2021 Best In KLAS Global Acute Care EMR Europe

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.

2021 was an active year for EMR purchasing despite the continued impact of the COVID-19 pandemic. Over 150 provider organizations outside the US signed an EMR contract in 2021, covering 31 different vendors and impacting over 430 hospitals. While total decisions were lower in 2021 than in any other of the last five years, the number of beds impacted was above average thanks to a number of larger organizations making EMR purchase decisions. Europe remains the most active region, though Africa and Asia both saw increased purchase energy from 2020. The pandemic continues to hinder EMR decisions most in Oceania and Latin America (especially Spanish-speaking countries).

In the past few years, there has been significant merger and acquisition (M&A) activity among EMR vendors who market in Europe as well as significant purchasing activity by healthcare organizations, creating one of the world’s most dynamic EMR markets. From 2016–2020, KLAS validated over 300 EMR decisions impacting over 1,200 inpatient facilities (comprehensive data for 2021 purchases not yet available). Using this data and customer feedback from 100 organizations, this report examines the customer satisfaction, market share, and recent market energy of European EMR vendors and evaluates which are best meeting customer needs in this competitive market.

Performance

Latin America EMR 2020

16 December 20 | Everton Santos and Jonathan Christensen

EMR purchasing in Latin America is on the rise, especially among private healthcare groups. The Brazilian EMR market has been active for over a decade, while escalation in other countries in the region is more recent. This report—KLAS’ first focused solely on the Latin American EMR market—seeks to uncover which vendors are gaining market share and which are best meeting customers’ needs. Altogether, market trend data and customer satisfaction feedback was collected from 102 respondents, representing 88 separate organizations in 12 countries and territories. Insights will be examined first for Latin America as a whole, then for Brazil, and then for other countries throughout the region, collectively referred to as Spanish-speaking Latin America (this grouping also includes a small amount of feedback from several Caribbean nations).

Company/solution	Overall score	Total evaluations	Trend (2020-2021)	Culture	Loyalty	Operations	Product	Relationship	Value	Censinet assessment

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

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

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

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

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

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

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

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

Epic Care Inpatient EMR (Non-US) 84.2 n=6 COMMENTS	0%	B-	A	C+	B	A-	B
Oracle Health (Cerner) Cerner Millennium PowerChart (Non-US) 79.8 n=8 COMMENTS	0%	B	B	C+	B-	B	C+
Altera Digital Health Allscripts Sunrise Acute Care (Non-US) 74.2 n=9 COMMENTS	0%	C-	B	C+	C-	C	C-
ChipSoft HiX EMR/EHR (Non-US) (Mostly Netherlands) 68.8 n=8 COMMENTS	0%	C	B-	C	C-	D+	F
Dedalus Healthcare Systems Group ORBIS (Non-US) (Central Europe) 67.2 n=20 COMMENTS	0%	F	B	C-	D+	C-	F
Dedalus Healthcare Systems Group DxCare (Non-US) (Mostly France) 64.5 n=13 COMMENTS	0%	F	C	D+	D+	D+	D-
InterSystems TrakCare EPR (Non-US) 61.6 n=22 COMMENTS	0%	F	C-	D	D+	D	F

Company/solution	Overall performance score	Total evaluations	Culture	Loyalty	Operations	Product	Relationship	Value	Censinet assessment

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 S	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) Cerner i.s.h.med (Non-US) * L	58.3	n=3	F	F	D+	F	D	--

Company/solution	Overall performance score	Total evaluations

Cambio COSMIC (Non-US) (Mostly Sweden) * L culture C- loyalty C operations D+ product D+ relationship B+ value B-	72.4	n=4

Dedalus DXC Technology Lorenzo (Non-US) (UK Only) * L S culture F loyalty F operations F product F relationship F value F	30.3	n=5

Dedalus DXC Technology xHIS (Non-US) * L culture D- loyalty D operations C+ product D relationship C value F	63	n=3

Oracle Health (Cerner) Cerner i.s.h.med (Non-US) * L culture F loyalty F operations D+ product F relationship D value --	58.3	n=3

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