By Greg McInerney, Editorial Assistant
The Florida-based research company Black Book released its 2012 State of the Enterprise Healthcare Information Exchange Industry report, ranking the top enterprise HIE vendors based on the responses of HIE early adopters and users, as well as currently implementing customers.
The survey was based solely on client experience and satisfaction derived from non-public HIE customers, examining only enterprise solutions, which include: hospital systems and IDNs, community hospitals, large physician practices and clinics, solo and small physician practices, payers and insurers, agencies and ancillary providers. Four thousand health care delivery and insurance organizations evaluated vendors on 18 key performance indicators, including stakeholder alignment, accountable care support, sustainability and interoperability to name a few.
Black Book’s survey concluded the top ranked HIE vendors based on client experience for 2012 were:
- Optum: Top payer/insurer-based HIE vendor
- Lawson, an Infor Company: Top complex data & IT integrator HIE vendor
- NextGen: Top ambulatory EHR EMR-based HIE vendor
- Harris Healthcare: Top core HIE system vendor
- Cerner: Top Hospital Information Systems-based HIE vendor
The survey noted that 87% of prospective HIE purchasing decision makers indicated an intention to only consider a top tier vendor, driving potentially multimillion dollar revenue surges for these firms. This seems indicative of what Black Book senior partner Doug Brown is seeing in the market at the moment. “HIE solution buyers are overwhelming[ly] looking for proven vendors with successful track records with early adopters,” said Brown in a press release. “These five vendors, each in their own niche, are leading the pack in private HIE customer satisfaction and client interoperability experiences,” he added.
Interestingly some of the vendors that ranked highly on the list no longer offer HIE services to clients, another reminder of the visible volatility in the marketplace currently.
The report noted several other related findings:
- Some respondents are cautiously increasing HIE spends before the end of 2012, but the majority of providers expect organizational HIE budgets to significantly increase by 2014.
- The majority of hospital executives assert that their expedited HIE implementations are mainly inspired by pressures to prepare for accountable care organizations (ACOs) and changing reimbursement models.
- Most hospitals either already have or plan to participate in an HIE solution currently. The majority of providers (95%) expect to be included in at least one HIE interface by July 2013.
- Almost all providers with HIE strategies in place will focus entirely on community or regional exchanges for the foreseeable future, rather than national health record exchange initiatives.
- Interoperability is one of the top three priorities for many health care technology executives in 2012, and most CIOs expect it will be a top area of focus for their organizations in 2013-2014.