Ambulatory EHR Market - Growth, Trends, COVID-19 Impact, and Forecasts (2022 - 2027)

The Ambulatory EHR Market Report has been segmented by Application (Practice Management, Patient Management, E-prescribing, Referral Management, Population Health Management, Other Applications), Delivery Mode (Cloud-based Solutions and On-premise Solutions), Practice Size (Large Practices, Medium-sized Practices, and Small Practices), End User (Hospital-owned Ambulatory Centers and Independent Ambulatory Centers), and Geography (North America, Europe, Asia-Pacific, Middle East and Africa, and South America). The report offers the value (in USD million) for the above segments.

Market Snapshot

Ambulatory EHR Market Overview
Study Period: 2018 - 2026
Base Year: 2021
Fastest Growing Market: Asia Pacific
Largest Market: North America
CAGR: 7.13 %

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Market Overview

The ambulatory EHR market is expected to register a CAGR of 7.13% during the forecast period.

Globally, the healthcare system's main challenges were limiting the transmission of the COVID-19 virus among people, providing the best care to infected patients, and decreasing the number of possible deaths. A profound impact on the EHR market was observed as well. Electronic health record systems have been designed for tracking and billing patients to provide optimal care, which is the need of the hour due to the rising number of COVID-19 cases. Furthermore, COVID-19 cases are showing up in hundreds and thousands, and the capability of the existing software to track such outbreaks is still a question.

For instance, during the COVID-19 pandemic, Blue Ridge Medical Group in Georgia implemented telehealth EHR because most patients were elderly and considered at a high-risk COVID-19 of the infection.

In addition, in June 2020, Athenahealth launched AthenaTelehealth, which is integrated into the vendor's EHR system and termed as AthenaOne. Moreover, between mid-February to late April 2020, the Athenahealth EHR network experienced a 3,400% increase in daily telehealth visits.

The factors propelling the growth of the ambulatory EHR market include the rising adoption of EHR solutions in developed markets, increasing the need for fluid movement of healthcare information and technological advancements, and government initiatives to maintain and enhance patient health record portals.

In the past decade, it was observed that paper-based records were being phased out at a rapid pace, with digitization and virtualization creating multiple growth opportunities for the better management of patient records across the chain of hospitals and research centers in healthcare.

For instance, on March 10, 2021, the European Commission adopted a recommendation on a European electronic health record exchange format to unlock the flow of health data across borders. This policy helps European citizens securely access and exchange their health data wherever they are in Europe. Additionally, in Germany, the Appointment Service and Supply Act (TSVG), adopted on March 14, 2019, is funded by the German statutory health insurance funds to provide policyholders with electronic health records from January 1, 2021, onward. This indicates that the country will have a better electronic health record (EHR) implementation in the coming years.

Thus, factors such as growing adoption by multiple healthcare centers across the developed markets and increasing investments made by governments to maintain and enhance patient health record portals are expected to drive the market growth over the forecast period. However, inconsistent EHR adoption across emerging markets and regulatory barriers are expected to impede market growth in the near future.

Scope of the Report

As per the scope of the report, ambulatory care involves patients who do not stay overnight for disease treatment in any healthcare setting. EHR is a patient’s record that helps authorized users securely access the available information about the patient. The information on EHR can be shared across different healthcare settings through a network of connected systems, which allows physicians to make better decisions and provide improved, coordinated care for patients. The EHRs developed for ambulatory services are simpler than inpatient EHRs as they deal with a single practice and its patients, and are used in outpatient care facilities and smaller practices. The ambulatory EHR market is segmented by application (practice management, patient management, e-prescribing, referral management, population health management, and other applications), delivery mode (cloud-based solutions and on-premise solutions), practice size (large practices, medium-sized practices, and small practices), end user (hospital-owned ambulatory centers and independent ambulatory centers), and geography (North America, Europe, Asia-Pacific, Middle East and Africa, and South America). The report offers the value (in USD million) for the above segments.

By Application
Practice Management
Patient Management
Referral Management
Population Health Management
Other Applications
By Delivery Mode
Cloud-based Solutions
On-premise Solutions
By Practice Size
Large Practices
Medium-sized Practices
Small Practices
By End User
Hospital-owned Ambulatory Centers
Independent Ambulatory Centers
North America
United States
United Kingdom
Rest of Europe
South Korea
Rest of Asia-Pacific
Middle East and Africa
South Africa
Rest of Middle East and Africa
South America
Rest of South America

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Key Market Trends

Cloud-based Solutions Sub-segment is expected to grow the fastest over the Forecast Period

Some of the factors driving the cloud-based solutions segment are cost-effective services and the advantages of user-friendly software models. Patient information is stored and managed using these cloud-based electronic health records, making them more secure. They also allow physicians and medical practitioners to control access to sensitive information.

In April 2020, Allscripts introduced a package of COVID-19 solutions for hospitals. The Allscripts Hospital Management Package provides a series of COVID-19 workflows that address disease-specific needs within SunriseTM EHR, ParagoN HER, and Allscripts Care Director.

Cloud-based solutions are comparatively newer approaches used mainly by organizations that lack the internal infrastructure to support themselves. The installation cost for these systems is lower, and these software eradicate the need for in-house maintenance, which is likely to be the prime factor driving their increasing demand.

The cloud-based model makes the software extremely flexible regarding scalability (pay-as-you-go storage utilization). It simplifies and consolidates storage resources to reduce costs and enhance workflow by eliminating departmental silos of clinical information. The cloud infrastructure also guarantees true disaster recovery and business continuity solutions to support the quality of patient care. Hence, cloud-based EHRs are expected to register good growth in the market.

The market leaders are involved in product launches, collaborations, expansions, and acquisitions to sustain the competition. For instance, in August 2020, Allscripts announced that it will serve as a subcontractor to the prime contractor, MicroHealth, LLC, a health information technology firm, as they work to migrate the U.S. Department of State’s medical health units to a cloud-based solution for its global electronic health records.

Moreover, MicroHealth will implement Allscripts TouchWorks EHR and FollowMyHealth as the integrated mobile personal health record. Moreover, TouchWorks EHR is a powerful, scalable, and flexible platform designed by clinical and industry experts for large ambulatory practices. Thus, all the above factors are expected to contribute to the good growth of this segment over the forecast period.

Mordor 2

North America Dominates the Market and is Expected to do the Same over the Forecast Period

The North American market is driven by robust growth of healthcare infrastructure and greater government initiatives toward electronic health records.

The ongoing pandemic is putting healthcare systems under strain in North America and forcing ambulatory centers and other medical facilities to scramble to make sure data can be shared effectively. The ‘digital front door’ is really the key to how providers should be responding to the COVID-19 situation in terms of access, triage, and even treatment. In 2020, Oracle built a National Electronic Health Records (EHR) Database plus a suite of Public Health Management Applications to help US public health agencies and healthcare providers collect and analyze data related to COVID-19.

In the United States, the healthcare industry is one of the most data-intensive sectors. The industry is deeply invested in applying innovative solutions to enhance the development of advanced healthcare and support improvements in patient care. ​Moreover, the US federal government and other public stakeholders are opening their vast stores of healthcare knowledge, including data and information on patients covered under public insurance programs. Thus, the demand for improvement of healthcare will boost up the overall market.

Additionally, according to the Canada Health Infoway, in 2018, 93% of physicians who used an electronic medical record said EMRs allow them to provide improved patient care. Furthermore, the government of Mexico is in the process of implementing and expanding EHRs in order to provide standardized health information on patients that is available, accessible, safe, and effective.

Several companies are starting various strategies like collaborations, new product launches, and mergers and acquisitions in order to maintain and increase their market shares. For instance, in October 2019, in the United States, Allscripts Healthcare Solutions entered into an agreement with Northwell Health to jointly develop a next-generation, AI-powered electronic health record. Thus, considering above mentioned factors, the market is expected to witness considerable growth in North America over the forecast period.

Ambulatory EHR Market Growth by Region

Competitive Landscape

The ambulatory EHR market is fragmented, competitive, and consists of several major players. Most of the companies present in the market are efficient on the technological front, but require significant support to enhance their services and expand their businesses. Thus, mergers and acquisitions offer significant opportunities to gain the attention of a large number of providers and hospitals across developed regions. In the coming years few other players are expected to enter into the market. Some of the current market players include Allscripts Healthcare Solutions Inc., eMDs, Inc., Athenahealth Inc., Cerner Corporation, eClinicalWorks, and others.

Recent Developments

In June 2021, CarePort introduced CarePort Ambulatory which is a solution that enables ambulatory providers to improve collaboration with home- and community-based organizations and track patients across these settings.

In April 2020, Medical Information Technology Inc. collaborated with MedPower, LLC to provide online training programs to aid the process of onboarding of hospitals that are using MEDITECH’s EHR solutions, amidst the COVID-19 pandemic.

Table of Contents


    1. 1.1 Study Assumptions and Market Definition

    2. 1.2 Scope of the Study




    1. 4.1 Market Overview

    2. 4.2 Market Drivers

      1. 4.2.1 Rising Adoption of EHR Solutions in Developed Markets

      2. 4.2.2 Increasing Need for Fluid Movement of Healthcare Information and Technological Advancements

      3. 4.2.3 Government Initiatives to Maintain and Enhance Patient Health Record Portals

    3. 4.3 Market Restraints

      1. 4.3.1 Inconsistent EHR Adoption across Emerging Markets

      2. 4.3.2 Regulatory Barriers

    4. 4.4 Porter's Five Forces Analysis

      1. 4.4.1 Threat of New Entrants

      2. 4.4.2 Bargaining Power of Buyers/Consumers

      3. 4.4.3 Bargaining Power of Suppliers

      4. 4.4.4 Threat of Substitute Products

      5. 4.4.5 Intensity of Competitive Rivalry


    1. 5.1 By Application

      1. 5.1.1 Practice Management

      2. 5.1.2 Patient Management

      3. 5.1.3 E-prescribing

      4. 5.1.4 Referral Management

      5. 5.1.5 Population Health Management

      6. 5.1.6 Other Applications

    2. 5.2 By Delivery Mode

      1. 5.2.1 Cloud-based Solutions

      2. 5.2.2 On-premise Solutions

    3. 5.3 By Practice Size

      1. 5.3.1 Large Practices

      2. 5.3.2 Medium-sized Practices

      3. 5.3.3 Small Practices

    4. 5.4 By End User

      1. 5.4.1 Hospital-owned Ambulatory Centers

      2. 5.4.2 Independent Ambulatory Centers

    5. 5.5 Geography

      1. 5.5.1 North America

        1. United States

        2. Canada

        3. Mexico

      2. 5.5.2 Europe

        1. Germany

        2. United Kingdom

        3. France

        4. Italy

        5. Spain

        6. Rest of Europe

      3. 5.5.3 Asia-Pacific

        1. China

        2. Japan

        3. India

        4. Australia

        5. South Korea

        6. Rest of Asia-Pacific

      4. 5.5.4 Middle East and Africa

        1. GCC

        2. South Africa

        3. Rest of Middle East and Africa

      5. 5.5.5 South America

        1. Brazil

        2. Argentina

        3. Rest of South America


    1. 6.1 Company Profiles

      1. 6.1.1 Allscripts Healthcare Solutions Inc.

      2. 6.1.2 eMDs, Inc.

      3. 6.1.3 Athenahealth Inc.

      4. 6.1.4 Cerner Corporation

      5. 6.1.5 eClinicalWorks

      6. 6.1.6 Epic Systems Corporation

      7. 6.1.7 Greenway Health, LLC

      8. 6.1.8 Medhost

      9. 6.1.9 Medical Information Technology Inc.

      10. 6.1.10 Nextgen Healthcare Information Systems LLC

      11. 6.1.11 Amazing Charts, LLC

      12. 6.1.12 NetSmart Technologies

      13. 6.1.13 CureMD

      14. 6.1.14 Mckesson Corporation

      15. 6.1.15 CoverMyMeds LLC

    2. *List Not Exhaustive

**Competitive Landscape Covers- Business Overview, Financials, Products and Strategies, and Recent Developments

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Frequently Asked Questions

The Global Ambulatory EHR Market market is studied from 2018 - 2026.

The Global Ambulatory EHR Market is growing at a CAGR of 7.13% over the next 5 years.

Asia Pacific is growing at the highest CAGR over 2021- 2026.

North America holds highest share in 2020.

Allscripts Healthcare Solutions Inc., eMDs, Inc., Athenahealth Inc., Cerner Corporation, eClinicalWorks are the major companies operating in Global Ambulatory EHR Market.

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