Global (non-US) EMR Market Share 2020
Regional Vendor Energy Rising

Groupements hospitaliers de territoires (GHTs) drove EMR consolidation and decisions in France, leading to high purchase energy. Softway Medical’s web-based platform had the most wins—four GHTs (representing 27 of the vendor’s 31 total facility customers) opted to replace all of their existing EMR platforms with Softway. Dedalus and Maincare Solutions also saw substantial growth, primarily through EMR consolidation and add-on contracts within GHTs. Two GHTs selected SIB’s lower-cost Sillage platform.

Three large decisions in Austria shaped activity in the region. Two were public: Niederösterreichische (the larger of the two) chose CompuGroup Medical, and Oberösterreich chose Agfa HealthCare. The third large decision was an 11-hospital network that chose Meierhofer. Agfa, who has the leading market share in Germany, continues to be most frequently selected there; as in previous years, five of their seven new hospital wins in Germany were add-ons.

Two significant regional decisions were made in the Nordics: one in Sweden, one in Norway. Cambio’s first major EMR contract in five years came from the SUSSA group, which encompasses five Swedish regions (15 facilities, ~3,000 beds). Norway’s Helse Midt-Norge region selected Epic for their 15-hospital network (~2,200 beds), Epic’s fourth regional deployment in the Nordics.

All new 2019 contracts were in England. The largest decision (two trusts with five hospitals) went to Cerner, increasing Cerner’s leading market share in England (24 trusts total). Two trusts (five hospitals) selected Allscripts, bringing Allscripts’ total market share in England to 11 trusts. Cerner and Allscripts have consistently been chosen by one or two UK trusts per year. With the recent expansion of multiregional vendors in England, few decisions have gone to local vendors. DXC Technology’s Lorenzo solution and IMS MAXIMS have not been selected since 2016. Following a win in 2017 and 2018, System C had no 2019 contracts.

Two large Belgian hospital groups jointly purchased ChipSoft; this is the vendor’s most significant contract outside the Netherlands to date. Dedalus continues to be the main choice in Italy. Both legacy and new customers favored new Dedalus offerings—Tabula Web App (for smaller facilities) and the modular C4C (Collaboration 4 Care) platform.

MV and Philips continue to be the dominant EMR vendors in Brazil, accounting for 75% of net new 2019 wins. In new decisions, hospitals chose MV more frequently (as in 2018) than Philips—44 new hospitals went to MV compared to Philips’ 31. Legacy clients tend to migrate to MV’s and Philips’ go-forward platforms; very few switch to other vendors. SPDATA was selected third most frequently. Pixeon and Agfa HealthCare also gained a few new customers.

EMR purchases in other Latin American countries were sporadic. InterSystems won the largest new contract in Spanish-speaking countries—with Chile’s largest private healthcare group. Organizations in the Caribbean continue favoring MEDITECH, and CPSI was also selected in the area for the first time. Hospitals under construction chose everis, an NTT DATA Company (in Mexico) and Cerner i.s.h.med (in Colombia).