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, Cerner, or Meditech system. Allscripts 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 national for-profit corporations. Their large geographic footprint and traditionally higher margins make it more practical for them to build and maintain an in-house system.

Among critical-access hospitals unassociated with IDNs, CPSI and Epic comprise over half the market. Allscripts barely makes the top five, and Athenahealth has fewer than 100 implementations. Smaller vendors with less of a national presence also make up a significant portion of critical-access hospital EHR deployments compared to standard acute care facilities. The picture changes for critical access hospitals owned by IDNs, which is unsurprising given that IDNs would choose a single vendor for all of their facilities and companies like Epic and Cerner are already widely deployed in other hospitals and ambulatory settings.

Deployments at Acute Care Hospitals by Vendor Market Share

EHR deployments at acute care hospitals

Download the full list using the form on the right!