TEXT/PODCAST: KLAS Says Vendors Grappling in Wild HIE Landscape

Among 38 potential service providers, only five were considered in more than 10 percent of buying decisions, according to a new KLAS report “Health Information Exchanges: Perception in an Expanding Frontier.”

(Click here for a Podcast interview with report author Jason Hess)

Medicity was considered in 23 percent of HIE buying decisions, followed by Axolotl (22 percent), RelayHealth (16 percent), ICA (11 percent) and Epic (11 percent) — though at this point Epic is strongly considered only for Epic-to-Epic connections, according to KLAS. Among the 38 vendors referenced in the study, the following 10 were considered most often: Axolotl, Cerner, dbMotion, Epic, GE, ICA, InterSystems, Medicity, Orion and RelayHealth.

The KLAS report also notes how the structure and management of an HIE dictates, in part, the kind of solution a provider will consider:

• Public HIEs — “A public exchange may belong to official state agencies or may be semi-independent with direct and typically temporary government backing. Public HIEs demand solutions with strong potential scalability and need standards-based technology.”
• Cooperative HIEs — “In this model, otherwise-competitive hospitals work together to form independent HIE organizations, generally with an open invitation to other hospitals, clinics and physician practices. These HIEs often struggle to establish long-term funding and look for vendor solutions that offer flexible and affordable cost alternatives while best adapting diverse EMR technologies.”
• Private HIEs — “In some respects, private HIEs are designed to enhance relationships as well as exchange data. Often, a single hospital or IDN creates an HIE hoping to draw in community physicians while protecting or increasing revenues. Funding is less complicated and these HIEs are more likely to be satisfied with solutions that best work with their existing technology.”

The report examines the HIE software purchases or planned purchases of 95 healthcare providers.

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