Saturday, September 27

MU Stage 2 - view download "OR" Transmit 48% achieved it with portals

I often hear doctors lamenting how they shouldn't be held accountable for getting 5% of their patients to log on and view download and transmit their health data. They don't need to!  It is a misunderstanding between what the EHR is required to offer vs what patients are being asked to do.

Although EHR's have to have the ability to do all three view, download AND Transmit to be certified  order for providers and hospitals to meet MU State 2 patients only have to view or download or transmit (NOT AND).

This is critical since it means all you need is to have 5% of patients log onto the portal and view their data.. In those hospitals that have a patient portal 48% of patients log on which is 9x the threshold.

ONC as part of the blue button campaign blurred the lines between what an EHR has to have built in and what providers and hospitals and patients need to do..

Of course it is nice to be able to download data but very often you just want to see it and perhaps print it vs send it someplace else.. Eventually when EHR"s are able to "receive" data this might be of value (since in some areas patients are still the defacto HIE).

Also just as an FYI - nearly all of primary care requires providers asking patients to "do" something in order to manage their chronic conditions or heal from a trauma or other injury so I don't accept it when I hear doctors claim that they shouldn't be held accountable for their patients actions when in fact that is the core of much of their job.  It also however might explain why there is a real disconnect between patients confidence (a surrogate for patient engagement and directly linked to outcomes and patient satisfaction) in managing their health and providers expectations.

Monday, September 22

Top EHRs meeting MU by Specity

Top 10 ambulatory EHR's that are meeting MU stage 2 and the top Specialities - Only 160 Family Practice Docs so far (NOTE: Athena doesn't break down by speciality)

(source data ) current as of Sept 22, 2014

Top 10 EHR's for MU Stage 2 2014    FAM        Practice  GI General

   Int Medicine



Grand Total
Acumen EHR 13 21 37 71
Allscripts Pro 1 3 1 1 15 13 34
athenaClinicals 1 1283 0 1284
Care360 EHR 8 1 15 11 3 38
eClinicalWorks 12 6 37 4 1 2 21 12 95
EpicCare Amb 103 24 31    101 33 18 11 567 338 1226
gGastro 82 13 11 0 106
Practice Fusion EHR 26 6 9 54 2 12 50 72 145 376
Vitera Intergy 2 2 26 4 34
OTHER 8 0 1 37 2 16 10 27 71 172
Grand Total 160





Epic and Athena Clinics account for 73% and the top 10 EHR's account for 95%.  One that claims to be the "fastest growing EHR" only has 2% of market share (obviously easier to grow % wise) but podiatrists seem to like it.