EMR 2013: The Market for Electronic Medical Records

CHAPTER ONE :EXECUTIVE SUMMARY
Industry at a Glance
Scope and Methodology
Physician Use of EMR

Percentage and Increase of Physician Usage of EMR
Analysis of CDC Physician EMR Use numbers (Basic/Some Use vs. Fully Functional)


Hospital Use of EMR
Size and Growth of the Market
Key Issues and Trends Affecting the Market
Leading Market Participants
Conclusions


CHAPTER TWO: INDUSTRY OVERVIEW
Introduction
The Medical Record
The Electronic Medical Record
Industry Terminology
Industry Structure

Physician EMR Acceptance by Type (Fully Functional System, Basic System, Have Used EMR, Not Using EMR)
Overall Physician Adoption of EMRs 2006-2012


Advantages

Increased Access and Efficiency
Improved Documentation
Quality of Care
Increased Resources
Quality Assurance
Eliminates Costs


Disadvantages

Reliability
Accountability
Patient Privacy
EMR Software
Components of an EMR
Administrative System Components
Laboratory System Components
Radiology System Components
Pharmacy System Components
Computerized Physician Order Entry
Clinical Documentation
Flow of Patient Data across Various Components
Pricing of EMRs
US EMR Adoption Model
EMR Adoption Rates


CHAPTER THREE: EMERGING TRENDS
Meaningful Use
Economic Stimulus Package
Stimulus Guarantee
Information Overload
Patient Access – Blue Button Technology
Vendor Switches Looming
Virtualization Technology
Storage Area Networks
Cloud Computing
Dashboard modules
Mergers and Acquisitions
NFL Using EMRs
Stark Law
Discreet Recordable Transcription
Health Information Exchange Update
Regional Extension Centers
Personnel Issues
Security Breaches/Portable Devices
Tablet Adoption
New Network for Doctors
National Physician Education Program
ICD-10 controversy
Physician Position and Usability
Accountable Care Organizations
The Personal Health Record System
Doctor Opinion
Interoperability

Dimensions of Interoperability
Benefits


Smart Cards Technology
Wireless Technologies
Open Source EMR Applications

Benefits of Open Source EMR Applications


Adoption Issues
Usability And Adoption
Quality of Care/Malpractice/Security
Cost-Benefit Analysis

ROI for a Typical Physician Practice
EHR Incentive Program
Implementation Costs and ROI for Hospitals
Summary


Privacy Issues
Technology Limitations
Social and Organizational Barriers
E-Prescribing
CCHIT
NHIN
Direct Pay-Per-Click (PPC) Offerings
International Markets and Trends

Europe Asia, and Other EMR Markets
The US Market


CHAPTER FOUR: MARKET PARTICIPANTS
Abraxas Medical Solutions
ADP AdvancedMD
Allmeds
Allscripts Healthcare Solutions

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy


Amazing Charts
Aprima Medical Software, Inc

Company Overview
Key Acquisitions, Alliances and Partnerships
Products and Services
Key Competitors
Growth Strategy


athenahealth, Inc.
BizMatics
Cerner Corporation

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Locations


ChartLogic
Computer Programs and Systems, Inc.

Company Overview
Performance Review
Products and Services
Key Competitors
Growth Strategy
Locations


CSC
CureMD
Dr First/Rcop
Dr First/Rcop
eClinicalworks


Company Overview
Performance Review

Figure 4-4

Products and Services
Key Competitors
Growth Strategy




Emdeon
e-MDs
Epic Systems, Inc.

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Locations


GE Healthcare

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Locations


Greenway Medical Technologies

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors


Healthland
Health Management Systems
Henry Schein
Keane (NTT Data)
LLS Data Systems
McKesson Corporation

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Key Competitors
Growth Strategy
Locations


Medical Information Technology, Inc. (MEDITECH, Inc.)

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Growth Strategy
Locations


Medent Community Computer Service, Inc
MedPlus, Inc.

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Services
Key Competitors
Locations


Medsphere Systems
MeridianEMR, Inc
NextGen Healthcare Information Systems /Quality Systems Inc

Company Overview
Performance Review
Key Acquisitions, Alliances and Partnerships
Products and Services
Key Competitors
Growth Strategy


Nightingale Infomatix
Practice fusion

Company Overview
Performance Review
Private
Key Acquisitions, Alliances and Partnerships
Products and Services
Key Competitors
Growth Strategy


Quadramed Corporation

Company Overview
Performance Review
Private
Key Acquisitions, Alliances and Partnerships
Products and Services
Key Competitors
Growth Strategy


Sequel Systems, Inc
Siemens Medical Solutions

Company Overview
Performance Review
Key Acquisitions, Alliances, and Partnerships
Products and Service
Key Competitors
Growth Strategy
Locations


SoapWare, Inc
Streamline MD
SuiteMed
Vitera Healthcare Solutions
Waiting Room Solutions
WebPT

CHAPTER FIVE: MARKET ANALYSIS
Market Overview
Market by Segment
Competitive Analysis
Hospitals and Health System Technology Providers
Practice Management System (PMS) Acquirers
Pharmacy Services Providers
Other Entities
Hospital
Physician Office
CHAPTER SIX: CONCLUSIONS
Overview
One: Physician Practices Still High Growth Area
Two: Meaningful Use Confusion Still Plagues Industry
Three: No Clear Leader Still, Opportunity For New Players
Four: Expect More Mergers and Acquisitions
Five: Interoperability A Major Hurdle
Six: PR Effect of Breaches Downside for Industry
Seven: Usability and Data Entry an Under the Radar Issue.
Eight: Opportunity for Telecoms
Nine: “Stick” Will Be More Effective Than “Carrot” in Doctor Conversion
TEN: CPOE and Other Features Sell EMR Systems
Eleven: Hospital EMR Incentives Factor in Growing Market
Conclusion Twelve: Technology Moving Faster than EMR Technology Providers 273
Conclusion Thirteen: Data Storage Concerns- Top Focus
Conclusion Fourteen: User Satisfaction On Decline
Conclusion Fifteen: Specialists See Gains
APPENDIX I: DEFINITION OF INDUSTRY PRODUCTS
CHAPTER ONE: EXECUTIVE SUMMARY
Figure 1-1: Percentage Physician EMR Usage, 2006-2012
Figure 1-2: Analysis of CDC Physician EMR Use Numbers (Basic/Some Use vs. Fully Functional)
Figure 1-3: Hospitals at Stage 3 or higher
Figure 1-4: EMR Market Analysis 2010-2017
Figure 1-5 Revenues and Market Share of EMR Providers
CHAPTER TWO: INDUSTRY OVERVIEW
Table 2-1: Terminology Comparison Matrix
Table 2-2: Physician Adoption of EMRs 2006-2012 (Basic System and Fully Functional System)
Figure 2-1: Physician EMR Acceptance by Type (Fully Functional System, Basic System, Have Used EMR, Not Using EMR)
Figure 2-2: Overall Physician Adoption of EMRs 2006-2012
Table 2-3: Age-wise Percentage Distribution of Office-based Physicians Using EMR (US) by State 2012
Table 2-4: Percentage Distribution of Office-based Physicians Using EMR by Age and Practice Characteristics (US, 2012)
Table 2-5: Physician Usage by US Region (2012)
Figure 2-3: Comparison of Hospital Basic EHR Systems with Hospital Certified EHR Systems 2012
Table 2-6: Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2011-2012)
Table 2-7: Total Cost Range for EMR/PMS Installations (2011-2012)
Table 2-8: Two-year Total Cost for EMR/PMS Installations/Subscriptions 2010-2012 Selected Products (estimates)
Table 2-: US EMR Hospital Adoption Model 2011
Table 2-1: Ownership vs Non-ownership Adoption Rates 2012-2013
Table 2-1: Doctors Office Adoption Rates 2012-2013
CHAPTER THREE: EMERGING TRENDS
Table 3-1: HITECH ACT – Subsidy Plan
Table 3-2: Mergers and Acquisitions
Table 3-3: Number of HIEs in 2011 and 2012 by Top States
Table 3-4: Cost Break-up for a Typical One-Physician Practice (5-year period)
Figure 3-1: Distribution of Cumulative Savings
Table 3-5: EHR Incentive Select Program Payments 2011
Table 3-6: Vendor Product Certifications 2006
Table 3-7: CCHIT 2007 Vendor Certifications
Table 3-8: CCHIT 2008 Vendor Certifications
Table 3-9: EMR/EHR Certifications 2010
Table 3-10: Modular System Certifications 2010
Table 3-11: System Certification in 2011
Table 3-12: System Certification in 2012:
Figure 3-2: By Sector Contribution to the US GDP (2012)
Figure 3-3: The US Healthcare Spending (2009-2020)
CHAPTER FOUR: MARKET PARTICIPANTS
Table 4-1: EMR Mergers and Acquisitions 2010-2012
Table 4-2: Selected Black Book Ratings
Figure 4-1: Allscripts Healthcare Solutions Revenues 2010-2012 ($million)
Figure 4-2: Cerner Revenues 2010-2012
Figure 4-3: CPSI Revenues 2010-2012
Figure 4-4: eClinicalWorks Revenues, 2010-2012 (e)
Figure 4-5: Epic (estimated) Revenues 2010-2012
Figure 4-6: GE Healthcare Applications Revenues 2010-2012
Figure 4-7: Greenway Revenues 2010-2012
Figure 4-8: McKesson Revenues, 2010-2012
Figure 4-9: MEDITECH Revenues 2010-2012
Figure 4-10: MedPlus Revenues 2010-2012
Figure 4-11: NextGen Revenues, 2010-2012
Figure 4-12: Siemens Medical Solutions Revenues, 2010-2012
CHAPTER FIVE: MARKET ANALYSIS
Table 5-1: EMR Market Analysis, 2010-2012
Table 5-2: Forecasted EMR Market Analysis: 2013-2017
Figure 5-1: EMR Market Analysis 2010-2017
Table 5-3: Hospital EMR Market Analysis 2010-2012
Table 5-4: Forecasted Hospital EMR Market Analysis: 2013-2017
Figure 5-2: Hospital EMR Market Analysis: 2010-2017
Table 5-5: Physician/Web-based EMR Market Analysis 2010-2012
Table 5-6: Forecasted Physician/Web-based EMR Market Analysis: 2013-2017
Figure 5-3: Physician/Web-based EMR Market Analysis: 2010-2017
Figure 5-4: EMR Market Breakdown, Physician/Web vs. Hospital 2012
Figure 5-5: EMR Market Breakdown, Physician/Web vs. Hospital 2017
Table 5-7 Notable Companies by Healthcare Specialty Area
Table 5-8: Revenues and Market Share of EMR Providers 2012
Figure 5-6: Revenues and Market Share of EMR Providers 2012

Medical Imaging in United States