This week, Modern Healthcare published a very interesting analysis of ONC and CMS data on which vendors were used for Meaningful Use attestation. The results suggest that the battle for market dominance may be closer than it looks when it comes to producing results that count. Perhaps more importantly, the data suggests that best-of-breed systems may have a stronger foothold than unified systems (see more below).
According to Modern Healthcare, four vendors stood out as leader in the complete inpatient EMR market:
* Epic Systems, with 370 hospitals customers, or 17.9 percent of 2,071 hospitals which have attested using one of the four
* Meditech, with 323 hospitals, or 15.6 percent
* CPSI, with 313 hospitals, or 15.1 percent
* Cerner Corp., with 208 hospitals, or 10 percent
All told, these top four players have sold 1,214 hospitals a complete inpatient EMR system. That’s represents 58.6 percent of all systems sold to hospitals that have gotten a Medicare incentive check using a complete inpatient EMR. The top 10 vendors swelling such systems, meanwhile, have sold them to 1,902 hospitals, owning almost 92 percent of this niche, Modern Healthcare notes.
It’s important to note, however, that best-of-breed implementations have won even more Meaningful Use dollars, the analysis suggests. In fact, 2,438 hospitals using modular inpatient EMRs have achieved Meaningful Use. According to Modern Healthcare research, three developers lead the modular inpatient EMRs hospitals have used for this purpose:
* Meditech, with 637 hospitals, or 26.1 percent
* Cerner, with 530 hospitals, or 21.7 percent
* HCA Information & Technology Services, with 274 hospitals, or 11.2 percent
Collectively these vendors account for 59.1 percent of modular inpatient EMR market, the analysis shows.
I thought it was quite noteworthy that a larger share of hospitals are using best-of-breed inpatient systems to achieve Meaningful Use than complete inpatient systems. It would be interesting to find out if interoperability was one of the reasons hospitals are making this choice — since we know that the big vendors are shaky on the concept at best.