Description
It was less than one year ago that Kalorama Information surveyed the market for electronic medical records. Yet much has changed and the changes may reach into every aspect of healthcare. Since our last report, the U.S. Government has decided to incentivize the use of EMRs through extra Medicare payments, companies have merged and new players – including some well-known corporate giants, have entered the field.
What impact have the announcement of ARRA (stimulus) incentives had, if any? What is the realistic opportunity for producers of EMR systems and system components? Who are the key players who will determine the future of EMR? What is the actual usage rate of EMR? Is this market still open for new entrants?, and what are the strategies that are working in the marketplace? These questions and more are addressed in this report.
In EMR 2010 (Markets, Key Players, ARRA Stimulus Incentives and Innovations), Kalorama Information provides the most current market research on EMR available. As part of its research, EMR 2010 includes:
- Analysis of Various Surveys of Physician EMR Use; Getting Towards Usage
- Current Market Size and Forecasts for the Next Five Years of EMR Sales
- Market Share of Major Competitors
- Breakout of Market for the Physician (Office-based) Market
and the Hospital Market
- Profiles of Major Players in the Market, As Well As Innovative Companies
- A Complete Overview of EHR, EMR and PHRs
- Physician EMR Preferences and Feature Ratings
- List of EMR Products Certified in 2006, 2007 and 2008
- A Look at the ‘Ideal EMR-Enabled Physician’
- ROI for Average Physician Office; Cost for Hospitals and For the Health System
The use of electronic medical records will impact all healthcare industries including IT companies, device makers, test makers and pharmaceutical manufacturers. Kalorama provides Eight Important Conclusions About the EMR Market that market watchers should be aware of.
As with all Kalorama Information research, secondary research into company reports, government reports, trade publications were used as foundation and primary research – interviews with industry experts were used to assess the data and make forecasts.
Table of Contents
CHAPTER ONE: EXECUTIVE SUMMARY
Industry at a Glance
Scope and Methodology
Size and Growth of the Market
Physician Use of EMR
Key Issues and Trends Affecting the Market
Leading Market Participants
CHAPTER TWO: INDUSTRY OVERVIEW
Introduction
The Medical Record
The Electronic Medical Record
Industry Terminology
Industry Structure
Physician use of Emr
The ‘Ideal EMR-Enabled Physician’
Advantages
Increased Access and Efficiency
Improved Documentation
Quality of Care
Increased Resources
Quality Assurance
Eliminates Costs
Disadvantages
Reliability
Accountability
Patient Privacy
EMR Software
Hardware Requirements
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
CHAPTER THREE: EMERGING TRENDS
Economic Stimulus Package
Vendor Stimulus Guarantee
Cloud Computing
Discreet Recordable Transcription
National Physician Education Program
The Personal Health Record System
Doctor’s Survey
Interoperability
Dimensions of Interoperability
Benefits
Smart Cards Technology
Wireless Technologies
Open Source EMR Applications
Benefits of Open Source EMR Applications
Adoption Issues
Cost-Benefit Analysis
ROI For a Typical Physician Practice
Implementation Costs and ROI for Hospitals
Summary
Privacy Issues
Technology Limitations
Social and Organizational Barriers
CCHIT
NHIN
Mega Computer Giant Dell Market Entry
International Markets and Trends
European Union and Asia-Pacific Markets
The US Market
CHAPTER FOUR: COMPANY PROFILES
Abraxas Medical Solutions
Allscripts-Misys Healthcare Solutions
Amazing Charts.com Inc
Cerner Corporation
ChartLogic, Inc
Computer Programs and Systems, Inc.
Dell
eClinicalworks
Eclipsys Corporation
e-MDs, Inc.
Emedon
Epic Systems, Inc.
GE Healthcare
Greenway Medical Technologies
MDTablet.com
MediTech, (Medical Information Technology, Inc.)
MedPlus, Inc.
McKesson Corporation
NextGen Healthcare Information Systems/QSI
Quadramed Corporation
Siemens Medical Solutions
SynaMed
CHAPTER FIVE: MARKET ANALYSIS
Market Overview
Competitive Analysis
Hospitals and Health System Technology Providers
Practice Management System (PMS) Acquirers
Pharmacy Services Providers
Other Entities
Market Segmentation
Hospital Market
Office and Web-Based
CHAPTER SIX: CONCLUSIONS
Overview
Conclusion One
Conclusion Two
Conclusion Three
Conclusion Four
Conclusion FIve
Conclusion Six
Conclusion Seven
Conclusion Eight
APPENDIX A: DEFINITION OF INDUSTRY PRODUCTS
CHAPTER ONE: EXECUTIVE SUMMARY
Table 1-1: EMR Market Analysis, 2006-2008
Table 1-2: Forecasted EMR Market Analysis: 2009-2013
Figure 1-1: EMR Market Analysis: 2006-2013
Figure 1-1: Market Share of EMR Providers 2008
CHAPTER TWO: INTRODUCTION
Table 2-1: Terminology – EMR, EHR, PHR
Table 2-2: Physician Use of EMR: Multiple Surveys
Table 2-3: Age-wise Percentage Distribution of Office-based Physicians Using EMR (US, 2006-2007)
Table 2-4: Percentage Distribution of Office-based Physicians Using EMR by Practice Characteristics (US, 2007)
Table 2-5: Location Characteristics of Office-based Physicians 2007 (US, 2007)
Table 2-6: Percentage of Office-based Physicians Using Select EMR Features (US, 2006)
Table 2-7: Percentage Installation of Various Clinical Applications in Hospitals (US, 2006)
Table 2-8: Hospitals Automated or Contracted for EMR, CDR, CPOE, LIS, PMS, POC, RIS, and Radiology PACS (US, 2006)
Table 2-9: EMR System Implementation Rate across Various Operating Room Environments (US, 2005)
Table 2-10: Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2005-2008)
Table 2-11: Total Cost Range for EMR/PMS Installations (2005)
Table 2-12: Two-year Total Cost for EMR/PMS Installations/Subscriptions 2005-2007 Selected Products
CHAPTER THREE: ROI, PHYSICIAN OPINION, INCENTIVES AND OTHER TRENDS
Table 3-1: HITECH ACT – Subsidy Plan
Table 3-2: Survey of Physicians -EMR System Used
Figure 3-1: Survey of Physicians – EMR System Used
Table 3-2: Rating of EMR by Physicians
Table 3-: Cost Break-up for a Typical One-Physician Practice (5-year period)
Figure 3-2: Distribution of Cumulative Savings
Table 3-5: Total Implementation Cost for All Healthcare Systems, Physicians and Hospitals (Low End, High End, Average Cost)
Figure 3-3: By Sector Contribution to the US GDP (2007)
Figure 3-4: The US Healthcare Spending (2005-2016)
CHAPTER FIVE: MARKET ANALYSIS
Table 5-1: EMR Market Analysis, 2006-2008
Table 5-2: Forecasted EMR Market Analysis: 2009-2013
Figure 5-1: EMR Market Analysis: 2006-2013
Table 5-3: Revenues and Market Share of EMR Providers 2008
Figure 5-2: Revenues and Market Share of EMR Providers 2008
Table 5-4: Hospital-based Competitive Analysis, 2008
Table 5-5: Office and Web-Based Competitive Analysis, 2008
