Electronic Health Records (EHRs) are a critical but expensive part of any hospital’s technology infrastructure. Here’s a look at the state of the inpatient EHR market today at non-federal, acute care hospitals, based upon Definitive Healthcare data – showing a distinct difference between non-critical access and critical access hospitals.

Data for non-critical access, non-federal acute care hospitals show a market dominated by major vendors. Nearly three fourths of the hospitals examined use an Epic, MEDITECH, or Cerner system. McKesson comes in at a distant fourth, followed by CPSI. Epic and Cerner systems are more common at larger, IDN-affiliated hospitals with relatively high bed counts and patient revenue. Among lesser-deployed systems, CPSI, which focuses its products on rural, community, and critical-access hospitals, was installed at hospitals with the lowest median patient revenue, median discharges, and lowest rate of affiliation with IDNs. The vast majority of hospitals with proprietary EHR systems are part of for-profit, national corporations. Their large geographic footprint and traditionally higher margins make it more practical for them to build and maintain an in-house system.

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