Kent Gale, chairman of the Orem, Utah-based KLAS market-research firm, made the standard declaration at the HIMSS annual conference in Atlanta that his presentation had no conflicts of interest—but he admitted to having more personal interest in his own research than ever before.
KLAS chief says CPOE, HIEs still lagging
Gale, who founded KLAS in 1996, acknowledged that he was getting older and would be in more need of hospital services and the healthcare system soon. “I know how much better it can be,” he said. “These poor clinicians have more to deal with than they can keep track of.”
KLAS conducts some 2,000 provider interviews a month to find out what health IT products they are using and how well they like them. Citing KLAS research as of Jan. 10, Gale reported something most already knew: Adoption of computerized physician order entry remains low.
Gale said the latest KLAS figures put hospital adoption of CPOE at 12% with only 4% of hospitals reporting “deep” use of the technology and 8% reporting “shallow” adoption. He used similar language to describe the penetration of regional health information exchanges.
“HIEs are broad and shallow,” he said. “They're a mile wide and an inch deep.”
A number of vendors are stepping forward to provide products and services for HIEs, but no market leaders have emerged yet. “Watching this wash out is going to be a lot of fun,” Gale said.
He also presented the latest KLAS scores on ambulatory electronic health records and they showed how a one-size-fits-all approach does not work in healthcare.
According to the latest KLAS user-satisfaction scores, the Epic and NextGen ambulatory EHRs are the most popular in practices with more than 100 physicians; eClinicalWorks and NextGen are the most popular among practices with 26 to 100 doctors; Greenway and e-MDs are the top preference of six- to 25-doctor practices; while Greenway and Amazing Charts are most favored by two- to five-physician practices.
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