, Henry Schein has had their Practice Management software for a long time (14,000 PMS users).

I was impressed by MicroMD’s approach to marketing their software. They acknowledged that it’s hard to be all things for every type of potential EMR user. So, they’re all about focusing on those specialties where their EHR fits well.

I was interested in how they were approaching meaningful use. Similar to how they’ve done ePrescribing tracking, they’re meaningful use certified EHR will be reporting back how many of their users are meeting the meaningful use requirements. I’m hopeful that once they start collecting this information in full, that they’ll share that information on here. They sounded open to the idea. It would be quite interesting to know which meaningful use measures doctors were generally finding hard to meet.

I already wrote about my time at the MTIA name change. Go and read it if you’re someone that transcription is dead.

Then, off to HIStalkapalooza. I was actually surprised that the event was pretty empty. Much nicer than last year where you basically couldn’t move. Plus, it was great to see the ESD people and see them get featured for their great set of shoes. They also loved the special ESD HIMSS top 10 shirt I was wearing. It was perfect for the event. Here’s what was on the shirt:

The Top 10 REAL Reasons I’m at HIMSS Orlando:
#10 Disney World totally beats Coke World.
#9 Orlando won’t have snow like Atlanta did last year.
#8 ESD’s plantable seed card which turned into a real dill plany for ccooking. The swag that keeps on giving!
#7 I’m secretly hoping Colbie Calliat will do an encore performance this year.
#6 I need to walk off those holiday cookies.
#5 I hope I get scanned by the RFID devices and magically transported to a tropical island.
#4 Booth Babes!
#3 Can you say parties?
#2 I’m just here for the food.
And the #1 reason….Anything for the EMRandHIPAA.com fan girls.
Enterprise Software Deployment – We Implement IT

I thought about going to a couple other events, but just opted to come back and write a few blog posts. Lots lots more planned tomorrow. Be sure to find me at HIMSS tomorrow so you can win a free HD TV.

EMRandHIPAA.com’s HIMSS11 coverage is sponsored by Practice Fusion, provider of the free, web-based Electronic Medical Records (EMR) system used by over 70,000 healthcare providers in the US.