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In 2011, medical providers began reporting their meaningful use data to the Centers for Medicare and Medicaid Services (CMS) in order to get reimbursed for their EHR purchases. CMS publishes the aggregate data on their website, telling us which specialties are reporting, and which EHR products they’re using. With over 120,000 providers reporting (121,441 to be exact), we’ve begun using this data to analyze the EHR market for each specialty.
There were 4,529 optometrists recorded in this data. We’ve pulled their information out into a separate spreadsheet, which contains only the relevant (and distinct) data. Note that we have created a separate market share report for Ophthalmology, which can be viewed here.
The optometry EHR market is dominated by best-of-breed products, with 12 of the top 15 vendors specializing almost exclusively in eyecare. Nowhere is this more evident than at the very top, where Eyefinity controls an impressive 42 percent of the market, more than twice its second place competitor, Compulink (19.4 percent), and almost 10 times EpicCare (4.4 percent), which is third.
|Vendor||Attestations||Percent of Attestations|
|Epic Systems Corporation||199||4.4%|
|Health Innovation Technologies, Inc.||190||4.2%|
|Crystal Practice Management||119||2.6%|
|First Insight Corp||111||2.5%|
|Insight Software, LLC||41||0.9%|
Together, eyecare-specific EHRs account for 85.8 percent of the optometry market, with only 14.2 percent coming from larger vendors with products that can be used in any industry. The top three of those (EpicCare, NextGen and Allscripts) combine for only 8.8 percent of the optometry market.
Not surprisingly, nearly all (99.6 percent) optometry products are used in an ambulatory setting, and 97.2 percent are complete EHRs. The top modular products are AllScripts ePrescribe, followed closely by AcuityLogic (Eyefinity’s non-patient-record solution for eyecare professionals).
The data used to compile this report is not exactly the same as market share. This report contains only the data reported to CMS for meaningful use, which does not comprise all the EHR products being used or purchased nationwide. However, for an optometrist looking to buy an EHR, we felt this was nevertheless a valuable dataset to report on, since the CCHIT-certified products tend to dominate the market.
Optometry electronic medical record (EMR)/electronic health record (EHR) software can help optometrists work efficiently by helping diagnose and treat eye and vision conditions ranging from astigmatism to glaucoma. With templates and easy access to insurance codes, EMRs can also help optometrists make informed decisions by providing a deeper understanding of patient histories—displaying the right information at the right time.
For example, leading optometrist EMR software systems will feature a display screen that shows the changes in a patient’s intraocular pressure (IOP) values over time. This screen can help the optometrist evaluate glaucoma risk. Systems can also integrate with a patient’s prescription history and display the exact medication a patient was on when a corresponding IOP measurement occurred. This can help show a patient why compliance is important for maintaining health.
Top EMR software can help you improve patient care by showing you—at once—all the key information you need to follow up with and manage patients. EMR software for optometrists will also include generic features useful to most healthcare providers, such as the ability to provide E&M coding advice, e-prescribe, scan documents/images and provide clinical reminders. These solutions may be available either as a standalone EMR or as a complete EMR and practice management (PM) system that helps you manage billing and patient scheduling.
We recommend considering the following factors in your optometry EMR software:
|Office workflow management||Workflow management features can take you and your patient through booking the appointment and visual field exam and/or eye exam. Additionally, it can manage your diagnosis and recommendation for treatment with medicine or corrective lenses, along with scheduling follow-up visits and sending appointment reminders.|
|Intraocular pressure (IOP) tracking||Specialty optometry EMRs may have screens that display a patient’s intraocular pressure (IOP) values as they’ve changed over time. These displays can assist you in evaluation of patient glaucoma risk, and can be a useful tool to visually demonstrate the importance of compliance to your patient.|
|Optometry templates||Specialty EMRs have SOAP note templates specifically designed for your practice. An optometry EMR will include templates for eye exams, blurred or lost vision, conjunctivitis, glaucoma, macular degeneration, diabetic retinopathy and more.|
|Vision and eye exam device integration||Vision and eye exam device integration With device integration, information from your practice’s autorefractor and keratometer can populate your workflow template to further support diagnosis.|
|Prescription & coding assistance||Because readings from devices can be integrated, the software can help you use the proper ICD-10/CPT code and recommend prescriptions. This can assist in reducing chances of undercoding or misprescribing diagnoses, lenses or other treatments.|
|Point-of-sale capabilities||One of the things that separates optometrists from many other medical specialties is the associated retail sales. Some optometry EMRs may offer point-of-sale (POS) capabilities, which can make selling and managing your inventory of glasses and contact lenses faster and easier.|
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