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Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

A Report by AmericanEHR Partners October 2011

Copyright AmericanEHR Par tners 2011

americanehr.com 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 Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

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 repor t 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 repor t www.americanehr.com/repor ts released concomitantly with this one and available through the AmericanEHR Par tners site (free registration required). The repor t is titled, The Correlation of Training Duration with EHR Usability and Satisfaction: Implications for Meaningful Use. A Repor t From AmericanEHR Par tners. Based upon the survey responses received by AmericanEHR Par tners, products from 10 EHR vendors accounted for 75% of the overall responses to the survey. When sor ted by EHR product, 10 EHR products accounted for 78% 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 13 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 Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

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. Data as of August 18, 2011

15.8% Allscripts 24.55% Other

2.17% Amazing Char ts.com, Inc.

14.93% Epic Systems Corporation

2.84% Sage 2.89% e-MDs, Inc.

2.94% McKesson Corp. 11% eClinicalWorks 6.3% NextGen Healthcare Information Systems, Inc. 7.39% Cerner Corporation 9.19% GE

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Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

EHR Market Share by EHR Product


Based upon 1,936 survey responses submitted for 125 EHR products. Market Share: 78% of survey responses were for 10 EHR products. Data as of August 18, 2011

14.93% EpicCare Ambulator y EMR

32.03% Other

11% eClinicalWorks

7.39% Cerner Millennium Powerchar t PowerWorks 2.79% McKesson Practice Par tner 2.84% Sage Intergy EHR 2.89% e-MDs Solution Series 14.93% NextGen Ambulator y EMR 7.13% Allscripts Professional EHR 6.4% Allscripts Enterprise 6.3% GE Centricity Practice Solution

Copyright AmericanEHR Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

EHR Product Market Share for Practices of 13 Clinicians


Based upon 748 survey responses submitted for 97 EHR products. Market Share: 60% of survey responses were for EHRs produced by 10 vendors. Data as of August 18, 2011

13.77% eClinicalWorks

6.42% Allscripts Professional EHR

40.37% Other

6.42% EpicCare Ambulator y EMR

6.15% GE Centricity Practice Solution

5.48% NextGen Ambulator y EMR 4.95% Amazing Char ts

3.34% Sage Intergy EHR 4.14% McKesson Practice Par tner

4.41% e-MDs Solution Series

4.55% Allscripts Enterprise

Copyright AmericanEHR Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

EHR Product Market Share for Practices of 410 Clinicians


Based upon 637 survey responses submitted for 73 EHR products. Market Share: 75% of survey responses were for EHRs produced by 10 vendors. Data as of August 18, 2011

15.54% EpicCare Ambulator y EMR 27.79% Other

11.77% eClinicalWorks

3.3% MEDENT

9.11% Allscripts Professional EHR

3.61% Sage Intergy EHR 4.24% GE Centricity Enterprise (Ambulator y) 5.81% NextGen Ambulator y EMR 5.81% Cerner Millennium Powerchar t PowerWorks 6.12% Allscripts Enterprise

7.38% GE Centricity Practice Solution

Copyright AmericanEHR Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

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. Data as of August 18, 2011

16.73% Other 1.65% Par tners Healthcare Longitudinal Medicine 2.39% McKesson Practice Par tner 2.57% GE Centricity Enterprise (Ambulator y) 25.55% EpicCare Ambulator y EMR

5.15% GE Centricity Practice Solution

5.88% Allscripts Professional EHR

15.63% Cerner Millennium Powerchar t PowerWorks

6.43% eClinicalWorks 5.81% NextGen Ambulator y EMR

9.38% Allscripts Enterprise

Copyright AmericanEHR Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

Top 10 Rated Products for Practice Sizes


AmericanEHR Par tners 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. Cer tain 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 repor ting 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 Satisfaction Overall Usability Prescribing Workflow Management Order Management Population Management Implementation Experience Training Support Experience Interfaces Billing Purchase Experience Number of Questions Used for Satisfaction Score 13 11 10 7 6 4 5 5 7 9 1 5

Copyright AmericanEHR Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

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 repor t were extracted from the AmericanEHR Par tners database on August 18, 2011. Top 10 Rated Products are presented in this repor t for 13, 410 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 repor t and is not currently available in this format on the AmericanEHR Par tners website. The AmericanEHR Par tners overall Top 10 Ratings dashboard is available at www.americanehr.com/find-anehr.aspx. Registration for AmericanEHR Par tners 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 Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

10

Top 10 Rated Products in Practices of 13 Clinicians


Data as of August 18, 2011

Satisfaction
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series Meditab IMS Clinical Automation Systems eClinicalWorks McKesson Practice Partner EpicCare Ambulatory EMR Allscripts Professional EHR GE Centricity Practice Solution Sage Intergy

Overall Usability
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series Meditab IMS Clinical Automation Systems eClinicalWorks McKesson Practice Partner EpicCare Ambulatory EMR GE Centricity Practice Solution Allscripts Professional EHR Sage Intergy

10. Allscripts Enterprise

10. Allscripts Enterprise

Prescribing
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series Meditab IMS Clinical Automation Systems eClinicalWorks McKesson Practice Partner Allscripts Professional EHR GE Centricity Practice Solution Sage Intergy EpicCare Ambulatory EMR

Implementation Experience
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks Meditab IMS Clinical Automation Systems Allscripts Professional EHR EpicCare Ambulatory EMR Sage Intergy McKesson Practice Partner GE Centricity Practice Solution

10. Allscripts Enterprise

10. NextGen Ambulatory EHR

Training
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks Meditab IMS Clinical Automation Systems McKesson Practice Partner EpicCare Ambulatory EMR Allscripts Professional EHR Allscripts Enterprise Sage Intergy

Support Experience
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. Meditab IMS Clinical Automation Systems e-MDs Solution Series eClinicalWorks EpicCare Ambulatory EMR Sage Intergy McKesson Practice Partner Allscripts Professional EHR GE Centricity Practice Solution

10. GE Centricity Practice Solution

10. Allscripts Enterprise

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Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

11

Top 10 Rated Products in Practices of 13 Clinicians


Data as of August 18, 2011

Workflow Management
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series Meditab IMS Clinical Automation Systems eClinicalWorks EpicCare Ambulatory EMR McKesson Practice Partner GE Centricity Practice Solution Allscripts Professional EHR Sage Intergy

Order Management
1. EpicCare Ambulatory EMR 2. 3. 4. 5. 6. 7. 8. 9. Amazing Charts e-MDs Solution Series eClinicalWorks McKesson Practice Partner GE Centricity Practice Solution Allscripts Professional EHR Meditab IMS Clinical Automation Systems Sage Intergy

10. NextGen Ambulatory EHR

10. Allscripts Enterprise

Population Management
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. eClinicalWorks Meditab IMS Clinical Automation Systems e-MDs Solution Series GE Centricity Practice Solution McKesson Practice Partner EpicCare Ambulatory EMR Allscripts Professional EHR NextGen Ambulatory EHR

Interfaces
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. McKesson Practice Partner Meditab IMS Clinical Automation Systems e-MDs Solution Series GE Centricity Practice Solution EpicCare Ambulatory EMR eClinicalWorks NextGen Ambulatory EHR Allscripts Professional EHR

10. Sage Intergy

10. Sage Intergy

Billing
1. Sage Intergy 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks Meditab IMS Clinical Automation Systems NextGen Ambulatory EHR Allscripts Professional EHR EpicCare Ambulatory EMR Allscripts Enterprise McKesson Practice Partner

Purchase Experience
1. Amazing Charts 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks Meditab IMS Clinical Automation Systems EpicCare Ambulatory EMR Sage Intergy NextGen Ambulatory EHR McKesson Practice Partner Allscripts Enterprise

10. GE Centricity Practice Solution

10. Allscripts Professional EHR

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Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

12

Top 10 Rated Products in Practices of 410 Clinicians


Data as of August 18, 2011

Satisfaction
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks EpicCare Ambulatory EMR GE Centricity Enterprise (Ambulatory) GE Centricity Practice Solution Allscripts Professional EHR Allscripts Enterprise NextGen Ambulatory EHR

Overall Usability
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks EpicCare Ambulatory EMR GE Centricity Practice Solution Allscripts Professional EHR GE Centricity Enterprise (Ambulatory) NextGen Ambulatory EHR Allscripts Enterprise

10. Cerner Millennium Powerchart PowerWorks

10. Cerner Millennium Powerchart PowerWorks

Prescribing
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks GE Centricity Enterprise (Ambulatory) Allscripts Professional EHR GE Centricity Practice Solution EpicCare Ambulatory EMR Allscripts Enterprise NextGen Ambulatory EHR

Implementation Experience
1. e-MDs Solution Series 2. 3. 4. 5. 6. 7. 8. 9. MEDENT GE Centricity Enterprise (Ambulatory) eClinicalWorks EpicCare Ambulatory EMR Allscripts Professional EHR NextGen Ambulatory EHR GE Centricity Practice Solution Allscripts Enterprise

10. Cerner Millennium Powerchart PowerWorks

10. Cerner Millennium Powerchart PowerWorks

Training
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks EpicCare Ambulatory EMR GE Centricity Enterprise (Ambulatory) Allscripts Enterprise Allscripts Professional EHR GE Centricity Practice Solution NextGen Ambulatory EHR

Support Experience
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks EpicCare Ambulatory EMR GE Centricity Enterprise (Ambulatory) GE Centricity Practice Solution Allscripts Professional EHR NextGen Ambulatory EHR Cerner Millennium Powerchart PowerWorks

10. Cerner Millennium Powerchart PowerWorks

10. Allscripts Enterprise

Copyright AmericanEHR Par tners 2011

Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

13

Top 10 Rated Products in Practices of 410 Clinicians


Data as of August 18, 2011

Workflow Management
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series EpicCare Ambulatory EMR eClinicalWorks GE Centricity Practice Solution Allscripts Professional EHR GE Centricity Enterprise (Ambulatory) Allscripts Enterprise NextGen Ambulatory EHR

Order Management
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. EpicCare Ambulatory EMR GE Centricity Enterprise (Ambulatory) eClinicalWorks e-MDs Solution Series GE Centricity Practice Solution Allscripts Professional EHR Allscripts Enterprise Cerner Millennium Powerchart PowerWorks

10. Cerner Millennium Powerchart PowerWorks

10. NextGen Ambulatory EHR

Population Management
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. eClinicalWorks e-MDs Solution Series GE Centricity Practice Solution GE Centricity Enterprise (Ambulatory) EpicCare Ambulatory EMR Allscripts Professional EHR NextGen Ambulatory EHR Allscripts Enterprise

Interfaces
1. GE Centricity Practice Solution 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series MEDENT EpicCare Ambulatory EMR eClinicalWorks Allscripts Professional EHR NextGen Ambulatory EHR GE Centricity Enterprise (Ambulatory) Allscripts Enterprise

10. Cerner Millennium Powerchart PowerWorks

10. Cerner Millennium Powerchart PowerWorks

Billing
1. MEDENT 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series eClinicalWorks NextGen Ambulatory EHR GE Centricity Practice Solution EpicCare Ambulatory EMR Allscripts Professional EHR Allscripts Enterprise Cerner Millennium Powerchart PowerWorks

Purchase Experience
1. eClinicalWorks 2. 3. 4. 5. 6. 7. 8. 9. e-MDs Solution Series EpicCare Ambulatory EMR MEDENT GE Centricity Enterprise (Ambulatory) NextGen Ambulatory EHR Allscripts Professional EHR GE Centricity Practice Solution Allscripts Enterprise

10. GE Centricity Enterprise (Ambulatory)

10. Cerner Millennium Powerchart PowerWorks

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Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

14

Top 10 Rated Products in Practices of 11+ Clinicians


Data as of August 18, 2011

Satisfaction
1. eClinicalWorks 2. 3. 4. 5. 6. 7. 8. 9. McKesson Practice Partner GE Centricity Practice Solution EpicCare Ambulatory EMR Allscripts Sunrise Clinical Manager (Eclipsys) Allscripts Professional EHR GE Centricity Enterprise (Ambulatory) Allscripts Enterprise NextGen Ambulatory EHR

Overall Usability
1. eClinicalWorks 2. 3. 4. 5. 6. 7. 8. 9. EpicCare Ambulatory EMR McKesson Practice Partner GE Centricity Practice Solution Allscripts Sunrise Clinical Manager (Eclipsys) Allscripts Professional EHR NextGen Ambulatory EHR GE Centricity Enterprise (Ambulatory) Allscripts Enterprise

10. Cerner Millennium Powerchart PowerWorks

10. Cerner Millennium Powerchart PowerWorks

Prescribing
1. GE Centricity Practice Solution 2. 3. 4. 5. 6. 7. 8. 9. McKesson Practice Partner eClinicalWorks EpicCare Ambulatory EMR Allscripts Professional EHR GE Centricity Enterprise (Ambulatory) NextGen Ambulatory EHR Allscripts Enterprise Allscripts Sunrise Clinical Manager (Eclipsys)

Implementation Experience
1. eClinicalWorks 2. 3. 4. 5. 6. 7. 8. 9. EpicCare Ambulatory EMR Allscripts Professional EHR GE Centricity Practice Solution NextGen Ambulatory EHR McKesson Practice Partner Cerner Millennium Powerchart PowerWorks Allscripts Enterprise Allscripts Sunrise Clinical Manager (Eclipsys)

10. Cerner Millennium Powerchart PowerWorks

10. GE Centricity Enterprise (Ambulatory)

Training
1. eClinicalWorks 2. 3. 4. 5. 6. 7. 8. 9. EpicCare Ambulatory EMR GE Centricity Practice Solution Allscripts Professional EHR Allscripts Enterprise McKesson Practice Partner NextGen Ambulatory EHR Allscripts Sunrise Clinical Manager (Eclipsys) Cerner Millennium Powerchart PowerWorks

Support Experience
1. EpicCare Ambulatory EMR 2. 3. 4. 5. 6. 7. 8. 9. eClinicalWorks GE Centricity Practice Solution McKesson Practice Partner Allscripts Sunrise Clinical Manager (Eclipsys) Allscripts Professional EHR NextGen Ambulatory EHR Cerner Millennium Powerchart PowerWorks Allscripts Enterprise

10. GE Centricity Enterprise (Ambulatory)

10. GE Centricity Enterprise (Ambulatory)

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Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

15

Top 10 Rated Products in Practices of 11+ Clinicians


Data as of August 18, 2011

Workflow Management
1. EpicCare Ambulatory EMR 2. 3. 4. 5. 6. 7. 8. 9. eClinicalWorks Allscripts Sunrise Clinical Manager (Eclipsys) McKesson Practice Partner GE Centricity Practice Solution Allscripts Professional EHR Allscripts Enterprise NextGen Ambulatory EHR GE Centricity Enterprise (Ambulatory)

Order Management
1. EpicCare Ambulatory EMR 2. 3. 4. 5. 6. 7. 8. 9. Allscripts Sunrise Clinical Manager (Eclipsys) GE Centricity Practice Solution McKesson Practice Partner eClinicalWorks Cerner Millennium Powerchart PowerWorks Allscripts Professional EHR GE Centricity Enterprise (Ambulatory) Allscripts Enterprise

10. Cerner Millennium Powerchart PowerWorks

10. NextGen Ambulatory EHR

Population Management
1. eClinicalWorks 2. 3. 4. 5. 6. 7. 8. 9. GE Centricity Practice Solution Allscripts Professional EHR EpicCare Ambulatory EMR NextGen Ambulatory EHR McKesson Practice Partner Allscripts Enterprise Allscripts Sunrise Clinical Manager (Eclipsys) GE Centricity Enterprise (Ambulatory)

Interfaces
1. GE Centricity Practice Solution 2. 3. 4. 5. 6. 7. 8. 9. McKesson Practice Partner EpicCare Ambulatory EMR eClinicalWorks NextGen Ambulatory EHR GE Centricity Enterprise (Ambulatory) Allscripts Professional EHR Allscripts Sunrise Clinical Manager (Eclipsys) Allscripts Enterprise

10. Cerner Millennium Powerchart PowerWorks

10. Cerner Millennium Powerchart PowerWorks

Billing
1. eClinicalWorks 2. 3. 4. 5. 6. 7. 8. 9. NextGen Ambulatory EHR Allscripts Professional EHR EpicCare Ambulatory EMR GE Centricity Practice Solution McKesson Practice Partner Allscripts Enterprise GE Centricity Enterprise (Ambulatory) Allscripts Sunrise Clinical Manager (Eclipsys)

Purchase Experience
1. eClinicalWorks 2. 3. 4. 5. 6. 7. 8. 9. EpicCare Ambulatory EMR NextGen Ambulatory EHR Allscripts Professional EHR McKesson Practice Partner GE Centricity Practice Solution Cerner Millennium Powerchart PowerWorks Allscripts Enterprise Allscripts Sunrise Clinical Manager (Eclipsys)

10. Cerner Millennium Powerchart PowerWorks

10. GE Centricity Enterprise (Ambulatory)

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Market Share and Top 10 Rated Ambulatory EHR Products by Practice Size

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