Most electronic health records vendors serving small practices with 10 or fewer physicians are not providing the functionality those providers need, according to vendor research firm KLAS Enterprises.

In a new report assessing how well 27 vendors serve the small practice market, KLAS paints a bleak picture. “A handful of vendors have implemented strategies that consistently deliver at a higher level and foster quality relationships with their customers,” according to the report.

Vendors most successful in offering easier implementations and value-based products are, in order, athenahealth, SRSsoft, Practice Fusion, CureMD and Amazing Charts, concludes report author Erik Bermudez.

Some of the best known vendors are among the worst performers. McKesson by far received the lowest score of 53.6 compared with leader athenahealth’s 86.9. The following vendors all scored slightly below 70: simplifyMD, Henry Schein, Vitera, Allscripts and GE Healthcare

Vista Equity Partners, owner of Vitera, recently announced it will acquire Greenway Medical Technologies for $644 million and operate the company and market products under the Greenway name. Greenway in the KLAS report scored 80.9 and Vitera scored 68.6. The report details the performance of each of 27 vendors across dozens of metrics.

The report, “2013 Ambulatory EMR Performance (1-10 Physicians): The Quest for Value Amid Rising Expectations,” is available at The cost is $980 for providers and $10,980 for others.

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