Description
EMR 2015: The Market for Electronic Medical Records
This Kalorama Information report, EMR 2015: The Market for Electronic Medical Records, is the resource that electronic medical records (EMR) companies use for business planning, benchmarking, and opportunity analysis. This 490-page report is a complete global analysis of the EMR / EHR market. The eighth annual report concluded on this topic since 2007, EMR 2015 includes the important trends that will affect EMR companies offering software, hardware and services.
EMR System Vendors Market Share, Physician Adoption, International EMR Markets, and EMR Market Trends
This market analysis is global, though trend analysis focuses on the US as the largest healthcare market and the most incentivized for EMR conversion. As government policy approaches the turning-point on incentives in the electronic medical services market, and as a large shift in vendor market share occurs and new vendors play a larger role, it is an interesting time for market-watchers. How much has the EMR/EHR market grown? How have the incentives worked? Where is physician usage now? How about hospital adoption? Where do the top vendors stand now? Kalorama answers these questions and brings sharp analysis to recent trends.
As part of its coverage, the EMR 2015: The Market for Electronic Medical Records contains:
• Current Global Market Estimates for EMR
• Historic Market Growth since 2012
• Market Share of Top Vendors
• Regulatory Trends
• International Market Sizing: Japan, United Kingdom,
China, Germany, UK Australia, India, France, Brazil and Other Markets for EMR
• Market Forecasts to 2019
• Breakout of Hospital EMR Market and Physician/Web EMR Market
• Breakouts of EMR Market Segments (Consulting, Software, Hardware)
• Profiles of Major Vendors and Smaller Companies to Watch
Relevant Market Segment Estimates: EMR for Hospitals, EMR for Physicians, EMR Software, Hardware and Services Markets
EMR 2015: The Market for Electronic Medical Records, Forecats to 2019 estimates the size of the market for the EMR hospital and EMR physician market segments, and reviews usage trends among hospitals and physicians. It also forecasts the EMR market into 2018. Included in the report are statistics influencing the electronic medical records services industry, demographics, life expectancy, and company strategies. Market share is provided for top players in the industry. Revenues are reported based on worldwide figures with a focused view on US competitors and US trends.
EMR Market Primary Issues
There are several primary issues and trends affecting the electronic medical records (EMR) industry. New marketing strategy, new regulations, increased usage will continue to fuel growth in the future. But there are also challenges from vendor switches, usability and unexpected effects of EMR systems in hospitals. Issues and trends explored in EMR 2015: The Market for Electronic Medical Records, Forecasts to 2019 include:
• Vendor Switches Looming: Who Will Win?
• EMR Mergers and Acquisitions
• Doctor Opinion of EMR Systems
• Patient Access – Blue Button Technology
• Virtualization Technology
• Interoperability
• Hybrid Healthcare Clouds
• Interoperable Devices
• BYOD Accelerates
• Big Data
• Personnel Issues
• Security Breaches/Portable Devices
• ICD-10 controversy
• Industry Survey Results
• Smart Cards Technology
• Usability And Adoption
• E-Prescribing
• CCHIT Certifications
• Direct Pay-Per-Click (PPC) Offerings
• Global Healthcare Spending Trends
EMR Company Profiling and Analysis
The electronic medical records market in the United States is competitive, with over 400 providers; however, increasing mergers and acquisitions in the industry will result in the reduction in the number of EMR providers. Companies remain competitive by offering high-quality solution packages to private practices and hospitals. However, there is still ample opportunity for other companies and new entrants. There is still not a single system that is complete with true interoperability. The main drawback for smaller electronic medical records companies is the cost to enter the market with a certified product. EMR providers examined in the report include:
• 4Medica
• ADP AdvancedMD
• ALERT LIFE SCIENCES COMPUTING S.A
• Allmeds
• Allscripts Healthcare Solutions
• Amazing Charts
• Aprima Medical Software, Inc
• athenahealth, Inc.
• BizMatics, Inc.
• CAMBIO HEALTHCARE SYSTEMS
• CARECLOUD
• Cerner Corporation
• ChartLogic
• Compugroup Medical
• Computer Programs and Systems, Inc.
• CSC
• CureMD
• Dr First/Rcop
• Dr First/Rcop
• eClinicalworks
• Egton Medical
• e-MDs
• Epic Systems Corporation
• GE Healthcare
• Greenway Medical Technologies
• HealthFusion, Inc
• Healthland
• Henry Schein
• IMS MAXIMS
• KAREO
• McKesson Corporation
• MedHost
• Meditab Software Inc
• Medical Information Technology, Inc. (MEDITECH, Inc.)
• Medent Community Computer Service, Inc
• Medsphere Systems
• MeridianEMR, Inc
• Microtest
• NextGen Healthcare Information Systems /Quality Systems Inc
• Nextech
• Nightingale Infomatix Corporation
• Noemalife S.P. A.
• Nuesoft Technologies Inc
• Practice fusion
• Quadramed Corporation
• Quality Systems, Inc.
• PRAXIS
• Quest diagnostics, Inc
• SAP AG
• Sequel Systems, Inc
• Siemens Medical Solutions
• Streamline MD
• Tieto
• WRS Health (Waiting Room solutions)
• WPT
Table of Contents
EXECUTIVE SUMMARY
INTRODUCTION
INDUSTRY AT A GLANCE
SCOPE AND METHODOLOGY
USE OF EMR
Percentage and Increase of Physician Usage of EMR
HOSPITAL USE OF EMR
SIZE AND GROWTH OF THE MARKET
KEY ISSUES AND TRENDS AFFECTING THE MARKET
LEADING MARKET PARTICIPANTS
CONCLUSIONS HIGHLIGHTS
INDUSTRY OVERVIEW
Introduction
The Medical Record
The Electronic Medical Record
Industry Terminology
Industry Structure
Physician-based/Ambulatory EMR Services
Hospital-based EMR Services
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
EMERGING TRENDS
Meaningful Use
Economic Stimulus Package
Stimulus Guarantee
Information Overload
Patient Access – Blue Button Technology
Vendor Switches Looming
Merit Based Incentive Payment System
Virtualization Technology
Storage Area Networks
Interoperability
Types of Interoperability
Dimensions of Interoperability
Benefits
Cloud Computing
Hybrid Healthcare Clouds
Interoperable Devices
BYOD Accelerates
Dashboard modules
Big Data
Rise of Epic
ONC Interoperability Guidelines Draft
Mergers and Acquisitions
Professional Sports Organizations Using EMRs
Stark Law
Discreet Recordable Transcription
Health Information Exchange Update
Regional Extension Centers
Personnel Issues
Security Breaches/Portable Devices
Fraud and Security Surveillance Increases
Mobile Adoption
Network for Doctors
National Physician Education Program
ICD-10 controversy
Physician Position and Usability
Accountable Care Organizations
The Personal Health Record System
Industry Survey Results
Medscape
Black Book Ratings
KLAS Survey
Captera Survey
SK&A Survey
Smart Cards Technology
Wireless Technologies
Open Source EMR Applications
Benefits of Open Source EMR Applications
Adoption Issues
Usability And Adoption
Quality of Care/Malpractice
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
Certifications 2006
Certifications 2007
Certifications 2008
Copyright © 2015 Kalorama Information
Reproduction without prior written permission, in any media now in
existence or hereafter developed, in whole or in any part, is strictly prohibited
Certifications 2010
Certifications in 2011
Certifications in 2012
Certifications in 2013
Certifications in 2014
NHIN (eHealth Exchange)
Direct Pay-Per-Click (PPC) Offerings
Global Healthcare Spending Trends
Europe
Asia Pacific
The US Market
MARKET PARTICIPANTS
4Medica
ADP AdvancedMD
ALERT LIFE SCIENCES COMPUTING S.A
Allmeds
Allscripts Healthcare Solutions
Amazing Charts
Aprima Medical Software, Inc
athenahealth, Inc.
BizMatics, Inc.
CAMBIO HEALTHCARE SYSTEMS
CARECLOUD
Cerner Corporation
ChartLogic
COMPUGROUP MEDICAL AG
Computer Programs and Systems, Inc.
CSC
CureMD
Dr First/Rcop
Dr First/Rcop
eClinicalworks
EGTON MEDICAL INFORMATION SYSTEMS LIMITED
e-MDs
Copyright © 2015 Kalorama Information
Reproduction without prior written permission, in any media now in
existence or hereafter developed, in whole or in any part, is strictly prohibited
Epic Systems Corporation
GE Healthcare
Greenway Medical Technologies
HealthFusion, Inc
Healthland
Henry Schein
IMS MAXIMS
INTERSYSTEMS CORPORATION
KAREO
McKesson Corporation
MedHost
Meditab Software Inc
Medical Information Technology, Inc. (MEDITECH, Inc.)
Medent Community Computer Service, Inc
Medsphere Systems
MeridianEMR, Inc
Microtest LTD.
NextGen Healthcare Information Systems /Quality Systems Inc
Nextech
Nightingale Infomatix Corporation
NOEMALIFE S.P. A.
Nuesoft Technologies Inc
Practice fusion
Quadramed Corporation
Quality Systems, Inc.
PRAXIS
Quest diagnostics, Inc
SAP AG
Sequel Systems, Inc
Siemens Medical Solutions
Streamline MD
Tieto
WRS Health (Waiting Room solutions)
WebPT
MARKET ANALYSIS
Market Overview
Market by Region
United States
EMEA
APAC
Rest of World
Market by Segment
Market Segment by Type
Competitive Analysis
Market Leaders
Hospital
Physician Office
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: 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
Twelve: Technology Moving Faster than EMR Technology Providers
Thirteen: Data Storage Concerns- Top Focus
Fourteen: User Satisfaction On Decline
Fifteen: Specialists See Gains
Sixteen: EHRs More Personalized
DEFINITION OF INDUSTRY PRODUCTS
Table of Figures
CHAPTER ONE: EXECUTIVE SUMMARY
Figure 1-1 Percentage Physician EMR Usage, 2006-2014
Figure 1-2 EMR Market Analysis 2012-2019
Figure 1-3 Revenues and Market Share (%) of EMR Providers
CHAPTER TWO: TRENDS
Table 2-1 Terminology Comparison Matrix
Table 2-2 Physician Adoption of EMRs 2006-2014 (Basic System and Fully Functional System)
Figure 2-2 Overall Physician Adoption of EMRs 2006-2014
Table 2-3 State Percentage Distribution of Office-based Physicians Using EMR by State 2013-2014
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 (2014)
Table 2-6 State Percentage Distribution of Non-federal Acute Care Hospitals Using EMR (US) by State 2013
Table 2-7 Average Total Cost for a Three-physician Practice for EMR/PMS Installations (2013-2014)
Table 2-8 Total Cost Range for EMR/PMS Installations (2013-2014)
Table 2-9 Estimated Two-year Total Cost for EMR/PMS Installations 2010-2014 Selected Products (estimates)
Table 2-10 US EMR Hospital Adoption Model 2014
Table 2-11 Canada EMR Hospital Adoption Model 2014
Table 2-12 US Ambulatory EMR Adoption Model 2014
Table 2-13 Ownership vs. Non-ownership Adoption Rates 2012-2014
Table 2-14 Doctors Office Adoption Rates 2011-2014 (%)
CHAPTER THREE: TRENDS
Table 3-1 Attestation Details in 2014
Table 3-2 Medicare EHR Incentive Payment Schedule
Table 3-3 Medicaid EHR Incentive Payment Schedule
Table 3-4 Three Types of Interoperability
Figure 3-1 Global Healthcare Cloud Market 2010-2020
Table 3-5 Mergers and Acquisitions
Table 3-6 Number of HIEs in 2011 and 2012 by Top States
Table 3-7 HIE Grants by State
Table 3-8 2014 Listing of Regional Extension Centers
Table 3-9 Cost of Implementing ICD-10 2008 and 2014
Table 3-10 EHR Patient Portal Usability Rating 2014 (Score on scale of 1-10 with 10 best)
Table 3-11 Top 5 Most Widely Used Physician EHRs 2012, 2014
Table 3-12 Top Rated Physician EHRs Overall 2012, 2014
Table 3-13 Physician Satisfaction with EHR Vendor
Table 3-14 Switch or Keep EHR 2014
Table 3-14a Privacy Concerns 2014
Table 3-15 Meaningful Use Survey 2014
Table 3-16 Type of EHR System by Practice Size 1-9 Physicians
Table 3-17 Type of EHR System by Practice Size 10-24 Physicians
Table 3-18 Type of EHR System by Practice Size 25+ Physicians
Table 3-19 Cost per Physician to Purchase and Install EMR 2014
Table 3-20 Monthly Fees per Physician Web-based System
Table 3-21 2013 Black Book Ratings for Ambulatory Care Practices
Table 3-22 2014 Best in KLAS Award Ambulatory EMR (1-10 Physicians)
Table 3-23 Top 20 Vendors by Popularity
Table 3-24 EHR Vendor Market Share by Practice Size 2014
Table 3-25 Adoption by Selected Practice Specialties 2014
Table 3-26 Top Free or Open Source EMR Products 2014
Table 3-27 Physician Office National Level Adoption by Vendor
Table 3-28 Regional Adoption by Vendor
Table 3-29 Cost Break-up for a Typical One-Physician Practice (5-year period)
Figure 3-2 Distribution of Cumulative Savings
Table 3-30 EHR Incentive Select Program Payments 2012-2014 ($)
Table 3-31 Percent of Physicians e-Prescribing Using EHR December 2008 and April 2014
Table 3-32 Vendor Product Certifications 2006
Table 3-33 CCHIT 2007 Vendor Certifications
Table 3-34 CCHIT 2008 Vendor Certifications
Table 3-35 EMR/EHR Certifications 2010
Table 3-36 Modular System Certifications 2010
Table 3-37 System Certification in 2011
Table 3-38 System Certification in 2012
Table 3-39 Select Ambulatory EMR Certified Products 2013
Table 3-40 Select Ambulatory EMR Certified Products 2014
Table 3-41 EU Healthcare Expenditure as % of GDP by Top Countries
Figure 3-3 The US Healthcare Spending (2009-2020)
CHAPTER FOUR: COMPETITIVE ANALYSIS
Table 4-1 EMR Mergers and Acquisitions 2010-2015
Table 4-2 Selected Black Book Ratings
Figure 4-1 Allscripts Healthcare Solutions Revenues 2012-2014
Figure 4-2 athenahealth Revenues 2012-2014
Figure 4-3 Cerner Revenues 2012-2014
Figure 4-4 CompuGroup Revenues 2012-2014
Figure 4-5 CPSI Revenues 2012-2014
Figure 4-6 EMIS Group Revenues 2012-2014
Figure 4-8 Epic (estimated) Revenues 2012-2014
Figure 4-9 GE Healthcare IT Applications Revenues 2012-2014
Figure 4-10 Greenway Revenues 2012-2014 (E)
Figure 4-11 McKesson Revenues, 2012-2014
Figure 4-12 MEDITECH Revenues 2012-2014
Figure 4-13 NextGen Revenues, 2012-2014
Figure 4-14 Nightingale Infomatix Revenues, 2012-2014
Figure 4-15 NoemaLife Revenues 2012-2014
Figure 4-16 QSI Revenues, 2012-2014
Figure 4-17 Quest Diagnostics Revenues 2012-2014
Figure 4-20 Revenues 2012-2014
CHAPTER FIVE: MARKET ANALYSIS
Table 5-1 EMR Market Analysis, 2012-2014
Table 5-2 Forecasted EMR Market Analysis: 2015-2019
Figure 5-1 EMR Market Analysis 2012-2019
Table 5-3 United States EMR Market Analysis, 2014-2019
Table 5-4 EMEA EMR Market Analysis, 2014-2019
Table 5-5 United Kingdom EMR Market Analysis, 2014-2019
Table 5-6 Germany EMR Market Analysis, 2014-2019
Table 5-7 France EMR Market Analysis, 2014-2019
Table 5-8 Spain EMR Market Analysis, 2014-2019
Table 5-9 Nordic Countries EMR Market Analysis, 2014-2019
Table 5-10 Middle East EMR Market Analysis, 2014-2019
Table 5-11 Africa EMR Market Analysis, 2014-2019
Table 5-12 Other EMEA EMR Market Analysis, 2014-2019
Table 5-13 APAC EMR Market Analysis, 2014-2019
Table 5-14 Japan EMR Market Analysis, 2014-2019
Table 5-15 China EMR Market Analysis, 2014-2019
Table 5-16 India EMR Market Analysis, 2014-2019
Table 5-17 Australia EMR Market Analysis, 2014-2019
Table 5-18| Other APAC EMR Market Analysis, 2014-2019
Table 5-19 Rest of World EMR Market Analysis, 2014-2019
Table 5-20 Rest of World EMR Market Analysis, 2014-2019
Table 5-21 Canada EMR Market Analysis, 2014-2019
Table 5-22 Hospital EMR Market Analysis 2012-2014
Table 5-23 Forecasted Hospital EMR Market Analysis: 2015-2019
Figure 5-2 Hospital EMR Market Analysis: 2012-2019
Table 5-24 Physician/Web-based EMR Market Analysis 2012-2014
Table 5-25 Forecasted Physician/Web-based EMR Market Analysis: 2015-2019
Figure 5-3 Physician/Web-based EMR Market Analysis: 2012-2019
Figure 5-4 EMR Market Breakdown, Physician/Web vs. Hospital 2014
Figure 5-5 EMR Market Breakdown, Physician/Web vs. Hospital 2019
Figure 5-6 EMR Breakdown by Type 2014
Table 5-26| Notable Companies by Healthcare Specialty Area 2014*
Table 3-27 2014 Top Vendor by State’s Meaningful Use Attestations
Table 5-28 Revenues and Market Share of EMR Providers 2014
Figure 5-7 Revenues and Market Share of EMR Providers 2014
