Global Acute Care EHR Market Share in 2024

Across the world, healthcare organizations are continuing to prioritize EHR initiatives, whether they be purchase decisions, implementations, extensions, or optimizations. From January 2023 to December 2023, organizations outside the US made EHR purchase decisions that impacted a broad number of hospitals—the highest since the start of the COVID-19 pandemic. In the recently published Global EHR Market Share report, KLAS examined this trend as well as others within the following regions: Africa, Asia, Canada, Europe, Latin America, the Middle East, and Oceania.

Which Markets Have the Highest Energy?

In 2023, KLAS validated 186 EHR purchase decisions (net-new wins and migrations) that impacted 734 hospitals and over 128,000 beds. As previously mentioned, the number of hospitals impacted by global EHR decisions reached a five-year high, although the total number of finalized decisions in 2023 was slightly below that of past years. Europe is the most active region (in terms of total EHR contracts and the number of hospitals affected). This energy is driven by regional investments to modernize healthcare IT infrastructure, specifically in Italy and France. In the coming years, we will likely see increased activity in Belgium and the UK due to regional convergence strategies.

Although only two EHR purchase decisions were finalized in Oceania, this region had the second most impacted hospitals after Europe thanks to a large decision in New South Wales (NSW), Australia, impacting 191 hospitals. This decision—the largest KLAS validated for 2023—was finalized in favor of Epic. More purchase decisions will be finalized in Oceania in the next few years. Additionally, 2023 was a fairly active year for Latin America, Canada, and Africa. Purchase energy was slower in both Asia and the Middle East (though KLAS currently has insufficient visibility into some parts of Asia, such as China and India). Government initiatives and investments will likely continue to be a driving force in purchases across all regions of the world.

Which EHR Vendors Are Selected Most Frequently?

KLAS validated decisions that were finalized in favor of 28 different EHR vendors across the 2023 EHR decisions. To provide more detail for readers, this report breaks out the vendors into two groups—multiregional and regional. Around two-thirds of the 186 contracts validated in 2023 involved a regional vendor; despite this, 68% of total hospitals were impacted by multiregional vendors, who are more likely to be selected in multihospital decisions.

Among the multiregional vendors, Dedalus was selected in the most decisions, which impacted 147 hospitals over 31,000 beds. Their most-active market was Europe, specifically Italy, and they were also selected in Latin America. Epic had the second largest number of beds contracted. Oracle Health and MEDITECH were selected in 10 and 9 decisions, respectively.

Regional EHR vendors with the highest purchase energy include Europe-based CompuGroup Medical (Germany), Hopsis (France), Kranium Healthcare Systems (India), MV (Brazil), and Softway Medical (France). For a deeper look at all the vendors selected in 2023 purchase decisions, please see the full report.

What’s Next?

Global EHR purchase energy has gradually increased since its pandemic-induced decline, and it will likely continue to rise in the coming years as healthcare organizations finalize decisions and as government programs invest in EHR purchasing. As KLAS publishes this report year after year, we remain committed to uncovering trends in EHR purchases and providing transparency into global market share.

We encourage healthcare organizations across the world to read the report, which provides detailed breakouts of activity in each global region, high-level market share data for validated vendors, and purchasing trends since 2019. See the full report here.

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