2017 Essentials Brief: 9th Annual Outpatient PM & EHR Study · 2017 Essentials Brief: 9th Annual Outpatient PM & EHR Study Market Penetration: Hospital-Owned Practice EHR Given the

2017 Essentials Brief: 9th Annual Outpatient PM & EHR Study www.himssanalytics.com

2017 Essentials Brief: 9th Annual Outpatient PM & EHR Study

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Study Resources & DemographicsResource Approach 1: Web based surveyDates of Data Collection: June 23, 2017 to July 12, 2017Target Audience(s): Physicians, practice managers/administrators, practice CEO/President, PAs, NPs, practice IT directors/staffNumber of Respondents: 436

Resource Approach 2: HIMSS Analytics® LOGIC™Date of Database: June 30, 2017Target Audience(s): Hospital-owned/free-standing outpatient practicesNumber of Hospital-Owned Practices: 47,831*Number of Free-Standing Practices: 92,228**Final numbers may vary depending on available IT stack

Hospital-Owned 46%

1 to 2 physicians 22%

3 to 10physicians 16%



101+ physicians 28%

Other 3%

Free-Standing 54%

Practice Type Practice Size


Market Penetration: Hospital-Owned Practice EHR

Given the difference in market penetration between the hospital-owned

and free-standing outpatient organizations, this report will separate the

findings by hospital-owned or free-standing organizational structure.

Data from the HIMSS Analytics LOGIC™ health IT market intelligence

platform on June 30 reveals 92 percent of hospital-owned outpatient

facilities have a “live and operational” EMR.

This data from LOGIC coupled with the study data supports the

reasoning that study responses represent current market adoption

levels and dynamics.

Statistics from LOGIC and the 2017 Outpatient Study indicate strong

growth in the implementation of outpatient EHRs over the years.

This growth coupled with high adoption rates suggest the

hospital-owned outpatient market has neared universal adoption.2010 2011 2012 2013 2014 2015 2016 2017

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

57.0%

62.0%

68.2%

79.4%

85.9%90.3%

92.7% 92.7%

NOTE: Total number of hospital-owned outpatient facilities with EHR solution in HIMSS Analytics® LOGIC on June 30, 2017 = 47,831Source: HIMSS Analytics LOGIC™


Market Penetration: Free-Standing Practice EHR

The study reveals nearly 70 percent of respondents representing a

free-standing outpatient facility report having an EHR.

Adoption of the EHR in the free-standing outpatient market showed

a slight decrease from 2016 based upon responses from study

participants.

With some physicians on the verge of retirement and choosing

not to invest in EHR technology, others who do not feel they

need it, and the purchase of physician practices by either larger

practices or hospitals/health systems, the opportunity for adoption

in the free-standing market is somewhat limited. This indicates near

universal adoption across this segment of the market.

2010 Study 2011 Study 2012 Study 2013 Study 2014 Study 2015 Study 2016 Study 2017 Study0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

29.0%

48.0%

59.2%

67.3%70.0%

75.2%77.9%

70.2%

NOTE: Total number of hospital-owned outpatient facilities with EHR solution in HIMSS Analytics® LOGIC on June 30, 2017 = 92,228Source: HIMSS Analytics LOGIC


Vendor Presence: Outpatient EHR Market

DATA AND INSIGHTAVAILABLE IN

PREMIUM ESSENTIALS BRIEF


Vendor Market Share: Hospital-Owned Practice EHR




Vendor Market Share: Hospital-Owned Practice EHR




Vendor Market Share: Free-Standing Practice EHR




Vendor Market Share: Free-Standing Practice EHR




Market Opportunity: EHR Purchase Intentions

All study respondents were asked about their future purchase intentions.

Many respondents indicated they are staying with their current vendor rather

than replacing their solution outright.

Respondents with no investment plans drop below 60 percent for the first

time in four years.

Those with plans to purchase a new solution (~6 percent) dropped from

roughly 9 percent in 2016 further indicating the near universal adoption of

EHR solutions across the outpatient space.

After little change in the replacement market over the last three years just

over 10 percent of respondents in 2017 indicated plans to completely replace

their current solution.

While this could indicate the beginning of a more robust replacement market

than has been seen in previous years, it is likely too early to tell at this point in

time if the upward trend will continue.

Do you plan to purchase net new, replace or upgrade your current Ambulatory EHR solution within the next two years?

0% 10% 20% 30% 40% 50% 60% 70%

Yes - Replacing our current solution

Yes - Purchasinga new solution

Yes - Upgradingcurrent solution

No

6.4%

7.6%

8.6%

22.7%

61.0%

6.6%

6.6%

20.8%

66.2%

8.9%

18.4%

66.0%

10.6%

6.3%

23.8%

59.4%

Source: 2017 Outpatient PM & EHR Study (N=190)

2014 2015 2016 2017


Market Opportunity: EHR Purchase IntentionsDo you plan to purchase net new, replace or upgrade your current Ambulatory EHR solution within the next two years?




Market Opportunity: EHR Purchase IntentionsDo you plan to purchase net new, replace or upgrade your current

Ambulatory EHR solution within the next two years?




Market Opportunity: EHR Vendor ConsiderationWhich vendor(s) are you likely to consider when purchasing a new, replacing

or upgrading your current Ambulatory EHR solution? (select all that apply)




Market Opportunity: EHR Vendor ConsiderationWhich vendor(s) are you likely to consider when purchasing a new, replacing or upgrading your current outpatient EHR solution?




Market Factors: EHR Purchase BarriersWhat is the primary reason for no plans to purchase new, replace or upgrade your current EHR solution?




Market Penetration: Hospital-Owned Practice PM

The hospital-owned outpatient PM market presents as a highly

saturated market.

Data from the June 30, 2017 LOGIC health IT market intelligence

platform reveals 96 percent of hospital-owned outpatient facilities

tracked have a “live and operational” PM application.

2010 2011 2012 2013 2014 2015 2016 2017

80%

82%

84%

86%

88%

90%

92%

94%

96%

98%

100%

95.4% 95.8%

92.1%93.2%

94.8%

95.8%96.6% 96.6%

NOTE: Total number of hospital-owned outpatient facilities with PM solution in HIMSS Analytics® LOGIC on June 30, 2017 = 43,839Source: HIMSS Analytics LOGIC

Do you currently utilize a practice management (PM) solution?


Vendor presence: Outpatient PM Market




Vendor Market Share: Hospital-Owned Practice PM




Vendor Market Share: Hospital-Owned Practice PM




Vendor Market Share: Free-Standing Practice PM




Market Opportunity: PM Purchase Intentions

As seen in the EHR questions, there is a slight uptick of respondents

who plan to replace their current PM solution.

Just under a quarter of study respondents indicated purchasing,

replacement or upgrade plans for their PM.

Respondents with no plans to purchase or upgrade has stayed

roughly consistent over the past two years.

The intention to purchase a new solution or replace their current

solution was similar for hospital-owned and free-standing

organizations.

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Yes — Replacing our current solution

Yes — purchasing a net new solution

Yes — Upgrading current solution

No

6.4%

7.6%5.4%

9.3%

6.6%

20.8%

66.2%

8.6%

22.7%

61.0%

7.2%

10.6%

76.8%

5.5%

11.0%

74.2%


Do you plan to purchase net new, replace or upgrade your current outpatient PM solution within the next two years?

2014 2015 2016 2017


Market Opportunity: PM Purchase IntentionsDo you plan to purchase net new, replace or upgrade your current outpatient PM solution within the next two years?




Market Opportunity: PM Purchase IntentionsDo you plan to purchase net new, replace or upgrade your current outpatient PM solution within the next two years?




Market Opportunity: PM Vendor ConsiderationWhich vendors are you likely to consider when purchasing new, replacing or upgrading your current PM solution?




Market Opportunity: PM Vendor ConsiderationWhich vendors are you likely to consider when purchasing new, replacing or upgrading your current PM solution?




Market Factors: PM/EHR Solution ReplacementWhat would cause you to replace your current PM/EHR solution?




Market Factors: MU Confidence

Respondents indicated a higher level of confidence in their PM/EHR solution to meet

MU criteria for the second straight year.

Just over 37 percent of respondents cited complete confidence in their solution, up

slightly from 2016 and over 20 percent in 2015.

Confidence in the two upper rating tranches (9 &10) showed increased ratings while

the middle and lower rating tranches were mixed.

How confident are you on a scale from zero to 10 that your current PM/EHR solution will be able to meet MUcriteria?

0%

5%

10%

15%

20%

25%

30%

35%

40%

1 2 3 4 5 6 7 8 9 Complete

confidence


2012 2013 2014 2015 2016 2017

No confidence


Strategic Plans: Health Information Exchange (HIE)Which of the following best describes your strategy around Health Information Exchange (HIE)?




Strategic Plans: Accountable Care Organization (ACO)Which of the following best describes your strategy around Accountable Care (ACO)?




Strategic Plans: Clinical Practice Improvement Activities (CPIAs)Which of the following technologies or models of care do you feel your practice needs to implement to address CPIAs?




Strategic Plans: Clinical Practice Improvement Activities (CPIAs)Which of the following technologies or models of care do you feel your practice needs to implement to address CPIAs?




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Get all the insights in the Premium Essentials Brief

Highlights from the 2017 Essentials Brief: 9th Annual Outpatient PM & EHR Study• Outpatient PM & EHR market share, mind share and market opportunity

across hospital-owned and free-standing physician practices

• Insight into strategic plans for outpatient approach to Health Information

Exchange (HIE) and Accountable Care

• Identification of technologies and models of care the outpatient market

feels will help address Clinical Practice Improvement Activities (CPIAs)

within MACRA

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Documents

2017 Essentials Brief: 9th Annual Outpatient PM & EHR Study · 2017 Essentials Brief: 9th Annual Outpatient PM & EHR Study Market Penetration: Hospital-Owned Practice EHR Given the