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EHRs in ASCs

As of 2023, about 54.6% of ambulatory surgery centers (ASCs) in the United States use an electronic health record (EHR). I believe that this number is inflated through the inclusion of hospital affiliated ASCs. Nevertheless, this means that at least 45.4% of ASCs do not use an EHR.

There are a few factors that may contribute to the relatively low adoption rate of EHRs in ASCs, including:

  • The cost of EHRs can be prohibitive for smaller ASCs.

  • The EHRs that are available for ASCs are not really designed for use in such a high volume, fast paced environment.

  • There is no federal mandate for ASCs to use EHRs. More importantly, there is no federal funding for ASCs to adopt an EHR. Hospitals and physician offices were provided with a financial incentive to implement an EHR. In addition, CMS instituted a financial penalty for those that did not take advantage of the financial incentive. The proverbial carrot and stick approach.

Consequently, there is a great amount of efficiency and data that is missing in the ASC space. This has also led to a proliferation of software solutions designed to address specific issues or problems. These are called point solutions. More on this in the next post.


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