Healthcare Insights

Top EHR systems at acute care hospitals

Electronic Health Records (EHRs) are a critical but expensive part of any hospital’s technology infrastructure. The following lists highlight the top ten vendors for Inpatient EHR Systems and Ambulatory EHR Systems. For both inpatient and ambulatory, Epic Systems maintained the highest market share — accounting for 39 and 41 percent of deployments, respectively. At 22 and 23 percent implementation, Cerner holds the second-highest vendor market share for both inpatient and ambulatory [EHR] systems."

In both EHR system types, the vast majority of facilities utilized Epic, Cerner, MEDITECH, or Allscripts. Median total revenue at hospitals saw a large drop off after the top four vendors. For Inpatient EHR, hospitals using one of the top four vendors had a combined average total revenue 149 percent higher than the average total revenue of hospitals using alternative vendors. The revenue disparity lessens when examining ambulatory EHR system deployments. Hospitals using one of the top four vendors had a combined average total revenue 85% higher than the average total revenue of hospitals using alternative vendors. eClinicalWorks serves as an exception in the ambulatory space with the fourth highest average total revenue for user hospitals.

Proprietary systems account for only about 2 percent of all inpatient and ambulatory EHR systems across U.S. hospitals. This is because the vast majority of hospitals using a proprietary system are part of national, for-profit corporations. Their higher [operating] margins and large geographic footprint make building and maintaining an in-house system a more practical solution for them than other, more widely-utilized vendor technologies.

For Ambulatory systems, Evident, 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.

Top 10 inpatient EHR systems at acute care hospitals

RankEHR VendorDeployments% in IDNMedian DischargesMedian Total Revenue (M)Explore Dataset
1Epic1,57295%11,988$458 Explore
2Cerner90789%10,799$328 Explore
3MEDITECH69774%7,054$186 Explore
4Allscripts27377%8,008$257 Explore
5MEDHOST23589%1,692$46 Explore
6Evident18435%1,441$43 Explore
7Proprietary System8096%919$41 Explore
8Indian Health Service2777%772NAExplore
9Athenahealth2320%1256$45 Explore
10Infomedika1384%4,908$48 Explore

Fig 1 Data from Definitive Healthcare  from the Hospitals & IDNs Database. Technology data is proprietary from Definitive Healthcare. Hospital data is from January 2020 Medicare Cost Report release; the next scheduled Medicare Cost Report release is April 2020.

 

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Top 10 ambulatory EHR systems at acute care hospitals

RankEHR VendorDeployments% in IDNMedian DischargesMedian Total Revenue (M)Explore Dataset
1Epic1,6129511,310$436 Explore
2Cerner9258910,539$319 Explore
3MEDITECH485665,631$157 Explore
4Allscripts293769,111$293 Explore
5Evident170321,432$42 Explore
6eClinicalWorks1549711,280$263 Explore
7Athenahealth133854,578$123 Explore
8Proprietary System70981,160$53 Explore
9Indian Health Service2584775NAExplore
10NextGen Healthcare15603,468$121 Explore

Fig 2 Data from Definitive Healthcare  from the Hospitals & IDNs Database. Technology data is proprietary from Definitive Healthcare. Hospital data is from January 2020 Medicare Cost Report release; the next scheduled Medicare Cost Report release is April 2020.

 

Definitive's Healthcare Insights are developed with data from the Definitive Healthcare platform. Want even more insights? Start a Free Trial now and get access to the highest quality data and intelligence on hospitals, physicians, and other healthcare providers.

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