6 HIE Vendors: How They Measure Up - InformationWeek
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6 HIE Vendors: How They Measure Up

Not all health information exchanges have successfully bridged the interoperability gap. A recent KLAS report on HIE vendors evaluated how well they deliver on their promises.
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KLAS's first report focusing on the health information exchange market -- Health Information Exchange 2012: Muddled in the Interfaces -- found that about 38 HIE vendors provide such services, and the top 11 hold about 80% of the market. The study looked to 208 providers who use these vendors to gauge their performance and how poised they are for success in the future.

"The HIE market has reached a sort of awkward adolescence -- looking forward to the future but still not fully developed on connectivity, its primary purpose," read the report. "Little progress has been made in the variety of data types being carried, and most users still view information via a portal rather than integrated with their own EMRs."

In fact, many are frustrated with less-than-timely new interfaces that aren't cost-effective or supportive of workflows. Some vendors lag behind in development and support as well, resulting in vendor performance ratings falling in the last year -- from 83 to 79 out of 100, according to the report. Additionally, the "primary development request" from respondents was for HIE vendors to provide better EMR integration. Coincidentally, most HIE vendors scored low for connecting disparate systems.

Some healthcare systems admitted to KLAS that part of the problem isn't their HIE vendor but their own lack of standards and EMR vendors' unwillingness to provide timely, cost-effective interfaces. At the same time, though, "some vendors are just making the grade better than others," according to the report.

"In some ways, comparing two HIE vendors is still like comparing apples and oranges -- both are sweet, but both are very different. However, even if the solutions are not directly comparable, satisfaction levels are." The top-rated HIE vendors, the report continued, have reputations for progressive development and, at the same time, minimizing interface issues. "By delivering on connectivity, they are in a better position to meet more strategic needs, like analytics and patient engagement."

Overall, some of the top-rated HIE solutions include Siemens MobileMD, which is known for "high satisfaction primarily driven by excellent service," and Epic Care Everywhere, which was the top-rated tool according to KLAS's survey. Passing grades were given to Medicity, which has long led the HIE market, and Cerner, which is the only vendor whose performance score has risen since last year.

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User Rank: Apprentice
8/20/2013 | 9:23:19 PM
re: 6 HIE Vendors: How They Measure Up
It is important to choose the package that fits your requirements, it also very important to have the right infrastructure and to make sure that your software and infrastructure match. By load testing your application with virtual users, you can ensure you'll get the right performance before you go live. There are two schools of thought when it comes to automated performance testing. One looks at the back-end database and network activity to derive the performance. The other looks at time it takes the end-user to perform a task. We believe that true performance testing of any healthcare systems should be tested from the end user perspective and that is why we created our testing suite. Find out more at http://www.nrgglobal.com/healt...
Bart Riley
Bart Riley,
User Rank: Apprentice
11/29/2012 | 6:20:22 PM
re: 6 HIE Vendors: How They Measure Up
Everyone should consider the fact that KLAS reviews are pay-to-play, which is an inherent conflict of interest for fairly evaluating software. Favorable review frequently go to the highest bidder.
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