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#Athenahealth vs Allscripts
emorphistechno · 2 years
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After conducting an analysis, we can say that you need the right integration partner to successfully integrate or switch to an EHR system. In fact, EHR systems have become a huge priority for healthcare organizations. Hence, with the right EHR system, you can achieve the desired results. We also know that healthcare organizations often face difficulties in selecting the best EHR system.
Learn our findings for EHR integration as we compare the popular EHR Systems EPIC vs Athenahealth vs Allscripts Also, check details on EHR integration
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articlesfood · 3 years
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Nephrology Electronic Medical Record (EMR) Software Market Size, Opportunities, Key Growth Factors, Revenue Analysis, For 2020–2028
Summary:
“The Nephrology Electronic Medical Record (EMR) Software Market 2021-2027 is the fresh report by fusionmarketresearch.com that is formulated with the exact understanding of customer requirements. This Report covers exclusive industry analysis of development components, Global Outlook, Type and Companies With Region.”
This report contains market size and forecasts of Nephrology Electronic Medical Record (EMR) Software in global, including the following market information: Global Nephrology Electronic Medical Record (EMR) Software Market Revenue, 2016-2021, 2022-2027, ($ millions) Global Nephrology Electronic Medical Record (EMR) Software Market Sales, 2016-2021, 2022-2027, (Kiloton) Global top five companies in 2020 (%) FUSION MARKET RESEARCH has surveyed the Nephrology Electronic Medical Record (EMR) Software companies, and industry experts on this industry, involving the revenue, demand, product type, recent developments and plans, industry trends, drivers, challenges, obstacles, and potential risks.
Get Sample Report @ https://www.fusionmarketresearch.com/sample_request/Nephrology-Electronic-Medical-Record-(EMR)-Software-Market/46762
Total Market by Segment: Global Nephrology Electronic Medical Record (EMR) Software Market, By Type, 2016-2021, 2022-2027 ($ Millions)) Global Nephrology Electronic Medical Record (EMR) Software Market Segment Percentages, By Type, 2020 (%)
Cloud Based
On-premises
Global Nephrology Electronic Medical Record (EMR) Software Market, By Application, 2016-2021, 2022-2027 ($ Millions)) Global Nephrology Electronic Medical Record (EMR) Software Market Segment Percentages, By Application, 2020 (%)
Hospitals
Clinics
Others
Global Nephrology Electronic Medical Record (EMR) Software Market, By Region and Country, 2016-2021, 2022-2027 ($ Millions)) Global Nephrology Electronic Medical Record (EMR) Software Market Segment Percentages, By Region and Country, 2020 (%)
North America US Canada Mexico Europe Germany France U.K. Italy Russia Nordic Countries Benelux Rest of Europe Asia China Japan South Korea Southeast Asia India Rest of Asia South America Brazil Argentina Rest of South America Middle East & Africa Turkey Israel Saudi Arabia UAE Rest of Middle East & Africa
Competitor Analysis The report also provides analysis of leading market participants including: Key companies Nephrology Electronic Medical Record (EMR) Software revenues in global market, 2016-2021 (Estimated), ($ millions) Key companies Nephrology Electronic Medical Record (EMR) Software revenues share in global market, 2020 (%) Key companies Nephrology Electronic Medical Record (EMR) Software sales in global market, 2016-2021 (Estimated), (Kiloton) Key companies Nephrology Electronic Medical Record (EMR) Software sales share in global market, 2020 (%)
Further, the report presents profiles of competitors in the market, key players include:
Kareo
AdvancedMD
athenahealth
PrognoCIS HER (Bizmatics)
eClinicalWorks
Epic
Allscripts
Greenway Health
MEDITECH
NextGen Healthcare
DrChrono
WRS Health
CareCloud
Meditab
Advanced Data Systems (ADS)
Acumen Physician Solutions
iSalus
Cerner
CompuGroup Medical
View Full Report @ https://www.fusionmarketresearch.com/main-report/46762-Nephrology-Electronic-Medical-Record-(EMR)-Software-Market
Table Of Content
1 Introduction to Research & Analysis Reports 1.1 Nephrology Electronic Medical Record (EMR) Software Market Definition 1.2 Market Segments 1.2.1 Market by Type 1.2.2 Market by Application 1.3 Global Nephrology Electronic Medical Record (EMR) Software Market Overview 1.4 Features & Benefits of This Report 1.5 Methodology & Sources of Information 1.5.1 Research Methodology 1.5.2 Research Process 1.5.3 Base Year 1.5.4 Report Assumptions & Caveats 2 Global Nephrology Electronic Medical Record (EMR) Software Overall Market Size 2.1 Global Nephrology Electronic Medical Record (EMR) Software Market Size: 2021 VS 2027 2.2 Global Nephrology Electronic Medical Record (EMR) Software Market Size, Prospects & Forecasts: 2016-2027 2.3 Key Market Trends, Opportunity, Drivers and Restraints 2.3.1 Market Opportunities & Trends 2.3.2 Market Drivers 2.3.3 Market Restraints 3 Company Landscape 3.1 Top Nephrology Electronic Medical Record (EMR) Software Players in Global Market 3.2 Top Global Nephrology Electronic Medical Record (EMR) Software Companies Ranked by Revenue 3.3 Global Nephrology Electronic Medical Record (EMR) Software Revenue by Companies 3.4 Top 3 and Top 5 Nephrology Electronic Medical Record (EMR) Software Companies in Global Market, by Revenue in 2020 3.5 Global Companies Nephrology Electronic Medical Record (EMR) Software Product Type 3.6 Tier 1, Tier 2 and Tier 3 Nephrology Electronic Medical Record (EMR) Software Players in Global Market 3.6.1 List of Global Tier 1 Nephrology Electronic Medical Record (EMR) Software Companies 3.6.2 List of Global Tier 2 and Tier 3 Nephrology Electronic Medical Record (EMR) Software Companies 4 Market Sights by Product 4.1 Overview 4.1.1 By Type – Global Nephrology Electronic Medical Record (EMR) Software Market Size Markets, 2021 & 2027 4.1.2 Insulation 4.1.3 Roofing 4.1.4 Framing 4.1.5 Exterior Siding 4.1.6 Interior Finishing 4.2 By Type – Global Nephrology Electronic Medical Record (EMR) Software Revenue & Forecasts 4.2.1 By Type – Global Nephrology Electronic Medical Record (EMR) Software Revenue, 2016-2021 4.2.2 By Type – Global Nephrology Electronic Medical Record (EMR) Software Revenue, 2022-2027 4.2.3 By Type – Global Nephrology Electronic Medical Record (EMR) Software Revenue Market Share, 2016-2027 5 Sights by Application
6 Sights by Region
7 Players Profiles
8 Conclusion 9 Appendix
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vivekbajaj-grs · 3 years
Text
Global Healthcare Revenue Cycle Management Market Size, Status and Forecast 2021-2027
Market Analysis and Insights: Global Healthcare Revenue Cycle Management Market
The global Healthcare Revenue Cycle Management market size is projected to reach US$ 79270 million by 2027, from US$ 40800 million in 2020, at a CAGR of 9.8% during 2021-2027.
With industry-standard accuracy in analysis and high data integrity, the report makes a brilliant attempt to unveil key opportunities available in the global Healthcare Revenue Cycle Management market to help players in achieving a strong market position. Buyers of the report can access verified and reliable market forecasts, including those for the overall size of the global Healthcare Revenue Cycle Management market in terms of revenue.
Download FREE Sample of this Report @ https://www.grandresearchstore.com/report-sample/global-healthcare-revenue-cycle-management-2021-2027-285
On the whole, the report proves to be an effective tool that players can use to gain a competitive edge over their competitors and ensure lasting success in the global Healthcare Revenue Cycle Management market. All of the findings, data, and information provided in the report are validated and revalidated with the help of trustworthy sources. The analysts who have authored the report took a unique and industry-best research and analysis approach for an in-depth study of the global Healthcare Revenue Cycle Management market.
Global Healthcare Revenue Cycle Management Scope and Market Size
Healthcare Revenue Cycle Management market is segmented by company, region (country), by Type, and by Application. Players, stakeholders, and other participants in the global Healthcare Revenue Cycle Management market will be able to gain the upper hand as they use the report as a powerful resource. The segmental analysis focuses on revenue and forecast by Type and by Application in terms of revenue and forecast for the period 2016-2027.
Segment by Type
Integrated Healthcare Revenue Cycle Management
Standalone Healthcare Revenue Cycle Management
Segment by Application
Hospitals
Pharmaceuticals
Diagnostic & Ambulatory Care Centers
By Region
North America
U.S.
Canada
Europe
Germany
France
U.K.
Italy
Russia
Nordic
Rest of Europe
Asia-Pacific
China
Japan
South Korea
Southeast Asia
India
Australia
Rest of Asia
Latin America
Mexico
Brazil
Rest of Latin America
Middle East & Africa
Turkey
Saudi Arabia
UAE
Rest of MEA
By Company
GE Healthcare
Meditech
Allscripts Healthcare Solutions
Cerner
Carecloud
AGS health
Conifer Health Solutions
Accretive Health
Genpac
Athenahealth
Dell
Cognizant Technology Solutions
Experian
Emdeon
Gebbs Healthcare Solutions
Etransmedia
HMS Holdings
Merge Healthcare
Eurohealth Systems
The Advisory Board Company
Hexaware technologies
The SSI Group
Optum
Get the Complete Report & TOC @ https://www.grandresearchstore.com/life-sciences/global-healthcare-revenue-cycle-management-2021-2027-285
Table of content
1 Report Overview 1.1 Study Scope 1.2 Market Analysis by Type 1.2.1 Global Healthcare Revenue Cycle Management Market Size Growth Rate by Type: 2016 VS 2021 VS 2027 1.2.2 Integrated Healthcare Revenue Cycle Management 1.2.3 Standalone Healthcare Revenue Cycle Management 1.3 Market by Application 1.3.1 Global Healthcare Revenue Cycle Management Market Share by Application: 2016 VS 2021 VS 2027 1.3.2 Hospitals 1.3.3 Pharmaceuticals 1.3.4 Diagnostic & Ambulatory Care Centers 1.4 Study Objectives 1.5 Years Considered 2 Global Growth Trends 2.1 Global Healthcare Revenue Cycle Management Market Perspective (2016-2027) 2.2 Healthcare Revenue Cycle Management Growth Trends by Regions 2.2.1 Healthcare Revenue Cycle Management Market Size by Regions: 2016 VS 2021 VS 2027 2.2.2 Healthcare Revenue Cycle Management Historic Market Share by Regions (2016-2021) 2.2.3 Healthcare Revenue Cycle Management Forecasted Market Size by Regions (2022-2027) 2.3 Healthcare Revenue Cycle Management Industry Dynamic 2.3.1 Healthcare Revenue Cycle Management Market Trends 2.3.2 Healthcare Revenue Cycle Management Market Drivers 2.3.3 Healthcare Revenue Cycle Management Market Challenges 2.3.4 Healthcare Revenue Cycle Management Market Restraints 3 Competition Landscape by Key Players 3.1 Global Top Healthcare Revenue Cycle Managem
CONTACT US: 276 5th Avenue, New York , NY 10001,United States International: (+1) 646 781 7170 / +91 8087042414 Email: [email protected] Follow Us On linkedin :- https://www.linkedin.com/company/grand-research-store/
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Hospital EMR Systems Market Size by Emerging Trends, Future Growth - Global Forecast - 2020-2025
The Global Hospital EMR Systems in Healthcare Market is expected to be around US$ 26.85 Billion by 2025 at a CAGR of 8.22% in the given forecast period.
Electronic Medical Record (EMR) is systems, outlined as associate degree electronic record of health-related data on an individual which will be created, gathered, managed and consulted by official clinicians and employees among one health care organization. Electronic Medical Record (EMR) systems is package that lets America record knowledge digitally of patients case history. These data are shared with alternative hospitals and even patients will have access to medical records. Curtail tending prices and rising government support for the acceptance of EMRs square measure factors fuelling the market growth. The key factors driving the expansion of this market embody is the govt. Support for the adoption of EMRs and also the rising of curtail tending prices. Moreover, introduction of composite code and also the integration and ability of code square measure providing ample opportunities for the market growth. However, vast price of EMR solutions is that the major issue limiting the market growth. However, the high price of EMR solutions is one in all the main factors that's expected to restrain the expansion of this market throughout the forecast period. The global Hospital EMR Systems market is segregated on the basis of Component as Services, Software, and Hardware. Based on Mode of Delivery the global Hospital EMR Systems market is segmented in On-Premise and Cloud-Based. Based on Type the global Hospital EMR Systems market is segmented in General EMR and Specialty EMR.
Request to Fill The Form To get Sample Copy of This Report: https://www.sdki.jp/sample-request-105878
Based on Hospital Size, the global Hospital EMR Systems market is segmented in Small, Medium, and Large. The global Hospital EMR Systems market report provides geographic analysis covering regions, such as North America, Europe, Asia-Pacific, and Rest of the World. The Hospital EMR Systems market for each region is further segmented for major countries including the U.S., Canada, Germany, the U.K., France, Italy, China, India, Japan, Brazil, South Africa, and others.
The report covers: Global Hospital EMR Systems market sizes from 2016 to 2025, along with CAGR for 2019-2025 Market size comparison for 2017 vs 2025, with actual data for 2017, estimates for 2018 and forecast from 2019 to 2025 Global Hospital EMR Systems market trends, covering comprehensive range of consumer trends & manufacturer trends Value chain analysis covering participants from raw material suppliers to the downstream buyer in the global Hospital EMR Systems market Major market opportunities and challenges in forecast timeframe to be focused Competitive landscape with analysis on competition pattern, portfolio comparisons, development trends and strategic management Comprehensive company profiles of the key industry players Report Scope: The global Hospital EMR Systems market report scope includes detailed study covering underlying factors influencing the industry trends. The report covers analysis on regional and country level market dynamics. The scope also covers competitive overview providing company market shares along with company profiles for major revenue contributing companies. The report scope includes detailed competitive outlook covering market shares and profiles key participants in the global Hospital EMR Systems market share. Major industry players with significant revenue share include Cerner Corporation, Epic Systems Corporation, Athenahealth, EClinicalWorks, Allscripts Healthcare Solutions, Inc., Medical Information Technology, Inc. (Meditech), MEDHOST, Computer Programs and Systems, Inc. (CPSI), Intersystems Corporation, Cantata Health LLC, and others. Reasons to Buy this Report: Gain detailed insights on the Hospital EMR Systems industry trends Find complete analysis on the market status Identify the Hospital EMR Systems market opportunities and growth segments Analyse competitive dynamics by evaluating business segments & product portfolios Facilitate strategy planning and industry dynamics to enhance decision making.
The dynamic nature of business environment in the current global economy is raising the need amongst business professionals to update themselves with current situations in the market. To cater such needs, Shibuya Data Count provides market research reports to various business professionals across different industry verticals, such as healthcare & pharmaceutical, IT & telecom, chemicals and advanced materials, consumer goods & food, energy & power, manufacturing & construction, industrial automation & equipment and agriculture & allied activities amongst others.
For more information, please contact:
Hina Miyazu
Shibuya Data Count Email: [email protected] Tel: + 81 3 45720790
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jessica7859 · 4 years
Link
If you want to know which tech giant is the better choice for your practice then read our piece comparing AthenaHealth EHR and AllScripts EMR!
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kristinsimmons · 6 years
Text
EMRs, APIs, App stores & all that: More data
By MATTHEW HOLT, with OLIVIA DUNN & KIM KRUEGER
Today I’m happy to release an update to some unique data about a pressing problem–the ability of small health tech vendors to access data from the major EMR vendors and integrate their applications into those EMRs. For those of you following along, in 2016 when Health 2.0 first ran this EMR API survey, we confirmed the notion that it’s hard for small health technology companies to integrate with the EMR vendors. Since then the two biggest vendors, Epic & Cerner, have been much more aggressive about supporting third party vendors, with both creating app stores/partnership programs and embracing FHIR & SMART on FHIR.
In 2018, we conducted a follow-up survey to see if these same issues persisted and how much progress has been made. In this report, we break down the results of the 2018 survey and compare them to the results of our 2016 survey. As in 2016, survey response rates weren’t great, but in this year’s survey we asked a lot more questions regarding app store programs, specific resources accessed, troubling contract terms and much more. And if you look at the accompanying slides, we also pulled some juicy quotes.
The key message: In 2016 we said this, The complaint is true: it’s hard for smaller health tech companies to integrate their solutions with big EMR vendors. Most EMR vendors don’t make it easy. But it’s a false picture to say that it’s all the EMR vendors’ fault, and it’s also true that there is great variety not only between the major EMR vendors but also in the experience of different smaller tech companies dealing with the same EMR vendor.
In 2018, things are better but not yet good. A combination of government prodding (partly from ONC implementing the 21st Century Cures Act, partly in the continued growth of pay for value programs from CMS), fear of Apple/Google/Amazon, genuine internal sentiment changes at least at one vendor (Cerner), and maturity in dealing with smaller applications vendors from three others (Allscripts, Athenahealth, Epic), and the growth of third party integration vendors like Redox and Sansoro, is making it easier for application vendors to integrate with EMRs. But it’s not yet in any way simple. We are a long way from the all-singing, all-dancing, plug-in interoperability we hoped for back in the day. But the survey suggests that we are inching closer. Of course, “inching” may not be the pace some of us were hoping to move at.
All the data is in the embedded slide set below, with much more commentary below the fold.
Health 2.0 EMR API report 2018
It’s getting better but….EMR Vendors are still a bottleneck
Despite the new app stores and public statements, small health tech companies trying to integrate their applications with the big EMR vendors still regard them as difficult to work with, imposing unnecessary costs and putting up barriers to data access. But when we asked how they compared to 2 years before, 63% of small health tech companies thought that EMR vendors were making a modest improvement in allowing easier API-access and other forms of data access for third-party tool integration, while 23% thought the improvement was significant. When asked the same thing about providers (hospitals), only 54% said modest improvement, while 23% said providers had improved significantly. Worth noting that we didn’t get a response from Apple, which now has data access for over 100 hospitals! (Helps to be big and rich, and not just with hospitals! Cough, cough, FDA)
Most respondents believe that providers want to get them easier access to data, but they are often hindered by complex bureaucracy or confusing technology. In general, it still seems that data access is a function of a provider’s willingness to push their EMR vendor to open up. From the small tech company point of view, EMR vendors seem to be under no pressure to integrate and few providers are putting pressure on their EMR vendors. To quote one respondent “Still a lot of talk, obvious value to be had, but limited actual progress.”
And to be fair, we’re not sure small tech companies are helping themselves too much. Since 2017, Health 2.0 & HIMSS have featured the Carin Alliance a bunch, and Aneesh Chopra, Ryan Howells and their gang have been banging the drum on small companies getting access to data, yet when we asked about their work, 80% of small tech company respondents said “Who is the Carin Alliance?”
But third party application integration is becoming a bigger deal (thanks, Redox!)
Whether or not sentiment is mixed, the data about what’s actually happening is clear. Many more small tech companies had actually completed integrations with big EMR vendors, although the complexity of those integrations were perhaps less than what was being done before 2016 (most just read & write and fewer are trying to manipulate data within the EMR). And 85% of these integrations were started after early 2016 (when the previous survey was in the field).
As you’d expect given its market dominance, more vendors have integrated with Epic (64%), followed by Allscripts (54%) and Athenahealth (53%), with Cerner at 45% befitting its later start at getting the API religion. How they accessed the data shows that 3rd party integration vendors (Redox, Sansoro and a few more) are becoming important. Most got to Athenahealth and Allscripts data via their APIs, but using 3rd party integrators is becoming more important especially for Epic and even Allscripts.
But don’t think it’s easy. One respondent wrote, “For many vendors, it is a combination of ways to get all the workflows we need (other than Allscripts and Athenahealth). Epic still requires a mix of API, HL7, direct message and batches. Others are HL7 and direct.”
Now the good news: EMR vendors are becoming better partners
In 2016, most small companies thought that few of the major EMR vendors were generally supportive about their integration efforts. The two big exceptions then were Athenahealth and Allscripts. In 2018, most everyone is doing better, with Cerner making the biggest strides (61% now saying Cerner is supportive vs 31% in 2016)—that’s consistent with what we see from them both in the market and at our conference. eClinicalWorks, Epic, Meditech and GE are still below 50% but are all getting slightly higher marks.
Epic, though, is still its own animal. 83% of the respondents say a large provider client is necessary to get them into a conversation about accessing data. Cerner wasn’t much better (69%), while for Athenahealth, Allscripts and McKesson (which is now mostly under ChangeHealthcare), a large provider client was not needed.
There was also a large minority (40%) who found the contract terms of the vendors, e.g around intellectual property, troubling.
When it comes to actual partnership programs, things are looking up. In terms of the small health tech companies finding a partner program that exists and is easy to use, Allscripts (63% v 43% in 2018) and Athenahealth (72% v 43%) are doing much better and even Epic has gone from 52% saying the partnership program was non-existent in 2016 to only 23% in 2018.
What about those App Stores?  Programs are taking off despite high costs
Probably the biggest change since 2016 has been the creation of iOS and Android-like app stores by many vendors. Plenty of smaller companies are taking part. 50% of respondents are in the Athenahealth MDP marketplace, 39% have taken part in Allscripts Developer Program and 33% are in the Epic App Orchard. But there’s lots of whining—especially about the cost. As one respondent wrote, “As an earlier stage start up, having to pay 20% revenue share for a client clicking through to us from a marketplace with virtually no sales support is high but necessary evil.”
Additionally, we heard a lot not only about the cost, but also about the terms for Epic’s App Orchard. This included Epic wanting to know the details of their technology, being unfriendly to partner vendors and not open to any negotiation of terms.
Since we took this survey (but before we published it), this message seems to have got through, with Epic promising last month to reduce the costs of their App Orchard program.
You got the partnerships and permissions set up? Now integrate!
When asked about specific vendors’ support for their actual integration efforts (i.e. the bit after the partnership puffery), things haven’t changed that much. In general Athenahealth (89%) and Allscripts (78%) are helpful, Cerner in the middle (52% in 2018 v 48% in 2016) and everyone else regarding as more hindering than helping.
But since our 2016 survey, API quality from the big guys has generally improved. Now we’re not getting too carried away, most still feel EMR vendors’ APIs are “not great but workable” and only EMR vendor looking really good was Athenahealth (85% saying “APIs were of high technical quality”).
Most of the time (in an increase from 2016) EMR vendors charged a fee for API access but these are mostly now settling on a percentage of revenue share and was less than $25,000. We think that indicates that the app store model is taking hold.
Conclusion
At Health 2.0 we’ve been trying to shine a light on this topic for some time, and the good folks at SMART on FHIR (the Mandel/Mandl twins, Zak Kohane et al) and the Argonaut/FHIR/CARIN crowd (Graeme Grieve, Aneesh Chopra & a cast of hundreds), have all been banging the drum as well as laying down great work for several years. And yet it’s health tech, so slow incremental progress is probably what we should expect. The state of play is that the big vendors are all now awake to the issue, but there’s lots to sort out before access to data and integration into APIs becomes as automatic as we see outside of health care. Patients with complex diseases still have multiple portals often into multiple version of Epic, and leading journalists are still writing stories about having to have tests redone because they can’t get the images or data to cross the street. But I get the sense that the levee is sprouting leaks. Cerner and Allscripts are moving most on-site installations to public and private cloud, AWS and Google Cloud are sniffing around as data storage providers and starting their own partnership programs. Epic remains Epic, but has an app store and is reacting to some of the criticism.
I’m also hoping that this type of a survey will soon become irrelevant because the topic about access to data and ability to integrate applications will soon become one of those things that we wake up one day and realize aren’t problems anymore. We’ll check back in a couple of years and see how close that day is.
Matthew Holt is Co-Chair of Health 2.0 conferences (now owned by HIMSS), publisher of The Health Care Blog, Co-Chair of Catalyst @ Health 2.0 & President of SMACK.health. Olivia Dunn is an associate at Healthy Communities Institute and Kim Krueger is a Venture Associate at Plug and Play. We are grateful to the California Health Care Foundation for supporting this work.
EMRs, APIs, App stores & all that: More data published first on https://wittooth.tumblr.com/
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isaacscrawford · 6 years
Text
EMRs, APIs, App stores & all that: More data
By MATTHEW HOLT, with OLIVIA DUNN & KIM KRUEGER
Today I’m happy to release an update to some unique data about a pressing problem–the ability of small health tech vendors to access data from the major EMR vendors and integrate their applications into those EMRs. For those of you following along, in 2016 when Health 2.0 first ran this EMR API survey, we confirmed the notion that it’s hard for small health technology companies to integrate with the EMR vendors. Since then the two biggest vendors, Epic & Cerner, have been much more aggressive about supporting third party vendors, with both creating app stores/partnership programs and embracing FHIR & SMART on FHIR.
In 2018, we conducted a follow-up survey to see if these same issues persisted and how much progress has been made. In this report, we break down the results of the 2018 survey and compare them to the results of our 2016 survey. As in 2016, survey response rates weren’t great, but in this year’s survey we asked a lot more questions regarding app store programs, specific resources accessed, troubling contract terms and much more. And if you look at the accompanying slides, we also pulled some juicy quotes.
The key message: In 2016 we said this, The complaint is true: it’s hard for smaller health tech companies to integrate their solutions with big EMR vendors. Most EMR vendors don’t make it easy. But it’s a false picture to say that it’s all the EMR vendors’ fault, and it’s also true that there is great variety not only between the major EMR vendors but also in the experience of different smaller tech companies dealing with the same EMR vendor.
In 2018, things are better but not yet good. A combination of government prodding (partly from ONC implementing the 21st Century Cures Act, partly in the continued growth of pay for value programs from CMS), fear of Apple/Google/Amazon, genuine internal sentiment changes at least at one vendor (Cerner), and maturity in dealing with smaller applications vendors from three others (Allscripts, Athenahealth, Epic), and the growth of third party integration vendors like Redox and Sansoro, is making it easier for application vendors to integrate with EMRs. But it’s not yet in any way simple. We are a long way from the all-singing, all-dancing, plug-in interoperability we hoped for back in the day. But the survey suggests that we are inching closer. Of course, “inching” may not be the pace some of us were hoping to move at.
All the data is in the embedded slide set below, with much more commentary below the fold.
Health 2.0 EMR API report 2018
It’s getting better but….EMR Vendors are still a bottleneck
Despite the new app stores and public statements, small health tech companies trying to integrate their applications with the big EMR vendors still regard them as difficult to work with, imposing unnecessary costs and putting up barriers to data access. But when we asked how they compared to 2 years before, 63% of small health tech companies thought that EMR vendors were making a modest improvement in allowing easier API-access and other forms of data access for third-party tool integration, while 23% thought the improvement was significant. When asked the same thing about providers (hospitals), only 54% said modest improvement, while 23% said providers had improved significantly. Worth noting that we didn’t get a response from Apple, which now has data access for over 100 hospitals! (Helps to be big and rich, and not just with hospitals! Cough, cough, FDA)
Most respondents believe that providers want to get them easier access to data, but they are often hindered by complex bureaucracy or confusing technology. In general, it still seems that data access is a function of a provider’s willingness to push their EMR vendor to open up. From the small tech company point of view, EMR vendors seem to be under no pressure to integrate and few providers are putting pressure on their EMR vendors. To quote one respondent “Still a lot of talk, obvious value to be had, but limited actual progress.”
And to be fair, we’re not sure small tech companies are helping themselves too much. Since 2017, Health 2.0 & HIMSS have featured the Carin Alliance a bunch, and Aneesh Chopra, Ryan Howells and their gang have been banging the drum on small companies getting access to data, yet when we asked about their work, 80% of small tech company respondents said “Who is the Carin Alliance?”
But third party application integration is becoming a bigger deal (thanks, Redox!)
Whether or not sentiment is mixed, the data about what’s actually happening is clear. Many more small tech companies had actually completed integrations with big EMR vendors, although the complexity of those integrations were perhaps less than what was being done before 2016 (most just read & write and fewer are trying to manipulate data within the EMR). And 85% of these integrations were started after early 2016 (when the previous survey was in the field).
As you’d expect given its market dominance, more vendors have integrated with Epic (64%), followed by Allscripts (54%) and Athenahealth (53%), with Cerner at 45% befitting its later start at getting the API religion. How they accessed the data shows that 3rd party integration vendors (Redox, Sansoro and a few more) are becoming important. Most got to Athenahealth and Allscripts data via their APIs, but using 3rd party integrators is becoming more important especially for Epic and even Allscripts.
But don’t think it’s easy. One respondent wrote, “For many vendors, it is a combination of ways to get all the workflows we need (other than Allscripts and Athenahealth). Epic still requires a mix of API, HL7, direct message and batches. Others are HL7 and direct.”
Now the good news: EMR vendors are becoming better partners
In 2016, most small companies thought that few of the major EMR vendors were generally supportive about their integration efforts. The two big exceptions then were Athenahealth and Allscripts. In 2018, most everyone is doing better, with Cerner making the biggest strides (61% now saying Cerner is supportive vs 31% in 2016)—that’s consistent with what we see from them both in the market and at our conference. eClinicalWorks, Epic, Meditech and GE are still below 50% but are all getting slightly higher marks.
Epic, though, is still its own animal. 83% of the respondents say a large provider client is necessary to get them into a conversation about accessing data. Cerner wasn’t much better (69%), while for Athenahealth, Allscripts and McKesson (which is now mostly under ChangeHealthcare), a large provider client was not needed.
There was also a large minority (40%) who found the contract terms of the vendors, e.g around intellectual property, troubling.
When it comes to actual partnership programs, things are looking up. In terms of the small health tech companies finding a partner program that exists and is easy to use, Allscripts (63% v 43% in 2018) and Athenahealth (72% v 43%) are doing much better and even Epic has gone from 52% saying the partnership program was non-existent in 2016 to only 23% in 2018.
What about those App Stores?  Programs are taking off despite high costs
Probably the biggest change since 2016 has been the creation of iOS and Android-like app stores by many vendors. Plenty of smaller companies are taking part. 50% of respondents are in the Athenahealth MDP marketplace, 39% have taken part in Allscripts Developer Program and 33% are in the Epic App Orchard. But there’s lots of whining—especially about the cost. As one respondent wrote, “As an earlier stage start up, having to pay 20% revenue share for a client clicking through to us from a marketplace with virtually no sales support is high but necessary evil.”
Additionally, we heard a lot not only about the cost, but also about the terms for Epic’s App Orchard. This included Epic wanting to know the details of their technology, being unfriendly to partner vendors and not open to any negotiation of terms.
Since we took this survey (but before we published it), this message seems to have got through, with Epic promising last month to reduce the costs of their App Orchard program.
You got the partnerships and permissions set up? Now integrate!
When asked about specific vendors’ support for their actual integration efforts (i.e. the bit after the partnership puffery), things haven’t changed that much. In general Athenahealth (89%) and Allscripts (78%) are helpful, Cerner in the middle (52% in 2018 v 48% in 2016) and everyone else regarding as more hindering than helping.
But since our 2016 survey, API quality from the big guys has generally improved. Now we’re not getting too carried away, most still feel EMR vendors’ APIs are “not great but workable” and only EMR vendor looking really good was Athenahealth (85% saying “APIs were of high technical quality”).
Most of the time (in an increase from 2016) EMR vendors charged a fee for API access but these are mostly now settling on a percentage of revenue share and was less than $25,000. We think that indicates that the app store model is taking hold.
Conclusion
At Health 2.0 we’ve been trying to shine a light on this topic for some time, and the good folks at SMART on FHIR (the Mandel/Mandl twins, Zak Kohane et al) and the Argonaut/FHIR/CARIN crowd (Graeme Grieve, Aneesh Chopra & a cast of hundreds), have all been banging the drum as well as laying down great work for several years. And yet it’s health tech, so slow incremental progress is probably what we should expect. The state of play is that the big vendors are all now awake to the issue, but there’s lots to sort out before access to data and integration into APIs becomes as automatic as we see outside of health care. Patients with complex diseases still have multiple portals often into multiple version of Epic, and leading journalists are still writing stories about having to have tests redone because they can’t get the images or data to cross the street. But I get the sense that the levee is sprouting leaks. Cerner and Allscripts are moving most on-site installations to public and private cloud, AWS and Google Cloud are sniffing around as data storage providers and starting their own partnership programs. Epic remains Epic, but has an app store and is reacting to some of the criticism.
I’m also hoping that this type of a survey will soon become irrelevant because the topic about access to data and ability to integrate applications will soon become one of those things that we wake up one day and realize aren’t problems anymore. We’ll check back in a couple of years and see how close that day is.
Matthew Holt is Co-Chair of Health 2.0 conferences (now owned by HIMSS), publisher of The Health Care Blog, Co-Chair of Catalyst @ Health 2.0 & President of SMACK.health. Olivia Dunn is an associate at Healthy Communities Institute and Kim Krueger is a Venture Associate at Plug and Play. We are grateful to the California Health Care Foundation for supporting this work.
Article source:The Health Care Blog
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kristinsimmons · 6 years
Text
EMRs, APIs, App stores & all that: More data
By MATTHEW HOLT, with OLIVIA DUNN & KIM KRUEGER
Today I’m happy to release an update to some unique data about a pressing problem–the ability of small health tech vendors to access data from the major EMR vendors and integrate their applications into those EMRs. For those of you following along, in 2016 when Health 2.0 first ran this EMR API survey, we confirmed the notion that it’s hard for small health technology companies to integrate with the EMR vendors. Since then the two biggest vendors, Epic & Cerner, have been much more aggressive about supporting third party vendors, with both creating app stores/partnership programs and embracing FHIR & SMART on FHIR.
In 2018, we conducted a follow-up survey to see if these same issues persisted and how much progress has been made. In this report, we break down the results of the 2018 survey and compare them to the results of our 2016 survey. As in 2016, survey response rates weren’t great, but in this year’s survey we asked a lot more questions regarding app store programs, specific resources accessed, troubling contract terms and much more. And if you look at the accompanying slides, we also pulled some juicy quotes.
The key message: In 2016 we said this, The complaint is true: it’s hard for smaller health tech companies to integrate their solutions with big EMR vendors. Most EMR vendors don’t make it easy. But it’s a false picture to say that it’s all the EMR vendors’ fault, and it’s also true that there is great variety not only between the major EMR vendors but also in the experience of different smaller tech companies dealing with the same EMR vendor.
In 2018, things are better but not yet good. A combination of government prodding (partly from ONC implementing the 21st Century Cures Act, partly in the continued growth of pay for value programs from CMS), fear of Apple/Google/Amazon, genuine internal sentiment changes at least at one vendor (Cerner), and maturity in dealing with smaller applications vendors from three others (Allscripts, Athenahealth, Epic), and the growth of third party integration vendors like Redox and Sansoro, is making it easier for application vendors to integrate with EMRs. But it’s not yet in any way simple. We are a long way from the all-singing, all-dancing, plug-in interoperability we hoped for back in the day. But the survey suggests that we are inching closer. Of course, “inching” may not be the pace some of us were hoping to move at.
All the data is in the embedded slide set below, with much more commentary below the fold.
Health 2.0 EMR API report 2018
It’s getting better but….EMR Vendors are still a bottleneck
Despite the new app stores and public statements, small health tech companies trying to integrate their applications with the big EMR vendors still regard them as difficult to work with, imposing unnecessary costs and putting up barriers to data access. But when we asked how they compared to 2 years before, 63% of small health tech companies thought that EMR vendors were making a modest improvement in allowing easier API-access and other forms of data access for third-party tool integration, while 23% thought the improvement was significant. When asked the same thing about providers (hospitals), only 54% said modest improvement, while 23% said providers had improved significantly. Worth noting that we didn’t get a response from Apple, which now has data access for over 100 hospitals! (Helps to be big and rich, and not just with hospitals! Cough, cough, FDA)
Most respondents believe that providers want to get them easier access to data, but they are often hindered by complex bureaucracy or confusing technology. In general, it still seems that data access is a function of a provider’s willingness to push their EMR vendor to open up. From the small tech company point of view, EMR vendors seem to be under no pressure to integrate and few providers are putting pressure on their EMR vendors. To quote one respondent “Still a lot of talk, obvious value to be had, but limited actual progress.”
And to be fair, we’re not sure small tech companies are helping themselves too much. Since 2017, Health 2.0 & HIMSS have featured the Carin Alliance a bunch, and Aneesh Chopra, Ryan Howells and their gang have been banging the drum on small companies getting access to data, yet when we asked about their work, 80% of small tech company respondents said “Who is the Carin Alliance?”
But third party application integration is becoming a bigger deal (thanks, Redox!)
Whether or not sentiment is mixed, the data about what’s actually happening is clear. Many more small tech companies had actually completed integrations with big EMR vendors, although the complexity of those integrations were perhaps less than what was being done before 2016 (most just read & write and fewer are trying to manipulate data within the EMR). And 85% of these integrations were started after early 2016 (when the previous survey was in the field).
As you’d expect given its market dominance, more vendors have integrated with Epic (64%), followed by Allscripts (54%) and Athenahealth (53%), with Cerner at 45% befitting its later start at getting the API religion. How they accessed the data shows that 3rd party integration vendors (Redox, Sansoro and a few more) are becoming important. Most got to Athenahealth and Allscripts data via their APIs, but using 3rd party integrators is becoming more important especially for Epic and even Allscripts.
But don’t think it’s easy. One respondent wrote, “For many vendors, it is a combination of ways to get all the workflows we need (other than Allscripts and Athenahealth). Epic still requires a mix of API, HL7, direct message and batches. Others are HL7 and direct.”
Now the good news: EMR vendors are becoming better partners
In 2016, most small companies thought that few of the major EMR vendors were generally supportive about their integration efforts. The two big exceptions then were Athenahealth and Allscripts. In 2018, most everyone is doing better, with Cerner making the biggest strides (61% now saying Cerner is supportive vs 31% in 2016)—that’s consistent with what we see from them both in the market and at our conference. eClinicalWorks, Epic, Meditech and GE are still below 50% but are all getting slightly higher marks.
Epic, though, is still its own animal. 83% of the respondents say a large provider client is necessary to get them into a conversation about accessing data. Cerner wasn’t much better (69%), while for Athenahealth, Allscripts and McKesson (which is now mostly under ChangeHealthcare), a large provider client was not needed.
There was also a large minority (40%) who found the contract terms of the vendors, e.g around intellectual property, troubling.
When it comes to actual partnership programs, things are looking up. In terms of the small health tech companies finding a partner program that exists and is easy to use, Allscripts (63% v 43% in 2018) and Athenahealth (72% v 43%) are doing much better and even Epic has gone from 52% saying the partnership program was non-existent in 2016 to only 23% in 2018.
What about those App Stores?  Programs are taking off despite high costs
Probably the biggest change since 2016 has been the creation of iOS and Android-like app stores by many vendors. Plenty of smaller companies are taking part. 50% of respondents are in the Athenahealth MDP marketplace, 39% have taken part in Allscripts Developer Program and 33% are in the Epic App Orchard. But there’s lots of whining—especially about the cost. As one respondent wrote, “As an earlier stage start up, having to pay 20% revenue share for a client clicking through to us from a marketplace with virtually no sales support is high but necessary evil.”
Additionally, we heard a lot not only about the cost, but also about the terms for Epic’s App Orchard. This included Epic wanting to know the details of their technology, being unfriendly to partner vendors and not open to any negotiation of terms.
Since we took this survey (but before we published it), this message seems to have got through, with Epic promising last month to reduce the costs of their App Orchard program.
You got the partnerships and permissions set up? Now integrate!
When asked about specific vendors’ support for their actual integration efforts (i.e. the bit after the partnership puffery), things haven’t changed that much. In general Athenahealth (89%) and Allscripts (78%) are helpful, Cerner in the middle (52% in 2018 v 48% in 2016) and everyone else regarding as more hindering than helping.
But since our 2016 survey, API quality from the big guys has generally improved. Now we’re not getting too carried away, most still feel EMR vendors’ APIs are “not great but workable” and only EMR vendor looking really good was Athenahealth (85% saying “APIs were of high technical quality”).
Most of the time (in an increase from 2016) EMR vendors charged a fee for API access but these are mostly now settling on a percentage of revenue share and was less than $25,000. We think that indicates that the app store model is taking hold.
Conclusion
At Health 2.0 we’ve been trying to shine a light on this topic for some time, and the good folks at SMART on FHIR (the Mandel/Mandl twins, Zak Kohane et al) and the Argonaut/FHIR/CARIN crowd (Graeme Grieve, Aneesh Chopra & a cast of hundreds), have all been banging the drum as well as laying down great work for several years. And yet it’s health tech, so slow incremental progress is probably what we should expect. The state of play is that the big vendors are all now awake to the issue, but there’s lots to sort out before access to data and integration into APIs becomes as automatic as we see outside of health care. Patients with complex diseases still have multiple portals often into multiple version of Epic, and leading journalists are still writing stories about having to have tests redone because they can’t get the images or data to cross the street. But I get the sense that the levee is sprouting leaks. Cerner and Allscripts are moving most on-site installations to public and private cloud, AWS and Google Cloud are sniffing around as data storage providers and starting their own partnership programs. Epic remains Epic, but has an app store and is reacting to some of the criticism.
I’m also hoping that this type of a survey will soon become irrelevant because the topic about access to data and ability to integrate applications will soon become one of those things that we wake up one day and realize aren’t problems anymore. We’ll check back in a couple of years and see how close that day is.
Matthew Holt is Co-Chair of Health 2.0 conferences (now owned by HIMSS), publisher of The Health Care Blog, Co-Chair of Catalyst @ Health 2.0 & President of SMACK.health. Olivia Dunn is an associate at Healthy Communities Institute and Kim Krueger is a Venture Associate at Plug and Play. We are grateful to the California Health Care Foundation for supporting this work.
EMRs, APIs, App stores & all that: More data published first on https://wittooth.tumblr.com/
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