Skip to content
‹ Back to IndustriesHealthcare

Cloud-Based vs. In-House Electronic Health Records

Health organizations have been leveraging technology for some time to improve patient experiences and make workflows more efficient, and the central hub for clinicians to record, store and share data is their EHR. Many factors need to be considered when choosing the right EHR, including whether it’s cloud-based or on-site. The biggest difference between the…

This story was produced through MarketScale. See how Healthcare teams put it to work with Executive Thought Leadership.

·
Share

Free workspace

Turn your Healthcare expertise into content.

Record interviews, organize footage, and write with AI on a free trial of the MarketScale platform for qualifying companies. No demo required, no credit card.

Try it Free

Health organizations have been leveraging technology for some time to improve patient experiences and make workflows more efficient, and the central hub for clinicians to record, store and share data is their EHR.

Many factors need to be considered when choosing the right EHR, including whether it’s cloud-based or on-site. The biggest difference between the two is where the data lives. In cloud-based EHRs, patient records live in an internet-based, on-demand network. On-premise EHRs require data to be hosted locally and housed on-site, which requires significant hardware investment.

So, which is right for your organization?

Cloud-Based EHRs Offer Many Advantages

The cloud has become a vital tool in how organizations use technology, and it provides many benefits for those who adopt it. Cloud-based EHRs are relatively popular, and a study from HIMSS revealed that about two-thirds of healthcare organizations use the cloud or cloud services. So, why have so many migrated to cloud-based EHRs?

The cloud presents multiple opportunities for healthcare entities to reduce costs, enhance security and improve interoperability.

Reduce Costs and Capital Investment

Setting up a new EHR can require substantial capital depending on your requirements, especially if you are responsible for hardware and upgrades. With a cloud-based EHR, you’ll reduce costs associated with EHR implementation, management, and storage.

Every time a new upgrade occurs, you won’t incur additional costs to enhance your servers. With the cloud, you are only paying for the storage that you need, and you don’t need additional IT resources.

Enhance Data Security

Keeping healthcare data safe is paramount and required by HIPAA and other privacy regulations. Moving to the cloud improves the security of your data. Cloud service providers deliver highly secure and well-protected data centers that easily thwart cyberattacks, mostly through tactics like encryption.

Having an on-site server means you are completely responsible for its security, which may be a hard task to ensure, especially for small healthcare entities that don’t have the resources.

Improve Interoperability for Better Patient Outcomes

The world of healthcare data places substantial emphasis on that the ability to share that data across applications. Healthcare interoperability is critical in the modern world, enabling greater access to information to improve patient care.

This data sharing must be secure and seamless, which is better accomplished by using the cloud. Interoperability boosts clinician satisfaction with EHRs, which is much harder to execute with on-premise EHRs.

On-premise applications suffer from poor usability, hampering the ability to exchange data. Cloud-based applications can be a huge help in overcoming interoperability barriers, which, in turn, improves patient outcomes.

Your EHR Should Deliver Advantages, Not Obstacles

Your EHR solution is one of your most valuable tools. Being stuck with on-premise systems is keeping you from realizing multiple benefits.

Your experts belong here

Every story in MarketScale Healthcare starts with a company putting its clinicians, service-line leaders, and field engineers on the record. Buyers are already reading this topic. The only question is whose experts they find.

Service-line buyers vet vendors quietly, and your clinicians become the proof they find while doing it.

Book DemoSee how it works15 minutes, straight to a calendar.
B2B Weekly

The week in Healthcare, and sixteen other industries, every Monday.

Ten stories, one-line takes, five minutes. Free.

Healthcare: are you visible to AI?

Before they reach out, Healthcare buyers ask AI engines which vendors to trust. Explore how your experts, customers, and partners can become useful content for buyers and AI search.

Free Trial

You just read one Healthcare expert. Your company is full of them.

This article was produced through MarketScale. The same platform turns your clinicians, service-line leaders, and field engineers into the articles, video, and social content Healthcare buyers are searching for. Start a free trial and see it with your own people. For qualifying companies, no credit card, no demo required.

NPS +73 · 1,000+ creators · 38+ countries

What your free trial includes

Hands-on access to the MarketScale platform
Media requests to your crowd, remote recording, AI writing tools
No demo required. No credit card.
For qualifying companies. Company confirmation required.

More Healthcare Insights

Why CAHPS still swings Star Ratings at half its old weight

Why CAHPS still swings Star Ratings at half its old weight

mPulse’s Sam Oliver and Reva Sheehan said the CAHPS chapter moved with overall Medicare Advantage Star Ratings from 2026 to 2027 after CMS cut its weight from 4 to 2. With 11 measures slated to exit by 2029 and the equity reward cancelled, they urged quality teams to model CAHPS impacts and population mix alongside reweighting changes.

  • 01CMS cut CAHPS from a weight of 4 to 2 in the CY2025 final rule, effective with the 2026 Star Ratings, yet mPulse's chapter data shows CAHPS still moved in the same direction as overall stars for the 2027 cycle.
  • 02The April 2026 final rule removes 11 administrative measures, but none leave before the 2028 Star Ratings; the 2027 measure set is unchanged and the Health Equity Index reward is cancelled.
  • 03CAHPS stars are set by percentile cutoffs and reliability tests, and in the 2025 Star Ratings 13 percent of CAHPS results landed on a different star than the cutoff implied, 93 percent of them lower, according to RISE Health.

Nov 2, 2026

Why ECG device makers may stop rebuilding arrhythmia analysis from scratch

Why ECG device makers may stop rebuilding arrhythmia analysis from scratch

Monebo's Kinetic Software Library provides ectopic beat detection, QRS feature extraction, and heart rate and rhythm analysis for ECG devices. For ECG device engineering and regulatory teams, rhythm analysis could become a choice between building it and licensing it.

  • 01Fifty-one later FDA clearances trace their predicate lineage to Monebo's earlier libraries, a track record anyone evaluating the new one can check.

Nov 1, 2026

AI Takes Center Stage at AHA 2026. Experts Warn It Must Be Built for Everyone

AI Takes Center Stage at AHA 2026. Experts Warn It Must Be Built for Everyone

AI-enabled ECG, echocardiography and imaging studies are a major theme at the American Heart Association's Scientific Sessions 2026 in Chicago, November 6 to 9. A Frontiers in Cardiovascular Medicine policy brief led by Emory cardiologist Dr. Jose R. Medina-Inojosa argues precision cardiology must be designed with equity from inception. He says the biggest factor is not algorithm accuracy but the pathway from result to clinical action.

  • 01AHA 2026 late-breakers on AI include WATCH-LV, AI ECHO INSIGHT, PROVAR+ and LIFE-AI, all presented Monday, November 9.
  • 02Medina-Inojosa says equity from inception means training and validating on representative data and reporting subgroup performance before deployment.
  • 03Programs in Nigeria and Uganda show AI-ECG and AI-guided echo can extend cardiac care where specialists are scarce.

Nov 1, 2026

Explore More Healthcare Insights

Read more expert perspectives from across Healthcare.

Browse Healthcare Hub

For B2B teams

Your experts could be publishing here

Stories like this one run on content MarketScale captures from real practitioners. See how your team's expertise becomes coverage in Healthcare and beyond.

Book a Demo

Or call us. No forms required. We pick up. 214-945-2512