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Top 10 Hospital EHR Vendors By Installed Systems

Posted on December 21, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I came across this list of Top 10 Hospital EHR vendors by installed systems on Dark Daily (a great resource, particularly if you’re into Labs). The data is a little dated, but I thought it would be interesting to consider the numbers in 2011 and how they might look different today. Here’s the list:

Vendor Name Total Installations Percent of Installations
• Meditech 1212 25.50%
• Cerner 606 12.80%
• McKesson 573 12.10%
• Epic Systems 413 8.70%
• Siemens Healthcare 397 8.40%
• CPSI 392 8.30%
• Healthcare Management Systems 347 7.30%
• Self-developed 273 5.80%
• Healthland 223 4.70%
• Eclipsys (Bought by Allscripts) 185 3.90%

This list was taken from the HIMSS Analytics database. I wish I had access so I could compare these numbers for 2012. The interesting thing is that I’m not sure the Hospital EHR vendor numbers would be all that much different. Epic is the media darling, but its focus is squarely on the large hospital systems so they often lag behind when it comes to total installations.

Hospital EMR Crashes And Burns Because Community Docs Hate It

Posted on January 4, 2012 I Written By

Katherine Rourke is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

While we may argue over the stats — is it 30 percent, 40 percent, even 50 percent? — everyone knows that the failure rates for hospital EMR installations are frighteningly high. So it never hurts to look at specific cases and see if we can avoid that particular train wreck.

So here you have it. Courtesy of medical informaticist Brian Martin, we have a compelling tale of a $50 million EMR installation that went belly-up largely because the hospital didn’t “get” the needs of its 1100+ community-based physicians.  That’s $100,000 per bed, or if you prefer, $50,000 per staff physician, he notes. Ouch.

Since Martin tells the tale so well, I’ll turn the story over to him:

I did a post-implementation technology audit for the board of directors of a 500+ bed hospital with 1100+ physicians on staff. The hospital had spent over $50 million acquiring and deploying the then Alltell/Eclipsys EMR/CPOE system, which at that time ran on an IBM ES/9000 mainframe.

Soon after implementation, BoD members fielded numerous complaints from staff physicians who refused to use the system because of its perceived lack of usability…

Fast forward a few years; the BoD approved a significant expenditure to replace the EMR/CPOE system with Epic…Note that the Eclipsys system was based on a very successful implementation of the original Lockheed/Technicon Data Systems CPOE in use at the NIH Clinical Center, so we were dealing with field-tested and validated software that had seen successful clinical implementations.

The implementation failure had more to do with not understanding the technological needs and expectations of community-based independent physicians who comprised the hospital’s staff physicians, and therefore not incorporating their needs and expectations into the technology selection process.

<clap clap clap> What a great overview! Much to think about there. It’s definitely a reminder that even the best EMR technology isn’t worth much if users balk. (Why we’d need that reminder at this point, I can’t imagine, but hospitals still steamroll EMRs over unwilling docs regularly.)

I’d like to think that this kind of fiasco is largely a thing of the past. With Meaningful Use forcing hospitals and doctors to work together more closely, one would hope that boards of directors would build acceptance before they spend, if for no other reason than they’ll get walloped later if they don’t.

But hospital leaders are still among the most conservative creatures on earth, and the kind of top-down style we see in action here isn’t going anywhere soon. Oh well — what’s a $50M mistake among friends?