Acute EMR Market Share
How Did My Vendor Fare in 2014?

1. LARGE ORGANIZATIONS ALL IN WITH EPIC

In 2014, Epic was selected in 13 out of 15 multihospital decisions. 29% of organizations chose Epic, and the large hospitals included in that percentage represent over 70% of all hospitals with more than 200 beds. Large acute care health systems overwhelmingly selected Epic for their integration and proven track record. Cerner and MEDITECH were the only other vendors with net new IDN wins in addition to their add-on contracts.

2. WILL ATHENAHEALTH (RAZORINSIGHTS) DISRUPT THE MARKET?

athenahealth’s acquisition of RazorInsights’ web-based EMR in 2015 established them as an acute care hospital vendor. In 2014, RazorInsights nearly doubled their hospital install base (from 15 to 28) and was one of only three vendors to increase in overall market share (with Cerner and Epic). RazorInsights was selected largely by small, critical access hospitals; they were also chosen by one hospital with just under 200 beds. Along with Epic, RazorInsights did not lose any hospitals in 2014. Looking forward, providers are energized by the vision and infusion of resources athenahealth (RazorInsights) could bring.

3. MID-TO SMALL-MARKET EMRS FEELING THE SQUEEZE

Small to midsize hospitals overwhelmingly chose Epic, followed by Cerner, effectively squeezing midtier vendors Allscripts and McKesson from the market. McKesson saw a dramatic decline in new contracts in 2014 (to 4, from 36 in 2013), whereas Allscripts has seen limited growth since 2010. MEDITECH also felt the squeeze, as all but three of their wins were from legacy migrations or add-ons. This trend has continued for the smallest hospitals; fewer providers have selected Evident (CPSI), Healthland, and MEDHOST in recent years as more vendors have been pushed downstream to compete for smaller-hospital contracts.

4. LEGACY CUSTOMER BASES AT RISK

If 2014 trends continue, Healthland, McKesson, and MEDITECH stand to lose over 50% of their sizable legacy customer bases. And with Cerner’s acquisition of Siemens, nearly 300 hospitals face a choice concerning their go-forward EMR. These hospitals represent over 20% of those that aren’t using their vendor’s primary, go-forward EMR platform, giving Cerner the second most customers (behind MEDITECH) facing an EMR decision.

BOTTOM LINE ON VENDORS:

ALLSCRIPTS

6 wins, 4 from hospitals under 200 beds, with both standalone and add-on contracts. 14 losses spread across large and small hospitals. Increase in losses in 2013–2014 as compared to 2010–2012. Small, though slowly declining, market share.

ATHENAHEALTH (RazorInsights)

Acquisition of web-based RazorInsights finalized in 2015. 13 wins in 2014, mostly among small hospitals, nearly doubling market share (15 to 28). One of three vendors with a net increase in market share, and one of two with no losses.

CERNER

Largest overall market share due to Siemens acquisition. 31 wins (all but 5 under 200 beds) and 13 losses for Millennium platform. Competitive wins came mostly from standalone hospitals. Hosted CommunityWorks model gaining steam. 3 wins and 10 losses for Cerner (Siemens).

EPIC

Clear leader in new hospital wins in 2014 with 127. Second in overall market share. Favorite among large hospitals and health systems. Community Connect popular among small hospitals. No competitive losses. No current customers report plans to replace Epic.

EVIDENT (CPSI)

Evident did not provide KLAS with a list of wins for 2014. Independently validated wins (2) lower than in previous years. 12 validated losses in line with Evident’s average since 2010. Fourth largest market share overall, mostly among small and critical access hospitals.

HEALTHLAND

15 wins, primarily among small hospitals: 6 competitive, 8 legacy migrations, and 1 add-on. 23 total losses—mostly legacy, but 2 from Centriq. Over one-third of customer base on go-forward Centriq.

MCKESSON

Large decrease in wins (to 4) in 2014. 49 Horizon losses compared to 2 Paragon migrations. 7 Paragon losses—most were single implementations of Paragon replaced as part of larger IDN decisions.

MEDHOST (HMS)

3 wins, all under 200 beds, 2 of which were newly constructed hospitals. 7 losses, 5 of which were under 200 beds. Market share stable for the past 4 years. 73% of customers say it is a part of their long-term plans.

MEDITECH

33 wins compared to 67 losses. Few competitive wins outside of existing customer base. 26 wins/losses were legacy migrations, compared to 37 that went to competing products. Slow decline in overall market share.

Designer
Natalie Jamison