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Few Practices Rely Solely On EMR Analytics Tools To Wrangle Data

Posted on May 23, 2017 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 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.

A new survey done by a trade group representing medical practices has concluded that only a minority of practices are getting full use of their EMR’s analytics tools.

The survey, which was reported on by Becker’s Hospital Review, was conducted by the Medical Group Management Association.  The MGMA’s survey called on about 900 of its members to ask how their practices used EMRs for analytics.

First, and most unexpectedly in today’s data-driven world, 11 percent of respondents said that they don’t analyze their EMR data at all.

Thirty-one percent of respondents told MGMA that they use all of their EMR’s analytical capabilities, and 22 percent of respondents said they used some of their EMR’s analytics capabilities.

Another 31 percent reported that they were using both their EMR’s analytics tools and tools from an external vendor. Meanwhile, 5 percent said they used only an external vendor for data analytics.

According to Derek Kosiorek, CPEHR, CPHIT, principal consultant with MGMA’s Health Care Consulting Group, the survey results aren’t as surprising as they may seem. In fact, few groups are likely to get  everything they need from EMR data, he notes.

“Many practices do not have the resources to mine the data and organize it in ways to create new insights from the clinical, administrative and financial information being captured daily,” said Kosiorek in a related blog post. “Even if your practice has the staff with the knowledge and time to create reports, the system often requires an add-on product sold by the vendor or an outside product or service to analyze the data.”

However, he predicts that this will change in the near future. Not only will EMR analytics help groups to tame their internal data, it will also aggregate data from varied community settings such as the emergency department, outpatient care and nursing homes, he suggests. He also expects to see analytics tools offer a perspective on care issues brought by regional data for similar patients.

At this point I’m going to jump in and pick up the mic. While I haven’t seen anyone from MGMA comment on this, I think this data – and Kosiorek’s comments in particular – underscore the tension between population health models and day-to-day medical practice. Specifically, they remind us that doctors and regional health systems naturally have different perspectives on why and how they use data.

On the one hand there’s medical practices which, from what I’ve seen, are of necessity practical. These providers want first and foremost to make individual patients feel good and if sick get better. If that can be done safely and effectively I doubt most care about how they do it. Sure, doctors are aware of pop health issues, but those aren’t and can’t be their priority in most cases.

Then, you have hospitals, health systems and ACOs, which are already at the forefront of population health management. For them, having a consistent and comprehensive set of tools for analyzing clinical data across their network is becoming job one. That’s far removed from focusing on day-to-day patient care.

It’s all well and good to measure whether physicians use EMR analytics tools or not. The real issue is whether large health organizations and practices can develop compatible analytics goals.

Where Will We See Analytics in Ambulatory Medicine?

Posted on April 9, 2015 I Written By

John Lynn is the Founder of the 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 and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As I prepare to head to the mecca of healthcare IT conferences, I’m getting inundated with pitches. Much like last year, analytics is still a really popular topic. It seems like every healthcare IT vendor has some analytics offering. Many abuse the term analytics (which is fine by me) and that term has come to mean analyzing your health data in order to provide value.

As I think about analytics, I wonder how much of it will apply to the small physician practice. I should do this survey, but I bet if I asked 5 physicians working in small group or solo practices about their analytics strategy they’d all give me blank stares. Small physician practices don’t have an analytics strategy. They’re not looking for new ways to leverage analytics to improve their practice. That’s not how a small practice thinks.

So, does analytics have a place in small ambulatory medicine?

The short answer is that it absolutely does. However, I think that it will be delivered in two forms: packaged or purchased by the borg.

In the packaged approach, analytics will be part of a small practice’s EHR system. Much like a doctor doesn’t have a mobile EHR strategy (it just comes with the EHR), they won’t have an analytics strategy either. They’ll just take the analytics solutions that come with the EHR.

In some ways, the reporting capabilities in an EHR have been doing this forever. However, very few organizations have been able to use these reports effectively. The next trend in EHR analytics will be to push the data to the user when and where they need it as opposed to having to pull a report. Plus, the EHR analytics will start trying to provide some insights into the reports as opposed to just displaying raw data.

One key for ambulatory EHR vendors is that they won’t likely be able to build all the EHR analytics functions that a doctor will want and need. This is why it’s so important that EHR vendors embrace the open API approach to working with outside companies. Many of these third party software companies will provide EHR analytics on top of the EHR software.

In the purchased by the borg scenario, the small practice will get purchased by the borg (You know…the major hospital system in the area). This is happening all over the place. In fact, many small practices cite the reason for selling out to the local hospital is that they don’t think they’ll be able to keep up with the technology requirements. One of those major requirements will be around analytics. We’ll see how far it goes, but I think many small practices are scared they won’t be able to keep up.

Ok, there’s one other scenario as well. The local hospital system or possibly even a local ACO will purchase a package of analytics software (ie. purchased by the bog) and then you’ll tap into them in order to get the benefits of a healthcare analytics solution. We see this already starting to happen. I’ve heard mixed results from around the country. No doctor really likes this situation since it ties them so deeply with the local hospital, but they usually can’t think of a better option.

That’s my take on how analytics will make its way to ambulatory practices. Of course, most large hospital systems also own a large number of ambulatory practices as well. So, some of the analytics will trickle down to ambulatory in those systems as well. I just wonder how much value ambulatory doctors will get from the hospital analytics vendors that are chosen. I can already hear the ambulatory doctors complaining about the analytics reports that don’t work for them because they’re so hospital focused.

Where are you seeing analytics in the ambulatory setting?