Providers around the global continue to adopt EMR technology at a rapid rate, and two vendors, Cerner and InterSystems, stand out as the top-performing fully rated multiregional vendors, according to a KLAS report.
Provider surveys and commentary show that Cerner performs very well in Europe and the Middle East, while InterSystems performs well in Asia/Oceania and the Middle East.
The report highlights vendor performance by region and shows that Epic performs best in large organizations across the globe, with providers citing strong implementations, functionality and support. “In some parts of the world, vendors’ statewide contracts are hampering provider/vendor relationships,” according to KLAS. The research firm found providers are “eager to leverage all of an EMR's functionality but are often unable to due to limiting contracts.”
“Global EMR adoption rates vary by region depending on available resources, government contracts and a number of other factors, and that has a direct impact on vendor performance," said Jeremy Goff, KLAS research director. "As we continue to monitor the market and talk to providers, we find that multiregional vendors perform well in some regions, but none clearly outperforms their competition everywhere."
Epic is strong in large organizations, according to KLAS interviews with all seven of Epic’s live clients outside the U.S., spanning four countries. These larger organizations report strong implementation methodologies, functionality and support, leading to deep organization-wide adoption. Early CSC Lorenzo adopters also report strong vendor engagement and optimism around future development, though functionality like e-prescribing and mobile applications isn’t currently available. Most vendors (except InterSystems) have seen a slight decline in performance among larger customers; Allscripts and Philips have the biggest disparities. Larger Allscripts customers report implementation challenges and needing more functionality and Philips has struggled to guide larger customers through the transition to their new platform.
Cerner has had the most widespread success in Europe, performing strongly across a number of countries. Epic customers report deep usage of a robust product with strong clinician uptake, according to KLAS, and InterSystems has seen a rapid influx of new customers, causing European clients to report scant resources for implementation, training, optimization and support.
Newer MEDITECH 6.0 customers report success with recent conversions from legacy platforms. Noted substantial improvements include a smoother conversion process, a more reliable product and better vendor guidance. This latest version has a higher price point but MEDITECH is rated highest for value, with few additional costs. Canadian clients for most vendors report receiving better vendor involvement in recent years, though Allscripts customers report a more reactive support approach.
Statewide contracts in Australia have caused difficulties for Allscripts and Cerner clients. Cerner is deployed in part in more than 100 hospitals, but many customers want the functionality enjoyed by directly contracted Cerner customers outside their regions. Additionally, customers would like more training and system optimization resources, which are limited by statewide contracts.
Of the multiregional EMR vendors in the Middle East, Cerner and InterSystems have the most customers, though Epic, MEDITECH and QuadraMed also each have one or two live customers. Cerner’s tend to be larger, multi-hospital organizations, while InterSystems’ are smaller, often standalone hospitals. Customers appreciate Cerner’s richer functionality but it comes with add-on costs. InterSystems’ customers like their rapid implementations that have few extra costs. Customers say both vendors meet basic support needs but need more local staff, especially during implementations.
Philips Tasy and MV Sistemas perform well within their large customer bases in Brazil, though MV Sistemas’ ease of use and response time set the product apart. MV Sistemas’ support resources (especially for larger clients) are slow, reactive and often unhelpful due to rapid growth. Philips’ customers are optimistic that the new web-based platform will resolve current usability issues, though infrastructure upgrade costs and limited available Philips resources are concerns. Agfa and InterSystems have clients in Brazil but are given little consideration in new EMR decisions.