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Obtaining accurate data about EHR vendors’ market share--as defined by sales figures--is a difficult task. However, an estimate of market share can be derived by analyzing meaningful use attestation data for a particular specialty. In this report, we look at EMR market share in the ophthalmology field, specifically.
Healthcare providers are required to report meaningful use attestation data to the Centers for Medicare and Medicaid Services, which includes a notation of the specialty of the reporting practice and the EHR vendor they used.
We consider the vendor data to be a proxy for market share, since most EHR purchases will be for CCHIT-certified products.
Note: Our data set was compiled in March 2013. Attestation numbers may have changed since that time. As of March, 2,863 physicians reported their specialty as ophthalmology. Our data set is available here. Note that we have created another market share report for optometry EHRs.
In contrast to the optometry EHR market--which is dominated by a few key players and heavily biased toward eyecare-specific EHR products--the ophthalmology EHR market is more evenly balanced. The top three vendors are all within four points of each other in terms of market share (EpicCare with 17.0%, Medflow with 16.0%, and NextGen with 13.8%, respectively). Out of 102 vendors almost a fifth have 1% market share or greater. Most of the large EHR vendors are represented in this group, as is Eyefinity, which dominates the optometry market but comes in 13th here with 1.7%.
|Vendor||Attestations||Percent of Attestations|
|Epic Systems Corporation||486||17.00%|
|IO Practiceware, Inc.||124||4.30%|
|Penn Medical Informatics Systems, Inc.||55||1.90%|
|EyeMD EMR Healthcare Systems, Inc.||53||1.90%|
|ifa united i-tech Inc.||52||1.80%|
|Partners Healthcare System||34||1.20%|
|Greenway Medical Technologies, Inc.||34||1.20%|
Just under 99% of ophthalmology products are used in an ambulatory setting, and 95% are complete EHRs, as distinct from a modular product which contains some component of EHR but is not a full suite. All products were reported under the Medicare reimbursement program.
In addition to generic features like E&M coding advice, e-prescribing, document scanning/imaging, and clinical reminders, the top electronic medical record (EMR) / electronic health record (EHR) systems for ophthalmologists & optometrists will have specialized exam templates that automatically populate patient information and provide a reliable and efficient way to document patient encounters. These programs also integrate with diagnostics systems, and some include a point of sale (POS) system for the sale of glasses and contact lenses.
Specific features for an ophthalmology or optometry software system include:
|Eye-care professional workflow management||Workflows should be designed to meet the needs of the eye care specialties, taking patient and physician through booking the appointment, visual field examination and other testing, diagnosis, ordering of corrective lenses, and follow-up visit reminders.|
|Ophthalmology and/or optometry templates||Specialty EMRs have SOAP notes templates specifically designed for a particular kind of medical practice. An optometry EMR will include templates for eye examinations, blurred or lost vision, ectropion or entropion, lens evaluation, conjunctivitis, corrective laser procedures, ocular surgeries, corneal conditions, and many more.|
|Detailed eye graphics||Dozens of diagrams in the software allow the physician to graphically document ocular occlusions or other problems.|
|Vision testing device integration||Integrate your practice’s autorefractor, keratometer, autorefractor, and other devices, populating the workflow template instantly and supporting diagnosis.|
|Prescription & coding assistance||By integrating the devices and the results into the software, the EMR can recommend prescriptions and ICD-9/CPT codes, reducing the chances of undercoding or underprescribing diagnoses, lenses, or other treatments.|
|Point of sale system||One of the things that separates optometrists and many ophthalmologists from other medical specialties is the associated retail sales. Most optometry and ophthalmology EMRs offer a point of sale (POS) system, expediting the sale and inventory management of glasses and contact lenses.|