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- The wide range of hospitals and clinics across care settings and specialties investing in EHR technology have fostered a healthy amount of diversity in the inpatient EHR market.
Enterprise EHR vendors such as Epic and Cerner continue to dominate the industry year over year, but small and specialty vendors can still hold their own. The gradual increase in EHR adoption among critical access hospitals (CAHs) and specialty care facilities including behavioral and mental health have carved out a niche for health IT companies willing to focus on the unique needs of particular organizations.
While CAHs and rural hospitals are less likely than their larger counterparts to engage in advanced EHR use, a recent study found more than 80 percent of surveyed CAHs and rural hospitals have adopted at least a basic EHR system.
The following are the top 50 inpatient EHR systems based on data gathered from 7,609 hospitals by Definitive Healthcare:
Allscripts
Massachusetts-based Allscripts currently offers two EHR solutions – its own Sunrise EHR and the newly-acquired Paragon EHR solution. Allscripts acquired Paragon EHR after buying out McKesson’s Enterprise Information Solutions (EIS) business fall of 2017. Allscripts has a new forthcoming ambulatory EHR solution set to hit the market in 2018.
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AmkaiSolutions
AmkaiSolutions EHR is designed to suit the fast-based, procedure-driven healthcare delivery model. Both large health systems and single-specialty centers can utilize the vendor’s offerings.
Amrita Medical Solutions
Amrita’s inpatient EHR serves the needs of critical access hospitals (CAHs) and rural hospitals. Its web-based system includes customized billing and 24-7 user-friendly EHR tech support.
Angel Systems
Angel’s Avenue EHR provides healthcare organizations with a system to accommodate inpatient, residential, partial, substance use, outpatient, community services, and special education organizational needs. Its integrated modules including scheduling and medication management.
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Askesis Development Group
This health IT company offers usable EHR systems for behavioral health organizations. Its flagship solution is a fully integrated practice management and EHR offering called PsychConsult Provider.
athenahealth
athenahealth has found success in meeting the needs of community hospitals, rural hospitals, and CAHs, which notoriously struggle to keep up with other care settings in advanced EHR use. The company recently experienced average financial gains of 5 percent over baseline.
Cantata Health
Established over 40 years ago, Cantata Health offers solutions to over 1,900 hospitals, clinics, and health systems. The health IT company also partners with long-term and post-acute care providers to assist in streamlining care delivery.
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Cerner Corporation
Enterprise EHR giant Cerner is reportedly on the verge of a game-changing contract with Amazon to further enhance its EHR and population health management offerings. Cerner has recently found success in the public sector, scoring EHR implementation deals with VA and the Department of Defense.
CGI
CGI provides health systems with an EHR solution designed to enable an enhanced patient experience and faster, more accurate, less invasive diagnoses. Additionally, the technology is intended to assist in reducing unnecessary procedures and re-admissions. The health IT company serves more 230 hospitals.
CoCentrix
This behavioral health-centered offering is aimed at optimizing the behavioral health care continuum by allowing for collaborative health data exchange. Its solutions assist with clinical and administrative operations from prescription adherence to discharge management.
Credible
Credible specializes in behavioral health. Its user interface is designed with EHR usability at top of mind to decrease training time required for staff following implementation.
DSS Inc.
This health IT company has provided over 350 integrated and open-sourced solutions for healthcare organizations. Established in 1991, DSS EHR solutions provide healthcare organizations with key functionalities to enhance clinical workflows and productivity.
eClinicalWorks
Despite having somewhat of a rocky year, eClinicalWorks has continued to score implementation contracts with several hospitals and retain the majority of its client base. Recently, the health IT company finished implementing an EHR offering with an electronic dental record and behavioral health module.
empowersystems
empowersystems offers user-friendly solutions and allows providers to document 100 percent of a patient’s health data. Its ambulatory EHR solution is ONC-ATCB certified for full meaningful use compliance.
Epic Systems
While Cerner dominates the public sector, Epic has the lion’s share of the private sector. The vendor is often chosen for its usability and departmental functionality. Furthermore, a recent study showed Epic is associated with significantly higher performance in Stage 2 Meaningful Use requirements over competitors Cerner, Allscripts, and MEDITECH.
Evident (CPSI)
Evident addresses the specific needs of rural organizations. Its solution provides rural facilities with the functionality of a large enterprise system while also reducing complexity and cost.
FEI Systems
This health IT company offers EHR software and solutions to primarily federal and state agencies. FEI System’s offerings specialize in behavioral health. Its EHR enables providers to meet federal reporting requirements under the value-based care system.
GE Healthcare
GE’s EHR solutions meet the needs of small physician practices, large multi-specialty groups, integrated delivery networks, and academic medical centers. The solution’s system is designed to interface with practice management systems in larger physician practices.
Harris Healthcare
Harris Healthcare offers software and services to improve the safety, quality, and efficiency of patient care by streamlining clinical processes, increasing physician productivity, and enabling positive health outcomes.
Health Care Software (HCS)
HCS offers an integrated EHR solution platform comprised of modules including revenue cycle management, financial, mobile, and analytics services. HCS product offerings are currently in use at healthcare facilities in 42 states.
Healthland (CPSI)
Like Evident, Healthland is CPSI-owned. The solution is intended for healthcare organizations including those operating in a community or inpatient psychiatric hospital-based setting.
ICANotes
ICANotes provides a behavioral health-focused EHR including a chart-centered workflow. Additionally, the health IT vendor offers point-and-click templates to ease burden on providers.
Indian Health Services
This health IT company is focused on meeting the physical and mental needs of American Indians and Alaskan Natives. Its EHR offering captures clinical and public health data to optimize health outcomes for its patient population.
Infomedika
Infomedika offers providers a patient-centered EHR. They system is designed to assist in improving patient health outcomes by boosting care coordination, cost efficiency, and emergency care.
InterSystems
InterSystems offers healthcare organizations an affordable EHR offering with broad functionality and a light IT footprint. According to a 2017 KLAS report, InterSystems EHR has been deployed by more hospitals than any other solution worldwide over the past four years.
Marshfield Clinic
Marshfield Clinic’s EHR system is designed to increase physician productivity through a seamless user experience and optimize care delivery with clinical decision support tools offering patient-specific recommendations.
MedConnect
MedConnect offers a complete ONC-certified EHR with billing and scheduling capabilities. Patients can also utilize the system’s patient portal. A new iteration of the system – medConnecthealth 3.0—is coming soon.
MedEZ
MedEZ is specialized to assist behavioral healthcare providers. The health IT also offers healthcare organizations assistance with system customization, implementation, training, and EHR system tech support.
MEDHOST
MEDHOST offers healthcare solutions to more than 1,000 healthcare facilities across the country including intuitive, cloud-based clinical, financial, and operational solutions. It also provides hosting, outsourcing, marketing and consulting services to assist clinicians and hospital leadership.
Medicat
Medicat EHR is designed to serve college campus-based healthcare facilities. The system is intended to reduce clinical documentation time, optimize clinician workflow, and eliminate the risk of lost patient health records or charts.
MEDITECH
KLAS Research recently named MEDITECH one of the most invested enterprise vendors in developing integrated solutions that span the care continuum. MEDITECH has been first to market to offer solutions through both acquisitions and internal development. The health IT company acquired its ambulatory and homecare platforms and recently began offering Web Ambulatory EHR.
Medsphere Systems Corporation
Medsphere’s EHR solution recently earned 2015 edition ONC Health IT certification. Based in California, the health IT company was established in 2002 and includes a government services division that is responsible for developing the homegrown VistA EHR.
Meta Healthcare IT Solutions
Grade 9 mathmr. bs weebly. This health IT company prioritizes enabling patient safety and interoperability. Established more than 25 years ago, Meta supports a wide range of healthcare organizations from rural hospitals to large state health systems.
MindLinc
MindLinc specializes in EHR offerings for mental healthcare providers. Its EHR can assist healthcare practices with benchmarking, integration, billing, and research.
Morris Systems
Morris Systems offers a web-based solutions capable of serving the needs of corporate, regional, or individual hospitals. The system is also capable of assisting with meeting reporting requirements on an organizational basis or for individual facilities.
Netsmart Technologies
Netsmart offers EHR solutions for behavioral health, social services, and post-acute care facilities. The Missouri Coalition for Community Behavioral Healthcare recently teamed up with Netsmart to provide the state’s care coordination and population health management solution offerings to support the Healthcare Homes Program.
NTT Data
NTT Data prioritizes streamlining EHR adoption and optimization for healthcare organizations regardless of organization size. The health IT company offers end-to-end solutions to ease the implementation process. Its EHR solution includes software, hardware, implementation, and training.
Optimus EMR
Optimus EMR provides a solution with advanced capabilities to help healthcare facilities improve patient health outcomes, hospital revenue, and clinical efficiency. Optimus EMR was recently acquired by health IT company Yardi.
Point Click Care
Point Click Care specializes in product offerings for LTPAC facilities. The health IT company's solutions assist with patient care delivery management, marketing, financial management, data analytics, business intelligence, and quality compliance.
Prognosis Innovation Healthcare
Prognosis supports rural and community hospitals by offering a highly usable EHR solution. Its offerings include a certified inpatient EHR, a certified ambulatory EHR, a behavioral EHR, and others. Prognosis offers free EHR implementation and transparent pricing.
PsyTech Solutions
PsyTech specializes in behavioral healthcare and offers providers a fully-integrated EHR solution intended to reduce hospital expenditures. PsyTech’s system is also designed with usability in mind. The health IT company meets the needs of mental health, substance abuse, psychiatric rehab, outpatient, and psychotherapy-based healthcare facilities.
Qualifacts Systems
Qualifacts specializes in behavioral healthcare. Its EHR solution includes features to assist with clinical processes, billing, and administration. Qualifacts also provides services to streamline the implementation process for providers through training and EHR tech support.
Remarkable Health
Another health IT company specializing in behavioral health, Remarkable’s EHR streamlines clinical workflows across the care continuum from intake to claims submission. Remarkable aims to ensure providers have as much time as possible to focus on their patients.
SigmaCare
SigmaCare specializes in long-term care and post-acute care (LTPAC) and assisting living. Its EHR system includes advanced clinical decision support targeted at improving care quality and reducing unnecessary hospital admissions. Its solution also includes computerized physician order entry (CPOE) and medication management.
Sigmund Software
Sigmund Software’s EHR offering specializes in behavioral health and addiction treatment. Sigmund prioritizes reducing the number of clinical hours providers must devote to clinical documentation to turn the focus back to patient care.
Source Medical Solutions
This health IT company’s EHR solution offers assistance to providers in inpatient, outpatient, ambulatory, and rehabilitation care settings. Source Medical’s end-to-end solutions are intended to improve operational efficiency and optimize revenue for healthcare facilities.
Technomad
Founded in 2012, Technomad specializes in health IT and application development services. Its cloud-based EHR is designed for long-term acute-care hospitals. The health IT company is based in Bonita Springs, Florida.
Tenzing Medical
The health IT company comprises healthcare and medical experts with experience in the development and management of electronic health data. Its solutions address all aspects of health data management from medical evaluations to federal reporting requirements.
Uniform Data System for Medical Rehabilitation
The system’s offerings help clinicians generate accurate ratings. Uniform Data System prioritizes enabling interoperability, improving clinical efficiency, and reducing errors to improve patient safety.
VeraSuite
VeraSuite offers a suite of modules designed to automate hospital functions from admission to discharge. Its inpatient solutions include offerings for acute care, CAHs, behavioral health, LTPAC, specialty surgical, rehabilitation, and hospice care settings.
WorldVistA
This health IT company seeks to improve care quality and ensure technology is affordable. WorldVistA was established to extend and collaborate to improve the homegrown VistA EHR, which served the needs of VA prior to the federal agency’s decision to implement a commercial Cerner EHR system.
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Summary: EMR Pricing
Electronic Medical Records (EMR) software typically costs between $300-$700 dollars per month with one-time, up front costs ranging from $2,000-$33,000 dollars. These costs will vary based on the pricing model used by the EMR software provider and whether you opt for an in-office solution or Software-as-a-Service (SaaS). Most EMR pricing models are based on a monthly “pay per provider” rate, however, you may find some platforms that only charge a one time licensing fee with monthly costs for maintenance and support. These licensing fees often range from $2,000-$25,000 dollars.
Table of Contents
- Typical EMR Pricing Models
What is EMR software?
In an attempt to modernize the healthcare industry, the American Recovery and Reinvestment Act of 2009 mandated that all public and private healthcare providers utilize an electronic medical records system in order to receive medicare and medicaid financial incentives.
EMR software is a more reliable and secure method of managing, maintaining, and storing patient medical information. These records are often sensitive and critical to providing proper care to the patient, which means that secure electronic storage is a significantly safer way of making sure the information is protected, yet available when needed.
EMR software provides a solution for healthcare providers to be compliant with the ARRA and makes managing medical records easy.
What are the benefits of EMR?
Any records generated by a healthcare provider for a patient should be included into the electronic medical record. This includes everything from billing information to previous treatments, prescriptions, diagnoses, and operations. Ideally, the EMR is a one stop shop for healthcare providers to understand their history with the patient and can easily share it digitally with other necessary medical professionals who may also be working with the individual.
In addition to the ease of access, it is easier to protect electronic records from physical damage such as fire and flood. It is also easier to lock down access of electronic records to authorized personnel only in order to maintain the privacy a patient’s health information.
Difference Between EMR and EHR
While many people and organizations use EMR and EHR (Electronic Health Record) interchangeably, there is a difference. EMRs are more specific to a patient’s medical history while EHRs tend to be broader records designed to capture a patient’s overall health. This includes information that would be covered in an EMR. While an EMR may contain one provider’s record of medical care provided to a patient, EHRs often contain information from a range of providers. When searching for a platform to provide EMR or EHR services, it is important to clarify what your organization’s needs are and whether or not a platform manages EHRs, EMRs, or both.
Typical Price Models
Most EMR software platforms operate on a monthly pay per provider model. However, you may find some platforms that only charge a one time fee to purchase the required software. The pay per provider model is most common for SaaS EMR solutions while the one time purchases are primarily done for in-office solutions.
1. Pay Per Provider
Pay per provider price options usually include a monthly or annual fee charged to the healthcare provider. In addition to these fees, you may be charged one time costs for installation and training. If you are working with a software company that also provides medical billing software, they may offer “bundle deals” for using both of their platforms. The monthly cost for most SaaS solutions range from $300-$700 dollars, according to several studies conducted on healthcare providers as they underwent EMR implementation.
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Some typical SaaS platforms that use the pay per provider option include:
- Carecloud: $279/month/provider
- CureMD:$295/month/provider Amazing Charts:$199/month/provider
2. One Time License Fee
EMR companies that provide in-office solutions as opposed to SaaS platforms may only charge a one time license fee for use of their product and then charge a monthly fee for IT support and maintenance. This is more common for extremely large, enterprise level organizations with millions of healthcare records to manage.
One time license fee solutions tend to be more expensive as they may include installation of on-site data servers, extensive training, and a more robust system overall. While many of these companies do not publicly state the cost of their service (instead providing a custom quote to prospective clients based on their needs), one can expect to pay approximately $30,000 in up front costs and $300-$400 in monthly IT support fees. Some EMR companies in this category include (contact them for custom quotes):
3. Less Common Pricing Options
In addition to these two main pricing models, you may encounter platforms that charge on a per patient or per visit basis. There is also an increasing number of free EMR options that are ad supported or open source. However, the quality of these free services can be drastically lower than that of paid versions and may not meet HIPPA compliance for EMR management systems.
Emr Systems Meaning
Points to Note before Selecting an EMR Software Vendor
- Define your goals: Basing your electronic charting system on your facility's functional needs ensures you choose a solution that truly meets your needs. Look carefully at whether the software integrates seamlessly with other systems currently in operation reduces risk of complications. Understanding your goals also helps you determine which features are must-have, which are nice-to-have, and which ones you're unlikely to use. As features add considerably to overall cost, understanding which ones you actually need offers significant savings.
- Shortlist possible vendors: Make a list of possible vendors you would like to research further. This allows you to eliminate vendors who do not deal with a particular specialty or size practice. Also, choose vendors that have actual certification that gives you surety of the authenticity of the software.
- Arrange for a demonstration: Once you have a shortlist of vendors, can arrange for a demonstration of the charting software to identify the right software for your healthcare facility. Include staff who will actually use the software in your demonstration, as they offer the best front-line opinion.
- Voice recognition services: These are becoming more common by the day. This factor should also be taken into consideration for the software. Some of the newest systems can be programmed to recognize different voices so as to be able to be used by various practitioners in the same clinic and this will bring the cost down.
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