Download the State of Australian Healthcare IT 2026 Report
Strategic Fit of Acute-Care EMR/EHR Platforms in Australia (2026–2030 Planning Horizon)
New from Black Book Research Insights: State of Australian Healthcare IT 2026 — a stakeholder-validated, segment-by-segment strategic fit assessment to help Australian hospitals, health services, and emergency care organisations move beyond “brand shortlists” to evidence-based platform decisions grounded in real clinical, operational, interoperability, and resilience priorities.
Why this report, why now
Australian acute care is entering a high-consequence EMR/EHR decision cycle—driven by statewide consolidation programs, the mainstreaming of virtual and hospital-in-the-home models, modernisation of My Health Record connectivity expectations, cloud-first delivery, embedded analytics/AI, and rising board-level scrutiny of cyber resilience and downtime preparedness.
At the same time, the market reality is increasingly clear: there is no single “best EMR” for every Australian acute-care setting. Strategic fit varies materially by segment (major public systems vs regional networks vs private groups vs ambulance/ED environments), and by what decision-makers weight most (workflow and medicines safety vs interoperability and da esilience/governance vs long-term partnership value).
This report turns that complexity into a structured decision asset: 18 qualitative strategic-fit dimensions, consolidated into four domains, applied consistently across four acute-care organisation segments - so leadership teams can compare platforms based on the context they actually operate in.
What you’ll get
A practical “strategic fit map” of the Australian acute-care EMR landscape - by segment, by domain, and by decision priority.
A strategic fit assessment of 13 EMR/EHR vendors in Australia
Built from feedback from 454 validated Australian stakeholders across clinical, digital/IT, and executive roles, and evaluated across 18 qualitative strategic-fit dimensionsgrouped into four domains:
Clinical and Operational Effectiveness
Interoperability, Data and Innovation
Resilience, Scalability and Governance
Partnership, Value and Strategic Alignment
Segment-specific results across four acute-care environments
The report examines fit across:
Public Health Systems & Major Public Hospitals
Regional, Rural & Smaller Public Hospitals
Private Acute & Day Hospitals
Ambulance, Retrieval & Hospital-Based Emergency Services
A “no single winner” view—with clear distributed leadership
Instead of a generic overall ranking, the report shows how leadership is distributed by segment and domain - for example:
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Dedalus (ORBIS/webPAS/MedChart) is rated as a leading option in multiple settings, particularly where PAS/medicines infrastructure and partnership value matter.
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Oracle Health is positioned strongly for enterprise-scale environments, with emphasis on data platform readiness and resilience expectations.
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Alcidion Miya Precision is highlighted for ambulance/ED and command-centre/flow-oriented use cases as an overlay/orchestration layer.
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Epic is rated highly on clinician workflow fit and adoption/change support, with implications for governance, standardisation, and resource intensity.
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InterSystems and Orion Health show differentiated strengths, particularly around interoperability/data fabric and shared-record strategies.
What Australian stakeholders say matters most
The report quantifies which domains stakeholders prioritise most when evaluating EMRs - useful for boards and executive steering committees trying to align diverse internal viewpoints.
Seven trends shaping EMR choices to 2030
Including consolidation, virtual/out-of-hospital care expansion, My Health Record modernisation, cloud-first delivery models, embedded analytics/AI, board-level cyber resilience expectations, and consumer digital front doors becoming explicit design requirements.
Buyer-ready structure: shortlisting, trade-offs, and due diligence focus
Use the domain tables, segment top-3 summaries, and vendor profiles to:
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Shortlist platforms aligned to your organisation type and roadmap
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Clarify trade-offs between workflow, meds safety, interoperability, data, resilience, cost, and partnership
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Focus deeper procurement work (architecture, references, commercial safeguards) where it matters most
Who it’s for
Built for Australian acute-care decision-makers who need a defensible way to select, renew, consolidate, or modernise EMR/EHR platforms, including:
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Boards, CEOs, CFOs, CIOs/CTOs, CMIOs/CNIOs, CISOs
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Digital health leaders, informatics, pharmacy leadership, nursing leadership
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State/territory planners, funders, program executives, and procurement teams
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Ambulance/retrieval and ED leaders needing tighter prehospital-to-inpatient continuity
Clear executive moves for the next 90 days
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Start with your segment and transformation intent (not vendor mindshare).
Confirm whether your priority is statewide consolidation, regional network optimisation, private multi-site scale, or prehospital/ED time-critical integration -then use the segment-specific fit view as the starting point. -
Align on what “strategic fit” means locally using the 18 dimensions.
Run a short internal workshop across clinical, digital, and executive leaders to weight the 18 dimensions for your organisation—especially workflow usability, medicines management, My Health Record interoperability, reliability/continuity, and data readiness. -
Be explicit about your evolution path vs rip-and-replace appetite.
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If an incumbent PAS/meds/EMR backbone is embedded, quantify the risk/cost of replacement versus staged evolution—then pressure-test vendor roadmaps and integration patterns accordingly.
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Treat interoperability and data-platform capability as first-order, not “Phase 2.” Require clear evidence of standards-based integration, national service connectivity, and enterprise analytics readiness—not as optional add-ons, but as baseline selection criteria.
