ORIGINAL Compiled and cra昀琀ed in Secondary Research Project Empty Empty Program Empty Area Empty Due Date Empty Action Date Status Done 15 more properties Add Resources Kelsey Jackson | March 12, 2023 © Taking care of our providers through improved EHR systems Secondary Research The healthcare industry is constantly evolving with new standards, new diseases, new medications, new research studies, new medical technology, and, to top it off, new electronic Project Empty medical record systems (EHR/EMR). The best doctors and nurses are constantly fighting to stay Empty Program up-to-date on what’s new, all while dreaming of the day when charts aren’t demanding their attention. A 2021 study performed by the Journal of the American Medical Informatics Empty Area Association (JAMIA) found after-hours charting in EMR software “was significantly associated with physician burnout” ( JAMIA , 2021), and another study reported, “inefficient user interface Empty Due Date designs” requiring “too many clicks per task” or having to open “10 screens to do one task” Empty Action Date ( JAMIA , 2018). A poor relationship with one’s EHR is commonly “associated with intent to reduce clinical work hours and leave one’s current practice” ( JAMIA , 2019), so keeping providers Status Done satisfied with an EHR is critical for a practice to maintain its workforce. 15 more properties While the EHR greatly impacts provider job satisfaction, the pandemic brought the healthcare burnout crisis to the surface. With the rising demand and need for timely care, healthcare workers are being stretched far too thin, contributing to further rates of burnout. Providers that Add Resources fall into this category are often leaving the industry altogether to pursue a healthier lifestyle for Kelsey Jackson | March 12, 2023 © themselves. In total, the healthcare industry lost 30% of its workers during the pandemic ( Morning Consult , 2021), leading to less than satisfactory implications for accessible healthcare. Nearly 70% of all Americans have suffered delays from staffing shortages with “canceled Taking care of our providers through improved EHR systems appointments” and “delayed surgeries” ( Axios , 2022). The healthcare industry is constantly evolving with new standards, new diseases, new When reviewing the demographics of this short-staffed industry, it is reported that the average medications, new research studies, new medical technology, and, to top it off, new electronic age of the U.S. healthcare worker is 49 years old ( Zippia , 2023), with 45% of the workforce at medical record systems (EHR/EMR). The best doctors and nurses are constantly fighting to stay age 55 and older nearing “retirement age” ( Verywell Health , 2023). If almost half of the up-to-date on what’s new, all while dreaming of the day when charts aren’t demanding their healthcare workers are in their last ten years of service, where does that leave the US healthcare attention. A 2021 study performed by the Journal of the American Medical Informatics system in the future? Projections reveal that the US could face “a shortage of up to 124,000 Association (JAMIA) found after-hours charting in EMR software “was significantly associated physicians by 2034, including 48,000 primary care physicians” ( Healthcare Dive , 2023). Labor with physician burnout” ( JAMIA , 2021), and another study reported, “inefficient user interface shortages and burnout rates are jeopardizing the overall health of the US, and fewer students designs” requiring “too many clicks per task” or having to open “10 screens to do one task” want to enter the industry because of it. ( JAMIA , 2018). A poor relationship with one’s EHR is commonly “associated with intent to reduce clinical work hours and leave one’s current practice” ( JAMIA , 2019), so keeping providers Therefore, health organizations must now more than ever prioritize the quality of life for their satisfied with an EHR is critical for a practice to maintain its workforce. providers and find ways to make their job more efficient and sustainable. While a new EHR/EMR system can’t directly address the labor shortage, improving the tool healthcare providers use the While the EHR greatly impacts provider job satisfaction, the pandemic brought the healthcare most can be a great place to start. Better EHR/EMR experiences can reduce the threat of after- burnout crisis to the surface. With the rising demand and need for timely care, healthcare hours work while increasing overall clinical workflow efficiency. Charts, data entry, and workers are being stretched far too thin, contributing to further rates of burnout. Providers that Secondary Research administrative work can be less of a barrier to work/life balance issues for health care fall into this category are often leaving the industry altogether to pursue a healthier lifestyle for professionals, and their patient base can experience more accessible and higher quality health themselves. In total, the healthcare industry lost 30% of its workers during the pandemic care when they need it most. When EHRs provide an optimal experience to their users, the ( Morning Consult , 2021), leading to less than satisfactory implications for accessible healthcare. healthcare industry as a whole can have a greater chance of meeting the demand. Nearly 70% of all Americans have suffered delays from staffing shortages with “canceled appointments” and “delayed surgeries” ( Axios , 2022). When reviewing the demographics of this short-staffed industry, it is reported that the average age of the U.S. healthcare worker is 49 years old ( Zippia , 2023), with 45% of the workforce at Improving EHR’s patient portals with proactive symptom tracking age 55 and older nearing “retirement age” ( Verywell Health , 2023). If almost half of the and patient notifications healthcare workers are in their last ten years of service, where does that leave the US healthcare EHR systems and their respective patient portals provide a unique landscape for patients to system in the future? Projections reveal that the US could face “a shortage of up to 124,000 communicate with their providers. If patients had more ready access to their health data via physicians by 2034, including 48,000 primary care physicians” ( Healthcare Dive , 2023). Labor mobile view or app ( JAMIA Open , 2022), they could more conveniently report their day-to-day shortages and burnout rates are jeopardizing the overall health of the US, and fewer students symptoms and sync their smart device health data for providers to identify patterns. This extra want to enter the industry because of it. data would help provide a patient’s full wellness story rather than just simply seeing a snapshot Therefore, health organizations must now more than ever prioritize the quality of life for their in time from the data captured in their lab work. “Instead of a doctor measuring vital signs and providers and find ways to make their job more efficient and sustainable. While a new EHR/EMR asking questions, then typing away in an electronic health record, doctor and patient could sit system can’t directly address the labor shortage, improving the tool healthcare providers use the together and review the data the patient has collected” ( Forbes , 2021). This new feature can put most can be a great place to start. Better EHR/EMR experiences can reduce the threat of after- some of the administrative lift on the patients instead of the provider and present a more hours work while increasing overall clinical workflow efficiency. Charts, data entry, and collaborative environment for the doctor and patient. Patient portals can become centralized administrative work can be less of a barrier to work/life balance issues for health care hubs of a patient’s health data with higher adoption rates. With regular day-to-day use, patients professionals, and their patient base can experience more accessible and higher quality health will have less front-end paperwork before their next appointment. This introduces another care when they need it most. When EHRs provide an optimal experience to their users, the opportunity for a more efficient visit. healthcare industry as a whole can have a greater chance of meeting the demand. Improving EHR’s patient portals with proactive symptom tracking Competitive Landscape and patient notifications EHR systems and their respective patient portals provide a unique landscape for patients to Top Electronic Health Record Vendors communicate with their providers. If patients had more ready access to their health data via mobile view or app ( JAMIA Open , 2022), they could more conveniently report their day-to-day Rank Vendor % of Market symptoms and sync their smart device health data for providers to identify patterns. This extra data would help provide a patient’s full wellness story rather than just simply seeing a snapshot 1 Epic Systems Corporation (MyChart) 37% in time from the data captured in their lab work. “Instead of a doctor measuring vital signs and 2 Oracle Cerner 23% asking questions, then typing away in an electronic health record, doctor and patient could sit together and review the data the patient has collected” ( Forbes , 2021). This new feature can put 3 MEDITECH 15% some of the administrative lift on the patients instead of the provider and present a more 4 Evident 8% collaborative environment for the doctor and patient. Patient portals can become centralized hubs of a patient’s health data with higher adoption rates. With regular day-to-day use, patients 5 MEDHOST 5% will have less front-end paperwork before their next appointment. This introduces another 6 Altera Digital Health 4% opportunity for a more efficient visit. 7 Netsmart Technology 3% 8 Proprietary Software 2% 9 Aetna Health 2% Competitive Landscape 10 Allscripts 1% Top Electronic Health Record Vendors https://www.definitivehc.com/blog/most-common-inpatient-ehr-systems Rank Vendor % of Market Largest Health Systems in the US and Their Chosen EHR/EMR Software 1 Epic Systems Corporation (MyChart) 37% 2 Oracle Cerner 23% Health Network Hospitals EMR Sources 3 MEDITECH 15% HCA Healthcare 182 Commure PatientKeeper 4 Evident 8% Veterans Health 171 VistA to Oracle https://www.healthcareitnews.com/news/house-bill- 5 MEDHOST 5% Administration Cerner to VistA would-put-stop-va-ehr-modernization 6 Altera Digital Health 4% Encompass Health 143 Oracle Cerner 7 Netsmart Technology 3% Ascension Health 143 Oracle Cerner https://www.healthcaredive.com/news/ascension- expands-pilot-of-google-ehr-search-tool/595726/ 8 Proprietary Software 2% https://healthcarecouncil.com/cerner-ascension-execs- 9 Aetna Health 2% call-for-ehr-standardization/ 10 Allscripts 1% CommonSpirit 140 Epic MyChart Health https://www.definitivehc.com/blog/most-common-inpatient-ehr-systems Select Medical 134 Epic MyChart Corporation Trinity Health 92 Epic MyChart Largest Health Systems in the US and Their Chosen EHR/EMR Software Community Health 79 Oracle Cerner Health Network Hospitals EMR Sources Services HCA Healthcare 182 Commure Scion Health 79 ProTouch/NetSmart https://www.kindredhospitals.com/about-us/news/ PatientKeeper (LifePoint, & PinPoint 2018/12/18/kindred-healthcare-and-netsmart-partner- Cornerstone, to-create-next-generation-post-acute-platform Veterans Health 171 VistA to Oracle https://www.healthcareitnews.com/news/house-bill- Kindred) Administration Cerner to VistA would-put-stop-va-ehr-modernization https://lifepointhealth.net/news/lifepoint-health-and- kindred-healthcare-to-launch-new-company- Encompass Health 143 Oracle Cerner scionhealth#:~:text=LifePoint Health and Kindred Ascension Health 143 Oracle Cerner https://www.healthcaredive.com/news/ascension- Healthcare to Launch New Company ScionHealth | expands-pilot-of-google-ehr-search-tool/595726/ Lifepoint Health https://healthcarecouncil.com/cerner-ascension-execs- https://lifepointhealth.net/technology-and-operations- call-for-ehr-standardization/ tools#:~:text=Pinpoint,for a behavioral health facility . CommonSpirit 140 Epic MyChart Advocate Health 67 Cerner to Epic https://www.fiercehealthcare.com/ehr/advocate-health- Health MyChart care-aurora-healthcare-epic-ehr-merger-care- coordination Select Medical 134 Epic MyChart Corporation Tenet Healthcare 61 Oracle Cerner https://www.modernhealthcare.com/article/20190207/ NEWS/190209943/tenet-extends-long-term-contract- Trinity Health 92 Epic MyChart with-cerner Community Health 79 Oracle Cerner Christus Health 60 Epic MyChart Services Providence Health & 52 Epic MyChart Scion Health 79 ProTouch/NetSmart https://www.kindredhospitals.com/about-us/news/ Services (LifePoint, & PinPoint 2018/12/18/kindred-healthcare-and-netsmart-partner- Cornerstone, to-create-next-generation-post-acute-platform Kindred) https://www.hospitalmanagement.net/features/top-ten-largest-health-systems-in-the-us-by- https://lifepointhealth.net/news/lifepoint-health-and- number-of-hospitals-affiliated/ kindred-healthcare-to-launch-new-company- https://www.healthgrades.com/pro/the-10-largest-health-systems-in-the-us scionhealth#:~:text=LifePoint Health and Kindred Healthcare to Launch New Company ScionHealth | Lifepoint Health Competitive Analysis https://lifepointhealth.net/technology-and-operations- tools#:~:text=Pinpoint,for a behavioral health facility . Feature Epic Cerner MEDITECH MEDHOST VistA Advocate Health 67 Cerner to Epic https://www.fiercehealthcare.com/ehr/advocate-health- Clinical MyChart care-aurora-healthcare-epic-ehr-merger-care- ✔ ✔ ✔ ✔ Workflow coordination Management Tenet Healthcare 61 Oracle Cerner https://www.modernhealthcare.com/article/20190207/ Electronic NEWS/190209943/tenet-extends-long-term-contract- ✔ ✔ ✔ ✔ Prescriptions with-cerner Billing Christus Health 60 Epic MyChart ✔ ✔ ✔ ✔ ✔ Scheduling Providence Health & 52 Epic MyChart ✔ ✔ ✔ ✔ Services Specialty 24 50 Modules https://www.hospitalmanagement.net/features/top-ten-largest-health-systems-in-the-us-by- Mobile Access Coming Soon ✔ ✔ ✔ number-of-hospitals-affiliated/ Artificial ✔ ✔ ✔ https://www.healthgrades.com/pro/the-10-largest-health-systems-in-the-us Intelligence Pros Most used EHR, Secure, Simple and Simple Efficient and AI, Niche collaborative customizable secure Competitive Analysis Specialty and user friendly Feature Epic Cerner MEDITECH MEDHOST VistA Cons Expensive, no Slow technology, Not user- Old school More training ERP system, support and friendly, lacks in interface, required, old Clinical ✔ ✔ ✔ ✔ difficult updates features, old integrations school interface Workflow implementation school interface lacking Management and data migration Electronic ✔ ✔ ✔ ✔ Prescriptions https://digitalhealth.folio3.com/blog/cerner-vs-epic-pros-and-cons/ Billing ✔ ✔ ✔ ✔ ✔ #3_Things_You_Dont_Know_About_Cerner_And_Epic Scheduling ✔ ✔ ✔ ✔ https://hitconsultant.net/2014/07/24/physicians-prefer-the-vas-ehr/ Specialty 24 50 https://www.wired.com/story/va-vista-medical-records-flaw/ Modules Mobile Access Coming Soon ✔ ✔ ✔ Artificial ✔ ✔ ✔ Intelligence Sources Pros Most used EHR, Secure, Simple and Simple Efficient and AI, Niche collaborative customizable secure H. C Eschenroeder, Jr, Lauren C Manzione, Julia Adler-Milstein, Connor Bice, Robert Cash, Specialty and user friendly Cole Duda, Craig Joseph, John S Lee, Amy Maneker, Karl A Poterack, Sarah B Rahman, Jacob Jeppson, Christopher Longhurst, Associations of physician burnout with Cons Expensive, no Slow technology, Not user- Old school More training organizational electronic health record support and after-hours charting , Journal of the ERP system, support and friendly, lacks in interface, required, old difficult updates features, old integrations school interface American Medical Informatics Association , Volume 28, Issue 5, May 2021, Pages 960– implementation school interface lacking 966, https://doi.org/10.1093/jamia/ocab053 and data Philip J Kroth, Nancy Morioka-Douglas, Sharry Veres, Katherine Pollock, Stewart Babbott, migration Sara Poplau, Katherine Corrigan, Mark Linzer, The electronic elephant in the room: Physicians and the electronic health record , JAMIA Open , Volume 1, Issue 1, July 2018, https://digitalhealth.folio3.com/blog/cerner-vs-epic-pros-and-cons/ Pages 49–56, https://doi.org/10.1093/jamiaopen/ooy016 #3_Things_You_Dont_Know_About_Cerner_And_Epic Rebekah L Gardner, Emily Cooper, Jacqueline Haskell, Daniel A Harris, Sara Poplau, Philip J https://hitconsultant.net/2014/07/24/physicians-prefer-the-vas-ehr/ Kroth, Mark Linzer, Physician stress and burnout: the impact of health information https://www.wired.com/story/va-vista-medical-records-flaw/ technology , Journal of the American Medical Informatics Association , Volume 26, Issue 2, February 2019, Pages 106—114, https://doi.org/10.1093/jamia/ocy145 Dennis Thompson, The 'Great Resignation' Is Taking a Toll on U.S. Health Care, HealthDay News via U.S. News & World Report , December 1, 2022, https://www.usnews.com/news/ health-news/articles/2022-12-01/the-great-resignation-is-taking-a-toll-on-u-s-health-care Sources Gabby Galvin, Nearly 1 in 5 Health Care Workers Have Quit Their Jobs During the H. C Eschenroeder, Jr, Lauren C Manzione, Julia Adler-Milstein, Connor Bice, Robert Cash, Pandemic, Morning Consult , October 4, 2021, https://morningconsult.com/2021/10/04/ Cole Duda, Craig Joseph, John S Lee, Amy Maneker, Karl A Poterack, Sarah B Rahman, health-care-workers-series-part-2-workforce/ Jacob Jeppson, Christopher Longhurst, Associations of physician burnout with Tina Reed, The health worker shortage is starting to get real for Americans, Axios , March organizational electronic health record support and after-hours charting , Journal of the 7, 2022, https://www.axios.com/2022/03/07/the-health-worker-shortage-is-starting-to-get- American Medical Informatics Association , Volume 28, Issue 5, May 2021, Pages 960– real-for-americans 966, https://doi.org/10.1093/jamia/ocab053 Tina Reed, Health workforce shortages begin to weigh on patient safety, Axios , March 28, Philip J Kroth, Nancy Morioka-Douglas, Sharry Veres, Katherine Pollock, Stewart Babbott, 2022, https://www.axios.com/2022/03/28/health-workforce-shortages-begin-to-weigh-on- Sara Poplau, Katherine Corrigan, Mark Linzer, The electronic elephant in the room: patient-safety Physicians and the electronic health record , JAMIA Open , Volume 1, Issue 1, July 2018, Pages 49–56, https://doi.org/10.1093/jamiaopen/ooy016 Hailey Mensik, Lawmakers stress urgency of healthcare worker shortage, Healthcare Dive , February 16, 2023, https://www.healthcaredive.com/news/lawmakers-fixes-healthcare- Rebekah L Gardner, Emily Cooper, Jacqueline Haskell, Daniel A Harris, Sara Poplau, Philip J workforce-shortages/642994/#:~:text=The country faces a shortage,drive them to other Kroth, Mark Linzer, Physician stress and burnout: the impact of health information roles technology , Journal of the American Medical Informatics Association , Volume 26, Issue 2, February 2019, Pages 106—114, https://doi.org/10.1093/jamia/ocy145 Health Care Provider Demographics & Statistics in the US, Zippia , 2023, https:// www.zippia.com/health-care-provider-jobs/demographics/ Dennis Thompson, The 'Great Resignation' Is Taking a Toll on U.S. Health Care, HealthDay News via U.S. News & World Report , December 1, 2022, https://www.usnews.com/news/ Rachel Murphy, Why Does It Take So Long to Schedule a Doctor's Appointment?, Verywell health-news/articles/2022-12-01/the-great-resignation-is-taking-a-toll-on-u-s-health-care Health, March 8, 2023, https://www.verywellhealth.com/why-is-the-wait-so-long-for- doctors-appointments-7113418 Gabby Galvin, Nearly 1 in 5 Health Care Workers Have Quit Their Jobs During the Pandemic, Morning Consult , October 4, 2021, https://morningconsult.com/2021/10/04/ Dani Zoorob, Yasmin Hasbini, Katherine Chen, Victoria Wangia-Anderson, Hind Moussa, health-care-workers-series-part-2-workforce/ Brian Miller, Debi Brobst, Ageism in healthcare technology: the older patients’ aspirations for improved online accessibility , JAMIA Open Tina Reed, The health worker shortage is starting to get real for Americans, Axios , March , Volume 5, Issue 3, October 2022, ooac061, https://doi.org/10.1093/jamiaopen/ooac061 7, 2022, https://www.axios.com/2022/03/07/the-health-worker-shortage-is-starting-to-get- real-for-americans Adnan Asar, How Digital Symptom Tracking Is Remaking Medicine For The Better , Forbes , January 21, 2021, https://www.forbes.com/sites/forbestechcouncil/2021/01/21/how-digital- Tina Reed, Health workforce shortages begin to weigh on patient safety, Axios , March 28, symptom-tracking-is-remaking-medicine-for-the-better/?sh=64fc6f881655 2022, https://www.axios.com/2022/03/28/health-workforce-shortages-begin-to-weigh-on- patient-safety Hailey Mensik, Lawmakers stress urgency of healthcare worker shortage, Healthcare Dive , February 16, 2023, https://www.healthcaredive.com/news/lawmakers-fixes-healthcare- workforce-shortages/642994/#:~:text=The country faces a shortage,drive them to other roles Health Care Provider Demographics & Statistics in the US, Zippia , 2023, https:// www.zippia.com/health-care-provider-jobs/demographics/ Rachel Murphy, Why Does It Take So Long to Schedule a Doctor's Appointment?, Verywell Health, March 8, 2023, https://www.verywellhealth.com/why-is-the-wait-so-long-for- doctors-appointments-7113418 Dani Zoorob, Yasmin Hasbini, Katherine Chen, Victoria Wangia-Anderson, Hind Moussa, Brian Miller, Debi Brobst, Ageism in healthcare technology: the older patients’ aspirations for improved online accessibility , JAMIA Open , Volume 5, Issue 3, October 2022, ooac061, https://doi.org/10.1093/jamiaopen/ooac061 Adnan Asar, How Digital Symptom Tracking Is Remaking Medicine For The Better , Forbes , January 21, 2021, https://www.forbes.com/sites/forbestechcouncil/2021/01/21/how-digital- symptom-tracking-is-remaking-medicine-for-the-better/?sh=64fc6f881655