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This market share report for pain management EHRs was created from data reported by healthcare providers to the U.S. Government as attestation for meaningful use.
Five hundred and sixty-five of the 121,441 attestations in the data set reported to the Centers for Medicare and Medicaid Services (CMS) were used to compile this report. Of those, 426 attested under the Interventional Pain Management specialty, and 139 under Pain Management. Click here for the data set in a spreadsheet format.
Of course, meaningful use attestations are not the same thing as market share. However, we suspect it correlates strongly and is thus directionally accurate. Moreover, it provides valuable insights for specialists who are in the market for an EHR.
As a small niche specialty, there aren’t any EHR vendors that focus exclusively on pain management. And since the larger vendors don’t appear to be targeting this area either, the market is fairly evenly spread.
The number one product, EpicCare, leads with only 11.2 percent of the total market. Seven vendors have 5 percent market share or greater, 13 vendors have 2 percent market share or greater and 21 vendors have 1 percent market share or greater—meaning that out of 74 total vendors, over one-quarter (28.4 percent) have greater than 1 percent market share.
|Vendor||Attestations||Percent of Attestations|
|Epic Systems Corporation||63||11.20%|
|Greenway Medical Technologies, Inc.||24||4.20%|
|Meditab Software, Inc.||16||2.80%|
|Community Computer Service, Inc.||12||2.10%|
Out of 565 providers who attested for meaningful use, 96.4 percent were using complete EHRs. The remainder used a modular product, which contains some component of an EHR (for instance, ePrescribing) but is not a full suite.
Although pain management is no doubt used in hospitals and hospices to a much greater degree than ambulatory settings, ambulatory providers accounted for 97.3 percent of attestations with this data. We suspect this is because most in-patient pain management specialists are part of a larger hospital system, which is using a general EHR and not one specific to their practice. We did note that Florida led the country in pain management purchases—presumably a hot market for this specialty, given the age of the population in that state.
Leading pain management software electronic medical record (EMR)/electronic health record (EHR) systems will provide templates for the common complaints and procedures seen by pain management specialists. They will also allow for medication tracking, interactive diagrams and regular/recurring visits to facilitate the workflow at a clinic.
|Pain management workflow||Clinics work in conjunction with—or based on the referral of—physicians in other specialties, so it’s important to select an EMR solution that integrates these referrals into your workflow. Your EMR should be able to interpret scanned documents, faxes, or PDF files and/or plug directly into EMRs from other physicians, allowing you to quickly and easily transfer information to and from your associates.|
|Pain management templates||Specialty EMRs contain SOAP notes templates specific to the medical specialty. For pain management, these templates might include fluoroscopy, arthritis, sciatica, lumbar puncture, anesthesiology, epidural, intrathecal catheter, spondylolisthesis, bursa injections, ganglion blocks, joint-specific pain (neck, back, elbow, hip, jaw etc.), opioid trials, infusion pump replacements, botulinum injection and many more.|
|Pre-operative and post-operative care/support||Ensure easy documentation of pre- and post-operative care with templates that streamline the workflow for surgical patients.|
|Prescription order tracking||Ensure that your EMR solutions has a pain management drug database that integrates seamlessly with the physician’s workflow, allowing the caregiver to prescribe medications, track refills, send secure prescriptions of narcotics or other pain medications and access suggested medications from the SOAP notes.|
|Lab result & device integration||Many systems integrate directly into operating room vitals monitoring machines, allowing the physician to track patient progress during surgery. In addition, these programs should allow for easy importing of results from laboratory, radiology and other diagnostic tests, reducing the need for manually importing data.|
|Interactive diagrams||For specialists, identifying the nature and location of the pain is the most important—and sometimes challenging—part of the process. A pain management EMR should include interactive diagrams for documenting pain locations, which then tie directly to the patient record and even support the diagnostics.|
|Pain management billing & reporting||A specialty EMR will include pain management-specific ICD-9, CPT and HCPC Codes. Advanced systems can automatically generate those codes based on lab or radiology procedures and information captured in the SOAP notes. They can even scrub the claims, ensuring accuracy in billing and expediting the payment process.|
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