A new report from KLAS Enterprises finds users of emergency department information systems are moving away from best-of-breed systems, but clinicians don't like the enterprise systems replacing them.

The Orem, Utah-based vendor research firm interviewed more than 500 providers and includes performance ratings for 18 ED systems in the report. Among respondents planning to replace or buy a new emergency department system, "72% are leaving a best-of-breed product in favor of an enterprise offering," according to the report. "Yet at the same time, ED customers of enterprise vendors Cerner, Eclipsys, McKesson and Meditech also have some of the highest levels of buyer's remorse."

KLAS' research shows the percentage of providers planning to leave their best-of-breed ED vendor is 2.5 times higher than it was in 2005. Yet, five of the top six rated ED products are best-of-breed, with most enterprise ED products perceived as having less functionality. Enterprise products, however, have tighter integration with other modules from the same vendor.

Top rated ED vendors, in order, were Wellsoft, Epic, Allscripts and Medhost. The report, "Emergency Department Information Systems: Is Best of Breed Still the Best Approach?" is available at klasresearch.com/reports. The cost is $980 for providers and $8,850 for others.

--Joseph Goedert

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