Slideshow Assessing the Hospital HIE Market

  • September 15 2012, 11:24pm EDT
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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.

Stable Dance Partners

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.

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Leading the Pack

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.

Top Four Infrastructure/Core Services

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.

Popular Value-Adds

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.

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Connectivity Wish List

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.

Timetable for More Buys

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.

ACOs Still in the Distance

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.

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To Dig Deeper

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