Across the world, healthcare organizations are continuing to prioritize EHR initiatives, whether they be purchase decisions, implementations, extensions, or optimizations. From January 2024 to December 2024, the number of new EHR contracts outside the US reached a five-year high; however, the number of hospitals impacted by these contracts dropped to a five-year low. In the recently published Global Acute Care EHR Market Share report, KLAS examined this trend as well as others within the following regions: Africa, Asia, Canada, Europe, Latin America, the Middle East, and Oceania. In 2024, KLAS validated 246 EHR purchase decisions impacting 550 hospitals and over 122,000 beds.
Which Markets Have the Highest Energy?
Europe was once again a hub for EHR activity due to significant investments in regions like DACH, France, and the UK. Contracted beds reached a five-year high in DACH thanks to The Hospital Future Act (KHZG) in Germany and a large regional decision in Austria. In France, groupements hospitaliers de territoire (GHTs) continued to drive significant EHR activity, accounting for over one-third of validated contracts and roughly three-fourths of beds impacted. The UK’s active 2024 market was due to numerous integrated care board (ICB) decisions to digitize less digitally mature acute care and specialty trusts.
Latin America had the second-most impacted hospitals after Europe. The number of contracts in Brazil hit a five-year high in 2024, though the beds impacted hit a five-year low as purchases shifting to smaller, mostly standalone hospitals. Similarly, KLAS validated a record-high number of contracts in other countries and territories in Latin America, with 13 contracts spread across 10 countries and territories in Central and South America and the Caribbean. No regional decisions (e.g., country-wide, statewide, province-wide) were finalized.
EHR purchasing activity was high in Asia in 2024, bolstered by a surging Indian market. The report includes several vendors in this region whom KLAS has not tracked in previous years. These vendors are Akhil Systems, Aosta, McCrae Tech (divested from Orion Health), and TrioTree. KLAS is actively engaging with additional vendors in the region to bring more transparency to the market.
Which EHR Vendors Are Selected Most Frequently?
In 2024, KLAS validated decisions that were finalized in favor of 39 different EHR vendors. To provide more detail for readers, this report breaks out the vendors into two groups—multiregional and regional. Multiregional vendors and platforms received a much smaller share of the 2024 contracts. Smaller, standalone decisions often favored local, lower-cost solutions.
Among the multiregional vendors, Dedalus (which offers different solutions based on geography) was selected in the most decisions, gaining nearly double the number of contracted beds compared to the next-highest multiregional vendor. Overall, organizations across 8 countries in Europe and Latin America chose Dedalus. Their most-active market was Europe, specifically DACH and France. Epic had the second largest number of beds contracted. InterSystems was selected in 9 decisions.
Regional EHR vendors with the highest purchase energy include Nexus AG (Europe), MipihSIB (Europe), Aosta (Asia), TrioTree (Asia), Softway Medical (Europe), and Nervecentre (Europe). For a deeper look at all the vendors selected in 2024 purchase decisions, see the full report.
What’s Next?
Global EHR purchase energy will likely continue to rise in the coming years as healthcare organizations finalize decisions and as government programs invest in EHR purchasing. As KLAS publishes this report year after year, we remain committed to uncovering trends in EHR purchases and providing transparency into global market share.
We encourage healthcare organizations and vendors across the world to read the report, which provides detailed breakouts of activity in each global region, high-level market share data for validated vendors, and purchasing trends since 2020.
See the full report here.
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