• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

Survey Says Physicians Prefer VistA Enterprise EHR Over Epic Systems

by Edmund Billings MD 11/19/2012 6 Comments

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

2012 Medscape survey says physicians prefer VistA Enterprise EHR Over Epic Systems based on 21,000 physicians in 25 specialties evaluating enterprise EHRs 

Two recent surveys clearly show that, when it comes to enterprise EHRs, physicians prefer VistA.

In a 2012 survey by Medscape, 21,000 physicians in 25 specialties were asked to evaluate enterprise EHRs in hospital-based health delivery networks based on the following characteristics:

  1. Easy to learn
  2. Ease of data entry
  3. Overall ease of use
  4. Ease of EHR implementation
  5. Reliability
  6. Adequacy of vendor training program
  7. Vendor continuing customer care
  8. Interactivity with other office systems
  9. Value for the money
  10. Physician overall satisfaction
  11. Staff overall satisfaction
  12. Appearance/overall usefulness of the end product.

According to the results of the Medscape survey, the VA’s Computerized Patient Record System (VistA CPRS, the clinical application in the VistA EHR system) is the third most preferred enterprise health IT solution in American medicine, ahead of Epic (6), Cerner(11), Meditech(14) and McKesson(15).

CLICK IMAGE TO ENLARGE

Survey Says Physicians Prefer VistA Enterprise EHR Over Epic Systems

http:/www.medscape.com/viewarticle/768899
http:/www.medscape.com/features/slideshow/EHR20Vista12

Similarly, a 2011 survey by the American Academy of Family Physicians (AAFP) asked physicians to compare 30 EHRs on 15 criteria. Of the enterprise EHRs included in the survey, Epic was 5th, VistA 6th,McKesson 19th and Cerner 25th. The top four were all physician practice management systems.

CLICK IMAGE TO ENLARGE

Survey Says Physicians Prefer VistA Enterprise EHR Over Epic SystemsSurvey Says Physicians Prefer VistA Enterprise EHR Over Epic Systems

                  Family Practice Management May/June 2012   www.aafp.org/fpm/2012/0500/p19.html

But, if we dive more deeply into the AAFP survey, we see that specific questions focused on physician adoption, acceptance and quality care yielded results consistent with those in the Medscape survey. VistA is consistently preferred by physicians over other enterprise EHRs when the focus in on particular performance and adoption issues.

On overall ease of use and intuitive design, for example, VistA was 8th, Epic 11th and Cerner 29th.

CLICK IMAGE TO ENLARGE

Survey Says Physicians Prefer VistA Enterprise EHR Over Epic Systems

Appropriately, responses to the AAFP survey’s most relevant question make the most compelling argument for VistA. When asked which available system best supports higher quality care, physicians chose VistA over all other options. Epic came in 10th and Cerner 23rd.  This result specifically reflects the VA’s primary design goal of improving care for veterans, which is now critical to Meaningful Use and real clinical transformation.

CLICK IMAGE TO ENLARGE

Survey Says Physicians Prefer VistA Enterprise EHR Over Epic Systems

On overall satisfaction, physicians ranked VistA 4th, Epic 10th and Cerner 24th. To refresh your memory, the AAFP surveyed doctors in physician practices, and the only solutions ranked above VistA for overall satisfaction were physician practice management systems.

CLICK IMAGE TO ENLARGE

Survey Says Physicians Prefer VistA Enterprise EHR Over Epic Systems

The results of both surveys reflect dramatic differences in EHR design goals and priorities. At the VA, VistA has evolved to improve care for veterans through ease of adoption and use. This latter point bears repeating. Because the VA is staffed by resident physicians and fellows rotating through on a monthly basis, VistA must be easily adoptable. New clinicians are given one hour of training before they hit the floors and clinics to take care of patients. They learn as they use. This is how great products are adopted.

The other leading enterprise EHRs evolved from financial / administrative systems for which design goals evolved over time.  Physician ease of use and adoption was not primary. (Some would argue it wasn’t secondary, either.)  Clinical documentation suffered from efforts to “optimize” E&M coding and charge capture.  CPOE was burdened by administrative and bureaucratic requirements.  Early adopter physicians and market competition drove feature function wars focused on covering every potential need and desire. In this unnecessarily complex, burdensome scenario, physicians often feel like clerks, pointing and clicking after hours to get their work done; many feel like EHRs make for more work, not less, and someone else’s work at that.

In contrast with enterprise solutions, EHRs for physician practices are designed to make physicians more productive by serving physician practice workflow. Products like Amazing Charts have nailed it.  VistA is the best enterprise EHR because it takes a similar approach to automating patient care and physician workflows. Having evolved VistA over the last 15 years, the VA has progressively refined a straightforward design that helps physicians get their work done.

It may run counter to conventional wisdom and industry misinformation, but according to physicians, VistA is the best enterprise EHR on the market.

The AAFP’s 2012 Survey is scheduled for release in Q4 2012.  Stay tuned …

Edmund Billings, MD is the Chief Medical Officer at Medsphere where he blogs regularly on healthcare IT.

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: Medsphere

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

2025 EMR Software Pricing Guide

2025 EMR Software Pricing Guide

Featured Interview

Kinetik CEO Sufian Chowdhury on Fighting NEMT Fraud & Waste

Most-Read

2019 MedTech Breakthrough Award Category Winners Announced

MedTech Breakthrough Announces 2025 MedTech Breakthrough Award Winners

WeightWatchers Files for Bankruptcy to Eliminate $1.15B in Debt

WeightWatchers Files for Bankruptcy to Eliminate $1.15B in Debt

KLAS: Epic Dominates 2024 EHR Market Share Amid Focus on Vendor Partnership; Oracle Health Sees Losses Despite Tech Advances

KLAS: Epic Dominates 2024 EHR Market Share Amid Focus on Vendor Partnership; Oracle Health Sees Losses Despite Tech Advances

'Cranky Index' Reveals EHR Alert Frustration Peaks Midweek, Highest Among Admin Staff

‘Cranky Index’ Reveals EHR Alert Frustration Peaks Midweek, Highest Among Admin Staff

Madison Dearborn Partners to Acquire Significant Stake in NextGen Healthcare

Madison Dearborn Partners to Acquire Significant Stake in NextGen Healthcare

Wandercraft Begins Clinical Trials for Physical AI-Powered Personal Exoskeleton

Wandercraft Begins Clinical Trials for Physical AI-Powered Personal Exoskeleton

Chipiron Secures $17M to Transform MRI Access with Portable Scanner

Chipiron Secures $17M to Transform MRI Access with Portable Scanner

Abbott to Integrate FreeStyle Libre Glucose Data with Epic EHR

Abbott to Integrate FreeStyle Libre Glucose Data with Epic EHR

5 Ways New Trump Administration Tariffs Are Impacting U.S. Healthcare Now

5 Ways Trump Administration Tariffs Are Impacting U.S. Healthcare Now

iCAD, GE HealthCare Integrate to Advance Breast Cancer Detection with AI

RadNet to Acquire iCAD for $103M in All-Stock Transaction

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |