U.S. - Electronic Medical Records Market (2010 – 2015)

Total Page No. 233


TABLE OF CONTENTS

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 VERSUS EHR
3.1.5	SEGMENTATION OF EMR MARKET
3.2	KEY MARKET DYNAMICS
3.2.1	DRIVERS
3.2.1.1	Healthcare reforms & Federal incentives to contain healthcare costs
3.2.1.2	Growing need of integrated healthcare system
3.2.1.3	Increasing share of IT in healthcare expenditure
3.2.1.4	Improved quality of care through EMR implementation
3.2.1.5	Increased ROI through efficient utilization of EMR
3.2.2	RESTRAINTS
3.2.2.1	Interoperability & integration issues
3.2.2.2	Privacy & security issues
3.2.2.3	Reluctance for EMR use by doctors
3.2.3	OPPORTUNITIES
3.2.3.1	Manpower shortage in the healthcare industry
3.2.3.2	Increasing patient centric approach
3.3	KEY INDUSTRY INSIGHTS
3.3.1	WINNING IMPERATIVES
3.3.1.1	Development of interoperable solutions
3.3.1.2	Provide financing solutions
3.3.1.3	Intensive marketing strategies
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 & eClinicalWorks
3.3.3.2	Expected entry of Microsoft into EMR market
3.3.4	CONSOLIDATION OF EMR VENDORS
3.3.5	POTENTIAL ENTRY OF PHARMACEUTICAL COMPANIES
3.4	MARKET SHARE ANALYSIS
3.4.1	PHYSICIAN OFFICES: EMR MARKET SHARE
3.4.2	HOSPITALS: EMR MARKET SHARE
3.5	COST BENEFIT ANALYSIS
3.5.1	COST OF EMR ADOPTION
3.5.2	BENEFITS & ROI OF EMR ADOPTION
3.5.2.1	Time saving
3.5.2.2	Improved E&M coding
3.5.2.3	Reduced storage & maintenance cost
3.5.2.4	Reduction in transcription costs
3.5.2.5	Improved claims management
3.5.2.6	Improved charge capture

4	REGULATORY ENVIRONMENT
4.1	INTRODUCTION
4.2	REGULATORY BODIES
4.2.1	OFFICE OF NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY (ONC)
4.2.1.1	Standards & certifications
4.2.1.1.1	Certification Commission for Healthcare Information Technology
4.2.1.1.2	Meaningful use
4.2.1.2	Privacy & security
4.2.2	HEALTHCARE INFORMATION TECHNOLOGY STANDARDS PANEL (HITSP)
4.3	AMERICAN RECOVERY AND REINVESTMENT ACT INCENTIVES
4.3.1	MEDICAID INCENTIVES
4.3.2	MEDICARE INCENTIVES

5	EMERGING TRENDS IN EMR
5.1	INTRODUCTION
5.2	EMERGING TECHNOLOGY TRENDS
5.2.1	SMART CARDS
5.2.2	SPEECH ENABLED EMR
5.2.3	INTEROPERABLE EMR SYSTEMS
5.3	EMERGING APPLICATION AREAS
5.3.1	CLINICAL TRIALS
5.3.2	PERSONAL HEALTH RECORD SYSTEM

6	EMR STANDARDS
6.1	INTRODUCTION
6.2	HL7
6.3	DICOM
6.4	ISO
6.4.1	ISO 18308
6.4.2	ISO/TC 215
6.5	ASTM
6.6	CEN 13606
 	
7	EMR MARKET BY COMPONENTS
7.1	INTRODUCTION
7.2	EMR HARDWARE MARKET
7.3	EMR SOFTWARE MARKET
7.3.1	WEB-BASED EMR
7.3.2	CLIENT-SERVER-BASED EMR
7.4	EMR SERVICES MARKET
7.4.1	CONSULTING SERVICES
7.4.2	IMPLEMENTATION SERVICES
7.4.3	POST-SALES & MAINTENANCE SERVICES
7.4.4	TRAINING SERVICES

8	EMR MARKET BY END-USERS
8.1	INTRODUCTION
8.2	HOSPITALS
8.2.1	MARKET SIZE
8.3	PHYSICIAN OFFICES
8.3.1	MARKET SIZE

9	EMR MARKET BY APPLICATIONS
9.1	INTRODUCTION
9.2	GENERAL APPLICATION EMR
9.3	SPECIALTY SPECIFIC EMR

10	EMR BUYING CRITERIA (2010 VERSUS 2015)
10.1	INTRODUCTION
10.2	COST OF IMPLEMENTATION
10.3	INTEROPERABILITY
10.4	STANDARDIZATION
10.5	EASE OF OPERATION
10.6	VENDOR SUPPORT
10.7	SCALABILITY

11	STRATEGIC SOLUTIONS FOR MARKET PLAYERS

12	COMPETITIVE LANDSCAPE
12.1	KEY DEVELOPMENTS
12.1.1	MERGERS & ACQUISITIONS
12.1.2	AGREEMENTS & COLLABORATIONS
12.1.3	NEW PRODUCT LAUNCH
12.1.4	OTHER DEVELOPMENTS

13	COMPANY PROFILES
13.1	ALLSCRIPTS-MISYS HEALTHCARE SOLUTIONS INC
13.1.1	OVERVIEW
13.1.2	PRODUCTS & SERVICES
13.1.3	FINANCIALS
13.1.4	STRATEGY
13.1.5	DEVELOPMENTS
13.2	APRIMA MEDICAL SOFTWARE INC
13.2.1	OVERVIEW
13.2.2	PRODUCTS & SERVICES
13.2.3	FINACIALS
13.2.4	STRATEGY
13.2.5	DEVELOPMENTS
13.3	ATHENAHEALTH INC
13.3.1	OVERVIEW
13.3.2	PRODUCTS & SERVICES
13.3.3	FINANCIALS
13.3.4	STRATEGY
13.3.5	DEVELOPMENTS
13.4	BIZMATICS INC
13.4.1	OVERVIEW
13.4.2	PRODUCTS & SERVICES
13.4.3	FINANCIALS
13.4.4	STRATEGY
13.4.5	DEVELOPMENTS
13.5	CERNER CORP
13.5.1	OVERVIEW
13.5.2	PRODUCTS & SERVICES
13.5.3	FINANCIALS
13.5.4	STRATEGY
13.5.5	DEVELOPMENTS
13.6	COMPUTER PROGRAMS AND SYSTEMS INC
13.6.1	OVERVIEW
13.6.2	PRODUCTS & SERVICES
13.6.3	FINANCIALS
13.6.4	STRATEGY
13.6.5	DEVELOPMENTS
13.7	ECLINICALWORKS LLC
13.7.1	OVERVIEW
13.7.2	PRODUCTS & SERVICES
13.7.3	FINANCIALS
13.7.4	STRATEGY
13.7.5	DEVELOPMENTS
13.8	E-MDS INC
13.8.1	OVERVIEW
13.8.2	PRODUCTS & SERVICES
13.8.3	FINANCIALS
13.8.4	STRATEGY
13.8.5	DEVELOPMENTS
13.9	EPIC SYSTEMS
13.9.1	OVERVIEW
13.9.2	PRODUCTS & SERVICES
13.9.3	FINANCIALS
13.9.4	STRATEGY
13.9.5	DEVELOPMENTS
13.10	GE HEALTHCARE
13.10.1	OVERVIEW
13.10.2	PRODUCTS & SERVICES
13.10.3	FINACIALS
13.10.4	STRATEGY
13.10.5	DEVELOPMENTS
13.11	GREENWAY MEDICAL TECHNOLOGIES INC
13.11.1	OVERVIEW
13.11.2	PRODUCTS & SERVICES
13.11.3	FINANCIALS
13.11.4	STRATEGY
13.11.5	DEVELOPMENTS
13.12	HEALTHCARE MANAGEMENT SYSTEMS INC
13.12.1	OVERVIEW
13.12.2	PRODUCTS & SERVICES
13.12.3	FINANCIALS
13.12.4	STRATEGY
13.12.5	DEVELOPMENTS
13.13	HEALTHLAND
13.13.1	OVERVIEW
13.13.2	PRODUCTS & SERVICES
13.13.3	FINANCIALS
13.13.4	STRATEGY
13.13.5	DEVELOPMENTS
13.14	INFOR-MED MEDICAL INFORMATION SYSTEMS INC
13.14.1	OVERVIEW
13.14.2	PRODUCTS & SERVICES
13.14.3	FINANCIALS
13.14.4	STRATEGY
13.14.5	DEVELOPMENTS
13.15	INGENIX
13.15.1	OVERVIEW
13.15.2	PRODUCTS & SERVICES
13.15.3	FINANCIALS
13.15.4	STRATEGY
13.15.5	DEVELOPMENTS 	
13.16	MCKESSON CORP
13.16.1	OVERVIEW
13.16.2	PRODUCTS & SERVICES
13.16.3	FINANCIALS
13.16.4	STRATEGY
13.16.5	DEVELOPMENTS
13.17	MEDICAL INFORMATION TECHNOLOGY INC (MEDITECH)
13.17.1	OVERVIEW
13.17.2	PRODUCTS & SERVICES
13.17.3	FINANCIALS
13.17.4	STRATEGY
13.17.5	DEVELOPMENTS
13.18	NEXTGEN HEALTHCARE INFORMATION SYSTEMS INC
13.18.1	OVERVIEW
13.18.2	PRODUCTS & SERVICES
13.18.3	FINANCIALS
13.18.4	STRATEGY
13.18.5	DEVELOPMENTS
13.19	QHR TECHNOLOGIES INC
13.19.1	OVERVIEW
13.19.2	PRODUCTS & SERVICES
13.19.3	FINANCIALS
13.19.4	STRATEGY
13.19.5	DEVELOPMENTS
13.2	QUADRAMED
13.20.1	OVERVIEW
13.20.2	PRODUCTS & SERVICES
13.20.3	FINANCIALS
13.20.4	STRATEGY
13.20.5	DEVELOPMENTS
13.21	SAGE SOFTWARE HEALTHCARE INC
13.21.1	OVERVIEW
13.21.2	PRODUCTS & SERVICES
13.21.3	FINANCIALS
13.21.4	STRATEGY
13.21.5	DEVELOPMENTS
13.22	SIEMENS HEALTHCARE
13.22.1	OVERVIEW
13.22.2	PRODUCTS & SRVICES
13.22.3	FINANCIALS
13.22.4	STRATEGY
13.22.5	DEVELOPMENTS
13.23	WELLSOFT CORP
13.23.1	OVERVIEW
13.23.2	PRODUCTS & SERVICES
13.23.3	FINANCIALS
13.23.4	STRATEGY
13.23.5	DEVELOPMENTS


 
LIST OF TABLES


TABLE 1	U.S.: EMR MARKET REVENUE, BY END-USERS, 2008 – 2015 ($MILLION)
TABLE 2	EMR VERSUS EHR
TABLE 3	PHYSICIAN OFFICES: EMR INSTALLATIONS, 2010
TABLE 4	HOSPITAL EMR INSTALLATIONS, 2010
TABLE 5	MEDICAID INCENTIVES: BENEFICIARIES
TABLE 6	MEDICAID INCENTIVES: PAYMENT SCHEDULE
TABLE 7	MEDICARE INCENTIVES: BENEFICIARIES
TABLE 8	MEDICARE INCENTIVES: PAYMENT SCHEDULE
TABLE 9	EMR COMPONENTS MARKET REVENUE, BY PRODUCTS, 2008 – 2015 ($MILLION)
TABLE 10	EMR COMPONENTS MARKET Y-O-Y GROWTH RATE, BY PRODUCTS, 2009 – 2015	
TABLE 11	EMR SOFTWARE MARKET REVENUE, BY PRODUCTS, 2008 – 2015 ($MILLION)
TABLE 12	EMR SOFTWARE MARKET Y-O-Y GROWTH RATE, BY PRODUCTS, 2009 - 2015	
TABLE 13	U.S.: END-USERS MARKET REVENUE, 2008 - 2015 ($MILLION)
TABLE 14	U.S.: END-USERS EMR MARKET Y-O-Y GROWTH RATE, 2009 - 2015
TABLE 15	HOSPITAL EMR MARKET REVENUE, BY PRODUCTS, 2008 - 2015 ($MILLION)
TABLE 16	HOSPITAL EMR MARKET Y-O-Y GROWTH RATE, BY PRODUCTS, 2009 - 2015	
TABLE 17	HOSPITAL EMR SOFTWARE MARKET REVENUE, BY PRODUCTS, 2008 - 2015 ($MILLION)	
TABLE 18	HOSPITAL EMR SOFTWARE MARKET Y-O-Y GROWTH RATE, BY PRODUCTS, 2009 - 2015	
TABLE 19	PHYSICIAN OFFICE EMR MARKET REVENUE, BY PRODUCTS, 2008 - 2015 ($MILLION)	
TABLE 20	PHYSICIAN OFFICE EMR MARKET Y-O-Y GROWTH RATE, BY PRODUCTS, 2009 – 2015
TABLE 21	PHYSICIAN OFFICE EMR SOFTWARE MARKET REVENUE, BY PRODUCTS, 2008 - 2015 ($MILLION)
TABLE 22	PHYSICIAN OFFICE EMR SOFTWARE MARKET  Y-O-Y GROWTH RATE, BY PRODUCTS, 2009 - 2015	
TABLE 23	EMR MARKET REVENUE, BY APPLICATIONS, 2008 – 2015 ($MILLION)
TABLE 24	EMR MARKET Y-O-Y GROWTH RATE, BY APPLICATIONS, 2009 - 2015
TABLE 25	MERGERS & ACQUISITIONS
TABLE 26	AGREEMENTS & COLLABORATIONS, 2008 – 2010
TABLE 27	NEW PRODUCT LAUNCH, 2008 – 2010
TABLE 28	ALLSCRIPTS-MISYS HEALTHCARE SOLUTIONS: TOTAL REVENUE AND R&D EXPENSES ($MILLION)
TABLE 29	ALLSCRIPTS-MISYS HEALTHCARE SOLUTIONS: TOTAL REVENUE, BY SEGMENTS ($MILLION)	
TABLE 30	ATHENAHEALTH INC: TOTAL REVENUE AND R&D EXPENSES ($MILLION)
TABLE 31	ATHENAHEALTH INC: TOTAL REVENUE, BY SEGMENTS ($MILLION)
TABLE 32	CERNER CORP: TOTAL REVENUE AND R&D EXPENSES ($MILLION)
TABLE 33	CERNER CORP: TOTAL REVENUE, BY GEOGRAPHY ($MILLION)
TABLE 34	CERNER CORP: TOTAL REVENUE, BY SEGMENTS ($MILLION)
TABLE 35	COMPUTER PROGRAMS AND SYSTEMS INC: TOTAL REVENUE, BY SEGMENTS ($MILLION)	
TABLE 36	MCKESSON CORP: TOTAL REVENUE AND R&D EXPENSES ($MILLION)
TABLE 37	MCKESSON CORP: TOTAL REVENUE, BY SEGMENTS ($MILLION)
TABLE 38	MEDITECH: TOTAL REVENUE, BY COUNTRIES ($MILLION)
TABLE 39	MEDITECH: TOTAL REVENUE, BY SEGMENTS ($MILLION)
TABLE 40	QHR TECHNOLOGIES INC: TOTAL REVENUE, BY SEGMENTS ($MILLION)
TABLE 41	QHR TECHNOLOGIES INC: TOTAL REVENUE, BY COUNTRIES ($MILLION)
TABLE 42	SIEMENS HEALTHCARE: TOTAL REVENUE AND R&D EXPENSES ($MILLION)
TABLE 43	SIEMENS HEALTHCARE: TOTAL REVENUE, BY SEGMENTS ($MILLION)
TABLE 44	SIEMENS HEALTHCARE: TOTAL REVENUE, BY GEOGRAPHY ($MILLION)


 
LIST OF FIGURES

FIGURE 1	U.S.: EMR MARKET SIZE (2008 - 2015)
FIGURE 2	FRAMEWORK OF INTEGRATED EMR SYSTEM
FIGURE 3	EMR MARKET SEGMENTATION
FIGURE 4	KEY MARKET DYNAMICS
FIGURE 5	EMR MARKET ISSUES & WINNING STRATEGIES
FIGURE 6	INTENSIVE MARKETING STRATEGIES
FIGURE 7	EMR ADOPTION BY U.S. PHYSICIANS
FIGURE 8	PHYSICIAN OFFICES: EMR MARKET SHARE OF VENDORS (2010)
FIGURE 9	HOSPITAL EMR MARKET SHARE OF VENDORS (2010)
FIGURE 10	ROI ANALYSIS FOR EMR (PER PHYSICIAN BASIS)
FIGURE 11	OVERVIEW OF MEANINGFUL USE
FIGURE 12	BENEFICIARIES OF SMART CARD APPLICATIONS IN EMR
FIGURE 13	MODES OF DATA ENTRY FOR EMR SYSTEMS
FIGURE 14	INTEGRATION OF HEALTHCARE SERVICES & RESEARCH
FIGURE 15	EMR COMPONENTS MARKET SCENARIO (2010 VERSUS 2015)
FIGURE 16	EMR HARDWARE MARKET SIZE (2008 - 2015)
FIGURE 17	WEB-BASED EMR MARKET SIZE (2008 - 2015)
FIGURE 18	CLIENT-SERVER BASED EMR MARKET SIZE (2008 - 2015)
FIGURE 19	EMR SERVICES MARKET SIZE (2008 - 2015)
FIGURE 20	HOSPITAL EMR MARKET SIZE (2008 - 2015)
FIGURE 21	PHYSICIAN EMR MARKET SIZE (2008 - 2010)
FIGURE 22	GENERAL APPLICATION EMR MARKET SIZE (2008 - 2015)
FIGURE 23	SPECIALTY SPECIFIC EMR MARKET SIZE (2008 - 2015)
FIGURE 24	SPECIALTY SPECIFIC EMR MARKET SCENARIO
FIGURE 25	BUYING CRITERIA FOR EMR (2010 VERSUS 2015)
FIGURE 26	POSSIBLE STRATEGIES FOR EMR VENDORS
FIGURE 27	INTEGRATED APPROACH FOR EXCELLENCE IN  SUPPORT SERVICE
FIGURE 28	INDUSTRY GROWTH STRATEGIES (2008 – 2010)