Trusted Industry Reports

Healthcare organizations across the globe face difficult decisions in selecting partners and solutions that will produce the best outcomes. Our team of researchers is committed to helping you answer the most pressing industry questions using insights that come directly from your peers.

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Features

The KLAS research team publishes 55+ insight-driven reports per year, covering the most pressing questions facing healthcare technology today. The executive summaries of our reports are available to healthcare providers and payers at no cost, in exchange for a willingness to share their experiences with KLAS. Each report contains the following core features:

Easy to digest

Our goal is to make engaging with our data fast and easy for you. All of our key report findings are in short, two-page executive summaries with what you need to know at a glance. For those who need in-depth background information, we offer our extensive write-ups with detailed insights, demographics, report methodology, and custom commentary through our Partner-level memberships.

Key findings and analysis from in-depth peer interviews

Through the lens of provider experiences, the KLAS team evaluates the current success of healthcare technologies and services and projects future trends. Along with this analysis, KLAS reports include frameworks that help to make sense of complexities in care delivery and benchmark the vendors' positions to help.

Advice and insights from actual healthcare professionals

Each report is filled with recommendations and best practices from actual customers that KLAS interviews. We carefully validate that each and every product review was given by an actual person directly involved with the solution being measured, so you can trust the insights.

Recently Published Reports

Check out the latest industry trends

ERP 2019: Performance in the Cloud

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In the traditionally stagnant market of ERP (HR, finance, and/or supply chain), aging on-premises solutions are giving way to several cloud options now on the table. Given the significant lift required to move to a new ERP system, many organizations contemplating the cloud are taking the opportunity to consider all vendors, not just their incumbent. To help in this search, KLAS interviewed provider organizations who are currently live with a cloud ERP solution to find out how the solutions perform overall, what kind of support and relationships each vendor offers during implementation and beyond, and organizations’ plans for the future.

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Precision Medicine Implementer's Guide 2019

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<p>In March of 2019, 56 leaders from provider organizations with advanced, established precision medicine programs and 20 vendor leaders met in Chicago to learn from each other and discuss how other healthcare organizations could begin to set up and create their own precision medicine programs. </p><p>The goal of the summit was to advance healthcare and improve outcomes by encouraging the increased adoption of precision medicine technologies and disseminating the knowledge and learnings held and experienced by the organizations in attendance. </p>

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Patient Privacy Monitoring 2019: Who Stands Out in a Highly Competitive Market?

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The patient privacy environment today includes heightened regulatory demands, constrained resources, and an increasing number of PHI breaches, which are often tied to inappropriate insider access. Organizations can no longer protect patient privacy and meet regulatory demands simply by combing audit logs. They need patient privacy monitoring vendors who deliver partner-level service and strong solutions that limit false positives. KLAS interviewed 106 provider organizations to find out which vendors excel in these areas and which decision factors are key in purchasing decisions today.

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Clearing the Way to Value-Based Care Success: PHM Cornerstone Summit Whitepaper 2019

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When CMS rolled out the Medicare Shared Savings Program in 2011, it helped initiate a wave of optimism that value-based reimbursement (VBR) programs would go a long way toward resolving the persistent problem of rising healthcare costs. Eight years later, some say that VBR has not lived up to its promises, and enthusiasm seems to be shrinking as many provider organizations hesitate to take on meaningful risk. Those that press forward often find that expected financial outcomes are out of reach. What happened to dampen enthusiasm? Why is success so difficult to achieve?<br><br>On November 14, 2018, leading executives from provider, payer, and vendor organizations convened in Salt Lake City, UT, to help answer these questions. Together, they identified strategic and operational barriers that have dampened VBR headway as well as potential solutions to clear the way. They also discussed ways to measure VBR progress in the future at both national and organizational levels. This document is being publicly shared to help all those that may benefit from the combined experience and expertise of summit attendees. (See page 15 for a list of attendees.)

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The Nurse EHR Experience: An Arch Collaborative Impact Report 2019

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Since nurses work widely with the EHR, it is crucial to measure their experience with it so that opportunities for improvement can be found. And since, on average, nurses report significantly higher EHR satisfaction than physicians, it is also important to understand their successes; doing so provides vital information about how to improve EHR satisfaction for all clinicians.

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IV Compounding 2019: New Options Garner Consideration, But Traditional Solutions Still Outperform

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While patient safety and regulatory compliance are the main purchasing drivers for IV workflow management solutions and IV robots, many organizations are also looking to consolidate their pharmacy systems. To this end, organizations are wondering whether the workflow management solutions from EMR vendor Epic and broader pharmacy vendors BD and Omnicell are performing on par with those of the strong traditional players Baxter and Grifols. IV robots continue to fall short of customers’ expectations, though vendor acquisitions and mergers have shifted the performance landscape. Against this market backdrop, this report examines vendor differentiation in the key areas of market energy, patient safety, product throughput, and functionality.

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Medical Oncology 2019: Customer Pain Points and Critical Success Areas

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The bulk of cancer care in the US is delivered by community cancer centers. They come in all sizes, and many have large-organization and academic affiliations, so their IT needs are getting more complex. These organizations need IT systems that can help them overcome oncology-specific challenges related to workflows, benchmarking, clinical trials, and data integration with other core EMRs. This report—focused specifically on medical oncology—examines how committed vendors are to making their customers successful and looks at customers’ functionality successes and pain points in the critical areas mentioned above.

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Infection Control 2019: An Early Look at Innovative Technologies

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Emerging vendor solutions aim to address advanced priorities within infection control, including UV disinfection, electronic hand hygiene systems, robust alerting logic, and predictive analytics (among others). KLAS will provide a random, aggregated view of the perceptions and considerations of the infection control community by interviewing ~50 organizations regarding their investment priorities and considerations.

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Quality Management 2019: The Search for a One-Stop Shop

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Expectations for quality management vendors have shifted—while provider organizations were previously satisfied with basic regulatory reporting tools, they are now looking for a single platform that provides more robust quality improvement functionality. However, development from several quality management vendors has remained fairly stagnant, and many organizations find they must fill the gaps with population health management tools, EMRs, and BI solutions. Against this backdrop, this report explores (1) the correlation between trust and customer loyalty, (2) customer satisfaction with current functionality, and (3) which vendors use strong guidance to ensure customer success.

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Are EMRAM Stage 7 Physicians More Successful?: A 2019 KLAS–HIMSS Analytics Collaboration

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The last 10 years have seen a dramatic rise in the adoption of health information technology—as well as a dramatic rise in physician frustration with this technology. What about the organizations that have reached the peak of EHR adoption: HIMSS EMRAM Stage 7? Are their physicians more or less frustrated? To answer this question, KLAS (in cooperation with HIMSS Analytics) has used the public reporting of Stage 6 & 7 hospitals in the US to see whether there is a correlation between HIMSS EMRAM stage and EHR user satisfaction.

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Interoperability 2019: Vendor Success in Making Outside Data Usable

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KLAS’ December 2018 interoperability update validated the CommonWell-Carequality connection, which makes data sharing possible for almost any provider organization. The next hurdle is making shared data <em>usable</em>. Progress so far shows that most vendors can reconcile PAMI data, but there are big differences in how contextual data (notes and labs) is managed. Additionally, all organizations must go through a learning curve in becoming comfortable consuming outside data, so getting started early is vital.

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Legacy Data Archiving 2019: A First Look at a Changing Market

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Mergers, acquisitions, and the purchase of new IT solutions leave many healthcare organizations with legacy systems on their hands. Methods for handling these systems have matured over time, with many organizations today choosing to retire the systems and archive their data. 85% of organizations who have gone this route report positive financial impacts (and many others expect financial benefits in the future). However, the data-archiving vendor market is expanding as new vendors enter the field and current vendors broaden their expertise and offerings. How can organizations find the vendor that best suits their needs? Focused on the current state of the market—yet acknowledging its fluid nature—this report explores (1) the breadth of each vendor’s KLAS-validated archiving experience; (2) customer satisfaction with the data-migration process; and (3) customer satisfaction with the accuracy and accessibility of the legacy data.

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Patient Engagement 2019: Current and Future Trends in Vendor Selection

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Providers’ demand for effective patient engagement (PE) solutions continues to grow, as does the number of HIT vendors claiming to meet those needs. But which vendors are meeting needs today, and which are likely to play meaningful roles tomorrow? KLAS asked providers to name HIT vendors they are currently using or considering for future use: 74 organizations mentioned 109 unique vendor names. In an effort to make sense of all the options, this report is the first to apply a patient engagement–specific framework developed through the collaboration of leading provider and vendor executives at the KLAS Keystone Summit in October 2018.

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Home Health 2019: Decision Insights Report

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For many home health agencies, a quality EHR is a critical factor for staying in business. Home health EHR vendors are expected to be a strategic partner, helping customers navigate the current regulations and upcoming regulatory changes in the home health market. Accuracy of documentation and a focus on outcomes over activity are primary themes in market segment discussions. This report answers the critical questions of home health executives: Are other customers of my vendor satisfied? Which vendors do other home health agencies see as the most competitive when they are making their selections? When other agencies decide to make a change, where do they go?

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Small Practice Ambulatory EMR/PM (10 or Fewer Physicians) 2019: Building Strong Foundations for Customer Success

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As healthcare has moved beyond meaningful use, small practices have begun to expect more from their vendors and to look for EMRs that do morethan meet basic regulatory requirements. As a result, EMR/PM satisfaction among small practices (10 or fewer physicians) has varied greatly over thepast year—scores for a number of vendors have swung more than 10 percentage points (some positively, some negatively). To explore what the futureholds for this market, KLAS spoke to hundreds of small practice customers about their EMR/PM experiences and needs and also interviewed executivesand representatives from AdvancedMD, Allscripts, Aprima, athenahealth, Azalea Health, CareCloud, Cerner, CureMD, eMDs, Greenway Health, Kareo,NextGen, Quest Diagnostics, and Virence Health (GE Healthcare) to find out how these vendors plan to increase customer satisfaction going forward.

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Emerging HCIT Companies 2019: Innovative Approaches to Tackling Healthcare's Problems

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In the tens of thousands of interviews KLAS conducts with healthcare providers on an annual basis, new companies or solutions are sometimes revealed as taking new or innovative approaches to solving some of the problems faced in healthcare today. This report shares the top-of-mind companies that surfaced during our emerging technology research interviews with provider organizations across the country in 2018; KLAS will continue to monitor those companies that continue to pique provider interest.

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2019 Best in KLAS: Software/Services

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The Best in KLAS designation is reserved for vendor solutions that lead those software and services market segments that have the broadest operational and clinical impact on healthcare organizations. These vendors earn the title of Best in KLAS—a recognition of their outstanding efforts to help healthcare professionals deliver better patient care. Separate from the winners of Best in KLAS, Category Leaders also earn top honors for helping healthcare professionals provide better patient care. The Category Leader designation is reserved for vendor solutions that lead select market segments in which at least two products meet a minimum level of KLAS Konfidence.

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2019 Best in KLAS: Global (Non-US)

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The Global Best in KLAS awards are given to vendors to recognize their outstanding efforts to help healthcare professionals deliver better patient care. In this report, Best in KLAS awards are given only in the software market segments that have the broadest operational and clinical impact on healthcare organizations around the world. For the first time ever, Best in KLAS awards will be awarded on a regional level.

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Middle East EMR 2019: An In-Depth Look at Regional Performance and Market Share

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In the Middle East, EMR purchasing energy is growing. The number of private healthcare groups in the region is expanding, and several public healthcare organizations are evaluating their go-forward EMR plans. And while overall digital maturity of hospitals is lower in the Middle East than in some other parts of the world, those organizations who have decided to implement an EMR have very high expectations for deep adoption and need vendor partners who can help them meet their goals. This report—KLAS’ first focused exclusively on the Middle East—explores which vendors have market energy and how well they meet customers’ needs.

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Small Practice Ambulatory EMR/PM (10 or Fewer Physicians) 2018: Decision Insights Report

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Small ambulatory practices have been increasingly ignored by some EMR/PM vendors, and their overall satisfaction has decreased steadily—over the past six and half years, the average overall score for vendors in the small practice ambulatory EMR market has dropped from 81.6 to 74.2 (out of 100). Small practices today are looking for more than just a minimally viable EMR—they want to invest in an asset that improves their bottom line, facilitates patient-centric care, and increases clinician job satisfaction. And they want their EMR vendor to be a strategic partner that provides great support. The introduction of meaningful use created a flood of EMR vendors, most of whom were unable to sustain viable long-term business models. Today, KLAS tracks less than 20 vendors in the small practice market segment. None meet all the needs of small practices today.

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Population Health Management 2018, Part 1: Partnering and Guidance the X Factors to PHM Success

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When it comes to achieving success with population health management, good technology is not enough. Vendor partnering and guidance are the x factors provider organizations need to drive success with their value-based reimbursement (VBR) strategies. Some vendors have risen to the challenge, while others have faltered following acquisitions or efforts to scale. Whether organizations are looking to engage a vendor for a specific VBR strategy or for a more long-term approach, this report aims to help them uncover which vendors provide strong partnering and guidance to mitigate risk and help customers achieve positive financial and patient outcomes.

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AMS & Help Desk 2018: Which Firms Are Exceeding Expectations and How?

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Both the number of relevant firms and the depth of services offered within application management services (AMS) and help desk services have expanded in recent years. Some long-term players in the market are falling behind (e.g., CareTech Solutions, Cerner, and NTT DATA), and a few newcomers have widened the field (e.g., Cumberland, emids, HCTec, Nordic, and ROI Healthcare Solutions). KLAS spoke to 130 provider organizations who shared their experience with their AMS and help desk firms.

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Value-Based Care Managed Services 2018: The Art of Possible

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Over the past two years, leaders from 30+ provider/payer organizations and 20+ healthcare software and services companies have helped KLAS develop and refine a framework for VBC managed services. This study includes: (1) a vendor framework showing firms’ stated capabilities, (2) details on the current state of the VBC managed services market, and (3) as part of a new approach by KLAS, a view of what is possible in VBC through in-depth case studies on how market-leading organizations are achieving positive results. (Available in full report only.) Throughout this report, note that while measured firms are compared directly, capabilities and expertise can vary significantly, and choosing a firm that fits your unique needs is critical to success.

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Operational Command Centers 2018: An Underutilized Approach to Improving Efficiency and Outcomes

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While the term “command center” may conjure up images of NASA’s mission control or a highly sophisticated military operation, command centers also have a place in healthcare. Though few US hospitals or health systems are currently live with a command center, healthcare organizations have recently begun to reimagine this centralized approach to operations. The early consensus? Command centers can drive significant outcomes—including improved efficiency, increased revenue, and enhanced patient safety and satisfaction. Given these reported benefits, your organization may be wondering: <p>• What is a command center, and what technology/departments are typically involved?</p> <p> • What specific outcomes are being achieved?</p> <p> • How do the vendors differ in their approach to command centers and in their contributions to customer success?</p> <p> • What best practices would organizations with live command centers recommend to their peers?</p> <p>To answer these questions, KLAS asked command center vendors to point us toward their most innovative and forward-thinking customers. We then randomly interviewed three or four customers for each (24 organizations in total) to gather insights into this underutilized operational approach.</p>

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Cerner Revenue Cycle Management 2018: Commitment Made Versus Commitments Kept

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In August 2018, 37 representatives from 17 current Cerner RCM clients and 24 representatives from 12 third-party consulting firms gathered in Salt Lake City with Cerner executives to participate in a transparent summit around revenue cycle success. The purpose of this summit was best described by Bert Zimmerli, CFO of host organization Intermountain Healthcare, in his invitation to peers to participate: “To work together to help accelerate client success and satisfaction with Cerner’s revenue cycle management solutions” and to work with Cerner “to formulate a plan worthy of our confidence.” Prior to the summit, many Cerner RCM customers had expressed varying degrees of dissatisfaction with the solution and with Cerner’s development. To find out whether customers’ perceptions of Cerner and the RCM solution have changed, KLAS has reached out to the provider organizations and firms who attended the summit, as well as a handful of other advanced Cerner RCM customers, to gather feedback on the proposed changes and the future of Cerner’s RCM solution.

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Orthopedic EMR 2018: Who Meets the Needs of Orthopedic Practices?

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Given the growing utilization of orthopedic treatments, it is more important than ever for orthopedic practices to have EMR technology that enables clinician, patient, and financial success. However, KLAS’ Arch Collaborative research—which has collected EMR usability surveys from over 65,000 clinicians—indicates that orthopedists are some of the most dissatisfied EMR users. These users understand that just because an EMR is highly usable in other settings doesn’t mean it is the right fit for orthopedics. Many vendors say they can provide the unique functionality, usability, and workflows orthopedists need, but which actually deliver on these promises? And how do the various general EMRs compare to orthopedic-specific solutions? To find out, KLAS interviewed 120 healthcare professionals—including orthopedists, directors, CMIOs, practice administrators, nurses, and others—at both hospitals and standalone orthopedic practices.

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Telehealth Virtual Care Platforms 2018: Which Telehealth Vendors Have The Scalability Customers Need?

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Healthcare organizations report high satisfaction with their telehealth virtual care platforms (VCPs), so one might think it makes no difference what platform is used. In reality, there are significant differences in how broad the various platforms are and in the quality of the vendors’ service. Additionally, there is a trend of poor integration, and enterprise scalability is anything but certain for VCPs from either best-of-breed or EMR vendors. Hold on—this industry is about to get interesting!

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Clinical Surveillance 2018: Alerts Are Leading to Better Outcomes

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Clinical surveillance tools hold the promise of giving caregivers clinically actionable insights that decrease mortality, reduce readmissions, and improve overall patient outcomes, and clinicians expect these alerts to be embedded directly within their workflow. However, KLAS found it difficult to validate some vendors’ claims of having extensive live customers—at the time of this research, only Cerner and Epic have seen significant adoption of their surveillance tools. What impacts do clinical surveillance tools have on patient care and how can vendors better meet customers’ clinical surveillance needs?

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Cardiovascular Structured Reporting 2018: Who Can Set Clinicians Up For Success?

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Adopting structured reporting is top of mind in the cardiology space, but moving the needle has proven difficult. Even when organizations have expanded their deployment of structured reporting, clinician adoption has not always followed; a common reason is that end-user clinicians are dissatisfied with their system. This report highlights what areas are critical to an excellent clinician experience and how well vendors deliver in these areas. KLAS also spoke to 41 deep adopters of structured reporting across a variety of vendors to uncover their keys to success.

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Healthcare Management Consulting 2018: Who Can Help with Healthcare’s Biggest Challenges?—An Executive Perspective

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The primary goals of this perception report will be to identify management consulting firms who can help meet healthcare executives needs not only now, but in the future as well. We will highlight the breadth of their capabilities and the depth of their healthcare expertise. Additionally, we will uncover the emerging consulting needs of providers and the attributes they value in a consulting firm.

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Speech Recognition—Front-End EMR 2018: Decision Insights Report

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Herbert Hoover, 31st President of the United States, said, “Competition is not only the basis of protection to the consumer but is the incentive to progress.” Competition forces vendors to focus on relationships and protects consumers from stagnant development and higher pricing. In the past, Nuance maintained multiple product offerings and had the largest customer base in the market by far. Today, healthcare organizations are typically choosing between two high-quality products in purchasing decisions: Nuance Dragon Medical One and MModal Fluency Direct. This increased competition has been good for customers and led to improvements by both vendors. KLAS conducted 38 interviews in the past 18 months about purchasing decisions for front-end EMR speech recognition solutions. This report analyzes those decisions to determine why healthcare providers choose one product over another and what the perceived strengths and weaknesses of each offering are.

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Improving the EHR Experience Through Personalization: An Arch Collaborative Impact Report

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If there were a yellow brick road that led to higher EHR satisfaction, that path would be EHR personalization. Personalization leads to better EHR efficiency, better physician agreement that the EHR enables quality care, more provider trust that the EHR vendor has built a quality tool, and higher overall EHR satisfaction.

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Precision Medicine Provider Validations 2018: The Voice of the Provider - Report 2 of 2

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The transformative promise of precision medicine is often cited by healthcare industry leaders (both providers and vendors) as the driving reason why healthcare organizations need to begin their own clinical genomics programs. But with high barriers to entry, questions remain about whether precision medicine technology has reached a point where pioneering provider organizations have been able to realize a return on their investments. In KLAS’ previous report on the subject, vendors weighed in on the functionalities they offer; in this report, providers share their perspective on the vendors they use. While performance data on individual vendors is not available in this report due to the early nature of this market, KLAS has aggregated the results as a measure of overall performance.

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Patient Engagement Keystone Summit Whitepaper

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On October 2, 2018, healthcare IT leaders (19 leaders from healthcare organizations and 29 leaders from vendor organizations) gathered outside Salt Lake City for one day to discuss patient engagement initiatives, outcomes, strategies, and best practices. The goal of this summit is to create a patient engagement framework that organizations can use as a compass to guide their goals and strategies and as a scorecard to assess progress along the way

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Global EMR Performance 2018: Spotlight on Regional Performance

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EMR adoption has grown significantly, rapidly changing the global EMR landscape. While previous KLAS reports gave mainly aggregate, global views of EMR performance, the state of the market is now such that KLAS can also more deeply examine vendor performance by region, giving provider organizations a more valuable, accurate picture of how vendors respond to regional needs. As part of this regional emphasis, this report examines how confident customers are in their vendor’s overall R&D efforts, in their dedication to healthcare in various regions, and in their ability to strategically partner with organizations to help drive deeper EMR adoption.

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Secure Communication 2018: Decision Insights Report

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Secure communication is a rapidly evolving market, with high variability in terms of both customer needs and vendor offerings. Whether replacing an existing solution or making a net-new purchase, acute care organizations are largely moving toward broad communication platforms† that streamline communication organization-wide. In contrast, ambulatory organizations are focused primarily on HIPAA-compliant messaging. This report—which combines performance feedback from current customers with purchasing insights from 100 acute care, ambulatory, and post– acute care organizations—examines which vendors are most often considered, what factors most influence their decisions, and how current customers rate vendor performance.

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Healthcare IT Investor Update: 2018 Q4

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In the 2018 Q4 Investor Update, KLAS investment experts Chris Chandler and Ben Brown discuss the future of Apple’s health records app, market share data for the ambulatory EMR space, and why there’s big interest in hospital revenue cycle management. Find out how these high energy topics will impact the investing landscape moving forward.

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EHR Mastery—Scribes and Voice Recognition Not the Answer (Yet): An Arch Collaborative Impact Report

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The burden of documentation is a seemingly never-ending uphill climb for providers. Scribes and voice recognition are solutions advertised to help increase the usability of the EHR by relieving some of this burden from the provider's shoulders. In the course of research efforts to identify data-backed best practices regarding documentation, KLAS found little evidence that scribes or voice recognition significantly improve EHR satisfaction or efficiency. 

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Opioid Management Perception 2018: EMR Vendors Being Pushed to Center Stage

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More than 100 opioid-related overdose deaths occur in the United States every day, and the healthcare community knows that making changes at the point of care can help stem the tide of addiction. To discover what steps healthcare organizations are taking, KLAS asked over 100 leaders from organizations of all sizes to describe their plans for opioid management and to share what technology vendors they are looking to for help. Unlike traditional KLAS performance reports, this report is focused on discovering what strategies and technologies are top of mind as organizations implement, monitor, and improve their opioid stewardship strategies.

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PACS 2018: Achieving Success from Selection to Go-Live

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Consolidation among provider organizations continues to drive a high level of purchasing energy in the PACS space. In this report, KLAS aims to help organizations in any stage of the buying process—from vendor selection to go-live— by highlighting which vendors providers are purchasing and why, what to look for to avoid buyer’s remorse, and the keys to success after a vendor is selected.

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EHR Mastery—The Impact of Training: An Arch Collaborative Impact Report

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Organizations occasionally look for a magical solution that will fix clinician dissatisfaction with the EHR. Unfortunately, because education is a human experience, there isn’t any one training program that will magically solve this dilemma. But what has been made clear—by analyzing survey responses from over 40,000 end users—is that good training has a profound and lasting impact on a clinician’s satisfaction with the EHR.

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Behavioral Health 2018: A First Look at Behavioral Health EHR Performance

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The behavioral health EHR market segment is one of the lowest performing that KLAS measures (2nd percentile). While vendor performance is low across the board, most frustrated customers plan to stay with their behavioral health vendor due to limited resources and a lack of compelling alternatives. This report, KLAS’ first on behavioral health EHRs, is intended to give executives at behavioral health organizations a high-level overview of the market and to shine a spotlight on where vendors can improve. Specifically, this report dives into the behavioral health vendors used most frequently (in both inpatient and outpatient settings) and their performance in product quality, development, and service and support.

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Medical Device Security 2018: What Are the Greatest Challenges, and How Can They Be Overcome?

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While funding and strategy development have increased for security overall, healthcare organizations are bombarded from all sides by security attacks. Due to the patient-safety risks, many feel particularly vulnerable when it comes to medical device security. This report—a collaborative effort between the College of Healthcare Information Management Executives (CHIME), the Association for Executives in Healthcare Information Security (AEHIS), KLAS, and provider organizations—aims to examine the current state of the industry and identify best practices for improvement. 148 interviewed provider organizations shared how confident they feel in their medical device security strategies, the most common challenges they face, their perceptions of the security and transparency of major medical device manufacturers, and the best practices they leverage to overcome medical device security challenges.

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DHIS 2018—An Innovation Dilemma: Truly Activating Patients in Their Own Care

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KLAS convened some of the most influential healthcare thinkers for its second annual investor conference, the KLAS Digital Health Investment Symposium, in Snowbird, Utah, August 14–15, 2018. Attendees included healthcare providers, healthcare payers, corporate development professionals, and representatives from private equity firms, venture-capital firms, digital health companies, health-system incubator companies, analyst firms, and investment banks. This white paper represents the collective insights from these healthcare executives exploring the difficult challenge of truly activating patients in their own care. Over the past two years, patient engagement has continued to be a high-energy market segment for innovation and investment according to KLAS’s Emerging HCIT Companies report as new companies continue to enter the market, attempting to solve complex provider needs. Due to this energy, KLAS asked these thought leaders to participate in a roundtable discussion to explore the biggest challenges and solutions relative to patient engagement to help push the industry to new innovation, investment, and solutions. 

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Remote Patient Monitoring 2018: High Potential in a Shifting Landscape

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As provider organizations grapple with complex, strategic initiatives such as population health and patient engagement, a more tactical innovation is re-emerging: remote patient monitoring (RPM). RPM solutions monitor patients in-home by collecting biometric and behavioral data and alerting caregivers when intervention is needed. In this first RPM report, KLAS has partnered with the American Telemedicine Association (ATA) to examine why some organizations support little or no RPM and why others are more developed and are expanding their usage. This report also assesses the potential RPM vendors have to address the needs of patients and their healthcare providers in this shifting landscape. To validate RPM viability today, KLAS spoke with 25 organizations using seven leading RPM vendor platforms.

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Ambulatory Therapy/Rehab 2018: A Closer Look at the Specialty EMR Vendors

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Utilization of ambulatory therapy/rehab services is expanding as healthcare providers, patients, and payers look for treatment options that are less risky and more cost effective than surgery and drug therapy. Some of the ambulatory organizations that provide these services use general (non-specialty) ambulatory EMRs. Others choose EMRs tailored specifically to the ambulatory therapy/ rehab market. Several vendors offer such products, but how well do these specialty vendors deliver solutions, relationships, and reporting that meet the market’s unique needs? What are their strengths and shortcomings?

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Clinical Documentation Improvement (CDI) 2018: Workflows and Prioritization Drive Quality and Financial Outcomes

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Closing gaps in clinical documentation leads to improved revenue and higher documentation quality. Provider organizations using CDI tools need vendor partners who have proven solutions that can drive clinical and financial outcomes, enable smooth workflows in the midst of regulation changes, and prioritize CDI tasks to maximize the impact of clinical documentation specialists (CDSs). In examining these capabilities, this report primarily evaluates the performance of software vendors and their solutions, though CDI services firms are also evaluated regarding how well their guidance and training drive outcomes.

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Release of Information (ROI) 2018: Who Delivers Most Consistently Across Customers?

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In 2016, the small pool of release-of-information (ROI) services firms was shrunk even further by the merger of HealthPort and IOD, the two largest players in the ROI market. Today, Ciox Health—the new firm created by the merger—continues its predecessors’ market-share dominance but has fallen well below competitors MRO and Verisma in terms of customer satisfaction. A newly released automated tool from Ciox Health has some dissatisfied customers optimistic that their experience will improve, but others are considering MRO and Verisma as viable alternatives. This report examines the strengths and weaknesses of each firm to help organizations decide which is right for them.

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Patient Access 2018: A Deeper Dive Into Broad Adoption

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With the rise of high-deductible health plans, provider organizations are increasingly utilizing tools and processes that facilitate patient payments and guard against bad debt, and they are more reliant on technology to manage patient access activities. Hoping for a more streamlined workflow, many are consolidating to a single vendor for multiple tools. As this transition continues, how does the experience of broad adopters† compare to that of limited adopters? Is automated preauthorization the game-changing functionality vendors describe and customers seek? What impact are current patient access solutions having? KLAS spoke to 60+ broad adopters in addition to 70+ customers with more limited adoption to get their feedback.

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European EMR 2018

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Europe has one of the most dynamic and competitive EMR markets in the world, with active tenders in nearly every region. Amidst this activity, multiregional vendors are becoming more prevalent, forcing regional solutions to redefine themselves in order to stay relevant. To determine which vendors are best meeting current customers’ expectations and needs, this report examines KLAS market share data as well as performance feedback gathered in 100+ interviews with decision-makers at customer organizations in 12 European countries.

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Nurse & Staff Scheduling 2018: Cost-Reducing Convenience & Mobility

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KLAS will explore which nurse and physician staffing solutions are most successful in helping providers become more efficient with scheduling as to save time, and reduce overstaffing and overtime. Also, to differentiate vendors based on mobile applications, predictive scheduling, and acuity-based scheduling (nurse only).

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Physician Scheduling 2018: Cost-Effective Gains in Efficiency

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Physician scheduling solutions are receiving more attention as departments and organizations recognize the increasing inefficiency of scheduling by hand. With enterprise-wide deployment of such solutions on the rise, provider organizations are asking which solutions can save them time while simultaneously helping them reduce physician burnout, create fair and balanced schedules, and ensure 24/7 coverage. This report examines the degree to which market-leading physician scheduling solutions are saving administrative time, which are most effective for enterprise use, and whether promises of mobile convenience make a difference.

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Worksite Health Services 2018: A First Look at Firms’ Performance

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In the field of worksite health services—here defined by KLAS as employer-sponsored healthcare delivery and prevention services done at or near the employer worksite—options abound when it comes to selecting a firm. How can employer organizations ensure they pick the firm that best meets their needs? Which firms deliver the best worksite health services experience to employer organizations? Based on feedback from 86 employer organizations, this report goes beyond KLAS’ previous research—“Worksite Health Services 2018: Market Introduction and Vendor Guide,” in which worksite health services firms were identified and a market framework was established—to give deeper insight into why specific firms are chosen and how they perform.

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Healthcare Business Intelligence 2018: Who’s Advancing Data Analytics & Infrastructure?

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Organizations’ business intelligence and analytics infrastructure is often composed of multiple solutions working in conjunction and on top of one another. As standard capabilities like data acquisition, storage, and management become commonplace, providers are experimenting with solutions that leverage more advanced capabilities to reduce costs and improve outcomes. This report validates those advanced capabilities, explores the healthcare outcomes being achieved by vendors’ clients with the most advanced usage of their solutions, and attempts to provide some helpful categorization in a market with a lot of options and historically little transparency.

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Emerging HCIT Companies 2018

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Each year, KLAS conducts approximately 20,000 annual interviews with healthcare providers; during these interviews, insights into new vendors’ approaches to trying to solve problems in healthcare are often shared. As a follow-up to last year’s Emerging Vendors report, KLAS spoke to more than 100 provider leaders and asked them to share which new/innovative vendors they have encountered in the past year. Additionally, guidance provided by our provider partners pushes KLAS to find the newest vendors and solutions for tackling some of healthcare’s biggest problems. While not always well known, these vendors have stood out to KLAS for the types of solutions and/or approaches to problem-solving that they appear to offer. Through provider interviews and other sources such as KLAS website search data and internal research, KLAS has identified many vendors that are not quite ready to be fully measured but are in the process of gaining mindshare among healthcare providers.

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Go-Live Support 2018: The Bar Has Been Raised, Which Firms Can Meet It?

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The bar for go-live support has been raised, with many healthcare organizations now expecting their firm to handle the complex task of managing and planning logistics for their go-live resources, who could number in the hundreds. Though most healthcare organizations are satisfied with these services, some firms do not meet all expectations. KLAS spoke with 69 provider organizations (over half of the hospital organizations in the US who have used go-live services in the last 18 months) to better understand how they measure go-live success as well as to discover how well their go-live firm met their expectations for managing personnel, providing knowledgeable resources, and effectively planning and coordinating logistics.

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Healthcare IT Investor Update: 2018 Q3

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In the KLAS Investor Update, Q3 of 2018, KLAS’ Director of Investment Research Chris Chandler discusses; global EHR market share and current trends, US community hospital market share, and which vendors are succeeding in population health management.

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Smart Pumps 2018: Deeper Partnering Needed

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With increased pressure to reduce medication-administration costs and improve efficiency, provider organizations are looking for smart pump vendors capable of being strategic partners. In interviews with KLAS, organizations identify several ways vendors can do this: (1) develop strong customer relationships that extend beyond just the implementation; (2) drive EMR interoperability; (3) help customers get strong financial value from the pumps; and (4) provide analytics and reports that produce actionable insights. This report aims to discover which vendors deliver best in these key areas.

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Precision Medicine Vendor Validations 2018: The Voice of the Vendor - Report 1 of 2

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Given its potential to help providers deliver better, more targeted care and dramatically improve patient outcomes, precision medicine is a growing area of interest for many provider organizations. Those looking to develop a precision medicine program can find it confusing to determine which of the hundreds of vendors in the market will be most helpful. To add clarity as to how some of the different vendors perform, what functionality they offer, and what first steps organizations can take to establish a precision medicine program, KLAS has embarked on a two-part report on the topic. Through research, interviews, and association events, KLAS has identified a small number of precision medicine vendors who have high mindshare among healthcare providers. This first report focuses on these vendors. Each was invited to share details regarding their market perspective and product capabilities. In a second report, KLAS will interview live customers in order to validate each vendor's claims and provide further details on their offerings. It will also validate additional vendors not covered in this first report.

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Global (Non-US) EMR Market Share 2018

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In 2017, larger public healthcare organizations in highly developed countries continued to favor top-tier EMR platforms with analytics and population health management offerings. Smaller, private organizations and those in developing countries focused on platforms with broad functionality. Who are provider organizations choosing? Which vendors have sustained global momentum over the past five years? And which vendors are most relevant regionally? This report—KLAS’ sixth on EMR market share outside the US—examines these questions in depth.

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Patient Intake Management 2018: Solutions for a More Efficient Practice

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How often do patients have to fill out a form like the one below, submitting the same information over and over again—information that clinic employees must then spend time reviewing and transcribing into patient records? Patient intake management solutions offer a potential remedy to this inefficient process as they can drastically reduce the churn, duplication, and storage requirements that accompany traditional paper forms. In addition to increasing efficiency, improving data capture, and boosting patient satisfaction, these solutions can also create a foundation for patient engagement programs and can have direct financial impacts. Which solutions best help ambulatory practices as they seek to automate processes, improve quality of care, increase efficiency, and drive patient satisfaction?

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Payer Quality and Risk Analytics 2018: Different Options for Different Needs

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Ever-evolving HEDIS metrics continue to demand payer attention, but annual quality reporting alone is not an effective way to close care gaps or reduce costs. Health plans have repeatedly expressed a need for more frequent HEDIS reporting and deeper analytics capabilities that enable them to empower proactive care interventions and improve outcomes for their members. KLAS asked 84 health plans which vendors go beyond the required HEDIS check boxes to help clients forecast risk and improve quality.

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Digital Rounding 2018: A First Look at Digital Rounding Vendor Performance

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Increasingly, payers are adjusting reimbursements based on the quality of the patient experience. This has led to increased interest in rounding solutions that help hospitals measure and improve patient satisfaction during patients’ stays. Solutions are offered from several different vendor types, including those that already specialize in IPS, patient outreach, nurse communications, and consulting; as well as standalone vendors who have not yet been on the KLAS radar. With so many vendors in play, this report will clarify for providers what their options are and what the potential experience will be with the various vendors.

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HIT Assessment & Strategic Planning 2018: Which Firms Partner to Exceed Expectations?

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Healthcare IT advisory services firms have never been in higher demand. Due to struggles with complex enterprise systems, integration, interoperability, and the growing complexity of the HIT regulatory environment, healthcare providers have a burgeoning need for help with a wide variety of IT assessment, strategy, and operational engagements. This research will focus on helping CIOs understand: Which firms offer the broadest scope of advisory services? Who is doing the most HIT advisory work? Which IT advisory firms understand healthcare's unique challenges? In which areas does each firm excel? And which firms lead in providing quality consultants, strategic competency, operational execution, and tools & methodology?

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US Hospital EMR Market Share 2018: Small Hospitals Hungry for New Technology

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In 2017, 216 acute care hospitals contracted for a new EMR, with 1–200 bed hospitals accounting for the vast majority (80%) of these decisions. These smaller hospitals are hungry for new technology but often resource poor; over half that signed a new contract in 2017 chose a less expensive or less resource-intensive platform—namely, athenahealth, MEDITECH, and the community deployment models from Cerner and Epic. This report investigates this and other shifts that impacted buying energy in 2017.

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Enterprise Imaging 2018: How Top Organizations and Vendors Are Achieving Outcomes

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The enterprise imaging market is evolving, and it is clear that success comes from deliberately executing a plan, not simply adopting technology. When provider organizations partner with vendors to leverage vendor experience, build strong governance, and carefully plan their strategy rollout, achieving outcomes in enterprise imaging is possible. KLAS interviewed 137 organizations in the United States live with enterprise imaging to shed light on what top-performing organizations and vendors are doing to drive success.

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NHS Interoperability 2018: Data-Sharing Efforts, Obstacles, and Progress in England

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NHS England’s Five-Year Forward View and the National Information Board’s response have thrust interoperable systems into the national spotlight in England, including the development of a Local Health and Care Record Exemplar programme. This report represents KLAS’ first look at interoperability within the NHS. The report examines how well organisations (i.e., primary, secondary, mental health, community, and social care organisations) are able to receive outside patient data, and it will serve as a baseline for future research. What types of electronic data sharing are taking place today, how frequently, and with what benefit? What technologies are relied on most? How are suppliers perceived by customers relative to the suppliers’ role in facilitating interoperability? 

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Apple Health Records 2018: Early Participants Weigh In

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On January 24, Apple announced Apple Health Records, a new iPhone feature for downloading, aggregating, and viewing patient medical records. The revelation created a stir for at least a few reasons: (1) Apple is a consumer-oriented healthcare outsider; (2) Apple is attempting to make inroads where peers Google and Microsoft have failed; and (3) the feature has the potential to impact millions of patients given the iPhone’s broad customer base. Many articles and blogs about this announcement have already been written, but this report goes deeper. KLAS interviewed executives at all 12 of the early adopter health systems that partnered with Apple through the beta process to ask: How real is this capability and what is the expected impact? How soon might it make a difference? What is the experience like so far and what hurdles do providers face? What challenges does Apple face and how likely are they to succeed where others have flopped?

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Medication Inventory Management 2018: How Well Are Vendors Positioned to Close the Gaps?

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Enterprise Medication Inventory Management (EMIM) continues to be a challenge for providers as they attempt to aggregate data from disparate systems to provide actionable intelligence for efficient medication inventory management. This report will highlight the relative strengths and weaknesses of medication inventory management solutions. Including how broadly they are deployed within healthcare organizations, with what solutions they are successfully interfaced, and their relative strengths on driving optimal workflows and providing actionable intelligence.

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Patient Accounting 2018: Transitioning from Legacy Systems

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The legacy patient accounting solutions that provider organizations have used for years are often stable and highly customized. However, many organizations are now cautiously moving to newer PA systems in pursuit of clinical integration. These legacy conversions go primarily to Cerner and Epic, who are the only vendors with enough such conversions to be included in this report. The page below gives a brief overview of the overall market, while the rest of the report zeroes in exclusively on Cerner and Epic.

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Clinical Process Improvement 2018: Paving the Way for Improved Clinical Processes

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Tools that provide clinical-process insights assist healthcare leaders as they identify clinical areas in need of improvement and facilitate operational interventions. Use cases include improving staff efficiency, compliance, and workflow via clinical data aggregation, analytics, and reporting functionality.

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