18 things to know about EHRs in ASCs

EHRs have penetrated the ASC space, and will continue to do so as healthcare transitions towards value-based care.

Here are 18 statistics on EHRs in the ASC space.

1. Black Book conducted a survey of specialty-specific EHRs reviewing ballots from 8,950 physician practices across the U.S. by both physician specialty and size. Gastroenterologists ranked gMed, a Modernizing Medicine Co.'s gGastro as the top option in gastroenterology. This is the eighth year gGastro has been awarded the honor.

2. Rounding out the top 10 of Black Book's list by physician preference is:

● Amkai GI note
● Cerner
● NextGen
● Praxis
● AdvancedMD
● Allscripts
● Versasuite
● Medical Mastermind
● athenahealth

3. Modernizing Medicine took top honors for the single practice category as well.

4. AdvancedMD, drchrono, Epic Systems, NextGen, Net Smart, Modernizing Medicine and SIS Amkai had the highest physician practice satisfaction scores.

5. Black Book anticipates the ambulatory EHR market will reach $5 billion by 2020.

6. The majority of Black Book respondents preferred the SIS Amkai system.

7. Black Book conducted a second EHR survey, this time collecting and analyzing thoughts on EHRs from hospital employees and providers. Black Book surveyed 7,409 staff nurses and managers. Ninety-six percent of nurses said they would not return to paper records, opting for an EHR.

8. Nurses are increasingly more satisfied with how EHR vulnerabilities were handled inhouse. Eighty percent said they were satisfied with how their administrators and IT staff respond to vulnerabilities identified in the EHRs, up from 30 percent in 2016.

9. Eighty percent of job-seeking nurses consider what EHR a hospital has when considering employment.

10. Black Book noted ASCs, anesthesiologists and general surgical floors were all highly dissatisfied with hospital-based EHR systems.

11. A 2018 study in Family Medicine examined how EHRs impact ambulatory primary care settings. Researchers observed family physician attendees and residents as they interacted with patients at over 982 clinical visits. They documented total visit time, previsit chart time, face-to-face time, non-face time, out-of-hours EHR work time and total EHR work time. They found:

● Mean visit length was 35.8 minutes, which didn't include resident precepting time.
● Physicians worked on EHRs prior to a patient entering the room for 2.9 minutes.
● Physicians spent 16.5 minutes of face time with patients. They spent two minutes working on EHRs in the room.
● Physicians also spent 7.5 minutes of non-face time on EHRs, and 6.9 minutes outside of clinical operational hours on EHRs.

12. SelectHub conducted a survey on EHR use among civilians and providers in 2017. Researchers surveyed 1,007 Americans and 107 medical professions. They found the majority of patients and professionals view EHRs positively.

13. Eighty-six percent of SelectHub respondents said EHRs helped them provide service and care easier. Eighty-five percent said EHRs made sharing data with other healthcare organizations easier and 77 percent said EHRs made managing patient billing easier.

14. The lowest scoring categories concerned communication. Sixty-three percent of respondents said EHRs made patient-directed and workplace communication easier.

15. One hundred percent of administrative staff and specialty physicians had an overall positive opinion of EHRs. Around 71 percent of ASCs had a positive opinion of EHR systems.

16. While EHRs may make aspects of the physician's job easier, they also are seen as contributing to physician burnout. According to Medscape's National Physician Burnout & Depression Report 2018, 24 percent of 15,543 surveyed named EHR use as a factor in physician burnout.

17. Among physicians identifying as depressed, 24 percent said their depression caused them to make more mistakes while filling out their EHRs.

18. KLAS awarded HSTpathways' EHR -- HSTeChart the highest rating and named it a category leader for ASC solutions in its 2018 Best in KLAS: Software and Services report. 

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