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AAFP EMR Survey Offers Food For Thought

Posted on December 24, 2012 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

Even the authors admit that the following study has got flaws, given that respondents weren’t randomly selected and some vendors screened out by its design.  Nonetheless, new EMR satisfaction research by the American Academy of Family Practice gives us some interesting stats to consider.

The study, which was published in the November/December issue of its Family Practice Management  journal, draws on 3,088 responses from AAFP members, who responded to a series of questions regarding which EMRs they used and how comfortable they were with those EMRs.  Respondents reported using a total of 160 named EMRs, but the study dropped 129 which were used by 12 or fewer practices in an effort to simplify the results, leaving 31 systems for analysis.

The systems with the strongest satisfaction ratings, ranging from roughly 80 percent too over 50 percent, were Praxis, HealthConnect, MEDENT, Amazing Charts and SOAPware. eMDs,  Practice Fusion, Point and Click EHR, EpicCare Ambulatory and Vista CPRS followed closely, with scores clustered around 50 percent.

Not too surprisingly, EMRs that were ranked easy to use were largely the same ones which got high satisfaction ratings. Topping that list was Point and Click EHR at nearly 80 percent, followed by Amazing Charts, Practice Fusion, Praxis, SOAPware, Aprima, MEDENT,eMDs, HealthConnect, Vista CPRS, with Care360 EHR rounding out the bottom of the top 10 at roughly 47 percent.

The only surprise the authors highlighted came in response to a question asking which EMRs helped doctors see more patients or go home earlier than they could with paper charts. In that case, Praxis stood out, with doctors who agreed hitting about 80 percent. The number who agreed for the next on the list, SOAPware, fell immediately to just over 40 percent, with the other players falling even lower on the scale.

Even with its deliberate statistical laxity — authors described their intent as being more of an “advice from colleagues” format — this certainly offers some stats to chew on. In particular, I’d love to know what Praxis is doing right. After all, when it comes right down to it, productivity is king.

Rohit Nayak, VP of Physician Tech Solutions at Quest Diagnostics – 5 Questions with EHR Vendor Executives at #HIMSS12

Posted on March 1, 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.

It’s time again for the next entry in our series of EHR videos called: 5 Questions with EHR Vendor executives at HIMSS 2012. In this video I ask the 5 questions to Rohit Nayak, VP of Physician Tech Solutions at Quest Diagnostics (makers of the Care360 EHR).

My apologies to Rohit for mispronouncing his name in the intro. I appreciate his good nature and pronouncing it correctly. I don’t think I’ll ever forget the name Rohit again. I appreciate him taking the time to answer the 5 questions.

Be sure to check out all of the 5 Questions with EHR Vendor Executives at HIMSS 2012 videos.

Quest Diagnostics Offers Big Discount On Its EMR-Practice Management System

Posted on February 3, 2012 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies. Contact her at @ziegerhealth on Twitter or visit her site at Zieger Healthcare.

In the past, I’ve written volumes about hospital attempts to lock in doctors by offering them access to a free or deeply-discounted EMR. I haven’t heard much about this strategy of late — either the approach was dropped or it’s gone underground — but it seems that other players are still giving it a shot.

This time, in what seems to be a fairly logical step, Quest Diagnostics has kicked off a program offering medical practices a steep 85 percent discount off of the retail price of its Care360 EMR and practice management bundle.  The announcement follows up on its 2011 regional giveaway program, which Quest says attracted thousands of physicians.

The deal, which reduces the physicians’ out of pocket cost to less than $100 per month,  also includes training, hosting, maintenance and 24/7 support for Care360. The lab giant says physicians can get Care360 up and running in about 45 days.

I can’t think of a reason why this wouldn’t make great sense for Quest; if my contacts are to be believed, it has no better reputation than its key competitors when it comes to customer service and follow-through on clinical testing.

On the other hand, if I were a doctor I’d think long and hard before agreeing to a deal like this, even though the software is just about free. There’s simply too much at stake to plunge in.

Yes, Care360 is ONC-ATB certified by CCHIT and, intriguingly, has incorporated the Direct Project specs allowing doctors to share information with patients and hospitals. And yes, it seems to have made efforts to support EMR access via mobile devices. This is all good. And of course, the price is right.

On the other hand, I’m not sure I’d want to make this big of a commitment to any particular service provider, be it a reference lab, a radiology provider or the people who stock my vending machines with sodas.

I’d argue that the more important the service is, the less you want to be beholden to the vendor. After all,what if Care360 isn’t your cup of tea?  Do you really want to disrupt your relationship with a critical provider like Quest?

Not only that, it’s risky to lock in an EMR just because it’s cheap. If Care360 takes 45 days to get installed (activated, configured, trained, etc.), it’s not going to be possible to uninstall it in a day or two, and that could mean misery on wheels if the product doesn’t work for you.

Besides, it’s possible to get Web-based, easy to adopt or drop EMRs for only a couple hundred dollars a month more. It wouldn’t make sense to go for an EMR that might not work just to save that little. (If your margin is tight enough that a savings of $200 or $300 a month is critical, you have worse problems than finding the right EMR!)

I guess I’m saying that even if the EMR is nearly free, caveat emptor. You don’t want to get saddled with an albatross system just because the price was right.

Quest Launches Care360 EHR

Posted on March 18, 2010 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.

I meant to post this a long time ago and never got around to it. Although, I think it was one of the really interesting announcements at HIMSS. Here’s a portion of the press release from Quest about their EHR offering:

“Quest Diagnostics is making broadly available a Web-based EHR that helps physicians embrace digital healthcare one step at a time, connect easily with their peers on patient care, and achieve meaningful use that allows them to qualify for government incentives,” said Richard A. Mahoney, Quest Diagnostics’ vice president of Healthcare Information Solutions and president of its MedPlus healthcare information technology subsidiary. “We value the longstanding trust physicians have in our company, and we are proud to answer physicians’ needs with a modular technology that will truly help drive meaningful improvements in quality of care.” MedPlus develops the technologies that power the Care360 suite of physician offerings.

Each week I’m introduced to another interesting type of organization that’s trying to use their connections and relationships with doctors to sale an EHR. Who’s connections are going to win?

Of course, one question that will be interesting for Quest is how they’ll handle interfaces between their Care360 EHR and other vendors. I assume you’ll have to have a Quest lab interface as part of the deal. Does that mean all other labs are shut out? I can imagine that many doctors will be reticent to go with a Quest EHR if it basically locks them into a relationship with only Quest. It’s going to be interesting to see how this plays out.