64% of providers say EHRs failed to deliver many critical value-based care tools: 10 survey insights

Julie Spitzer -

Healthcare providers are ramping up for the transition to value-based care, but do they have the tools to match? More than half say "no", according to a recent Sage Growth Partners study.

Sage fielded answers from 100 healthcare executives for its report titled "Getting to value-based care: Are EHRs up to the task?" It also conducted six qualitative interviews. Respondents were primarily CEOs (22 percent), CMOs (21 percent), CFOs (15 percent) and CIOs (15 percent).

Here are 10 things to know.

1. Respondents do not feel their value-based care needs are being met, with 60 percent to 75 percent of providers indicating they are seeking third-party solutions outside their EHR for value-based care solutions.

2. The majority (62 percent) of respondents said value-based care makes up 0 percent to 10 percent of their organization's revenues.

3. Seventy percent of providers said they've had an EHR for at least three years, but about half said they also have third-party population health management solutions.

4. Less than 25 percent of providers feel their EHRs meet core KLAS criteria for value-based care.

5. Forty-six percent of respondents said they were somewhat satisfied with their EHR's value-based care functions, while 8 percent said they were highly dissatisfied with their EHR's value-based care functions.

6. About 66 percent of respondents said EHRs have failed to deliver promised clinician or patient satisfaction (60 percent and 64 percent, respectively) lower costs (76 percent) or offer better population health management tools (64 percent).

7. But, about half believe EHRs deliver better clinical outcomes (52 percent), ease of use (51 percent) and strategic improvements (49 percent).

8. While 65 percent of respondents said they were somewhat or highly unlikely to replace their EHR within three years, 56 percent of respondents said they are somewhat or highly likely to switch their population health management solutions.

9. Providers indicated the top value-based care programs are ACOs (72 percent), Bundled Payments for Care Improvement (30 percent), Comprehensive Car for Joint Replacement (23 percent) and Comprehensive Care Plus (15 percent).

10. The top value-based care challenges respondents face are:

  • EHR interoperability (42 percent)
  • Social determinants of health (34 percent)
  • Patient engagement (32 percent)
  • Coordinating stakeholders (30 percent)
  • Data analytics to support risk-based contracts (27 percent)

Click here to download the complete report.

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