Black Book Market Research

Strategic Fit Assessment Finds Leadership Concentrated in Enterprise-Scale Clinical Performance and Resilience While Cloud Agility, Partnership Value, and Patient Engagement Create New "Wedge" Opportunities

Preliminary, directional read of planned 88-investor sample indicates heightened proof thresholds (unit economics, reimbursement, outcomes) and renewed appetite for carve-outs, milestone bridges, and structured financings heading into JPM Week 2026 from Black Book Research flash polls.

Black Book® Q4 2025 flash survey finds behavioral health, post-acute, public health, and CBO connectivity still heavily manual, with fees (59%), immature APIs (52%), and slow onboarding (46%) cited as top barriers, more often than missing standards (23%).

Segment-specific, 18-dimension benchmark maps vendor strengths as Australian boards elevate workflow, medication safety, My Health Record interoperability, cloud operating models, and cyber-resilient continuity planning through 2030.

Year-round, audit-supported 36-KPI performance benchmarking, anchored in verified end-user experience, enables defensible vendor comparisons and decision-grade competitive intelligence, with governance controls engineered to keep results free of vendor influence.

A landmark, vendor-agnostic global benchmark delivering country-true insights on EHR and digital health performance across 147 countries, evaluating 70 vendors against 18 operational KPIs, independent from vendor influence, now available as a no-cost resource to support evidence-based decision-making worldwide.

In 2025, Black Book expanded global healthcare IT research coverage; issued 32 complimentary, vendor-neutral benchmarking reports; advanced a 36‑KPI qualitative performance framework supported by Google Looker analytics and Qualtrics engagement; and compiled 311,732 verified end-user survey and satisfaction poll responses worldwide. This 2025 intake builds on a longitudinal repository now approaching four million verified end‑user reviews captured over the past decade.

Black Book Survey of 417 European health IT leaders across nine countries finds "interoperability-first" is now a procurement gate; multilingual localization is driving adoption; and modular modernization is reducing disruption-capabilities increasingly delivered by Europe-headquartered platforms and regional champions

Black Book Survey of health IT leaders across five high-activity Middle East markets finds sovereignty-compatible architectures and Arabic/English workflow readiness are now pass/fail gates-while AI interest is rising faster than governance and dataflow transparency

Survey of 21,555 verified hospital and health system software users outside the U.S. identifies 2026's highest-velocity markets for EHR/EMR modernization, revenue cycle automation, interoperability tooling, analytics, RIS/LIS, patient engagement, and applied AI

Sovereignty-first procurement is becoming the "zero-trust gate" for national health data screening vendors at RFP intake as AI pipelines, cloud control planes, and cross-border data flows raise the stakes

Black Book Market Research | 2026 State of Global Digital Healthcare Information Technology (HIT) Report

Black Book Market Research issues a global operational alert alongside the release of its 2026 "State of Global Healthcare Technology" report, a no-cost, nearly 700-page reference covering 147 countries and 70+ EHR/EMR/EPR, interoperability, cybersecurity, and healthcare IT vendors. The 2026 edition introduces a conflict-recovery supplement and a proposed framework for vendor coordination on continuity-of-care infrastructure.

Issued by Black Book Market Research ahead of this week's release of the 2026 "State of Global Digital Healthcare, IT and EMR" a no-charge, 700-page global resource manual covering 147 countries and 70+ EHR/EMR/EPR vendors, spotlighting nine conflict-affected geographies where hospital operations, staffing, and healthcare IT have been severely impaired despite meaningful pre-conflict clinical capability to build on.

Black Book Research Q4 flash survey shows health plans shifting from effort-based sourcing to KPI-backed operating models, tightening third- and fourth-party controls while accelerating platform and cloud contract rationalization.

Respondents report approvals and evaluation readiness are now the bottlenecks driving demand for reusable safety artefacts, evidence repeatability and lifecycle controls.

Boards and executive buyers are raising the 2026 bar for all product and service rankings and this annual statement explains the standards Black Book applies to keep survey evaluations rigorous, independent and resistant to score chasing.

Black Book Market Research finds fewer than 1 in 5 health systems report mature AI governance and most undercount staff time spent supervising and correcting AI output

CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms that measurably shorten time-to-treatment, close gaps in care, and improve quality performance.

Black Book Research national survey maps federal, state, and local mandates impacting hospital, physician, and payer information technology in 2026

New Black Book Research flash survey of 427 hospital and health system security leaders finds 74% see EHR, AI and cloud vendors as their top emerging cyber risk, 63% report vendor-linked incidents in the last 24 months, and over half have suffered clinical disruption or downtime.

Black Book Research's Europe Cybersecurity in Healthcare 2026 finds only 13% of providers have tested kill-switches for critical vendors and AI platforms as NIS2, GDPR and the EU AI Act raise the stakes.

Per-Study and Bundled Deals Dominate as Imaging AI Remains a Discretionary Spend

Identity and access, endpoint/email protection, network/Zero Trust, backup and recovery, and 24×7 detection/response emerge as hospitals' "must-fund" cybersecurity stack per current Black Book cyber polls

Black Book Research launches US Hospital Cyber Resilience 2026 - Volume 2: Identity, Insurance, and Incident Readiness, a free, vendor-neutral guide for hospital leaders navigating AI-driven cyber incidents and upstream vendor risk.

Most RSNA 2025 - affiliated radiologists report unapproved AI tools in daily use; fewer than one in five say their organizations strongly enforce a policy on public LLMs.

Black Book Pre-Thanksgiving Flash Survey shows expectations for improved stability, leadership continuity, and returns on AI and technology investments

Hospitals struggle to cut off compromised vendors and AI platforms, as the new 2026 US Hospital Cyber Readiness report from Black Book Research delivers actionable intelligence on kill-switch deficits, slow revocation timelines, and contract/insurance misalignment with third-party and AI risk.

149 revenue cycle executives report data quality, documentation, and EHR integration as the real constraints on AI-not algorithms or tools in Black Book Flash Poll

Black Book Research provides trustees with a practical, 129-page, vendor-agnostic governance manual, developed independently and not commissioned, sponsored, or affiliated with any health IT vendor or vendor-supported professional association, to clarify HIT priorities, educate new and existing board members, and strengthen independent oversight of 2026-2027 digital and IT budget approvals.

Black Book Research survey shows most hospitals struggle to validate AI vendor claims and scale pilots, but those with formal AI governance are over 2× more likely to achieve 12-month ROI.

Black Book Survey of 182 Hospitals Finds Only 22% Confident in Producing a 30-Day AI Audit Trail; Median 4.2% of 2026 IT + Quality/Safety Budgets Devoted to AI Oversight

First in a Board-Level Series Guiding Hospitals Toward Safe, Equitable, and ROI-Driven AI Deployment

Black Book Research releases a Europe-wide RIS Purchasing Playbook with contractable SLOs, best-fit vendor guidance, and an RFP scoring toolkit.

Operators highlight practical levers to speed AI, interoperability, and cyber resilience

Boards and finance committees are putting hold stamps on non‑essential IT as buyers shift to fast‑ROI RCM and cybersecurity

From compliance-driven modernization to AI-first architectures—new twin reports map the next decade of LIS/LIMS transformation on both sides of the Atlantic.

Black Book Research-authors of the mid-2000s bestseller The Black Book of Outsourcing (Wiley Publishers) and the forthcoming The Black Book of Reshoring -reports indications of a decisive market reset as American hospitals move from managed RCM services to AI-powered, on-shore revenue cycle platforms. With one-third projecting the foregoing of at least one RCM outsourcing renewal, 62% prioritizing coding and CDI automation, and 78% demanding U.S. data residency, health systems are redefinin

New Black Book poll of 118 health plan IT professionals finds data sharing success now depends on provider engagement and EHR vendor alignment.

Based on a Black Book Research flash survey of 97 HIM leaders conducted at AHIMA 2025 last week.

Investor sentiment is cooling sharply across once-hot digital health sectors.

Black Book survey reveals just 1 in 4 hospitals can fully exchange patient data across national boundaries in Q4 2025

Compiled by Black Book Research from VC PE and banking investors, the briefing ranks which AI-driven categories are converting pilots to scale and where capital rotation is expected to accelerate, delivering measurable governance, speed, and margin expansion.

The first of two Black Book investor briefs identifies the health-tech categories demonstrating pilot-to-scale momentum and early indicators of exit-level multiples.

EHRCON25, openEHR's flagship global conference on electronic health record innovation, will gather health IT leaders from across South America, Africa, Asia, Oceania, and Europe - the largest international event dedicated to advancing open, standards-based health data interoperability.

Independent Black Book user experience rankings spotlight vendors leading the modernization of health information management  from AI-powered coding to interoperable data systems.

Black Book’s 2026 international survey of 210 health executives highlights a regional push to replace legacy interoperability engines with open, future-proof data architectures.

New Black Book Research survey reveals Brazil, Mexico, Chile, and Colombia leading rapid adoption of openEHR frameworks as Doug Brown presents regional growth findings at EHR Con 2025 in Barcelona.