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Physician Leadership Weighs in on Acute EMR Usability

Physician Leadership Weighs in on Acute EMR Usability
Progress Over the Past Two Years

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EMR vendors face the daunting challenge of creating systems of great complexity and expanding capabilities to make their systems fast, intuitive, and easy to use. KLAS asked physician leaders (CMOs, CMIOs, and medical directors at over 100 organizations) about their EMRs’ usability, and while it is clear that there is still work to be done, most reported progress since 2013. However, data indicates there are significant differences between EMRs.

1. CONSISTENT PROGRESS MAKES EPIC THE CLEAR USABILITY LEADER

Epic is rated highest in every aspect covered in this report. Physicians noted that recent Epic upgrades have advanced physician productivity and effectiveness around CPOE, problem lists, and clinical decision support. But the market still has considerable room for improvement when even Epic’s customers note a “crowded” and “busy” user interface that can hamper productivity.

2. CERNER DRAMATICALLY MORE INVOLVED IN USABILITY SUCCESS

Cerner’s focus on usability has many customers reporting significant improvements to usability in the past two years and attributing a majority of their usability success to Cerner— a dramatic change since 2013. Playbooks, MPages, and Dynamic Documentation have had a significant impact. Cerner’s recent push to improve usability has solidified them as one of the market leaders.

3. ALLSCRIPTS RETAINS SOLID USABILITY; MEDITECH JUMPS TWO SPOTS

Allscripts has long been among the usability leaders, thanks to inherent system flexibility. But getting to a usable state often falls on the customer—a significant difference between Epic and Cerner. Usability progress around CPOE, med rec, and problem lists has moved MEDITECH ahead of Paragon and Soarian. Recently-live MEDITECH customers reported better vendor guidance and usability across the board and said more progress is needed to catch up to the leaders.

4. SOARIAN AND PARAGON FALL BEHIND

Prior to Cerner’s acquisition, providers felt Siemens was disengaged. Customers continue to report little usability progress and say the physician documentation lags behind the industry. Paragon has seen dramatic increases in documentation, CPOE, and med rec adoption, yet recent enhancements have not addressed major usability challenges. Improving usability has been up to customers, who hope v.13 will be better.

5. EPIC MOBILE APP ADOPTION 2:1 VS. NEAREST COMPETITOR

Almost every Epic customer reported using mobile functionality. Allscripts and MEDITECH were a distant second and third. Cerner’s app is not generally available for inpatient usage, and both Cerner and McKesson customers reported price as a barrier. Almost all providers reported good view-only functionality but said the ordering and documentation functionality need improvement.

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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.