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Small-Hospital EHR (1–200 Beds) 2024
Buyer’s Remorse among Recent Decision-Makers
Small acute care organizations face unique challenges—such as financial constraints and limited internal resources—that impact or even delay their EHR purchase decisions. As a result, according to KLAS’ 2024 acute care EHR market share report (which tracks all hospital EHR wins and losses), 42% of the small independent hospitals (1–200 beds) still use legacy systems. Still, progress is being made: between 2021 and 2023, KLAS validated go-forward EHR decisions made by 184 such hospitals (almost 14% of the market). This report examines how a sample of those organizations are faring with their new EHR, including what their decisions suggest about future buying energy in this space, how much value they have realized, and how their training experience has been.
Note on Report Sample & Methodology: Data for this report comes from three main sources: (1) KLAS Decision Insights data, (2) KLAS market share data, and (3) KLAS performance data. KLAS Decision Insights data includes all EHR purchases from small standalone hospitals (1–200 beds) between August 2022 and August 2024. The rest of the data comes from a subset of small hospitals that have made an EHR purchase decision in the last three years and have been live for at least three months. Of the vendors with recent wins, only Epic, MEDITECH Expanse, Oracle Health, and TruBridge EHR have sufficient performance data to be included.
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Key Findings:
- Future Buying Energy Coalescing around Epic Community Connect, MEDITECH Expanse & Oracle Health
- Majority of Oracle Health & TruBridge* Respondents Would Not Buy Solution Again
- MEDITECH Highlighted for Few Unanticipated Costs; Epic Customers Find Value in Broad Functionality
- Though Critical to Reducing Clinician Burnout, Initial & Ongoing Training Not Prioritized by Vendors or Provider Organizations
*Limited data
Writer
Carlisa Cramer
Designer
Kath Spencer
Project Manager
Andrew Wright
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.