hitech act and how it impacts ehr

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HITECH Act

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HITECH Act

The Health Information Technology for Economic and Clinical

Health Act (HITECH Act)

• HITECH is meant to stimulate industry-wide adoption of electronic

healthcare records (EHR)

• HITECH provides $19.2 billion in stimulus money

• The goal is to encourage 90% of all doctors to be meaningful users

of EHR

• Penalties will begin for late adopters of EHR in 2015

President Barack Obama signed the

HITECH Act, part of the American Recovery

and Reinvestment Act

HITECH ACT

Only a small percentage of physicians are using EHR in their

practices

• 4 out of 10 doctors use EHR in their practice

• 2 out of those 4 use EHR systems to its fullest potential

• The remaining physicians are buried under paperwork

http://www.athenahealth.com/hitech.php

The HITECH Act aims to…

HITECH ACT

Save More Lives

Quality of Healthcare

Privacy and Security

Medical Errors

Medical Costs

There are significant incentives to adopt EHR starting

in 2011

http://practicefusion.com/pages/HITECH.html

• Physicians and hospitals must prove meaningful use to receive

incentives

Meaningful use as defined by ONCHIT

• The government released a 700-page document outlining

meaningful use

– Improve care coordination

– Engage patients and family

– Improve population and public health

– Improve quality, safety, and efficiency

– Reduce health disparities

– Ensure privacy and security

Requirements

Incentives

EHR Market

The EHR marketplace is crowded

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Trai

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g an

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up

po

rt

Hig

hly

sat

isfi

ed

e-MDs 2 3 2 4 6 2 2 1 2 5 3 2

MEDENT 4 2 1 1 1 5 4 7 4 3 2 3

Praxis 8 4 3 7 13 1 1 8 1 2 1 4

Amazing Charts 1 1 4 8 17 12 13 2 3 1 4 1

eClinicalWorks 5 6 7 5 8 7 7 5 6 6 9 5

EpicCare Ambulatory 10 9 8 3 4 6 5 9 7 8 7 7

Practice Partner 6 7 5 15 12 4 6 3 5 7 11 8

AllScripts Professional EHR 3 10 6 6 3 10 10 4 10 10 8 10

Aprima 7 8 11 11 2 11 9 11 11 9 5 11

Centricity 11 11 10 9 11 3 3 6 9 11 15 9

SOAPware 3 5 9 18 14 9 14 18 8 4 6 6

Sage Intergy 13 12 12 14 9 14 11 10 12 15 10 12

NextGen EHR 15 13 19 10 10 8 8 15 14 12 13 13

AllScripts Enterprise EHR 14 15 16 12 5 16 17 13 13 13 16 16

CareRevolution 16 14 14 13 15 13 12 14 16 16 14 15

MediNotes e 12 17 13 20 19 15 16 12 17 14 12 14

AHLTA 18 18 15 2 7 20 19 20 19 19 17 19

Powercharts/Powerworks 19 19 17 17 16 19 15 17 18 18 18 17

Medinformatix 17 16 16 16 20 18 20 16 15 17 19 18

MPM Suite 20 20 19 19 18 17 18 19 20 20 20 20

As the market matures, the EHR market will consolidate to

2 to 3 providers

Ranked on scale of 1 to 20 (1 = best, 20 = worst)

Listed by sum of total score

Green box represents “good” score 1 to 4

Red box represents “bad” score 17 to 20

Current top 4 providers

based on this ranking

method

http://www.medscape.com/viewarticle/717818

Different business models exist in the EHR marketplace

• Purchase $7500/

provider, $4500

each additional

• License

$250/month/provider

• Training included

• Optional:

maintenance and

support (additional

costs)

• Software license

$995/provider

• Training included

• Maintenance and

support

($500/year)

• Optional: off-site

backup ($250)

• Optional: billing

service (5% of

collection)

• Free Web-based

EHR system

• Free online

tutorials

Providers offer modules that work together to form a fully

integrated system

http://eclinicalworks.com/

Strategic partnerships are one way to differentiate your

product

http://www.practicefusion.com/pages/dell-emr-solution.html

Sources

Sources

• http://www.healthcapital.com/hcc/newsletter/6_09/HITECH.pdf

• http://www.medscape.com/viewarticle/717818

• http://www.athenahealth.com/hitech.php

• http://eclinicalworks.com/

• http://www.practicefusion.com/pages/dell-emr-solution.html