Posted by: adelvecchio
EHR, EHR Adoption, EHR selection, EHR vendors
Poorly-designed workflows, charting, and other aspects of the user interface are common user frustrations with medical software. There are many causes for this, but one is likely the lack of physicians working in EHR design. Of the hundreds of healthcare IT vendors, few are led by physicians.
Software developers are typically, often by necessity, bound by logic in both the literal and figurative sense. Meanwhile, medicine has its own logic — and the two don’t always coincide. Merging the desires of physicians and other users with the capabilities of developers means reconciling what’s possible with what’s practical. It takes a special kind of pragmatism for software vendors to do it properly, and it usually requires a physician at the helm, or at least one or more directly involved in the development and design processes. But does physician involvement in software design result in greater user satisfaction?
In our research at TechnologyAdvice, we’ve spoken with numerous physicians, patients, and vendors. An upcoming TechnologyAdvice research project will look at healthcare IT vendors that heavily involve physicians in leadership, design and development. The following five vendors, listed in no particular order, are a few notable examples.
One Touch EMR
One Touch EMR, founded by internal medicine physician Robert Abbate, describes their software as designed “by doctors for doctors.” In a message from Abbate on the company’s website, he cites his previous experience with Web hosting and development as a major factor in the birth of One Touch EMR. Following his residency, Abbate wasn’t happy with any of the options available for his new practice. As a result, he decided to build his own. One Touch EMR is now fully certified as a complete ambulatory solution for both stages of the meaningful use program, and has an intuitive, tablet-based interface. It is Web delivered, works on Android and iOS, and features custom templates, macros, forms, integrations, and migrations from other systems, available at an additional cost. One Touch also offers a pre-integrated practice management solution and supports popular billing and voice recognition software out of the box. It supports a wide range of medical specialties.
Kareo, Inc., founded in 2004, employs physicians, including Chief Medical Information Officer Tom Giannuli. Giannuli previously held the same position at healthcare IT firm Epocrates, Inc. Kareo’s free EHR has consistently received above average marks in user satisfaction. The company’s paid practice management product has also been well received. Suitable for nearly any specialty, more than 25,000 providers use Kareo’s software or billing services and many would recommend it to their colleagues. Kareo supports a number of input interfaces, including intuitive touch and voice commands, and its customer support is an oft-cited added benefit. It is also a certified complete ambulatory EHR and ready for both stages of meaningful use attestation.
Practice Fusion Inc., founded in 2005, is one of the largest providers of cloud-based medical software in the United States. Seven medical doctors are members of company leadership or serve in an advisory capacity. These doctors’ backgrounds include everything from practicing internists, to professors of surgery and anesthesiology, to former presidents, medical directors, and administrators at hospitals and other care organizations. Like Kareo, Practice Fusion’s health records system is free, but their practice management product is not. Unlike Kareo, Practice Fusion does not provide billing services.
Modernizing Medicine, Inc. developed its main Electronic Medical Assistant specifically for surgeons. The company also provides support for a wide variety of other common specialties, including: dermatology, ophthalmology, plastics, orthopedics, otolaryngology, and gastroenterology. More than 17 physicians are on staff at Modernizing Medicine, including co-founder and practicing dermatologist, Michael Sherling. Like the other systems profiled, Electronic Medical Assistant is a certified, stage 2-ready product. The program is tablet-based and delivered via the cloud. Due to its targeted nature, the company has seen rapid user growth over the past few years.
Founded in 1996, e-MDs, Inc. was created by David Winn for his own medical practice. Called the “father of EMR” on the company’s website, Winn has led e-MDs’ development of software, including a new ICD-10 coding product. The medical records system is offered alongside an integrated practice management product, and can serve providers in over twenty specialties. The modular system is certified for both stages of meaningful use and supports several third-party software offerings. It includes features such as voice recognition, e-prescribing and more.
These are just a handful of the physician-driven healthcare IT vendors that we’ve uncovered thus far. Consistent themes seen in the marketing materials of each of these providers are their high usability and user satisfaction ratings. A cursory glance at the latest ratings from unbiased research organization KLAS Enterprises LLC appears to confirm many of these vendors’ claims. For physicians looking to implement new medical software, searching for a physician-led vendor may be a pragmatic move.