EHR market share by practice size

Not all EHRs are designed the same, and not all physician practices have the same needs and wants from their EHRs.

According to a survey from AmericanEHR Partners, a health IT research unit developed by the American College of Physicians and Cientis Technologies, larger physician practices tend to select EHRs from a narrower pool than smaller practices where a greater variety of EHRs systems are deployed.

Approximately 60 percent of larger practices, those with 26 or more clinicians, tended to use one of 10 EHR products, while 51 percent of smaller practices with one to three clinicians used one of those 10 products, according to the survey.

AmericanEHR Partners' survey collected responses from nearly 1,400 clinicians. Data were collected between Jan. 1, 2013 and Nov. 6, 2014.

"Responses from practices with 26 or more clinicians rated 96 different EHR products, meaning that the 40 percent of practices that used an EHR product other than the top 10 were spread out among 86 different vendors," said Shari M. Erickson, senior vice president of ACP's Division of Governmental Affairs and Medical Practice. "The key finding is that data shows that larger practices tend to be more focused on the same systems."

The report also broke down top EHR market share by practice size. The following are the EHR vendors with the largest market share broken down by practice size.

Solo practice: Practice Fusion (15 percent of market share)

One to three clinicians: Practice Fusion (12 percent)

Four to 10 clinicians: EpicCare Ambulatory EMR (14 percent)

Eleven to 25 clinicians: EpicCare Ambulatory EMR (25 percent)

Twenty-six or more clinicians: EpicCare Ambulatory EMR (16 percent)

The most used products among respondents were EpicCare Ambulatory EMR (12 percent of overall market), eClinicalWorks (8 percent), Practice Fusion (6 percent), NextGen Ambulatory EHR (6 percent) and Cerner Millennium PowerChart PowerWorks (6 percent).

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