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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.
On October 9, Sentara Healthcare transitioned its 11th hospital to a new e-care technology that will enable use of an Epic-based electronic health record (EHR) system. Sentara providers will have the capability to share patient data across departments, throughout the network, and with patients. The shift cost approximately $18 million over two years, and is one of 12 hospitals Sentara will be transitioning. The Sentara network consists of 15 hospitals, as well as 11 ambulatory surgery centers (ASCs), 45 imaging centers, 10 skilled nursing facilities (SNFs), and more according to Definitive Healthcare data.
Top 10 Hospitals Using Epic EHR by Staffed Beds
|Hospital Name||Staffed Beds||IDN||HIMSS Stage|
|Montefiore Medical Center Main Campus||1,453||Montefiore Health System||Stage 6|
|Cleveland Clinic||1,268||Cleveland Clinic Health System||-|
|Barnes - Jewish Hospital South||1,227||BJC Healthcare||Stage 6|
|UPMC Presbyterian ShadySide||1,173||University of Pittsburgh Medical Center||Stage 6|
|Mayo Clinic Hospital - Rochester||1,092||Mayo Clinic Health System||Stage 7|
|The Johns Hopkins Hospital||993||Johns Hopkins Health System||-|
|Mount Sinai Medical Center||991||Mount Sinai Health System||Stage 6|
|Massachusetts General Hospital||987||Partners Health Care||-|
|Beaumont Hospital - Royal Oak||976||Beaumont Health System||Stage 6|
|Duke University Hospital||922||Duke Health||Stage 7|
Fig 1 Data from Definitive Healthcare
Sentara’s updates and implementations follow the general trend of EHR system adoption among hospitals, ASCs, and rural care clinics. Electronic file sharing allows care facilities to improve communication with providers in and outside their own networks, improving patient care quality and experience.
Currently, Definitive Healthcare tracks more than 14,000 inpatient and ambulatory EHR implementations. Epic accounts for approximately 30.5 percent of ambulatory and inpatient systems in place, the most of any single provider. In second place is Cerner, accounting for 27.3 percent of EHR systems. Meditech has the third largest percentage of ambulatory and inpatient EHR systems in place with 13.3 percent of all 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. This can Abilene Regional Medical Center (TX) uses a Medhost patient portal and inpatient EHR system, and an ambulatory EHR system from AthenaHealth, according to Definitive Healthcare data. Claireborne Medical Center (TN) uses Medhost for inpatient EHR physician order entry, but uses Cerner for their ambulatory EHR according to Definitive Healthcare.
Top 10 Hospitals Using Epic EHR by Net Patient Revenue
|Hospital Name||Net Patient Revenue (M)||IDN||HIMSS Stage|
|Cleveland Clinic||$4,688||Cleveland Clinic Health System||-|
|Stanford Hospital||$3,453||Stanford Health Care||Stage 7|
|NYU Langone Medical Center||$3,192||NYU Langone Health||Stage 7|
|University of Texas MD Anderson Cancer Center||$2,992||University of Texas System||Stage 6|
|UCSF Medical Center at Parnassus Heights||$2,935||University of California San Francisco Health System||-|
|Cedars-Sinai Medical Center||$2,910||Cedars-Sinai Health System||Stage 7|
|University Hospital - University of Michigan||$2,866||Michigan Medicine||-|
|Montefiore Medical Center - Main Campus||$2,690||Montefiore Health System||Stage 6|
|Massachusetts General Hospital||$2,578||Partners Health Care||-|
|Memorial Sloan Kettering Cancer Center||$2,531||-||-|
Fig 2 Data from Definitive Healthcare
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.
Of the 8,000 hospitals tracked by Definitive Healthcare with implemented EHR systems, more than 2,200 use Epic. 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 913 beds.
Visit the Definitive Blog to read more about hospital EHR adoption.