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HIE 2016

HIE 2016
Shifts in Vendor Performance and Provider Outlook

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Health information exchange (HIE) was one of the first answers to the challenge of interoperability. Despite a rousing start and years to mature, HIE has largely been a story of missed expectations. More than half of the vendors KLAS reported on in 2011 are no longer competing in the market, including several industry stalwarts. While at least one prominent vendor has pulled out of a tailspin, others are struggling in new ways. Which vendors are most stable? Which are being counted on for the future and why? KLAS spoke with 332 organizations to understand vendors’ past performance and providers’ outlook for the future.

1. BEST FUTURE OUTLOOK: EPIC AND MEDICITY

Epic and Medicity have the most customers who predict their vendors will meet interoperability needs over the next three years. The keys to this confidence? Technology prowess and reliable partnering. EMR-dependent Epic simplifies user access to data from both Epic and non-Epic EMRs. EMR-independent Medicity backs up a persuasive road map with follow-through. Customers of Allscripts, eClinicalWorks, and Orion Health mention disappointment over service challenges and the effort required from providers to fill gaps. Epic and InterSystems currently have the highest performance scores for EMR-dependent and EMR-independent HIEs, respectively.

2016 HIE Overall Performance Over Time

2. INTERFACING: EPIC SPEEDS DELIVERY, LEADS QUALITY WITH INTERSYSTEMS & ICA

For many, “service” means “interface delivery,” something that remains a primary barrier to provider progress. Timelines depend on a variety of factors, but nearly half of respondents (40%) say it takes their vendor over three months to complete a typical interface.

2016 HIE Interface Delivery

A changing HIE vendor landscape means some vendors are growing while others are stepping back.
Recent shifts include:


EMERGING
Cerner Resonance: A new option for Cerner customers only. Slow growth but positive reviews. (81.3*)
NextGen Results: Mirth acquired by NextGen family. Flexible tools; attentive service. (86.7*)

FADING
Cerner MobileMD: Acquired through Siemens acquisition. Stagnant as HIE; Now sold as a provider portal.
Optum HIE: Outdated technology led to loss of early lead. Some remaining plan migration to new SaaS platform.

3. IT CAN BE DONE: MEDICITY EXECUTES TURNAROUND

For years, unrealistic expectations, empty promises, and shorthanded staff have plagued HIE vendors and customers alike. Add constantly changing interoperability standards and a failure to evolve HIE solutions, and it is no surprise some vendors haven’t kept up. Medicity engineered a major turnaround, rare for any HIT vendor, and earned KLAS’ “Most Improved Vendor” award for 2015. Customers credit the change to hard discussions and disciplined follow-through. Cerner, Epic, ICA, and InterSystems demonstrate ongoing consistency.

2016 HIE How Have Vendors Performed Since 2014

4. INTERSYSTEMS AND MEDICITY HANDLE MOST COMPLEX NEEDS

Each vendor has unique strengths and solution gaps, as illustrated by how deeply customers have adopted different use cases and functionality. InterSystems and Medicity support the most diverse environments and see the highest use of rated functionality. Clinical analytics functionality is frequently asked for, but no vendor has proven adoption on a wide scale.

2016 HIE Use Cases and Features

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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2018 KLAS Enterprises, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.