Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size A Report by AmericanEHR Partners October 2011 americanehr.com Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 1
Market Share and Top 10 Rated AMbulatory EHR Products by Practice Size Prepared For AmericanEHR Partners americanehr.com By Alan J. Brookstone, MD Founder & CEO Cientis Technologies William S. Underwood, MPH Senior Associate Division of Medical Practice, Professionalism & Quality American College of Physicians Michael S. Barr, MD, MBA, FACP Senior Vice President Division of Medical Practice, Professionalism & Quality American College of Physicians Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 2
EHR Market Share Data AmericanEHR Partners is an online community dedicated to supporting adoption, use, and optimization of electronic health records (EHRs). Launched in July 2010, AmericanEHR Partners collects and presents real-time satisfaction rating data from physicians, physician assistants, and nurse practitioners on all nationally certified ambulatory EHR products. Registration for the AmericanEHR Partners is free and access to the satisfaction data is available to all registered users. The survey was done in collaboration with the American Academy of Allergy Asthma & Immunology, American College of Physicians, American Osteopathic Association of Medical Informatics, Infectious Disease Society of America, and Renal Physicians Association. Market share data presented in this report are not intended to represent the entire EHR market. This information is provided as a guide to vendor and product adoption based upon survey information collected between April 2010 and July 2011. For a detailed description of the survey methodology and additional survey findings, please download the companion report www.americanehr.com/reports released concomitantly with this one and available through the AmericanEHR Partners site (free registration required). The report is titled, The Correlation of Training Duration with EHR Usability and Satisfaction: Implications for Meaningful Use. A Report from AmericanEHR Partners. Based upon the survey responses received by AmericanEHR Partners, products from 10 EHR vendors accounted for 75% of the overall responses to the survey. When sorted by EHR product, 10 EHR products accounted for 68% of the responses. 83% of responses from practices of 11+ clinicians were from users of 10 EHR products. 17% of responses were submitted for the remaining 42 EHR products rated in this category. 60% of responses from practices of 1 3 clinicians were from users of 10 EHR products. These results suggest that the EHR marketplace for large practices is focused on a narrower selection of products in contrast to diversity of EHRs being used in small practices. Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 3
EHR Market Share by EHR Vendor Based upon 1,936 survey responses submitted for 116 EHR products. Market Share: 75% of survey responses were for EHRs produced by 10 vendors. 15.8% Allscripts 24.55% Other 2.17% Amazing Charts.com, Inc. 14.93% Epic Systems Corporation 2.84% Sage 2.89% e-mds, Inc. 2.94% McKesson Corp. 6.3% NextGen Healthcare Information Systems, Inc. 11% eclinicalworks 7.39% Cerner Corporation 9.19% GE Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 4
EHR Market Share by EHR Product Based upon 1,936 survey responses submitted for 125 EHR products. Market Share: 68% of survey responses were for 10 EHR products. 14.93% EpicCare Ambulatory EMR 32.03% Other 11% eclinicalworks 7.39% Cerner Millennium Powerchart PowerWorks 2.79% McKesson Practice Partner 2.84% Sage Intergy EHR 2.89% e-mds Solution Series 6.3% NextGen Ambulatory EMR 6.3% GE Centricity Practice Solution 6.4% Allscripts Enterprise 7.13% Allscripts Professional EHR Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 5
EHR Product Market Share for Practices of 1 3 Clinicians Based upon 748 survey responses submitted for 97 EHR products. Market Share: 60% of survey responses were for EHRs produced by 10 vendors. 13.77% eclinicalworks 6.42% Allscripts Professional EHR 40.37% Other 6.42% EpicCare Ambulatory EMR 6.15% GE Centricity Practice Solution 5.48% NextGen Ambulatory EMR 3.34% Sage Intergy EHR 4.95% Amazing Charts 4.14% McKesson Practice Partner 4.41% e-mds Solution Series 4.55% Allscripts Enterprise Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 6
EHR Product Market Share for Practices of 4 10 Clinicians Based upon 637 survey responses submitted for 73 EHR products. Market Share: 75% of survey responses were for EHRs produced by 10 vendors. 15.54% EpicCare Ambulatory EMR 27.79% Other 11.77% eclinicalworks 3.3% MEDENT 3.61% Sage Intergy EHR 4.24% GE Centricity Enterprise (Ambulatory) 5.81% NextGen Ambulatory EMR 5.81% Cerner Millennium Powerchart PowerWorks 6.12% Allscripts Enterprise 7.38% GE Centricity Practice Solution 9.11% Allscripts Professional EHR Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 7
EHR Product Market Share for Practices of 11+ Clinicians Based upon 544 survey responses submitted for 52 EHR products. Market Share: 83% of survey responses were for EHRs produced by 10 vendors. 16.73% Other 1.65% Partners Healthcare Longitudinal Medicine 25.55% EpicCare Ambulatory EMR 2.39% McKesson Practice Partner 2.57% GE Centricity Enterprise (Ambulatory) 5.15% GE Centricity Practice Solution 5.88% Allscripts Professional EHR 15.63% Cerner Millennium Powerchart PowerWorks 6.43% eclinicalworks 5.64% NextGen Ambulatory EMR 9.38% Allscripts Enterprise Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 8
Top 10 Rated Products for Practice Sizes AmericanEHR Partners uses a 139-question online survey to collect data on clinicians (Physicians, NPs, and PAs) use and satisfaction with EHRs and health information technology. The survey uses skip logic to present individuals with the questions that are most relevant to them, and takes an average of 20 minutes to complete. A subset of 83 survey questions is used to generate a 12-category satisfaction score for each EHR product. Certain questions have been excluded from the satisfaction scores because either the data or the question format was not relevant. These include: Product information (e.g. product name, version number, date of first use) Functionality or services not yet widely utilized (e.g. public health reporting activities) Factual questions (e.g. number of additional interfaces) Narrative responses Each EHR product receives ratings in each of 12 categories and may be a high-performer in one or more categories. AmericanEHR does not calculate a single rating for each EHR product given the variability in ratings across the categories for many EHRs. This provides potential purchasers with tailored information to help select the most appropriate EHR product for their needs. Table 1 lists the 12 question categories and corresponding number of questions used to generate a satisfaction score for each category. Table 1 Question Categories Number of Questions Used for Satisfaction Score Satisfaction 13 Overall Usability 11 Prescribing 10 Workflow Management 7 Order Management 6 Population Management 4 Implementation Experience 5 Training 5 Support Experience 7 Interfaces 9 Billing 1 Purchase Experience 5 Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 9
Top 10 Rated Products for Practice Sizes As EHR satisfaction data is collected on an ongoing basis and the ratings presented on the site are updated dynamically, rating data for the Top 10 Rated Products in this report were extracted from the AmericanEHR Partners database on August 18, 2011. Top 10 Rated Products are presented in this report for 1 3, 4 10 and 11+ clinician practices. In order for a product to be included in the Top 10 Rated Products by practice size, they must have received a minimum of 10 verified ratings for that practice size. Data for Top 10 Rated Products by practice size was extracted specifically for the purposes of this report and is not currently available in this format on the AmericanEHR Partners website. The AmericanEHR Partners overall Top 10 Ratings dashboard is available at www.americanehr.com/find-an-ehr.aspx. Registration for AmericanEHR Partners is free and access to the satisfaction and Top 10 Ratings data is available to all registered users. Disclaimer: AmericanEHR Partners, the authors of this report, and participating professional organizations do not endorse any EHR product or service. Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 10
Top 10 Rated Products in Practices of 1 3 Clinicians Satisfaction 3. Meditab IMS Clinical Automation Systems 5. McKesson Practice Partner 6. EpicCare Ambulatory EMR 8. GE Centricity Practice Solution 9. Sage Intergy 10. Allscripts Enterprise Overall Usability 3. Meditab IMS Clinical Automation Systems 5. McKesson Practice Partner 6. EpicCare Ambulatory EMR 7. GE Centricity Practice Solution 8. Allscripts Professional EHR 9. Sage Intergy 10. Allscripts Enterprise Prescribing 3. Meditab IMS Clinical Automation Systems 5. McKesson Practice Partner 7. GE Centricity Practice Solution 8. Sage Intergy 9. EpicCare Ambulatory EMR 10. Allscripts Enterprise Implementation Experience 4. Meditab IMS Clinical Automation Systems 5. Allscripts Professional EHR 6. EpicCare Ambulatory EMR 7. Sage Intergy 8. McKesson Practice Partner 9. GE Centricity Practice Solution 10. NextGen Ambulatory EHR Training 4. Meditab IMS Clinical Automation Systems 5. McKesson Practice Partner 6. EpicCare Ambulatory EMR 9. Sage Intergy 10. GE Centricity Practice Solution Support Experience 2. Meditab IMS Clinical Automation Systems 3. e-mds Solution Series 5. EpicCare Ambulatory EMR 6. Sage Intergy 7. McKesson Practice Partner 8. Allscripts Professional EHR 9. GE Centricity Practice Solution 10. Allscripts Enterprise Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 11
Top 10 Rated Products in Practices of 1 3 Clinicians Workflow Management 3. Meditab IMS Clinical Automation Systems 5. EpicCare Ambulatory EMR 6. McKesson Practice Partner 7. GE Centricity Practice Solution 8. Allscripts Professional EHR 9. Sage Intergy 10. NextGen Ambulatory EHR Order Management 1. EpicCare Ambulatory EMR 2. Amazing Charts 3. e-mds Solution Series 5. McKesson Practice Partner 6. GE Centricity Practice Solution 8. Meditab IMS Clinical Automation Systems 9. Sage Intergy 10. Allscripts Enterprise Population Management 2. eclinicalworks 3. Meditab IMS Clinical Automation Systems 4. e-mds Solution Series 5. GE Centricity Practice Solution 6. McKesson Practice Partner 7. EpicCare Ambulatory EMR 8. Allscripts Professional EHR 9. NextGen Ambulatory EHR 10. Sage Intergy Interfaces 2. McKesson Practice Partner 3. Meditab IMS Clinical Automation Systems 4. e-mds Solution Series 5. GE Centricity Practice Solution 6. EpicCare Ambulatory EMR 7. eclinicalworks 8. NextGen Ambulatory EHR 9. Allscripts Professional EHR 10. Sage Intergy Billing 1. Sage Intergy 4. Meditab IMS Clinical Automation Systems 5. NextGen Ambulatory EHR 7. EpicCare Ambulatory EMR 9. McKesson Practice Partner 10. GE Centricity Practice Solution Purchase Experience 4. Meditab IMS Clinical Automation Systems 5. EpicCare Ambulatory EMR 6. Sage Intergy 7. NextGen Ambulatory EHR 8. McKesson Practice Partner 10. Allscripts Professional EHR Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 12
Top 10 Rated Products in Practices of 4 10 Clinicians Satisfaction 5. GE Centricity Enterprise (Ambulatory) 6. GE Centricity Practice Solution 9. NextGen Ambulatory EHR Overall Usability 5. GE Centricity Practice Solution 7. GE Centricity Enterprise (Ambulatory) 8. NextGen Ambulatory EHR Prescribing 4. GE Centricity Enterprise (Ambulatory) 5. Allscripts Professional EHR 6. GE Centricity Practice Solution 7. EpicCare Ambulatory EMR 9. NextGen Ambulatory EHR Implementation Experience 1. e-mds Solution Series 2. MEDENT 3. GE Centricity Enterprise (Ambulatory) 5. EpicCare Ambulatory EMR 7. NextGen Ambulatory EHR 8. GE Centricity Practice Solution Training 5. GE Centricity Enterprise (Ambulatory) 6. Allscripts Enterprise 8. GE Centricity Practice Solution 9. NextGen Ambulatory EHR Support Experience 5. GE Centricity Enterprise (Ambulatory) 6. GE Centricity Practice Solution 8. NextGen Ambulatory EHR 9. Cerner Millennium Powerchart PowerWorks 10. Allscripts Enterprise Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 13
Top 10 Rated Products in Practices of 4 10 Clinicians Workflow Management 3. EpicCare Ambulatory EMR 5. GE Centricity Practice Solution 7. GE Centricity Enterprise (Ambulatory) 9. NextGen Ambulatory EHR Order Management 2. EpicCare Ambulatory EMR 3. GE Centricity Enterprise (Ambulatory) 5. e-mds Solution Series 6. GE Centricity Practice Solution 9. Cerner Millennium Powerchart PowerWorks 10. NextGen Ambulatory EHR Population Management 2. eclinicalworks 3. e-mds Solution Series 4. GE Centricity Practice Solution 5. GE Centricity Enterprise (Ambulatory) 6. EpicCare Ambulatory EMR 8. NextGen Ambulatory EHR Interfaces 1. GE Centricity Practice Solution 3. MEDENT 5. eclinicalworks 7. NextGen Ambulatory EHR 8. GE Centricity Enterprise (Ambulatory) Billing 4. NextGen Ambulatory EHR 5. GE Centricity Practice Solution 6. EpicCare Ambulatory EMR 9. Cerner Millennium Powerchart PowerWorks 10. GE Centricity Enterprise (Ambulatory) Purchase Experience 1. eclinicalworks 3. EpicCare Ambulatory EMR 4. MEDENT 5. GE Centricity Enterprise (Ambulatory) 6. NextGen Ambulatory EHR 8. GE Centricity Practice Solution Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 14
Top 10 Rated Products in Practices of 11+ Clinicians Satisfaction 1. eclinicalworks 2. McKesson Practice Partner 3. GE Centricity Practice Solution 5. Allscripts Sunrise Clinical Manager (Eclipsys) 7. GE Centricity Enterprise (Ambulatory) 9. NextGen Ambulatory EHR Overall Usability 1. eclinicalworks 2. EpicCare Ambulatory EMR 3. McKesson Practice Partner 4. GE Centricity Practice Solution 5. Allscripts Sunrise Clinical Manager (Eclipsys) 7. NextGen Ambulatory EHR 8. GE Centricity Enterprise (Ambulatory) Prescribing 1. GE Centricity Practice Solution 2. McKesson Practice Partner 5. Allscripts Professional EHR 6. GE Centricity Enterprise (Ambulatory) 7. NextGen Ambulatory EHR 9. Allscripts Sunrise Clinical Manager (Eclipsys) Implementation Experience 1. eclinicalworks 2. EpicCare Ambulatory EMR 3. Allscripts Professional EHR 4. GE Centricity Practice Solution 5. NextGen Ambulatory EHR 6. McKesson Practice Partner 7. Cerner Millennium Powerchart PowerWorks 9. Allscripts Sunrise Clinical Manager (Eclipsys) 10. GE Centricity Enterprise (Ambulatory) Training 1. eclinicalworks 2. EpicCare Ambulatory EMR 3. GE Centricity Practice Solution 4. Allscripts Professional EHR 5. Allscripts Enterprise 6. McKesson Practice Partner 7. NextGen Ambulatory EHR 8. Allscripts Sunrise Clinical Manager (Eclipsys) 9. Cerner Millennium Powerchart PowerWorks 10. GE Centricity Enterprise (Ambulatory) Support Experience 1. EpicCare Ambulatory EMR 2. eclinicalworks 3. GE Centricity Practice Solution 4. McKesson Practice Partner 5. Allscripts Sunrise Clinical Manager (Eclipsys) 7. NextGen Ambulatory EHR 8. Cerner Millennium Powerchart PowerWorks 10. GE Centricity Enterprise (Ambulatory) Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 15
Top 10 Rated Products in Practices of 11+ Clinicians Workflow Management 1. EpicCare Ambulatory EMR 2. eclinicalworks 3. Allscripts Sunrise Clinical Manager (Eclipsys) 4. McKesson Practice Partner 5. GE Centricity Practice Solution 7. Allscripts Enterprise 8. NextGen Ambulatory EHR 9. GE Centricity Enterprise (Ambulatory) Order Management 1. EpicCare Ambulatory EMR 2. Allscripts Sunrise Clinical Manager (Eclipsys) 3. GE Centricity Practice Solution 4. McKesson Practice Partner 5. eclinicalworks 6. Cerner Millennium Powerchart PowerWorks 8. GE Centricity Enterprise (Ambulatory) 10. NextGen Ambulatory EHR Population Management 1. eclinicalworks 2. GE Centricity Practice Solution 3. Allscripts Professional EHR 5. NextGen Ambulatory EHR 6. McKesson Practice Partner 7. Allscripts Enterprise 8. Allscripts Sunrise Clinical Manager (Eclipsys) 9. GE Centricity Enterprise (Ambulatory) Interfaces 1. GE Centricity Practice Solution 2. McKesson Practice Partner 3. EpicCare Ambulatory EMR 5. NextGen Ambulatory EHR 6. GE Centricity Enterprise (Ambulatory) 8. Allscripts Sunrise Clinical Manager (Eclipsys) Billing 1. eclinicalworks 2. NextGen Ambulatory EHR 3. Allscripts Professional EHR 5. GE Centricity Practice Solution 6. McKesson Practice Partner 7. Allscripts Enterprise 8. GE Centricity Enterprise (Ambulatory) 9. Allscripts Sunrise Clinical Manager (Eclipsys) Purchase Experience 1. eclinicalworks 2. EpicCare Ambulatory EMR 3. NextGen Ambulatory EHR 4. Allscripts Professional EHR 5. McKesson Practice Partner 6. GE Centricity Practice Solution 7. Cerner Millennium Powerchart PowerWorks 9. Allscripts Sunrise Clinical Manager (Eclipsys) 10. GE Centricity Enterprise (Ambulatory) Copyright AmericanEHR Partners 2011 Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size 16
americanehr.com Non Endorsement: At no time and under no circumstances will the acceptance and display of any advertising or sponsorship content be considered an endorsement by AmericanEHR Partners of that company or organization s products or services or an endorsement of the company or organization that promotes, distributes or manufactures the advertised products or services.. Copyright 2011 AmericanEHR Partners. All Rights Reserved by Respective Owners.