2021 Best In KLAS Small Practice Ambulatory EMR/PM (10 or fewer Physicians)

Amid changing regulations from entities like the American Academy of Pediatrics and HIPAA, pediatric clinics’ functionality needs are increasing and becoming more specific. Most ambulatory pediatric practices are small organizations with limited budgets, and they have to prioritize functionalities that are most important and forgo others to stay within budget. In addition to established pediatric-specific vendors, broad-specialty vendors are addressing this challenge by developing pediatric-specific EHRs or adapting existing platforms to cater to customer needs. Following KLAS’ 2023 report on the pediatrics market , this report examines how well pediatric-specific and broad-specialty vendors meet the unique customer needs of this niche market.

The landscape of pediatric healthcare has shifted in recent years. Grappling with changes in the labor market, many pediatric organizations are seeking out a simplified IT approach that enhances patient care and bolsters efficiency. Some organizations have started to consolidate or have already consolidated their technology stack to fewer vendors, with many leveraging more functionality from their core EHR vendors. For this report, KLAS talked to 57 organizations using pediatric EHR/PM systems to gauge their perceptions on the impact of staffing shortages, which technology is best suited to help, and what developments they would like moving forward. A follow-up report will examine the performance of pediatric EHR/PM vendors within this evolving market.

Small practices provide a significant amount of the outpatient care in the US, and their needs differ from those of their larger counterparts. When it comes to EMR/PM technology, these practices expect up-to-date functionality, steady product performance, solid implementation and training, and an integrated suite of solutions from a single vendor—all at a price point that makes sense for a small practice’s budget. This is a tall order, but some vendors have stepped up to the challenge in multiple areas of delivery. This report provides the latest view on how the major vendors in this market perform and which ones stand out in the areas that small practices (2–10 physicians) care about most.

Performance

Comprehensive Ambulatory Platforms 2021

16 December 21 | Aaron Gleave and Alex McIntosh

Looking to improve integration and reduce vendor complexity, ambulatory organizations have recently accelerated efforts to consolidate their technology solutions. However, their EMR vendor’s portfolio may have gaps or may not stack up in certain areas to the specialized functionality of best-of-breed solutions. To help organizations determine whether a consolidated IT approach is best for them, KLAS conducted in-depth interviews with ambulatory organizations that have broadly and deeply adopted their EMR vendor’s technology portfolio. These customers’ feedback reveals what technology is adopted today, where gaps still exist, and what benefits and potential pitfalls other organizations may want to consider as they move toward consolidation. Vendors that offer a wide range of IT solutions for ambulatory practices were invited to submit a list of the organizations that have most broadly and deeply adopted their ambulatory portfolios (eClinicalWorks elected not to participate and MEDITECH did not have enough standalone ambulatory customers to qualify). Five “deep adopters” were interviewed for each participating vendor. Their insights are intended to help other organizations understand the current best-case scenario with a comprehensive ambulatory platform.

Company/solution	Overall performance score (100-point scale)	Total evaluations	Trend (2020-2021)	Culture	Loyalty	Operations	Product	Relationship	Value

tebra (Kareo) Kareo EHR/PM - Small Practices	85.6	n=42	0%	B	A-	B	B+	C+	B

NextGen Healthcare NextGen Office EMR/PM - Small Practices	84.9	n=18	0%	B	B+	B	B+	B+	B

athenahealth EHR/PM - Small Practices	81.7	n=37	0%	B-	B+	B-	B	C	B

AdvancedMD EHR/PM - Small Practices	78.5	n=27	0%	C+	B-	B-	B+	B-	C-

Greenway Health Intergy EHR/PM - Small Practices	76.7	n=43	0%	C+	B-	B-	B-	C+	D

CompuGroup Medical US eMDs Aprima EHR/PM - Small Practices	76.6	n=17	0%	C	B-	B-	B	C-	C-

Veradigm Allscripts Professional EHR/PM - Small Practices	72.9	n=21	0%	C-	B-	C	B-	D	D

DrChrono EMR/PM - Small Practices	67.8	n=15	0%	F	D	C+	C	D	B-

eClinicalWorks EHR/PM - Small Practices	67.4	n=19	0%	D	C	D+	C-	D-	D-

CareCloud EHR/PM - Small Practices	67	n=23	0%	D-	D+	C	D+	D	D+
	50.0	100.0

Company/solution	Trend (2020-2021)	Culture	Loyalty	Operations	Product	Relationship	Value

tebra (Kareo) Kareo EHR/PM - Small Practices 85.6 n=42 COMMENTS	0%	B	A-	B	B+	C+	B
NextGen Healthcare NextGen Office EMR/PM - Small Practices 84.9 n=18 COMMENTS	0%	B	B+	B	B+	B+	B
athenahealth EHR/PM - Small Practices 81.7 n=37 COMMENTS	0%	B-	B+	B-	B	C	B
AdvancedMD EHR/PM - Small Practices 78.5 n=27 COMMENTS	0%	C+	B-	B-	B+	B-	C-
Greenway Health Intergy EHR/PM - Small Practices 76.7 n=43 COMMENTS	0%	C+	B-	B-	B-	C+	D
CompuGroup Medical US eMDs Aprima EHR/PM - Small Practices 76.6 n=17 COMMENTS	0%	C	B-	B-	B	C-	C-
Veradigm Allscripts Professional EHR/PM - Small Practices 72.9 n=21 COMMENTS	0%	C-	B-	C	B-	D	D
DrChrono EMR/PM - Small Practices 67.8 n=15 COMMENTS	0%	F	D	C+	C	D	B-
eClinicalWorks EHR/PM - Small Practices 67.4 n=19 COMMENTS	0%	D	C	D+	C-	D-	D-
CareCloud EHR/PM - Small Practices 67 n=23 COMMENTS	0%	D-	D+	C	D+	D	D+

Company/solution	Overall performance score (100-point scale)	Total evaluations	Culture	Loyalty	Operations	Product	Relationship	Value

athenahealth athenaPractice EMR/PM – Small Practices * L NP	81.7	n=13	B-	B	B	B-	B-	B

CompuGroup Medical US eMDs EHR/PM - Small Practices * [NP] L NP	74.8	n=6	C	B	C	C	C-	C

Elation Health ElationEMR - Small Practices [C] C	87.4	n=28	B	A	A-	B	B	A-

Oracle Health Cerner PowerChart Ambulatory EMR/PM - Small Practices * L	79.9	n=14	B+	B	C+	B-	C	C

Practice Fusion, a Veradigm Network Solution Practice Fusion EHR - Small Practices [C] C	84.2	n=15	B-	B+	B+	B	C-	A

Company/solution	Overall performance score (100-point scale)	Total evaluations

athenahealth athenaPractice EMR/PM – Small Practices * L NP culture B- loyalty B operations B product B- relationship B- value B	81.7	n=13

CompuGroup Medical US eMDs EHR/PM - Small Practices * [NP] L NP culture C loyalty B operations C product C relationship C- value C	74.8	n=6

Elation Health ElationEMR - Small Practices [C] C culture B loyalty A operations A- product B relationship B value A-	87.4	n=28

Oracle Health Cerner PowerChart Ambulatory EMR/PM - Small Practices * L culture B+ loyalty B operations C+ product B- relationship C value C	79.9	n=14

Practice Fusion, a Veradigm Network Solution Practice Fusion EHR - Small Practices [C] C culture B- loyalty B+ operations B+ product B relationship C- value A	84.2	n=15

Small Practice Ambulatory EMR/PM (10 or fewer Physicians)

Past Small Practice Ambulatory EMR/PM (10 or fewer Physicians) Awards

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