International services

In addition to healthcare organizations in the US, providers and payers from around the world work with KLAS to assemble real-time vendor performance scores and user insights for key healthcare technology solutions.
This information is made available to healthcare professionals via our online tools that include trending, scoring, and customer commentary. With KLAS research, healthcare organizations are able to quickly compare a wide range of vendors/products and use those comparisons to understand the competitive landscape, save time and money on market research, validate purchasing decisions, evaluate existing vendor relationships, and manage risk by staying informed about issues.

International Reports

What's happening globally?

The KLAS research team publishes multiple international reports every year covering the most pressing questions facing healthcare technology today. These reports address important global trends and highlight specific regional performance. The key findings are available at no charge to healthcare providers and payers who are willing to participate by speaking with KLAS to voice their experiences.

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Many healthcare organizations in Canada have been using their PACS for years. Since the outbreak of the COVID-19 pandemic, KLAS has seen potential-replacement rates for Canada PACS solutions increase to a historic high, where more than one-third of interviewed organizations are actively looking to replace their PACS. This report examines vendors’ performance and the customer experience in Canada to help organizations understand the strengths and weaknesses of available options in the market.

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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.

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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.

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As healthcare organizations have come out of the peak of the COVID-19 pandemic, EMR purchase decisions in Asia have ramped up. In Oceania, most public hospitals have an EMR in place, but purchase energy remains high since many public and private provider organizations are planning large-scale purchases of go-forward EMRs. This report—KLAS’ first focused exclusively on Asia and Oceania—highlights (1) market share and vendor energy in recent EMR purchase decisions and (2) vendor performance in each region based on client feedback and experience. The chart below offers a high-level view of vendors’ overall performance.

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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).

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The PACS market in Europe is evolving. To unify care delivery, many countries are pushing for HIT consolidation across regional groups of hospitals. At the same time, healthcare organizations are increasingly looking to expand their imaging strategies outside of radiology to bring together more departments and facilities at an enterprise level. This report leverages the perspectives of 199 individuals representing 168 unique organizations across 25 European countries to determine which PACS vendors are delivering the technology and partnerships needed to drive imaging progress in Europe.

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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.

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The PACS market in the Middle East and Africa is evolving, with some vendors gaining prominence and others losing traction. Healthcare organizations are looking to enhance their imaging strategies with new, advanced technology (e.g., AI and the cloud) and want vendors who innovate and deliver this technology. Using customer feedback from 60 organizations across 14 countries, this report is KLAS’ first to focus on the PACS market in the Middle East and Africa, exploring vendor market share and performance and examining which vendors are keeping pace with customer expectations.

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Many healthcare organizations in the Middle East and some in Africa have made EMR purchase decisions over the last five years (2016–2020). In that time, KLAS has validated 86 EMR decisions—72 in the Middle East and 14 in Africa—impacting over 320 hospitals, with decisions made in 2018–2020 impacting (on average) at least twice as many facilities as decisions made in 2016–2017. This report will examine the customer satisfaction, market share, and recent wins and market energy of EMR vendors in the Middle East and Africa. Compared to (published in 2019), this study includes performance data on a significantly higher number of vendors, providing more expansive insights, particularly into the Middle East market.

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The non-US PACS market is shifting—as cloud technology and lighter infrastructure replace aging C/S models, several traditional market mainstays are no longer viewed as cutting-edge technology. The need for traditional workstations has not disappeared, but healthcare organizations are looking for vendors that are developing imaging platforms that will meet customer needs today and in the future. Based on perspectives from 325 individuals at 272 organizations in 48 countries and territories outside the US, this report examines global as well as regional PACS performance.

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Outside the US, the vendor-neutral archive (VNA) market is still emerging, and even some of the most successful organizations feel their VNA vendors could do more to deliver the strategic guidance and support they need. For this study, KLAS reached out to reference sites from measured vendors to learn what is possible with VNAs today and which vendors have proven to deliver the experience and strong guidance customers need.

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KLAS’ December 2018 interoperability update validated the CommonWell-Carequality connection, which makes data sharing possible for almost any provider organization. The next hurdle is making shared data . Progress so far shows that most vendors can reconcile PAMI data, but there are big differences in how contextual data (notes and labs) is managed. Additionally, all organizations must go through a learning curve in becoming comfortable consuming outside data, so getting started early is vital.

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The 2019 Global Best in KLAS awards are given to vendors to recognize their outstanding efforts to help healthcare professionals deliver better patient care. In this report, Best in KLAS awards are given only in the software market segments that have the broadest operational and clinical impact on healthcare organizations around the world. For the first time ever, Best in KLAS awards will be awarded on a regional level.

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EMR adoption has grown significantly, rapidly changing the global EMR landscape. While previous KLAS reports gave mainly aggregate, global views of EMR performance, the state of the market is now such that KLAS can also more deeply examine vendor performance by region, giving provider organizations a more valuable, accurate picture of how vendors respond to regional needs. As part of this regional emphasis, this report examines how confident customers are in their vendor’s overall R&D efforts, in their dedication to healthcare in various regions, and in their ability to strategically partner with organizations to help drive deeper EMR adoption.

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NHS England’s Five-Year Forward View and the National Information Board’s response have thrust interoperable systems into the national spotlight in England, including the development of a Local Health and Care Record Exemplar programme. This report represents KLAS’ first look at interoperability within the NHS. The report examines how well organisations (i.e., primary, secondary, mental health, community, and social care organisations) are able to receive outside patient data, and it will serve as a baseline for future research. What types of electronic data sharing are taking place today, how frequently, and with what benefit? What technologies are relied on most? How are suppliers perceived by customers relative to the suppliers’ role in facilitating interoperability?

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The Decision Insights National Trends and Best Practices report will help providers understand which vendors have market energy, are being considered in purchase decisions, and why their peers are considering those vendors. The report will also explore the relationship between market energy, provider retention, and provider satisfaction in determining which vendors are delivering a superior overall experience for provider organizations. KLAS will be highlighting 30+ vendors in 22 market segments.

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Com os milhões sendo investidos em sistemas de PEP em todo o mundo, as organizações não podem se dar aoluxo de tomar a decisão errada. As implantações enfrentam um escrutínio nunca antes visto, de modo que asorganizações que esperam evitar a reinvenção da roda buscam orientações e recomendações sólidas de seusfornecedores. Quais os fornecedores que melhor ajudam os clientes a maximizar seus investimentos e a conduzira aderência clínica profunda? Quais as soluções que melhor atendem às necessidades do corpo clínico? A KLASentrevistou 215 organizações em 34 países para descobrir isso.

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With EMR implementations outside the US on the rise, many provider organizations have asked KLAS which firms they can turn to for help in planning for or implementing an EMR. Within healthcare organizations, resources for strategizing and implementing are often stretched thin, and this report—KLAS’ first on consulting firms outside the US—highlights how these organizations perceive healthcare IT (HIT) consulting firms. Who are they considering for upcoming projects, for what purpose, and who has mindshar e?

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Providers globally are focused on adopting and upgrading EMR solutions at a higher rate than ever before. Those tasked with making the choice want to know which vendors are considered in their region and what sets those vendors apart. KLAS interviewed key decision makers at 111 organizations around the globe to understand their buying plans. Of these organizations, 46 plan to replace or acquire a new EMR. Additionally, providers shared their purchasing plans for other technologies, such as imaging, analytics, and enterprise content management solutions.

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Provider interest in Epic continues to increase in many regions of the world. Notwithstanding Epic’s large, proven install base in the U.S., many providers wonder whether Epic’s U.S. success can translate globally and whether it is worth the higher price. KLAS spoke with all seven organizations live with (and nearly all those implementing) EpicCare Inpatient EMR outside the U.S. KLAS primarily interviewed healthcare executives and directors to answer providers’ questions about the Epic customer experience (from implementation until post– go-live), budget accuracy, and depth of adoption.º ºKLAS interviewed multiple individuals in areas with significant press coverage. This report focuses on the experiences of those interviewed rather than on third-party reports.

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KLAS has been measuring health information technology outside the United States for the past four years, focusing primarily on core clinical and administration systems (EMR/PAS) as well as on PACS. KLAS focuses on three types of research: market share (vendor contracts), mindshare (who providers are considering for purchase), and vendor performance (customer satisfaction). Take a look below at the most important global learnings KLAS uncovered in 2014.

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InterSystems TrakCare was highlighted as the fastest-growing EMR solution outside the United States in the recently published Global EMR Market Share report from KLAS. Offering a number of modules for a lower price, the product is an attractive solution for providers. Why are so many providers selecting TrakCare? How does the product perform, and are customers getting their money’s worth? KLAS spoke to TrakCare customers worldwide to find out. This data provides an early look at the product in three global regions.

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Providers around the globe are looking to vendors like Cerner that can provide a core EMR with a range of departmental solutions. This report on Cerner is the first in a series of studies highlighting providers’ experiences with EHR vendors outside the United States. With the intricacies that multinational companies face, how well does Cerner meet the needs of clients in different parts of the world? Are they a viable partner? Are they worth the effort and cost? To find answers to these questions, KLAS spoke with 35 provider organizations outside the United States.

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The climate in England is r ipe for change —with nearly 50% of surveyed trusts going to tender in the next 24 months for an EPR solution and another third going to tender by 2015. In addition, 89% were looking to change their patient administrat ion system (PAS) at the same time, with many looking for an integrated EPR/PAS solution. The vast majority of trusts will be contracting directly with their EPR supplier for the software, implementation, and ongoing support. KLAS spoke with approximately 25% of the acute care trusts in England about their upcoming tenders.

Vendor Performance Reviews

 

Real-time international data

KLAS researchers conduct interviews and aggregate the ratings and comments from users of international solutions to give you real-time insights and trends on actual vendor performance.

Healthcare professionals use this information to help them with their critical technology decisions. Our international research team works to forge strong relationships with providers and payers abroad to ensure we're finding the valuable, hard-to-get data.

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