Assessing the Hospital HIE Market
Research and advisory firm CapSite recently surveyed more than 370 hospitals about current health information exchange activities and plans.
Fifty percent of respondents currently are part of a private, regional or state HIE, compared with 32 percent a year ago. Following is a snapshot of other findings.
Hospitals often do strategic planning and vendor selection without the aid of consultants, and heavily rely on incumbent HIS vendors as their primary HIE partner.
Extension of the incumbent HIS system is the top reason in the primary selection process. Other reasons, in order, are reputation, price, type of architecture and references. The majority of hospitals are happy with their pick; 84 percent would choose the same primary vendor.
Epic tops the primary vendor HIE race with 12 percent of surveyed hospital market share. Cerner follows with 10 percent, CPSI at 9 percent, and Meditech and McKesson at 6 percent. Medicity and RelayHealth lead more traditional HIE vendors with 6 percent each.
The core HIE service most bought since 2010 is patient/provider indexes. The next three most popular core technologies, with equal interest among them, are authentication, XDS (document sharing) and record locator.
The survey lists the 13 HIE value-added services most invested in since 2010, in order: e-prescribing, image viewing, physician portal, patient portal, immunization reporting, ED systems, personal health record, telemetry systems, analytics with a warehouse, disease registry, fetal monitoring, continuing care plans upon discharge, and post-surgery.
Again, core HIS vendors, with RelayHealth slipping in among them, are the preferred source for valued-added services.
The leading connectivity technologies invested in since 2010, in order, are secure messaging, EHR interoperability, results reporting/delivery, CCD/patient summary exchange, bi-directional orders management and referrals.
Of surveyed hospitals with a likely timetable for their next HIE investment, one-third expect to pull the trigger within six months, 36 percent within 7-12 months, 29 percent within 13-24 months, and a smattering beyond two years.
While the move to accountable care organizations certainly can spike interest in HIEs, most respondents remain in the earliest stages of ACO planning. Seven percent expect to join an established ACO, 12 percent will form their own, 14 percent are discussing partnering with neighboring providers, 29 percent are unsure of ACO plans and 38 percent have not yet formalized plans.
The complete report of survey results in a slide presentation format, 2012 U.S. Health Information Exchange Study, is complementary for providers and costs others $3,500, at capsite.com/capsite-reports.
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