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2018 Black Book survey: New spike in EHR replacement activity jars larger physician practice market

Press releases may be edited for formatting or style | April 20, 2018 Health IT
TAMPA, Fla., April 16, 2018 /PRNewswire/ -- Highly functional, highly customizable integrated EHR, Practice Management, Revenue Cycle Management and ICD10/ Coding products are proving to be the sought after technology solution of choice for groups and clinics with 12 or more practitioners according to the nearly 19,000 total EHR users responding to the six month client satisfaction poll released today.

Cloud-based mobile solutions for on-demand data with access to practice actionable insight into financial performance, compliance tracking and contractual quality goals received the top interest by groups in the replacement mode (93 percent), followed by Telehealth/Virtual Visit Support (87 percent) and Speech Recognition Solutions for hands-free data entry (82 percent).

Another notable finding is the "wait and see" before replacement posturing of some of the major suppliers of solo physician practice systems in states of change including Practice Fusion and eClinicalWorks, with both claiming over 93 percent customer loyalty positions in Q1 2018.

"Traditionally, its been the smaller and solo practices with the highest dissatisfaction ratings for electronic health record applications but we confirmed also that the smaller the practice, the less likely they are to use advanced IT tools and that is where EHR frustration among small practices is generally focused," said Doug Brown, managing partner of Black Book.

Eighty-eight percent of small practices of six or less practitioners still aren't optimizing advanced EHR tools such as patient engagement, secure messaging, decision support and electronic data sharing according to the latest Black Book survey of ambulatory EHR products.

Ninety-three percent of all sized medical and surgical practices with an installed, functional system are using the three basic EHR tools frequently or always: Data Repository, Order Entry and Results Review. "So when we look at apples-to-apples client satisfaction among small practices, it's about basic functionality experience," said Brown. "While in large practices, the rating of customer satisfaction is based on that plus a much wider breadth of vendor offerings and client execution from claims management to population health bundled in."

When it comes to the use of advanced features, namely: Electronic Messaging, Clinical Decision Support, Interoperability, Data Sharing and Patient Engagement, most small to midsized groups, clinics and practices are failing to optimize and/or reap any benefits in 2018.

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