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Performance

EHR Interoperability Overview 2025

01 December 25 | Coray Tate and Tyson Blauer

EHR interoperability has the potential to improve patient care decisions, enable innovation, and reduce administrative churn; however, despite advancements in data-sharing technology, interoperability is still far from where it needs to be. The truth is that interoperability is a team effort that cannot be solved by an individual vendor or solution. All stakeholders—healthcare organizations, payer organizations, and vendors—need to work together to fully realize desired interoperability outcomes. Based on KLAS data and vendor-reported information, this report provides an overview of three key EHR interoperability use cases as well as persisting challenges that hinder data sharing.

When making a core HIT purchasing decision, ambulatory healthcare organizations must take into account how prospective partners deliver across a variety of key technology areas beyond core EHR and PM solutions. This Epic “complete look” provides a high-level analysis of the key IT components that make up Epic’s comprehensive suite. (Other reports in the series do the same for athenahealth , eClinicalWorks , Greenway Health , NextGen Healthcare , and Veradigm .)

When making a core HIT purchasing decision, ambulatory healthcare organizations must take into account how prospective partners deliver across a variety of key technology areas beyond core EHR and PM solutions. This athenahealth “complete look” provides a high-level analysis of the key IT components that make up athenahealth’s comprehensive suite. (Other reports in the series do the same for eClinicalWorks , Epic , Greenway Health NextGen Healthcare , and Veradigm .)

When making a core HIT purchasing decision, ambulatory healthcare organizations must take into account how prospective partners deliver across a variety of key technology areas beyond core EHR and PM solutions. This eClinicalWorks “complete look” provides a high-level analysis of the key IT components that make up eClinicalWorks’ comprehensive suite. (Other reports in the series do the same for athenahealth , Epic , Greenway Health , NextGen Healthcare , and Veradigm .)

	Overall performance score (100-point scale)	Trend (2024-2025)	# of unique orgs	Culture	Loyalty	Operations	Product	Relationship	Value

Epic EpicCare Ambulatory EHR	91.0	+1%	16	A+	A	B+	A-	A+	B

athenahealth athenaClinicals	85.2	+5%	18	C+	A-	B	B	B	B+

NextGen Healthcare NextGen Enterprise EHR	65.4	-9%	22	D	D+	D+	D+	C-	D
	0.0	100.0

	Overall performance score (100-point scale)	# of unique orgs	Culture	Loyalty	Operations	Product	Relationship	Value

Altera Digital Health TouchWorks EHR L	73.3	6	C	C+	C	C-	B-	C-

eClinicalWorks EHR L	68	13	F	C-	D+	C	C-	C-

Epic Community Connect EpicCare Ambulatory EHR L C	86.2	6	A-	A-	B-	B+	B+	B-

Greenway Health Intergy EHR L	63.9	6	F	D+	C-	D+	C	D-

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