Big Vendors Dominate

Three health IT vendors account for half the electronic medical record systems installed at acute-care hospitals from February 2010 to February 2011, a new database shows. Meditech alone captured a quarter of the market.

The database doesn't indicate how the vendors fare in the entire market, because it leaves out EMRs installed in physician practices. But the hospital EMR market includes large, complex installations that can include multiple facilities. And many hospital systems also own medical practices.

Modern Healthcare (registration required) compiled a top 10 hospital EMR vendor list from a database from HIMSS Analytics, a subsidiary of the not-for-profit Health Information Management Systems Society. The Modern Healthcare list was republished by Dark Daily, an online news compilation source for clinical labs and pathology groups.

The list includes EMRs still being installed and systems under contract but not yet installed, according to Dark Daily.

The top 10 vendors (total installations and percentage of market share) are:

1. Meditech (1,212, 25.5%)
2. Cerner (606, 12.8%)
3. McKesson (573, 12.1%)
4. Epic Systems (413, 8.7%)
5. Siemens Healthcare (397, 8.4%)
6. CPSI (392, 8.3%)
7. Healthcare Management Systems (347, 7.3%)
8. Self-developed (273, 5.8%)
9. Healthland (223, 4.7%)
10. Eclypsis, bought by Allscripts (185, 3.9%)