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US Ambulatory Electronic Health Record Market: 2015–2020 

  • October 2015
  • -
  • Frost & Sullivan
  • -
  • 151 pages

US Ambulatory Electronic Health Record Market: 2015–2020 : What to Expect as the Focus Shifts from Adoption to Optimization
This study analyzes trends in the US ambulatory electronic health records (EHR) market, predicts changes in market measurements through 2020, and provides an analysis of challenges facing market participants. Value-based reimbursement provisions, payer consolidation, and EHR optimization agendas will accelerate adoption among ambulatory practices. Large practices and hospitals will continue to acquire smaller practices to maintain profitability and enhance market share. On-premise EHR’s lack of productivity and low return on investment will compel practices to switch to cloud-based platforms, which are cost competitive in the short term, remotely accessible, and more compatible to practice healthcare information technology.

Key Findings—What Triggered EHR Adoption

Providers prefer advanced EHR features that do the following:

o Automate data entry
o Drive patient engagement o Ensure clinical information interoperability o Support clinical decisions
o Execute billing management and complement data analytics

- The overarching objective is to position EHR as a potential population health management (PHM) enabler.
- Value-based reimbursement (VBR) guidelines, EHR meaningful use (MU) incentives, the rising aging population, and expanding the Affordable Care Act (ACA) coverage predominantly catalysed EHR adoption among ambulatory practices.
- These developments will increase the demand for healthcare services substantially by 2020. As a result, the gap of physician supply-demand will continue to be prolonged. By 2025, an additional to physicians ( % of the total) will be required to cater to the growing demand for healthcare services.

Key Questions this Study will Answer

- How is the ambulatory EHR market undergoing transformational changes because of regulatory and technological advances?
- How is the EHR solution being implemented and optimized by ambulatory healthcare providers?
- What are the prominent drivers and restraints impacting the ambulatory EHR market in the United States over the next 5 years?
- What is the operational and financial potential of different ambulatory EHR end-user segments in the United States?
- Who are the key EHR vendors in the US market, and what are their core product and service propositions?
- What are the key cost components driving the price of EHR? How do the different price models, contract models, and engagement models play in the industry?

Table Of Contents

US Ambulatory Electronic Health Record Market: 2015-2020 
1 EXECUTIVE SUMMARY

Executive Summary
1 Key Findings—What Triggered EHR Adoption
2 Key Findings—What Triggered EHR Adoption
3 Ambulatory EHR Market—Major Issues and Developments
4 Ambulatory EHR Market—Major Issues and Developments
5 Key Findings—Supply Market Outlook and Ambulatory EHR Revenue Forecast
6 Key Findings—Supply Market Outlook and Ambulatory EHR Revenue Forecast
7 Key Market Drivers and Restraints
8 Scope and Segmentation
9 Scope and Segmentation
10 Key Questions this Study will Answer
11 Measurements
12 Measurements
13 CEO's Perspective
14 Executive Summary—3 Big Predictions

2 MARKET OVERVIEW

Market Overview
1 Market Background
2 Market Snapshot—HCIT
3 Digital Health Market Segmentation—First Level
4 EHR Market Segmentation
5 Solo/Partner Ambulatory Practices—Snapshot
6 Small-to-medium Ambulatory Practices—Snapshot
7 Large Ambulatory Practices—Snapshot

3 INTRODUCTION TO US PHYSICIAN PRACTICES

Introduction to US Physician Practices
1 US Physician Practice—Market Evolution
2 US Physician Practice Demographics
3 Patient Visit Statistics—Optimistic and Exponential
4 Growth of US Physician Supply—Highly Restricted
5 US Physician Supply—Likely to Receive Regulatory Impetuses
6 Percent of Ambulatory Physicians by Practice Size

4 INTRODUCTION TO EHR

Introduction to EHR
1 EHR Optimization Objectives—Consistent with Changing Clinical Quality Measures
2 EHR Technology Migration Roadmap
3 EHR Technology Migration Roadmap
4 EHR Maturity Stages
5 EHR Perceived as a PHM Enabler
6 Perceived EHR Benefits Accelerated Adoption
7 EHR Adaptation across Ambulatory Practice Sizes—Exponential and Consistent
8 EHR Adoption—Maturing but with a Significant Scope for Improvement
9 Reasons for Low MU Stage 2 Adoption
10 MU Stage 2 Capability Improvement—2010 and 2013
11 Reasons for EHR Adoption and Replacement Complement Each Other
12 Top EHR Benefits and Concerns
13 US Government—Keen to Establish EHR Adoption Maturity
14 EHR Penalty Exemption Outlook
15 Most Preferred EHR Features
16 EHR Top 3 Challenges
17 ICD-10 Readiness
18 Demonstrating MU for 365 Days
19 Complying with Changing EHR Audit Measures
20 CMS Relaxes EHR MU Measures to Mitigate Challenges
21 Distribution Structure
22 Adoption of EHR Technology Platforms
23 Five Characteristics of an Ideal EHR Environment

5 EHR PRICING

EHR Pricing
1 EHR Pricing Model
2 EHR Pricing TCO
3 Price Analysis—On-premise versus Cloud-based EHR: Base Year and Recurring Price
4 Base Year Price Comparison—On-premise versus Cloud-based EHR for Small-to-medium Practices
5 Base Year Price Comparison—On-premise versus Cloud EHR for Large Practices
6 TCO—On-premise versus Cloud-based EHR

6 DRIVERS, RESTRAINTS, AND TRENDS—AMBULATORY EHR MARKET

Drivers, Restraints, and Trends—Ambulatory EHR Market
1 Market Drivers
2 Drivers Explained
3 Drivers Explained
4 Drivers Explained
5 Drivers Explained
6 Market Restraints
7 Restraints Explained
8 Restraints Explained
9 Restraints Explained
10 Restraints Explained

7 FORECASTS AND TRENDS—AMBULATORY EHR MARKET

Forecasts and Trends—Ambulatory EHR Market
1 Measurements
2 Measurements
3 Forecast Assumptions and Definitions
4 Forecast Assumptions and Definitions
5 Forecast Assumptions
6 Revenue Forecast
7 Revenue Forecast Discussion
8 Percent Revenue Forecast by Segment
9 Revenue Forecast by Segment
10 Revenue Forecast by Segment Discussion

8 DEMAND ANALYSIS

Demand Analysis
1 Penetration Analysis—Ambulatory EHR for Solo/Partner Practices
2 Penetration Analysis—Ambulatory EHR for Small-to-medium Practices
3 Penetration Analysis—Ambulatory EHR for Large Practices
4 Penetration Analysis—Ambulatory EHR for Other Practices

9 SEGMENT ANALYSIS

Segment Analysis
1 Measurements—Ambulatory EHR for Solo/Partner Practices
2 Revenue Forecast—Ambulatory EHR for Solo/Partner Practices
3 Measurements—Ambulatory EHR for Small-to-medium Practices
4 Revenue Forecast—Ambulatory EHR for Small-to-medium Practices
5 Measurements—Ambulatory EHR for Large Practices
6 Revenue Forecast—Ambulatory EHR for Large Practices
7 Measurements—Ambulatory EHR for Other Practices
8 Revenue Forecast—Ambulatory EHR for Other Practices
9 Ambulatory EHR for Practices Discussion
10 Ambulatory EHR for Practices Discussion

10 COMPETITIVE ENVIRONMENT

Competitive Environment
1 Competitive Structure
2 Competitive Structure
3 Competitive Structure
4 Competitive Structure
5 Competitive Structure
6 Competitive Structure
7 Competitive Structure
8 Competitive Structure
9 Competitive Structure
10 Recent Notable Deals
11 Recent Notable Deals
12 Ambulatory EHR Market—Key Companies to Watch
13 Ambulatory EHR Market—Key Companies to Watch
14 Vendor Selection Methodology—Follow 3 Steps to Ensure Strategic Sourcing
15 Functional Capabilities—Top Ambulatory EHR Vendors
16 Functional Capabilities—Top Ambulatory EHR Vendors
17 Vendor Engagement—Fragmented among Ambulatory Practices
18 Top 10 Ambulatory EHR Vendors in Order of Market Share
19 Largest EHR Vendors Drive Highest Ambulatory MU Attestation
20 EHR Vendor Performance on Client Value Parameters
21 Comparative Analysis—EHR Vendor Performance
22 Consolidated Ranking—Ease of Use
23 Consolidated Ranking—Client Support
24 Consolidated Ranking—Interoperability
25 Consolidated Ranking—Clinical Usability
26 athenahealth, Inc
27 Amazing Charts
28 eClinicalWorks
29 NextGen Healthcare Information Systems, LLC
30 McKesson Provider Technologies
31 EPIC Systems
32 Cerner Corporation
33 Allscripts
34 Practice Fusion
35 GE Healthcare

11 THE LAST WORD

The Last Word
1 3 Big Predictions
2 Legal Disclaimer

12 APPENDIX

Appendix
1 Methodology
2 List of Acronyms Used
3 Sources
4 Sources
5 List of Exhibits
6 List of Exhibits
7 List of Exhibits
8 List of Exhibits

List of Exhibits


Ambulatory EHR Market: Research Methodology, US, 2015
Ambulatory EHR Market: Market Engineering Measurements, US, 2015
HCIT Market: Revenue Forecast, Global, 2014-2015
HCIT Market: Regional Sales, Global, 2014
Ambulatory EHR Market: Market Segmentation, US, 2015
Ambulatory EHR Market: Projected Physician Supply, US, 2013-2020
Ambulatory EHR Market: Projected Physician Supply and Demand, US, 2013-2020
Ambulatory EHR Market: Percent of Ambulatory Physicians by Practice Size, US, 2014-2020
Ambulatory EHR Market: Technology Evolution Roadmap, US, 2005-2015
Ambulatory EHR Market: EHR Penetration across Ambulatory Practice Sizes, US, 2014-2020
Ambulatory EHR Market: Percent of Providers Adopting Any, Basic, and Fully Functional EHRs, US, 2006-2013
Ambulatory EHR Market: MU Stage 2 Readiness—Ambulatory Physicians, US, 2013
Ambulatory EHR Market: Percent of EHRs Adhering to MU Objectives, US, 2010 and 2013
Ambulatory EHR Market: Reasons to Purchase EHR for the First Time, US, 2014
Ambulatory EHR Market: Reasons to Replace EHR, US, 2014
Ambulatory EHR Market: Penalty Outlook for Not Demonstrating EHR MU, US, 2015-2020
Ambulatory EHR Market: Penalty Outlook for Not Demonstrating EHR MU, US, 2015-2020
Ambulatory EHR Market: Coveted EHR Features, US, 2014
Ambulatory EHR Market: Distribution Structure, US, 2015
Ambulatory EHR Market: Comparative Price—On-premise vs Cloud Platform for Limited Requirement, US, 2015
Ambulatory EHR Market: Comparative Price—On-premise vs Cloud Platform for Comprehensive Requirement, US, 2015
Ambulatory EHR Market: Comparative Price—On-premise vs Cloud Platform for Limited Requirement for Small-to-medium practices, US, 2015
Ambulatory EHR Market: Comparative Price—On-premise vs Cloud Platform for Comprehensive Requirement for Large Practices, US, 2015
Ambulatory EHR Market: TCO—On-premise vs Cloud Platform for Limited Requirement, US, 2015
Ambulatory EHR Market: TCO—On-premise vs Cloud Platform for Comprehensive Requirement, US, 2015
Physician Practice EHR Market: Key Market Drivers, US, 2015-2020
Case Study: Percent of Patients with Improved Tobacco Cessation, Rhode Island, 2012
Case Study: Percent of Patients with Well Controlled Asthma, Cincinnati, 2012
Ambulatory EHR Market: Physician Supply-demand Outlook, US, 2013 and 2025
Ambulatory EHR Market: Primary Care—Physician Supply-demand Outlook, US, 2013 and 2025
Ambulatory EHR Market: Key Market Restraints, US, 2015-2020
Ambulatory EHR Market: Market Engineering Measurements, US, 2015
Ambulatory EHR Market: Revenue Forecast, US, 2014-2020
Ambulatory EHR Market: Percent Revenue Forecast by Segment, US, 2014-2020
Ambulatory EHR Market: Revenue Forecast by Segment, US, 2014-2020
Ambulatory EHR Market: Penetration Analysis for Solo/Partner Practices, US, 2015
Ambulatory EHR Market: Penetration Analysis for Small-to-medium Practices, US, 2015
Ambulatory EHR Market: Penetration Analysis for Large Practices, US, 2015
Ambulatory EHR Market: Penetration Analysis for Other Practices, US, 2015
Ambulatory EHR Market : Market Engineering Measurements for Solo/Partner Practices, US, 2015
Ambulatory EHR Market: Revenue Forecast for Solo/Partner Practices, US, 2014-2020
Ambulatory EHR Market : Market Engineering Measurements for Small-to-medium Practices, US, 2015
Ambulatory EHR Market: Revenue Forecast for Small-to-medium Practices, US, 2014-2020
Ambulatory EHR Market: Market Engineering Measurements for Large Practices, US, 2015
Ambulatory EHR Market: Revenue Forecast for Large Practices, US, 2014-2020
Ambulatory EHR Market: Market Engineering Measurements for Other Practices, US, 2015
Ambulatory EHR Market: Revenue Forecast for Other Practices, US, 2014-2020
Ambulatory EHR Market: Competitive Structure, US, 2015
Ambulatory EHR Market: Select Market Participants By Tiers of Competition, US, 2015
Ambulatory EHR Market: Competitive Structure, US, 2015
Ambulatory EHR Market: Notable Industry Deals, US, 2015
Ambulatory EHR Market: Market Share and Products of Select Companies, US, 2015
Ambulatory EHR Market: Number of EHR MU Attestations by Vendor, US, 2014
Ambulatory EHR Market: Vendors Client Value Ratings, US, 2014

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