Tide Is Turning On Inpatient EHR User Experience, Hospitals Praise The Foci Of Allscripts, Cerner And CPSI On Developing Total Stakeholder Satisfaction, Reports Black Book

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2014 was a disconcerted year on the hospital IT landscape with system replacements, outages, vendor cost run ups, provincial connectivity siloes, and even CIOs moonlighting as dedicated EHR vendor channel sales to other providers. As the EHR substitutions, consolidations and meaningful use uncertainties resolve in 2015, the client satisfaction spectrum still appears to be running between those hospitals with high contentment and functionality, to hospitals unmistakably stuck with systems nominally operative with implementation delays, mounting add-on charges, patient care interruptions, meaningful use snafus, garden walled networks and interoperability disconnects.

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Black Book Market Research conducted its annual sweeping hospital EHR user poll to determine the highest ranked inpatient electronic health and medical record vendors for 2015 via its proprietary crowdsourced opinion mining process. As part of major research initiatives on the current inpatient EHR replacement market, as well as client experience at the patient care delivery level, Black Book announced those vendors with the highest satisfaction scores in the areas of certification-required EHR functionalities, administrative & documentation functionalities, clinical workflow functionalities, add-on modules, accountable care data requirements, and connectivity capabilities.. 5,000 hospital EHR technology staff ballots and 14,000 nursing users were surveyed by Black Book representing 702 hospitals, in several polls conducted from August 2014 to February 2015.

Finding 1: Nurses and Technology Leaders Collaborating More on Replacement EHR Decisions

“Black Book survey findings included a substantial improvement in reducing the gap between hospital nursing, physician, administrative, financial and technology stakeholder satisfaction, although there’s still a long way to go,” said Doug Brown, Managing Partner of Black Book™.

74% of technology leaders and CIOs state that they believe the EHR systems operating in their hospital was selected with “significant nursing input”. However, 14% of hospital nursing personnel responding to the 2015 survey agree that clinicians’ opinions were a major consideration in the technology decisions that directly affect their productivity and care giving. Comparatively, in 2014, 60% of technology leaders and 6% of nurses shared the same view regarding EHR selection criteria.

Finding 2: One in Five Hospitals feel stuck with a less-than-par EHR

Nearly one in five hospital IT managers including CIOs (19%) feel that despite the EHR system they selected and currently operate is not the best system for their organization. “Hospitals and their network affiliates find themselves trapped with an EHR system that does not and/or will not meet their foreseeable needs,” said Brown. According to the surveys, the top three reasons hospitals tech managers feel stuck include their vendor overselling system capabilities or mismatching functionalities to the hospital situation (65% of those “stuck”), the EHR vendor cannot or will not flex to meet the hospital’s interoperability goals (81%) , and the vendor is considerably more draining to hospital bottom line than anticipated with unexpected cost overruns and add-ons (90%).

Finding 3: CIOs Believe Nursing EHR Satisfaction Improving

69% of hospital technology leaders believe the upswing in nursing satisfaction is the direct result of internal modifications to EHR systems made after implementation and in response to nursing complaints. 20% attribute the improvement in nursing satisfaction to the updates and improved functionality of EHRs. 10% attribute the training and level of comfort in using EHRs as the attitude adjustment in nursing.

Finding 4: 2015 Top Inpatient EHR Vendors: Small Hospitals, Community Hospitals, Large Hospitals/Academic Medical Centers, and Hospital Corporations/Systems/Chains/IDNs announced by Black Book

CPSI retained the top ranking for hospitals under 100 beds, rural and CAC facilities for the fifth consecutive year, earning top scores from both technology and nursing users in this bed size cateogry.

Additionally, Cerner retained its 5 year top spot for Community Hospitals ranging from 101 to 250 beds. Cerner also scored highest in nursing user satisfaction in the 2014 and 2015 Black Book polls including over 15,000 hospital nurses regardless of bed size they were currently employed.

Hospitals over 250 beds ranked Allscripts #1 for a second year, after displacing Epic Systems, which had maintained the top client bestowed honors for the previous three consecutive years in the academic teaching facility and large hospital category. Clinical users prefer the Allscripts functionality highest in major medical centers.

Hospital corporations, groups and chains, a category ranked only by CIOs and IT managers, selected Cerner as the #1 best EHR for hospital systems.

Other vendors scoring well in the 2015 survey included Epic Systems, GE Healthcare, McKesson, Meditech, Healthland, HMS¬, Quadramed, NextGen, Razorinsights (athenahealth), Prognosis, and Siemens.

About Black Book ™
Black Book Rankings, a division of Black Book Market Research LLC, provides healthcare IT users, media, investors, analysts, quality minded vendors, and prospective software system buyers, pharmaceutical manufacturers, and other interested sectors of the clinical technology industry with comprehensive comparison data of the industry's top respected and competitively performing technology vendors. The largest user opinion poll of its kind in healthcare IT, Black Book™ collects over 450,000 viewpoints on information technology and outsourced services vendor performance annually. Black Book was founded in 2000, is internationally recognized for over 15 years of customer satisfaction polling, particularly in technology, services, outsourcing and offshoring industries.

Black Book™, its founders, management and/or staff do not own or hold any financial interest in any of the vendors covered and encompassed in this survey, and Black Book reports the results of the collected satisfaction and client experience rankings in publication and to media prior to vendor notification of rating results.
Follow Black Book on Twitter at http://www.twitter.com/blackbookpolls

For methodology, auditing, resources, comprehensive research and ranking data, see http://blackbookmarketresearch.com

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Douglas Brown (Tampa FL)

Taylor Brown (Raleigh NC)
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