Electronic Health Records - Olson Research Group · 2015-08-24 · Electronic Health Records...
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Electronic Health Records Adoption, Platform, Utility, and Practice Management Paul Allen, Amanda Lipski and Ethan Frank, Olson Research Group, Inc. EHRs are a critical part of the practice of medicine in the post-ACA era; the more we understand how HCPs feel about EHRs and how HCPs are using the technology, the better equipped we will be as researchers to leverage the platforms and the data garnered by them. The opportunity to integrate research instruments and to collaborate with the technology partners in the HIT world will be one of the next big steps in market research for the life sciences industry. KEY TAKEAWAY EHR adoption in physician practices has increased since 2010 with 76% adoption by the HCPs sampled. Usage is greatest among hospital and group-based practices. Among specialists, uptake is highest for Gastroenterologists and Oncologists but slower for Psychiatrists and Dermatologists. KEY TAKEAWAY The largest gap in perception vs. reality of EHRs exists in EHR application usefulness. Future EHR adopters expect significantly more utility across the board from EHR platforms than what current users are reporting. Adoption Platform Utility Practice Management KEY TAKEAWAY HCPs are not overwhelmingly impressed with any particular platform. Scores for overall satisfaction and likelihood to recommend the platform are flat across the board. Two of ten HCPs have switched EHR platforms in order to improve performance and functionality. KEY TAKEAWAY EHR non-users expect that they will use patient outcomes data in a manner that benefits patient treatment. The reality is that patient outcomes data is most commonly used in a manner benefiting the practice. To download this poster as a PDF, go to: www.OlsonResearchGroup.com/IndustryInsights Payer Influence on Practice Prior Authorization notices, List of alternative medications when PA required, Step Therapy procedures Education Continuing Medical Education (CME), Other clinical information updates Industry Information Recalls, New approvals, Trials being initiated/suspended $ $ $ EHR Influences on Decision Making Not at all Improved Slightly Improved Moderately Improved Extremely Improved 39% 18% 27% 3% 13% Very Improved 25.8% Preference list built with formulary 12.9% Shows generic alternatives 14.0% Formulary check 10.8% Shows costs EHR Influences on Decision Making 50% 17% 31% 51% Patient-focused data uses Disease tracking, treatment outcome tracking, medication tracking and hospitalizations. Practice-focused data uses Meet quality standards, data reporting for reimbursement, pay for performance, meaningful use and developing treatment guidelines. 50% 30% 60% 60% 40% 20% 10% 0% Practice-focused Uses Patient-focused Uses Perception How physicians think they will use patient outcomes data Data Non-Users (n=657) Reality How physicians use patient outcomes data Data Users (n=359) Perception Non-Users Reality Users Perception Non-Users Reality Users Which EHR Platforms are Participants Currently Using? Healthcare professionals from solo practices use the widest range of EHR platforms, while HCPs at hospitals are the most concentrated. Top Platforms Epic Systems 15% 4% 15% 32% Allscripts 15% 12% 17% 10% Cerner 6% 3% 4% 19% GE Healthcare 5% 2% 6% 4% eClinical Works 9% 7% 11% 3% NextGen Healthcare 7% 3% 9% 3% McKesson 3% 4% 4% 3% Total Solo Group Hospital Epic Systems Allscripts eClinical Works NextGen Healthcare Cerner GE Healthcare McKesson I am very happy with this platform I would like to use this platform again at a new practice I would recommend this platform to a colleague Overall satisfaction Poor Fair Good Very Good Excellent Satisfaction with Top Platforms Why Have Some Participants Switched EHR Platforms? Nearly eight of ten respondents are using their first EHR platform (79%). Among healthcare professionals who switched from another platform, two of ten switched to improve performance and functionality. 20% 25% 15% 10% 5% 0% Changed practice location Not happy with prior platform Upgrade for greater functionality Institutional decision Vendor went out of business 20.9% 10.6% 10.2% 10.2% 8.3% In 2013, using OlsonOnline™ and our proprietary healthcare database, Olson Research surveyed over 1,600 US HCPs (PCPs, specialists, and NP/PAs from solo, group, and hospital-based practices) in 4 waves of research. Application Usefulness 80% 100% 60% 40% 20% 0% Payer Influence Education Industry Information 90% 69% 75% 55% 36% 37% Application Value 80% 100% 60% 40% 20% 0% Payer Influence Education Industry Information 90% 86% 82% 77% 84% 84% EHR Adoption by Practice Setting Specialist Road to Adoption EHR usage is greatest among hospital-based practices (93%) and group practices (82%).
Transcript of Electronic Health Records - Olson Research Group · 2015-08-24 · Electronic Health Records...
Electronic Health Records Adoption, Platform, Utility, and Practice Management
Paul Allen, Amanda Lipski and Ethan Frank, Olson Research Group, Inc.
EHRs are a critical part of the practice of medicine in the post-ACA era; the more we understand how HCPs feel about EHRs and how HCPs are using the technology, the better equipped we will be as researchers to leverage the platforms and the data garnered by them. The opportunity to integrate research
instruments and to collaborate with the technology partners in the HIT world will be one of the next big steps in market research for the life sciences industry.
KEY TAKEAWAYEHR adoption in physician practices has increased since 2010 with 76% adoption by the HCPs sampled. Usage is greatest among hospital and group-based practices. Among specialists, uptake is highest for Gastroenterologists and Oncologists but slower for Psychiatrists and Dermatologists.
KEY TAKEAWAYThe largest gap in perception vs. reality of EHRs exists in EHR application usefulness. Future EHR adopters expect significantly more utility across the board from EHR platforms than what current users are reporting.
Adoption
Platform
Utility
Practice Management
KEY TAKEAWAYHCPs are not overwhelmingly impressed with any particular platform. Scores for overall satisfaction and likelihood to recommend the platform are flat across the board. Two of ten HCPs have switched EHR platforms in order to improve performance and functionality.
KEY TAKEAWAYEHR non-users expect that they will use patient outcomes data in a manner that benefits patient treatment. The reality is that patient outcomes data is most commonly used in a manner benefiting the practice.
To download this poster as a PDF, go to: www.OlsonResearchGroup.com/IndustryInsights
Payer Influence on Practice
Prior Authorization notices, List of alternative medications
when PA required, Step Therapy procedures
Education
Continuing Medical Education (CME), Other
clinical information updates
Industry Information
Recalls, New approvals, Trials being initiated/suspended
$$$
EHR Influences on Decision Making
Not at all Improved
Slightly Improved
Moderately Improved
Extremely Improved
39%
18%
27%
3%13% Very Improved25.8%
Preference list built with formulary
12.9% Shows generic alternatives
14.0% Formulary check
10.8% Shows costs
EHR Influences on Decision Making
50%
17%
31%
51%Patient-focused data uses
Disease tracking, treatment outcome tracking, medication tracking and hospitalizations.
Practice-focused data uses Meet quality standards, data reporting for
reimbursement, pay for performance, meaningful use and developing treatment guidelines.
50%
30%
60%60%
40%
20%
10%
0%
Practice-focused UsesPatient-focused Uses
Perception How physicians think they will use patient outcomes data
Data Non-Users (n=657)
Reality How physicians use patient outcomes data
Data Users (n=359)
Perception Non-Users
Reality Users
Perception Non-Users
Reality Users
Which EHR Platforms are Participants Currently Using?
Healthcare professionals from solo practices use the widest range of EHR platforms, while HCPs at
hospitals are the most concentrated.
Top Platforms
Epic Systems 15% 4% 15% 32%
Allscripts 15% 12% 17% 10%
Cerner 6% 3% 4% 19%
GE Healthcare 5% 2% 6% 4%
eClinical Works 9% 7% 11% 3%
NextGen Healthcare 7% 3% 9% 3%
McKesson 3% 4% 4% 3%
Total Solo Group Hospital
Epic Systems Allscripts
eClinical Works
NextGen Healthcare Cerner
GE Healthcare McKesson
I am very happy with this platform
I would like to use this platform again
at a new practice
I would recommend this platform to a colleague
Overall satisfaction
Poor
Fair
Good
Very Good
Excellent
Satisfaction with Top Platforms Why Have Some Participants Switched EHR Platforms?Nearly eight of ten respondents are using their first EHR platform (79%).
Among healthcare professionals who switched from another platform, two of ten switched to improve performance and functionality.
20%
25%
15%
10%
5%
0%Changed practice
locationNot happy with prior platform
Upgrade for greater functionality
Institutional decision
Vendor went out of business
20.9%
10.6% 10.2% 10.2%8.3%
In 2013, using OlsonOnline™ and our proprietary healthcare database, Olson Research surveyed over
1,600 US HCPs (PCPs, specialists, and NP/PAs from solo, group, and hospital-based practices) in 4 waves of research.
Application Usefulness
80%
100%
60%
40%
20%
0%Payer Influence Education Industry Information
90%
69%75%
55%
36% 37%
Application Value
80%
100%
60%
40%
20%
0%Payer Influence Education Industry Information
90% 86% 82%77%
84% 84%
EHR Adoption by Practice Setting Specialist Road
to Adoption
EHR usage is greatest among hospital-based practices (93%) and group practices (82%).
