Table of Contant EXECUTIVE SUMMARY • Objective • Market scenario • Future trends 1 INTRODUCTION 1.1 Key take-aways 1.2 Report description 1.3 Markets covered 1.4 Stakeholders 1.5 Research methodology 2 SUMMARY 3 MARKET OVERVIEW 3.1 Introduction 3.1.1 Definition of EMR 3.1.2 EMR environment 3.1.3 Need for an EMR solution 3.1.4 EMR vs. EHR 3.1.5 Healthcare it and EMR market 3.1.6 Segmentation of EMR market 3.2 Key market dynamics 3.2.1 Drivers 3.2.1.1 Growing need of integrated healthcare system 3.2.1.2 Healthcare cost containment in developed nations 3.2.1.3 Growing expenditure on healthcare services 3.2.1.4 Improved quality assurance 3.2.1.5 Increasing bottom line constraints 3.2.2 Restraints 3.2.2.1 Interoperability and integration issues 3.2.2.2 Skepticism among healthcare providers 3.2.2.3 Privacy and security issues 3.2.2.4 Need for intensive training 3.2.3 Opportunities 3.2.3.1 Manpower shortage in healthcare industry 3.2.3.2 Emerging Asian markets 3.2.3.3 Increasing patient centric approach 3.3 Key industry insights 3.3.1 Winning imperatives 3.3.2 Growth of web-based EMR market IN U.S. 3.3.3 Entry of Wal-Mart, Dell, IBM 3.3.3.1 Wal-Mart partnering with Dell and eClinicalWorks 3.3.3.2 Probable entry of Microsoft into EMR market 3.4 Cost benefit analysis 3.4.1 Cost of EMR adoption 3.4.2 Benefits and ROI of EMR adoption 4 EMERGING TRENDS IN EMR 4.1 Emerging technology trends 4.1.1 Smart cards 4.1.2 Speech enabled EMR 4.1.3 Interoperable EMR systems 4.2 Emerging application areas 4.2.1 Clinical trials 4.2.2 Personal health record system 5 EMR STANDARDS 5.1 HL7 5.2 DICOM 5.3 ISO 5.3.1 ISO 18308 5.3.2 ISO/TC 215 5.4 ASTM 5.5 CEN 13606 6 EMR MARKET BY END USERS 6.1 Hospitals 6.2 Physicians 7 EMR MARKET BY COMPONENTS 7.1 EMR hardware 7.2 EMR software 7.2.1 Web based EMR 7.2.2 Client-server based EMR 8 EMR MARKET BY APPLICATION AREAS 8.1 General application EMR 8.2 Specialty specific EMR 9 EMR BUYING CRITERIA (2010 VS. 2015) 10 COMPETITIVE LANDSCAPE 10.1 Stakeholder analysis 10.2 Key developments 11 GEOGRAPHIC ANALYSIS 11.1 North America 11.1.1 Adoption rate 11.1.2 Market size 11.2 Europe 11.2.1 Adoption rate 11.2.2 Market size 11.3 Asia 11.3.1 Adoption rate 11.3.2 Market size 11.4 RoW 11.4.1 Adoption rate 11.4.2 Market size 12 STRATEGIC SOLUTIONS FOR MARKET PLAYERS 13 COMPANY PROFILES 13.1 CERNER CORPORATION 13.1.1 Overview 13.1.2 Primary business 13.1.3 Strategy 13.1.4 Developments 13.2 ALLSCRIPTS-MISYS HEALTHCARE SOLUTIONS INC. 13.2.1 Overview 13.2.2 Primary business 13.2.3 Strategy 13.2.4 Developments 13.3 ECLINICALWORKS LLC 13.3.1 Overview 13.3.2 Primary business 13.3.3 Strategy 13.3.4 Developments 13.4 1.4 INGENIX 13.4.1 Overview 13.4.2 Primary business 13.4.3 Strategy 13.4.4 Developments 13.5 ATHENAHEALTH INC. 13.5.1 Overview 13.5.2 Primary business 13.5.3 Strategy 13.5.4 Developments 13.6 GE HEALTHCARE 13.6.1 Overview 13.6.2 Primary business 13.6.3 Strategy 13.6.4 Developments 13.7 MCKESSON CORPORATION 13.7.1 Overview 13.7.2 Primary business 13.7.3 Strategy 13.7.4 Developments 13.8 EGTON MEDICAL INFORMATION SYSTEMS GROUP PLC. 13.8.1 Overview 13.8.2 Primary business 13.8.3 Strategy 13.8.4 Developments 13.9 GREENWAY MEDICAL TECHNOLOGIES INC. 13.9.1 Overview 13.9.2 Primary business 13.9.3 Strategy 13.9.4 Developments 13.10 NEXTGEN HEALTHCARE INFORMATION SYSTEMS INC. 13.10.1 Overview 13.10.2 Primary business 13.10.3 Strategy 13.10.4 Developments 13.11 E-MDS INC. 13.11.1 Overview 13.11.2 Primary business 13.11.3 Strategy 13.11.4 Developments 13.12 WELLSOFT CORP 13.12.1 Overview 13.12.2 Primary business 13.12.3 Strategy 13.12.4 Developments 13.13 BIZMATICS INC. 13.13.1 Overview 13.13.2 Primary business 13.13.3 Strategy 13.13.4 Developments 13.14 QUADRAMED CORPORATION 13.14.1 Overview 13.14.2 Primary business 13.14.3 Strategy 13.14.4 Developments 13.15 INFOR-MED MEDICAL INFORMATION SYSTEMS INC. 13.15.1 Overview 13.15.2 Primary business 13.15.3 Strategy 13.15.4 Developments 13.16 SYSTEM C HEALTHCARE PLC. 13.16.1 Overview 13.16.2 Primary business 13.16.3 Strategy 13.16.4 Developments 13.17 QHR TECHNOLOGIES INC. 13.17.1 Overview 13.17.2 Primary business 13.17.3 Strategy 13.17.4 Developments 13.18 HEALTHCARE MANAGEMENT SYSTEMS INC. 13.18.1 Overview 13.18.2 Primary business 13.18.3 Strategy 13.18.4 Developments 13.19 ISOFT GROUP LTD. 13.19.1 Overview 13.19.2 Primary business 13.19.3 Strategy 13.19.4 Developments 13.20 SAGE SOFTWARE HEALTHCARE INC. 13.20.1 Overview 13.20.2 Primary business 13.20.3 Strategy 13.20.4 Developments 13.21 APRIMA MEDICAL SOFTWARE INC. 13.21.1 Overview 13.21.2 Primary business 13.21.3 Strategy 13.21.4 Developments 13.22 SIEMENS HEALTHCARE 13.22.1 Overview 13.22.2 Primary business 13.22.3 Strategy 13.22.4 Developments 13.23 EPIC SYSTEMS 13.23.1 Overview 13.23.2 Primary business 13.23.3 Strategy 13.23.4 Developments APPENDIX • Regulatory initiatives – North America • Regulatory initiatives – Europe • Regulatory initiatives – Asia LIST OF TABLES 1 Global EMR end user market, by products ($Million) 2 EMR Vs. HER 3 Global end user market by products ($Million) 4 Hospital EMR market revenue, by geography ($Million) 5 Physician EMR market revenue, by geography ($Million) 6 Global EMR components market, by product ($Million) 7 Hardware market revenue, by geography ($Million) 8 Global software market revenue, by products ($Million) 9 Software market revenue, by geography ($Million) 10 Web-Based EMR market revenue, by geography ($Million) 11 Client-server based EMR market revenue, by geography ($Million) 12 EMR market revenue, by applications ($Million) 13 General applications EMR market revenue, by geography ($Million) 14 Global specialty EMR market revenue, by geography ($Million) 15 Mergers & acquisitions (2008 – 2010) 16 Agreements and partnerships (2008 – 2010) 17 New product developments (2008 – 2010) 18 Other developments (2008 – 2010) 19 EMR adoption rates – North America 20 EMR adoption rates – Europe 21 EMR adoption rates – Asia 22 EMR adoption – Row LIST OF FIGURES 1 Global EMR market 2 Framework of integrated EMR system 3 EMR market segmentation 4 Key market dynamics 5 EMR market issues and winning strategies 6 Intensive marketing strategies 7 EMR adoptions by U.S physicians 8 ROI analysis for EMR (per physician basis) 9 Beneficiaries of smart card applications in EMR 10 Modes of data entry for EMR systems 11 Integration of healthcare services and research 12 Specialty specific EMR market scenario 13 Buying criteria for EMR (2010 vs. 2015) 14 Physician EMR market share of vendors (2009) 15 Hospital EMR market share of vendors (2009) 16 EMR adoption timeline by physicians in U.S. 17 Industry growth strategies 18 EMR market size – North America 19 EMR market size – Europe 20 EMR market size – Asia 21 EMR market size – RoW ($Million) 22 Possible strategies for EMR vendors 23 Integrated approach for excellence in support service 24 Overview of meaningful use