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

Ohio State–Microsoft partnership, reported at $250M, targets 70–80% shift to Azure

Ohio State–Microsoft partnership, reported at $250M, targets 70–80% shift to Azure

Ohio State University and Microsoft’s five-year partnership, reported by outlets at $250 million, is largely infrastructure: targeting a shift of roughly 70% to 80% of storage and computing to Azure and building a shared data layer. Note-drafting AI already runs. Smart-room features for patients come later and depend on that foundation.

  • 01The only part of the Ohio State and Microsoft deal with published results is AI note drafting, which saved up to four minutes per visit in Wexner's 2024 pilot.
  • 02Smart-room features such as automatic lighting and infection-risk alerts depend on a unified database that has finished only its high-level design. The first returns are more likely to show up in operating room and staffing forecasts.
  • 03Health systems weighing a similar platform deal should ask how the headline value breaks down, which workloads move first and whether the cloud copy of the EHR is a backup or the primary record.

Nov 14, 2026

Just 16% of AI-using healthcare organizations fully document model checks after launch, CHIME finds

Just 16% of AI-using healthcare organizations fully document model checks after launch, CHIME finds

CHIME's 2026 Digital Health Most Wired report finds 93.2% of surveyed healthcare organizations use AI. Full generative AI adoption nearly doubled in a year, to 54.8%. Oversight trails: only 16.4% of AI users fully document model monitoring after deployment, making governance the next job for hospital IT leaders.

  • 01Generative AI full adoption went from 31.0% to 54.8% of surveyed healthcare organizations in one year, while only 16.4% of AI users have fully documented processes for monitoring models after launch.
  • 02Organizations that test failover are about twice as likely to restore all critical systems within four hours (45.7% vs. 23.5%), suggesting regular drills may help close the gap.
  • 03Smaller organizations trail on prior authorization automation, 28.9% against 49.4% overall, and CMS payer API requirements take effect in January 2027.

Nov 14, 2026

Why MVP wants to push fresher care-gap data into EMRs

Why MVP wants to push fresher care-gap data into EMRs

MVP Health Care, a nonprofit insurer in New York and Vermont, built Arcadia-based provider dashboards that combine ADT alerts, care gaps, utilization and pharmacy data. Timing drives the design. Its next step, delivering care gaps inside provider EMRs, should move fastest with practices that already exchange data through Arcadia.

  • 01For a quality measure on a seven-day clock, a payer report that runs a few months behind arrives after the deadline it was meant to help with.
  • 02For MVP, the easiest EMR connections are with practices already exchanging data through Arcadia—such as Medicare ACOs using the platform or groups connected through other payers. Practices that are new to Arcadia or to payer data-sharing typically need more time and comfort with what they will send to MVP and what MVP will write back into their EMR.
  • 03A useful test for any payer’s provider analytics: does a service completed last week drop off the care-gap list, or does the practice still call the patient again?

Nov 13, 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