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Download the Canada Acute Care EHR And Digital Health 2026 Report

Demand drivers, pan-Canadian interoperability foundations, provincial procurement realities, and market direction (2026–2030 planning horizon)

New from Black Book Research Insights: Acute Care EHR and Digital Health — Canada 2026. A stakeholder-informed planning asset built to help Canadian hospitals, health authorities, shared services organizations, and digital health agencies move beyond “brand shortlists” to procurement-ready decisions grounded in real operational constraints, interoperability evidence, and long-term sustainability.

Why this report, why now

Canada’s acute care EHR and digital health market is entering a high-consequence cycle defined by:

  • Provincial enterprise EHR modernization and optimization programs that constrain full rip-and-replace timelines but intensify renewal and upgrade decisions

  • A national interoperability agenda shifting from intent to execution—FHIR profiles, Canada-wide alignment, and testable conformance expectations

  • Heightened procurement and sovereignty scrutiny that is reshaping eligibility, contracting, and vendor risk posture in 2026–2028

At the same time, adoption is high, but integration and exchange remain uneven—creating a gap between what Canadians expect digitally and what systems can reliably deliver across organizational boundaries

What you’ll get

A practical, buyer-oriented guide to support defensible decisions through 2030—especially when procurement gating, privacy, interoperability, and workforce capacity shape what is feasible.

Canada-wide stakeholder signal (n=648) Perspective from acute care stakeholders across all provinces—IT, clinical/physician, and administrative/procurement roles—on what is changing fastest and how buying decisions are shifting in 2026–2028.

Interoperability as a procurement gate, not a Phase 2 - A structured view of pan-Canadian direction and what it means for RFPs, due diligence, and implementation proof—moving from narrative claims to evidence-based interoperability and conformance expectations.

Strategic Fit framework: 18 qualitative dimensions A Canada-adapted decision framework to compare platforms beyond features and marketing—organized into four domains:

  • Clinical and Operational Effectiveness

  • Interoperability, Data and Innovation

  • Resilience, Scalability and Governance

  • Partnership, Value and Strategic Alignment

Get the complimentary download - A stakeholder-informed planning asset to help Canadian organizations make high-consequence EHR modernization, renewal, and digital health investment decisions through 2030—grounded in interoperability reality, procurement defensibility, and operational resilience.

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Canada Acute Care EHR And Digital Health 2026

Seven trends shaping decisions to 2030

Including interoperability maturity, procurement eligibility/supplier risk posture, data sovereignty expectations, digital front door consolidation, analytics/AI adoption pressures, cyber resilience requirements, and workforce-driven delivery model shifts.

Segment priorities across the Canadian care landscape

How requirements and constraints vary across: provincial IDNs/shared services, academic centres, community/rural hospitals, private specialty settings, continuing care/home care/LTC, and northern/remote service environments.

What Canadian stakeholders say is changing fastest

The most contestable movement is increasingly happening around the enterprise EHR—especially where outcomes can move faster than full platform replacement:

  • Interoperability enablement and integration tooling (FHIR enablement, APIs, identity/consent patterns)

  • Digital front door consolidation (access, scheduling, messaging, virtual entry points)

  • Data platforms and analytics modernization (operational intelligence and reporting)

  • Cyber resilience, privacy monitoring, and assurance requirements

  • Managed services and “operate-and-improve” delivery models under workforce pressure

Buyer-ready structure: trade-offs, gating, and due diligence focus

Use the report to:

  • Bring eligibility screening and supplier-risk requirements upstream as explicit gates

  • Require interoperability proof as a baseline—aligned to pan-Canadian direction

  • Strengthen contracting for continuity and transition (portability, supportability, and operational resilience)

  • Procure AI-enabled functionality with governance-first expectations: auditability, privacy, clinical safety, and accountability

Who it’s for

Built for Canadian healthcare decision-makers accountable for modernization outcomes and procurement defensibility, including:

  • Boards, CEOs, CFOs, CIOs/CTOs, CMIOs/CNIOs, CISOs

  • Digital health leaders, informatics, clinical operations, pharmacy and nursing leadership

  • Provincial digital health agencies, shared services organizations, program executives, and procurement teams