Allscripts

Nearly a quarter of physician providers with an EHR are currently using Epic Systems, according to data from the 2014 Medscape EHR Report, but the wildly popular interface doesn’t get anywhere near the highest marks for user satisfaction.  That honor goes to the VA-CPRS, the EHR used by the beleaguered Department of Veterans Affairs, with Epic left languishing in seventh place behind several of its most significant competitors...

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It's well established that vendor electronic health record and related contracts heavily favor the vendor to the detriment of the provider. Many of them limit the vendor's liability, require that the EHR software be taken "as-is," prohibit class-action lawsuits or require arbitration. "They all limit their liabilities ... and [allow] the vendor much legal leeway," Carl Bergman, a consultant who serves as managing partner of EHRselector.com, a free service that enables providers to compare different ambulatory EHR products, tells FierceEMR.

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Four decades ago, in 1977, a conspiracy began bubbling up from the basements of the vast network of hospitals belonging to the Veterans Administration. Across the country, software geeks and doctors were puzzling out how they could make medical care better with these new devices called personal computers. Working sometimes at night or in their spare time, they started to cobble together a system that helped doctors organize their prescriptions, their CAT scans and patient notes, and to share their experiences electronically to help improve care for veterans...

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Information blocking, Siloed data. No real inter-operability. Standards that aren’t standards. In the last few years, the clamor about the problems accessing personal health data has grown as the use of electronic medical records (EMRs) increased post the Federally-funded HITECH program. But at Health 2.0 where we focus on newer health tech startups using SMAC (Social/Sensor; Mobile OS; Cloud; Analytics) technologies, the common complaint we’ve heard has been that the legacy–usually client-server based–EMR vendors won’t let the newer vendors integrate with them...

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Allscripts, CSC, and Hewlett-Packard have announced that they are teaming up against Epic and IBM to bid for a massive Department of Defense EHR overhaul, it looks like new battle lines are being drawn in the quest to secure up to $11 billion from the ten to fifteen year contract to revamp the ailing health IT infrastructure of one of the most complex healthcare systems in the world. Read More »

Top executives at three electronic health record companies — Allscripts, Cerner and Epic — revealed that they're working to make their EHRs more open. That means embracing APIs as a means to enable third-parties to write software and apps that run on their platforms... Allscripts CEO Paul Black said publishing APIs that third parties can use to create apps for its platform "is a big deal" and, in fact, the company has some 5,000 developers certified to do just that: Some 2 billion API data exchanges have been conducted on its platform since 2013...

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Two-thirds of independent practices now deliberately selling out to hospital systems and larger groups or closing down by 2019 as the resource-intensive requirements of MIPS, administrative burdens, and under-optimized technology may make the transition to value-based care too discouraging...Despite small practice education, training and technical assistance programs promised from CMS to help onboard physicians with the MACRA programs, 89% of the remaining solo practices expect to minimize Medicare volumes as to not be required to submit reports for the quality and clinical practice improvement activities or report in the cost performance category.

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