Jason Hess, general manager of clinical research at Orem, Utah-based research firm KLAS, says he expects to see change in clinical information system sales going forward.
According to KLAS, reports show that if provider activity continues at its current rate, 2009 sales will “far exceed” those of 2008, which KLAS high- lighted in a July 2009 report. In 2008, vendors sold fewer new CIS contracts than they have in the past seven years. KLAS is due to come out with a new report focused on 2009 sales and looking forward to 2010 in a couple of months. In KLAS’s lastest report, “Physicians, Nurses, and EMR Adoption: Which solutions are CEOs Betting On?” researchers say major players like McKesson, Meditech and Siemens are depending on new releases to boost clinician adoption. However with providers facing new time and financial implications due to the American Reinvestment Act, researchers say providers are more than ever con- cerned with vendors’ ability to deliver.
Product vision, delivery, performance and proof of adop- tion have become critical elements for providers today, says KLAS. So critical in fact that they can beat out contempo- rary vendor products.
KLAS’ report points to Epic’s ability to trump EMR wins by backing up their product with “good support, a solid product set and solid delivery.” Sales have reflected that vendors who are making good on their promises are also making out with a “win.”
Three Trends to Watch
Jason Hess, KLAS’ general manager of clinical research, and author of the Kuly 2009 report, points to key opportunities for clinical information system vendors going forward:
1. ARRA Requirements: Of all U.S. hospitals with at least 200-beds, 412 have either no CIS or legacy CIS. ARRA could spur these hospitals to seek a new one - one that will deliver CPOE.
2. Unusual Wins In these challenging times, timing is everything. Vendors should consider going after providers out- side their client base. With the over-400 bed market nearly carved out, the 200-400 bed market appears to be more open. 3. DELIVERY: Solid delivery can trump all other decision criteria. New sales match up very closely with vendors who are reported to be keeping their promises.
Opportunity abounds in EHRs
Cerner
Cerner Millennium
Cerner’s Electronic Health Record (EHR) is built upon the scalable, unified, person- centric Cerner Millennium architecture. Cerner’s solution functionality creates an enterprise-wide, multi-facility, longitudinal EHR that spans role and venue. Authorized physicians, nurses, pharmacists and lab technicians can all access one patient record at the same time—an impossible task with a cumbersome paper chart. With a single, integrated EHR, information is available whenever and wherever it’s needed.
“Adventist Health System has deployed the Cerner Millennium Hospital EHR across 32 sites in eight states. The Cerner Millennium EHR provides our clinicians with access to important patient information so they can make informed decisions about patient care.”
- Brent Snyder, chief information officer for Adventist Health System, Winter Park, Fla.
CliniComp
Essentris EMR
The Essentris EMR clinical workflow suite is the choice of leading health systems across the United States to document and manage patient care throughout their hospital. Designed to meet the Military Health System’s (MHS) stringent requirements for security and reliability and the practice needs of the individual caregiver in any clinical environment or acute care facility, the Essentris suite integrates all the information needed to manage patient care safely and efficiently.
“The Critical Care Unit at Swedish Medical Center has been using Clinicomp for their bedside nursing documentation for the past 20 years. If you were to ask nurses why they like to work in the CCU at Swedish, one of the first things they would tell you is “CliniComp Charting.” Clinicomp allows the bedside nurse to efficiently and thoroughly document patient data. As a clinician, it is wonderful to have technology at the bedside that really does make the end users job easier. The functionality that allows you to retain previous assessments and edit what has changed is fantastic. Having ClinComp interface with the bedside monitor and ventilator saves so much time transferring data from those systems. The system entry for IV medication that calculates infusion rate provides a patient safety mechanism. Nurses should not rely on their ability to complete calculations when they are busy and distracted. When nurses move away from Colorado and call us or return to visit us, they always remark how much they miss using Clinicomp. We love Clinicomp.”
- Ann Randall, director of critical care Swedish Medical Center, Englewood, Colo.
CPSI
CPSI Healthcare Information and Patient Care System
The CPSI Healthcare Information and Patient Care System is the most comprehensive and cost effective single-source electronic medical record (EMR) available today. Designed and developed from the ground-up by CPSI, this system changes the way community hospitals think about healthcare information technology. The CPSI System is a complete enterprise-wide information management solution as opposed to other systems that employ disparate stand-alone processing on a department-by-department basis.
Eclipsys
Sunrise Clinical Manager
Sunrise Clinical Manager includes a robust, fully integrated clinical information system for acute care and supporting settings. It includes: CPOE and clinical decision support and an integrated electronic health record (EHR) that connects clinicians and administrators with shared patient information and workflow to advance accuracy, efficiency and safety across settings, departments and locations. Integrated with a comprehensive offering of enterprise applications, the Eclipsys system maximizes electronic health record benefits by offering interoperable, fully connected care.
List continues on Page 2...
Epic
EpicCare
The EpicCare Inpatient Clinical System spans all hospital departments and specialties, giving providers the tools they need to deliver safe, high-quality care. EpicCare’s role-based navigators simplify relevant information access for physicians, nurses, therapists, dietitians and any other provider in the hospital setting. Integrated tools include: Point and click medication reconciliation, collapsible/expandable flowsheets, electronic MAR, interdisciplinary care plans, hospital outpatient support, clinical pathways, ICU support, barcode administration via MobileMeds, pharmacy.
GE Healthcare
Centricity Enterprise System
The Centricity Enterprise integrated clinical/financial system creates a comprehensive electronic health record by automating the workflow of users and supporting clinical, financial and administrative processes. Centricity Enterprise integrates core clinical processes for orders, results, pharmacy and care documentation, in concert with administrative/financial processes for scheduling, registration/admitting, charging and billing. The system helps caregivers provide enhanced patient care through computerized physician order entry (CPOE), clinical decision support and expert rules, while documenting all aspects of patient care. Currently, the Centricity Enterprise system supports patient care at more than 900 hospitals and clinics.
Healthland
The electronic medical record, the central repository of all patient information, is at the foundation of our Clinical Information Management applications. With the EMR, care providers can quickly and easily access a comprehensive view of demographic, historical and clinical patient information from all care settings within the healthcare system-hospital, clinic, home health and long-term care. This ensures that treatment decisions are based upon the most up-to-date information and care can be properly coordinated between multiple care providers.
Keane
The electronic health record offered by Keane provides both a clinical and non-clinical solution for seamless, real- time access to a true digital patient electronic medical record. The Keane EHR goes beyond the basic components of Computerized Physician Order Entry and the Electronic Medication Administration Record to provide an active, interoperable data repository using the “expanded” EHR definition as promoted by the Institutes of Medicine. The Keane EHR allows for automated data entry of complete patient health information via HL7 interface, bar coding, scanning, electronic transcription, or direct data entry (via templates when desired).
McKesson
Horizon Clinicals
In the inpatient setting, the Horizon Clinicals suite provides a common view of the patient’s condition and needs across settings and episodes of care, empowering all members of the care team to deliver the best possible care to their patients. Users can create a comprehensive inpatient EHR with solutions for: interdisciplinary care planning with advanced workflow capabilities; computerized provider order entry (CPOE) and closed-loop medication management, clinical quality and performance analytics.
Paragon
The Paragon community hospital information system is a completely integrated clinical and financial solution designed specifically for hospitals ranging from rural critical access to mid-size community hospitals. Paragon’s integrated applications address patient safety, financial and revenue cycle management, regulatory and HIPAA compliance, and more. Built on a Microsoft-based platform, Paragon provides: order management and care planning; medication administration; pharmacy, laboratory and radiology; CPOE (available spring 2010).
MEDITECH
Enterprise Medical Record
MEDITECH’s Enterprise Medical Record (EMR) represents a single source for viewing all relevant patient information - from all aspects of clinical care - throughout the health care delivery system. Complete visit histories are electronically stored for each patient over the course of an entire lifetime. The EMR contains information from visits conducted anywhere along the continuum of care - ambulatory centers, hospitals, physicians’ offices, home health agencies, long term care facilities, and satellite laboratories. The information contained in the EMR is updated on a real-time basis. Whenever an order is placed or a test is conducted, the patient’s record of care is automatically updated. MEDITECH’s EMR accepts data from all sources throughout the enterprise, including both the MEDITECH Health Care Information System and other vendors’ systems. The system helps caregivers provide enhanced patient care through computerized physician order entry (CPOE), clinical decision support and expert rules, while documenting all aspects of patient care.
Medsphere Systems
OpenVista
Medsphere’s OpenVista is a commercially supported EHR system based on the U.S. Department of Veterans Affairs’ proven VistA electronic health record that can be leveraged across the continuum of in-patient, acute, ambulatory and long-term care environments as well as multi-facility, multi-specialty healthcare organizations. OpenVista represents a responsible reapplication of the VA’s $8.5 billion investment, and offers hospitals and clinics a proven EHR solution at a cost far less than proprietary systems.
“As a nationally recognized psychiatric hospital distinguished by its continuum of care, Silver Hill has focused on assuring patients of the best, most dignified psychiatric care possible since its founding in 1931. By improving communication, Medsphere’s electronic health record
solution lets us modify treatment plans quickly as we monitor individual patient’s response to treatment.”
- Sigurd Ackerman, MD, president and medical director at Silver Hill Hospital, New Canaan, Conn.
QuardraMed
QuadraMed CPR
QuadraMed CPR (computerized patient record) is a patient-centric, point-of-care clinical information system that integrates every aspect of patient care into a single, confidential, computer-based patient record. QuadraMed CPR streamlines administrative functions and eliminates paperwork to help clinicians provide quality patient care and treatment outcomes. A single, integrated system with a comprehensive suite of modules, QuadraMed CPR provides depth and breadth of patient-care support and workflow management. It has been integrated with other systems, and it is customizable to provide support within a wide range of care settings. Using a multidisciplinary solution approach, QuadraMed CPR improves the clinical process for clinicians and patients alike.
Siemens
Soarian Clinicals
Soarian Clinicals offers a revolutionary workflow-driven design that addresses the dynamic nature of patient care. It positions healthcare organizations to manage processes, as well as clinical data, from beginning to end - across departments, disciplines, and care settings - to help improve operational efficiencies and the business of healthcare. As a comprehensive enterprise-wide solution, Soarian Clinicals seamlessly combines departmental workflows in such areas as cardiology, critical care and the emergency department.
“Access to clinical information is much improved and that makes it easier for doctors to do their jobs. All departments can access the information they need at any time - that’s the biggest asset I see with Soarian.”
- George Manchester, MD, chief medical officer, Susquehanna Health, Williamsport, Pa.
