Download the Germany State of Acute Care EHR and Digital Health 2026 Market Report

New from Black Book Research Insights: Germany: State of Acute Care EHR and Digital Health 2026 — a qualitative, buyer-ready market report covering demand drivers, national platforms and TI obligations, standards, KHZG-driven priorities, and the vendor landscape shaping Germany’s acute-care EHR/HIS (KIS) and digital hospital decisions across the 2026–2030 planning horizon.

Why this report, why now

Germany enters 2026 in a TI- and KHZG-defined modernization window. Acute care buyers face hard policy deadlines (e.g., national scale-out of eRezept and the opt-out ePA), a timeboxed modernization cycle inside hospitals driven by KHZG investment windows and auditability, and escalating cybersecurity + workforce constraints pushing procurement toward standardized workflows, consolidation, and measurable automation.

Germany also isn’t a single buyer archetype. Procurement behaviors vary materially across university hospitals, public/municipal hospitals, non-profit hospital groups, private hospital groups, and specialty/rehabilitation providers—each weighting TI readiness, operational performance, implementation feasibility, and security posture differently.

At the same time, interoperability has shifted from an “integration program” to a procurement gate. Buyers increasingly require proof that platforms are production-ready for Telematikinfrastruktur (TI) services—especially KIM secure messaging, eRezept, ePA connectivity, and structured content via MIO/FHIR profiles—with operational monitoring and clear accountability across vendor, integrator, and internal IT.

Seven forces are converging to reshape procurement and modernization priorities (2026–2030):

• TI-first interoperability becomes workflow-native and monitored (KIM, eRezept, ePA, eAU/eArztbrief) — no longer “bolt-on” connectivity

• KHZG-driven modernization concentrates spend on portals, digital documentation, medication processes, and IT security—with audit-ready delivery expectations

• Public-sector modernization continues—unevenly, creating a market for staged modernization, managed services, and integration-first strategies

• Administrative backbone replacement accelerates as legacy PAS/billing/ERP estates (including SAP-dependent environments) hit forced roadmap windows overlapping KHZG delivery

• Security and resilience hardening becomes non-negotiable (especially for KRITIS-scale providers), including tested recoverability and supplier accountability

• Cloud adoption with sovereignty constraints grows, but requires Germany/EU controls and assurance alignment (e.g., BSI-aligned expectations, C5/ISO where applicable)

• Value shifts from modules to outcomes, prioritizing throughput and staffing resilience (eMedication, mobile nursing, digital discharge) over “dashboard-only” investments

• AI and automation expands into operational use (documentation support, summarization, coding, triage assistance) but must be governed, auditable, and accountable

In this environment, “best system” is not universal. Strategic fit varies by segment—and by what decision-makers weight most: TI reliability, KHZG auditability, security and resilience, administrative modernization risk, workflow efficiency, cloud/sovereignty assurance, and implementation realism.