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Top 10 Hospitals Using an Epic EHR System

Epic is the largest provider of EHR systems in the United States, accounting for more than 30 percent of all inpatient and ambulatory systems. As hospitals and care facilities continue to utilize electronic data sharing, and hospitals adopt multiple systems across departments, there could be greater incentive for smaller companies to market less-comprehensive niche products to fill gaps in service.

On October 9, Sentara Healthcare transitioned its 11th hospital to a new e-care technology that will enable use of an Epic-based electronic health record (EHR) system. Sentara providers will have the capability to share patient data across departments, throughout the network, and with patients. The shift cost approximately $18 million over two years, and is one of 12 hospitals Sentara will be transitioning. The Sentara network consists of 15 hospitals, as well as 11 ambulatory surgery centers (ASCs), 45 imaging centers, 10 skilled nursing facilities (SNFs), and more according to Definitive Healthcare data.

Top 10 Hospitals Using Epic by Number of Staffed Beds

Hospital Name Staffed Beds IDN HIMSS Stage
Montefiore Medical Center Main Campus 1,453 Montefiore Health System Stage 6
Cleveland Clinic 1,268 Cleveland Clinic Health System
Barnes – Jewish Hospital South 1,227 BJC Healthcare Stage 6
UPMC Presbyterian ShadySide 1,173 University of Pittsburgh Medical Center Stage 6
Mayo Clinic Hospital – Rochester 1,092 Mayo Clinic Health System Stage 7
The Johns Hopkins Hospital 993 Johns Hopkins Health System
Mount Sinai Medical Center 991 Mount Sinai Health System Stage 6
Massachusetts General Hospital 987 Partners Health Care
Beaumont Hospital – Royal Oak 976 Beaumont Health System Stage 6
Duke University Hospital 922 Duke Health Stage 7

Fig 1 Data from Definitive Healthcare

Sentara’s updates and implementations follow the general trend of EHR system adoption among hospitals, ASCs, and rural care clinics. Electronic file sharing allows care facilities to improve communication with providers in and outside their own networks, improving patient care quality and experience.

Currently, Definitive Healthcare tracks more than 14,000 inpatient and ambulatory EHR implementations. Epic accounts for approximately 30.5 percent of ambulatory and inpatient systems in place, the most of any single provider. In second place is Cerner, accounting for 27.3 percent of EHR systems. Meditech has the third largest percentage of ambulatory and inpatient EHR systems in place with 13.3 percent of all implementations.

While some hospitals choose to implement a single system, others use a patchwork of different systems depending on departmental needs. Abilene Regional Medical Center (TX) uses a Medhost patient portal and inpatient EHR system, and an ambulatory EHR system from AthenaHealth, according to Definitive Healthcare data. Claireborne Medical Center (TN) uses Medhost for inpatient EHR physician order entry, but uses Cerner for their ambulatory EHR according to Definitive Healthcare.

Top 10 Hospitals Using Epic by Net Patient Revenue

Hospital Name Net Patient Revenue (M) IDN HIMSS Stage
Cleveland Clinic $4,688 Cleveland Clinic Health System
Stanford Hospital $3,453 Stanford Health Care Stage 7
NYU Langone Medical Center $3,192 NYU Langone Health Stage 7
University of Texas MD Anderson Cancer Center $2,992 University of Texas System Stage 6
UCSF Medical Center at Parnassus Heights $2,935 University of California San Francisco Health System
Cedars-Sinai Medical Center $2,910 Cedars-Sinai Health System Stage 7
University Hospital – University of Michigan $2,866 Michigan Medicine
Montefiore Medical Center – Main Campus $2,690 Montefiore Health System Stage 6
Massachusetts General Hospital $2,578 Partners Health Care
Memorial Sloan Kettering Cancer Center $2,531

Fig 2 Data from Definitive Healthcare

However, though hospital and care center EHR adoption continues to rise, this does not necessarily ease the flow of patient and provider data. A study published in Health Affairs this September found that physicians spend more time on “desktop medicine,” logging data and answering patient queries online, than in face-to-face patient interactions. This leads industry experts to believe that the emphasis on electronic data logging is taking up too much time in a physician’s day, reducing the time spent with patients diagnosing medical issues.

Of the 8,000 hospitals tracked by Definitive Healthcare with implemented EHR systems, more than 2,200 use Epic. It is interesting to note that every one of the largest hospitals using this system is part of a larger health system. The largest hospital currently using Epic, and is not part of a health system, is Tampa General Hospital with 913 beds.

 

*NOTE: A previous version of this post did not include HIMSS Stages. It has since been updated.

Visit the Definitive Blog to read more about hospital EHR adoption.

Definitive Healthcare is the leading provider of comprehensive, up-to-date, and integrated healthcare data. Our database tracks financial and clinical quality metrics on more than 8,800 hospitals, 1.5 million physicians, and 10,000 ambulatory surgery centers.

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