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THE LATEST IN HEALTHCARE IT

Decision Insights

Data Archiving 2022
23 June 22    |   Doug VanWagenen and Ryan Oliver
Data archiving solutions—which allow organizations to archive and access
historical data from retired legacy software—continue to be in high demand. For
the first time, KLAS has validated organizations that are replacing their
existing archive solutions as they seek to consolidate archives, cut costs, and
identify systems that can meet their needs for various types or volumes of data.
To better understand what factors are influencing purchase decisions in this
market with no clear leader, this
Emerging Technology

HSi Wi-Fi & Cellular Infrastructure Services
21 October 22    |   Kaleb Harris and Spencer Larson
Healthcare organizations’ ability to create an environment where patients and
staff can reliably use Wi-Fi and a cellular infrastructure is no longer a
luxury; it is a necessity, especially as utilization of 5G and Wi-Fi 6
increases. Unfortunately, many organizations today rely on aged, unreliable
Wi-Fi infrastructure and cellular coverage that may be limited or nonexistent.
The firm Health Systems Informatics—or HSi—aims to help organizations grappling
with this challenge. This report evaluates
EMR Impact

EMR Improvement Collaborative
18 May 17    |   Aaron Gleave, Adam Gale, Bob Cash and Taylor Davis
The KLAS EMR Improvement Collaborative was created to help healthcare
organizations learn from one another. KLAS measures the usability of EMRs and
providers' skills and satisfaction with the EMRs in order to learn the keys to
maximizing EMR efficiency.
Performance

PACS 2022
08 November 22    |   Monique Rasband and Sidney Tate
The US PACS market is poised for change. Several vendors have made or undergone
acquisitions, and some vendors have large customer bases still on legacy
solutions. Over 30% of the 368 organizations interviewed for this report are at
risk of replacing their current vendor, and organizations are looking for vendor
partners to advance their enterprise imaging strategies. Further, industry-wide
staff shortages have led to support and innovation challenges among PACS
vendors. This report examines how
Best in KLAS

2022 Best in KLAS Awards - Software and Professional Services
08 February 22    |   Sam Eaquinto
The Best in KLAS report recognizes software and services companies who excel in
helping healthcare professionals improve patient care. All rankings are a direct
result of the feedback of thousands of providers over the last year. A Best in
KLAS award signifies to the healthcare IT industry the commitment and
partnership that the top vendors should provide. Read the report to see the
top-rated medical software and services for 2022.


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Inpatient Clinical Care

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Industry Insights


RESEARCH FINDINGS

 * Inpatient
   Clinical Care
 * Ambulatory &
   Post Acute Care
 * Global
 * RevenueCycle
   Financial / HIM
 * Value
   Based Care
 * Security
   & Privacy
 * Services &
   Consulting
 * Imaging
   Systems
 * Payer
   Solutions

Performance

Post–Acute Care EMR Product Suites 2022
30 August 22    |   Paul Hess and Paul Warburton
Most providers in post–acute care settings want technology built for their
specific area, but they face challenges with interoperability, analytics,
value-based reimbursements, and care coordination. Increasingly, organizations
are looking for vendors that can meet all their post–acute care needs. Several
vendors are answering the call, despite the highly varied, unique challenges
associated with each care setting. This report examines what solutions are
offered, how they are being adopted, and how well they meet setting-specific
functionality needs (particularly for home health and LTC/SNF). The report
mainly focuses on vendors specific to post–acute care but also provides a brief
look at the post–acute care solutions of enterprise acute care EMR vendors.
First Look

VoiceFriend
22 July 22    |   Jacob Mortensen and Paul Hess
Clinical communications solutions, initially aimed at tackling HIPAA compliance
concerns, have grown to cover many workflows and use cases around communication
in healthcare organizations. VoiceFriend is one of these solutions, and it is
specifically tailored for organizations providing care to seniors—such as
skilled nursing, assisted living, or memory care facilities. In these settings,
communication between residents’ loved ones and caregivers is an essential part
of their stewardship and care. This report details the experience of
organizations using the VoiceFriend platform.
Market Share

Global (Non-US) EMR Market Share 2022
07 July 22    |   Everton Santos and Jonathan Christensen
2021 was an active year for EMR purchasing despite the continued impact of the
COVID-19 pandemic. Over 150 provider organizations outside the US signed an EMR
contract in 2021, covering 31 different vendors and impacting over 430
hospitals. While total decisions were lower in 2021 than in any other of the
last five years, the number of beds impacted was above average thanks to a
number of larger organizations making EMR purchase decisions. Europe remains the
most active region, though Africa and Asia both saw increased purchase energy
from 2020. The pandemic continues to hinder EMR decisions most in Oceania and
Latin America (especially Spanish-speaking countries).
Decision Insights

Data Archiving 2022
23 June 22    |   Doug VanWagenen and Ryan Oliver
Data archiving solutions—which allow organizations to archive and access
historical data from retired legacy software—continue to be in high demand. For
the first time, KLAS has validated organizations that are replacing their
existing archive solutions as they seek to consolidate archives, cut costs, and
identify systems that can meet their needs for various types or volumes of data.
To better understand what factors are influencing purchase decisions in this
market with no clear leader, this report examines 23 recent or upcoming data
archiving purchase decisions validated by KLAS between January 2020 and December
2021. For additional context, satisfaction data from current customers is also
included. It should be noted that the decisions in this report are not
representative of all data archiving purchase decisions made in the last several
years.
Performance

Drug Diversion Monitoring 2022
21 June 22    |   Jackson Tate and Jennifer Hickenlooper
Drug diversion monitoring continues to be a top area of interest for pharmacy
departments across the US as they seek to understand which products can
effectively identify non-compliant behavior and otherwise unknown diverters.
This report—KLAS’ first to analyze the performance of several vendors in this
area—looks at which vendors are consistently delivering guidance, analytics, and
insights that help organizations identify and prevent drug diversion. In
addition, this report examines the outcomes provider organizations are achieving
and how well vendors follow through on commitments.
Performance

Go-Live Support 2022
12 May 22    |   Cathy McCabe and Kaleb Harris
Firms that provide go-live support for HIT implementations continue to
consistently deliver high client satisfaction. Across the board, these firms are
highly skilled and knowledgeable, making it rare for healthcare organizations to
report a poor experience. Instead of asking which firm provides high-quality
go-live support, organizations must decide which firm is the best fit for their
organization.
Market Share

US Hospital Market Share 2022
26 April 22    |   Paul Warburton and Tyson Blauer
EMR purchasing continued to be high in 2021, despite hospitals and health
systems grappling with inflation, lingering complications from COVID-19,
overburdened clinicians, and a historic nurse shortage. This report examines
trends in EMR purchases that occurred in the US from January–December 2021. A
Note about Acquisitions In 2021, Oracle entered the acute care EMR space through
their acquisition of Cerner, becoming the second biggest EMR provider in the US.
Additionally, at the beginning of 2022, Harris acquired Allscripts’ EMR
technology, effectively increasing their number of inpatient beds by a factor of
17.
Performance

European EMR 2022
05 April 22    |   Eder Lagemann and Sidney Tate
In the past few years, there has been significant merger and acquisition (M&A)
activity among EMR vendors who market in Europe as well as significant
purchasing activity by healthcare organizations, creating one of the world’s
most dynamic EMR markets. From 2016–2020, KLAS validated over 300 EMR decisions
impacting over 1,200 inpatient facilities (comprehensive data for 2021 purchases
not yet available). Using this data and customer feedback from 100
organizations, this report examines the customer satisfaction, market share, and
recent market energy of European EMR vendors and evaluates which are best
meeting customer needs in this competitive market.
Performance

Small Practice Ambulatory EMR/PM (2–10 Physicians) 2022
01 November 22    |   Aaron Gleave and Andy Paulsen
Small practices provide a significant amount of the outpatient care in the US,
and their needs differ from those of their larger counterparts. When it comes to
EMR/PM technology, these practices expect up-to-date functionality, steady
product performance, solid implementation and training, and an integrated suite
of solutions from a single vendor—all at a price point that makes sense for a
small practice’s budget. This is a tall order, but some vendors have stepped up
to the challenge in multiple areas of delivery. This report provides the latest
view on how the major vendors in this market perform and which ones stand out in
the areas that small practices (2–10 physicians) care about most.
Performance

Home Health 2022
27 October 22    |   Paul Hess and Paul Warburton
The home health market has seen renewed energy since 2020 as COVID-19 and
efforts to improve outcomes and decrease costs have shifted more care to the
home. As a result, the number of home health agencies has grown. Amid this
growth, home health agencies continue to face complex billing and a limited
labor market. They want to make the right EMR investments and fully leverage
those investments in ways that improve operational efficiency and
interoperability, minimize the need for other IT purchases, and keep clinicians
happy (thereby mitigating turnover). This report looks at which home health
vendors best drive clinician satisfaction. A similar report for hospice is
planned for 2023.
Performance

Post–Acute Care EMR Product Suites 2022
30 August 22    |   Paul Hess and Paul Warburton
Most providers in post–acute care settings want technology built for their
specific area, but they face challenges with interoperability, analytics,
value-based reimbursements, and care coordination. Increasingly, organizations
are looking for vendors that can meet all their post–acute care needs. Several
vendors are answering the call, despite the highly varied, unique challenges
associated with each care setting. This report examines what solutions are
offered, how they are being adopted, and how well they meet setting-specific
functionality needs (particularly for home health and LTC/SNF). The report
mainly focuses on vendors specific to post–acute care but also provides a brief
look at the post–acute care solutions of enterprise acute care EMR vendors.
Performance

Midsize/Large Ambulatory EMR 2022
05 July 22    |   Aaron Gleave and Alex McIntosh
Technology needs are constantly evolving in healthcare, yet vendor development
efforts may not always align with provider organizations’ top priorities. To
better understand what these priorities are in midsize and large ambulatory
practices (11+ physicians), KLAS interviewed over 500 respondents from such
organizations regarding the areas most in need of improvement from their EMR
vendor.
Performance

EMR-Centric Virtual Care Platforms 2022
14 June 22    |   Aaron Gleave and Alex McIntosh
Virtual care has been a roller coaster for healthcare organizations in the last
few years—from minimal uptake in the face of reimbursement barriers, to the
COVID-19 rush in demand and availability, to hastily implemented and developed
IT solutions, to a recent return to more-standard care delivery, and now the
re-examination of go-forward strategies. This report shares how EMR-centric
virtual care platforms perform today and what provider organizations have
planned for the future.
Best in KLAS

2022 Best in KLAS Awards - Software and Professional Services
08 February 22    |   Sam Eaquinto
The Best in KLAS report recognizes software and services companies who excel in
helping healthcare professionals improve patient care. All rankings are a direct
result of the feedback of thousands of providers over the last year. A Best in
KLAS award signifies to the healthcare IT industry the commitment and
partnership that the top vendors should provide. Read the report to see the
top-rated medical software and services for 2022.
Performance

Comprehensive Ambulatory Platforms 2021
16 December 21    |   Aaron Gleave and Alex McIntosh
Looking to improve integration and reduce vendor complexity, ambulatory
organizations have recently accelerated efforts to consolidate their technology
solutions. However, their EMR vendor’s portfolio may have gaps or may not stack
up in certain areas to the specialized functionality of best-of-breed solutions.
To help organizations determine whether a consolidated IT approach is best for
them, KLAS conducted in-depth interviews with ambulatory organizations that have
broadly and deeply adopted their EMR vendor’s technology portfolio. These
customers’ feedback reveals what technology is adopted today, where gaps still
exist, and what benefits and potential pitfalls other organizations may want to
consider as they move toward consolidation. Vendors that offer a wide range of
IT solutions for ambulatory practices were invited to submit a list of the
organizations that have most broadly and deeply adopted their ambulatory
portfolios (eClinicalWorks elected not to participate and MEDITECH did not have
enough standalone ambulatory customers to qualify). Five “deep adopters” were
interviewed for each participating vendor. Their insights are intended to help
other organizations understand the current best-case scenario with a
comprehensive ambulatory platform.
Performance

Patient Experience Improvement 2021
02 December 21    |   Adam Cherrington, Ciera Walker and Tyler Sycamore
Provider organizations’ efforts to improve the patient experience have typically
relied on standardized, retrospective benchmarking data (predominantly from the
CMS-regulated CAHPS survey). However, to really amplify the voice of the patient
and meet the rising demands of healthcare consumerism, organizations also need
customizable tools that allow them to respond to patient feedback in real time
and quickly identify service-recovery options. This report examines the
opportunity that exists for the industry to augment a CAHPS-centric approach
with more customizable capabilities.
Perception

US Digital Pathology 2022
29 September 22    |   Eder Lagemann and Sidney Tate
Digital pathology for primary diagnosis is nascent in the US, but it is primed
for rapid growth, similar to what is currently being seen in Europe (see KLAS’
report on global digital pathology ). In anticipation, many technology vendors
are vying for a foothold in the US, leading to a highly varied landscape. In
partnership with the Digital Pathology Association (DPA), KLAS surveyed 55
provider organizations (including hospitals, health systems, academic health
centers, and reference labs) to assess the state of digital pathology among
pioneers in the US and determine which vendors are gaining traction. 33 of the
interviewed organizations are live with digital pathology; the rest are
currently implementing or making plans for the future.
Performance

Middle East Telehealth 2022
02 August 22    |   Everton Santos and Jonathan Christensen
At the onset of the COVID-19 pandemic, provider organizations around the world
adopted telehealth technology or greatly expanded its use seemingly overnight in
order to keep patients and healthcare staff safe while still in communication.
Since then, virtual visits have become a mainstay in the Middle East, as in
other regions. All interviewed customers in the Middle East report high
satisfaction with their virtual visit technology (either virtual care or video
conferencing platforms), though specifics of the customer experience do vary
across vendors. This telehealth report—KLAS’ first to focus on a specific region
outside the US—examines how non-EMR-affiliated virtual visit solutions differ
across key metrics (including product usability, implementation and training,
and vendor partnership) and also summarizes common EMR vendors and their
approaches to virtual visits.
Market Share

Global (Non-US) EMR Market Share 2022
07 July 22    |   Everton Santos and Jonathan Christensen
2021 was an active year for EMR purchasing despite the continued impact of the
COVID-19 pandemic. Over 150 provider organizations outside the US signed an EMR
contract in 2021, covering 31 different vendors and impacting over 430
hospitals. While total decisions were lower in 2021 than in any other of the
last five years, the number of beds impacted was above average thanks to a
number of larger organizations making EMR purchase decisions. Europe remains the
most active region, though Africa and Asia both saw increased purchase energy
from 2020. The pandemic continues to hinder EMR decisions most in Oceania and
Latin America (especially Spanish-speaking countries).
Performance

Europe PACS 2022
05 July 22    |   Eder Lagemann and Sidney Tate
The PACS market in Europe is evolving. To unify care delivery, many countries
are pushing for HIT consolidation across regional groups of hospitals. At the
same time, healthcare organizations are increasingly looking to expand their
imaging strategies outside of radiology to bring together more departments and
facilities at an enterprise level. This report leverages the perspectives of 199
individuals representing 168 unique organizations across 25 European countries
to determine which PACS vendors are delivering the technology and partnerships
needed to drive imaging progress in Europe.
Performance

European EMR 2022
05 April 22    |   Eder Lagemann and Sidney Tate
In the past few years, there has been significant merger and acquisition (M&A)
activity among EMR vendors who market in Europe as well as significant
purchasing activity by healthcare organizations, creating one of the world’s
most dynamic EMR markets. From 2016–2020, KLAS validated over 300 EMR decisions
impacting over 1,200 inpatient facilities (comprehensive data for 2021 purchases
not yet available). Using this data and customer feedback from 100
organizations, this report examines the customer satisfaction, market share, and
recent market energy of European EMR vendors and evaluates which are best
meeting customer needs in this competitive market.
Performance

Middle East & Africa PACS 2022
05 April 22    |   Everton Santos and Sidney Tate
The PACS market in the Middle East and Africa is evolving, with some vendors
gaining prominence and others losing traction. Healthcare organizations are
looking to enhance their imaging strategies with new, advanced technology (e.g.,
AI and the cloud) and want vendors who innovate and deliver this technology.
Using customer feedback from 60 organizations across 14 countries, this report
is KLAS’ first to focus on the PACS market in the Middle East and Africa,
exploring vendor market share and performance and examining which vendors are
keeping pace with customer expectations.
Best in KLAS - Global

2022 Best in KLAS Awards - Global Software
08 February 22    |   Sam Eaquinto
The Global Best in KLAS awards are given to vendors to recognize outstanding
efforts to help healthcare professionals outside the US deliver better patient
care. Global Best in KLAS awards are currently given in two software market
segments that have broad operational and clinical impact on healthcare
organizations around the world: (1) acute care EMR and (2) PACS.
Performance

European Digital Pathology 2021
16 December 21    |   Eder Lagemann and Sidney Tate
Use of digital pathology for primary diagnosis † has recently seen a rapid
increase in both interest and adoption, thanks to benefits like improved
efficiency and remote reading/telepathology capabilities (see KLAS’ 2019 report
). The COVID-19 pandemic has spurred even greater consideration of
remote-reading options, and some organizations are looking to digital pathology
to mitigate anticipated pathologist shortages in the future. Overall, Europe has
seen the greatest adoption of digital pathology. For this report, KLAS
interviewed pathology groups across 15 European countries who are live with
digital pathology for primary diagnosis. The following pages share performance
insights on Philips, Sectra, and Tribun Health—the market leaders in
considerations and live customers for digital pathology image management systems
(IMS).
First Look

STANLEY Healthcare Hugs Infant Protection (Software & Hardware)
04 November 22    |   Braden Taylor and Niel Oscarson
Newborn infants pose unique security and safety challenges for healthcare
organizations, including potential abduction attempts and mother/infant
mismatches. STANLEY Healthcare, recently acquired by Securitas, offers Hugs
Infant Protection (software and hardware) to safeguard families and providers
through real-time tracking and automated security alerts. The Hugs product line
includes a legacy generation (launched in 1998) and the current generation
(launched in 2014). This report examines customer experiences with the current
generation of Hugs Infant Protection.
Performance

Credentialing 2022
18 October 22    |   Emily Paxman and Niel Oscarson
Credentialing management has historically required dozens of spreadsheets,
manual data entry, and painstaking monitoring of multiple payer, state, and
national databases—causing significant inefficiencies and expenses. Vendors
providing credentialing software and/or services promise major efficiency gains
for healthcare organizations, but not all offerings are equally effective. This
report examines three strong predictors of efficiency—the use of automations,
strong credentialing workflows, and vendor partnership/guidance—to determine how
well vendors are living up to their promises.
Emerging Technology

Finvi Artiva HCx
23 September 22    |   Braden Taylor and Dustin Cragun
Healthcare organizations continue to search for opportunities to improve margins
by optimizing revenue cycle operational efficiencies. Finvi, formerly known as
Ontario Systems, offers the Artiva HCx platform as a solution for efficiently
managing insurance and selfpay receivables. The product includes key workflows
and reporting analytics designed to streamline and automate processes. This
report will examine customers’ experience and satisfaction with Artiva HCx.
Perception

Optum/Change Healthcare Merger
16 August 22    |   Boyd Stewart and Sam Eaquinto
In January 2021, Optum announced their intentions to acquire Change Healthcare.
The merger remains unfinalized, however, as the US Department of Justice blocked
the deal in February 2022 due to anticompetition concerns—such a merger would
give UnitedHealth Group, Optum’s parent company and the nation’s largest
insurer, access to rivals’ sensitive data. The legal proceeding is ongoing and
scheduled to go to trial August 1, 2022. This report shares Optum and Change
Healthcare customers’ reactions to the merger and their perceptions of its
impact. Between March 2021 and April 2022, KLAS interviewed 48 individuals from
46 unique organizations; of these respondents, 9% are Optum customers, 56% are
Change Healthcare customers, and 35% are customers of both vendors.
First Look

Multiview
30 June 22    |   Braden Taylor and Niel Oscarson
Many healthcare organizations, especially smaller community institutions,
struggle to find effective enterprise resource planning (ERP) solutions at an
affordable cost. Multiview Financial Software seeks to provide easy-to-use,
comprehensive financial applications for healthcare organizations of all sizes.
This report examines customers’ use of and satisfaction with Multiview ERP and
its primary functionalities, which include core accounting, business insights,
business automation, and inventory management capabilities.
First Look

PwC SMART
24 June 22    |   Spencer Larson and Warren Whitford
Medical billing errors are alarmingly frequent and cause large financial tolls
for all in healthcare. It can be resource intensive for provider organizations
to address these errors on their own, but as healthcare costs rise, it is
imperative to prevent and correct coding errors. PwC seeks to address the issue
through SMART, a prebilling solution that helps automate coding quality and
regulatory compliance. This report evaluates the experience of provider
organizations using SMART.
Performance

Cerner Soarian Financials Pulse Check 2022
21 June 22    |   Alex McIntosh and Coray Tate
In October 2021, Cerner introduced RevElate as their go-forward patient
accounting platform instead of Cerner Patient Accounting (CPA). According to
Cerner, RevElate will be built on elements of both CPA and Soarian Financials.
The number of Soarian Financials customers has decreased over the years, and
because the solution was never Cerner’s go-forward platform, KLAS has not
actively collected research on it for several years. However, since the RevElate
announcement, organizations have wondered whether the Soarian Financials
customer experience is a possible indicator of the RevElate customer experience.
This report—the second in a series of Cerner-focused reports—examines the state
of Soarian Financials today, based on data collected from customers over the
past 24 months with an emphasis on interviews conducted since the RevElate
announcement. In future research, KLAS intends to collect perceptions from
additional Cerner customers and validate the impacts customer organizations have
seen from Cerner’s recent changes.
Performance

Complex Claims Services 2022
16 June 22    |   Chloe Jensen and Mollie Hunt
To process complex claims (specifically, claims for motor vehicle accidents, VA,
workers’ compensation, and out-of-state Medicaid), provider organizations must
make significant time and resource investments. By hiring specialized firms with
the knowledge and experience to handle complex claims, organizations can
increase revenue, decrease the cost to collect, and reduce A/R days while saving
resources. Contingency-based pricing—which is typical for the market—also makes
engaging with these firms fairly low risk. This report examines the performance
of each complex claims services firm across different claim types and details
their delivery of outcomes and strength of client relationships.
Emerging Technology

LeanTaaS iQueue for Infusion Centers
11 October 22    |   Braden Taylor and Niel Oscarson
Operational limitations—such as variable staff and patient availability—can make
it difficult for healthcare organizations to effectively manage infusion
scheduling. This often leads to volatile workloads in which resources may be
both under- and overutilized in the course of a single day. LeanTaaS iQueue for
Infusion Centers leverages machine learning and predictive analytics to optimize
scheduling templates, level load daily schedules, and flag future problem days
for preventive action. This report examines customers’ experiences and
satisfaction with iQueue for Infusion Centers.
Perception

2022 KLAS Emerging Solutions Top 20
14 September 22    |   Kyle Chilton and Taylor Davis
The partnerships that healthcare organizations make with technology vendors and
services firms drive outcomes for years to come, and amidst a flood of new
technologies, amazing potential partners can be missed. For the first time, KLAS
has asked 16 prominent members of the healthcare community with broad HIT
expertise to read 42 KLAS reports on emerging technology and rate their
perception of the solutions based on their potential to impact the Quadruple Aim
of Healthcare: to improve outcomes, reduce the cost of care, improve the patient
experience, and improve the clinician experience. This report (1) ranks these
emerging solutions by their ability to disrupt the healthcare market and (2)
provides insights from participating healthcare leaders into what innovation
themes organizations should be aware of as they seek to provide the best patient
care.
Perception

Optum/Change Healthcare Merger
16 August 22    |   Boyd Stewart and Sam Eaquinto
In January 2021, Optum announced their intentions to acquire Change Healthcare.
The merger remains unfinalized, however, as the US Department of Justice blocked
the deal in February 2022 due to anticompetition concerns—such a merger would
give UnitedHealth Group, Optum’s parent company and the nation’s largest
insurer, access to rivals’ sensitive data. The legal proceeding is ongoing and
scheduled to go to trial August 1, 2022. This report shares Optum and Change
Healthcare customers’ reactions to the merger and their perceptions of its
impact. Between March 2021 and April 2022, KLAS interviewed 48 individuals from
46 unique organizations; of these respondents, 9% are Optum customers, 56% are
Change Healthcare customers, and 35% are customers of both vendors.
Performance

Middle East Telehealth 2022
02 August 22    |   Everton Santos and Jonathan Christensen
At the onset of the COVID-19 pandemic, provider organizations around the world
adopted telehealth technology or greatly expanded its use seemingly overnight in
order to keep patients and healthcare staff safe while still in communication.
Since then, virtual visits have become a mainstay in the Middle East, as in
other regions. All interviewed customers in the Middle East report high
satisfaction with their virtual visit technology (either virtual care or video
conferencing platforms), though specifics of the customer experience do vary
across vendors. This telehealth report—KLAS’ first to focus on a specific region
outside the US—examines how non-EMR-affiliated virtual visit solutions differ
across key metrics (including product usability, implementation and training,
and vendor partnership) and also summarizes common EMR vendors and their
approaches to virtual visits.
Emerging Technology

ScribeAmerica Speke
29 July 22    |   Mac Boyter and Spencer Larson
Staffing shortages and physician burnout from overwork are growing concerns for
hospitals and health systems. In the wake of the COVID-19 pandemic and ongoing
demands on clinicians, innovative solutions that help clinicians shift away from
the computer and back to the bedside are more important than ever. This report
seeks to validate the experiences of healthcare organizations using Speke, an
ambient AI scribe created by ScribeAmerica.
First Look

Surfacide Helios UV-C System
22 July 22    |   Aurene Wilford and Jackson Tate
The development of antibiotic-resistant bacteria is a significant problem for
all healthcare facilities. The Surfacide Helios UV-C System, which is used for
low-level disinfection, is used in unoccupied environments to provide
line-of-sight disinfection to nonporous surfaces through UV-C. † This report
examines customers’ experiences using Surfacide’s Helios UV-C System. † The
system is an adjunct to currently existing and recommended cleaning practices
and is not intended as a replacement for or modification to such practices.
Perception

Remote Patient Monitoring 2022
19 July 22    |   Ciera Walker and Schafer Jackson
Remote patient monitoring (RPM) solutions have the potential to give healthcare
organizations the data they need to offer interventions, improve outcomes, and
reduce the cost of care (e.g., by limiting ED visits and hospitalizations).
Energy is high, especially among large organizations, and RPM investment is
growing. Today, the technology market is highly fragmented, and the future
depends on the ongoing reimbursement landscape. This report details healthcare
organizations’ plans for RPM, the vendors they are using or considering, and
what organizations need from their vendors to maximize the technology’s clinical
impact. For the purposes of this report, remote patient monitoring technology is
defined as solutions that acquire, transmit, or store patient health information
outside of conventional clinical care settings, most often in the patient’s
home.
Performance

Telehealth Performance 2022
07 July 22    |   Ciera Walker and Schafer Jackson
At the onset of the pandemic, telehealth solutions became critical for
healthcare organizations to maintain appointments, offer safe care, and increase
patients’ access to care. Now, with many patients still wanting to use
telehealth (see recently published report on the patient perspective ), provider
organizations are at a crossroads as they evaluate telehealth’s value and
long-term use, especially if the US government’s emergency telehealth use policy
isn’t renewed past summer 2022. This report examines how well vendors facilitate
a quality customer experience and what outcomes customers have achieved,
particularly as they have overseen patients’ involvement with the technology
(i.e., accommodating patients’ differing devices, connection bandwidths, and
levels of digital literacy). Vendors are divided into two groups based on the
type of technology they offer: virtual care platforms and video conferencing
solutions.
Performance

Security & Privacy Consulting Services 2022
25 August 22    |   Ciera Walker and Kaleb Harris
Cybersecurity attacks are on the rise, and healthcare organizations are
especially at risk. Security vulnerabilities can lead to financial penalties
imposed by OCR, damaged organization reputations, and the increased risk of
patient safety and data being compromised. To reduce vulnerabilities,
organizations often bring in outside consulting firms that specialize in
enhancing security and data privacy measures in healthcare. This report examines
several such firms (and one cross-industry firm) to determine who effectively
assists in reducing risk, engages closely with clients, and exceeds
expectations.
Performance

Imprivata Digital Identity Platform 2022
18 August 22    |   Dan Czech and Joe VanDeGraaff
Amid a changing workforce and mounting security pressures, healthcare
organizations recognize the growing need for a holistic approach to managing
digital identities. The development and adoption of HIT solutions capable of
enabling a holistic strategy are in an early state, with most organizations
leveraging multiple vendors to manage things such as identity, access, and
compliance. Previous KLAS research found that Imprivata—whose single sign-on
solution has a large healthcare footprint—is currently the only vendor to offer
a broad digital identity platform. Building on that research, this report
explores the potential benefits and challenges of deeply adopting Imprivata’s
offerings. Insights come from in-depth interviews with 6 organizations
identified by Imprivata as “deep adopters” as well as from 15 organizations
within the vendor’s broader customer base (referred to in this report as
“general adopters”). Other vendors will be evaluated as their solutions expand
to offer broad capabilities.
Performance

Healthcare IoT Security 2022
15 February 22    |   Ciera Walker and Joe VanDeGraaff
As the number of devices connected to networks within healthcare organizations
continues to grow, so does the potential for network security to be compromised.
These security risks—which can come from medical devices or the myriad other
devices connected to healthcare networks—can impact not only information
security but patient safety as well. Many healthcare internet of things (IoT)
security solutions give organizations visibility into connected devices, but the
most effective solutions also help actively reduce the risk associated with
those devices. To inform healthcare organizations of their IoT security options,
this report highlights the performance and purchase decision energy of software
vendors in this space. The performance of IoT security services firms is also
shared.
First Look

Armis
08 October 21    |   Joe VanDeGraaff and Spencer Larson
With the expansion of medical and non-medical devices that connect to the
internet, security for the internet of things (IoT) is a top priority for
healthcare organizations. As ransomware cases have increased, the ability to
identify, monitor, and secure all network devices has become critical. This
study is an early look at customers’ experience with Armis, a cross-industry
vendor that has gained traction in the growing healthcare IoT security market.
Performance

Patient Privacy Monitoring 2021
03 June 21    |   Ciera Walker and Joe VanDeGraaff
To combat the rising number of patient privacy breaches, healthcare
organizations are increasingly using patient privacy monitoring solutions for
regulatory compliance, efficiency, and peace of mind around medical record
access. Overall, patient privacy monitoring is one of the highest-scoring
markets KLAS measures. For this report, KLAS interviewed 148 healthcare
organizations about their customer experience and tracked 48 recent purchase
decisions through our Decision Insights †  research to learn why certain
solutions are being chosen and who can reliably lead organizations to success. †
Note: KLAS’ Decision Insights data conveys the future plans of current and
potential customers in a given market segment. For more details, see the About
This Report section.
Best in KLAS

2021 Best in KLAS Awards - Software and Professional Services
02 February 21    |   Mark Allphin and Sam Eaquinto
The Best in KLAS report recognizes software and services companies who excel in
helping healthcare professionals improve patient care. All rankings are a direct
result of the feedback of thousands of providers over the last year. A Best in
KLAS award signifies to the healthcare IT industry the commitment and
partnership that the top vendors should provide. Read the report to see the
top-rated medical software and services for 2021. Watch sessions from our
first-ever virtual Best In KLAS Award Show to hear from the winning vendors in
each segment. View Awards Show Recordings
Decision Insights

Identity and Access Management 2020
03 December 20    |   Dan Czech and Joe VanDeGraaff
As healthcare continues its measured move to the cloud, healthcare provider
organizations can no longer protect data solely through firewalls and strong
perimeter defenses—the digital identity must be protected as well. With
organizations replacing homegrown identity and access management (IAM) solutions
with commercial options, new vendors have entered the healthcare arena, and
longstanding single sign-on (SSO) vendors have expanded their suites. To
understand which vendors are being replaced, considered, and purchased and what
factors drive these decisions, this report combines customer satisfaction
insights with feedback from 40 unique healthcare provider organizations that
have recently made an IAM technology purchase decision.
Decision Insights

Healthcare IoT Security 2020
09 November 20    |   Dan Czech and Joe VanDeGraaff
Adoption of security solutions for the healthcare internet of things (IoT)
continues to grow as healthcare organizations look for ways to understand and
manage the risk associated with connected devices. In most deployments, the
focus has shifted from securing mainly medical devices to covering both medical
devices and the broader IoT devices found in healthcare settings. As the market
matures, organizations are also beginning to look beyond core capabilities—where
most solutions are comparable—to factors like cost, ROI, expertise, and vendor
culture when making buying decisions. With many strong options in the market,
the bar for vendors is high. KLAS spoke with 51 healthcare organizations to
understand which vendors are being selected and why and to glean early insights
into customer satisfaction.
Performance

Accenture Digital Transformation 2022
21 October 22    |   Spencer Larson and Warren Whitford
Provider and payer organizations are increasingly concerned about their
strategies for digital capabilities that affect operations and patient care. By
engaging with consulting firms to define needs and develop digital road maps,
organizations are utilizing firms’ assistance to plan, manage, and improve these
digital capabilities and, ultimately, consumer experiences. This report
evaluates the experiences of healthcare organizations that have engaged
Accenture for digital transformation work.
First Look

Continuum Health IT HIT Staffing
21 October 22    |   Kaleb Harris and Spencer Larson
The scope of HIT staffing projects—including the length, complexity, and skill
sets of participants—can vary widely from engagement to engagement. What remains
consistent is the need for high-quality, well-matched consultants who drive
value and achieve desired outcomes. In this market, provider organizations
struggle to find these consultants, so firms like Continuum Health IT can
provide staff to help implement, support, and optimize different solutions,
specifically EMR systems. This report evaluates the experiences of healthcare
organizations that have used Continuum Health IT’s HIT staffing services.
Performance

Security & Privacy Consulting Services 2022
25 August 22    |   Ciera Walker and Kaleb Harris
Cybersecurity attacks are on the rise, and healthcare organizations are
especially at risk. Security vulnerabilities can lead to financial penalties
imposed by OCR, damaged organization reputations, and the increased risk of
patient safety and data being compromised. To reduce vulnerabilities,
organizations often bring in outside consulting firms that specialize in
enhancing security and data privacy measures in healthcare. This report examines
several such firms (and one cross-industry firm) to determine who effectively
assists in reducing risk, engages closely with clients, and exceeds
expectations.
Perception

Optum/Change Healthcare Merger
16 August 22    |   Boyd Stewart and Sam Eaquinto
In January 2021, Optum announced their intentions to acquire Change Healthcare.
The merger remains unfinalized, however, as the US Department of Justice blocked
the deal in February 2022 due to anticompetition concerns—such a merger would
give UnitedHealth Group, Optum’s parent company and the nation’s largest
insurer, access to rivals’ sensitive data. The legal proceeding is ongoing and
scheduled to go to trial August 1, 2022. This report shares Optum and Change
Healthcare customers’ reactions to the merger and their perceptions of its
impact. Between March 2021 and April 2022, KLAS interviewed 48 individuals from
46 unique organizations; of these respondents, 9% are Optum customers, 56% are
Change Healthcare customers, and 35% are customers of both vendors.
Performance

Middle East Telehealth 2022
02 August 22    |   Everton Santos and Jonathan Christensen
At the onset of the COVID-19 pandemic, provider organizations around the world
adopted telehealth technology or greatly expanded its use seemingly overnight in
order to keep patients and healthcare staff safe while still in communication.
Since then, virtual visits have become a mainstay in the Middle East, as in
other regions. All interviewed customers in the Middle East report high
satisfaction with their virtual visit technology (either virtual care or video
conferencing platforms), though specifics of the customer experience do vary
across vendors. This telehealth report—KLAS’ first to focus on a specific region
outside the US—examines how non-EMR-affiliated virtual visit solutions differ
across key metrics (including product usability, implementation and training,
and vendor partnership) and also summarizes common EMR vendors and their
approaches to virtual visits.
Performance

Telehealth Performance 2022
07 July 22    |   Ciera Walker and Schafer Jackson
At the onset of the pandemic, telehealth solutions became critical for
healthcare organizations to maintain appointments, offer safe care, and increase
patients’ access to care. Now, with many patients still wanting to use
telehealth (see recently published report on the patient perspective ), provider
organizations are at a crossroads as they evaluate telehealth’s value and
long-term use, especially if the US government’s emergency telehealth use policy
isn’t renewed past summer 2022. This report examines how well vendors facilitate
a quality customer experience and what outcomes customers have achieved,
particularly as they have overseen patients’ involvement with the technology
(i.e., accommodating patients’ differing devices, connection bandwidths, and
levels of digital literacy). Vendors are divided into two groups based on the
type of technology they offer: virtual care platforms and video conferencing
solutions.
First Look

Neudesic, an IBM Company, Technical Services
24 June 22    |   Spencer Larson and Warren Whitford
Provider organizations require a broad range of technical skills to help them
manage mergers and acquisitions and the acceleration of healthcare’s digital
transformation. To help already strained IT departments, many provider
organizations turn to services firms for project-based implementation services
and infrastructure and application management. This report evaluates the
experience of healthcare organizations that have used technical services offered
by Neudesic, an IBM company.
Performance

Complex Claims Services 2022
16 June 22    |   Chloe Jensen and Mollie Hunt
To process complex claims (specifically, claims for motor vehicle accidents, VA,
workers’ compensation, and out-of-state Medicaid), provider organizations must
make significant time and resource investments. By hiring specialized firms with
the knowledge and experience to handle complex claims, organizations can
increase revenue, decrease the cost to collect, and reduce A/R days while saving
resources. Contingency-based pricing—which is typical for the market—also makes
engaging with these firms fairly low risk. This report examines the performance
of each complex claims services firm across different claim types and details
their delivery of outcomes and strength of client relationships.
Performance

PACS 2022
08 November 22    |   Monique Rasband and Sidney Tate
The US PACS market is poised for change. Several vendors have made or undergone
acquisitions, and some vendors have large customer bases still on legacy
solutions. Over 30% of the 368 organizations interviewed for this report are at
risk of replacing their current vendor, and organizations are looking for vendor
partners to advance their enterprise imaging strategies. Further, industry-wide
staff shortages have led to support and innovation challenges among PACS
vendors. This report examines how these vendors have addressed this shifting
market’s challenges and met the needs of customers with large volumes (300,000+
studies per year) and small/midsize volumes (<300,000 studies per year).
Perception

US Digital Pathology 2022
29 September 22    |   Eder Lagemann and Sidney Tate
Digital pathology for primary diagnosis is nascent in the US, but it is primed
for rapid growth, similar to what is currently being seen in Europe (see KLAS’
report on global digital pathology ). In anticipation, many technology vendors
are vying for a foothold in the US, leading to a highly varied landscape. In
partnership with the Digital Pathology Association (DPA), KLAS surveyed 55
provider organizations (including hospitals, health systems, academic health
centers, and reference labs) to assess the state of digital pathology among
pioneers in the US and determine which vendors are gaining traction. 33 of the
interviewed organizations are live with digital pathology; the rest are
currently implementing or making plans for the future.
Performance

Cardiology 2022
23 August 22    |   Monique Rasband and Sidney Tate
Healthcare organizations have steadily invested in cardiology solutions despite
the COVID-19 pandemic, and structured reporting continues to be top of mind in
their search for a vendor to unify cardiology modalities and imaging overall.
Over 25% of the 183 interviewed organizations are actively planning to replace
their current vendor or would do so if given the option, leading to a dynamic,
volatile market where no one vendor consistently leads in customer satisfaction.
This report (1) examines the breadth of customer-reported structured reporting
adoption and customer satisfaction to help organizations determine which vendors
can best meet their needs and (2) provides an update on customer satisfaction
with hemodynamics solutions. Note: For this report, a respondent organization
had to be live with structured reporting in at least one module for their
perspective to be included.
Perception

Optum/Change Healthcare Merger
16 August 22    |   Boyd Stewart and Sam Eaquinto
In January 2021, Optum announced their intentions to acquire Change Healthcare.
The merger remains unfinalized, however, as the US Department of Justice blocked
the deal in February 2022 due to anticompetition concerns—such a merger would
give UnitedHealth Group, Optum’s parent company and the nation’s largest
insurer, access to rivals’ sensitive data. The legal proceeding is ongoing and
scheduled to go to trial August 1, 2022. This report shares Optum and Change
Healthcare customers’ reactions to the merger and their perceptions of its
impact. Between March 2021 and April 2022, KLAS interviewed 48 individuals from
46 unique organizations; of these respondents, 9% are Optum customers, 56% are
Change Healthcare customers, and 35% are customers of both vendors.
White Paper

Enterprise Imaging Summit 2022 White Paper
03 August 22    |   Emily Paxman and Monique Rasband
Since 2017, KLAS has hosted four separate summits on enterprise imaging (EI),
each time bringing together healthcare executive thought leaders to discuss EI
issues and define guidelines. The insights gleaned from these summits represent
the combined wisdom of some of the industry’s top EI experts. This white paper
summarizes the discussions from the most recent summit held in May 2022. The
following sections are included: A definition of enterprise imaging Keys to
success outside of technology, including strategies for (1) safely managing
sensitive images within an enterprise imaging infrastructure and (2) navigating
enterprise imaging in a post-pandemic world
White Paper

Enterprise Imaging Guidebook 2022
03 August 22    |   Emily Paxman and Monique Rasband
Since 2017, KLAS has hosted four separate summits on enterprise imaging (EI),
each time bringing together healthcare executive thought leaders to discuss EI
issues and define guidelines. The insights gleaned from these summits represent
the combined wisdom of some of the industry’s top EI experts. This white paper
summarizes the discussions from the most recent summit—held in May 2022—and also
pulls in findings from previous summits to form a succinct EI guide intended to
help provider organizations on their enterprise imaging journey. The following
sections are included: A definition of enterprise imaging and an outline of the
functionalities required for a strong enterprise imaging strategy Advice for the
RFP process Best practices for workflow, governance, and vendor delivery Keys to
success outside of technology, including strategies for (1) safely managing
sensitive images within an enterprise imaging infrastructure and (2) navigating
enterprise imaging in a post-pandemic world
Performance

Europe PACS 2022
05 July 22    |   Eder Lagemann and Sidney Tate
The PACS market in Europe is evolving. To unify care delivery, many countries
are pushing for HIT consolidation across regional groups of hospitals. At the
same time, healthcare organizations are increasingly looking to expand their
imaging strategies outside of radiology to bring together more departments and
facilities at an enterprise level. This report leverages the perspectives of 199
individuals representing 168 unique organizations across 25 European countries
to determine which PACS vendors are delivering the technology and partnerships
needed to drive imaging progress in Europe.
Performance

Middle East & Africa PACS 2022
05 April 22    |   Everton Santos and Sidney Tate
The PACS market in the Middle East and Africa is evolving, with some vendors
gaining prominence and others losing traction. Healthcare organizations are
looking to enhance their imaging strategies with new, advanced technology (e.g.,
AI and the cloud) and want vendors who innovate and deliver this technology.
Using customer feedback from 60 organizations across 14 countries, this report
is KLAS’ first to focus on the PACS market in the Middle East and Africa,
exploring vendor market share and performance and examining which vendors are
keeping pace with customer expectations.
Performance

CMS Payer Interoperability 2022
13 September 22    |   Joe VanDeGraaff and Ruirui Sun
CMS recently issued a new regulation stipulating that CMS-regulated payers must
be able to securely store and share patient data under the HL7 FHIR standard. To
achieve this, organizations use CMS payer interoperability products, which
usually provide capabilities such as patient access APIs, provider directory
APIs, and payer-to-payer data exchange. Health plans and state agencies are
evaluating how well technology vendors’ existing or newly developed solutions
can help them stay compliant with the new CMS requirements. This report is KLAS’
first to validate the purchase decisions and customer experience of some of the
vendors in this area.
Perception

Optum/Change Healthcare Merger
16 August 22    |   Boyd Stewart and Sam Eaquinto
In January 2021, Optum announced their intentions to acquire Change Healthcare.
The merger remains unfinalized, however, as the US Department of Justice blocked
the deal in February 2022 due to anticompetition concerns—such a merger would
give UnitedHealth Group, Optum’s parent company and the nation’s largest
insurer, access to rivals’ sensitive data. The legal proceeding is ongoing and
scheduled to go to trial August 1, 2022. This report shares Optum and Change
Healthcare customers’ reactions to the merger and their perceptions of its
impact. Between March 2021 and April 2022, KLAS interviewed 48 individuals from
46 unique organizations; of these respondents, 9% are Optum customers, 56% are
Change Healthcare customers, and 35% are customers of both vendors.
Emerging Technology

1upHealth FHIR Platform
18 March 22    |   Aurene Wilford and Joe VanDeGraaff
In 2021, new CMS rules came into effect that require CMS-regulated health plans
to have a patient access API and a provider directory API. Aimed at increasing
the interoperability of personal health data, these rules have prompted payers
to look at new ways of sharing external information. This report evaluates
1upHealth‘s FHIR Platform, an interoperability solution designed to help payer
customers meet governmental regulations and improve consent and authorization
management.
Best in KLAS

2022 Best in KLAS Awards - Software and Professional Services
08 February 22    |   Sam Eaquinto
The Best in KLAS report recognizes software and services companies who excel in
helping healthcare professionals improve patient care. All rankings are a direct
result of the feedback of thousands of providers over the last year. A Best in
KLAS award signifies to the healthcare IT industry the commitment and
partnership that the top vendors should provide. Read the report to see the
top-rated medical software and services for 2022.
Performance

Risk Adjustment 2021
02 November 21    |   Jennifer Hickenlooper and Ryan Pretnik
Payer organizations, provider-sponsored health plans (PSHPs), and provider
organizations are expressing growing interest in adopting risk adjustment
solutions that provide a wide variety of capabilities and enable consolidation
to fewer vendors. Many vendors say they can provide a comprehensive solution,
but which actually deliver? Based on the feedback of 163 respondents, this
report examines vendor performance across key customer experience metrics and
validates customer adoption across the broad spectrum of risk adjustment
capabilities.
Performance

HealthEdge Core Payer Administration Platform 2021
26 October 21    |   Jennifer Hickenlooper and Joe VanDeGraaff
Though core administration platforms are essential for payer organizations, many
of the products in the market are perceived as outdated, complex, and low
performing (the market has one of the lowest average performance scores of any
KLAS measures). However, HealthEdge has recently seen increased attention from
both small and large health plans, who view the vendor’s technology as
innovative and who have been asking KLAS for vendor insights. This report
examines the experience of HealthEdge customers and how the HealthEdge
technology stands out from competitors’.
Perception

Digital Front Door 2021
28 September 21    |   Adam Cherrington and Dan Czech
Along with buzzwords like “AI” and “population health,” the term “digital front
door” has become more popular but lacks a consensual definition. For this study,
KLAS spoke to 27 leading organizations to understand what digital front door
means to them, what digital front door strategies and key technologies they use,
and what outcomes they have seen. Based on the lessons they have learned along
the way, these organizations (most of which use Cerner or Epic for their core
EMR) also shared advice for peers seeking to build or improve their digital
front door strategies.
First Look

Pareto Intelligence
25 June 21    |   Ryan Pretnik and Sam Eaquinto
Analytics and risk adjustment are hot topics due to the expenses associated with
value-based care, government regulations, and CMS programs. Pareto
Intelligence’s revenue integrity solution attempts to provide organizations with
actionable data to improve their risk documentation outcomes. This report
examines the Pareto customer experience.
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