Healthcare Information Technology

  • April 2013
  • -
  • BCC Research
  • -
  • 134 pages

STUDY BACKGROUND

The market environment for healthcare information systems has shifted dramatically in recent years. After years of incremental steps toward a national healthcare information technology (IT) infrastructure, the American Recovery and Reinvestment Act (ARRA), the economic stimulus bill approved by Congress and signed into law in February 2009, provides more than $19 billion for healthcare IT spending, including more than $17 billion to promote the wider adoption of electronic health records (EHRs). The Obama administration has made it clear that this $17 billion is only a down payment on the total cost of a national EHR system, which is generally estimated at $100 billion or more.
Modernization of the nation’s healthcare IT infrastructure is a cornerstone of the Patient Protection and Affordable Care Act (PPACA), the national healthcare system that was enacted into law in 2010. The PPACA does not include any specific measures to encourage the adoption of EHRs beyond those already contained in the ARRA, but EHRs are one of several clinical healthcare IT technologies that have the potential to increase the availability and quality of healthcare while contributing to lower costs.

In addition to the potential benefits in terms of the quality and cost of U.S. healthcare, this is obviously a significant opportunity for suppliers of healthcare IT and related technologies. U.S. healthcare providers spend an estimated $40 billion per year on all types of IT technologies.

GOALS AND OBJECTIVES

This report is an update of an earlier report published by BCC in 2011 whose goal is to provide an understanding of the U.S. market for selected clinical healthcare IT technologies in the context of the ongoing dramatic changes in the structure of the U.S. healthcare sector. Specific objectives include:
• Identifying the segments of the clinical healthcare IT with the greatest growth potential.
• Analyzing key market drivers and constraints.
• Estimating the size of each market segment through 2017.
• Providing other information on relevant laws and regulations, standards, potential funding sources, and other information that will be useful to healthcare IT suppliers seeking a share of this market.

INTENDED AUDIENCE

The report is intended especially for healthcare IT suppliers, as well as government agencies, healthcare policy analysts and others seeking to understand the cost and preconditions for the success of healthcare IT modernization initiatives. Although the report is structured around specific technologies, it is largely nontechnical in nature. It is, therefore, less concerned with theory and jargon than with effectiveness, what the market is likely to purchase and the going price.

As such, the report’s main audience is executive management and marketing and financial analysts. It is not written specifically for scientists and technologists, although its findings concern the market for their work, including the availability of government and corporate research funding for different technologies and applications.

SCOPE AND FORMAT

This report is an analytical business tool whose primary purpose is to describe and analyze the dynamics of the U.S. market for healthcare technology. It is particularly focused on clinical IT systems that facilitate or provide input into the care process, as opposed to administrative and financial systems. It covers only software applications, as well as dedicated hardware and online services used to run them.

The study format includes these major elements:
• Executive summary.
• Definitions.
• Clinical healthcare IT applications.
• Benefits and barriers to implementation.
• Market environment (e.g., legal and regulatory standards, economic conditions, consumer attitudes).
• Historical (i.e., 2011 and 2012) and projected markets for healthcare IT technologies and products through 2017.
• Industry structure.

METHODOLOGY

Both primary and secondary research methodologies were used in preparing this study. The findings and conclusions of this report are based on information gathered from developers, providers, integrators and users of healthcare IT technologies in the public and private sectors. Interview data were combined with information gathered through an extensive review of secondary sources (e.g., trade publications, trade associations, company literature, online databases) to produce the baseline market estimates contained in this report.

The base year for analysis and projection is 2011. At the time this report was written in early 2013, complete data for 2012 were not yet available for all segments, so the 2012 figures presented in this report are a combination of actual data, supplemented by estimates where necessary. The market projections for 2017 are based on a consensus among the primary contacts combined with BCC’s understanding of the key market drivers and their impact from a historical and analytical perspective. The analytical methodologies used to generate the market estimates are described in detail below.

All dollar projections presented in this report are in 2011 constant dollars.

AUTHOR’S CREDENTIALS

Andrew McWilliams is a partner with 43rd Parallel, LLC, a Boston-based international technology and marketing consulting firm. He is also the author of several other BCC Research studies of the healthcare and related industries, including:
• BIO072A Biotechnologies for Medical Applications: Global Markets.
• HLC072B Global Markets and Technologies for Medical Lasers.
• HLC124A Emerging Diagnostic Technologies in the Changing U.S. Market.
• HLC014E Global Markets for Telemedicine Technologies.
• HLC082A Emerging Markets for Advanced Medical Technologies.
• HLC070A Preventive Healthcare Technologies, Products and Markets.
• HLC066B Medical Automation Technologies, Products and Markets.
• HLC016D Microelectronic Medical Implants: Products, Technologies and Opportunities.
• HLC036E Medical Robotics and Computer-Assisted Surgery: The Global Market.
• HLC051F The Market for Minimally Invasive Medical Devices.
• HLC038C Patient Monitoring.
• HLC054C Global Markets and Technologies for Home Medical Equipment.

REPORT HIGHLIGHTS

This report provides:
• An overview of the market for selected clinical healthcare information technologies (IT) in the context of ongoing dramatic changes in the structure of the U.S. healthcare sector.
• Analyses of market trends, with data from 2011 and 2012, and projections of compound annual growth rates (CAGRs) through 2017.
• Estimations of the size of each market segment.
• Coverage of clinical IT systems that facilitate or provide input into the care process, as opposed to administrative and financial systems.
• Comprehensive company profiles of major players.

Table Of Contents

TABLE OF CONTENTS

CHAPTER 1 INTRODUCTION 2

STUDY BACKGROUND 2
GOALS AND OBJECTIVES 2
INTENDED AUDIENCE 2
SCOPE AND FORMAT 3
METHODOLOGY 3
AUTHOR'S CREDENTIALS 4
RELATED BCC REPORTS 4
BCC ONLINE SERVICES 5
DISCLAIMER 5

CHAPTER 2 EXECUTIVE SUMMARY 7

SUMMARY TABLE U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES,
THROUGH 2017 ($ MILLIONS) 7
SUMMARY FIGURE CLINICAL HEALTHCARE TECHNOLOGIES MARKET SHARES,
2011-2017 (%) 7

CHAPTER 3 CLINICAL HEALTHCARE IT: AN OVERVIEW 10

DEFINITIONS 10
TABLE 1 MAJOR CLASSES OF HEALTHCARE IT TECHNOLOGIES 10
CLINICAL SOFTWARE 10
HARDWARE DEDICATED TO CLINICAL IT APPLICATIONS 11
HISTORY 11

CHAPTER 4 TYPES OF CLINICAL IT TECHNOLOGIES 14

TABLE 2 MAJOR TYPES OF CLINICAL HEALTHCARE IT TECHNOLOGIES 14
ELECTRONIC HEALTH RECORDS 15
PROVIDER ORDER ENTRY SYSTEMS FOR DRUGS, LAB TESTS AND PROCEDURES 16
ELECTRONIC PRESCRIBING SYSTEM 16
PICTURE ARCHIVING AND COMMUNICATION SYSTEMS FOR FILMLESS IMAGING 16
LABORATORY INFORMATION SYSTEMS 17
CLINICAL DECISION SUPPORT SYSTEMS 17
TELEMEDICINE 17
OTHER RELATED AND SUPPORTING TECHNOLOGIES 18
PERSONAL HEALTH RECORDS 18
RADIO FREQUENCY IDENTIFICATION 19
VeriChip 19
BAR CODING 19
SPEECH RECOGNITION 20
MEDICAL EQUIPMENT INTERFACES 20
BENEFITS OF CLINICAL HEALTHCARE IT TECHNOLOGIES 20
BENEFITS TO PATIENTS 20
Improved Quality of Care 21
Lower Costs 22
Wider Availability of Health Insurance 24
BENEFITS TO HOSPITALS, PHYSICIANS AND OTHER CAREGIVERS 24
Clinical Efficiencies and Improved Quality 24
Verification of Insurance Eligibility and Benefits 24
Patient Satisfaction 25
Image and Public Relations 25
Reduced Malpractice Risk 25
Employee Morale 27
BENEFITS TO THE PHARMACEUTICAL INDUSTRY 28
Pharmaceutical Manufacturers 28
Improved Drug Safety Surveillance 28
Clinical Trial Recruitment 28
Support of Regulatory Approval 29
Retail Pharmacies 29
Opportunities to Increase Revenues 29
BENEFITS TO HEALTH INSURANCE PROVIDERS 30
BARRIERS TO DEPLOYMENT 31
COST 31
LACK OF METRICS 32
LACK OF STANDARDS 33
Clinical Vocabularies 34
Clinical Ontologies 35
COMPATIBILITY 35
Backwards Compatibility 35
Sideways Compatibility 36
Forward Compatibility 36
WIDE RANGE OF SOFTWARE CHOICES 36
LACK OF PERSONNEL WITH APPROPRIATE SKILLS 36
LIMITED FINANCIAL RETURNS ON HEALTH IT INVESTMENTS 37
PRIVACY CONCERNS 38
SAFETY ISSUES 39
LEGAL LIABILITY 40
Privacy 40
Safety 41
PREVIOUS IMPLEMENTATIONS OF HEALTHCARE IT 42
U.S. 42
Department of Defense 42
Department of Veterans Affairs 43
Cedars-Sinai Medical Center Physician Order Entry System 44
Santa Barbara County Care Data Exchange 45
OTHER COUNTRIES 45
U.K. National Health Service National Programme for IT 46
Alberta (Canada) Netcare 46
Other Countries 47
MARKET SUMMARY 48
TABLE 3 U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES BY
APPLICATION TYPE, THROUGH 2017 ($ MILLIONS) 48
FIGURE 1 U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES PRODUCT
MARKET SHARES, 2011-2017 (%) 48

CHAPTER 5 MARKET ENVIRONMENT FOR CLINICAL HEALTHCARE IT TECHNOLOGIES 51

LEGAL AND REGULATORY ENVIRONMENT 51
LEGISLATION 51
Federal Legislation 51
Better Healthcare through Information Technology Act of 2005 51
Medicare Value Purchasing Act 51
Health Information Technology Promotion Act 52
Wired for Healthcare Quality Act 52
American Recovery and Reinvestment Act of 2009 53
Patient Protection and Affordable Care Act of 2010 54
Continuing Extension Act of 2010 55
Electronic Health Records Improvement Act of 2012. 55
State Legislation 55
Maryland 55
Massachusetts 56
Minnesota 56
New Mexico 57
Rhode Island 57
Vermont 57
EXECUTIVE ORDERS 57
Federal Level 58
Executive Order 13335 58
Executive Order 13410 58
State and Local Levels 58
TABLE 4 STATE EXECUTIVE ORDERS RELATING TO HEALTH IT 58
REGULATIONS 60
Federal Regulations 60
Potential FDA Regulation of EHRs 60
EHR and HIPAA 61
HHS Regulations to Facilitate Adoption of Health Information
Technology 62
State and Local Regulations 62
CERTIFICATION BODIES 63
Certification Commission for Healthcare Information Technology 63
ECONOMIC ENVIRONMENT 63
Government Funding 63
Federal Government 63
FIGURE 2 TRENDS IN PROJECTED FEDERAL HEALTH IT SPENDING, 2011-2017 ($
BILLIONS) 64
Other Government Entities 64
Massachusetts 65
Minnesota 65
New York State 65
New York City 65
North Carolina 65
Vermont 65
Nonprofit Funding 66
Regenstrief Institute 66
Markle Foundation 66
Robert Wood Johnson Foundation 66
Private Funding 67
Care Providers 67
Investment and Financing Trends in the Hospital Industry 67
FIGURE 3 TRENDS IN U.S. HOSPITALS' IT SPENDING, 2011-2017 ($ BILLIONS) 67
Physician Practice Financial Trends 68
Implications for ARRA Incentive Program 68
Insurance Companies 68
Mixed Public-Private Funding 68

CHAPTER 6 ELECTRONIC HEALTHCARE RECORDS: TECHNOLOGIES AND MARKETS 70

SUMMARY 70
FIGURE 4 U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES,
2011-2017 ($ MILLIONS) 70
TECHNOLOGIES 71
EHR VERSUS EMR 71
EHR FUNCTIONALITIES 72
TABLE 5 TYPICAL EHR FUNCTIONALITIES 72
CLIENT/SERVER ARCHITECTURE VERSUS APPLICATION SERVICE PROVIDER 73
SUPPLIERS 74
TABLE 6 EHR TECHNOLOGY PROVIDERS 74
MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES, 2011-2017 75
TABLE 7 TOTAL POTENTIAL U.S. MARKET FOR EHRS, 2012-2017 76
TABLE 8 POTENTIAL (UNCONSTRAINED) U.S. MARKET FOR EHR SYSTEMS,
THROUGH 2017 ($ BILLIONS) 76
TABLE 9 REALISTIC U.S. MARKET FOR ELECTRONIC HEALTH RECORDS
TECHNOLOGIES, THROUGH 2017 ($ MILLIONS) 77

CHAPTER 7 PROVIDER ORDER ENTRY TECHNOLOGIES AND MARKETS 79

SUMMARY 79
FIGURE 5 U.S. CPOE TECHNOLOGY MARKET, 2011-2017 ($ MILLIONS) 79
TECHNOLOGIES 79
SUPPLIERS 81
TABLE 10 CPOE TECHNOLOGY SUPPLIERS 81
MARKET FOR PROVIDER ORDER ENTRY TECHNOLOGIES, 2011-2017 81
TABLE 11 INSTALLED BASED OF CPOE SYSTEMS IN U.S. HOSPITALS, THROUGH
2011 81
TABLE 12 U.S. MARKETS FOR CPOE SYSTEMS, THROUGH 2017 ($ MILLIONS) 82

CHAPTER 8 ELECTRONIC PRESCRIBING TECHNOLOGIES AND MARKETS 84

SUMMARY 84
FIGURE 6 U.S. ELECTRONIC PRESCRIPTION TECHNOLOGY MARKET, 2011-2017 ($
MILLIONS) 84
TECHNOLOGIES 84
CURRENT PRACTICES 85
ELECTRONIC PRESCRIBING 85
E-Prescribing Software 86
Installed Applications 88
Web-Based Applications 88
Mobile Interface Devices 88
PDAs 88
Smart Phones 89
Electronic Data Interchange 89
SUPPLIERS 90
TABLE 13 E-PRESCRIPTION SOFTWARE SUPPLIERS 90
MARKET FOR E-PRESCRIBING SOFTWARE, 2011-2017 90
TABLE 14 U.S. MARKET FOR ELECTRONIC PRESCRIPTION TECHNOLOGIES,
THROUGH 2017 ($ MILLIONS) 91
FIGURE 7 U.S. ELECTRONIC PRESCRIPTION MARKET SEGMENTS, 2011 (%) 91

CHAPTER 9 PICTURE ARCHIVING AND COMMUNICATIONS TECHNOLOGIES AND

MARKETS 94
SUMMARY 94
FIGURE 8 U.S. PACS TECHNOLOGY MARKET, 2011-2017 ($ MILLIONS) 94
TECHNOLOGIES 95
ARCHITECTURES 95
In-House PACS 95
Web-Based PACS 96
DICOM and Web-Based PACS 96
INTEGRATED PACS/RICS 97
ENTERPRISE PACS 97
PACS STORAGE AND ARCHIVING 98
Advanced Storage Technologies 98
Holographic Storage 99
Digital Image Compression 99
Cloud-Based Storage 99
SUPPLIERS 100
TABLE 15 PACS TECHNOLOGY SUPPLIERS 100
MARKET FOR PICTURE ARCHIVING AND COMMUNICATION TECHNOLOGIES,
2011-2017 101
TABLE 16 U.S. MARKET FOR PACS, THROUGH 2017 ($ MILLIONS) 101

CHAPTER 10 LABORATORY INFORMATION SYSTEMS TECHNOLOGIES AND MARKETS 103

SUMMARY 103
FIGURE 9 U.S. LABORATORY INFORMATION SYSTEM MARKET, 2011-2017 ($
MILLIONS) 103
TECHNOLOGIES 103
INTEROPERABILITY ISSUES 104
LIS-CPOE Interoperability 104
LIS-CDSS Interoperability 105
LIS-EHR Interoperability 105
DATA STANDARDS 105
SUPPLIERS 107
TABLE 17 LABORATORY INFORMATION SYSTEM SUPPLIERS 107
MARKET FOR LABORATORY INFORMATION SYSTEMS TECHNOLOGIES,
2011-2017 107
TABLE 18 U.S. MARKET FOR LIS, THROUGH 2017 ($ MILLIONS) 108

CHAPTER 11 CLINICAL DECISION SUPPORT TECHNOLOGIES AND MARKETS 110

SUMMARY 110
FIGURE 10 U.S. CLINICAL DECISION SUPPORT SYSTEM MARKET, 2011-2017 ($
MILLIONS) 110
TECHNOLOGIES 111
KNOWLEDGE-BASED SYSTEMS 111
Expert Systems 111
Probabilistic Systems 112
Bayesian Networks 112
Heuristic Systems 113
NONKNOWLEDGE-BASED SYSTEMS 113
Artificial Neural Networks 114
Genetic Algorithms 115
WORKFLOW INTEGRATION 115
SUPPLIERS 115
TABLE 19 CLINICAL DECISION SUPPORT TECHNOLOGY SUPPLIERS 116
MARKET FOR CLINICAL DECISION SUPPORT TECHNOLOGIES, 2011-2017 116
TABLE 20 U.S. MARKET FOR CLINICAL DECISION SUPPORT SYSTEMS, THROUGH
2017 ($ MILLIONS) 116

CHAPTER 12 TELEMEDICINE TECHNOLOGIES AND MARKETS 118

SUMMARY 118
FIGURE 11 U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, 2011-2017 ($
MILLIONS) 118
TECHNOLOGIES 118
VIDEOCONFERENCING TECHNOLOGIES 119
Real-Time, Store-and-Forward, and Hybrid Teleconferencing 119
IP-Based Videoconferencing 120
Peripheral Devices 120
HOME TELEMETRY TECHNOLOGIES 120
Telehomecare 121
Mobile Phone-Based Technologies 121
Bluetooth 121
Signal Transmission via Human Skin 122
ZigBee 122
SUPPLIERS 123
TABLE 21 TELEMEDICINE EQUIPMENT AND TECHNOLOGY SUPPLIERS 123
MARKETS 124
TABLE 22 U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, THROUGH 2017 ($
MILLIONS) 124
FIGURE 12 TELEMEDICINE TECHNOLOGY MARKET SEGMENTS, 2011-2017 (%) 125

CHAPTER 13 INDUSTRY STRUCTURE 127

NUMBER AND SIZE OF FIRMS 127
FIGURE 13 CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY ANNUAL SALES
REVENUES, 2011 (%) 127
PRODUCT SPECIALIZATION 127
FIGURE 14 CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY TYPE OF APPLICATION
(%) 128
MERGER AND ACQUISITION TRENDS 128

CHAPTER 14 COMPANY PROFILES 132

AGFA HEALTHCARE 132
ALLSCRIPTS HEALTHCARE SOLUTIONS INC. 132
AMAZING CHARTS.COM LLC 132
AMD GLOBAL TELEMEDICINE 133
AMICAS INC. 133
CARESTREAM HEALTH INC. 133
CARETRENDS 134
CERNER CORP. 134
CYBERNET SYSTEMS CORP. 134
DATALOGIC SPA 135
DIGICHART INC. 135
DRFIRST.COM 135
FUJIIFILM MEDICAL SYSTEMS USA INC. 135
GE HEALTHCARE 136
GEMMS 136
GLOBALMEDIA GROUP LLC 136
HEALTHLAND 137
HIGHFLEET INC. 137
ISABEL HEALTHCARE INC. 137
LIFECOM INC. 138
LIFEWATCH AG 138
LOGICAL IMAGES INC. 138
MASSACHUSETTS GENERAL HOSPITAL 139
MCKESSON CORP. 139
MEDRX 140
MEDVITAL 140
MERGE HEALTHCARE INC. 140
M*MODAL 141
MICROSOFT CORP. 141
NCD MEDICAL CORP. 142
NUANCE COMMUNICATIONS INC. 142
OBS MEDICAL 142
PHILIPS HEALTHCARE 143
POLYCOM INC. 143
POSITIVEID CORP. 143
SCOTTCARE CORP. 143
SIEMENS HEALTHCARE 144
SURESCRIPTS LLC 144
TELEVITAL 144
THERADOC INC. 145
UNITED THERAPEUTICS CORP. 145
ZYNX HEALTH INC. 145

CHAPTER 15 APPENDIX: PATENT ANALYSIS 148

FIGURE 15 U.S. CLINICAL HEALTHCARE IT PATENTS ISSUED SINCE 1975 (%) 148
FIGURE 16 U.S. CLINICAL HEALTHCARE IT PATENT APPLICATIONS PENDING AS OF
FEBRUARY 15, 2013 (%) 149



LIST OF TABLES

SUMMARY TABLE U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES,
THROUGH 2017 ($ MILLIONS) 7
TABLE 1 MAJOR CLASSES OF HEALTHCARE IT TECHNOLOGIES 10
TABLE 2 MAJOR TYPES OF CLINICAL HEALTHCARE IT TECHNOLOGIES 14
TABLE 3 U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES BY
APPLICATION TYPE, THROUGH 2017 ($ MILLIONS) 48
TABLE 4 STATE EXECUTIVE ORDERS RELATING TO HEALTH IT 58
TABLE 5 TYPICAL EHR FUNCTIONALITIES 72
TABLE 6 EHR TECHNOLOGY PROVIDERS 74
TABLE 7 TOTAL POTENTIAL U.S. MARKET FOR EHRS, 2012-2017 76
TABLE 8 POTENTIAL (UNCONSTRAINED) U.S. MARKET FOR EHR SYSTEMS, THROUGH
2017 ($ BILLIONS) 76
TABLE 9 REALISTIC U.S. MARKET FOR ELECTRONIC HEALTH RECORDS
TECHNOLOGIES, THROUGH 2017 ($ MILLIONS) 77
TABLE 10 CPOE TECHNOLOGY SUPPLIERS 81
TABLE 11 INSTALLED BASED OF CPOE SYSTEMS IN U.S. HOSPITALS, THROUGH 2011 81
TABLE 12 U.S. MARKETS FOR CPOE SYSTEMS, THROUGH 2017 ($ MILLIONS) 82
TABLE 13 E-PRESCRIPTION SOFTWARE SUPPLIERS 90
TABLE 14 U.S. MARKET FOR ELECTRONIC PRESCRIPTION TECHNOLOGIES, THROUGH
2017 ($ MILLIONS) 91
TABLE 15 PACS TECHNOLOGY SUPPLIERS 100
TABLE 16 U.S. MARKET FOR PACS, THROUGH 2017 ($ MILLIONS) 101
TABLE 17 LABORATORY INFORMATION SYSTEM SUPPLIERS 107
TABLE 18 U.S. MARKET FOR LIS, THROUGH 2017 ($ MILLIONS) 108
TABLE 19 CLINICAL DECISION SUPPORT TECHNOLOGY SUPPLIERS 116
TABLE 20 U.S. MARKET FOR CLINICAL DECISION SUPPORT SYSTEMS, THROUGH 2017
($ MILLIONS) 116
TABLE 21 TELEMEDICINE EQUIPMENT AND TECHNOLOGY SUPPLIERS 123
TABLE 22 U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, THROUGH 2017 ($
MILLIONS) 124



LIST OF FIGURES

SUMMARY FIGURE CLINICAL HEALTHCARE TECHNOLOGIES MARKET SHARES,
2011-2017 (%) 7
FIGURE 1 U.S. MARKET FOR CLINICAL HEALTHCARE IT TECHNOLOGIES PRODUCT
MARKET SHARES, 2011-2017 (%) 48
FIGURE 2 TRENDS IN PROJECTED FEDERAL HEALTH IT SPENDING, 2011-2017 ($
BILLIONS) 64
FIGURE 3 TRENDS IN U.S. HOSPITALS' IT SPENDING, 2011-2017 ($ BILLIONS) 67
FIGURE 4 U.S. MARKET FOR ELECTRONIC HEALTH RECORDS TECHNOLOGIES,
2011-2017 ($ MILLIONS) 70
FIGURE 5 U.S. CPOE TECHNOLOGY MARKET, 2011-2017 ($ MILLIONS) 79
FIGURE 6 U.S. ELECTRONIC PRESCRIPTION TECHNOLOGY MARKET, 2011-2017 ($
MILLIONS) 84
FIGURE 7 U.S. ELECTRONIC PRESCRIPTION MARKET SEGMENTS, 2011 (%) 91
FIGURE 8 U.S. PACS TECHNOLOGY MARKET, 2011-2017 ($ MILLIONS) 94
FIGURE 9 U.S. LABORATORY INFORMATION SYSTEM MARKET, 2011-2017 ($
MILLIONS) 103
FIGURE 10 U.S. CLINICAL DECISION SUPPORT SYSTEM MARKET, 2011-2017 ($
MILLIONS) 110
FIGURE 11 U.S. MARKET FOR TELEMEDICINE TECHNOLOGIES, 2011-2017 ($
MILLIONS) 118
FIGURE 12 TELEMEDICINE TECHNOLOGY MARKET SEGMENTS, 2011-2017 (%) 125
FIGURE 13 CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY ANNUAL SALES
REVENUES, 2011 (%) 127
FIGURE 14 CLINICAL HEALTHCARE IT FIRMS SEGMENTED BY TYPE OF APPLICATION
(%) 128
FIGURE 15 U.S. CLINICAL HEALTHCARE IT PATENTS ISSUED SINCE 1975 (%) 148
FIGURE 16 U.S. CLINICAL HEALTHCARE IT PATENT APPLICATIONS PENDING AS OF
FEBRUARY 15, 2013 (%) 149

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