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What Are the Top Hospital Ambulatory EHR Systems?

The ambulatory EHR market is booming with solutions targeting healthcare organizations ranging from large health systems to single physician practices.

Ambulatory EHR

Source: Thinkstock

By Kate Monica

- The ambulatory EHR market is crowded with a variety of product offerings from huge enterprise EHR vendors such as Cerner and Epic to smaller and specialty EHR companies including Pulse Systems and CPSI’s Healthland.

Federal incentive programs like the EHR Incentive Programs and the Quality Payment Program have helped to bolster the rapid growth of the industry. Following the implementation of the HITECH Act of 2009, EHR adoption rates spiked from an average of 3.2 percent annually to 14.2 percent, marking a comparative increase of 11.1 percent.

Market growth shows no signs of slowing down in the coming years. Research published in May 2017 projected the ambulatory EHR market will be a $5.2 billion-dollar industry by 2021 with a growth rate of 5.8 percent.

While the market may be flooded with options, plenty of opportunities to succeed exist for both large and small vendors alike. The need to reduce healthcare costs and comply with federal regulations have pushed even the smallest practices to wade through the vast selection of product offerings for the EHR system that best fits their specific clinical environment and administrative needs.

While best-of-breed systems are largely phasing out in favor of single-solution offerings, small and specialty EHR vendors maintain a strong foothold among physician practices on a budget and specialty practices including behavioral and mental health.

READ MORE: Ambulatory EHR Market to Become $5.2B Industry by 2021

Despite health IT giants Cerner and Epic appearing to dominate the majority of the industry, dozens of vendors continue to thrive in the ambulatory market.

The following are the top ambulatory EHR systems based on data gathered from 6,487 hospitals by Definitive Healthcare:


Established in 1999, this health IT company offers a suite of solutions including practice management, EHR, telemedicine, patient engagement, analytics reporting, and physician-performance benchmarking. AdvancedMD serves more than 22,500 practitioners across 8,000 practices. Its EHR includes mobile apps, high-priority checkboxes within the EHR chart, and electronic faxing capabilities.


Massachusetts-based Allscripts currently offers two EHR solutions – its own Sunrise EHR and the newly-acquired Paragon EHR solution. Allscripts acquired Paragon EHR after buying out McKesson’s Enterprise Information Solutions (EIS) business fall of 2017. Allscripts has a new forthcoming ambulatory EHR solution set to hit the market in 2018.

Amazing Charts

Amazing Charts’ EHR offering is centered on reducing the number of clicks per day for providers to reduce provider burden and offering affordable technology for healthcare organizations. The health IT company was founded in 2001 and was acquired by Harris Healthcare in 2017. It provides solutions for primary care and specialty outpatient practices.

Aprima Medical Software

READ MORE: Top 10 Ambulatory EHR Vendors by Physician Practice EHR Implementations

Aprima EHR prioritizes enabling rapid clinical documentation and versatile usability. The health IT company also offers patient engagement, clinical decision support, clinical analytics, and other solutions.


athenahealth has found success in meeting the needs of community hospitals, rural hospitals, and critical access hospitals (CAHs), which notoriously struggle to keep up with other care settings in advanced EHR use. The company recently experienced average financial gains of 5 percent over baseline.

Cerner Corporation

Enterprise EHR giant Cerner is reportedly on the verge of a game-changing contract with Amazon to further enhance its EHR and population health management offerings. Cerner has recently found success in the public sector, scoring EHR implementation deals with VA and the Department of Defense.


CGI provides health systems with an EHR solution designed to enable an enhanced patient experience and faster, more accurate, less invasive diagnoses. Additionally, the technology is intended to assist in reducing unnecessary procedures and re-admissions. The health IT company serves more 230 hospitals.


This behavioral health-centered offering is aimed at optimizing the behavioral health care continuum by allowing for collaborative health data exchange. Its solutions assist with clinical and administrative operations from prescription adherence to discharge management.


READ MORE: McKesson to Sell Several Ambulatory EHR Products to e-MDs

CodoniX EHR is a complete practice management, coding, and EHR solution designed by practicing physicians. It provides an EHR for urgent care facilities, emergency departments, physician offices, and school-based clinics.

DSS Inc.

This health IT company has provided over 350 integrated and open-sourced solutions for healthcare organizations. Established in 1991, DSS EHR solutions provide healthcare organizations with key functionalities to enhance clinical workflows and productivity.


Despite having somewhat of a rocky year, eClinicalWorks has continued to score implementation contracts with several hospitals and retain the majority of its client base. Recently, the health IT company finished implementing an EHR offering  with an electronic dental record and behavioral health module.


This health IT company offers EHR solutions designed to streamline clinical processes for physicians and enable patient-centered care. e-MDs has been in operation for over 20 years and offers intuitive, customizable cloud-based or office-based solutions.


empowersystems offers user-friendly solutions and allows providers to document 100 percent of a patient’s health data. Its ambulatory EHR solution is ONC-ATCB certified for full meaningful use compliance.

Epic Systems Corporation

While Cerner dominates the public sector, Epic has the lion’s share of the private sector.  The vendor is often chosen for its usability and departmental functionality. Furthermore, a recent study showed Epic is associated with significantly higher performance in Stage 2 Meaningful Use requirements over competitors Cerner, Allscripts, and MEDITECH.

Evident (CPSI)

Evident addresses the specific needs of rural organizations. Its solution provides rural facilities with the functionality of a large enterprise system while also reducing complexity and cost.

GE Healthcare

GE’s EHR solutions meet the needs of small physician practices, large multi-specialty groups, integrated delivery networks, and academic medical centers. The solution’s system is designed to interface with practice management systems in larger physician practices.

Greenway Medical Technologies

All of Greenway’s EHR and practice management solutions have achieved 2015 edition ONC health IT certification to help providers meet federal reporting requirements and succeed under value-based care. Its Intergy, Prime, Suite, and SuccessEHS will soon be integrated into a single solution offering.

Harris Healthcare

Harris Healthcare offers software and services to improve the safety, quality, and efficiency of patient care by streamlining clinical processes, increasing physician productivity, and enabling positive health outcomes.

Healthland (CPSI)

Like Evident, Healthland is CPSI-owned. The solution is intended for healthcare organizations including those operating in a community or inpatient psychiatric hospital-based setting.

Indian Health Service

This health IT company is focused on meeting the physical and mental needs of American Indians and Alaskan Natives. Its EHR offering captures clinical and public health data to optimize health outcomes for its patient population.

Marshfield Clinic

Marshfield Clinic’s EHR system is designed to increase physician productivity through a seamless user experience and optimize care delivery with clinical decision support tools offering patient-specific recommendations.


Medent’s EHR was named one of the best EHR offerings by Medical Economics and offers built-in dashboards and comparison graphs to meet meaningful use requirements. The solution also includes medical content for more than thirty specialties.

Medical Transcription Billing

This health IT company offers a web-based EHR that is 2014 ONC-ACB certified to assist providers with Stage 2 Meaningful Use attestation. Medical Transcription Billing focuses on reducing hospital expenses and streamlining clinical workflows.


MedInformatix EHR offers at-a-glance patient summaries, analytics reports, and specialty-specific clinician workflows. It can operate as a stand-alone solution but can also be utilized alongside MedInformatix Enterprise Practice Management solution.


New York-based MediSYS is a not-for-profit corporation serving 717 acute care beds, 13 ambulance districts, and is the first and only transitional care unit in New York City.


KLAS Research recently named MEDITECH one of the most invested enterprise vendors in developing integrated solutions that span the care continuum. MEDITECH has been first to market to offer solutions through both acquisitions and internal development. The health IT company acquired its ambulatory and homecare platforms and recently began offering Web Ambulatory EHR.

Medsphere Systems Corporation

Medsphere’s EHR solution recently earned 2015 edition ONC Health IT certification. Based in California, the health IT company was established in 2002 and includes a government services division that is responsible for developing the homegrown VistA EHR.


MedWorxs EHR assists healthcare providers in streamlining care delivery across the care continuum. The health IT company specializes in meeting the needs of community hospitals and CAHs.


This EHR offering serves medical practices, community health centers, and all medical and surgical specialties. Its solution has earned 2015 edition ONC health IT certification.

Morris Systems

Morris Systems offers a web-based solutions capable of serving the needs of corporate, regional, or individual hospitals. The system is also capable of assisting with meeting reporting requirements on an organizational basis or for individual facilities.

Net Health

Net Health provides solutions for specialty care providers including rehab therapy, occupational medicine, urgent care, and wound care facilities. Its solutions include practice management tools, clinical workflow documentation capabilities, and analytics services.

Netsmart Technologies

Netsmart offers EHR solutions for behavioral health, social services, and post-acute care facilities. The Missouri Coalition for Community Behavioral Healthcare recently teamed up with Netsmart to provide the state’s care coordination and population health management solution offerings to support the Healthcare Homes Program.

NextGen Healthcare

NextGen’s EHR is designed to be simple, intuitive, and interoperable to allow physicians to focus as much time and energy as possible on patient care delivery. It’s also integrated with Netsmart’s suite of solutions to include revenue cycle management and billing.

NTT Data

NTT Data prioritizes streamlining EHR adoption and optimization for healthcare organizations regardless of organization size. The health IT company offers end-to-end solutions to ease the implementation process. Its EHR solution includes software, hardware, implementation, and training.

Prognosis Innovation Healthcare

Prognosis supports rural and community hospitals by offering a highly usable EHR solution. Its offerings include a certified inpatient EHR, a certified ambulatory EHR, a behavioral EHR, and others. Prognosis offers free EHR implementation and transparent pricing.

Pulse Systems

Pulse offers a cloud-based solution designed to assist healthcare organizations with meeting the demands of the value-based care system. Its EHR is currently in use by physicians in more than 40 specialties nationwide.

Shams Healthcare Software

This privately-held healthcare software and services provider currently serves the needs of over 400 hospitals and health systems worldwide. Its EHR solutions are designed to integrate disparate systems, increase productivity, and enhance patient care by offering timely access to health data.


SRS offers a flexible solution to meet the needs of specialty practices and improve patient health outcomes. It offers a best-of-breed solution and is ranked #1 by Black Book in Ophthalmology.


Established in 1994 in Austin, Texas, this health IT company offers 2014 ONC Certified ambulatory and inpatient EHR solutions designed to help providers meet meaningful use requirements. Its solutions are fully-integrated and adaptable.


WebPT specializes in outpatient rehab and physical therapy healthcare facilities. It serves the needs of care providers at over 8,500 clinics. Its EHR solution allows providers to create and exchange specialty-specific documentation and securely store patient health data from any location. 



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