European Market for EHR is In a Competitive Flux

When talking about innovative technology that has an impact in the healthcare sector, it is important to recognize the importance of electronic health records (EHR).  Within the United States, the EHR market has primarily focused on a few major players, although it is today in somewhat of a flux.  Yet, Europe is seeing a set of circumstances that are very different as it is leading towards competitive jousting for a variety of vendors; thus, making the market in a competitive flux.


KLAS Reports Competitive Flux in Europe for EHR Market

According to writer Mike Miliard from Healthcare IT News, vendors are competing to establish footholds in a variety of regions in Europe and leading the pack are Allscripts, Epic and Cerner.  According to a new report from KLAS, Europe has one of the most dynamic and competitive EHR markets in the world, with active tenders in nearly every region. 

The study was based on tracking market shares while gathering performance feedback from over one-thousand interviews of IT decision-makers from providers located in a dozen of European countries.  The most important finding revealed that vendors that could establish footholds within several regions of the continent are successful.  Naturally, Cerner, Allscripts and Epic have shown the most success.

According to researchers at KLAS, Epic has grown rapidly in market share, (especially among larger academic and regional organizations in the Netherlands and Scandinavia) while hitting timelines and maintaining strong customer relationships.  However, the researchers noted that several customers commented that Epic’s approach can feel somewhat US-centric.


Other Players are Making Their Presence Known

According to the report, Allscripts’ implementations recently have progressed quickly and successfully.  Also, Cerner, primarily in the UK, has been successful by making innovations to its functionality.  However, other players, notably InterSystems, are establishing their presence within the market.

KLAS reported that from 2012–2017, more European hospitals (including both public and private hospitals) came under contract with InterSystems than with any other vendor.  This growth expanded the already-large InterSystems customer base. 

Meanwhile, there have been notably growing pains while the quick expansion has led to missed implementation timelines, slow delivery of promised functionality, and a lack of localized functionality for country-specific editions regarding their TrakCare system.  Interestingly, several smaller vendors have notably been holding their own.  Referring to the Amsterdam-based health IT developer, KLAS said that better than any other regional solution measured, ChipSoft has kept pace with the multiregional vendors in development, technology, and customer satisfaction.  


KLAS noted that DXC Lorenzo platform, which previously was rolled out as part of UK’s since-abandoned National Programme for IT, has performance and usability challenges, and delivery of promised functionality has lagged.  While Medasys broadened offerings of their product, an issue developed because as resources have shifted, support has declined, leading to a large backlog of tickets.

Lastly, the report stated that Agfa Healthcare and Cambio had EHRs that are notably slower in development, though customers are more positive about their overall experience.  Even though it appears the European EHR market is competitive, the report by KLAS makes it understandable why it is in a flux.