The North American hospital EHR market, comprising the US and Canada has the large share of this market which can primarily be attributed to factors such federal mandates in the US, growing digitalization in healthcare coupled with favorable government policies, and continuous support in the form of grants by the federal government in Canada. The US is expected to command the largest share of the North American hospital EHR market in 2020.
Federal Mandates in the USThe US has implemented various healthcare reforms, laws, and regulations to increase patient safety and improve the quality of care and patient outcomes. Title XIII of the American Recovery & Reinvestment Act of 2009, also as known as the Health Information Technology for Economic & Clinical Health (HITECH) Act, is one such example of a federal mandate supporting hospital EHRs. The HITECH Act promotes the adoption of electronic health records to improve efficiency and lower healthcare costs. The Act has placed new requirements on healthcare organizations in terms of Meaningful Use criteria, which drives reimbursements (financial incentives) for the "Meaningful Use" of certified EHR technology. To receive an EHR incentive payment, providers must meet certain measurement thresholds to show that they are “meaningfully using” their certified EHRs. These thresholds range from recording patient information as structured data to exchanging summary care records. The Medicare and Medicaid EHR Incentive Programs include three stages with increasing requirements for participation. Stage 1 focuses on data capture and sharing while Stage 2 focuses on advanced clinical processes such as health information exchange and increased patient-controlled data. The Stage 3 proposed rule focuses on encouraging the use of EHR functionality for secure dialog and efficient communication between providers, care team members, and patients about their care and health status. It also includes imparting important health information such as preventive and coordinated care planning. The government spent USD 24.8 billion and USD 12.9 billion in Medicare and Medicaid incentive payments, respectively, during 2011–2018.
Frequently Asked Questions
Who are the key stakeholders in the EHR space ?The EMR solutions market comprises several stakeholders such as Healthcare IT service providers, healthcare insurance companies/payers, healthcare institutions (medical groups, physician practices, and outpatient clinics), research and development companies, venture capitalists, Government agencies, corporate entities and market research and consulting firms. The demand side of this market is characterized by government support for the adoption of the EMR solutions. The supply side is characterized by advancements in technology.
Which regions provide high growth opportunities ?Geographically, the market spans the Americas, Europe, Asia Pacific and Middle East & Africa. Americas is dominating the global EHR-EMR market. Broad adoption of EHR-EMR, the presence of major players in the region and growth in the number of services in hospitals boost the growth of the market in the region. Europe is the second largest market after the Americas owing to growing adoption of IT in the healthcare sector for patient administration and engagement. Asia Pacific is slated to emerge as the fastest growing market due to escalated demand for software solutions in the healthcare sector and rising expenditure on healthcare facilities in the developing economies of the region.
What are the current trends in EHR space ?Technology is progressing at a breakneck pace, and this will have impact on the EHR of the further future. As AI and virtual assistants like Alexa and Siri become more accessible and more powerful, they will begin to appear in the health IT fields. Virtual assistants are also coming online to help with those physician burdens, the aspects of the physician workflow issues that computers can streamline. For patients, the big development is expanding online or smartphone access to your health information and the ability to combine information from different providers and update it automatically. Experts think EHR vendors will have to look beyond a patch for the problem. Tech giants entering the healthcare space are going to make big waves: Apple, Google and Amazon are all entering the healthcare space. Their presence will pressure EHR vendors to innovate or perish. The large tech giants are capable to invest in R&D and leading edge UX and UI without endangering their bottom lines. This competition might force EHR to make some of the crucial changes that previous sections have mentioned, or it might just increase the monopoly these tech giants have begun to form and change healthcare for the worse. There’s no reliable way to know how it will play out, but big changes are coming
What are the drivers and challenges faced by vendors in the market ?The global EHR-EMR market is primarily driven by an increase in the volume of medical records which requires proper management and storage. EHR-EMR provides the advantages of better accessibility, improved communication, data aggregation, and integration. EHR-EMR also lower staffing requirements and thus reduce health care costs, also reducing the scope of human errors. It is on account of these advantages that the global EHR-EMR market is proliferating. Technological advancements in EHR-EMR technology such as Blockchain, Byod, Artificial Intelligence, Opensource fuel the growth of the market. Cloud-based solutions also provide growth opportunities. Small healthcare providers who cannot make up-front investments are opting for free and web-based services which also eliminates the need for infrastructure and maintenance. Government funding is a crucial driver of the market. Governments in various economies are funding projects to automate health record systems which induce the demand for EHR-EMR. The growth of the healthcare and life-sciences industry also reflect positively on the EHR-EMR market. Challenges- various factors are likely to slow down the momentum for the EHR-EMR market. The growth of the market is inhibited by the economic slowdown at a global level which results in lack of capital and operational constraints. Even though both developed and developing countries exhibit high interest in automating health record, the introduction of EHR-EMR systems is obstructed by available technology which is inadequate to support the system and insufficient funds to migrate from the existing system to an electronic system. The high cost of implementing EHR-EMR system is a limiting factor to the market growth. Switching to EHR-EMR involves high costs of computers, electrical wiring and a vast amount of electricity supply. Health administrators and governments perceive the cost of implementing EHR-EMR systems very high and thus resist adoption. Additionally, lack of skilled staffs with adequate knowledge of computer and disease classification are vital issues. Other factors include resistance from medical professionals to switch to an electronic system and change their behaviors and attitudes, and lack of data processing facilities which are barriers to the implementation of EHR-EMR.
What are the key strategies adopted by the players in this market ?Major players are implementing various strategies such as partnerships, mergers, acquisition, product launches, etc. to sustain their market position.
Electronic Health Records (EHR) Software in North America
The company’s core competency lies in its EHR software —about one in four physicians in the US use EpicCare (an EHR solution for large hospitals and healthcare systems). Epic Systems provides healthcare management software that integrates financial and clinical information across inpatient, ambulatory, and payer technology systems. The company offers scheduling and registration tools, billing and managed care administration applications, inpatient and outpatient core clinical systems, electronic health record (EHR) applications, and health information exchange software solutions and services for the management of hospital pharmacy, emergency, surgery, radiology, laboratory, and intensive care departments.
WebPT is the leading rehab therapy platform for enhancing patient care and fueling business growth. Ideal for outpatient organizations of all sizes, WebPT enables therapy professionals to transition from paper and outdated software to a user-friendly, cloud-based solution. With WebPT, therapists, directors, owners, billers, and front office staff have access to patients’ medical records anywhere, anytime, from any web-enabled device. WebPT’s web-based application eases any large, upfront investments; costly IT support; or bulky, in-office servers. It offers a combined method to manage patient documents and progress as well as clinic schedules, analytics reporting, and billing.
The Cerner EHR software supports an enterprise-wide view of patient care and the point at which care was delivered in both acute inpatient and outpatient settings. This seamless integration across the continuum of care enables providers to make informed, data-driven decisions without leaving the clinical workflows. Cerner Corporation is a leading supplier of healthcare information technology (HCIT) solutions, devices, and hardware. This makes the company one of the best EHR software providers. The company offers a broad range of services, including implementation, training, remote hosting, operational management services, revenue cycle services, support and maintenance, health care data analysis, clinical process optimization, transaction processing, employee wellness programs & third-party administrator services for employer-based health plans. Cerner EHR offers powerful decision support that utilizes predictive algorithms to fire rules and alerts, engaging providers when a patient requires care. Cerner Ambulatory pricing supports all kinds of budgets and requirements.
The EHR software offered by Meditech ( Medical Information Technology) is a single, fully interoperable system that navigates the twists and turns of every care setting to bridge the gaps in care and effectively treat the whole patient, wherever they may be in their journey. And with Virtual Visits and its Patient and Consumer Health Portal, patients are never out of reach. Expanse’s surveillance solutions offer meaningful alerts that can monitor at-risk patients and guard against HACs and life-threatening conditions. Moreover, its Quality Vantage Dashboards assess performance at the individual, practice, and group level to detect costly, unnecessary variations in care.
eClinicalWorks is one of the pioneering solutions of healthcare IT, a cloud-based EHR software and Revenue Cycle Management solution designed to meet the challenges and opportunities of value-based care. The solution enables Providers to enjoy easy documentation, the latest in interoperability and can access patient data anytime, anywhere — on a PC or Mac using a web browser, a smartphone, or an iPad. Moreover, the software provides a core EHR solution with tools for stronger Patient Engagement, a deeper understanding of Population Health, and a renewed emphasis on patient safety.
The software is cloud-based EHR software that includes e-prescribing, connections to major labs, room status dashboard consolidated patient data, billing, and reporting. It provides smart tools—such as a cloud-based, clinical and billing solution with mobile accessibility—makes it easier to provide the highest quality of care and create a better experience, for patients and providers alike. With its specialty-specific EHR content, a convenient patient portal, and revenue-cycle management system on one integrated platform, it makes life easy for your practice and your patients. The pricing is one of the unique features that support all kinds of budgets and requirements.
Sunrise EMR is a comprehensive single-platform acute, ambulatory and revenue cycle solution for hospitals and health systems that provide a single patient record for more informed patient care. Sunrise includes business intelligence and analytics solution with combined clinical and financial data to help organizations improve quality measures, and address antibiotic stewardship, the opioid crisis, and infection control. This has earned place for Sunrise as one of the best EHR software vendors.
Centricity by GE Healthcare (one of the best EHR software providers), meant for larger practices. The solution combines clinical and financial management and is designed to be used on tablets and mobile devices, permitting physicians and practice staff to carry a patient’s medical information and update them on the move. Centricity can be integrated with many medical devices and medical imaging systems. It focuses on patient outcomes, with a series of reporting tools that permit a practice to compare itself with others both locally and nationally, thereby enabling staff within practices to actively use Centricity in performance pay comparisons and assessments. Centricity pricing meets all kinds of budgets and requirements.
Athenahealth acquired by investment firm Veritas Captial, offers cloud-based EHR software that instinctively organizes the patient visit, helps providers document faster and more accurately, and sets HCP’s practice up for future success - whether one has a small practice or a large healthcare system. athenaClinicals pricing is one of the unique features.
AdvancedMD, acquired by Global Payments, provides AdvancedMD Rhythm, a smart EHR software and flexible patient cards that transform clinical workflow. Through seamless data flow in the cloud between clinical, patient and billing applications and built-in analytics, the Rhythm platform provides the tools for prioritizing clinical workflow, treating patients successfully, and optimally meet the needs of value-based care. AdvancedEHR pricing is one of the unique features.
The DrChrono EMR is built to be fully customizable for individual practice’s specific needs. DrChrono EMR has the unchallenged ability to be accessible from anywhere at any time. The native iPad software allows users to spend more time interacting with a patient and less time on a computer. With a cloud-based system and full integration across mobile devices, users can now provide healthcare on-demand with the most innovative tools currently available. DrChrono is the pioneer EHR Company to offer a full-featured EHR on iPhone. DrChrono pricing meets all kinds of budgets and requirements.
The software offers a user-friendly, specialty-focused solution for ambulatory healthcare practices. It provides tools to manage chronic conditions, capture payer incentives, and flourish in the world of value-based healthcare. It facilitates financial performance, allowing focusing on what matters most — providing quality care.
TherapyNotes offers a cloud-based mental/behavioral health software system that comprises electronic health records (EHR), a patient portal, patient scheduling, and medical billing. The solution is suitable for practices of all sizes, including those with multiple locations or with providers who need access outside the office. Different types of medical practices such as psychotherapy, psychiatry, and behavioral health can access the TherapyNotes software system. Using TherapyNotes enables medical professionals to create and customize treatment plans, progress notes, psychological evaluations, termination notes and more.
TrakCare, innovative EHR software by InterSystems consists of a comprehensive set of clinical, administrative, and departmental modules sharing a single data model. One login provides secure, role-based access to all areas of the solution. The softwareis designed for the age of mobility, aiming to deliver the best user experience wherever one is, on whatever device one is using. It is an intuitive, web-based system, so users are up and running quickly. The software enables efficient, shared workflows across care settings and provides a unified record for each patient across the continuum of care. It offers easy access to complete patient information and empowers care providers and management teams to make more informed decisions for better results. TrakCare pricing supports all kinds of budgets and requirements.
Azalea’s patented Health System Patient Index (HSPI) is a completely integrated patient management system that seamlessly syncs patient data to and from both clinics and hospitals, connecting to the entire system. It enables us to gain a complete view of a patient’s record of care, reduce duplicate data entry and improve patient management and safety. Azalea’s cloud-based platform is designed to meet the needs of rural or Critical Access hospitals, including electronic health records, patient accounting, people management, financial management and more. Moreover, it provides revenue cycle management, prior authorization, and payroll services. The pricing supports all kinds of budgets and requirements.
CentralReach is an EHR, practice management, and clinical platform designed for Applied Behavior Analysis (ABA) therapy providers who treat autism and related disorders. The platform is HIPAA compliant system that integrates workflows such as scheduling, billing, claims management, clinical data collection, clinical programming, progress monitoring, and more. Additional solutions include precision teaching, staff training and learning management systems, managed billing services, and business intelligence solutions. CentralReach pricing supports all kinds of budgets and requirements.
The software offers fully Integrated Enterprise EHR that considers Patient and Provider experiences on top priority. MEDHOST Electronic Health Records (EHR) Software comprises Interoperability, Clinical Suite, Revenue Cycle and General Financial Suite, Continuity of Care Solutions, and Patient Engagement Solutions. MEDHOST Enterprise EHR enables to streamline care coordination between clinics and hospitals with seamless scheduling and referrals of order service platforms Clinical Gateway and YourCare Continuum.
CureMD is a certified cloud-based EHR, practice management, patient portal, and revenue cycle management. CureMD supports physicians and office staff to manage their practice operations. It also helps practices adopt Meaningful Use - driving subsidy payments that maximize profit. CureMD's web-based technology makes it a great fit for small and midsize medical practices.
ClinicSource offers a cloud-based practice management solution that supports scheduling and documenting the therapy appointments of the patients. ClinicSource Therapy Practice Management’s scheduler comprises billing and electronic medical record, where the patient’s information is recorded in the database and all the claims and invoices against the patient are displayed and can be generated automatically. The mental health practitioners can create notes and alerts on each patient that can be linked to the patient's medical records. This helps the patient to view their medical history at a common location. ClinicSource Therapy pricing meets all kinds of budgets and requirements.
NetSolutions by Cantata Health is one of the best electronic health records and financial management software for hospitals, skilled nursing facilities, and assisted living communities. It helps to deliver better care and take control of financials. The platform ensures the organizations to put patients first and meets its care objectives every time. With its modern approach to EHR, providers achieve positive outcomes through flexible, productive workflows and best practice design to give their staff more visibility into their patients’ overall health. NetSolutions pricing supports all kinds of budgets and requirements.
Nextech, acquired by private equity firm Thomas H. Lee Partners LP, provides a full-featured EHR and Practice Management solution within a single database. This system is a fit for various specialty care providers including dermatologists, plastic surgeons, ophthalmologists, and physicians. It’s a web-based, multi-platform system that has a native mobile app where physicians can check appointments, view patient profiles, and access all EMR information from anywhere. The iPad app is built to recreate the feel of a paper charting system, integrating patient photos for personalization, and allowing physicians to draw directly on photos and images. Nextech pricing is one of the unique features that support all kinds of budgets and requirements.
Office Ally offers a web-based electronic health record (EHR) for all medical specialties. The solution is ONC-ATCB certified and HIPAA-compliant and offers users secure login and data storage. The software enables user’s access to a multitude of features, which include customizable templates and SOAP notes, patient follow-up reminders, e-prescribing and laboratory integration. Healthcare professionals can use the e-prescribing feature to send prescriptions electronically to the pharmacy of a patient’s choice.
Welligent provides a cloud-based electronic health record (EHR) system that is both mobile and secure. It offers documentation, scheduling and medication and caseload management access from your desktop, tablet or smartphone. Welligent provides the cloud EHR software tools needed to manage all programs, services, and payors from one, integrated system. Its interoperable software is fully configurable and includes features and options such as clinical records, treatment plan libraries, forms management, ePrescribing, electronic billing and dashboard reporting.