A 4 minute read
October 17, 2017

*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.

Top 10 hospitals using Epic EHR by staffed beds

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.

Top 10 hospitals using Epic EHR by net patient revenue

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.



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