Category: EMR/EHR

HST Ranks #1 With the Highest Overall Performance Score of all ASC EMRs

< 1 minute read

HST has some exciting news!

According to a new report published by KLAS Research, HST is a high scorer when compared to the overall performance score of all EMR vendors in the ASC industry.

KLAS interviewed 85+ surgery centers across the country currently using an EMR and asked them various short-form and long-form questions. The questions covered culture, loyalty, operations, product, relationship, and value.

HST results included:

  • Overall Performance Score of 91.2, the highest performance score of all ASC EMR vendors.
  • 97% of those interviewed said they consider HST to be part of their ASC’s long-term plans.
  • 90% said HST avoids nickel-and-diming clients (while the second-best score was only 72%).
  • HST was also high-performing in Customer Service and Product Quality.

Click to read the full Ambulatory Surgery Center EMR 2021 KLAS report

Is your center ready to capture quality data electronically and improve clinical efficiency? Have you tried using an EHR to enable your clinical teams? Learn more about HST eChart.


Source: KLAS Research. (2021, August). Ambulatory Surgery Center EMR 2021.


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Three Reasons Why You Need an EHR Now

3 minute read

Electronic Medical Records (EMR/EHR), prevalent in both physician practices and hospitals, are finally making their way into the ambulatory surgery center (ASC) space in a big way. Although it is not clear how many ASCs are using an EHR or how each center defines an EHR, in a recent poll held by ASCA, 55% of respondents stated they have some form of an EHR. This result was similar to the Definitive Healthcare1 result with about 50% claiming they have an EHR. For those centers not using an EHR, they stated it’s due to costs and lack of federal/state mandates. However, with increased utilization of the ASC space for surgical and procedural care and the ever-growing need to communicate patient health care information across all avenues of care, this reasoning is becoming obsolete. The growing need for healthcare access combined with consumer’s constant exposure to technology and reliance on immediate, mobile access to everything has created a tipping point for EHR adoption.

Reason #1: Cost – The Price Tag is Lower Than You Think

The cost of EHR technology and its implementation in the ASC space is not the million-dollar price tag that hospitals face. There are EHRs that are specifically designed for ASCs, and they are a small hammer to the larger software companies’ anvil. By selecting an EHR built for an ASC, you’ll find the processes around billing and documentation of care, and the learning curve is different from those built for hospitals.

The ROI for utilizing EHRs is measurable. Using an ROI calculator based on cases per month, number of ORs, and ancillary employees per case will clearly demonstrate that the time wasted in shuffling paper, completing paperwork, filing paper, and preserving paper charts far outweighs the cost of an EHR. The additional employee hours spent leafing through the paper chart to find the data necessary to submit to specialty, state, and federal agencies must also be considered. Additionally, in a time where everyone is concerned about the environment, the contribution of paper charts to your facility’s carbon footprint cannot be overlooked.

Reason #2: Information Sharing – Interoperability is Here to Stay

This year’s changes to the CMS list of approved outpatient surgeries will increase the already growing number of cases performed in ASCs. This rapid shift will highlight the lack of interoperability/sharable data for centers not utilizing EHR technologies. The Cures Act of 2020 lays out the plan for coordinating care now and in the future. EHR vendors are working towards the FHIR (Fast Healthcare Interoperability Resource) and API (application programming interface) goals, including a shared data set definition for this collaborative approach. This will facilitate the interoperability of all electronic health technologies with each other and with Health Information Exchanges. Centers are also being pressured to provide free access to the patient’s medical record in a timely manner. EHRs allow this seamlessly via patient portals and data sharing APIs.

Reason #3: Recruitment – Get the Providers and Patients You Want

Administrative considerations are not the only changes to the ASC landscape. Lack of utilizing an EHR tailored for the ASC space affects the ability to recruit new providers and new patient streams. Savvy patients have begun to demand access to records, resources, and an interactive approach to care. Providers need the ability to communicate with patients, centers, and the care team to develop a more collaborative approach to surgery and recovery. Clinical strategies moving forward must include this access.

Next Step? Embracing an EHR.

The number of outpatient surgical procedures in the US is expected to grow from ~129 million procedures in 2018 to ~144 million procedures by 2023.2 If you’re already struggling to make your processes work with your current caseload, are you prepared for growth? It is time to embrace the new EHRs made for the ASC space. The targeted approach to meeting the needs of this very specific care location has taken advantage of all the lessons learned from the earlier behemoth EHR.

Used by 1,300+ clients, HST eChart is the leading EHR solution in the ASC industry.



1 Definitive Healthcare
2 Business Wire


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Three Problems with Paper Charts & How to Solve Them

3 minute read

Paper charting might be a comfortable and familiar process; however, with the direction the ASC industry is heading, it’s challenging to keep up with the growing demand of patients and physicians and maintain these cumbersome processes.

Here are three significant issues with paper charting that electronic medical records will resolve.

Problem – Workarounds for completing charts cause ethical and legal implications.

Many clinicians feel that the timeliness of signatures and chart completion is bothersome and irrelevant to the quality of care. Using paper charting allows for opportunities to cut corners. For example, it’s not unusual for a clinician to make a copy of one completed intra-op record in advance and fill in only a few items that change throughout the day – perhaps signing things before or after and even completing and altering the chart long after the day of service. This flexibility has legal and ethical implications, and these opportunities could be circumventing the Federal, State, and their own center’s policies and regulations. When the chart is completed without audit logs and date/time stamps, all clinicians can find themselves and the documentation of their care in jeopardy.

Solution – Unique logins and time stamps eliminate workarounds and mitigate risk.

Every clinician and every user of the electronic health record (EHR) has a unique login and password, so every entry they make is automatically time/date stamped. There is never a question of when an order was given and when it was completed. No other individual can alter or access the documentation without their identity known and the time of edits tracked. The timeline of care and the security of knowing the information entered can be audited and traced provides all clinicians with comfort and assurance that what they documented is unaltered.


Problem – Information silos and segmented data.

When charting on paper, it is not uncommon for each team member to have their piece of the record and then have the Medical Records department assemble the charts after the case is completed. This is concerning as the other team members likely did not read entries made by staff in pre-op before assuming patient care. Something as serious as an updated allergy or patient limitation may never get communicated. And even if they are communicated, the legibility and location of the data are often different with each clinician. These silos can have a very negative effect on patient care, safety, and outcomes.

Solution – Information is accessible at any time by all team members.

Electronic charting removes the information silos and unifies all team members across all departments. HST eChart allows all users to communicate legibly, consistently, and simultaneously about the patient status and care in real-time for improved outcomes. The clinical team designed the chart layout so that everyone would know where to find the vital information. All necessary data is included in the workflow, so there is no need to search for it. With HST eChart, pertinent information updates across the chart via LiveEdit, and all users providing care to that patient receive notification of these changes in real-time.


Problem – Storage, access, and reporting limitations

Once records are complete, they may be stored off-site or scanned into a storage system. These can be expensive and cause retrieval issues. To guide the Anesthesia team for the current surgery, access to old records might involve several other individuals locating and retrieving the old charts from off-site or searching through the scanned archived records. Since the timeliness of this information is essential, this is concerning. Also, the completed charts may be necessary for critical analytics provided to Surveyors and federal agencies like CMS and the FDA. Manual data collection and analytics can take additional staff or take staff away from patient care.

Solution – Data and reporting is immediately at your fingertips

Electronic charting provides a reduced carbon footprint. All chart data can be electronic, eliminating the use of paper, storage of paper, making paper copies of chart information, and shredding/disposing of all paper documentation.

Even better – all past visit data is at your fingertips. Clinicians do not have to wait on old chart retrieval to plan the current case plan of care. Answers to all questions – allergies, home medications, past medical history – can be seamlessly pushed forward from visit to visit. Additionally, the gathering of accurate data and statistics can happen in a few taps.


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