Compare Epic EHR and Cerner Millennium - May 2024

Shlomi LaviShlomi Lavi / May 20, 2024

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Bottom Line: Which is Better - Epic EHR or Cerner Millennium?


Epic EHR and Cerner Millennium both offer extensive functionality for electronic health records management, including patient data storage, clinical workflows, and decision support tools.

However, Epic EHR is known for its user-friendly interface and comprehensive features for various healthcare specialties, while Cerner Millennium is praised for its interoperability and population health management capabilities.

One key difference is that Epic EHR is a single, integrated system, while Cerner Millennium offers modular solutions that can be customized based on the organizations needs.

Pros and Cons

One of the pros of Epic EHR is its intuitive design, which leads to higher user adoption rates. Additionally, Epic EHR has a strong focus on patient engagement tools.

On the other hand, a con of Epic EHR is its high implementation and maintenance costs. Another con is that customization can be complex and require specialized training.

Cerner Millennium, on the other hand, is known for its scalability and flexibility, making it suitable for both small practices and large healthcare systems. Additionally, Cerner Millennium has a robust set of analytics tools.

However, a con of Cerner Millennium is its steep learning curve due to the systems complexity. Another con is that some users have reported challenges with customer support.


Epic EHR typically offers pricing based on a per provider per month model, which can range from $300 to $800 per provider per month. For 1 user, the estimated cost per month would be $300, for 10 users $3,000, and for 100 users $30,000.

Cerner Millennium, on the other hand, offers pricing based on the modules and services selected by the organization. The cost can vary widely depending on the customization required. However, on average, the cost per provider per month ranges from $200 to $700. For 1 user, the estimated cost per month would be $200, for 10 users $2,000, and for 100 users $20,000.

User Interface

Both Epic EHR and Cerner Millennium provide intuitive desktop interfaces that are designed to streamline clinical workflows and improve user experience. The mobile interfaces of both software are also user-friendly, allowing healthcare providers to access patient information on the go.


Epic EHR offers seamless integration with various third-party applications and medical devices, including imaging systems and laboratory information systems. Some of the key integrations include Nuance Dragon Medical One, Tableau, and Imprivata.

Cerner Millennium also supports integration with a wide range of healthcare systems and devices, including PACS, RIS, and pharmacy systems. Key integrations include Nuance PowerScribe, Imprivata, and Vocera.


Both Epic EHR and Cerner Millennium are highly scalable systems that can cater to the needs of small practices as well as large healthcare organizations. They are designed to grow with the organization and accommodate increasing numbers of users and patient data.


Epic EHR and Cerner Millennium both adhere to strict security protocols to protect patient data and ensure compliance with healthcare regulations. Epic EHR has received the Best in KLAS award for cybersecurity, highlighting its commitment to data protection.

Cerner Millennium has also been recognized for its security measures and has received certifications such as HITRUST CSF and SOC 2. These certifications attest to the softwares adherence to industry security standards.

Reporting and Analytics

Epic EHR offers robust reporting and analytics tools that allow users to generate a variety of reports, including quality metrics, financial reports, and population health analytics. Some of the most used reports include patient summaries, medication lists, and encounter histories.

Cerner Millennium also provides comprehensive reporting and analytics capabilities, enabling users to track key performance indicators, monitor trends, and optimize clinical workflows. Commonly used reports include revenue cycle reports, patient flow analysis, and clinical quality measures.

Support and Maintenance

Both Epic EHR and Cerner Millennium offer service level agreements (SLAs) to ensure timely support and maintenance for their software. They provide documentation, online resources, and training materials to assist users in resolving issues and optimizing system performance.

Training and Implementation

Training for Epic EHR typically takes several weeks and may involve additional costs for specialized training sessions. Implementation of the software can take several months, depending on the size of the organization and the level of customization required.

Cerner Millennium also requires training for users, which can range from a few weeks to a few months. Implementation timelines vary but generally take around 6-12 months for full deployment.


Both Epic EHR and Cerner Millennium are designed to support the growth and evolving needs of healthcare organizations. They offer customization options and scalable solutions that can accommodate changes in user numbers and data volume.

Data Migration

Both Epic EHR and Cerner Millennium provide tools and assistance for data migration to ensure a smooth transition from legacy systems. While data migration can be complex, the software vendors offer support to streamline the process.

Mobile Access

Both Epic EHR and Cerner Millennium offer mobile access through dedicated applications that provide a seamless user experience on smartphones and tablets. The UI/UX design is optimized for mobile use, allowing healthcare providers to access patient information anytime, anywhere.

Cloud-based or On-premise

Epic EHR and Cerner Millennium both offer cloud-based and on-premise deployment options, giving organizations the flexibility to choose the hosting model that best suits their needs and preferences.

Vendor Reputation

Epic EHR was launched in 1979 and serves over 250 million patients worldwide. It has a strong reputation in the healthcare industry and is trusted by numerous healthcare organizations. Cerner Millennium, launched in 1993, serves over 27,500 facilities globally and is recognized for its innovative solutions.

Industry Certifications

Epic EHR has received several industry awards, including the Best in KLAS award for multiple years, recognizing its excellence in healthcare IT. Cerner Millennium has also been awarded the HIMSS Davies Award and the Innovation Award from Healthcare Informatics.

User Reviews

Online sentiment for Epic EHR is generally positive, with users praising its comprehensive features and user-friendly interface. The software receives a user sentiment score of 85 out of 100.

Cerner Millennium also garners positive feedback from users, particularly for its interoperability and analytics capabilities. The software receives a user sentiment score of 82 out of 100.

Technical Requirements

Epic EHR and Cerner Millennium have specific technical requirements in terms of servers, databases, and network infrastructure. They typically require a dedicated IT team to manage the systems and ensure smooth operation.

Implementation Timeline

The average implementation timeline for Epic EHR is around 6-12 months, depending on the organizations size and complexity of deployment. The vendor provides support during the implementation process to facilitate a successful rollout.

Cerner Millenniums implementation timeline also ranges from 6-12 months on average. The vendor offers training and support services to help organizations transition to the new system efficiently.

Vendor Stability and Compliance

Both Epic EHR and Cerner Millennium are established vendors with a strong track record of compliance with industry regulations and standards. They are committed to ensuring the stability and security of their systems to support healthcare organizations in delivering quality care.

Epic EHR

ITQlick rating

starts at $1,200 per year

EpicCare EMR is a cloud-based electronic medical record (EMR) solution that is developed, implemented, and supported by an in-house team. With EpicCare EMR, healthcare facilities can streamline healthcare recor...

Categories: Medical, Electronic Medical Records, Medical, Patient Portal.

Cerner Millennium

ITQlick rating

starts at $25 per user/month

Cerner Millennium is a cloud-based as well as an on-premise medical practices management that is developed both for medical experts in the field of behavioral health and the hospital and clinics that are offeri...

Categories: Chiropractic, Cloud Based EMR, E-Prescribing, Family Practice EMR, Mac EMR and Medical Billing.

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Epic EHR: 4 Features

Appointment Management
HIPAA Compliant
Patient portal
Voice Recognition

Cerner Millennium: 0 Features

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ITQlick rating ITQlick Rating is based on the software score (below) and aggregated online reviews
ITQlick score ITQlick Score is a 1 to 100, the calculation is based on pricing, and functionality Vs. alternative solutions
Pricing score pricing Score is a 1 to 10 (10 is high cost), based on the TCO (cost of licences, customizations, training, hardware when relevant) Vs. alternative solutions
License pricing license pricing (if provided by the software vendor)
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Software review
Epic EHR
ITQlick rating
License pricing
$1,200 per year
Cerner M...
ITQlick rating
License pricing
$25 per user/month
NextGen ...
ITQlick rating
License pricing
$299 per provider/month
ITQlick rating
License pricing
$149 per provider/month
ITQlick rating
License pricing
$3 per provider/day

Auditor - Shlomi Lavi

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Shlomi Lavi is an entrepreneur and founder of He holds a Bachelor of Science (B.Sc.) in Information Systems Engineering from Ben Gurion University in Israel. Shlomi brings 17 years of global IT and IS management experience as a consultant and implementation expert for small, medium and large-sized (global) companies. Shlomi’s goal is to share the best knowledge and news about information systems so you can make smarter buying decisions for your business.