Modern Healthcare reports that there are over 300 vendors in the medical record business and I know it has been growing but had no idea that the list of vendors was this large for ambulatory systems, in other words those not used by hospitals but rather by private practices.  Medical records today come in all shapes, sizes, operating systems, you name it. 

The good news about all of this is the attestation rate as all have had at least one of their clients with success.  Of course that is the bare minimum as most vendors absolutely have more than one for sure.

Market percentages for the vendors are as follows for the top leaders:

Allscripts, 12%; eClinicalWorks, 9%; NextGen Healthcare, 7%; and GE Healthcare, 6%, Greenway Medical Technologies, 3%; athenahealth, 3%; Practice Fusion, 3%; e-MDs, 2%; and Community Computer Service, 2%.


“Three-hundred-and-thirty-three vendors of complete EHRs for ambulatory care have battled for market share and had at least one customer attest to having met the meaningful-use criteria under the Medicare EHR incentive payment program, according to a federal database.
Such a wide variety of choices makes the task of finding and selecting the right system a struggle for the practitioners, too.
“Really, what I need is just somebody to tell me what I need to get,” said Dr. Terri Strassburger, who is retired from her own practice but manages a two-physician pulmonary and critical-care office-based practice in Alexandria, Va., for her husband and his partner. Her duties include helping them pick an EHR system.

But finding an EHR that’s the right fit, can integrate with the practice’s management system, is not controlled by the hospital and won’t require a lot of hardware and network expertise, and fit within the practice’s budget is a challenge.
“We’ve only just started looking into everything, and we’re trying to talk to as many people as possible,” Strassburger said. So far, word of mouth hasn’t been very helpful.

According to a Modern Healthcare analysis of the CMS/ONC database, Epic Systems, based in Verona, Wis., leads the pack among vendors of complete EHR systems designed for physicians/EPs in ambulatory care, with 22% of that market niche. Others in the top five in that niche, along with their market percentage, are Allscripts, 12%; eClinicalWorks, 9%; NextGen Healthcare, 7%; and GE Healthcare, 6%.
Remaining vendors in the top 10 are Greenway Medical Technologies, 3%; athenahealth, 3%; Practice Fusion, 3%; e-MDs, 2%; and Community Computer Service, 2%.”