GLOBAL AMBULATORY EHR MARKET SIZE AND SHARE ANALYSIS - GROWTH TRENDS AND FORECASTS (2024-2031)

Market Size and Trends

The global ambulatory EHR market is estimated to be valued at USD 6.40 Bn in 2024 and is expected to reach USD 9.98 Bn by 2031, exhibiting a compound annual growth rate (CAGR) of 6.5% from 2024 to 2031.

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Ambulatory EHR solutions are observing high demand due to their benefits like improving healthcare access and quality of care while reducing costs. The trend is likely to continue as EHR solutions help improve outcomes of chronic diseases management as well as preventive care. Features like population health management, patient engagement, telehealth integration, and support for value-based models are witnessing high importance. Various government stimulus programs are further encouraging healthcare providers to adopt digital health technologies for the better management of patient health as well as administrative operations.

Rising Demand for Integrated Healthcare Delivery

The global healthcare industry is undergoing rapid transformation towards integrated and patient-centric care delivery models. There is a growing recognition that traditional hospital-centric systems are inefficient and fragmented, lacking coordination between different care settings. As patients transition between primary care, specialist visits, diagnostics, post-acute care, and other services, their medical records and care plans are often not well integrated. This results in lost opportunities for continuous monitoring of health conditions, preventive care, improved outcomes and patient satisfaction. Ambulatory EHR solutions are enabling the vision of integrated care delivery by serving as the digital backbone that connects various points of care. They allow seamless exchange of clinical data between providers, thus giving physicians a comprehensive view of patient history regardless of care setting. This level of information flow supports early disease detection, care coordination, remote patient monitoring, and lower readmission rates. For healthcare organizations, EHR facilitates population health management and value-based reimbursement through analytics of longitudinal patient data. Leading providers are implementing robust ambulatory EHR suites combined with patient engagement platforms and care management tools and moving from fee-for-service to truly integrated care models. The drive for seamless healthcare across all points of service is a major factor propelling investments and advancements in ambulatory EHR worldwide.

Market Concentration and Competitive Landscape

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Increasing adoption of growth strategies, such as technological advancements, is expected to drive the market growth over the forecast period. For instance, in October 2023, Texas Partners Center, a surgical center in Texas, U.S., adopted an eClinicalWorks cloud-based EHR for ambulatory surgery centers (ASC) to enhance. The implementation of the eClinicalWorks EHR is set to advance interoperability with ambulatory surgery centers and other providers to boost care coordination.

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Interoperability issues have considerably restrained the potential growth of the global ambulatory EHR market. Lack of compatibility between different EHR systems acts as a major roadblock in seamless exchange of patient health records and clinical data across diverse care settings. When patient records cannot be shared effectively between doctors, clinics and hospitals, it disrupts clinical workflows as well as continuity and coordination of care. This becomes a significant challenge especially for patients seeking treatment from multiple healthcare providers.

Market Opportunities – Integration of EHR with Telehealth Solutions

The integration of Electronic Health Records (EHR) with telehealth solutions provides a massive opportunity to drive innovation and growth in the global ambulatory EHR market. Telehealth has seen a tremendous rise in adoption over the past couple of years due to the pandemic, allowing patients to consult with doctors virtually. However, the lack of interconnectedness between telehealth platforms and existing EHR infrastructure has limited the ability to fully leverage patient health data. Integrating EHR with telehealth brings the potential to streamline clinical workflows, enhance healthcare delivery, and improve patient outcomes.

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The delivery mode segment includes on-premise and cloud-based. The on-premise sub-segment is estimated to hold 58.2% of the market share in 2024 owing to its dependable and controllable nature. Healthcare providers prefer on-premise ambulatory EHR systems as they provide complete control over software, upgrades, and security. Any downtime or upgrades can be scheduled as per convenience without depending on a third-party vendor. This helps healthcare organizations minimize disruption to clinical workflows. On-premise solutions also address privacy and security concerns effectively as sensitive patient data remains inside the firewall of healthcare providers. Customizations can be made easily to the system as per evolving needs. However, higher upfront capital investments and maintenance costs are some of the challenges of on-premise delivery.

Insights, By Application: Practice Management is Crucial for Day-to-Day Operations

The application segment includes practice management, patient management, e-prescribing, and others. The practice management sub-segment is estimated to hold 32.8% of the market share in 2024 as it helps in the efficient management of day-to-day ambulatory care operations. Modules like scheduling, billing, and claims management are essential for ambulatory providers to streamline workflows and enhance productivity. Customizable practice management solutions optimize provider schedules, manage patient appointments, track referrals/authorizations, and facilitate insurance claims processing. They also enable the effective management of revenue cycle operations. Moreover, features like integration with billing services, patient portals foster the management of the entire patient journey from the first appointment to payments. This makes practice management a priority among ambulatory EHR adoptions.

Insights, By End User: Hospital Integration Boosts the Popularity of Hospital-owned Centers

The end user segment includes hospital-owned ambulatory centers and independent ambulatory centers. The hospital-owned ambulatory centers sub-segment is estimated to hold 49.6% of the market share in 2024 owing to advantages of clinical and operational integration with parent hospitals. Being a subsidiary of larger hospital systems, these centers leverage existing resources and benefit from streamlined workflows. Seamless data exchange, common clinical workflows and unified patient records help provide efficient continuum of care. They also gain from centralized support services, purchasing agreements, and shared expertise within the hospital network. This facilitates higher profitability and growth prospects compared to independent centers. Therefore, healthcare providers are increasingly preferring hospital-owned ambulatory care models to expand access and service offerings in a cost-effective manner.

Regional Insights

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North America remains the dominant region in the global ambulatory EHR market and is estimated to hold 34.9% of the market share in 2024. The region has highly developed healthcare infrastructure and hospitals have significantly adopted and integrated electronic health records into their systems. Most medical practices in the U.S. and Canada are equipped with EHR solutions to manage patient records and appointments electronically. This high adoption rate along with technologically progressive mindset of healthcare facilities has been the key factor responsible for North America's top position in the market. Another crucial reason for North America's leading position has been active government support through policies and initiatives promoting healthcare digitization. Regulatory mandates by Centers for Medicare and Medicaid Services have incentivized hospitals to adopt EHRs and switch from conventional paper-based record keeping. This has provided a massive boost to EHR vendors' business in this region.

Asia Pacific region has emerged as the fastest growing regional market for ambulatory EHR globally. Rapidly developing healthcare infrastructure across major countries like India and China is facilitating increased investments toward cutting-edge healthcare technologies. The growing medical tourism industry in Asia Pacific has also been instrumental in raising awareness about quality-of-care delivery. This has encouraged healthcare providers to incorporate digital medical solutions for better management and service. In addition, rising affordability of healthcare services coupled with supportive government schemes for digital healthcare transformation is fueling the APAC ambulatory EHR market growth at an impressive pace. Countries like South Korea and Japan have also picked up on digital healthcare as they strive to provide world-class medical services at competitive costs.

Market Report Scope

Key Developments

• In September 2023, the Georgian Bay Information Network (GBIN), a partnership of six U.S.-based healthcare organizations, announced the advancement of its use of Oracle Health’s electronic health records (EHR) by adding new capabilities for advanced clinical services, optimized medication administration, and oncology specialty support under its recently launched multi-year project called eNautilus
• In March 2023, Northwell Health, a non-profit integrated healthcare network, signed an agreement with healthcare software provider, Epic, to adopt the next-generation electronic health record (EHR) as part of its continuous digital transformation to provide a flawless patient and team member experience. With Epic, Northwell Health focuses on areas such as delivering a single patient record across ambulatory and emergency settings to promote clinical continuity and care coordination
• In March 2023, Nextgen Healthcare Information Systems LLC, an ambulatory EHR vendor, launched Mirth Cloud Connect, a cloud-based solution that aims to streamline healthcare interoperability. The tool integrates patient data flow from multiple trusted sources for actionable insights at the point of care.
• In October 2020, Greenway Health, LLC, a health information technology services provider, announced the commercial availability of the first tool in its virtual care portfolio, Greenway Telehealth, a secure, HIPAA-compliant solution designed with an easy-to-use interface for both providers and patients

*Definition: Ambulatory EHR consists of the various electronic health record software solutions and services that are used by ambulatory healthcare providers like private practices, urgent care clinics, and community health centers. These ambulatory EHR systems allow doctors, nurses, and other medical staff to access and manage patient health records digitally during visits in their offices or clinics. They help streamline workflows, improve clinical documentation, support billing, and increase care coordination between ambulatory and acute care settings.

Market Segmentation

• Delivery Mode Insights (Revenue, USD Bn, 2019 - 2031)
  • On-premise
  • Cloud-based
•  Application Insights (Revenue, USD Bn, 2019 - 2031)
  • Practice Management
  • Patient Management
  • E-prescribing
  • Others
•  Practice Size Insights (Revenue, USD Bn, 2019 - 2031)
  • Large Practices
  • Medium-sized Practices
  • Small Practices
•  End User Insights (Revenue, USD Bn, 2019 - 2031)
  • Hospital-owned Ambulatory Centers
  • Independent Ambulatory Centers
• Regional Insights (Revenue, USD Bn, 2019 - 2031)
  • North America
    • U.S.
    • Canada
  • Latin America
    • Brazil
    • Argentina
    • Mexico
    • Rest of Latin America
  • Europe
    • Germany
    • U.K.
    • Spain
    • France
    • Italy
    • Russia
    • Rest of Europe
  • Asia Pacific
    • China
    • India
    • Japan
    • Australia
    • South Korea
    • ASEAN
    • Rest of Asia Pacific
  • Middle East
    • GCC Countries
    • Israel
    • Rest of Middle East
  • Africa
    • South Africa
    • North Africa
    • Central Africa
• Key Players Insights
  • Allscripts Healthcare Solutions Inc.
  • eMDs, Inc.
  • Athenahealth Inc.
  • Oracle Corporation
  • eClinicalWorks
  • Epic Systems Corporation
  • Greenway Health, LLC
  • Medhost
  • Medical Information Technology Inc.
  • Nextgen Healthcare Information Systems LLC
  • CureMD
  • Mckesson Corporation
  • CoverMyMeds LLC
  • Crener Corporation
  • NetSmart Technologies
  • Vision RT Ltd. 
  • Qfix