The American Medical Association and MedStar Health National Center for Human Factors in Healthcare have put their new EHR usability framework to the test in an evaluation of 20 common vendor products, many of which do not meet best practices for user-centered design, but are still ONC-certified.
The framework uses a 15-point scale to examine the degree that vendors integrated user-centered design best practices into their EHRs, not the actual usability of the EHR as it is experienced by end users, according to the NCHFH website.
"User-centered design is an essential component in improving safety and the satisfaction of physicians, patients and medical professionals who use EHRs," the website reads. "Many of the EHR vendors do not meet best practices for user-centered design but are still certified by the ONC."
Here are 20 EHRs ranked by vendor's use of user-centered design best practices, according to the AMA and MedStar Health. The scores are out of 15, based on how well the EHR meets those best practices in areas including use cases, metrics, effectiveness, clinical expertise, improvements and reported process.
1. Allscripts Enterprise EHR — 15
2. Allscripts Sunrise Acute — 15
3. McKesson Speciality Health — 15
4. McKesson — 14.5
5. Athena Clinicals —13.5
6. Medical Information Technology — 13.5
7. Practice Fusion — 13.5
8. Meditech Magic — 13
9. Modernizing Medicine — 13
10. Cerner —13
11. Amazing Chart — 12
12. SRSsoft — 12
13. GE Healthcare — 11.5
14. Medhost — 11.5
15. E-MD — 11
16. NextGen Healthcare — 9.5
17. Epic Systems — 9
18. Dr Systems — 7
19. Greenway — 7
20. eClinicalWorks — 5