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Cloud Based EMR Software


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drchrono EHR logo
 
drchrono EHR is a patient care platform that offers customization at the point of care and on the go. In addition to EHR, drchrono also includes scheduling, billing and patient reminders. It is available on iPad, iPhone and Apple Watch. Healthcare... Read More
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drchrono EHR is a patient care platform that offers customization at the point of care and on the go. In addition to EHR, drchrono also includes scheduling, billing and patient reminders. It is available on iPad, iPhone and Apple Watch. Healthcare... Read More
 
AdvancedMD logo
 
AdvancedMD is an integrated medical software suite for independent practices. Features include practice management, electronic health records, patient engagement, telemedicine, rooming, reputation management, financial analytics and... Read More
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453
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AdvancedMD is an integrated medical software suite for independent practices. Features include practice management, electronic health records, patient engagement, telemedicine, rooming, reputation management, financial analytics and... Read More
 
MediTouch EHR Software logo
 
HealthFusion offers MediTouch EHR and MediTouch PM, a suite of electronic health records and practice management tools that were designed to be web-based and offer a touchscreen user interface. The EHR offers charting, problem lists,... Read More
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HealthFusion offers MediTouch EHR and MediTouch PM, a suite of electronic health records and practice management tools that were designed to be web-based and offer a touchscreen user interface. The EHR offers charting, problem lists,... Read More
 
Kareo Billing logo
 
Kareo is a web-based medical billing and practice management solution used by medical practitioners and physicians across the United States. The system suits small practices and billing companies. With Kareo, practices can schedule... Read More
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Kareo is a web-based medical billing and practice management solution used by medical practitioners and physicians across the United States. The system suits small practices and billing companies. With Kareo, practices can schedule... Read More
 
athenahealth EHR logo
 
athenahealth is providing cloud-based services for electronic health records (EHR), revenue cycle management & medical billing, patient engagement, care coordination, and population health management, as well as Epocrates and other... Read More
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athenahealth is providing cloud-based services for electronic health records (EHR), revenue cycle management & medical billing, patient engagement, care coordination, and population health management, as well as Epocrates and other... Read More

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NueMD logo
 
NueMD offers a comprehensive suite of software and services for practices of all sizes. NueMD is an integrated appointment scheduling, practice management/medical billing, electronic health recording, and medical billing solution. NueMD... Read More
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NueMD offers a comprehensive suite of software and services for practices of all sizes. NueMD is an integrated appointment scheduling, practice management/medical billing, electronic health recording, and medical billing solution. NueMD... Read More
 
Compulink logo
 
Compulink is a provider of highly customizable, ONC Certified EHR and practice management software for specialty practices. Designed to adapt to a practice's specific needs, the integrated solution offers functionality to support patient... Read More
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Compulink is a provider of highly customizable, ONC Certified EHR and practice management software for specialty practices. Designed to adapt to a practice's specific needs, the integrated solution offers functionality to support patient... Read More
 
PrognoCIS by Bizmatics logo
 
PrognoCIS is a cloud-based ICD-10 compliant and MU certified EMR solution which helps medical facilities and practitioners to manage patient medical recording. The software comprises of integrated modules for EHR, Practice Management,... Read More
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PrognoCIS is a cloud-based ICD-10 compliant and MU certified EMR solution which helps medical facilities and practitioners to manage patient medical recording. The software comprises of integrated modules for EHR, Practice Management,... Read More
 
ClinicSource Therapy Practice Management logo
 
ClinicSource Therapy Practice Management Software by Ingenium Business Solutions, Inc. provides a therapy-specific system with customized reporting templates for multiple therapy types. The integrated billing component works hand... Read More
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ClinicSource Therapy Practice Management Software by Ingenium Business Solutions, Inc. provides a therapy-specific system with customized reporting templates for multiple therapy types. The integrated billing component works hand... Read More
 
Therabill logo
 
Therabill is a HIPAA- and ARRA-compliant web-based electronic billing and documentation software that enables mental and behavioral health specialists as well as speech therapy practices to submit claims, manage schedules, enter treatment... Read More
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Therabill is a HIPAA- and ARRA-compliant web-based electronic billing and documentation software that enables mental and behavioral health specialists as well as speech therapy practices to submit claims, manage schedules, enter treatment... Read More

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ECLIPSE logo
 
In 1985, a chiropractor and software developer teamed up to create ECLIPSE, an ONC certified Complete EHR now used by thousands of providers nationwide. Designed for single practitioners, ECLIPSE is routinely used by multi-disciplinary... Read More
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In 1985, a chiropractor and software developer teamed up to create ECLIPSE, an ONC certified Complete EHR now used by thousands of providers nationwide. Designed for single practitioners, ECLIPSE is routinely used by multi-disciplinary... Read More
 
Greenway Health Prime Suite logo
 
Greenway Health’s ambulatory platform provides healthcare organizations with clinical, financial, and administrative tools and services. Prime Suite is Greenway’s electronic health record (EHR) and practice management (PM) system.... Read More
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Greenway Health’s ambulatory platform provides healthcare organizations with clinical, financial, and administrative tools and services. Prime Suite is Greenway’s electronic health record (EHR) and practice management (PM) system.... Read More
 
CareCloud Charts logo
 
CareCloud Charts is an integrated electronic health recording (EHR) solution offering collective benefits of EMR, practice management and medical billing services. The solution helps physicians to streamline clinical operations and... Read More
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CareCloud Charts is an integrated electronic health recording (EHR) solution offering collective benefits of EMR, practice management and medical billing services. The solution helps physicians to streamline clinical operations and... Read More
 
ChartLogic EHR Suite logo
 
ChartLogic offers an ambulatory EHR suite that includes electronic medical record, practice management, revenue cycle management, e-prescribing and patient portal. The solution caters to primary care, surgical care and other complex... Read More
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64
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ChartLogic offers an ambulatory EHR suite that includes electronic medical record, practice management, revenue cycle management, e-prescribing and patient portal. The solution caters to primary care, surgical care and other complex... Read More
 
A+ DELPHI Psychotherapy Billing Software logo
 
A+ DELPHI32 is an on-premise billing, scheduling, and patient records management system designed specifically for small mental and behavioral health practices. The comprehensive program meets the needs of all types of mental health... Read More
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A+ DELPHI32 is an on-premise billing, scheduling, and patient records management system designed specifically for small mental and behavioral health practices. The comprehensive program meets the needs of all types of mental health... Read More

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The Valant Behavioral Health EHR logo
 
Valant’s EHR for behavioral health offers tools for providers to streamline documentation, increase efficiency, and enhance the productivity of their practice or agency. The fully integrated suite includes secure patient records,... Read More
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Valant’s EHR for behavioral health offers tools for providers to streamline documentation, increase efficiency, and enhance the productivity of their practice or agency. The fully integrated suite includes secure patient records,... Read More
 
ChiroTouch logo
 
A fully certified solution specific to the chiropractic industry, ChiroTouch offers electronic health records (EHR) and practice management applications. With the latest release of version 6.0, ChiroTouch has received complete 2014... Read More
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A fully certified solution specific to the chiropractic industry, ChiroTouch offers electronic health records (EHR) and practice management applications. With the latest release of version 6.0, ChiroTouch has received complete 2014... Read More
 
RxNT logo
 
RxNT offers a suite of cloud-based solutions including RxNT|EHR, RxNT|eRx, and RxNT|PM. These three solutions are available for purchase in standalone form or within an integrated suite and are accessible on any connected mobile device... Read More
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RxNT offers a suite of cloud-based solutions including RxNT|EHR, RxNT|eRx, and RxNT|PM. These three solutions are available for purchase in standalone form or within an integrated suite and are accessible on any connected mobile device... Read More
 
MediLinks logo
 
Made for inpatient and outpatient rehabilitation, MediLinks is an web-based, patient management solution. Included in the system is features like team conferencing, standarized Crystal reports, text message alerting, drag and drop... Read More
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Made for inpatient and outpatient rehabilitation, MediLinks is an web-based, patient management solution. Included in the system is features like team conferencing, standarized Crystal reports, text message alerting, drag and drop... Read More
 
HENO logo
 
HENO is an integrated, cloud-based solution suitable for physical therapy/rehab and speech therapy practices of all sizes. Key features of the system include electronic medical records, medical billing software, and patient scheduling... Read More
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HENO is an integrated, cloud-based solution suitable for physical therapy/rehab and speech therapy practices of all sizes. Key features of the system include electronic medical records, medical billing software, and patient scheduling... Read More

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Buyer's Guide

by Gaby Loria,
Market Research Associate
Last Updated: September 22, 2017


If your view of Web-based electronic medical records was formed five years ago—or even one year ago—it’s time to look again. Web-based, or Software-as-a-Service (SaaS), applications have gained tremendous momentum thanks to Microsoft, Google and innovative technologists that have enhanced core SaaS technologies. Physician practices and their patients are a prime beneficiary of these advances. SaaS systems for electronic medical records and practice management now provide the security, interactivity and dependability that they may have lacked in the early days. However, because there are so many different options, designed for every different kind of facility, selecting a program can be tremendously confusing. This buyer’s guide is designed to assist the buyer in understanding the market and knowing where to start.

Here’s what we’ll cover:

What Is Web-Based EMR Software?
Deployment Strategies
What Type of Buyer Are You?
Benefits and Potential Issues
Market Trends to Understand
The Web-Based EMR Vendor Landscape

What Is Web-Based EMR Software?

Electronic medical records manage the clinical data within a healthcare organization. They store online patient records and charts, track demographics, print (or electronically send) prescriptions, facilitate laboratory and device integration and include templates for SOAP notes.

What distinguishes online medical records from on-premise systems (which are locally installed and hosted by the practice) is that all the information will be accessed remotely, and sometimes the interface is even accessed through an Internet browser. This has a number of advantages, which we’ll address below.

Deployment Strategies

There are two types of Web-based EMR systems, with a subtle difference: application service providers (ASPs) and browser-based systems. Browser-based systems, just how they sound, use an Internet browser to access the information. The benefit of this is that the information can be accessed from anywhere, and it always looks exactly the same as you’re used to. ASP describes a client/server system, where the practice installs a very light software “client” onto their computers, but all of the data is hosted by the vendor on a remote server. Most ASPs will also be “Web-enabled,” meaning that information can be accessed through a Web browser if necessary, but the browser access will tend to have certain disadvantages, like slower load times and less intuitive functionality.

Other than deployment type, the biggest decision you’ll face is whether to implement a standalone electronic medical records system or a single, integrated system that comes along with billing and scheduling modules. Standalone web EMR applications are generally better for buyers with unique needs that full-suite systems can’t address, buyers who outsource their billing, and those who have already invested in a billing and scheduling system they do not wish to replace. Many popular vendors sell their systems in modules, meaning that the buyer can decide whether they want just the Web-based EHR or the medical billing and scheduling systems as well.

What Type of Buyer Are You?

EMR vendors have customized systems for just about every medical specialty and clinic size: outpatient or inpatient, solo practice or hospital, primary care or specialist, the choices number in the hundreds. In general, these programs can be grouped according to certain criteria:

Size. Managing the medical records at a small practice with one or two physicians is much simpler than at a large facility with 100+ providers. Though both are looking to eliminate paperwork and improve efficiency, the ability to transfer information and store tens of thousands of patient records is an expense small practices don’t need to incur.

Medical specialty. Most EMR vendors customize their templates to every different kind of medical specialist—internal medicine, pediatrics, OB/GYN, cardiology and so on—as well as to specialists with other designations like chiropractors, psychologists, therapists, counselors and optometrists. These systems facilitate a doctor’s workflow much better than a generic system that just stores basic information.

Facility type. Buyers at inpatient facilities like hospitals and acute care centers need to manage additional details like patient beds, shifts and physician rounds, which ambulatory care facilities don’t need to consider. Although these types of facilities tend to lend themselves better to an enterprise system than to a Web-based model, there are a few SaaS solutions for inpatient facilities.

Benefits and Potential Issues

Web-based EMRs have a number of key benefits over locally installed systems:

  • Limited IT burden: With a Web-based EMR, data is kept at a remote centralized location and monitored by IT staff that handles all of the routine back-ups, upgrades and maintenance. The resulting security and maintenance support is typically far superior to anything a practice—particularly a small practice—could implement on its own, particularly if it doesn’t already have a server.
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  • Ease-of-use: Since the user interface is essentially a Web page, it tends to be highly intuitive and easy to learn. This, in turn, reduces training time and expenses.
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  • Remote access: Many physicians—particularly those who spend a lot of time on call—appreciate the ability to access their EMR from outside the office. This feature comes standard with any browser-based system and most ASPs, but not necessarily with an enterprise solution.
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  • Lower up-front costs: Rather than paying a large installation fee, Web-based systems come on more of a subscription basis—by paying a monthly fee, the costs are relatively low, but ongoing, becoming an operational expense rather than a capital expenditure.

One of the biggest drawbacks to an online EMR system is that it is dependent entirely on Internet accessibility. If the connection goes down, the ability to access Web-based patient records goes down with it. This will be a huge problem if your Internet connection has any history of unreliability. (Note: ASPs may cache some data, allowing you to locally store information for a few days at a time.) They’re also traditionally harder to customize to the practice, although this is a trend that is beginning to change.

One concern that medical practices often express is regarding data security, since HIPAA compliance such an important consideration. But it should be a given that program marketing itself as an EMR should be HIPAA compliant. Different programs do have different levels of security, however (for example: some programs will have different levels of data accessibility for administrative staff than for doctors), so it’s still a good question to ask when reviewing a system.

The final issue to consider when buying any kind of program is user buy-in and training. Sometimes people become attached to the old way of doing things, and don’t like being told now that they have to do something different. The best way to overcome this is to have all users involved in the decision-making process. By feeling some ownership over selection of the EMR, adoption of the system will be a much smoother process.

Market Trends to Understand

These electronic medical record market trends should be considered as you select a product and vendor:

Patient portals. Support of smartphone and tablet devices is one of the most rapidly growing segments of technology adoption. EMR vendors have caught on to this demand, so if you use mobile devices in or outside of your practice, ensure that mobile functionality is a primary consideration. For more information, visit our buyer’s guide on tablet PC EMRs.

SaaS for larger practices. Once upon a time, a Web-based deployment was the exclusive domain of small practices who couldn’t afford the up-front costs associated with a locally installed system. That is no longer necessarily the case. More and more vendors are targeting larger practices, offering solutions that compete in functionality with the enterprise systems, offering the best of both worlds.

More customization. Traditionally browser-based systems have lacked the ability to customize the program to the practice. This is beginning to change, as web EMR technology is advancing and the vendor market becomes more competitive.

The Web-Based EMR Vendor Landscape

Based on your buyer type, the following chart should give you a general indication of some of the top contenders in the EMR vendor landscape.

This type of buyer... Should evaluate these systems
Primary care MDs/DOs and related specialists eClinicalWorks, Allscripts, Greenway, Aprima
Specialists with other designations (DC, OD, PT, PhD, LCSW etc.) Valant, Netsmart, AdvancedMD, CareTracker
Small practices eClinicalWorks, Greenway, Aprima
Mid-sized to large practices NextGen, Sage Intergy, Allscripts
In-patient facilities NextGen, CareTracker

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