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Telus Health Continues EMR M&A Strategy – Acquires Nightingale Informatix

Posted on July 18, 2016 I Written By

Colin Hung is the co-founder of the #hcldr (healthcare leadership) tweetchat one of the most popular and active healthcare social media communities on Twitter. Colin is a true believer in #HealthIT, social media and empowered patients. Colin speaks, tweets and blogs regularly about healthcare, technology, marketing and leadership. He currently leads the marketing efforts for @PatientPrompt, a Stericycle product. Colin’s Twitter handle is: @Colin_Hung

Telus Health, a Canadian based healthcare technology and services firm that is a division of one of Canada’s largest telco operators (Telus Communications), recently announced the acquisition of Nightingale Informatix for $14 Million CDN (approximately $10.4M USD).

You can read the announcement here.

This is the latest in a string of acquisitions that Telus has made over the past 5 years in the Canadian ambulatory EMR space. Med Access, Wolf Medical Systems, Kinlogix, MD Physician Services, Medesync and now Nightingale are all part of Telus Health’s product portfolio. With these acquisitions Telus is now by far the most dominant player in the Canadian ambulatory market. There are only a handful of vendors remaining – the largest of which is Vancouver’s QHR Technologies.

EMR consolidation in Canada was inevitable. The small market size could not sustain the more than 50 EMR vendors that cropped up in the heyday of adoption. As well, unlike in the US, the government in Canada did not pour billions of dollars to encourage physicians to adopt EMR technologies. The incentive programs in Canada were handled by the provinces and were much smaller in scale. Thus the Canadian market was ripe for consolidation and Telus has been aggressively seizing these opportunities.

It is a little surprising that none of the US EMR vendors have looked north of the border for growth opportunities. With a single payer system and unique patient identifiers, you would think the Canadian market would be enticing. However, no US ambulatory EMR has made significant in-roads.

Missed opportunity? or perhaps a wise decision to focus at home?

*Disclosure – This writer was VP of Marketing at Nightingale Informatix from 2012-2014.

[CORRECTION – July 19, 2016 2:11pm ET – The original post erroneously reported that Telus had acquired Healthscreen, EMIS and Clinicare EMRs. These three EMRs were in fact acquired by QHR Technologies and not Telus. This post was updated with a corrected list of Telus acquisitions]

UK EHR Landscape

Posted on July 1, 2010 I Written By

John Lynn is the Founder of the blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of and John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I hadn’t posted much about the UK, and so I thought I’d post (with permission) this email I got from a regular commenter DKBerry about the UK EMR world. I find it fascinating that one EHR vendor owns 50% of the private EHR market in the UK. Polar opposite of our world, no? Now to his email:

Have you ever presented any information on the United Kingdom’s efforts?  Everyone thinks that the entirety of the UK healthcare system is run by NHS.  NHS operates the secondary care facilities … but the primary care practitioners are private … and are contracted by NHS.  Unlike the U.S. where there are 300+ EHR vendors in the U.K. there are only a handful.  Literally.  Egton Medical Information Systems (EMIS) has over 50% of the private GP market in the U.K.

Thought you might appreciate this … Don

From this article

“EMIS and INPS software users in the UK represent around 75% of GP practices and together hold approximately 46 million electronic patient health records.

The formation of Healthcare Gateway Limited allows real-time interoperability with GP systems and other healthcare professionals within the NHS. This has the potential to significantly increase efficiency in the NHS in addition to improving patient care.”

From the EMIS Wikipedia entry:

“EMIS chose not to be one of the major current GP computer providers initially included in the proposed National Programme for IT(NPfIT) due to issues surrounding the lack of system choice for GPs.[1]

The disenfranchisement of General Practitioners and the resultant political change which affected the NPFIT led to the creation of the GPSOC (General Practitioners System of Choice) programme which allowed individual GPs to choose their own system for storing electronic patient notes. As a result EMIS are now involved in the GPSOC programme.

As of 2009, of the 5000 practices using EMIS, 40% are now able to transfer notes electronically with the GP2GP electronic record transfer software to other GP practices using either EMIS or INPS Vision.[3] In 2009 EMIS is also to release its next generation system, EMIS Web, which (with other interoperability initiatives pioneered by EMIS) is intended – subject to patient consent – to allow patient data to move freely and safely not just between GPs but also elsewhere within the NHS (Accident & Emergency, Out of Hours, Hospitals, Community Nursing, etc.).”