2021 Best In KLAS Global Acute Care EMR Europe

Performance

UK & Ireland EPR 2024

09 July 24 | Eder Lagemann and Spencer Corbett

Over the last five years, there has been consistent energy around EPR investment and digital transformation in the UK and Ireland—on average, at least six healthcare organisations have made an EPR purchase decision each year. Going forward, activity will likely increase amid integrated care system (ICS) alignment, as over 50 trusts will look to upgrade or deploy their first EPR over the next few years. While going through the complex decision-making process, organisations frequently look for a partner that can provide not only core documentation and ordering functionalities but also additional clinical, administrative and ancillary modules to support their digital transformation. This report includes (1) an overview of the market share and customer satisfaction with EPR suppliers in the UK and Ireland and (2) a look at suppliers’ broader portfolios, diving into the performance and adoption of modules outside of core functionality.

Healthcare organizations across the world are continuing to prioritize EHR initiatives; although the total number of EHR purchase decisions finalized in 2023 was slightly below the average of recent years, the number of hospitals impacted by the contracts is at a five-year high thanks to several large regional decisions being finalized. In 2023, KLAS validated 186 EHR purchase decisions impacting 734 hospitals and over 128,000 beds. KLAS validated 28 different EHR vendors selected in 35 different countries and territories. Based on the validated EHR decisions, Europe and Oceania were the most active markets, followed by Latin America and Canada.

Over the last five years, the Middle East and Africa healthcare IT markets have expanded and evolved. The Middle East has seen consistent energy around EHR investment and digital transformation, with 10–15 purchase decisions being made annually. Energy in Africa has fluctuated year over year, impacted by some very large regional purchase decisions. When selecting an EHR vendor partner for the digital journey, organizations almost always consider other clinical, administrative, and financial functionalities in addition to the core EHR capabilities the vendor provides. This report both provides an update on EHR vendor performance and market share and offers KLAS’ first holistic look at EHR vendors’ broader portfolios in the Middle East and Africa, specifically highlighting the adoption and performance of ancillary EHR modules.

As electronic medical record (EMR) adoption grows worldwide, healthcare organizations considering this digital transformation all have the same question: what benefits can we really expect to receive from implementing an EMR? KLAS interviewed leaders at 36 non-US healthcare organizations—12 of which are HIMSS Level 6 or 7—to learn about their journey to realizing benefits from an EMR implementation. This white paper summarizes their insights, including what clinical and operational benefits they have seen, when those benefits were realized, and what recommendations they have for peer organizations.

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

Epic Care Inpatient EMR (Non-US)	84.2	0%	n=6	B-	A	C+	B	A-	B

Oracle Health Cerner Millennium PowerChart (Non-US)	79.8	0%	n=8	B	B	C+	B-	B	C+

Altera Digital Health Allscripts Sunrise Acute Care (Non-US)	74.2	0%	n=9	C-	B	C+	C-	C	C-

ChipSoft HiX EMR/EHR (Non-US) (Mostly Netherlands)	68.8	0%	n=8	C	B-	C	C-	D+	F

Dedalus Healthcare Systems Group ORBIS (Non-US) (Central Europe)	67.2	0%	n=20	F	B	C-	D+	C-	F

Dedalus Healthcare Systems Group DxCare (Non-US) (Mostly France)	64.5	0%	n=13	F	C	D+	D+	D+	D-

InterSystems TrakCare EPR (Non-US)	61.6	0%	n=22	F	C-	D	D+	D	F
	50.0	100.0

	Overall Performance Score (100-point scale)	Total evaluations	Culture	Loyalty	Operations	Product	Relationship	Value

Cambio COSMIC (Non-US) (Mostly Sweden) L	72.4	n=4	C-	C	D+	D+	B+	B-

Dedalus DXC Technology Lorenzo (Non-US) (UK Only) L NP	30.3	n=5	F	F	F	F	F	F

Dedalus DXC Technology xHIS (Non-US) L	63	n=3	D-	D	C+	D	C	F

Oracle Health Cerner i.s.h.med (Non-US) L	58.3	n=3	F	F	D+	F	D	—

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