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Methodology

• The objective of the research service is to present a comprehensive analysis of the US Hospital Information Systems (HIS) market with respect to market potential and key market dynamics at play over the next 5 to 7 years.
• The regional scope of the analysis is focused on the United States.
• The study also covers factors driving overall market growth, challenges impacting the hospital industry, and opportunities within the total market and key market segments as estimated for the forecast period.
• The study period covered by this service for the HIS market is from 2013 to 2020, with the base year as 2013 and forecast period from 2014 to 2020.
Data presented in this research was gathered through the following processes:
• In-depth interviews conducted with healthcare information technology (IT) vendors; hospital IT management and staff, and key opinion leaders (KOLs)
• Secondary research conducted using Frost & Sullivan proprietary content as well as publicly available sources of information such as government websites, academic and trade journals, and online media.
• Market size and forecasts were developed using Frost & Sullivan proprietary forecasting tools. A discussion of forecast assumptions is provided.

Key Findings

• Hospital Information System (HIS) are computer systems designed to improve the management of all of a hospital’s medical (e.g., clinical), financial, and administrative tasks with the core goals of improving the quality of healthcare services while delivering maximum operational and financial efficiencies.
• The US HIS market is fairly mature, with penetration rates as high as % in administrative and financial systems and around % for clinical systems. However, there are many opportunities for new growth as hospitals increasingly turn to IT solutions to navigate a plethora of challenges arising from healthcare reform, the growing adoption of IT throughout society, and changing cultural norms.
• The US Hospital Information Systems market was valued at $ billion in 2013. The market is expected to grow at a CAGR of % between 2014 and 2020 to reach an estimated market value of $ billion by 2020, representing a % increase in revenue.
• Administrative information systems will be the fastest growing market segment with a CAGR of % over the forecast period.
• Financial information systems will be the second fastest growing market segment with a CAGR of % over the forecast period.
• Clinical information systems will grow by slowly than the other segments with a CAGR of % over the period.

Scope and Segmentation

• The Hospital Information Systems (HIS) market covers a very wide variety of systems and solutions that pertain to the management of a hospital’s clinical, financial, and administrative information-related tasks. For the purpose of this report, the HIS market consists of software applications and related maintenance and implementation services sold in conjunction with such applications but does not include information technology (IT) hardware (computers, mobile devices, medical devices, etc.) or telecommunications infrastructure solutions.
• Examples of typical hospital information systems include clinical solutions like electronic health records (EHRs), computerized physician order entry (CPOE), clinical decision support (CDS), nursing systems, and more; financial solutions like revenue cycle management (RCM), contract management, business intelligence, and more; and administrative systems like asset tracking, customer relationship management (CRM), single sign on, human resources, payroll, and more.
• This report only pertains to information systems used by non-federal US community hospitals for inpatient care settings (acute care). The scope of this study does not include information systems used by ambulatory providers (outpatient care) such as physician offices; post-acute care settings; long term care settings; nursing homes; and other care settings.

Key Questions this Study will Answer

What type of information systems are used by hospitals in the provision of patient care, the oversight of core financial processes including patient billing, and daily operations management of personnel, supplies, and facilities?
What are the market-shifting macro trends impacting healthcare in the US, particularly in the provision of hospital care, and how are these trends shaping the demand for information technology?
What are the specific drivers and restraints impacting the Hospital Information Systems market over the next 7 years?
What are the competitive characteristics of the US Hospital Information Systems market and who are some of the key IT vendors serving the market?
What is the 7-year outlook for the key IT applications that comprise the US Hospital Information Systems (HIS) market across the clinical and non-clinical market segments?

Table Of Contents

US Hospital Information Systems Overview and Outlook, 2013-2020 : Managing Information in an Era of Reform
Executive Summary 11
Market Background 19
The EHR Landscape 39
Overview of US Hospitals 53
Trends in National Health Expenditures 70
Total Hospital Information Systems Market —
• Drivers, Restraints and Trends 76
• Forecast and Trends 86
Forecast and Trends—Market Segments 93
Demand Analysis 101
Competitive Environment 104
The Last Word 111
Appendix 114

Exhibits

US Hospital Information Systems: Frost and Sullivan Research Methodology, 2014 10
Hospital Information Systems: Market Engineering Measurements, US, 2013 16
Hospital Information Systems: First Level Market Segmentation, US, 2014 22
Hospital Information Systems: Percent Revenue Breakdown, Clinical Versus Non-Clinical, US, 2013 23
Hospital Information Systems: Percent Revenue Breakdown, Software Versus Hardware, US, 2013 24
Hospital Information Systems: Second Level Market Segmentation, US, 2014 25
Hospital Information Systems: Percent Revenue Breakdown Among Clinical, Financial, and Administrative Information Systems, US, 2013 26
Hospital Information Systems: Percent Revenue Breakdown Among Clinical, Financial, and Administrative Information Systems, US, 2013 27
Hospital Information Systems: Top Five Clinical Applications as a Percentage of Segment and Total Market Spend, US, 2013 28
Hospital Information Systems: Clinical Applications with the Strongest Projected Growth in Hospital Spend, US, 2013-2016 29
Hospital Information Systems: 25th Annual HIMSS Leadership Survey—Primary Clinical IT Focus, US, 2014 30
Hospital Information Systems: Percent Revenue Breakdown Among Clinical, Financial, and Administrative Information Systems, US, 2013 31
Hospital Information Systems: Top Five Financial Applications as a Percentage of Segment and Total
Market Spend, US, 2013 32
Hospital Information Systems: Financial Applications with the Strongest Projected Growth in Hospital
Spend, US, 2013-2016 33
Hospital Information System: 25th Annual HIMSS Leadership Survey—Primary Financial IT Focus,
US, 2014 34
Hospital Information Systems: Percent Revenue Breakdown Among Clinical, Financial, and
Administrative Information Systems, US, 2013 35
Hospital Information Systems: Top Five Administrative Applications as a Percentage of Segment and
Total Market Spend, US, 2013 36
Hospital Information Systems: Administrative Applications with the Strongest Projected Growth in
Hospital Spend, US, 2013-2016 37
Hospital Information Systems: Healthcare Reform-Driven IT and Data Needs by HIS Market Segment,
US, 2014 38
Hospital Information Systems: Functionalities Required for Comprehensive EHRs, US, 2014 41
Hospital Information Systems: The 25th Annual HIMSS Leadership Survey—Top IT Priority for the
Next Two Years, US, 2014 43
Hospital Information Systems: Percentage of Office-Based Physicians with Adoption of a Basic EHR
and Possession of a Certified EHR*, US, 2008-2013 47
Hospital Information Systems: Percentage of Non-Federal Acute Care Hospitals with Adoption of a
Basic EHR and Possession of a Certified EHR, US, 2008-2013 48
Hospital Information System: EHR Vendor Market Share, US, 2014 50
Hospital Information Systems: Top Ten Inpatient EHR Products Ranked by Number of Meaningful Use
Attestations, US, 2011-2013 51
Hospital Information Systems: Number and Percentage of Hospital EHR Adoption by Status, US, 2014 52
Hospital Information Systems: Key US Hospital Demographics, US, 2014 54
Hospital Information Systems: Percentage Distribution of Community Hospitals by Bed Size, US, 2009 55
Hospital Information Systems: Numbers of Community Hospitals by Bed Size, US, 2009 55
Hospital Information Systems: Percentage Breakout of Urban Versus Rural Hospitals, US, 2013 56
Hospital Information Systems: Number of Hospitals by Geographic Region, US, 2013 56
Hospital Information Systems: Top Ten For Profit Hospital Systems by Number of Hospitals, US, 2014 58
Hospital Information Systems: Top Ten Non Profit Hospital Systems by Number of Hospitals, US, 2014 58
Hospital Information Systems: Total Number of Community Hospitals, US, 1999-2011 59
Hospital Information Systems: Inpatient Admissions per 1,000 in Community Hospitals, US, 2000-
2011 60
Hospital Information Systems: Inpatient Days per 1,000 in Community Hospitals, US, 2000-2011 61
Hospital Information Systems: Hospital Revenue, US, 1997 through 2012 62
Hospital Information Systems: Hospital Revenue per Employee, US, 1997 through 2012 62
Hospital Information Systems: Distribution of Inpatient Versus Outpatient Revenues as a Percentage
of Total Hospital Revenue, US, 1992 through 2012 63
Hospital Information Systems: Number of Hospital Mergers and Acquisition Deals, US, 2005-2013 65
Hospital Information System: 25th Annual HIMSS Leadership Survey—Business Issues with Most
Impact on Healthcare, US, 2014 68
Hospital Information Systems: Projections for NHE as a Percentage of GDP, US, 2008 through 2019 72
Hospital Information Systems: Projections for NHE, US, 2008 through 2019 72
Hospital Information Systems: Projected Growth for Expenditures for Health Services and Supplies
by Select Categories, US, 2013 and 2019 73
Hospital Information Systems: Growth of National Health Expenditures by Type of Health Insurance,
US, 2013 and 2019 74
Hospital Information Systems: Aggregate Hospital Payment-to-Cost Ratios for Private Payers,
Medicare and Medicaid, US, 1992-2012 75
Components of a New Value-Driven Healthcare Ecosystem 79
Total Hospital Information Systems Market: Market Engineering Measurements, US, 2013 87
Total Hospital Information Systems Market: Revenue Forecast, US, 2013-2020 89
Total Hospital Information Systems Market: Percent Revenue by Segment, US, 2013-2020 91
Total Hospital Information Systems Market: Revenue Forecast by Segment, US, 2013-2020 92
Clinical Information Systems Segment: Market Engineering Measurements, US, 2013 94
Clinical Information Systems Segment: Revenue Forecast, US, 2013-2020 95
Financial Information Systems: Market Engineering Measurements, US, 2013 96
Financial Information Systems: Revenue Forecast, US, 2013-2020 97
Administrative Information Systems: Market Engineering Measurements, US, 2013 98
Administrative Information Systems: Revenue Forecast, US, 2013-2020 99
Hospital Information Systems: Penetration Analysis for Clinical Segment, US, 2014 102
Hospital Information Systems: Penetration Analysis for Non-Clinical Segment, US, 2014 103
Hospital Information Systems: Competitive Market Structure, US, 2014 105
Hospital Information Systems: Select Key Market Participants by Tiers of Competition, US, 2014 106
Hospital Information Systems: Recent Industry Deals, US, 2014 110
Hospital Information Systems: Definitions for Select Clinical Information Systems, US, 2014 115
Hospital Information Systems: Definitions for Select Financial Information Systems, US, 2014 119
Hospital Information Systems: Definitions for Select Administrative Information Systems, US, 2014 122
Decision Support Database: Number of Hospital Staffed Beds, Total Discharges, Patient Days and Gross
Patient Revenue by State, US, 2012 126
Decision Support Database: National Health Expenditures and Annual Growth by Category, US, 2008
through 2023 128
Decision Support Database: National Health Expenditures, Share of Gross Domestic Product, and
Average Annual Growth by Category, US, 2008 through 2023 130

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