About half of the medical practices in the nation have adopted electronic health records systems, and they’ve had a dizzying array of EHR vendors to choose from.
Choosing the right EHR vendor can be one of the most important, difficult and confusing decisions physicians face, particularly because the EHR market is so fragmented. So knowing the choices that other physicians have made can add some valuable context around the decision-making process.
That’s where a report that was issued earlier this year by health market research firm SK A comes in handy.
SK A has a contract with the U.S. Department of Health and Human Services to provide quarterly survey data to the federal government on EHR adoption and usage by physicians around the country. The company’s reports are packed with lots of data that may be of interest to physicians and health IT enthusiasts, such as EHR adoption by specialty, region, practice size and patient volume.
Data from the company’s latest report is based on telephone surveys more than 273,000 U.S. medical sites earlier this year.
EHR vendor market share for small practices
McKesson Provider Technologies
General Electric Healthcare IT
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I have been using CureMD for the past year and a half. So far so good. They are flexible in the sense that they create your templates based on specialty and are available to tweak it anytime which helps my documentation. Plus its a single system with both clinical and billing portion on one platform. I find that I do not have to enter data twice and coding is mostly automatic which is a huge relief !
For vision clinics I would recommend visionclinicsolutions emr. It is web based, user friendly and provided with great technical support.
Allscripts is terrible. I am an internist and have been forced to use it because that is what my hospital IT department purchased. I have used it for 2 years and it doesn’t do anything to save time and is the ultimate in inefficiency. It is not intuitive or user friendly and is a daily frustration to use. It is slow and crashes regularly. I hope my comments keep at least one physician from making a costly mistake of purchasing this disaster of a program.
My experience with Epic was that it is burdensome in its data-entry requirements and extremely non-intuitive and overly complex to use. I wrote software for a living before attending med school, so I am not some technophobe. Epic is what techies call “bloatware”, which means software which is bloated in its demands on the user. I would advise avoiding this particular EHR unless you want to cut your income and lengthen your work day.
I went with an open source EHR that runs on FileMaker Pro (Cottage Med) 8 years ago and have been using it ever since. No chart room in my office, no lost charts, everything at my fingertips. Without commercial investment, it doesn’t have all the bells and whistles: no e-prescribing (which I don’t like since it removes my patients’ autonomy to fill it where they choose) and will never achieve “meaningful use” (which is a ridiculous moving target that will be well-nigh impossible to achieve), but you can’t beat it for the price: free (well, yes you have to pay for FMP, but that’s not much). I’ve seen other docs struggle with commercial EHR systems that cost an arm and a leg, tied them into long-term contracts, and were so cumbersome that they ended up charting by hand and then putting it in the electronic chart later (*cough* e-ClinicalWorks *cough*), doubling the work! My workstation is set up so I can face the patient, type while I talk to them and have the note done when the visit is done.
which open source EMR did you use for filemaker pro? thanks.
I have eClinicalWorks and it doesn’t (work). It was marketed to a large primary care group that I belong to. The ranking only shows who marketed the best, not whose system is the best. If you hit Progress Note and the window pops up behind the one you are in there’s a problem. ECW closed that ticket 3years ago uncorrected.
This issue is so typically American. everyone goes with the most popular instead of the best. IE. the old VCR/BETAMAX conundrum. 2 hospitals I use in my area use 2 different versions of Epic and both are cumbersome, hard to use and not intuitive. I think the 2nd hospital got it because the first had it and they didn’t have confidence enuf to choose their own And that describes the market. A lot of good(?) products will be forced out by the big budgets getting bigger cuz they are. Americans are impressed by BIG not GOOD. Many countries in Europe have their software provided and it all communicate. Here we have one version of Epic that can’t communicate with the next version.
I’ve been exposed to roughly half this list. I agree that “popular” is misleading in this case. Prevalent is better suited. The problem for the practitioner is that the vast majority of these systems are NOT designed with the end-user in mind. I thought E-Clinical Works was the most suitable in this regard of those that made the list. Disagree regarding Greenway- while they may be responsive the workflows they offer are cumbersome at best. Practice fusion is cheap because they sell your patient’s information. Our small practice is currently using OneTouch which is a smaller group but developed ground up by a practicing internist, is native to the I-pad, Meaningful use certified, and comes with Dragon Medical. Sold. Still, my advice is to not jump head first without looking where you are gonna land. Seeing Nextgen on this list makes me realize we all make mistakes.
I am a consultant/billing service. I’ve tried a lot. ECW, GloEMR, Amazing Charts, Medisoft Clinical, Practice Fusion, Spring Charts, Soapware. My recommendation is buy if you’re committed to it the change. For the physician it’s more work but I say retool your process to give you some relief. IMO own it, NEVER lease. If you are single or small practice you don’t need the AIO (all in one) Self host. Or find a local hosting service and use remote desktops.
thank you for the article Brandon, but I must protest your use of the word “popular.” In your article, you listed the most “common” programs. But, just because many small practices were somehow talked into buying a certain EMR, it does NOT mean that they actually LIKE it. We are part of the unfortunate 10% who were suckered into Allscripts MyWay only 2 years ago as their “flagship” product for small practices. The EMR is unwieldy and difficult, the support is abysmal, and Allscripts company will be discontinuing MyWay and forcing all subscribers to convert to another one of their EMR products or leave the company, but, of course, you still have to pay off the lease on the discontinued MyWay. I would feel terrible if your readers had the impression that Allscripts is “popular,” they just hired some pushy sales people. For EMR purchasers, ask many questions of doctors who actually USE the product, as the sales people will just tell you what you want to hear.
I agree with Dr. Garreau. Myway has been horrible. Can’t post copays without 8 steps. Basic posting not efficient. Hosting ridiculously SLOW. Allscripts lied to all myway users and should never offered the products. Allscripts quite even trying to fix the programs NUMEROUS flaw a year ago and now throwing the program out. I was on medinotes since 2002 and happy and forced by allscripts to their “better” allscripts MYWAY which has been a step backwards in note speed, horribly inefficient, and basic tasks cannot be accomplished. We still collect copays on paper as faster to post at later date. Allscripts has been untruthful in their promises to small practices.
We have been using Greenway Prime Practice for seven years and it continues to improve because Greenway listens to its customers. We would never go back.