To gauge hospital and physician involvement in health information exchange initiatives, Black Book polled 2,012 providers and 2,300 payers that use HIEs and 4,100 prospective HIE users.
Below are nine survey findings.
1. Of respondents, 83 percent of physician practices and 40 percent of hospitals said they are still in the planning and catch-up stages of sending and sharing secure, relevant data.
2. Between the third quarter of 2015 and the first quarter of 2016, the survey recorded growing HIE user frustration about the lack of standardization and unpreparedness of providers and payers.
3. Of those respondents who self-identified as a prospective HIE user, 57 percent blamed their reluctance on HIT/EHR vendor connectivity defects and a lack of vendor preparedness.
4. Of hospitals, 63 percent reported being in the active stages of replacing their current HIE system, whether private, public, homegrown or EHR-dependent.
5. Of those respondents that are actively replacing HIE systems in the first quarter of 2016, 97 percent said the decision to replace was largely driven by data security concerns.
6. Of payer respondents, 94 percent said they intend to totally abandon their involvement with public HIE initiatives and work within regions or states to bolster private enterprise HIEs, which more directly meets their need in engaging in accountable care contracts with providers.
7. About 90 percent of hospital respondents said they believe private HIEs are a more profitable and sustainable model under value-based or managed care.
8. Since 2013, the number of private HIEs involving payer and provider collaboration have increased steadily. In 2013, 60 percent of providers said they distrusted payer-guided HIE initiatives. In 2016, 93 percent of providers are considering cooperating with payers on HIE initiatives to satisfy the growing need for enhanced data sharing under accountable care organizations.
9. In the first quarter of 2016, 88 percent of hospitals and 95 percent of payers said collaborative HIEs where each stakeholder pays for system development and maintenance is creating more collaborative, trusting relationships.