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

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.

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 EMR 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, Greenway Health, NextGen Healthcare, and Veradigm.)

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.

Though many ambulatory and acute care EMR vendors already had plans pre-COVID to create, acquire, or expand virtual care capabilities, the emergence of the pandemic obviously necessitated an accelerated development pace. Based 100% on vendor-provided information (not yet validated by KLAS), this report explores what virtual care capabilities are available from EMR vendors and how these solutions are being deployed. Many EMR vendors were invited to participate in this report; those who responded are included in the charts below. Part two of this report (scheduled for release later in 2021) will explore the actual customer experience for as many of these solutions as possible, regardless of vendor participation. Note: For information on the broader telehealth ecosystem (including telehealth technology from non-EMR vendors), see KLAS’ recent Telehealth Ecosystem 2021 report .

Company/solution	Overall score	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 (formerly Allscripts) 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		*Limited Data

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 (formerly Allscripts) 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	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) Cerner PowerChart Ambulatory EMR/PM - Small Practices * L	79.9	n=14	B+	B	C+	B-	C	C

Practice Fusion EHR - Small Practices [C] C	84.2	n=15	B-	B+	B+	B	C-	A

Company/solution	Overall performance score	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) 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 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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