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According to a new report from KLAS Research, 2008 saw electronic medical record (EMR) vendors sell the fewest number of new contracts in the United States and Canada in the seven years since KLAS began tracking clinical market share information.
The report, "Physicians, Nurses, and EMR Adoption: Which Solutions Are CEOs Betting On?" reflects data collected from more than 1,600 hospitals with 200-plus beds in the U.S. and Canada. While acknowledging the seven-year low in EMR sales, the report also notes that the recent past does not appear to be an indication of the future.
"The advent of new meaningful-use requirements, plus the ongoing debate around broader health care reform, has many organizations looking for a new clinical information system," said Jason Hess, KLAS general manager of clinical research and author of the new report. "During this study, KLAS identified more than 400 large hospitals that either have no EMR or are using a legacy system, and we are already aware of purchasing activity that, if the rate continues, will far exceed 2008 sales."
Despite a tough economy, Epic continued to make gains among large hospitals, capturing nearly 40 percent of new business, according to the report. Beyond the steady progress of Epic EpicCare Inpatient, Siemens Soarian Clinicals and McKesson Paragon Clinicals found some unusual wins in 2008, the report noted.
Five non-Siemens hospitals (four organizations) bought Soarian last year, despite the product's historically low computerized physician order entry (CPOE) adoption. Further, the company won three hospitals in the over 400-bed space, bucking Epic's trend of pushing vendors out of that market, KLAS reported.
Of the 12 McKesson EMR wins in hospitals with more than 200 beds, four of the organizations chose Paragon as opposed to Horizon. Those wins indicate that Paragon, one of the lowest-rated systems that KLAS followed in 2000, is now gaining significant momentum, not to mention leading performance scoring in the community hospital information system market, the research firm stated.
The KLAS report noted that, for Cerner and Eclipsys, leadership in CPOE adoption did not necessarily translate into EMR wins. Cerner has the highest number of hospitals doing CPOE, and Eclipsys has the greatest number of physicians doing CPOE, yet neither vendor was among the top three in new large-hospital EMR sales in the U.S. and Canada in 2008, according to KLAS.
Other vendors highlighted in the KLAS report include GE, Meditech, Medsphere and QuadraMed.
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