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*Updated May 16, 2019
Epic is the largest provider of EHR systems in the United States, accounting for more than 30 percent of all inpatient and ambulatory systems. As hospitals and care facilities continue to utilize electronic data sharing, and hospitals implement multiple EHR systems across inpatient and ambulatory departments, there could be a greater incentive for smaller companies to market less-comprehensive niche products to fill gaps in service.
|Hospital Name||Staffed Beds||IDN|
|Montefiore Medical Center Main Campus||1,449||Montefiore Health System|
|Cleveland Clinic||1,266||Cleveland Clinic Health System|
|Barnes - Jewish Hospital South||1,225||BJC Healthcare|
|Mayo Clinic Hospital - Saint Mary's Campus||1,186||Mayo Clinic Health System|
|Carolina's Medical Center||1,084||Atrium Health|
|Spectrum Health Butterworth Hospital||1,078||Spectrum Health|
|Mount Sinai Medical Center||1,009||Mount Sinai Health System|
|The Johns Hopkins Hospital||1,007||Johns Hopkins Health System|
|Lehigh Valley Hospital - Cedar Crest||1,007||Lehigh Valley Health Network|
|Beaumont Hospital - Royal Oak||998||Beaumont Health System|
Fig 1 Data from Definitive Healthcare's Hospitals & IDN platform, as of May 2019
Currently, Definitive Healthcare tracks more than 14,097 inpatient and ambulatory EHR implementations. Epic accounts for approximately 35 percent of ambulatory and and 30.6 percent of inpatient systems in place, the most of any single provider. In second place is Cerner, accounting for 26.2 percent of ambulatory and 25.1 percent inpatient EHR systems. Meditech has the third largest percentage of ambulatory and inpatient EHR systems in place with 11.1 percent ambulatory and 14.7 percent inpatient implementations.
While some hospitals choose to implement a single system, others use a patchwork of different systems depending on departmental needs. EHR interoperability challenges can make this difficult for some facilities. Abilene Regional Medical Center (TX) uses the Medhost patient portal and inpatient EHR system, and an ambulatory EHR system from AthenaHealth, according to Definitive Healthcare data. Carolina's Medical Center uses Cerner as their Healthcare Information System and inpatient EHR system, but uses Epic for their ambulatory EHR and patient portal according to Definitive Healthcare.
|Hospital Name||Net Patient Revenue (M)||IDN|
|Cleveland Clinic||$4,659||Cleveland Clinic Health System|
|Stanford Hospital||$4,132||Stanford Health Care|
|NYU Langone Tisch Hospital||$4,101||NYU Langone Health|
|UCSF Helen Diller Medical Center, Parnassus Heights||$3,621||University of California San Francisco Health System|
|University of Texas MD Anderson Cancer Center||$3,480||University of Texas System|
|Vanderbilt University Medical Center||$3,443||Vanderbilt University Medical Center System|
|University of Michigan - University Hospital||$3,297||Michigan Medicine|
|Cedars-Sinai Medical Center||$3,140||Cedars-Sinai Health System|
|Massachusetts General Hospital||$2,904||Partners Health Care|
|Yale New Haven Hospital||$2,750||Yale New Haven Health System|
Fig 2 Data from Definitive Healthcare's Hospitals & IDN platform, as of May 2019
However, though hospital and care center EHR adoption continues to rise, this does not necessarily ease the flow of patient and provider data. A study published in Health Affairs this September found that physicians spend more time on “desktop medicine,” logging data and answering patient queries online, than in face-to-face patient interactions. This leads industry experts to believe that the emphasis on electronic data logging is taking up too much time in a physician’s day, reducing the time spent with patients diagnosing medical issues.
It is interesting to note that every one of the largest hospitals using this system is part of a larger health system. The largest hospital currently using Epic, and is not part of a health system, is Tampa General Hospital with 920 beds.
Visit the Definitive Blog to read more about hospital EHR adoption. To better understand EHR adoption across the inpatient and outpatient realms, please request a free trial of Definitive Healthcare's platform.