The digital divide between large and urban hospitals and their smaller and more-rural counterparts may be closing, based on an analysis of a federal database of electronic health-record systems and the EHR vendors supplying products for hospitals participating in the Medicare EHR incentive payment program.
Mobile, Ala.-based Computer Programs and Systems Inc., a developer of EHR systems marketed to community, rural and critical-access hospitals, has moved up to the No. 1 position with the most hospitals (266) that are using a "complete EHR" system having attested to meeting the Medicare EHR incentive program's meaningful use
requirements. CPSI's market share in the complete-EHR users category is 19% of all attested meaningful users.The database
, which includes information from April 2011 through August 2012, contains 98,309 records and is a mash-up of the official list of tested and certified EHR systems kept by HHS' Office of the National Coordinator for Health Information Technology and the CMS' list of Medicare program enrollees that have been paid after attesting that they have met Stage 1 meaningful-use criteria.
Data from the Medicaid EHR incentive payment program has not yet been included in the list. Both programs were created under the American Recovery and Reinvestment Act of 2009.
CPSI had placed second in the hospital category for complete EHRs when the ONC/CMS database was first made public in January
, trailing Epic Systems, Verona, Wis., which was pushed to second in the most recent analysis.
Healthland, formerly Dairyland Healthcare Solutions, Minneapolis, whose market niche is rural and critical-access hospitals, ranked fifth among vendors of complete EHR systems, with 116 clients having attested to meaningful use, for an 8% market share in the category.
Among suppliers of complete EHR systems for hospitals, other top vendors, along with their market share in the category, include Epic Systems, 18%; Meditech, 13%; and Cerner Corp., 11%.
Cerner had the most attestations among hospitals attesting to meaningful use using a modular EHR system. Its 408 attestations gave the company a 24% market share. It was followed by Meditech, with a 20% market share; HCA Information & Technology Services, 16%; Iatric Systems, 6%; and Midas+/ACS a Xerox Co., 3%.