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Growing Number Of Children’s Hospitals Use EMRs

The number of children’s hospitals with EMRs in place — and compliant with Meaningful Use — has increased substantially over the last few years, though minor teaching and nonteaching institutions are not as far along, according to a new study appearing in the journal Pediatrics.

The study, which compares data on EMR adoption from 2008 with data on 2011, collected data from 126 children’s hospitals.  Researchers calculated EMR adoption rates by using existing definitions of the key functionalities which make up an EMR.  The study also looked at Meaningful Use compliance, which it evaluated by by checking whether a given hospital could meet 12 core Meaningful Use criteria.

The study found that between 2008 and 2011, the number of childrens’ hospitals with an EMR grew from 21 percent to 59 percent.  But even using 2011 data, only 29 percent of children’s hospitals had demonstrated that they could meet the 12 core criteria used as a Meaningful Use proxy.

All told, EMR adoption rates and Meaningful Use compliance rates were much higher for childrens’ hospitals than for adult hospitals as a whole.  However, the results were similar for adult and childrens’ teaching hospitals.

These results square well with an early 2012 report by HIMSS Analytics which looked at Meaningful Use Stage 1 compliance among hospitals. HIMSS found that teaching hospitals were one of the hospital types most likely to have embraced Meaningful Use.

The question, for me, is when childrens’ hospitals are going to step up further in their Meaningful Use efforts. I don’t know about you, but to me 29 percent compliance isn’t terribly impressive.

April 24, 2013 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies.

Top 10 Hospital EHR Vendors By Installed Systems

I came across this list of Top 10 Hospital EHR vendors by installed systems on Dark Daily (a great resource, particularly if you’re into Labs). The data is a little dated, but I thought it would be interesting to consider the numbers in 2011 and how they might look different today. Here’s the list:

Vendor Name Total Installations Percent of Installations
• Meditech 1212 25.50%
• Cerner 606 12.80%
• McKesson 573 12.10%
• Epic Systems 413 8.70%
• Siemens Healthcare 397 8.40%
• CPSI 392 8.30%
• Healthcare Management Systems 347 7.30%
• Self-developed 273 5.80%
• Healthland 223 4.70%
• Eclipsys (Bought by Allscripts) 185 3.90%

This list was taken from the HIMSS Analytics database. I wish I had access so I could compare these numbers for 2012. The interesting thing is that I’m not sure the Hospital EHR vendor numbers would be all that much different. Epic is the media darling, but its focus is squarely on the large hospital systems so they often lag behind when it comes to total installations.

December 21, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 5000 articles with John having written over 2000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 9.3 million times. John also recently launched two new companies: InfluentialNetworks.com and Physia.com, and is an advisor to docBeat. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.

Hospitals Slowly Moving Toward Stage 1 of Meaningful Use

A new report from HIMSS Analytics concludes that the inevitable is happening, but slowly. According to researchers, who reported their findings in December 2011, virtually all categories of hospitals are showing greater ability to achieve Meaningful Use Stage 1, including:

*  Academic medical centers

*  General med/surg hospitals

*  Hospitals with 400 to 499 licensed beds

*  Hospitals with 500+ licensed beds

*  Urban  hospitals

*  Multi-hospitals

*  Hospitals already at Stage 5, 6 and 7 on the HIMSS Analytics EMR Adoption Model (EMRAM)

According to HIMSS researchers, hospitals in the seven categories above are moving faster than their peers when it comes to IT adoption.  Hospitals at the high end of EMRAM are moving up more quickly, as well.  As hospitals geared up to meet Stage 1, researchers say, the number of hospitals at stages 6 and 7 of EMRAM is growing as well.

As we’ve previously noted here, however, calling this a success would be looking at the nearly empty glass as half-full.  Even HIMSS admits that only five percent of hospitals have achieved Stage 6 of the EMRAM model (give or take) and just 1.2 percent are at EMRAM Stage 7.

There is at least a little bit of good news.  Of the 585 hospitals surveyed by HIMSS,  about half are ready, most likely to be ready or somewhat likely to be ready to collect incentive payments this year.

The hospitals that reported being “somewhat likely” had achieved at least two menu items, and between five and nine of the core items needed to qualify for incentives.

But  hospitals with less than 100 beds — generally rural, critical access hospitals — are not doing even as well as their peers. Only 20 percent told HIMSS that they were ready or most likely to meet Stage One goals.

By the way, the HIMSS research included one discomfiting side note, on security. Of the 585 hospitals that weighed in, just 25 percent said that they protected EHR data by conducting and reviewing a security risk analysis, doing needed suricty updfates and correcting security deficiencies. Oops — there goes compliance witih 45 CFT 164.308 (a) (1), the relevant HIPAA security rule. But that’s a tale for a different blog item, isn’t it, folks?

February 18, 2012 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies.