Are you satisfied with your EMR or do you intend to change to another system? This may be more significant an issue in the United States than in Canada, although there is always a certain churn rate with any product or service. (Churn rate, when applied to a customer base, refers to the proportion of contractual customers or subscribers who leave a supplier during a given time period – Wikipedia.)
The rapid rate of change in the U.S. EMR market in association with a number of additional drivers — incentives and subsequent penalties (beginning 2015) linked to Meaningful Use, incentives and penalties related to E-Prescribing, and increased focus on performance and quality of care measures at the practice and hospital level — that are driving significant numbers of physicians to change their EMRs.Two recent reports in the U.S., one by research group KLAS and the other by Medscape, indicate a high level of dissatisfaction with current EMR systems.
Medscape surveyed 21,000 physicians across 25 different specialties and found that, “More than one third (38%) are dissatisfied. Roughly a third of those unhappy users plan to shop for a new system, while others said that they're stuck with their current system because they’ve already invested too much. Still others noted that they do not have the authority in their practice to make a switch.” KLAS surveyed 300 prospective ambulatory EMR buyers with their results suggesting that in this particular group, replacements are up this year from 30 percent to 50 percent, another indication of dissatisfaction, particularly in relation to support or product development issues.
With this as background, what is the experience with EMR systems in Canada? Due to provincially funded EMR certification programs, my impression is that a lower percentage of physicians intend to change their EMRs in Canada vs. the United States. A more common reason to change is a vendor that has been acquired or has gone out of business. Examples include Clinicare, Healthscreen, and EMIS — EMR vendors that are no longer commercially sold or supported in Canada. However, anecdotally I have met and talked with many physicians who are on their third or even fourth EMR system.
Why do physicians change EMRs? Have you changed your EMR and if so, what were the reasons driving your decision? Click on the “Comments” link below to share your experiences.